HomeMy WebLinkAbout2683 SAUSALITO AVE; ; 87-492; Permit.,, z 0 .:: C Cit C ~ u ... 0
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0 I l'let'eby affirm that I am licensed under
p,0'1slons of Chapter 9 (commencing with
Seclion 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect. I
I hereby affirm that I am exempt lrom lhe Conlrac·
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1or·s License Law lor lhe lollowmg reason (Set 7031 5
Business ana Protess,ons Code Any c,ty or counly whte.r. re· t qu11es a permit lo construcl. alter improve demohsh. or repa1t any structure prior 10 ,ts issuance also requires !heap-I
pIicanI tor sueh permit 10 hie a signed statemenl ltiat ne ,s l hcensecl pursuant to !he prOV1s10ns of lhe t:on1rac1or s
L1ci!nse Law (Chapter 9 commenc.ng with SecttOn 7000 ol I OIVISIOO Jot lhe Business and Pro1eSSlOflS COde} 01 lhat IS l!ll.·
empl therefrom and lhe basis !Of !he allegeO exemp110n Any v1olat1on ol Secl+on 7031 5 by an apphcanl tor a perm,, sub
IecIs the apphcant to a cIvrl penally ol nol more than hve hun
dred dolla1s ($5001 1
I as owner ol lhe property. or my employees wnh wages I f!r!h,~1r,;1~1~on~:n;~~:re:•~i:~::(;:k]~~.l~~~~i~ I
and Protess,ons Cooe lhe Con11actor·s license law does t
~;r;gtJn!s0 :~o '!:!r si~::,~1~1:!~1 :•:~::g~~~:~ 1
employees. provided lha1 such improvements are not intend· 1 ~de: 1~~: ~~h1~:ne ~ea~~~pl1~o~~~~~"9w0;e~~t~:: t will have lhe burden of proving lt\at he did nol build or 1m• i
p1ove ID< lhe purpose of sale/ l
I, as owner ol the property, am exclusively conlracung f a'.~':,~:;s::, t~~~:~~~~~~o t::tru~~!hcg~~~:!~:C l~~~~ f
law does not apply 10 an owner ol property who builds or 1m-♦ ~::~:c:~%)1tt::! ;~~s~°:~[a~s.~: c!~r,::.i~tsl~:~s: t u~ I
r 1 As a homeowner I am improving my home. and the lollow mg con<hhons exist
1 The work 1s bemg perto,med prtOf 10 sale 2 I have hved an my home tor lwelve months
pnor lo complelton ot !his work I have not claimed lhts exemphon Ourmg lhe laSI three years
D I am exempt under Sec ______ . B & P C
tor this reason ---------'-----
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0 I hereby affirm that I have a certificate of consent 10 l
setl-msure. or a certificate of Workers· Compensation In-t
surance. or a cer11t1ed copy thereof (Se<:. 3800. Labo1 Code) t
POLICY NO I
COMPANY I
Copy Is tiled wilh the city I
0 Cemfleo copy is hereby furnished I I
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This sec11on need not be completed if the permit
,s !Of one hundred dollars (S 1()0) or less)
0 I cen1ty lhal In the performance of the wotk tor which
trus permit Is ,ssued. I shall not employ any person In any
manner so as to become sub1ect to the Workers· Compen.
sation Laws of Cahforn,a
NOTICE TO APPLICANT. If, after making this Cert1hcale
of Ex.e-mptlon. you should become subject to the Workers
Compensation p,o'<'lsions of the Labor Code. you must
torlhw1th comply with such provisions or this permit shall
be deemed revoked
D I hereby affirm that there Is a construclton lending
agency for the performance of the wor1( tor which this per•
ml! Is issued (Sec. 3097. C1v1I Code)
lender's Name ____ _
lenders Addr-ess
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS A V. ST.RD. THOMAS BROS NO.
I q),~ j;?ATIONI
BUSINESS LICENSE II V ALUATION PERMIT NUMBER
2.1g1 c;'-\'-' S ~ L 11'1> (:\-IE . /1/ t/t?t? t/<11 BLOCK lwlVISION I ilES~R PARCEL NO JI' CONTRACTOR CONTRACTORS PHONE • ZONE g7-tj9,2_ -J..r--J7Z -I (-,lu) '4,~·<&30<> ,;2__
OW""E R.S NAME I 4 !~ ~::~: PHONE
~N ti.<11.a 0--,, -• ~-.r .
W\.I l'T~'(
CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
t:\"'1D~~S c.-s3 OWNER'S MAILING ADDRESS 2. ~"lo \ C.'A&,7 r2 ... "" -,,.,r:. I •· UI\\.<.,.,., '-i~'l~I ~
2,83 S"\JS~L.\'TO
DESIGNER -,u,4s.3 DESIGNER'S PHONE
~VE , (, ~~~< ~AO C,1;. Cfloo9
~-C.. ~O~n-is ,,~ bs~ -02.q'f DESCRIPTION OF WORI<
f-UN1,£ 9ocL.... OES<GNER'S ADDRESS STATE LICENSE NO. 0023 09/17 0101 02BldPmt
11ou -"'~''" "lllo..'I (;.\LOt,,,. "'1•·< ' 0 '"' ~.
141-5
F/P FLA ELEV. NO DCC GP EDU ,, STORIES
vO NO --I CENSUS TRACT I PARK ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Unl~sr Machine C~rtifit!d
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE JS.!Z!!!. SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT UUl ·810-00·00·tlUU II n "~
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00·00·8221
I EACH WATER HEATER ANO •OR VENT z_ -~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00-00·8891 7/. 9S--
' EACH GAS SYSTEM 1 TO 4 OUTLETS ., .,-Q BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00-00-8222 "' ~
~
EACH GAS SYSTEM 5 OR MORE 7 ELECTRICAL 001·810-00-00-8223 ,s o-0 METAL FIREPLACE -
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00-8224
I EACH VACUUM BREAKER -, . <;<'. MECH E XHAUST HOOD DUCTS MOBILEHOME 001-810-00·00·8225 .
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001 ·810-00·00·8226
EACH ROOF DRAIN IINSIDEI DRYER VENT STRONG MOTION 880·519·92·33 /. 00
TQTJ;.L MECHANICAL FIRE SPRINKLERS 001-810·00·00·8227
TO I AL PLUMBING I ,< ~o PUBLIC FACILITIES FEE 320-810·00·00-87 40
BRIDGE FEE 360·810·00·00·87 40
QTY ELECTRICAL PERMIT · ISSUE \. ~.9$2,.. QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
2.. NEW CONST EA A MP SWl 8KR /c, --CAR PORT . TIF 312-810·00·00·8835
1 PH 3 PH AWNING LA COSTA TIF -311·810·00·00·8835
EXIST BLOG EA AMP SWl BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162 ~., ---...;.. > ~
<f: • REMODEL ALTtR PER CIRCUIT MFF 880·519-92-57
TEMP POLE 700 AMPS .
OVER 200 AMPS
T(MP OCCUPANCY 130 DAYSI '
~ CREDIT DEPOSIT <.._-n. '8-57
TOTAL ELECTRICAi I I f;J (JV TOTAi TOTAL FEES PAYABLE l /1/. 5n
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND 00 HEREBY Expuat,on Every permit issued by t~ Butld1ng Ott1c111 under the prov1s1ons ot th,s * AN OSHA PERIUT 1$ IIEQUIRED FOR EXCAVATIONS OVER
CERTIFY UNOER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,cp,re by hm1t1t1on and become null and ,..o,d It the bu1ldmg or work s· o·· DEEP ANO DEMOUTION OR CONSTRUCTION o, authorized by such permit ,snot commenced w1th1n 180 days from the date of such OECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I!> permit, or ,t the bulld1~ or work authorized by such permit 1s suspended or STAUCTUAES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL-CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any t,me I er the worll: ,s commenced tor a oenOd of 180 davs STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . OWNER[1 CONTRACTOR~
AP~-~
IOA¼/11
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APPLl~NAT~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE~ ~ BY PHONE 0 GRANTING OF THIS PERMIT
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION ~'1
REINFORCED STEEL [,1i r
MASONRY
GUNITE OR GROUT 1
SUB FRAME □ FLOOR □ CEltlNG
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH ....
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING 1
□ SEWER AND BUCO [J Pl-JCO
UNDERGROUND □ WASTE □!WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND
ROUGH ELECTRIC
D El,.ECTRIC SERVICE
q
_M_~CHANICAL I
□ DUCT & PLEM., □ REF. PIP)NG
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPEC~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
~
...
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO. IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE ..
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
DATE
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• PLAN CHECK NO. ['Jif-i'.DDRESS d6f'i:; ~ DATE ti#?
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PLANNING
ZONE:
SCHOOL DISTRICT:
TYPE OF PROJECT AND USE: 7 d.., r ~
SAN DIEGUITO ENCINITAS™l~ SAN MARCOS --SETBACKS: FRONT SIDE _____ REAR
DISCRETIONARY ACTIONS: --------------------------REDEVELOPMENT PERMIT REQUIRED: _____________________ _
LANDSCAPE PLAN COMMENTS: -------------------------ENVIRONMENTAL REQUIRED: --------------------------
COASTAL PERMIT REQUIRED: YES __._ ___ _ NO
ADDITIONAL COMMENTS: ----~-,___ ___________________ _
OK TO ISSUE: f) (_ ----+,..;;;.... ____ _ DATE : _ _,__f/'-'--1/....,_✓ ........ /f"-'2--
~111111111li11.
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED?
EASEMENTS: A RIGHT-OF-WAY:
EDU'S: ( () / DRAINAGE:
IMPROVEMENTS: '(\ I(/
( \ FIELD CHECK DATE & !NIT IALS:
PERMITS REQUIRED
GRADING:
GRADING COMPLETION CERTIFIED: -------
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: ----------------
P.F.F.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE:
DD_ FACILITIES MGMT. FEE: BRIDGE & THOROUGHFARE FEE: --------------
SE WER FEE (CONNECTION): SEWER LATERAL:
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c ADDITIONAL COMMENTS: """-------------~-------------
! OK TO ISSUE: __ __._..D'--C--___ __._ ___ DATE:--'-i~»-· f'--~_t_7 _______ _
DPD2:DPD6:10/24/86