HomeMy WebLinkAbout1926 PALOMAR OAKS WAY; ; CB881243; Permit"' z 0 .:: C ac C ....
0 ... 0
a:
I[
8
ac "' 0 ....
3 ~ "' z 3 0
z
0 .:: C "' z "' CL :IE 0 0
Ill ir: "' "' ac 0 3
![
G I hefeby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profaaalons Code, and my license Is In
full force and effect.
I hereby afhrm that I am exempt lrom the Conlrac-tor's License Law to, the lotlow1ng reason (Sec 7031 ~
Busmess and Professions COde Any c,1y Of county wh1tt. re-quues a permll to eonstrocl. alter. improve, demolish. or repair any slruclure. prlOf lo 1ts 1ssuance atso requires !heap·
phcant tor such permit to tile a s19ned statemenl Iha! he 1s licensed pursuant to the provisions ot the <,onuactor s license Law (Chap1er 9 commenc,ng with Sechon 7000 of
Olv1S1on 3 ol the Business and Profess10ns Coae) or that 1s ex-empt therefrom ancl lhe. basis lor the auegea exemp11on Any v1otat.10n 01 Section 7031 5 by an applicant tor a perm,1 sub
1ects the apphcan1 lo a crv,I penalty ol nol more than hve hun·
dred do<lars ($500)
I. as owner ol lhe property, or my employees wllh wages
as their S<»e compensa110n w1U do the work. and lhe slruc-
lure 1s not mlended Of offered 10£ sale (Sec 7044, Busmess and Prolessions Code Tl'le Conlracror·s lteense Law does
not apply lo an owner ot property whO builds or improves
!hereon and whO does such wock himself or through n1s own emotoyees. provided !hat sucn 1mprovemen1s are not intend-
ed or ottered tor sale If. however. the building or improve-
ment 1s sold w1thm one year of comp1t1,on. !he owner-builder
w1U have the burden oi prov,ng !hat he did not build or im-prove ror the purpose ot sale)
I I. as owner ol the property, am e.clus,vely contracting
with hcenSed conlractors to construct !he protect ( Sec 7044, Business and Professions Code The Contractor's license
Law does not ap~ to an owner of property who builds or 1m· proves !hereon. and who contracts for each protects wilh a
contractor(s) lttense pursuant 10 the Conlractor·s license Law)
1 As a homeowner I am improving my hOme and the follow
mg conditions exist t The work 1s being perlormed prior ro sale
2 I have hved in my home !or lwelve months
pnor to complellon of this work I have not cla1med this exemplion during !he las! lhree years
□ I am exempt under Sec ______ . 8 & P C
for 1h15 reason ____________ _
0 I hereby atli,m lhal I have a cert,hcate ot consent 10
sell•1nsure. or a certificate of Workers· Compensa1,on In-
surance. or a cert1fled copy I hereof (Sec, 3800. Labor Code)
POLICY NO.
COMPANY
:J Copy IS hied with the Ctty
0 Cer11lled copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be compleled If the permit
,s for one hundred dollars (StOO> or IE'SS)
0 I certify that in the performance of the work for which
11·11s permII Is issued. I shall not employ any person m any
manl'\er so as to become subIect to the Workers Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. afler makmg this Certificate
of Exemption. you should become sub1ect lo the Workers·
Compensation PfOvis1ons of the Labor Code. you must
torthwllh comply with such provisions or this perm,I sh,1II
De deemed revoked
0 I hereby affirm lhat there Is a construct,on lending
agency lor the per1ormance of the work for which this per·
mtt Is Issued (Sec. 3097. Civil Code>
Lender·s Name ____________ _
Lender's Address_~~-----~~~=
USE BALL POINT PEN ONLY & PAE$S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
ln? ( CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT .1 ~ l"':J 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RD. THOMAS BROS NO. IDATE OF APPLICATION! BUSINESS LICENSE,, ;;;.:LUATION /. fiPERMIT NUMBER ,a,~(f 1C4 ~,~,,.. ~ -✓~Ak'.s U-/,,,:,y 9---/5-BB I 2Z~-ZI' /: ~~c CZ'
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO ',,. CONTRACTOR CONTA1TORS PHONE. ZON~·, () ~ ,., / L 3 .11 J. /)C; ) \'-1 01) :P /I / t?~ ') 0 Q ~,
._o_w_N_E..._R_'S_N_A_M_E--~--------'---'o.z:::.;....::ci..,,._._, .... (:-7-/.r.=-,1.,-"'-Jo=w'--N-E-R-.s-PH_o_N_E_ .. 0/.R7'Ch"EA!' <---ON'S~Uc77o✓ ~ -0£. Oc-';,
,I:? ~ / 3' CONTAACTOA"S ADDRESS STATE LICENSE NO. -.-BUILDING SO. FOOTAGE
n/--------~£1/?;Lo.,£>_,,,,4, --'5--~3-o/..o~ i~ z ~ k .h / __ /4 ¼
OWNER'S MAILING ADDRESS ~7S,;! .e:? 'Zo K~ ~G/;(.';,,:t ,1 /j,V.,l"L
2. "'7/ ,I/ / .• /41 /? / , / DESIGNER DESIGNER'S PHONE
,<,u ~ r,,,.z: Ke:?. £-~v~ A/✓cv~ u. <?;z~?7 _ / /.,, _
DESCAIP.W,~WOR", j' ~ / A ..J...,1# ~,¥'Ly ~a✓ L2_ss~ • ff• ...,....A . ,. -b ./;f · o ...,1 _,/ , ,.. ,,-I'-() "Zl-1 DESIGNER'S ADDRESS STATE LICENSE NO. 1923 09/16/88 0001 01 02
·,,,,.. -_J •1 / ""'JS -r-/4; -' "787.S::£';-0/ov_ C:r-.Soo•e-~? /8&-7.3 BldPmt 784-0<
-i -r"'I' ,. •r • /.('or-/t:JM.4-,, <;;r./J
, • F/P FLA ELEV. NO OCC GP EDU
/I -/Z STORIES
L/ vO NO --
1
CENSUS TRACT I PARKING SPACE RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE CCC LOAD FIRE SPA AREA CONST
y □ N □ "D NO v□ NO Nor V~lid Un~s M~chine Cutified
QTY. PLUMBING PERMIT. ISSUE 1 ~ QTY. MECHANICAL PERMIT. ISSUE ISP]:) SUMMARY/ACCOUNT NUMBER J, ~
EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TO 100 000 BTU tlUILUINu ~tHMIT 001·810·00-00·oau ~, -~, .1
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00·008221
EACH WATER HEATER AN0,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 -,
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00-00·8222 ., I'\.,
EACH GIIS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00·8223 '-' -
EACH INSTAL. ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO'OUCTS MOBlLEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226 / I
EACH ROOF DRAIN (INSIOEI DRYER VENT STRONG MOTION 880·519·92·33 a '-,&.
TQTJ;L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227 / \
TOT AL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00-8740
BRIDGE FEE 360·810·00·00-8740
QTY. ELECTRICAL PERMIT . ISSUE c<;~ QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA 1
NEW CONST EA AMP SWl HKR CAR PORT TIF 312·810-00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00-00-8835
EXIST BLDG EA AMP'SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810·00·00·8162
REMODE.L Al HR PER Cl RCUI I MFF 880-519·92·57
TEMPPOLE 700AMPS
OVER?00AMPS •
TEMPOCCUPANCYl300AYSI ' ~, -t>)<J.. 0~
• -' CREDIT DEPOSIT / D. \ )
10TAL ELELTRICAI I TOTAL TOTAL FEES PAYABLE 1 ~
I HAVE CAAEFULL Y EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO DO HEREBY fap,rallon Every permit 15sued by the Building Olliciat under the provisions ol th" * AN OSHA PE!W:T IS REOU~D FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation 8nd become null 8"d void ti the building or work ~-O" DEEP AND DEIIIOl.lTION OR CONSTRUCTION OF authorized by such permit 1s not commenced wIttun 180 days trom the date <,f suet\ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permit or if the building or work author,zed by such permit is suspended or STAUCT\JfltS OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandOned at an• lime after the work,. commenced for a """O<l of 1an d•u• _
sTRucT10N wHETHER sPEc1F1ED HEREIN oR NOT I ALso AGREE To sAve INDEMNIFY AND ,/ ___ , n ~..x: APPRovED sY f'l E ' r/i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND APPLICANTS SIG ATURE • -~ OWNER CONTRACTO,....-DA°IT /~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ---' 'l"'7' ' B p O [J 1 I ,,I
GRANTING oF THIS PERMIT ~u _ ./ 1/ ~ -~ / -y ... NE I I 11, -, v
~
u..
>,
el
0 a. E Q) .....
-0
0
CD
C 0)
-~ a. a. <(
I
.:,:.
C
ii:
0 <J)
<J)
Q) <J)
<J)
<(
I
3: 2
di >-
Q)
(.)
C 0)
C u..
C Q)
~
CD
0 u Q) a. <J)
C
Q)
£ ~
TYPE
BUILDING
OUNDATION
IEINFORCED STEEL
iASONRY
,UNITE OR GROUT
F
R
M
G
s
s
F
E
UB FRAME □ FLOOR □ CEILING
HEATHING □ ROOF □ SHEAR
RAME
XTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND B U CO D PUCO
u UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
)
h .. ~ I ,,,.,.--
q✓.,,r -tr
. . .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING \
ELECTRICAL ..... \' MECHANICAL \ "" \ \r
' .. '\)J GAS 1'7\\\
BUILDING \ /')l -.-\y
SPECIAL CONDITIONS '. I \. .
•
"'
' ' . I ,,_
rR> 11rr-,:v-13 •, i
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES A
REQ IF INSPECTOR'S .16-~~ _o_ __ ... ~.J .. ---~ _L 2, INSPECTION CHECKED APPROVAL DATE ,, ,, ,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY I
. . .
PILES CAISSONS
-~ I
• !' . ,. .
.
< : ., ' .. ,
.
----. . .,. -,.,,-;-~ ... V\
"' i~31 Oo\T~\69 OOOT or Oj
.
' . .. \ ~ ' . v7 \ ' ,,. . . . . -I J. 0 1~
-,r i.i . ~ . .