HomeMy WebLinkAbout2391 SPRUCE ST; ; 84-548; Permit1h z 0 ~ C GC C .j
0 ... 0
GC ... 0 .j 5 • ii: ... z ~
z 0 ~ C 1h z ... ... ~ 0 0
rJJ a: ... >o: GC
0 3
1[
I hereby afhrm that I am exempt from the Con1rac·
tor's License Law for !lie 1011ow1ng reason (Sec 7031 5 Business and Professt00s Code Any city or county wh1cli re•
quires a permit 10 construct, alter improve, demolish, or repa,r any s1ruc1ure. prior to 11s issuance also requires !heap·
phcanl 1or such perrrut to hie a signed stalement !hat he 1s licensed pursuant to the prov1s\Ons of lhe ton1rac10f·s
license Law (Chapter 9 commencing with SechOn 7000 of 0rv1s1on 3 01 lhe Busmess and Profess,ons COde) or that 1s ex· empt lherefrom and the basis lor the al!ege<l exemption Any
v1olat10n of Sectton 7031.5 by an appl1can1 for a permn sub·
iects lhe applicant to a c1v11 penalty of no1 more than live hun·
dred dollars ($500).
ri I, as owner ol the property. or my employees with wages
as their sole compensation welt do the work, and the slruc·
ture 1s not intended or offered for sale (Sec. 7044. Business
and Prolessoos Code: The Contractor's license Law does not apply to an owner ol property who bullds or 1mpt0ves
thereon and who does such work himself or lhrough his own employees, provided lhat such 1mprovemen1s are no1 intend-
ed or offered tor sale It, however. the bwlding or improve-ment ,s sold w1thm one year ol completion. the owner-builder
will have the burden ot provmg that he did not bwld Of im-
prove lor the purpose of sale)
D I. as owner of the property. am exclusively con1ract1ng with hcensed contractors lo construci the proJect (Sec 7044,
Business and P10less1ons Code The Contractor's license law does not apply to an owner ot properly who builds °' im-proves thereon, and who contracts for each projects with a contracux(s) license pursuant to the Contractor·s Uce11se Law).
□ As a homeowner I am 1mprovmg my home, and !he follow Ing cond1t10ns exist:
1 The work Is bemg per10<med prior 10 sate. 2. I have hved in my home for tw~ve months
pnor to completion of this work 3 I have not claimed this exemption during the lasl three years
D I am exempt under Sec. ______ , B & PC
for this reason
D I hereby affirm tha1 I l"la.,.e a cer11t1cate ot consen1
10 self.insure. or a cent11cate ol Workers Compensation Insurance. Of a certified copy lhereot
(Sec 3800 Labor Code!
POLl~t,
~~NY □~Y IS hied Wl!n lhe City
D Cen1hed copy 1s hereby tum1shed
CERTIF!CATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section neea not be comple1ed 11 lhe perm11
,s lo, one l"lurwlred dollars (S 100) or iess)
D I cer11fy that 1n ll"le performance ot the work tor
wtucn ttus perm,1 ,s issued, I shall not emoioy any
person 1n any manner so a.s to become sut>1ec1 to
lhe Wor1cers Compensalion Laws of Ca11torn1a
NOTICE TO APPLICANT It. atler mak1nJ this Cen1
ltcate ol E,cemp11on you should oecome subJecl t?
the Wo,kers· Compensa11on prov1s,ons of !he Labor
COde you must tor1h~·111"1 comply w•lh such
pmv1s,ons or 1h1s permit stlatl be deemed ,e.,.oked
0 I hereby attum 1hat !here 1s a cons1ruc11on 1enoino aoency to, the pertorm.ance ot !he work tor
wh,ch this perm,1 ,s ,ssueo tSec J/YJ7 Ct\111 Code!
Lender 5 Name ___________ _
Lenders Aodress __________ _
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
JOB ADDRESS A V.ST.RD. NEAREST CROSS ST. I DAi:;7,;78·~1
BUSINESS u ~ VALUATION PERMIT NUMBER
2~,l ~'F~~ c:;r, G,--z,-z...i 2~ss. yy_5-yJ> LOT I SLOCK I SUBDIVISION I ASSESSOR PARCEL NO. c) CONTRACTOR CONTRACTORS PHONE • ZONE JS~ O?.-;;>.. 14-0 ,,., ... :,"":.a;G K:'~'UL~Ut-Jb u, ~L~ -(1 j~ OWNER'S NAME 14~:;4~4 Nl i m~ 7bm kvN~ t ONTRACTOR'S A DDRESS LICENSE NO. p~4-S48 BLOG USE CODE
'°?,o"'\45 s,-A.i-& Si· '3lt~49 .. & OWNER'S MAILING ADDRESS
z__:,1 ~~Pf,:v~ 2f. DESIGNER LICENSE P STANDARD PLAN# BUILDING SO. FOOTAGE ss~tr DESCRIPTION o-z~ b 'D~K. --:,-;-,/(VJ 1.l IA,,, v I ~ DESIGNER'S ADDRESS DESIGNER'S PHONE -
l I 110111:2-101. n~ 3B. ,,
r---•---F/P FLR ELEV. NO OCC GP EDU 0Eltl167r2 lf/Gi/~u .:I 1-j !' ! STORIES
vO NO --
CENSUS TRACl l GP LAND use l PARK 1NG SPACE l RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N □ vO NO vO NO Not Valid Unless Machine Certified
Q T Y. PLUMBING PERMIT · ISSUE '7~-~ QTY. MECHANICAL PE RM IT· ISSUE 5e,~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 <l:~.5Cl
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 Z--:---.o~-
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00·00·8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01·00·00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SING LE DUCT MECHANICAL 01·00·00·8224 -~
EACH VACUUM BREAKER MECH EXHAUST HOOD'DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDEI SOLAR 01·00·00-A??~
TOTI.L MECHANICAL STRONG MOTION 80·92·33-0519
TOT AL PLUMBING I FIRE SPRINKLERS 01·00·00-8227
QTY. ELECTRICAL PERMIT • ISSUE s-~ QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·893)
BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21 ·0519
ExIsr BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Oieguilo 80·92· 23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 f
CREDIT DEPOSIT '"2.:::::. . t)~ >
TOTAL ELECTRICA L I TOTAL SOLAR TOTAL F EES PAYA BLE l 3E,.<5'C I
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT' ANO DO HEREBY E,cpirahon. Every permit issued by the 8u1ld1ng Official unde<the prov1s,ons of this * AN OSHA PEAMlT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hmttation and become null and void If tl"le butlding or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE,TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by .such permit ts not commenced within 180 days from the date of such STRUCTUR£S OVER 3 STORIES IN HEIGHT permit. or tf the bu1ldinPt or work authorized by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at any lime a ter the work 1s commenced for a oeriod of 180 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A~T'S SIGNATURE ~ OWNER□ CONTRACTOR.Id' A r ROV.,., BY 10~0} 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 ~---g, ~ BY PHONE 0 GRANTING OF THIS PERMIT ,_.,..,,. ·---~
I
~ u::
>-;;;
0 a.
E a,
I-
I
"O
0
(9
c
(<I -~ a. a. <(
I
-"' C a::
0 VJ VJ a,
VJ VJ
<(
I
3
.Q
Q) >-
(/)
VJ a, u 0 ct
(<I
iii 0
~
a, u C (<I
C u::
:::.
C a, ~
(9
0 0 a, a. VJ C
~
I:. s:
~ f I I ,. ' ._ •\' ;
I ~ ...... ,, .... I DATE INSPECTOR • ., ~• I_ -1\,1, TYPE
' I BUILDING ' '· ~Lr-~-c+rr -
FOUNDATION I
' M JA A FIELD INSPECTION RECORD
REINFORCED STEEL < r VV'-V I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES M,ASONRY I -
I REO IF INSPECTORS --GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE -I . FLOOR & CEILING SUB FRAME . . . SOILS COMPLIANCE 'SHEATHING D ROOF D SHEiAR PRIOR TO
FRAME I FOUNDATION INSP
STRUCTURAL CONCRETE EXTERIOR LATH i OVER 2000 PSI
INSULATION I PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE '
PLUMBING i FIELD WELDING
SEWER AND BUCO O\PUCO I HIGH STRENGTH
BOLTS UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS ; -D WATER HEATER D SOLAR WAlfER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D t:JFFER , .. . ·. I ROUGH ELECTRIC ' ."", .. ~ D ELECTRIC SERVICE D TEMPORARY ---~' .. . -= D BONDING D POOL i . )
,._ '' .. I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
,
I ~ -.:; ~
CALL FOR FINAL INSPECT!<J_N WHEN ALL APPROPRIATE . .:-.:.._7 . -, . ,
ITEMS ABOVE HAV BEEN APPROVED, ..
FINAL , . . I .. -. -~·-.... . I -. -' •r-... PLUMBING I ,;. . I ~. ~ , ~ '.. ,. . '~ '-.: -..
ELECTRICAL --' I,,. a-, -' • '-:, I .. . . . I ..... , ~-.. --. ' ~ l • • ' ' . I . MECHANICAL
., ..
~ ' -. ~ -. . I GAS I -. ....... -
~ -,--;. --' .-r • I . . . .: ....... BUILDING .:
-SPECIAL CONDITIONS I v ' /· 4--KJ.:. r1;·
'1,~ L =•--I~_/ I v~ . --
PLAN CHECK NUMBER '64'.-5 <{,\" ADDRESS c:2~ q ( ~
PLANNING: TYPE OF STRUCTURE fu A il {) .
DATE
ZONE: ------
SCHOOL FEES: SAN DIEGUITO --------ENCINITAS --------
CARLSBAD --------SAN MARCOS --------
% COVERAGE ------------
BUILDING HEIGHT ----------
FENCES/WALLS -----------
RE;~~:~ o SE~
SIDE -----------TWO CAR GARAGE RE AR c::
UJ 3: UJ ...., LU
::> 1-
UJ ex:: ex: 0
~ □ ~8 □ uo:: UJ,-
0:: :=) □ 0:: 0 OLU uo::
0::
---------------------
COMMENTS: ----------------------------
REDEVELOPt1ENT APPROVAL REQUIRED: --------------------"----
LANDSCAPE PLAN COMMENTS:
ENVIRONMENTAL REQUIREp_: ____________________ _
-------------------------------
ADDITION>\L COMMENTS: ________ ;...._ _______________ _
OK TO ISSUE: ~ DATE: (lJ //~,jyoK TO FINAL: ____ DATE: ____ _
**********************************************************************************
LEGAL DESCRIPTION VERIFIED? A.P.N. CHECKED? ------
P.F.F. ________ PARK IN LIEU ________________ _
R.O.W: IMPROVEMENTS : _______________ _
----------------E.D.U:
SHIER: ____________________________ _
LATERAL: DRIVEWAY: ------------------------~ GRADING PERMIT: _________________________ _
.... LU > I-~ ~ DRAINAGE:
~ □ -c □ 1-W UC:: ~;; □ c:: 0 0 u.J u 0::
EASEMENTS : _ ___.b~-'-6_.,.<-------ADDITIONAL COMMENTS:
OK TO ISSUE: __ .__~--------
* ENGINEERING INSPECTION REQUIRED : __________________ _
PUBLIC ~!ORKS INSPECTOR: ______________________ _
FINAL OK: DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC .)