The URL can be used to link to this page

Home My WebLink About2615 STATE ST; ; 82-49; PermitIll z 0 ~ a: C ... u .., Q -= I[ 0 u -= .., Q ... 3 ~ .., z ~ z 0 ;:: ~ z .., A. :I 0 u Ill ir .., " a: i il EN ON Y & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A~ECLARATIONS. CARLSBAD BUILDING DEPARTMENT '""" 1200 Elm, Carlsbad, California 92008 (71 4) 438-5525 APPLICATION & PERMIT ~ O I hereby ~. If that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proleaalons Code, and my license Is In lull force and effect. Jii'we :O:oifflEss A~i.T·I~;;~ A;;~ONI BUSINESS LICENSE " VALUATION PERMIT NUMBER u: ltc No _______ Clm I hereby affirm that I am exempt from the Con· ~!'!;'~~!?:':: ~~.~':-~~~~i~ county which requires a permit to construct alter, 1mproll't, demohsh. or repair any structure, pno, to ,ts issuance also requires the applicant tor such permit to lile a signed statem&nt that he ,s licensed pursuant to the prO'i'1s1ons of the eon- tractor's License Law (Chapter 9 commencing with Section 7COl of 01vist00 3 of the Business and Pro- fessions Code) o,, that ,s exempt therefrom Nld the basis for the alleged exempttOf"I. Any vtOlahon of Section 7031.5 by an applicant fo, a permit subjects tne apphcant to a civil penalty of not more tt\an five hundred dollars ($500) O 1. as owner of the property, o, my employees .. nh wages ,s their sole compensation, wilt do the wM, and the structure 1s not intended or offered tor sa,e (Sec 70U, Business and ProfessK>t'ls Code The Contractor's License Law does not apply to an owner of prc,perty who builds or improves thereon and who does such wont himself or through his own employees. provided thal such ,mprovemei1ts are not 1ntende1 or offered for sale If, however, the building or lmprovement 1s sok1 within one yea1 of comp~tion, the owner..t>u,lder will have the burden of proving tl'\at he dtd not build or improve for the purpose of sale/. □ I, as owner of the property, am exclusively contractmi with licensed contr~tors to construct the protect (Sec. 70,U, Business and Protess,ons ('.ode: The Contractor's License Law does not apply to an owner of property who builds or ,mp,oves ~r:~-~~ ~~nc~n~~!~~~ ~~f h~,~~\~~::.: License Law) 0 I am exempt under Sec _____ , B & P.C for ttusreason ___________ _ D I hereby athnn that I ha',e a certificate of consent to self-insure, or a cert1f1ca1e of Workers· Compensation Insurance, 01 a cer11fled copy thereof ISec 3800. L.abO< Code) POLICY NO COMPANY □ Copy IS hied with the city D Certified copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Th,s section need not be completed 1f !he permit 1s for one hundred dollars ($100) or less) 0 I cer11ty that in the performance of lhe work IOf which this permn 1s issued, I shall not employ any person 1n any manner so as to become sut>1ec1 to lhe Workers· Compensation Laws of Cahforn,a NOTICE TO APPLICANT It, after makm~ this Cert•· he-ate of Exemption. you should become sut>1ec1 I? the Workers' Compensa11on prov1s1ons of !he labOr Code. you must forthwith comply with such prov1s1ons or this perm11 shall be deemed revoked 0 I heret>y affirm that there 1s a construchon i tending aoency •or the performance ot the wor1( tor wl'uch this permit 1s issued (Sec 3(137. C1v1I Code) Lenders Name ___________ _ Lender"s Address __________ _ .:J 6 IS-ST S74T~ OWNER'S NAME G,EotlJ:l <f E~S..57 -'tlc/7'f'I~ ,J..;w:;;;~o;E PRIME;;:;;;Rl /1P~~Ef2-_ CONTRACTORS PHONE • OWNER'S MAILING AODRESS CONTRACTOR'S ADDR7 LICENSE NO. t,,()00 ~ (II ZONE 0 a. E Q) I-PLAN I.D, # t "O / ~f 5G~t1()/A Alf:. e,µt~~A b L" l BLOCK I SUBDIVISION b ,,.l ASSESSOR PARCEL NO S G ~S/1' I= J..r "'fl OESIGNER STATE LICENSE tt STANDARD PLAN# I BUILDING SO. FOOTAGE 1S DESCRIPTION OF WORK 1-------------------------------------il OEStGNER'S ADDRESS DESIGNER'S PHONE c (II .2 a. ut4t.r1 icc71cN 6r /loot: F/P FLA ELEV. vO NO I REDEVELOPMENT AREA NO STORIES OCC GP EDU OCC LOAD I FIRE SPA 2/,l,~/~28~2 I 00 018721 2/16/PP 5lh IPI l I~' e~,,e rl j/0 CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS TYPE CONST GRADING f'.ERMIT ISSUED y D ND vO NO vO NO Not Valid Unlt!ss Machine Certified QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER -- EACH FIXTURE TRAP I I I INSTALL FURN . DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01 ·000·422Q ~,. ~c. EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01·000·4221 EACH WATER HEATER ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000·4806 EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·000·4222 ELECTRICAL 01·000·4223 I I EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE EACH INSTA~ .• ALTER, REPAIR WATER PIPE V_E_N_T_F_.::A_.::N:...S.:.IN_.::G_L_E_O_U_C_T ________ -l--__ ____:_.::__1------------01 ·000·4224 EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER 01 ·000·4225 EACH ROOF DRAIN (INSIDE) TOTJ.L MECHANICAL 01 ·000·4226 65·640·0519 ,~o TOTAL PLUMBING l 01·000·4227 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE / PUBLIC FACILITIES FEE 25·000·4933 BRIDGE FEE NEW CONST EA AMP/SWT1BKR COLLECTOJI, ,/ SCHOOL FEE · DISTRICT 1 PH 3 PH I STORAGE lf.NKS _,/" / EXIST BLOG EA AMP/SWT/BKR 1,l ROCK STQl\'.GV""" 7 Carlsbad 65·623-0519 Encinitas 65-624·0519 1 PH 3 PH / . ,~/""' \ r/'\ • San Dieguito 65·625·0519 REMODE L/ALTER PER CIRCUIT 1-. }~ cHEf K...FEt I 1 ?.. I\ ru San Marcos 65·626·0519 TEMPPOLE 200AMPS .7 17' ' tr OVER 200 AMPS / ' TEMP OCCUPANCY (30 DAYS) / ~ .i TOTAL ELECTRICAL A" ~ I TOTAL SOLAR \ I II TOTAL FEES PAYABLE I I .Jii-. I ~I / I HAVE CAREFULLY EXAMINED T OMPLETED APPLICATION AND PERM It·• AND DO HEREBY Exporatton. Every permll issued by the Building Off1c1al under the prov,91onsofth1s CERTIPr'UNDER PENALTY O ERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1tm,tat1on end become null and void II the butld,ng or work * -'NOS"-' PERMIT IS REQUIRED FOR EXCAVATIONS OVER S' 0" DEEP -'NO DEMOl.lTION OR CONSTRUCTION OF STRUCTURES OYER 3 STORIES IN HEIGHT C a: 0 rJ) rJ) Q) rJ) rJ) <{ I 3: 0 Q) >- Cl) rJ) Q) 0 0 a: (II «i 0 §: Q) 0 C (II C u: C Q) ~ (!' 0 0 Q) a. rJ) C 2 DECLARATIONS ARE TRUE A ORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 19 not commenced within t80days from the date of such ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• :~'::::On'::;/~i':~ bulldo::ft or work aulhonzed by such permol Is suspended or STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND L-';'::::;";::':~=:'7.'~ttm~e..:a=er:,_t~h:•..:w::o::,r::,k.::••:..;c:,:o~m:.::m.:.:enced~~.!lo~rc.!a~~r,::•od!2.co!!.!f_1!.!!!o!.!,!!1ll._-:=-1'"!'!!!'!!'!!!~~~~-------------,.----~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICANT'S SIGNA~URE OWNERP CONTRACTOR 0 EXPENS~S WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ h '-. GRANTING oF THIS PERMIT. /✓~ fff Bv PHONE O I h / /'/ __ 1 ~ ~ -,, , INSPECTION TYPE DATE INSPECTOR ~ " l __:· . , BUILDING I FOUNDATION _, I . FIELD INSPECTION R ECORD REINFORCED STEEL l REQUIRED SPECIAL INSPECTIO NS INSPECTOR'S NOTES MASONRY r I INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME ' I SHEATHING l FRAME l j SOILS COMPLIANCE PRIOR TO .. I. FOUNDATION INSP r STRUCTURAL CONCRETE i OVER 2000 PSI EXTERIOR LATH lNSULATION ,, PRES TRESSED CONCRETE I INTERIOR LATH & DRYWA LL , POST TENSIONED I CONCRETE PLUMBING FIELD WELDING l SEWER AND BL/CO HIGH STRENGTH PLUMBING UNDERGROUND ' •' . BOLTS PLUMBING TOP OUT I SPECIAL MASONRY G,--,, I TUB AND $HOWER PAN ! I GAS TEST ,, PILES CAISSONS ELECTRICAL I f TEMPORARY POWER I ELECTRIC UNDERGROUND I ROUGH ELECTRIC I I ( ,. ELECTRIC SERVICE I • ~ -. I ~~ I BONDING A I ~ - G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS r . " ,. "" - CALL FOR FINA L INSPECTION WHEN A LL APPROPRIATE ITEMS ABOVE HAVE BEEN-APPROVED. JOB SITE FINAL . -., PLUMBING l ELECTRICAL I I . "" MECHANICAL i . . GAS I , f ':· .;-., t ;. I . "-\ -, i~-... . . , . """' ,,. ;; c-t,' ·' - 't .. ._J.' .. I . .. -. .~t\fs::'<.".. --BUILDING l ' ' . SPECIAL CONDITIONS I CERT OF OCCUP SY ISSUED I '' ~ ! ," ,',