HomeMy WebLinkAbout2784 SOUTHAMPTON RD; ; 85-355-128; Permitth z 0 ;:: < a: ~ 0 w C
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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.
Lrc No ------Cl•ss
I hereby affirm Iha! I am exempt from the Con1rac-1or's License Law tor the tollOw,ng reason (Sec. 7031 5
Business and Professions Code Any c,ty or county wh,ctl re-quires a permit 10 cons1ruc1. alter. improve. demolish, or
repair any structure, prior to its issuance also requires !he ap-
plicant for such permit 10 Me a s1!;ined statement thal he tS licensed pursuan1 to the prov1s1ons ol !he Coniractor s
license Law (Chapter 9 commencmg with secuon 7000 ol D1v1s10n 3 ol the Business and Protess1ons Code) or that 1s ex-
empt therelrom and lhe basis !or the allegeo exemphon Any v101aoon ot Sechon 7031 5 by an apphcant for a perm,! sun
1ec1s the apphcant to a civil penalty of not more than hve hun-
dred dollars 1$500)
1. as owner o1 the property. or my employees w11h wages
as their sole compensation w111 do the work. and the struc· ture iS not intended or offered for sale {Sec 7044. Business
and ProlesSions Code The Contractor's license Law does
not apply to an owner ol property who builcJs or improves !hereon and who does such work h1msel1 or through his own
employees. provided that such improvements are not intend·
ed or oflered tor sale If, however, the bu1ldtng or improve· menl 1s sold w1thtn one year of complehon, the owner·btulder
w,11 have the burden of proving tha1 he did 001 build or im-prove lor the purpose ol sale)
tJ I. as owner o1 the propeny. am e,:clusively contracting
with licensed contraclors to construct lhe pro,ec1 (Sec. 7044.
Business and Professions COde The Contractor's license Law does no1 apply to an owner ot propeny who builds or 1m· proves thereon, and who contracts for each pr01ects wilh a
contractor(s} license pursuant to !he contractor's license Law)
D As a homeoWner I am improving my home, and the folJow
mg conditions exist· 1. The work 1s being perlormed pnor 10 sale 2. I have lived in my home IOJ twelve months pnor to completton ol this work
3 I have not claimed thts exemption during the
last three years
D I am exempt under Sec. ______ , B & P.C for this reason ____________ _
0 I hereby aft.rm that I have a certificate of consent to
self-insure. or a certificate of Workers· Compensation In•
surance. or a ce,t,hed copy thereol (Sec. 3800. Labor Code)
POLICY NO.
COM PANY
!:] Copy is llled With the city
0 Cert1f1ed copy Is hereby furniShed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
1s for one hundred dollars ($1001 or less}
0 I certify thal in the performance of the WOfk for which
this permit is issued. I shall not employ any person in any
manner so as 10 become subject to the Workers' Compen-
sation Laws of California.
NOTICE TO APPLICANT; If, after making this Certificate
of Exemption, you should become subject to the W0rkers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there Is a construc1ion lending
agency lor the performance of the work for which this per-
mil is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address; ___________ _
Ulit IIIUL t'UINI "l'tN UNLT & t'Kt:):) n"KU
APPLICATION & PERMIT CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525
VALUATION PERMIT NUMBER
~~~~2..-:,1• l I tf ~S--35'5'-I~
BUILDING 50. FOOTAGE
1 , t./-f7
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ess
4i'l6i'B66883 liltT9~3,
~ ~cr&u ~ "~""__._,.__ ~...1..../...1..~ raJ"E[~.orCt-1\o..l
~ le_ I -F/P FLA ELEV. NO '
~c:~ /u
vO NO ---s~
CENSUS T RACl l GP LAND use p4-'Z :;;:_E I R7 UN ITS I ~:~~:IT~SSUED
I REDEVELOPMENT TYPE ace LOAD FIRE SPA
AREA \0/~tJ YO ~ vO N~ I Not Valid Unless MJchine Certified
-
QTY.I PLUMBING PERMIT. ISSUE 1 7.f? i QTY.I MECHANICAL PERMIT . ISSUE 1 :3 -SUMMARY/ACCOUNT NUMBER
I /~-1 EACH FIXTURE TRAP (J) .2_, ~ I ~z.._, S-0 I / I INSTALL FURN oucTs uP TD 100.000 BTU I ,,&-I BUILDING PERMIT 001-a10-oo-oo-a220 d-/Z, ..
1 I EACH BUlLDING SEWER~-I C.. 5'D I I OVER 100,000 STU I I SIGN PERMIT 001·810-00·00·8221
I EACH WATER HEATER ANO OR VENT z_. -~ BOILER /COMPRESSOR UPTO 3 HP PLAN CHECK 001-810·00-00·8806
EACH GAS SYSTEM l TO 4 OUTLETS -=--1--BOI LER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00·00·8222 I :1..,--EACH GAS SYSTEM 5 OR MORE; • r METAL FIREPLACE 001 -810·00-00·8223
EACH INST AL . ALTER, REPAIR WAT ER Pl PE VE NT f AN SING l E O UC T_@'._,..E!::.:!:.:.~_ .. ___ +---l:iL--_;__. _ __. _ ___.:;=:..:.ctn"l--.,-l,4.!..-J\--1~~a:;,;~.::.::.:+----"'""'=-_:_--l
: EACH VACUUM BREAKER MECH EXHAUST HOOO IOUCTS
I WATER SOFTNER RELOCATION OF EA FURNACE /HEATER MOBILEHOME PARK INSP
: EACH ROOF DRAIN !INSIDE) C,7l...-2-SOLAR IIJ.D.V---0--4--f88§·00·00·~82=2.c.6--t------,~~
'1----'--------------,----'---=~--~-T TJ.l MECHANICAL STRO(ljGMOTION 0·519·92-33 TOT Al PLUMBING L-(7. ,---""--'"'-1-----_>,<._J_'--"'---l
11,Q~T~Y~_r=~E~L:E;C:T:R:IC~A~L=P:E:R:M::IT~-~l:S:S~U~E==r=..?~-~-~;,.;;,.tQ~T~Y~.r ==:S:0:L~A~R==· :IS:S~U:E~==~d..a-T_;;;;;;;..:::...;.~1jii~WJ;~:~~~~i~~~:~t==:[t!~~~~;~~rj
NEW CONST EA AMP SWT BKR / I/fl IJ//11'.. I '2-~r ,..--II I COLLECTORS
1 PH 3 PH
EXIST BLOG EA AMPISWT 'BKR
l PH 3 PH
REMODEL Al HA PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
,,.,
] "50 _.,.,,.,,
SCHOOL FEE • DISTRICT
Carlsbad / _ ?-'JL
Encinitas
San Dieguito
San Marcos
Z?dti/c ~rz-.J✓-Zle(// IR-?,=
ENSE T'AX 001·810·00·00·8162
CG54-=
"Z2! ~tz2.
MFF 880·519·92·5 7 J/2-4..--
CREDIT DEPOSIT
TOTAL SOLAR TOTAL FEES PAYABLE.1.J+Hi ?;:2~ ~'7---1-
Expiration Every permit issued by ,.,_e Bu1ld1ng Off1c1al under the pmv1s1ons 0fth1s * AN OSHA PENIIIT IS REOUIAEO FOA EXCAVATIONS OVER '"::' o·· DEEP AND DEMOLITION QA CONSTRUCTION Of
STRUC~S OVER 3 STORIES IN HEIGHT
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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 COUNlY 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 WHfCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Code shall expire by l1m1tat1on and become null and void It tne building or work *' I ,
authorized by such petm1t 1s not commenced w1tt11n 180 days from the date of such
permit or ,t the bu1ld1ng; or work authorized by such permit Is suspended or
abandon&Q_ ~ !!!Y__!,me ,tter the work 1s ~ommenced for a period ot __180 days
APPLICANTS SIGNATURE lf-OWNER 0 DATE I ~
; ~-Z: J\~O ~~st
TYPE I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY l
I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEIILING
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO
' !
D Pl/CO
UNDERGROUND D WASTE D ,WATER
TOP OUT D WASTE D \VATER
TUB AND SHOWER PAN 1
GAS TEST 1
D WATER HEATER D SOLAR W~TER
ELECTRICAL 1
D ELECTRIC UNDERGROUND . □: UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPGRARY
D BONDING D POOL ' .1
MECHANICAL 1
D DUCT & PLEM., D REF. PIPl)'-IG
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS I
I
DATE INSPECTOR
•
'
,. ~~ _____:i.:_ ..
\r.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
~
1 L L ~.,
I REO IF I INSPECTOR S
CHECKED APPROVAL
,
' ' j ~ -~szs-, ..:;).k".
._ . . _ _,.....
INSPECTOR'S NOTES
DATE
i.,; '\t:_J1·•i<r:•'' /~.t,. 'l I , d,c.•\t I ~ I • • • • -• • ! ;(:_ --·.
'; !f._ 1'i i ;~ ·t.1 .,, t -~ • . tH'J
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~• i....,• .,..T------,. -._:;-
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CALL FOR F/NAL /NSPECTfON WHEN ALL APP ~~-, r I -, ) -· ' ' I ITEMS ABO VE HA VE BEEN AP PRO V5 · · · · · r---------,,----:-.---':-:-:----:-:---::--.-'-' -, __ :._.....;__ _________ ----i
FINAL I
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
\
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FINAL BUILDING INSPECTION .
PLAN CHECK NUMBER: 85-355-128 DATE:
PROJECT NAME: ____ T_AMA __ RA_CK_P_O_I_N_T_--"U....::..W.:z..=...1..:L._ _______ --f!C;,.__-l:l+'·l+'-fft. t,.,.5~
2784 Southampton Road ~ MAINiENA c{...,
ADDRESS: -------------------------"\':;;i----t.ltf"Aiorf11-'1tr'1rr-r-•::J
PROJECT NO.: CT 81-14 _______ UNIT NUMBER: _______ PHASE NO.: _.,,..._,..,__ ___ ..,g..
TYPE OF UNIT: ~S .... f .... 0.__ _________ NUMBER OF UNITS: _].£-__________ _
Tim Turner CONTACT PERSON: _____________________________ _
434-5057 CONTACT TELEPHONE: ____________________________ _
INSPECTED DATE I~/~ / BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
ALL DEPARTMENTS
COMMENTS:-------------------------------
S€-«/~
Rev. 1/86 WHITE: Suspense GREEN: Engineering NK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-355-128 DATE: 9-30-86
PROJECT NAME: ____ T_AMA_R_A_C_K_P_O_I_N_T_~G~T_--84_-~1~4 _____________ _
ADDRESS: ______ 2_7_8_4_So_u_t_h_am_p_t_o_n_Ro_a_d _______________ _
PROJECT NO.: CT 81-14 _______ UNIT NUMBER: _______ PHASE NO.: _______ _
TYPE OF UNIT: ~S~f~D~----------NUMBER OF UNITS:
Tim Turner CONTACT PERSON: ______________________________ _
CONTACTTELEPHONE: __ 4_3_4_-_S_OS_l _______________________ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
I.LL UL r ARTI''"l'ffS
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS: ---------------------------------
--Rev. 1/86 WHITE: Suspense
f I
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-355-128 DATE: -30-86
PROJECT NAME: ____ T_AMA_RA_C_K_P_O_I_N_T_~C~I_-_84~-~!~~--------------
ADDRESS: ______ 2_7_8_4_S_o_u_t1_1_amp_t_o_n_Ro_a_d _______________ _
PROJECT NO.: -14 _______ UNIT NUMBER: _______ PHASE NO.: ______ _ CT
TYPE OF UNIT: _,.Su..E ..... D'------------NUMBER OF UNITS:
Tim Tumer CONTACT PERSON:, ______________________________ _
434-5057 CONTACT TELEPHONE: _____________________________ _
INSPECTED ~ DATE /~ BY: INSPECTED: . APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
I r ......... IT,.
COMMENTS: ---------------------------------
Rev. 1/86 WHITE: Suspense GREEN: Engineering CANARY: Utllltl OLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 85-355-128 DATE: 9-30-86
PROJECT NAME: ____ TAMA __ RA_C_K_PO_I_N_T _ __,,Guicc-8..:4.c-c....1-'L4-f-/J--"-:~/ • .___ _ ___, _______ _ [~p,--, ,✓,,i,C 2784 Southampton Road c•--
ADDRESS: -----------'------~-~==~---==--------
CT 81-14 PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: _........__ __________ NUMBER OF UNITS:
CONTACT PERSON·~ ___ T_im_T_u_r_n_e_r _____________________ _
434-5057
CONTACT TELEPHONE·----------------------------
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
ALL DEPARTMENTS
COMMENTS:
Costa Real Municipal Water District
Engineering Department NOV. 0 5 1986 7cPJ;v, () Q{!,. ~
(619) 438·3367
Rev. 1/88 WHITE: Suspense GREEN: Engineering CANARY: Ut\lltles PINK: Planning GOLD: Fire