HomeMy WebLinkAbout111 SEQUOIA AVE; ; CB881115; Permit.,, z 0
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C g [-[]I' I hereby alllrm that I am licensed under
U "llftffltlon• of Chapter 9 (commencing with
: Section 7000) of Division 3 of the Business
.-and Profa99ions Code, and my license is in
~ lull lorce and effect.
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I hereby affirm ltlat I am exempt from lhe Conlrac-
ror·s License law tor the fotlow1ng reaso (Sec 7031 5
Busmess and Professions COCle Any city or oonly whK.r, re-quires a permit to construct. alter. 1mpr e demolish, or repair any s1ruc1ure. poor to 11s issuance al requires !heap•
pl1canI tor such perm,I to tile a s,~ned temenl lhal he Is
l1Censed pursuanl 10 lhe ptov1s10f1s !he Contractor s License Law (Chapter 9 commenc•r'IQ 1th Ser.lion 7000 ot
0iv,s10n 3 ol the Business and Proless1 s Code) or that 1s ex-empt 1neretrom and the basis for lhe eged exempttOn Any
violat10n ot Sec110n 7031.5 by an ap ,cant 10, a permit sub-
1ects the apphcant 10 a c1v1I penally not more lhan five hun-
dred doi~rs (5500)
I. as owner ot tne prope,ty.
as 1he1r sole compensallon. w11
lure 1s no1 ,nrended or o11ered
and Profession~ Code-The
nor apply 10 an owner ol p
thereon and who does s\Jch k h1mselt Of lhrough his own
emptoyees. provided Iha! ch improvements are nol mt end·
ed or offered for sale II. ever. the building or Improve--
ment 1s sold wtlhm one y r ol compleflOn !he owner-builder
will have the burden of roving that he did not build or ,m-
orove for lhe purpose sale)
1. as owner of t property, am exclusively contracting w11h licensed contra rs to construct !he pro1ect (Sec 7044,
Business and Profe ons Code The Contraclor's License law does no1 apply o an owner of prOJ)erty who builds or 1m·
proves tnereon. a who contracts fOJ each proteets wnh a
contrac:tor(s) hce pursuanl to the Cont,actOl''s license Law)
... As a horn er tam improving my nome. and 1ne f~low ing COndl!IOl'lS e 1st
1 Tne ork 1s being per1ormed prKX to sale
2 I na hved m my name for twelve months poor to completion of 1h1s wOl'li:
I have nol cla1mecl 1n1s exemption dunng lhe
las! lhree years
D I am exempt under Sec ______ , 8 & P C !Of lhis reason ____________ _
r/' hereby affirm that I have a cemticate of consenl to
~sure or a cert1hcate of Workers Compensation In-
surance or a cer11f1ed copy thereof tSec 3800. Labor Code)
POLICY NO F~'"t~O
:_'.:MPANY ~\~ ~ 1s filed with the c,ty
0 Cert1t1ed copy ,s hereby lurmshed
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATI INSURANCE
0 I certify that in the pe,I mance ol lhe work for which
Ih1s permit 1s issued. I sh not employ any person 1n any
manner so as to becom ubJec1 to the Workers· Compen-
sation Laws of Caltf la.
NOTICE TO A.PPLI NT: It, after making this Certificate
of Exemption. you uld become subject to the WOfkers·
Compensation pr is,ons of the Labor Code. you must
torthw1Ih comply with such prov1s100s or this permit shall
be deemed revoked
D t hereby affirm that there ,s a construction lending
agency for the performance of lhe ~ for which this per•
mI1 Is Issued (Sec 3097. C1v1I C~)
USE BALL POINT PEN ONLY & PRESS 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) 438-1 161
JOB ADDRESS AV. ST.RO. THOMAS BROS NO.
ID~J2SJ~;;ONI t3SI 5EZ:. VALUATION PERMIT NUMBER
/II s:'~q ,1n1~ ~T /9A'o itl \ \5 LOT I BLOCK I Sl/y:)IVIS1QN I AS~~t Pt-CEL NO. d CONTRACTOR CONTRACTORS PHONE • ZONE C. ~ 0 rr,.-/J/,.3-0 ~p~ Poels t~ ~--
OWNf R'S NAME ~4:N;;.;Oz ~ -~-"~a
s"'°"".e:. ~soc::-CONTRACTOR'S AOiJRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
zc::ios--c; .~~1o~,. ~( 7"-{ /
OWNER'S M'2-~A"t!. ~ ..L Ai • t)-2, DESIGNER'S PHONE _'C_ ..... -~ ~ DESIGNER r --~ "f..\_._ .._ . I"" ..,h q-,,_-, L
DESCRIPTION OF WOA~ .
<e...4... DESIGNER'S ADDRESS STATE LICENSE NO.
' M.P.77 F/P FLA ELEV. NO OCC GP EDU
STORIES 1512 08/25/88 0001 01 02 vO NO --I CENSUS TRACT I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD Fl RE SPR BldPllt 76-0•
AREA CONST
y O N 0 vO NO vO NO Nor Valid Un~s Machine Ctrtdied
. ~ ?£e-QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE /5 Y3L SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU ~UILUINt, Pti,M11 001-810·00·00·8220 4¥..,
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00·8221
I EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891 ~c;,
1 EACH GAS SYSTEM 1 TD 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 /"i
EACH GAS SYSTEM, OR MORE METAL FIREPLACE ELECTRICAL 001-81 0·00-00-8223 /5
EACH INSTAL. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810-00-00·8224
I EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS MOBILEHOME 001·810·00-00-8225
WATER SQFTNER RELOCATION Of EA FURNACE/HEATER SOLAR 001·810-00-00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92-33 I
TOT.t;L MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227
101 AL PLUMBING I I .!J _o ?UBLIC FACILITIES FEE 320· 810·00-00-87 40
BRIDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE -~<51--QTY MOBILE HOME SETU P PARK-IN-LIEU (AREA l
NEW CONST EA AMP SWI 8KR CAR PORT TIF 312·810·00-00·8835
1 PH 3 PH AWNING LA COSTA TIF 311-810·00·00-8835
EXISI BLOG EA AMPISWT SKA GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00-00-8162
r-1_ REMODEL AL HR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT < ~q ;>
TOTAL ELEnRICAl I 15 ft) TOTAL TOTAL FEES PAYABLE l 7b tri>
I HAVE CAREFUL~Y EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND 00 HEREBY E1tp1rat1on Every permit issued by the Bu1ld1ng Oft1c111 under the prov,s,ons of 1h1s * AN OSHA PERM:T IS REOUIMD FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOING THE Code shall expire by hm1tat1on end become null and void It the building o, w ork 5' O" DEEP AND DEMOUTION OR CONSTRUCTION OF authorized by such perm,1 1s not commenced w1tnin 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ :~~~n~ 1~t 1:~v ~,;!!'~H.~~h:~!,:~!h~~~~le:~~~ :9~~~'~,S~:ged~~ or STAUCl\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREl N OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If-OWNER[] CONTRACTO~ ri: I EO BY] DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE G,~ BY PHONE fJ GRANTING OF THIS PERMIT ,~ I i·~"-fa
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION A _.. .,,~ n.✓•
REINFORCED STEEL 1-.·n· ,, ,~.,.
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUM.BINµ
□ SEWER AND B UCO -□ PUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER A ,,
TUB AND SHOWER PAN 13 ·{ • l1 fL1'l
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY ,,
~ONDING }S-f'OOL rt·t'i•'R fr.£.
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS I ,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL .,
PLUMBING
ELECTRICAL ,._
MECHANICAL , . t'L' \ l..
GAS V .... ~-
BUILDING \... \ \ "'>
SPECIAL CONDITIONS I\ ... ' ' ., . -
.
C2,~~luS-.. \ .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL -I ..
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
'
PILES CAISSONS
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Pr.i 08\.'Q\P,8 OOOT OT OS . :.
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PLAN CHECK NO~ <"/ ----
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ADDRESS _/_(_/ __ 5_:z~l.i_C>_/A ___ _
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PLANNING
ZONE: TYPE OF PROJECT AND USE: ✓ S.PA-----SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
-------------ENCINITAS
SIDE
CARLSBAD SAN MARCOS
REAR
-----------------------REDEVELOPMENT PERMIT REQUIRED: --------------------LANDSCAPE PLAN COMMENTS:
ENVIRONMENTAL REQUIRED: ---------------------------------------------COASTAL PERMIT REQUIRED: YES NO ---------ADDITIONAL COMMENTS: _____ ___._ _________________ _
£NGIN£ERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED? ---------------
EASEMENTS: RIGHT-OF-WAY: ---------------------
EDU' S: DRAINAGE: -------------------------
IMPROVEMENTS: -----------=F"""I""E""'LD-c""'HE=c=K,-,,,-DA.-:T=E,-&'=""""'I=N=-=-I=n=--=A~L-=-s-: -----
PERMITS REQUIRED
GRADING: ___ _...,_ _______________________ _
GRADING COMPLETION CERTIFIED: ____ _
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: _____ _ ---------
P.F.F.:
FACILITIES MGMT. FEE:
SEWER FEE (CONNECTION): SEWER LATERAL:
ADDITIONAL COMMENTS:
I
COUNTY OF SAN DIEGO
DEPARTMENT OF HEALTH SERVICES
.. -. .. .. ~
Division of Environmental Health Protection
1700 Pacific Hwy., San Diego, CA. 92101
(619) 236-2243
, PLAN CORRECTION SHEET
PLAN CHECK#:
PAGE
. ._-:, I 7 J,./ 1
.' OF /
s.,y,,. ADDRESS: PHONE: / ,, / -------------------
I /
Address of Proposed or Remodeled
Heal th Regulated Building : ________ 1_, _______ 1_A ___ .,._,,..:,._'r_>_l'J" __
TYPE OF BUSINESS: __ ~~~ _____ RECHECK REQUIRED
CHECKED BY: 1 ",J""~ ~
ITEMS I
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~DHS:EHP-886 (4/84)
/vJ APPROVED ,I ,1../.J..--
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