HomeMy WebLinkAbout111 SEQUOIA AVE; ; 84-631; PermitIll z 0 ~ < a:: < ~ u w 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and ettect.
Lie No ______ Class
I hereby alhrm lhat I am exempt lrom lhe Contrac·
tor's LtcenSt law tor !he followrng reason (Sec 7031 5 Business and Proless,ons Code Any city or counly wh1ct re-
quires a permit to construct. alter. improve demoi1sh. or repair any structure. pnor 10 ,ts issuance also requrres !heap· phcanl tor such perm,t to hie a s1qned statemenl that he ,s
licensed pursuant to lhe prov1st0ns ol lhe ton1rac1or s Lttense law (Chapter 9 commencmg with Section 7000 ol Dtv1s1on 3 ol the Business and Pf01essK>fls COile) or that ,sex· empt thefelrom anc lhe basis !or lhe allegea exemption Any
v1olat1on ot Section 7031.5 by an apphcan1 for a perm,1 sub·
1ects the apphcant 10 a CMI penalty of not more lhan hve hun•
dred dollars ($500)
r I. as owner ot lhe property, or my employees w11h wages
as their sole compensal!On, will do lhe work, and lhe slruc·
ture 1s not intended or offered tor sale {Sec. 7044. Business
and Protess1onr, Code The Contractor's License Law does not apply to an owner of propeny who bu1tds or improves
tt\ereon and who does such wOfk himself or through h1s own
employees, provided ltlal such 1mprovemen1s are not inlend· ed or oflered tor saie II, however lhe t>u1ldmg or Improve-
men1 ts sotd w11n,n one year o1 complet,on, !he owner•bu,lder writ have lhe burden of provmg th.al he did nol bm!d Of im-
prove 10l lhe purpose ol sate)
'J I. as owner of the propeny, am exclusively contracting
with hcensed contractors to cons1ruc1 the prOJecl (Sec 7044 Business and Professions Code· The Contractor's license
Law does nol apply 10 an owner of property who builds or 1m· prove-s thereon, and who contracts lor each pro,ec1s wrth a conlractor(s) ~nse pursuanI 10 the ContractOl''s l.Jcense
Law)
O As a homeowner I am improving my home, and the tolfow·
mg coochuons ex.1st t. The work ,s bemg performed pnor to sale.
2. 1 have l1veC1 in my home lor twelve months pno, 10 complet10n ol lhIs work 3 I have not claimed this exempllon during the
1asI three years
D I am exempt under Sec ______ , B & PC
tor this reason ____________ _
0 1 hereby alllrm that I have a cert,t,cate of consent to self-insure. or a certificate of Workers· Compensation In•
surance. or a cert1f1ed copy thereof (Sec 3800. Labor Code)
POLICY NO
COMPANY
:J Copy IS hied with lhe c11y
0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need nol be completed ii the permit
1s for one hundred dollars ($1()0) or less)
D I certtfy lhat in the performance of the w04'k for which
this pemut ,s issued. I shall not employ any person in any
manner so as to become subject to the W04'kers' Com pen•
sat,on Laws ol Caltfornia.
NOTICE TO APPLICANT: II. alter making this Certifica1e
of Exemption. you should become subject to the Workers·
Compensation provisions ot the Labor Code. you must
forthwith comply with such provisions or !his permit shall
be deemed revoked.
D I hereby affirm that there is a construclion lending
agency for the performance of the work for which this per•
mil is issued (Sec. 3097. Civil Code)
Lender"s Name, ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ·-·.
IOCl. 1\3. \l1. \.:\J.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
,":ioi~~ I~~ f~.-un', ~T.Ao .
NEAREST CROSS ST. DATE OF APPLICATION' BUSINESS LICENSE # 7iA;r:~~ PERMIT NUMBER
, ~.J.--f,,'~ I LOT ,.-BLOCK ' ,~s_~i,v·s~ I ASSESSOR PARCEL NO CONTRACTOR CONTR .. CTORS PHONE • ZONE
Jl"-T I ~,,',v/ il,£'-t"', C~;:> 7/j'
OWN€ R'S NAME I'/ y OWNER'S PHON E ?~.r -c. (; 7J
~£NI/A,,/ o ,-rv. c:!0,..--:2;::> CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . #
BUi°s~GE €5-tF-t;, G?tr 4've:r OWNER'S MAI LING AOORESS 3...'.lc? /AJ. St? .
;d!:.~oy S.~. CA. (j'.)4o I DESIGNER DESIGNER'S PHONE 3~ w . Co v,"2:t Aklr\. <O k?.AAt G,.-ii. 7 / Y..
OESCAIPTIQN OF WORK 635 -'i°rf"'O
DESIGNER'S ADDRESS LICENSE NO
i v,.,~, ~1'..Jl:>O /3/''7 A/. o~~f:-£, O~-r;c;~ C-/Oy/(p
,___ -F/P FLA ELEV
s~ ~, Er
vO NO --
CENSUS TRACT I GP LANO USE jJq~E I AES i TS I GRADING PERMIT ISSUED I REDEVELOPM ENT '1~N OCC LOAD Fl RE SPA
AREA ~
y D ND vO vO NYJ./ Not Valid Unless Machine Certd,ed
QTY. PLUMBING PERMIT· IS SUE 1.5 V 011 MECHAN ICAL PERMIT · ISSU E 3 -P MARY/ACC OUNT N U MBER
J.
I IJ'i) EACH FIXTURE TRAP -J~. -y INSTALL FURN. DUCTS UP TO 100,000 BTU 7l►. -.... BUILDIN(y'ERMIT 001 ·810·00·00·8220 7,,,0/" --EACH BUILDING SEWER .... r-i--OVER 100,000 BTU ; /-1\) SIGNfiRMIT 001·810·00·00·8221 I
I I EACH WATER HEATE R ANO OR VENT "i.n .-BOILER/COMPRESSOR UP TO 3 HP r,, \\ 1V -p NCHECK 001·810·00·00·8806 J~/0 -:;;:::;:;
I
I .. EACH GAS SYSTE M l TO 4 OUTLETS +-"2-o .... BOILER/COMPR ESSOR 3 15 HP \ '~ V TOTAL PLUMBING 001·810·00·00·8222 -!t/-q,_~ -
I EACH GAS SYSTEM 5 OR MORE I "1 METAL FIREPLACE \,~,. -7 ELECTRICAL 001·810·00·00·8223 "?_Ll,..r-
I Tt. / \\'1-,~ -... qtL -I EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
EACH VA CUUM BREAKER MECHE XHAUST HOOD DUCTS ' ) \ ~, /. ,
MOBILEHOME 001 ·810·00·00·8225
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I/ \y
I
MOBILEHOME PARK INSP
I EACH ROOF DRAIN !INSIDE) 1 / I/ SOLAR 001·810·00·00·8226 .J e ,
I TOT /;L MECHANICAL
/ ,/1th-.,... _ STRONG MOTION 880-519·92·33 ✓_J~•
I r , TOTAL PLUMBING I -_,,r,,q _rr ,, FIRE SPRINKLERS 001·810·00·00·8227 .
, 5✓ Pi1 ~V/ )£' / PUBLIC FACILITIES FEE /'l-1,.J~-
ELECTRIC AL PERMIT · ISSUE QT Y. SOLAR · ISS
332·810·00·00·8930
QTY. ,I ,/
,f
5( NEW CONST EA AMP SWT BKR / ()/) Ir -i-ot,-COLLECTORS ' \7 l 7 SCHOOL FEE . DISTRICV \ ... .,
I PH 3 PH STORAGE TANKS ' /1 i .,, V ✓ Carlsbad
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE y j " / Encinitas
I PH 3 PH PUMP / " / j,Qn DieguI10
REMODEL AL H R PER CIRCUIT PLAN CHECK FEE / \ I ... / A n Marcos _ I • ' I -
TEMP POLE 200 AMPS // . r; n ~ ... , ,.J L ~ ~> Yii 11"' 1 , ~U-"?'t,,"-
OVER 200 AMPS ,, I -"'LICENS TAX 001710-00·00·8162 .
TEMP OCCUPANCY !30 OAYSl MFF ) .,._ 5<Kf) 880·519·92·57 . 7.Aff -CREDIT~SIT -<.. /7.LJD ->
TOTAL ELEClRICAL I ,,..,, r.--TOTAL SOLAR TOT~ P~t}~t,01--'J -,· A -,. _:_ -•
I .-Ir ll't
I -.
I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY EJCptrauon Every permit issued by the 8 u1ld1ng Ofhc1al under the prov1s1ons of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e-.pire by llmttat1on and t>ecome nufl and void If lhe building or work 5 0,. DEEP AND DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1th,n 180 days from tne date"' such STRUCTURES OVER J STORIES IN HEIGHT
t perm,t. or tf the bulld1nff or work authonzed by such permit ,s suspended or
I ISSUED TO COMPLY W!TH A.LL CITY. COUNl Y AND STATE LAWS GOVERNING_ BUILDING CON• abandoned at anv time a ter the wo,k 1s commenced for a DAr10d of 180 dav~
I
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT·S SIGNATURE • OWNER c;;r' CONTRACTOR C
I/APP~ °1/,/4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND ~ ~ ~
t EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH~ / • • BY PHONE {,J
I GRANTING OF THIS PERMIT ~ • '.~ _ -~ ..... I l 111f..r
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TYPE ' DATE INSPECTOR I
BUILDING I
.
' "',.·. !' ..
"
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
' -' ·' REO IF INSPECTORS -~ . ,._ INSPECTION DATE J '\ ·-. . CHECKED APPROVAL .
SUB FRAME D FLOOR D CEl~ING .. .· -' -SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR
FRAME I
PRIOR TO
',. ' .. FOUNDATION INSP ---
EXTERIOR LATH I
I
. -' ' ' # • i. -~-:,._ . STRUCTURAL CONCRETE
' i ·, . ....... ;:-OVER 2000 PSI " . .
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED ...
I I CONCRETE ; ..
PLUMBING I
D SEWER AND BU CO D PV CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
FIELD WELOi~G J . ',.
H1GH STRENGTH .
BOLTS , ,,._ . . SPECIAL 'MASON.Rt . . ~ '· .. -~ . -
TUB AND SHOWER PAN ' I
GAS TEST I
~ ---. . -· . . PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
. \~ ' ~-.. ..
ELECTRICAL I
□ ELECTRIC UNDERGROUND 01UFFER
ROUGH ELECTRIC ' I
~ -r .. " ~ '· . ' • J,
r-. . ' ·. ..... ~ \ -
D ELECTRIC SERVICE D TEMP_QRARY ~ ·= ·.r -D BONDING □ POOL I . . -~
I '•
'• I '
MECHANICAL I ~. ' /·
D DUCT & PLEM., D REF. PIPING : ., ,
HEAT -AIR COND. SYSTEMS I .. " .-
VENTILATING SYSTEMS I ! , . . ' .. . . . . .
I
CALL FOR FINAL INSPE~~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
.
PLUMBING I '· ·, ' ,
I --11; .... .
ELECTRICAL I
I .
MECHANICAL I ·•
GAS I { ,.. . -~ .... ,. .. ' '. . --
' ' . .
BUILDING I ' l
·. ' -· .._ . .
SPECIAL CONDITIONS I
I
City of Carlsbad ' -i
1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525
r Job ~IIK"lli Address e I. -r;, '.) ,11, I',,>,
Owner i,,"u,<. £J _,,, CAR1--~SAr.J
Mailing 1, w (/)Ui ,(..,. ~ Address 1
City
;fl('(}I I.':,,(, 1 Zip -'/-0 I ~;., J r.tf·/;~1~
Contractor
I £4:?l/,t;-L., --,1,-(' ?,;r,t, ( ov
Address
,J, t'tJu,,<1 r -= i . \ ,rt.. -·✓T'
City l Zip Tel.
/f M~.:, (;1 2 ... C)J 1,,,,-, (/'r ~(;1 J
State Lie. City
S. Classif. Lie. No. \
COMPLETE FOR PLAN CHECK ONLY \ &,vc
LEGAL DESCRIPTION ~C cC,h tP .£-A eJ1;o/ f5 ~ I
(A,f!J.,.$ /!.A~ /3t..vo.
ASSESSORS PARCEL NO
DESCRIPTION OF W~ ~ {1 v r (' /\/Oo -;;::;;~
_J
i ,r_, ,-,_r/ A 1
I 6 I I V
PLAN ID NO. J!~-6 3/
,er: / CI -C',.IZ. A ;v&, c;.
DESIGNER ADDRESS ~+ l./. 0~A,vG,c .s,.
~ V( " I r,4'-I/: 92.(p(;/,
PHONE. 7/4-/4 "3,,, 18~o ,
CONTACT PERSON t-0 µI (" K _., ,c, if!. PA-
C. -.._s., , e; IV ::,_ (!:' 11+ ggf-ijt,Jt
fy~ ... Date /r/l,'-I '4 Sig,,ature of Applicant • -...
MISCELLANEOUS~
RECEIPT
MISCELLANEOUS FEE RECEIPT
-·
□ • PLAN CHECK FEE 01-00-00-8806
□ VALUATION ~ /) . rr .r .J
J □ DEMOLITION
□ HOUSE MOVING
□ PARKS AND RECREATION FEE
□ PUBLIC FACILITIES FEE
□ SCHOOL FEE · DISTRICT
□ Carlsbad
(ZJ. Encinitas
~ San Diego
San Marcos
□ CERTIFICATE OF OCCUPANCY
n
n
n
n
n
n
□
□
□
D
□ -·
TOTAL FEE $
•WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE
APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE
FORFEITED TO THE CITY.
COMMENTS:
White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor
"I
~
DEVELOPMENTAL
SERVICES
o Assistant City Manager
(714) 438-5596
~ Bulldlng Department
(714) 438-5525
D Engineering Department
(714) 438-5541
D Housing & Redevelopment Department
(714) 438-5611
D Planning Department
(714) 438-5691
Date : 1 2 -11 -8 5
ftitp of t:arl.ubab
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
To : The Shores at Carlsbad PC#: 84-631 Dated:12-10•84
3 2 3 W • Court St • S u 1 t e 4 0 4 Seq· u o 1 a & Ca r 1 s bad B 1 v d •
San Bernad1no, CA. 92401
Subject: Plan Check Expiration
Dear Sir:
The plan check for your project at: Sequoia and Carlsbad Blvd.
has become null and void due to limitation of time on: 12 10 81:i
The provisions of Section 304 (c) of the Unifonn Building Code states:
Sec. 304 (c) Expiration of Plan Check. Applications for which no permit is
issued within 180 days following the date of application shall expire by
limitation and plans submitted for checking may thereafter be returned to the
applicant or destroyed by the Building Official. The Building Official may
extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant showing that circumstances beyond
the control of the applicant have prevented action from being taken . In
order to renew action on an application after expiration, the applicant
shall resubmit plans and pay a new plan check fee.
We will hold your plans for 10 days at our office for you to pick up, after which
time they wi 11 be destroyed. NOTE: WE WI LL HOLD YOUR PLANS AND CAL CS UNTIL
8esubmfttal.
:n"'you have any questions please contact· the· Carlsbad Building Department at 438-5525.
Very truly yours, ,mO ..
Martin o~rl-1
Building Official
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