HomeMy WebLinkAbout1866 SPYGLASS CT; ; 85-376; Permit{
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~' hereby alflrm that I am licensed under
~Iona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In ~~I ~~q~:iz, Class c -S-3
I hereby alllrm !hat I am e:cempl from lhe Contrac-
tor's License Law !Of lhe lollowmg reason (Sec. 7031 .5
Business and Profess.ons Code Any city or county which re-qu11es a permit to construct. alter. improve, demolish, or repair any suucture, prtor 1011s ,ssuance also requires ?heap-
phcan1 lor such permit to hie a s.gned s1atemen1 that he 1s
bcensed pursuant lo the prov1SK>11s oi lhe Con1rac1or·s license Law (Chapler 9 commencing with Sechon 7000 ol
0fv1sion J ol the Business and Pr01ess+ons Code} or thal ,sex-empt therefrom and the bil&jS for the allegea exemp11on Any
v10lat10n ot SectK>O 7031.5 bv an applicant fOf a perm,1 sub-1ects lhe appltean1 to a c11,1tJ penalty ol not more than ltve hun-
dred dOl~rs ($500)
J I, as owner of tile pre>perty, or my employees with wages
as ttieir sote compensation. will do the work. and the struc·
lure ,snot intended or ollerecl for sale (Sec. 7044, Business
and Profess10ns Code The Contrac1or·s l1eense law does not apply to an owner of property who builds or improves
!hereon and woo does such work himself or through his own employees, prOV1ded that such improvements are nol intend-
ed or otlered lor sale~ II, however. the building or 1mprove-
menl is sold within one year of completion, the owner-builder will have the burden of prov,ng lhat he chd not build or m-prove for the purpose ol sale)
0 I. as owner of the property, am exclusively contracting w1lh licensed contractors to construct !he project (Sec 7044,
Busmess and Proless.ons Coda. The Contractor's License law does nol appty to an owner of property who bui!ds or im-
proves !hereon. and who contracts lor each prOfects w11h a coouactor(s) license pursuant to the Contractor's license Law).
D As a homeowner I am Improving my home. and !he follow mg cond1t10ns exist·
1. The work Is beong pe,formed pnor lo sale 2. I have Wed in my home fDf twelve months pnor to complellOn ot this work
J l have not claimed this exemption during 1he last three years
D I am exempt under Sec ______ . 8 & PC
tor this reason
~reby affirm that I ha~ a cerhtica1e of consent \.fo" self-insure. or a cert1f1ca1e of Workers
Compensa1ton Insurance, or a cer11fted copy !hereof
(Sec 3800. LabO, Code>
POLICY NO eiL-\ )..o).. st. (
COMPANY f?R ~\..\. ~
~y IS flle(I With the CII)
0 Cer11t1ed cooy is hereby tum1shed
CERTIFICATl OF EXEMPTION FROM WORIIERS" COMPENSATION INSURANCE (This section need not be completed 11 The perm,t
15 f01 one hundred dOllars ($100) or less)
0 I cer11ty lhal m the performance ot the work 10,
wtuch 1t11s permn ,s issued I shall not employ any
person ,n any manner so as 10 beeome sut>Ieci tll
!he Wonters Compens.1t1on Laws ot Calllornia
NOTICE TO APPLICANT II. atter maJ,.m;, lh1s Cert,
hcate ol Exemp11on you shoold t>ecome sut>IecI I?
the W()(1(ers Compensation provIsIons al the L1b0r Cooe. you must lonh._.,,,h comply with such
prov,s,ons 01 lh1s permit shall be oeemeo (evokeo
O 1 hereby affirm !hat there 1s a construc1•on
lending agency tor me performance ol lhe work tor which 1n1s perm,1 rs issued tSec 3097 C1v11 Cooe,
Lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------. ------·-···----
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
I JOB r§sl, b S?~ G-L-AS.Sv. SL! NEAREST CROSS ST
l l TfJTLI ~fl BUSINESS LICENSE # VALUATION PERMIT NUMBER Ml I 112-,~rv gs-
! LOT BLOCK SUBOI VISION I ASSESS~o~E~l .S-3 lf-'o 0 u_ CON~TOR Pools CONTRACTORS PHONE • ZONE J7(p
. AhlDtlNY~ ffifRIC(A [;l.8~~7 DEN !f, u tD OW;n~E
,..,,oe 0~ . $o/~~t~t:~:~~---\e_'4( LICENSE NO. PLAN 1.0. #
pdli_C°{ES,f.1-~ l(0-L7L OWNER'S MAIL1NG A0OAESS -~
I So...~e...... DESIGNER ..... LICENSE " STANDARD PLAN# BUl~o~AGE / DESCRIPTION OF WORK .\ J <;nc;.._ 3~or / ~.Jl f , I Jlltl..
~,-.,r,.. DESIGNER'S ADDA ESS / OES7R'S PHONE .. -
~ I \.
r---F/P FLR ELEV. NO OCC GP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PAR II ING SPACE I RES UNITS I GRAOING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST
y D ND vO NO vO NO Nor Valid Unless Machine Certified .
75l QTY. PLUMBING PERMIT -ISSUE ~QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER .... ~,,..., --I EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU _,,/ BUILDING PERMIT 01-00-00-8220 ff)•~"-' I EACH BUILDING SEWER OVER 100.000 BTU / SIGN PERMIT 01 ·00-00-8221 ~ J ,~ i I z..so BOILER/COMPRESSOR UP TO 3 HP _.,,,,,-PLAN CHECK 01 -00·00·8806 C,'/• V I EACH WATER HEATER ANO OR VENT ,
I EACH GAS SYSTEM I TO 4 OUT LETS I 7_ .t:"l> BOILER/COMPRESSOR 3-15 HP _,/ TOTAL PLUMBING 01 ·00-00-8222 / < I 'CFO ; EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE _,/ ELECTRICAL 01 ·00-00-8223 /~. uu
EACH INSTA~. ALTER, REPAIR WAT ER PIPE VENT FAN SINGLE DUCT _,/ MECHANICAL 01-00-00· 8224 . I -,-
'L EACH VACUUM BREAKER ?£C MECH EXHAUST -¢□ DUCTS MOBILEHOME 01-00-00-8225
I WATER SOFTNER RE LOCATION.),f"""EA FU RNACEIHEA TE R MOBILEH0ME PARK INSP I EACH ROOF DRAIN jlNSIDE) / SOLAR 01-00-00-A??/; I
/I OTJ;L MECHANICAL • 2S / I -· STRONG MOTION ---80-92-33-0519 ~ ; TO I AL PLUMBING I /...::, O(. FIRE SPRINi<LERS 01-00-00-8227 I
S-or:. / PUBLIC FACILITIES FEE 32-00-00-893'.l I QTY. ELEC TRIC AL PERMIT -ISSUE QTY. SOLAR· ISSUE
I ' BRIDGE FEE .
I NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
I I PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 I
EXIST BLDG EA AMPISWT BKR ROCK STORAGE i Encinitas 80·92-22-0519
I PH 3 PH PUMP ./ San Oreguito 80-92-23-0519
7./ REMODEL AL HR PER CIRCUIT /0 -Ol PLAN CHECK FEE / San Marcos 80-92-24·0519
TEMP POLE 200 AMPS ./
OVER 200 AMPS / LICENSE TAX 01-00-00-8162 ' TEMP OCCUPANCY !JO DAYSI / MFF 80-92-57-0519 /;Jd,1-l? / CREDIT DEPOSIT "'-7D, fv
TOTAL ELECTRICAL I / < c£, / fOTAL SOLAR TOT AL FEES PAYABLE I l'-/'-/91 7
I HAVE CAREFULL 'i EXAMINED THE 0OMPLEJED 'APPLICATION AND PERMIT AND DO HEREBY Expirat,on Every permit issued by theBulld1ng Ofhc1al under 1he provisions of this x~ jlA PE~ .. ll ~IRE~rCAVATIONS OVER CERTIFY UNDER PENALTY OF,PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e>tpire by llm,tahon and become null and void If the building or work . ~ i;iP 41j O OE o/f? STRUCTION OF authorized by such permit 1s not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~~~n~ 1
!1 ~~Y ~~~:1:ffe~;h:~~r:~~hc~~J~~~~ :8~~~•~,s~~~~~ or 77. -· "7 .:R 0A I EIGHT ISSUED TO COMPLY WITH ALL. CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE .. OWNER □ CONTRACTO~ ~ !~'1/ ~ DZ E ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND a~~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
BY PHONE °1 . .. , :" VY I . U-K~ GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR I
BUILDING I
-.. ; &s-·1,7k, •., .•
'
.. . .
FOUNDATION I A -FIELD INSPECTION RECORD
REINFORCED STEEL I r/•//)./J:,. //~7~
MASONRY I • ,
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '
REQ IF INSPECTORS -. INSPE CTION CHECKED APPROVAL DATE , ~ .
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHEAR
, '.
SOILS COMPLIANCE . ' -, PRIOR TO
FRAME I
EXTERIOR LA TH I --
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PS,I
INSULATION j
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
J CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
HIGH_ STRENGTH,
BOLTS
TOP OUT D WASTE D Wk,TER SPECIAL MASONR.Y • . ' '
TUB AND SHOWER PAN I , ,
GAS TEST I PILES CAISSO.N~
D WATER HEATER D SOLAR WATER
I . -r-
ELECTRICAL I .....
' ' ..... -"'., .. ~. . ..
D ELECTRIC UNDERGROUND D l+IFFER
ROUGH ELECTRIC I . "__.cc ' ..... , t t ..... 1' ". I -·-
J-
D ELECTRIC SERVICE D TEMPOlilARY I\ -~ BONDING ~POOL I 7,JD•l.c;. YU'£, .
I
':. \ , ·-;
'· ~
'\~r ,; ~:.·
MECHANICAL I
D DUCT & PLEM., D REF. PIPINµ -· .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
l
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIAY
ITEMS ABOVE HAV BEEN APPROVED.
I
' . ~ ' _-.
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FINAL I t/7
PLUMBING I ,,,./· I
-.. ,~~( ~-,. -ELECTRICAL r
I I/ / . .
MECHANICAL I ! 1\ ~ 11 .f UI / •
-.
GAS I I) Vµ/
BUILDING •, t I , / I
.. -' .
' . ' .. -" SPECIAL CONDITIONS i ' , ---
I
I
PLAN CHECK NUMBER BE:-;, ;;6AODRESS ;}f_b(b ~ ~
TYPE oF sTRucTuRE r;l?o cJ C ., · PLANNING: ZONE: ------
a: Lu
::i: Lu
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD --------
% COVERAGE ·------------
BUILDING HEIGHT ----------
FENCES/WALLS -----------
-nJO CAR GARAGE -----------
ENCINITAS --------
SAN MARCOS --------
REQUIRED SETBACKS -----
FRONT /' ~ ::: ;p ,5
;: ~ COMMENTS: _______________________ ~----
~ c3
~ □ REDEVELOPP1ENT A?PROVAL REQUIRED: 6 ~ □ --------------~-"'--~
~;; -----------------------~..:~.---8 ~-□ LANDSCAPE PLAN COMMENTS: -----------------~--~--~
-----------------------~-•~ ... :--=.:..-,
£NV rno~:M:NTAL REQU IREP: ------------------~-------=--'lo
ADDITIONAL COMMENTS: ----------------------
OK TO ISS-UE_:_~---□A-T-E:_4;_/4_0_//-fp_ro;_O_K -TO_F_IN-AL-:==~~~-~-DA-T-E:-_-=-~--~~~=
ENGINEERING
P.F.F.
LEGAL DESCRIPTION VERIFIED? ____ r ~ A.P.h. G:[CKED'C __
PARK IN LIEU ------·::----.-•-~~•~:=:~ .~~-
R.O.'.-J: ___ , ___ IMPROVEMENTS: ------=-M·~~-~~ ' ·--, .. ~-~'---
----------------------------:--._ .... _. o;_.-~~ ·-·;:;,-.,. __ ___
E.D.U: ~ -------------------·~-~-__ , ~~~---~
SEWER: --------------------.-~ .. --.. --.. ~ .... _ -~--
LATERAL: ------------DRIVEWAY: ___ .,....._ •-= • -----r --~ • ,_
GRADING PERMIT: ----------------------~~--~-.. --"'-.... -
-Lu > ~ ~ c3 DRAINAGE: --------·----------~=--~---
~Lu ua::
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EASEMENTS: ___________ AOOiiIONAL COMMENYS: ______ __
; . . ' ~ □
2c::i □
~~ □-~
UC!: OK TO ISSUE: /~ ---7,,.._ _____ _ DATE: ~.&f,/f!
* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC \.!ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS ~OT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)