HomeMy WebLinkAbout2781 SOUTHAMPTON RD; ; 85-355-104; PermitIll z
0 ;:: < a: < ..,
0 Ill 0
a: i[
0
a: Ill 0 ..,
5 • ii: Ill z 3 0
z 0 ;:: < Ill z Ill ~ :I 0 0
Ill a: ..,
"" a:
0 3
if
O 1 hereby affirm lhat 1 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 alhrm that I am exempl lrom !he Contrac-1or's llCense Law !or the lollowmg reason (Sec 7031.5
Business and Professions Cooe Any city Of coonly whicti re· quires a permII to cons1ruct, alte<. improve. demofIsh. or
repair any sirucIure. prior to 11s issuance also requires !heap· phcan1 tor such permit to 111e a s1S)ned statement that he ,s
hcensed ptitsuant 10 the provisions oJ the Contractor s
License Law (Chapler 9 commencmg w1lh Section 7000 ol Division 3 of the Business and Proless,ons Code) or that ,sex-
empl therefrom and the bas,s for lhe allegeo exemphOn Any v1<Mat1on ol Sechon 7031 .5 by an applicant tor a permit sub·
1ects 1he apphcanI to a cnnl penally of not more than hve hun·
dred dollars ($500)
7 I. as owner of !he property. or my employees w1th wages as their sole compensatt0n, will do the work and the strut·
lure 1s no1 intended or ollered lor sale (Sec 7044 Business
and Professions Code· The Coniraclot's ucense law does nol apply 10 an owner al property who builds °' improves
thereon and who does such work himself or through his own
employees, prov1ded that such improvements are not intend·
ed or offered lot sale 11. however, the bu1khng or improve-
ment 1s sold w1thm one year ot completion, the owner•bu1kier
will have the burden of proving that he dtd nol build or im-prove lor the purpose of sale)
D I. as owner of the property, am exclusively contracting
wtlh licensed contract0<s to construct the proiec1 (Sec. 7044.
Business and Professions COde· The Contractor's Lteense
Law does not apply to an own.er ol property who builds or 1m• proves thereon. and who conuacts for each pr01ec1s w1lh a
con1rac1or(s) l~nse pursuant to the Con1rac1or·s ucense Law)
D As a homeowner I am rmprOYing my home, and lhe follow· mg condItIons exist
l The work 1s being pertormed prt0r to sale 2 I have hved in my home for twelve months pnor to completion of this work I llave not clauned this exemphon during I.he
last three years.
D 1 am exemp1 under Sec ______ . B & P C lor 1111s reason ____________ _
D I hereby alhrm that I have a cer11trcate ol consent to
self•insure. or a certificate of Workers· Compensation In•
surance. Of a cert1lied copy thereof (Sec. 3800. Labor Code)
POLICY NO
COM PA.NY
□ Copy IS filed with the c1ly
C Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
is for one hundred dollars ($1001 or less)
0 I certify that In the P8(formance of the work tor which
this permit 1s Issued. I shall noI employ any person in any
manner so as to become subIect lo the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: II, alter making this Certificate
of Exemptlon. you should become subject to the Workers·
Compensation provisions ol 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 construction lending
agency for lhe performance of lhe work for which I his per-
mit is Issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender's Address, ___________ _
• u:it D"ll ru1n1 rtn unu e. rNt:1:i """u At't'Lll,;AN I I U l"ILL IN INl"UHMA I IUN WI I HIN :SHAUl:U AHl:A AND Ul:CLAHAI IUN:S.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.AD. NEAREST CROSS ST. I DATE OF APPLICATION I BUSINESS LICENSE,, VALUATION PERMIT NUMBER
2781 Southamoton Road Tamarack Aven1u::11/El C;irrdn 1 l2a;il Q_fi_Q~ ·n1AAFi 9:J., 7 Jl/-(tb----3S-6'-
L10~4 I BLOCK I SUBD1v,s10N I ASSES;Z'R PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE ,
r. T QA-ll'I. 01:S J4'J /'i(OQ L tJLI-OWf\jfA'S NAME I OWNER'S PHONE The Wnnrlw:a.,.,..i r,-.--..,_n;.,.., T ..,,.. 7111 n~ c 'l"n'>
CONTRACTOR'S ADDRESS , --LlGENSE NO. ----PLAN 1.0 . # BUILDING SO. FOOTAGE T;im;ir;irlc PnintP Vont11re 714 -9.55-2902 51 nn r.;imn11c: nir I-'-4-12 OWNER~S MAILING ADDRESS Nawnnrt P.o::i.rh 4'-Fil &::~ ...
DESIGNER DESIGNER'S PHONE _, r I f , I.,
5100 Camous Drive. Newoort Beach. CA 92660 Ade Collie DESCA1PT ,QN OF WORK 714 53?-'-4Fi7
DESIGNER'S ADDRESS LICENSE NO.
Single Family Detached -Plan C-2 111 s. 0ranae. 0ranae f.A 92661 ...,._
(Garden Homes) --F/P FLA ELEV. NO OCC GP EDU
STORIES R--3 I vO NO --;;)_
CENSUS TRACT j GP LAND USE I PARKING SPACE I RES UNITS I pi;_RAOINGJ~MIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA v;v j,/._{, -;)_ 1 '2 .,f J,,.. • Y (J N 0 vO ,._(i. v□ Nri Not Valid Unle<s Machme Certified
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
I_?; EACH FIXTURE TRAP rv ~.so 37)....SO I INSTALL FURN DUCTS UP TO 100.000 BTU a.--BUILDING PERMIT 001·810·00·00·8220 L.l.1 d-o -I EACH BUILDING SEWER .k -SC OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221
I EACH WATER HEATER AND OR VENT =2..-~l> BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8806 -:::lb~
EACH GAS SYSTEM 1 TO 4 DUTLE!,li ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 -•~ LJ '7 5 ~ EACH GAS SYSTEM 5 OR MO RE ~ , 6S :? .;is 1 METAL FIREPLACE < -ELECTRICAL 001·810·00·00·8223 Jh--EACH INSTA~. ALTER. REPAIR WATER PIPE /J VENT FAN SINGLE DUCT {IA.,/ ~ -~-MECHANICAL 001-810 00 00 8224 -=i.b..-
J -,-
-::i..Sl . EACH VACUUM BREAKER MECH EXHAUST H000'0UCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER REL(}l\ATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF ORAIN (INSIDE) 1 ~/ ;J .-SOLAR 001-810·00·00·8226
TOT6fL MECHANICAL STRONG MOTION --880·519·92·33 /_.,./.l.9
--:YJ. -I>--TOTAL PLUMBING I ~? /.t.. 1~ FIRE SPRINi<LERS 001·810·00·00-8227
QTY. ELECTRICAL PERMIT · ISSUE s -QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 332·810·00·00·8930 l , ~$ 4_:::,Jt
NEW CONST EA AMP SWI BKR / f/0~ .:J5. ---COLLECTORS SCHOOL FEE · DISTIJ.lM
I PH 3 PH fl STORAGE TANKS Carlsbad V
EXIST BLDG EA AMP/SWT BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Dieguilo
REMODEL ALTl:R PER CIRCUIT PLAN CHECK FEE -San Mgrcos ./
TEMP POLE 200 AMPS µ~ . .i-... I/~ ,lj~ . ...rr-::i.,, ~f,Ll --
OVER 200 AMPS L. LICENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY (30 DAYS) MFF 880·519·92·5 7 'l?~O -
I CREDIT DEPOSIT
TOTAL ELElTRICAL I 3tJ./ TOTAL SOLAR TOTAL FEES PAYABLE I 4 I I 7 9-3 -::L .
I
I l HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration E-very permit issued by the Bu1Jdtng Oft1c1al under the provisions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaU exp,re by llm,tation and become null and void It the building or work $' O" DEEP AND DEMOLITION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authortzed b{ such perm1r 1s not commenced wtthm 180 days trom u,e date of such STRIJCT\JAES OVER 3 STORIES IN HEIGHT I ISSUED TO COMPLY WITH All CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ~~~'::~n~ 1at t:~Y ~~~
1:ff.~~h=~~r:~!hc~~~e~le~~~ f~7i~'~,s~~~~~ or I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLI~: ;::TU2 /~LWNEA□ ~~OVED BY I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND CONTRACT OE~ ,~El ~ r RS"' I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY iN CONSEQUENCE OF THE BY PHONE 1 __ ~-• )'-~ _Q I GRANTING OF THIS PERMIT
I -
~
u.
>-;;;
0 a. E Q) I-
I
'O 0 (!}
C
11! u
a. a.
<(
I
X C
0:
0 f/)
f/)
Q)
f/)
f/)
<(
I
?:
Q
<ii >-
f/) f/)
Q) u 0 a:
11! co 0
~
Q) u C 11! C u.::
::::..
C Q)
~
(!}
0 u Q) a.
f/)
C
Q)
.c ~
TYPE I DATE INSPECTOR I
BUILDING I
' ' -
' ,, ~S-35"5 -l'D'f ..
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTOR S . --INSPECTION DATE -CHECKED APPROVAL • ... • .
SUB FRAME □ FLOOR □ CEl~ING SOILS COMPLIANCE -
SHEATHING □ ROOF D SH'EAR PRIOR TO . -..
FOUNDATION INSP
FRAME I
EXTERIOR LATH I
I
l .... ,.-, .--.
STRUCTURAL CONCRETE . N , . --OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
CONCRETE I
PLUMBING I ~ ' F-IELD WELDING
□ SEWER AND BUCO □ PU CO
UNDERGROUND D WASTE □:WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH .. BOLTS '~r•·•--~ ..
SPECIAL MASbNRY --
' TUB AND SHOWER PAN I A,-." '. -..
GAS TEST I
I PILES CAISSOi'<S
D WATER HEATER D SOLAR W~TER
I • ·-:.._ ---· ---··-
ELECTRICAL • I
--' ·• \ .. . ... ' ..,
D ELECTRIC UNDERGROUND D UFFER .. --. '! .
ROUGH ELECTRIC I • f"
D ELECTRIC SERVICE D TEMPQR.(RY '\ .. ,_.,. -.. ~' . .-.
D BONDING D POOL I
.
I
MECHANICAL I .. . "'· -
~-.:· \( ' ~ . . --. ,
D DUCT & PLEM., D REF. PIPfNG -.• > -.
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I .
I
"J
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I ,
PLUMBING I , 'K'-P
"
C •
j :..
ELECTRICAL I \~" -I
MECHANICAL I JA .. ' ( 7 --
. --
GAS I " ,~
BUILDING I " I
, . I .., \ t :. . . --
SPECIAL CONDITIONS I
I
FINAL BUILDING INSPECTION
85-355 PLAN CHECK NUMBER: ________________ _ DATE: 4-10-86
PROJECT NAME: ___ T_M_!Alli\ __ C_K_P_O_I_N_T __ C_'T_8_4_-_1_4 ______________ _
ADDRESS: _ _,R"'Il"'R"'Ja"""k,.ll,,,k~---'2~7u8._3,u_,, 2.,_7L8"'-l"'-L, ... 2__._7 .... 7_.,_9_,_,_.,2,_,7CJ7L.c;L..._js:>,0,1.JU..._t,.,hu.,,1,amWj,!p..1,,t,..ownL-______ _
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ----<8j;,,,• ,~&)J-\!..!.\.!!12:cl~~:,,,,_
\) ...
TYPE OF UNIT: __ K.RI:IRK ___ -'-S_F_D _____ NUMBER OF UNITS:
INSPECTED
1)/J'.Y\
DATE 1(z,~ ~ DISAPPROVED BY: INSPECTED: APPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
\ l57 VG og \
Rev. 1/86 PINK: Planning GOLD: Fire