HomeMy WebLinkAbout2762 SOUTHAMPTON RD; ; 85-355-141; Permit"' z 0 .:: < a:: < ~ u ...
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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 Profeaalons Code, and my license is In
lull force and effect.
L,c No ______ Ct,ss
I hereby affirm Iha! I am exempt trom the Conlrac· tor's bcense Law tor the foOow1ng reason (Sec 7031 5
Business and Proless,ons Code Any coy or counly which re• quires a perm,t lo construct alter Improve, demohsh. or
repair any struclure. pnor to ,ts issuance also requires !heap-pt;earn tor such permit to Ille a siqned statement Iha! he Is
1.unsed pursuant to lhe prov1S1ons of the tonrractOf s License Law (Chapter 9 commencing with SecMn 7000 of
Otv1s10n 3 ot the Busmess and Protessions Code} Of' 1ha11s ex• empt therelrom and !he basis lot the altegeo exemplton. My v1ota11on ot Section 7031 . 5 by an applicant tor a perm11 sub-
1ec1s the applicant to a c,vil penally of not more than five hun• dred dollars ($500)
" I. as owner of the property, or my employees w,th wages as their so~ compensation, will do !he work. and the struc-
ture is not mttnde<:I or ottered tor sale (Sec. 7044 Business
and Protesst0ns Code The Contractor's Ucense Law does not apply to an owner ot properly who bu~ds or improves
!hereon and who does such work himself or through his own employees. prov.ded Iha! such improvements are nol mlend·
ed or ottered '°' sale II, however, the building o< improve-ment Is SOkl within one year ol completion. !he owner-buIIC1er will have lhe burden of proving that he did not build or im-
prove lo, the purpose 01 sale)
□ I. as owner of the propeny. am exclusively contracting
wilh ltcensed contractors to construct the prOJect (Sec 7044. Business and-Professions Code: The Contractor's License
Law does not apply to an owner ol propeny who builds or im-proves thereon, and who contracts tor each pro,ects wIlh a contractor{s) lie.ense pursuant to !he Contractor's License Law).
D As a homeowner I am improving my home, and lhe follow-ing condit10ns ex1s1
1. The work is being pertormed pnor 10 sale 2. I have hved In my home for twetve months
prior to completion o1 lh1s work 3. I have not claimed lh1s exemp!lon dunng lhe last three years
□ I am exempt under Sec. _____ _
for this reason B&PC
D I hereby affirm !hat I ha.-e a cert1hcate ot consen1
to sell-insure. or a cen1t,cate ol Wo rkers
Compensation Insurance. or a cen1lie<l copy ther9of
(Sec 3800, Labor COdet
POLICY NO
COMPANY
□ Copy ,s hied Wllh !he city
0 Cen,lied CoPy Is hereby lurn,she<J
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION fNSURANCE
(This sec11on need no1 be completed 1I the perm11
Is tor one hundred OOllars (S 100) or less)
0 I cer1ily that In the performance o, the wori\ tor
which lh1s permit ,s ,ssuecJ I shall no1 employ any
person In any manner so as 10 beeome sub1ec1 10
lhe Workers· Compensation Laws ol Cahlornia
NOTICE TO APPLICANT II alter makml this Cer11
licate ot Exemption yoo should become subIec1 ,.,
lhe: Wo~ers· Compensation provisions ot the Labor
Cooe. you must lorth-.1th comply w1lh such
provisions or lh1s permI1 shall be deemed revoke<J
0 I hereby a!f1rm ma1 !here 1s a cons11uc1,on
lendmg agency lo, 1ne perlormance ol lhe wot1o. !or
t111th1Ch trus permit IS ISS\Jed lSeC 3097 C1v1l COde1
Lenoer s Name ___________ _
Lenoer s Aaaress __________ _
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APPLICATION & PER
Q)
CARLSBAD BUILDING DEPARTMENT
1200 Elm_._ Carlsbad, California 92008-1989 (619) 438-5525 IIT ::Jr/i / {f D 15:;) ~ O O
;QB ADDRESS AV. ST. RO NEAREST CROSS ST DATE OF APPLICATION BUSINESS LICE PERMIT NUMBER ii:
..,.........,M.P£---""-=-=--'-i-~&....L.;;.J;---~-'--=,~~C>o<........j,-=..,::=---=-=---:.:.~-1<.;::_;;~=---.;L.=--.__'S~-'-4-"''---=s-;.___J 3 o 7 r ~ ~ q e, l \ ~
CONTRACTOR CONTRACTORS PHONE• 25-355-g_
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PLAN 1.0. # BLOG USE CODE ~
DESIGNER LICENSE a STAN OARD PLAN II BUILDING SO. FOOTAGE
Llt£ I 7B
DESIGNER'S ADDRESS DESIGNER'S Pt<ONE
~ oeQ.J_" A''-~f:j) I II t s. cteA >vC:£ o&.NG:e CA . 'r/11./.sJ1-s'l,1
F/P
vO NO
F LR ELEV. NO ~GP
STrES l 1<-.3
EDU
bl 16/t:ioJ:Jw
CENS~S:RACT l GP LANO USE RES C ITS Wi~~~R:IT~SSUEO 1 REDEVELOPMENT
AREA \._/
v0 N~ l;:kJ occ LOAD I FIRE SPA
vO ~ Nor Valid Unless Machine Certified ,
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE 3:-2f!!-
}\ l EACH FIXTURE TR,;:;;-I ~ .:1. .cs:v ,,-r-~ ' INSTALL FURN OUCTS uP TO 100,000 BTU .z.J.---BUILDING PERMIT 01-00-00-EW"
j I EACH BUILDING SEWER-
SUMMARY/ACCOU~MBER
:32_0-
OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221' Jo-
\ I EACH WATER HEATER ANDtOR VENT
fD -!!12
,..J._s:t BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 0l ·OO·SQ,;,880~ ~::J.70
5
l
EACH GAS SYSTEM 1 TO 4 OU TLETS f---BOILER/COMPRESSOR 3 15 HP TOTAL Pl
EACH GAS SYSTEM~ 0 R MORE "S"° METAL FIREPLACE -
EACH INSTA~. ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT ~ -I
EACH VACUU M BREAKER -.S H I MECH EXHAUST HOOD DUCTS I II MOBIL
LUM BING
"7 ~ ELECTRICAL ,
MECHANICAL
EHOME
~ t~~ ,a -
-~
TO I AL PLUMBING J -/,J--1 -75
QTY. ELECTRICAL PERMIT -ISSUE s---QTY. I SOLAR -ISSUE
.. , __ , _____ , .. E PARK INSP
~ -G QLM_
(8 ~ _.,._,;: MOTION
-FIRE SPRINKLERS
• PUBLIC FACILITIES FEE
BRIDGE FEE
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I 11 M0BILFHOM_ ,, ..... """' --~ --l STRONG --------=--L ---.......... EACH ROOF DRAIN (INSIDE) • ..:::::_ _,, 01 ·00-00-8227
32-00·00·89ll -•~'-
_1 NEW CONST EA AMP SWT BKR ! lYOLP a.s -COLLECTORS SCHOOL FEE · DISTRICT
I P_H 3 PH \l STORAGE 1 ANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT 8KR ROCK STORAGE Encinitas 80-92-22·0519
1 PH 3 PH PUMP San Diegu1to 80·92-23-0519
REM ODEL AL HR PER CIRCUIT PLAN CHECK FEE -"-'Marcos 80·92-24-0519
TEMP PO LE 200 AMPS ---.::-J -0 \'.Y'~ L~~i,. Z..S-Y--..L A_(
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPAN CY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT M.,,01 /k, ~ ~0-;:-
{ ,.::;_ cg) -)
TOTAL ELECTRICAL
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0 u j :»:.-d I TOTALSOLAR I II TOTALFEES~A~ABLE I I A~~i:~I l
I r I I I Exp,rat1on Every pe,m,t issued by the Building Ofhc,al under 1he prov1s1ons of this
Code shall expire by l!mnallon and become null and void ff the bl.Uld1ng or work
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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 COUNJY AND STATE LAWS GOVERNING BUILDING CON
STAUCTION, 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 WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
-c:
authorized by such permit ts not commenced within 180 days from the dale ol sucn I ~TAUCT\JRES OVER 3 STORIES IN HEIGHT
perm,t. or cf the building or work authonted by such permI1 1s suspended or LL: __ _
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
abandoned at any time after the work ,s co_!!!_menced for~ penOd of 180 days -----
APPLICANT'S~ATURE~Jf. OWNER□ CONTRACT~□ O\IEDB¥ -\
~ ,.__ BY PHONE O ~\ (\ =-~ --<-----G,-.::V::Z---'. \ '_ \~ ~-.11~
DATE
,, '8/7/gst ,-
~ .c :!:
,,f"
1 DATE ..-. ' ' • -----e-u-,L-o-1N_G ____ 1 _____ -9-------~s-~~S-J~1 _ _ TYPE DATE INSPECTOR ,,...
' .FOUNDATION I FIELD INSPECTION RECORD
_REIN FORCED STEEL 1 1------R-E_o_u_1_RE_o_s_P_Ec_1_A_L_1N_S_P_E_C_T_1o_N_s _____ .....,.. _____ 1_N_S_P_Ec_T_O_R_·_s _N_o_T_E_s ________________ ---"1
_MASONRY I • REO IF INSPECTOR s --
GUNITE OR GROUT I INSPEeTION CHECKED APPROVAL DATE ,_ -· -._ • .
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE ·., ... -.,. . ·\~. . . . '' -' -
SHEATHING D ROOF D SH~AR PRIOR TO
FOUNDATION INSP
FRAME , -=-=--=--=-------,~---r------r-------i -
EXTERIOR LATH I STRUCTURAL CONCRETE _ , ,.. '., • •I. ;, •
1 OVER 2000 PSI INSULATION : 1 1--=-PR=-=E=-=s=TR=-:E=-=sc::-s=-Eo=----t------t-------t------1
1 CONCRETE INTERIOR LATH & DRYWALL I t--::-Po=-s=-=T=-=T=Ec-:-Nc::-s:-::10-,--N-=-Eo=----+------t------+-----1
' l--c _o _NC_R_E_T_E ____ -+---t--------t-----1
PLUMBING I t FIELD WELDING
SEWER AND BUCO DIPUCO 1 _.H...,IG_H __ s-T-RE_N_G_T_H--~-----+------r , ,. ~ r ·,
UNDERGROUND □WASTE □vi/ATER BOLTS _ . _ ,,., • -~·,-.-\ ,
TOP OUT D WASTE D WATER SPECIAL MASONRY --• '.:.: -• --. ~
TUB AND SHOWER PAN : 1 ,~ -~·:· • · , ;"'.' •
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WA)"ER •" . . r-----.--------------~---------1
I • • -.,_ ... ' .... -.. .. ., ~---·-•
_____ E_L_E_C_T_R-IC_A_L __ .... ,---+-------11----------"' -~ i:· -I '
. ' ' D ELECTRIC UNDERGROUND D WFF.ER •. , ·-... -
W:,.I II> a'\,. r .,_ •· -· ' '•'
ROUGH ELECTRIC :
D ELECTRIC SERVICE D TEMPORARY ' , \ ·• . · , • ·-~ •· ·-:-; :• ;:_ ..
D BONDING D POOL ' -
1-----------t----t-------+-----1
----------------,-1---+-----t--------! ; -· . • • .. '-· ' .,_ "~r ',-· i MECHANICAL I -~,·: ,__ • t-------'-·-·-' -------=-/_· -----------------1
D DUCT & PLEM., D REF. PIPING ---------,----r-------,r-------1 r------: __ :,,._·_·---~•-----------------
HEAT -AIR COND. SYSTEMS I
t---,---c---,-,-.,....--:------t-----r------+------i ' " l
VENTILATING SYSTEMS 1 • ~ -' ••. r • ..1·f ~: , ·.· · ... · ~ -.. t-:-!-----,-1-.--._,-,---~_-.,-.-_-\"'-.·-,-•.":i-----------------,
I -,,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE. -, .. • ; l / ·. . ·
ITEMS ABOVE HAVB BEE,N APPROVED; ·; --' ._ , .•.. _ --. ,-· · , • '~ -. • -· -·
FINAL I ·' --1---:-·__,_,_·..;..•_·......:...' _____ ,.,_;•:.....:::-c....,I_;_------'-~;._--------------------1
PLUMBING ,.,.. -t··_, .. --•I;·'.,_. -.. L •"-.:· '-,,:,..\'. . ~·-.-,. , • I ""· · 4. .. /f· _,-, ,_ ,. .,,, ... .l~ \ ... •-ELECTRICAL I ""'•"i ::a.T ....,.,,,--+----------+---+---, ;-,-:;-:'•~---_-.+.-,.;--,-.:-' ----1_ t-,_-,-. --:-;,--;-.-. -•• -."""',,-_-\_; _____ -;_\ ____ -----------------I
MECHANICAL I \,.:.. ,, ,\.// T. •. .. •. ' : ,.. -·· -. . 1 ···--• I
I' ,,I ..... • GAS I , • <. V' , .~ .. ,,. ; '-; ' •. . . I • r, I ·-.[ • --, • • , • ' ' • \ .:~ ~ . -..l I. . ---·-·• • ---------------+....,....-'-~.,,, .. -·--·--.,_~ __ ,_._. ------i .... . . . . ~ . .. ' -.. ~.
BUILDING 1
SPECIAL CONDITIONS
1
~--------'---~-----'------' _. '
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