HomeMy WebLinkAbout2361 SPRUCE ST; ; 85-338; Permit<II z 0 ~ < a: ~ u w 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license is In
full force and effect.
Lie No ______ Clm
I hereby afhrm thal I am exempt from the Contrac-lol's License I.Aw 101 !he lollow,ng ,eason (Sec 7031 5
Business and Professions COde Any city or county which re-quires a permit 10 construct. alter improve, demohsh. or
repair any structUfe. prior to its issuance also requ11es !tie ap-phcant for such permit to hie a s19ned statement Iha! he is
lteensed pursuant to the prov1s1ons ol lhe ConlractOJ s License Law (Chapter 9 commencing with Sec!t0n 7000 of
D1v1st0n 3 of !he Business and Protess,ons COde} Of lhat 1s ex-
empt therefrom and the basis '°' the anegeo e,i:empt1on Any Ylolation of Sect10n 7031.5 bv an apphcanl fOf a perm1I sulJ·
iects lhe apprtcant to a c1v11 penalty of 001 more than live hun-
dred dollars ($500)
□ I, as owner o1 !he property, or my employees wIlh wages
as their sole compensa11on. win do the work, and lhe struc-ture 1s not intended or ottered for sale (Sec. 7044 Bus,ness
and ProfesslOfls Code The Contractor's License Law does
not appty to an owner ot property who builds or improves !hereon and who ooes such work himself or through hrs own
employees, provided thal such improvements are not mlend· ed or offered lor sate. If, however the building or unprOIJe•
ment Is sold w1thm one year of com~etion, the owner-builder will have lhe burden of proving that he did no! build or im· prove for !he purpose of sale).
D I, as owner ol the property, am exclusively contracting
w11h lteensed contractors to construct the pr01ec1 (sec_ 7(µ4.
Business and Proless,ons Code The Contractor's License Law does not apply to an owner of property who builds or im· proves thereon, and who contracts for each protects with a
conlractOl(s) hc.ense pursuanl to Ille Conlraclor·s license Law)
D As a homeawner I am lmprovmg my home, aM the lollow
Ing conditions exist: 1. The work 1s being per1onne<I prior to sate. 2. I have hved m my home lor twelve monlhs
3. r~!v~o :;1P~~::: t1~: ::~puon during the
last three years.
D I am exempl under Sec ______ • B & P C
for this reason ____________ _
0 I hereby athrm that I ha'Je a cert1f1ca1e ol consent
10 self-insure. or a cert1l1ca1e of Workers·
Compensat,on Insurance, Of a certified copy lhereot
(Sec 3800 t.a1>0r Code)
POLICY NO
COMPANY
O COoy IS hied with the ctty
0 Cen11ted copy ,s hereby lurn1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be comple1ed 1t the permit
1s tor one hundred dollars tS 1001 or less)
0 I cerMy that 1n the per1ormance of lhe work tor
wh1cn lh1s permit 1s issued I shall not employ any
person m any manner so as to become subJect 10
the WoO!.ers· Compensahon Laws of Cahlom1a
NOTICE TO APPLICANT 11. at1er mak.inJ m,s Cert, hcate of Exemption you should oecome sut>1ec1 I')
the WOf1,.ers Compensa11on provisions ol lhe Lat>or Code. you must torth"A1lt'I comply with suct'I
prov1s1ons or tt'l1s permit shall be deemed revokeo
0 I hereby attum thal !here 1s a construchon ten.ding agency 10, !he performance ol tt'le won. 101
._...n,ch 111,s perm,t 1s ,ssued 1Sec 3097 C,v,I COOe)
Lenders 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
;;:_~r;;sJ ~~~ A~.;__ NEARESTCROSSST. I OAT~;f;li~·,
BUSINESS LICENSE # )~'; PERMIT NUMBER
~,-:,_"?t LOT BLOCK
OWNER'S NAME
I SUBc\:!ISION I ASSESSOR PARCEL NO. _""') L~c., 0~ ;;i p"O<./
z .(Mo-z£1t ~12 1:9669
cc}uJ µe_ re--
1<£rJrJ~Tfl 's:::
CONTRACTOR'S ADDRESS
OWNER'S MAILING AOORESS
237/ SPRUCE .s,r, Ct1t.l s ~~JJ c,,_,'/ztJD< DESIGNER
DESCRIPTION OF WORK ,_ I . f 1
11--
[ cjg~~j// :zt:: ;~ j°'"""'""""""'
F/P FLRELEV.
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
QTY.I PLUMBING PERMIT· ISSUE 7.£!!-
EACH FIXTURE TRAP 7
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUT LETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOl AL PLUMBING l
QTY. ELECTRICAL PERMIT· ISSUE _r-
NEW CONST EA AMP SWl BK R
I PH 3 PH
EXIST B°LBG EA AMP/SWT 'BKR
I PH 3 PH
REMODEL ALTtR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
~
'"
lOTA~ ELEt:.l RIC,:ll l
vO NO
GRADING PERMIT ISSUED
y D ND I REDEVELOPMENT
AREA
vO NO
QTY.I MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
MET AL FIREPLACE
VE NT FAN SINGLE DUCT
MECH EXHAUST HOOOIOUCTS
RELOCATION OF EA FURNACE/HEATER
TOTl:.L MECHANICAL
QTY. SOLAR· ISSUE
COLLECTORS
STORAGE TAN KS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
~
STORIES
TYPE
CONST
3-
CONTRACTORS PHONE •
LICENSE NO
LICENSE,:
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD I FIRE SPA
ZONE •
PLAN 1.0. #
STANDARD PLAN "
6/ IU/6~
UIJUIU22J
BLDG USE CODE
BUILDING SO. FOOTAGE
6/IUI 3.
"3~
vO NO Nor Valid Unlt!<s Machine Certdied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00·8220
SIGN PERMIT 01 ·00·00-8221
PLAN CHECK 01·00·00·8806
TOTAL PLUMBING 01·00·00·8222
ELECTRICAL 01 ·00·00-8223
MECHANICAL 01 ·00-00-8224
MOBILEHOME 01-00·00·8225
MOBILEHOME PARK INSP
SOLAR Q1 ·QQ·QQ·8226
STRONG MOTION ___ 80-92-33·0519
FIRE SPRINKLERS 01·00-00-8227
PUBLIC FACILITIES FEE 32·00-00·89ll
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlst>ad 80·92·21·0519
Encinitas 80·92· 22·0519
San Dieguito 80·92· 23-0519
San Marcos 80·92· 24-0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL FEES PAYABLE l
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I HAVE C.O.REFULL Y EXAMINED THE COM.f'LETEO ··APPLICATION ANO PERMIT AND 00 HEREBY Expirahon Esary permit ,ssued by the Building O!f1c1al under !he prov1s1ons of this
CERTIFY UNOER;'P.ENALTY O_F PERJURY ,HAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hml!ahon and become null and void If lhe building or work
* AN OSHA PEFW:T IS REQUIRED FOl'I EXCAVATIONS OVER I
~· O" DEEP ANO 0£ ION Of! CONSTl'IUCTIOH Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhot1zed by such permit 1s nol commenced w1lh1n 180 days from the dale ol such
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON permit or ,1 the bu•ldin~ or work au1honzed by such permit i• suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO abandoned ~I an time a e, the work is commenced for a nod of 180 da s
KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~APPLICANTS t:':NATURE • OWNER □ CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN.CONSEOUENCE 0" THE 1 j
GRANTING OF THIS PERMIT I, Jltc, ,q.o....,....., BY PHONE 0
STRUCTVR£S OV Ol'IIES IN HEIGHT ~ . -_,._ ___ .... ..,;;;;;;;;., _____ ,_ ___ '""'Ir ~
C {i Q v
.1 ~ . ~--
TYPE I DATE INSPECTOR
BUILDING I ,. ·. is--~8' .. -~, \ --\ "
FOUNDATION I I ,,, o,,-.. IL ./4 . • • FIELD INSPECTION RECORD
REINFORCED STEEL I ,.-,&,~ [ tA '"(.,,,,
MASONRY I
/ '' t, .,, ,~ A'1 I
GUNITE OR GROUT I (1;71 • •'-I i~r~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE ---·' CHECKED APPROVAL I ·•
FLOOR & CEILING SUB FRAME I
SOILS COMPL,ANCE
SHEATHING D ROOF D SHElAR -FRAME I , . .,.?.t.(. j-/1,,,_'7~~
EXTERIOR LATH i .
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I t,,4.11, ''~'J''L/ I
PRE STRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING i FIELD WELDING
SEWER AND BUCO D IPUCO I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOL TS
TOP OUT □ WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS
□ WATER HEATER □ SOLAR WAiER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER •. _\ ..., '. .. .
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY ~ ' . . .
□ BONDING □ POOL I
. . -\ ,-.
I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN:<,"i
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I \ ""' ...... . ' ,-\ .,,, ,.-; l ' I
, ~
I -.. _, . ,,. ' ·-.. -. ·-
CALL FOR FINAL INSPECT!~N WHEN ALl APPROPRIATE
ITEMS ABOVE HA V BEEN-AP.PROVED..._,· · -··
FINAL I --
. '°i ·~ .... ~
I I . ' . • ~ I~ ,· -~-• ,\" . ~ ·-~ -,. ._ .. -
PLUMBING I ' . : :... ~ c--,.._,..·-l I,• .-. \. \ ' --' ). ~--z· .. ·,. •;_· ~.: · ..... ~ _,
ELECTRICAL I ~-\ ~ ~ \
MECHANICAL I -;-\'"'--
GAS I \ r-... . '\.
BUILDING I "" ·•::!_ -J ,~~ ~.-
. \ ..
(~ \. ~~--: ::i) . . ,_ \ -... _ -. ·-'. .. •-' . ·-
SPECIAL CONDITIONS . ~ I -
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•
.
,]_ / r1 ~ DATE M nJl~ PLAN CHECK NUMBER o;j -33?'ADDRESS __ _._~~'------~_7J_ ·· __ L!!µL~
PLANNING: TYPE OF STRUCTURE H It/~ ►
ZONE: -----
SCHOOL FEES: SAN DIEGUITO -------ENCINITAS --------
CARLSBAD --------SAN MARCOS ______ _
% COVERAGE -----------REQUIRED SETBACKS ----_.;
BU IL DING HEIGHT ----------FRONT .
FENCES/WALLS __________ _
-TWO CAR GARAGE ·
Sl□E ao:
REAR a: Lu
3 u.J
-------------------
;: ~ CGr'iMENTS: _________________________ _
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REOEVELOPP1ENT A?PROVAL REQUIRED: ------------------:.----
LANDSCAPE PLAN COMMENTS : ---------------------
ENV InOr!~,iHITAL REQUIREQ: ---------------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE:_e==OATE: t/7,//foK TO FINAL: __ DATE: ----
ENGINEERING LEGAL DESCRIPTION VERIFIED? A.P.N . CHECKED?
P.F.F. ft(/{ PARK IN LIEU /Vjf
R.O.W: '2. i:::::. IMPROVEMENTS: l=Yt5/-
E.O.U: /2/ &-
SEWER: ,/v"" d
LATERAL: /1-""A DRIVEWAY: ,-z,,-4
GRADING PERMIT: /2,,-,4 4/4? ,:::; --1---(4/4<6 re R~-.#~ /f/ E
DRAINAGE: A/,#
EASEMENTS: /v'f? ~c ADDITIONAL C0"'1ENTS: ______ _ ~-□ L,J / /'/ ~8 □ /(.£Vfl&/t1/d l,&:7~k ld-. 2;p4<;t.. /' '(: -
(..J a: ~~ D · /l/t2 •. 6 a 4 d/(V6 ~F ,?-e r: Ou.I ---====~=-;---=-~_.;.~~-'-,;;;.....l;~...;;.~--.;....~---------
u ex OK TO ISSUE· d ~ /.1. ,,,f 1/t,,/' DATE: ( Jj' ff"/" G-7 8 7 . ry .;. F-ii: .
* ENGINEERING INSPECTION REQUIRED: ________________ _
PUBLIC 1-!0RKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPAR11'1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)