HomeMy WebLinkAbout2564 STATE ST; B; 81-452; PermitIll z 0 ;::
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0 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 effect.
lie No _______ Class ~-----
I hereby affirm that I am exempt lroff\ lhe Con-~:'';';;~~:::~ ~.~:':-~~~!t~
county which requires a pemul to construc1 alter. improve, demolish, or repa,r any structure,
pnor to its issuance also reqwres the apphcant to, such penmt to file a signed statement that he ,s hcensed porsuant to the provjs,ons of the Con·
tractor's Ucense Law (Chapter 9 commencing wtth
Sechon 7t:llO of Ow1s1on 3 or the Bus,nes.s and Pfo-
fessions Code) or lhat 15 exempt therelrom and the
basis tor lhe alleged exemptk>n A.ny "~at1on of
Sechon 7031 S by an appl~t for a permit sub1ects
1ne applicant to a c1v11 penalty of not l'TK)(e than ftve
~
nd<e(l dollars (S500).
,,,.,_ ~ n&r of the proPef'tY, or my employees
,,. .,~'.:, their sole compensahon. w,11 do the
WOf1l. =t= structure 1s not intended or ottered for
..,.. (Sec, 704,,I, Business and PfotesslOlls Code
~
acto,'s License Law dOes not apply to an
property who builds or improves thereon
does such w<>fk himself or through h1s own -employees. provided tna1 such 1mproveme;i1s are
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not 1ntende1 or offered for sale If. however, the
bu1ld1ng or 1mprovemen1 Is sold w1th1n one year of
completion, the owner-builder will have the burden
of prcwing that he dtd not build or improve for the
purpose ot sale)
□ I, as owner ot the property, am exclusively contracting with hcensed contractors to construct
the p,()lect (Sec. rou. Business and Protesst0ns Code: The Contracto,·s license Law does not app1y
to an owner of property who builds or 1mproYes ~~~i~ ~~nc;1~~!!1~ ~~~,~~~~;~~,!
L,cense Uw)
0 I am exempt under Sec
tor this ,easoo
____ B &PC
D I heteby athrm lhal I ha..e a cert1t1cate of consenl to self-insure. or a cen1t1ca1e of Workers· Compensation Insurance. or a cen1t1ed copy thereot
(Sec 3800. Labo< Code)
POLICY NO
COMPANY
0 Copy IS hied with the city
0 Certified copy Is hereby furnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sechon need not be completed 11 lhe permit 15 tor one hundred dOllars (S 100) or less)
tJ I cen,ty that in the perto,mance ot the woo lo,
whteh ttus permit 1s issued. I shall no1 employ any
pe,son ,n any manner so as 10 become sub1ec1 10
the Wofkers' Compensation Laws of Cahtorn,a
NOTICE TO APPLICANT 11. alter makin-;, lhIs Cert• ltcate of Exempuon. you should t>ecome subject 10
the WMe1s· Compensation prov1s1ons ot the L..abof
Code, )'OU must f0f1hwlfh comply wI11l such provisions or this permit shall be deemed revoked
O I hereby athrm thal there ,s a construction
Iend1no agency tor ine perf0<mance ot 1he woMI. fo,
wtucl'l this pe.rm1t ,s issued !Sec XI.J7. C1v1I COdel
Lenders Name ___________ _
Lendet s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBA_ BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
APPLICANT FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
A► r'LICATION & PERMIT
BUSINESS LICENSE II VALUATION PE AMIT NUMBER 2 u::
?-.rloc..J--STA.-~~
OWNER'S NAME 0 L-e.~ A-_t Wl"'.l or.A 1~.1;:;~;zE
OWNER'S MA,LING ADDRESS
AV. ST. I DA.TE Of APPLICATION-,
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CONTAACTOA1S A6□Ar
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CONTRACTORS PHONE•
LICENSE NO.
ZONE
PLAN 1.0. # BLDG USE c;uo~
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LOT BLOCK SUBDIVISION I ASSESSOR PARCEL NO J..o?:, 10 I ~c; 00
DESIGNER
DESCRIPTION OF WORK
ifB::_'-A u'~-r ~ .l vr .:5~~ "TU 1 o"""'"' ,oosrn
~1«-0,9(<4C-,T1c. OF~, c..c..1..
F/P
vO NO
FLA ELEV.
CENSUS TRACT ~ GP LANO USE I PAA KING SPACE I AES UNITS I GRADING f'.ERMIT ISSUED
y D ND
REDEVELOPMENT AREA
vO NO
QTY.I PLUMBING PERMIT -ISSUE QTY.I MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER I I I OVER 100.000 BTU
EACH WATER HEATER ANO/OR VENT -I BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM I TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER I i I MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOHiL MECHANICAL
TOTAL PLUMBING T
QTY. ELECTRICAL PERMIT · ISSUE -z....----llQTY. SOLAR -ISSUE
NEW CONST EA AMP/SWTIBKR COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
I PH 3 PH PUMP
REMODEL/ALTER PER CIRCUIT ~r--PLAN CHECK FEE
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL 1 1~ TOTAL SOLAR
~
STORIES
TYPE
CONST
; r
--
STATE LICENSE#
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD FIRE SPA
vO NO
STANOAAO PLAN# BUILDING SO. FOOTAGE
I I / I 9 /613250
OCOl329C I 1/1~/BI
Nor Valid Unlffs Machine Cerrifil!d
►.t-1.
• I
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
'r,_ ..J~
'2-,L_f__(,,,
:z--+ --
7. -~ -1 STRONG MOTION I • c:,.1,0 I
FIRE SPRINKLERS
7 PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Oieguito
San Marcos
/
TOTAL FEES PAYABLE l t::,t 73_
I HAVE CAREFULLY EXAMINED THE COMPLETED ·'APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY, COUNTY.,AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration E ryjperm,t ,nueqbytl>e Bulldtng Ofl1c,1I under the prov,s,ons ofth,s
Code shall ex ,re by hmIta1t d ~o e null and vo,d It the building or work * AN OSHA PERMIT IS REQUIAED FOR EXCAVATIONS OYER s· o· DEEP ANO OEM0UTloN 0A CONSTAUCTION Of'
STRUCTURES OYER 3 STORIES IN HEIGHT 1uthor1Zed b su. ell perm,t ,s t com _. w,tnin 180 days l.rom the date ot such
permit. or th .. bulld1ng work • or-..O by such ~rmn A --ded or
abandO at any ltme aft the wor co/nmenced fotA"ll,ar,~ of fllll dav•
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INSPECTION TYPE DATE -··· -INSPECTOR ... -. --. ---
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
SHEATHING I
FRAME ',
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING I '
SEWER AND BL/CO I
PLUMBING UNDERGROUND i
I
PLUMBING TOP OUT '
TUB AND $HOWER PAN I
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND I
I
ROUGH ELECTRIC I
ELECTRIC SERVICE I
BONDING A I
~
G. F. I. -SMOKE DETECTOR. I
MECHANICAL I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF ocr.1 IPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCR£;.TE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
r
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
-
'
'
.
,--..
•
8t--'-f5'')..,
INSPECTOR'S NOTES
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REQUEST· FO_B INSPECTION TIME: //J '-:}~
LI-:;2 i-;[J INSI\ECTOR -1 ~ PERMIT NO _______ DATE:
OWNER ___ ~...o:c...J_t: .... r~~~__,St.~wt..:=...__c=.:..L,h fw..t.O-"'--o ~i"'-="'-"-''~~1.,........,,,..----
ADDRESS---'')~~-'-, -'-4_.~...,___._,.~Q"""'Lff-=-----.-*-+--------'fa~lf ___ _
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
FRAM
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: ~y
~
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC SERVICE
D CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D TUESDAYe~ D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY __ ~-==<-=,.-----~=.c:...__:_--'1-"'Q,/\"--"-____ pHoNE NO. 4~4-/ 0 I q
<S PERSON TAKING REPORT---"'l------
i~ ~_,V.,f ~
~ i~.-t:./4~M
~ R ~ ~ ~ ~
..
REQUEST FOR INSPECTION TIMEc_· ----~-
INSPE<;;rOR ,P7: PERMIT NO _______ DATE:_7_,.,{h,-.,.,~,_~1/ __ _
' OWNER---------~----p---,,<+-----------------
ADDRESS ...... o<~Sii~b~"7:_A=---=~'-"--~---,,.,...._~,o..,==,.,;d.,~=-"------+4 _________ _
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
FINAL
ELECTRICAL
D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE
D CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
ltA :S f'oi.-.1r;,:2. A l-RfAJ>Y)
PLUMBING
D UNDERGROUND PLUMBING
D UNDERGROUND WATER
D ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
DA.M.
DP.M.
/
MISCELLANEOUS
D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
~DNESDAY □THURSDAY D FRIDAY
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
DATE: "'ECEIVED
OCT 2:J 1981
ZONE __________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
~-. 'i,
ENGINEERING DEPARTMENT /
R. 0. W . ______ INDUSTRIAL/4. _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENTS DRAINAGE ----------------
LEGAL DESCRIPTION _____________________________ _
ADDITIONAL COMMENTS _____________________________ _
oK TO IssuE:~ATE/ rJ-a1-8I PWI ____ oK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARM S EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
City of Carlsbad
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
1200 ELM 438-6626
Address where Business will be conducted
Owner of Building
Type of Business
Previous use of Building
Type of flammable or explosive liquids to be used, if any
Dated this
Signature of
Applicant
FOR DEPARTMENTAL USE ONLY
Use Zone {l-/)1\ Occupancy Group /3 -C Type of Construction
Planning
Department Date I /1q/f;).. Approved M Disapproved
Building
Date ~:i/J?z Approve·--r. -71
Department Disapproved
Fire , 1'\. ✓ ✓ l I
Prevention Date .3-\ i -t 2.._ Approve " Disapproved
Health 11/~ I:' Lnl ~~ Department Date> ""22-B "2.. Disapproved
<NL. J{lQ( I~ ~ '1/
white-Fire Prevention yellow-Appllcant pink-Finance gold-FIie
VALIDATION
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By
By
By
By
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NOV 171981
City of CARLSBAD
BUILDING DEPT.
"E CEIVED
OCT 2D 1981
CITY OF CARLSBAD Building Department
STA 1£ S1. 'CH \RoPRACT IC GROUP.
DATE APPIIIOVIED ■Y /ri -
LIGHTING ttN°H£A7J
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