HomeMy WebLinkAbout2215 SARA WAY; ; 86-509-35; Permitell z 0 .:: < ac < .j
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O I hereby affirm that I am licensed under
pr0Yl1lona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profa11lons Code, and my license is in
full force and effect.
I hereby a111rm lhat I am exempt trom Ille Conuac ror's ltttn$t Law I()( the tOllowing reason (Sec 7031 5 Business and Proless,ons COde Any city or county whttt. re-
qwres a permit to construct. after, improve, demohsh, or repa,_r any structure prior lo 11s issuance also requires !heap-
pltcant IOJ such permit to hie a signed stalemen1 Iha! t\e 1s t1censed pursuant to the prov,s,ons ot the (;onrractor s
Ltcanse Law (Chapler 9 commencing with SectlOn 7000 of O.v,sion 3 of !he Bus mess and ProtesslOfls COde) or thal tS ex
empl 1neretrom ano the basis 101' lhe a11ege<1 e,emp1t0n Any violation Of Sec110n 7031 5 by an applicant lor a perm,1 sub-
,ecIs lhe appltcant to a tlVll penalty ot not mote than hve hun~
llreC coNars {$500)
I. as owner ol lhe properly, or my employees with wages
as !heir sole compensation wall do lhe work and the strut· rure 1s not intende<l or ollered lor sale (Sec 7044, Business
and Protess10n!. COde The Contractor's ucense Law does
nol apply to an owner ol prC4Jerty who builds or improves rttereon and whO does such WOfk tumsell Of through his own
employees. provided lhal such tmprovements are not intend-
ed or ottered lor sate 11. however, the bu,tding or 1mprove-
men1 ,s sold w1lhm one year ot comptet1on. the owner-builder ;:~:a,: :~ g~;~ o~ p~~;19 thal he did not build Of ,m-l
r I. as owner ol the prOi)erty. am exclusively contracting
with licensed conlfactors lo construct lhe Pfoteci (Sec 7044.
8usmess and Pfoless10ns Code The Conrractor's License
Law does not apply to an owner ol property who ·bu,kis or im-
proves thereon. and who contracts lor eac·h prcsecis with a
conlractor(s} hcense pursuant lo the Con1racIor's License Law)
I 1 As a homeowner I am ,mprovmg my home. and lhe follow
Ing con<hhons ex,st
1 The work IS being pertOl'med P''°' to sate 2 I have lived in my home toe twelve monu1s
pnor 10 completoo or ltus work 3 I have no! claimed this exemplion during lhe last three years
0 I am oempt under Sec ______ . e & P c
fOf this reason ____________ _
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,---, . I L I hereby afh,m Iha! I have a cerhhcale of consent lo f
sell-insure. or a cerhf1cale ol Workers· Compensa1,on In•
surance. or a certified copy thereof (Sec 3800. Lat>or Code) t
f POLICY NO.
COMPANY C,11:<,[Vt::-9 =-Copy ,s hleo with the Ctly
D Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
1Th1s section need not be completed 1f the permit t
ts for one hundred dollars ($100) or less) l
0 I cer11fy that 1n !he pedormance of the work tor wtuch I
this permit ,s issued. I shall no! empl0y any person 1n a.ny
manner so as to become subject to the Workers· Compen• t
sahon Laws of Cahforn1a. f
NOTICE TO APPLICANT· II. alter making this Certificate t
of Exemption. you shOuld t>eccwne subject lo the Workers f
~~:~:~:~1~!~:~i~;:.t~,~~si~~~r ~~epe!~~t ~~~ 1
be deemed revoked
0 I hereby affirm that there is a construction lending f
agency for the performance ol the work for which this per-t
m,1 is ,ssued (Sec 3097. C1vH Code)
Lender s Name
Lender's Address
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST RD. THOMAS BROS NO.
ID;;~;;DNI
BUSINESS LICENSE # VALUATION PERMIT NUMBER -
)..o..15" S1t.ert Wll1 19128 188. 97 3 86-509-~;,
LOT BLOCK I SUBDglf~,c, I ASSESSOR PA!l_CEL NO i) CONTRACTOR CONTRACTORS PHONE • ZONE 35 1~75'--tJ .2'4--O OWNER 723-2300 OWNE R"S IIIAME I (619);;;~;;~; LCJ DEVELOPMENT CORPORATION CONTRACTOR'S ADO RESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING AOORESS OWNER 497-4498 2,660
1667 s. MISSION RD., STEC, FALLBROOK, CA 92028 DESIGNER OESIGNER'S PHONE V\ll.'+ WI D \Jl.Vi vLti.dt~'t l00'l:::0 '1''
°15LA'tt ftlif E {0
R I(
PATRICK TAYLOR 578-6809
OESf667S SC:0 '1flfs S 1 On Ste. C STATE LICENSE NO.
SF RESIDENCE W/ATTACHED 3 CAR GARAGE Fa 11 broolc _ rA ~2028 CE 35546
F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO 2 R-3 l ~ I CENSUS TRACT I PARl(~N;;PACE RES,UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOA D FIRE SPA
AREA CONST
y D ND v □ NO( VN v □ KO Not Valid Un~s Machine Certtfi«J
QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE /(5~ SUMMARY/ACCOUNT NUMBER
-'f.S-/.tA ~~ Tv 7' .~C ,~ EACH FIXTURE TRAP '1-0. IV"i I INSTALL FURN DUCTS UP TO 100.000 BTU ...,_ (JlJ ~UILUIm, rtnlVill UUHllU·"'~"~ .,,, 7' '--"~.
I EACH BUILDING SEWER t,.S<; OVER 100,000 BTU SIGN PERMIT ..-..., "'i-221
I EACH WATER HEATER ANO•OR VENT ,::;; . SD BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK i -G' ~~!r·00·00·8891 1Q1 Q~
I EACH GAS SYSTEM 1 TO 4 OUTLETS ::J.SO BOILER /COMPRESSOR 3 15 HP TOTAL PL~~>-' -00 i ·81 O·O,Dt'i0·8222 r:::.9M
EACH GAS SYSTEM 5 OR MORE ::.l MET AL FIREPLACE ---.. ELECTRICAL .. cfa1 -a\~-1l'o-8223 '.2L.25
EACH INSTAL . ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT ~Cf.{)() r~ MECHANICAL \ \\~ loo1 ·810·00·-· .. ""' :::,.'J.50 -
EACH VACUUM BREAKER MECH EXHAUST HOOO'OUCTS 'I .so MOBILEHOME -_ :;,;; dh1!'.aaz c t.~ ..... -
WATER SOFTNER RELOCATION OF EA FU RNACEtHE ATER SOLAR _..,..., O'oo'7" -r ... ~~226
EACH ROOF DRAIN IINSIOE) DRYER VENT STRONG MOTltr• ..,Ll.t,~\ .-880·519·92·33 , • r
TOT 1.L MECHANICAL
.j/31.50 FIRE SPRI ,;_,_ ... 001 ·810·00·00·8227
TOIAL PLUMBING I ~SC'/.lT. PUBLIC FACILITIES FEE 320·810·00·00·87 40 F, F.1 LI. OF.
0.At:J.. BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP l>Ll tn PARK·IN·LIEU (AREA
I NEW CONST EA AMP SWI HKR ,z.s .3/,,;:J,_1::. CAR PORT TIF 312·810·00·00·8835 600 l'H'1
I PH 3 PH AWNING LA COSTA TIF 31 J.810·00·00·8835
EXIST BLOG EA AMP1SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00·00·8162
REMODEL ALTtR PER CIRCUII MFF 880·519·92·57 1.590 .00
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSl -/0 cl1J....9~ rv . CREDIT DEPOSIT Int ---~J· 7")' 1 <200 .00
TOTAL HELT RICAl I :/.3t, ;\.5 TOT Al TOTAL FEES P~ I .:jJQ nDh ,ui
-,}, I I
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT ANO DO HEREBY Exptrat1on Every perm,t •Hued by the BuJld1ng ON1c1e1 under the prov,s,ons of this .-i~PEMl:T IS AfOUIAED FOA EXCAVATIONS OVER
· CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and wo,d Ir the building or work s· O" EP ANO DEMOLITION Of! CONSTRUCTION OJ
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!:, authorized by such permit ,snot commenced w•th,n 180 days from the date or such ST TUflES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlV ANO STATE LAWS GOVERNING BUILDING CON-=~~ '!t •=~V ti:::•:x.~~~~~,:~!h:~~J~~~~ rn:':'~'~ts~:rc,~~ or • A
$!RUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND -.. CONTRACTOR 0 APPRCL ~~~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~l;:;z.TURE •~ OWNER
EXPENSES WHICH MAY IN ANY WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'lJ /I I', J BV PHONE rJ GRANTING OF THIS PERMIT . , _ r/
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TYPE I DATE INSPECTOR
BUILDING I S-0-~oq .... 3~ -
FOUNDATION : FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY . -I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT i -INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL --. .. . SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D Sti!EAR
. . ~ ----' \ C\.., .-.. \~ ;-· \ \ ... SOILS COMPLIANCE
PRIOR TO ----
FRAME I
I
EXTERIOR LA TH I
FOUNDATION INSP -
STRUCTURAL CONCRETE ' ; OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
_j -
PRESTRESSED ~-~ CONCRETE
POST TENSIONED
I -CONCRETE ~
PLUMBING .
I FIELD WELDING c_
D SEWER AND BUCO CJ f}./CO
lJNDERGROUND D WASTE □1 WATER
TOP OUT D WASTE □~ATER
HIGH STRENGTH
BOLTS . .. "( ,, ~ I" -SPECIAL MASONRY •'-'i -c--~ ..;i:~,. .... '. TUB AND SHOWER PAN I -
GAS TEST i
D WATER HEATER □ SOLAR W~TER
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·~~ ~· ii <·1 ,,,.;, -.. __ ~. ' .. '. , ... l PILES CAISSONS -,,: ~t: -• l !_,~ _;"-,.,, " ,: --. ~5~ .... ~-._:;.-.rt·., -~ \. \.'. ' .: ~'t ; . .f -,., ~ -·;. ' .... '
ELECTRICAL l
D ELECTRIC UNDERGROUND q UFFER
ROUGH ELECTRIC l
D ELECTRIC SERVICE D TEMPORARY
r J ~--\=-t~ -~,.. '-..: ;-\.. .._.. t '1:·•";_.,.
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,_._,, ,..if' i ; .... l1 t,-,. . ,,_ -' • l'"· ~· } ~t ·-.... <! i V ,:iv~ -
D BONDING D POOL j -' -~ .. -' ' '-~~ <
t --.
MECHANICAL .
I
D DUCT & PLEM., D REF. PIP!NG -' --
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS i I
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I
CALL FOR FINAL JNSPEC1l/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'fE Bl=EN APPROVED .
FINAL .
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n~r.., · ~·}: r . I J • --
PLUMBING I I ,I /'A '/) / I ' r . .
ELECTRICAL I I I /1.,;Q( _t:_tc:) 't --
MECHANICAL i
GAS I I -,. -. -., -
BUILDING I -
SPECIAL CONDITIONS ;
I '
FINAL BU~LDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ---------==E'--"2"--'-'-,.__ ________________________ _
ADDRESS: ----------"--"-'--.,_._1..:..i::_~--"'-"-!'>Lri:1c.;;__w=""....:/----------------------
PROJECT NO.: -----~R~1-_]~ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: SFn NUMBER OF UNITS: __ ----,:.1 _________ _
CONTACTPERSON:. __ ----,----'....,_,~k __________________________ _
CONTACTTELEPHONE: __ ___;_~~~...i=-~...a,.,_,__ _______________________ _
INSPECTED /~"
BY: _____ /l-X) ___ ~---
INSPECTED BY: _________ _
INSPECTED BY: _________ _
~;:ECTED:JAN. 1 6 igag
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
.... i Costa Real Municipal VVate, District
COMMENTS: ____ E"---n.:::;.g=in~e~e~r_in_,g-=..,..,D .... e_p .... a~r ..... t_m.,...e_n_t _________________ ___:,,_
(619) 438-336 7
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Rev. 1/86 WHITE: Suspens GREEN: Engineering CANARY: Utllltles PINK: Planning GOLD: Fire
FINAt BUiLDING INSPECTION . '
PLAN CHECK NUMBER: 8G-SO -35 DATE:
PROJECT NAME: ____ ___:_.:..:Z=nc.:..._ ___________________________ •
ADDRESS: 2215 V
PROJECT NO.: -------=-1=------'--UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: -----=Sc..:.F....:;;;,. ______ NUMBER OF UNITS: 1
CONTACTPERSON:. ____ ~u_n.:..:..::,. __________________________ _
CONTACTTELEPHONE:. __ ____:7~2=---~'c.=,;;n~n;;_ ________________________ _
INSPECTED 21< DATE 1/9/41 APPROVED L BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED 1
INSPECTED DATE DISAPPROVED It BY: INSPECTED: APPROVED
' I I
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Rev. 1186 WHITE, S"P'"M BLUE, w,w Dis"'" GREEN, Eoglooo,log CANARY, """CJ GOW ""
PLAN CHECK NUMBER:
FINM., SUtLDING INSPECTION
RECEWE
DATE:
DEC 2 7 \988
PROJECT NAME: ---------'-J:::..::t:..:..:..:..n=----------------------------
PROJECT NO.: ______ fl_1_-~ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ----~~F~D ______ NUMBER OF UNITS:
CONTACT PERSON: ____ U:e:..:...:nc:..:I<,__ _________________________ _
CONTACT TELEPHONE: __ ----'-7=2=3_-=2=3=0=0 _______________________ _
. I
IN~PECT~ -j_/4_ BY. , -.,,,~
DATE /~/?{ltr INSPECTED: APPROVED 'I DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------'--
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINiL B\JiLDING INSPECTION
PLAN CHECK NUMBER: 86-509-35 DATE:
PROJECT NAME: -----'E=2=n'-'--------------------------
ADDRESS:
PROJECT NO.: -----=8_.._1-_] ..... ?L..UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: S~I) NUMBER OF UNITS:
t
INSPECTED DATE r/~Ycz APPROVE~L BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering K: Planning GOLD: Fire
Fl~Al. B.LULDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: _____ 1=~7--'-'-.__ ________________________ _
PROJECT NO.: _____ ... 8...._1_-...._1..c..'l UNIT NUMBER: ________ PHASE N
TYPE OF UNIT: FO NUMBER OF UNITS: ~
CONTACT PERSON:, ___ ___,....,_,.<:-_________________ -\-.-_----u-.,..:.'----------...../
IBNY~. PECTED ~ /) ,~~,,:: LL DATE l.#'/, O.v' INSPECTED:
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS: ----------------------------------
Rev. 1186 WHITE: Suspen CANARY: Utilities PINK: Planning GOLD: Fire