HomeMy WebLinkAbout2760 SOUTHAMPTON RD; ; 85-355-142; PermitIll z 0 ~ ,c a:: ,c
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe11lons Code, and my license is In
full force and effect.
Lie No ______ Class
I hereby alllrm lhal I am exempl lrom lhe Conlrac-lor's License Law lor lhe lollowmg reasOll (Sec. 7031 5
Business and Professions Code Any c11y or counly wtuch re--Quires a permit to construct, alter, Improve, demolish, °' repair any sfruc1ure, pnor lo its issuance also requires !heap-plicant lo, such permII to life a sIqned statement that he Is
licensed p1,1rsuan1 to the provisions of the Con1rac1or s License Law I Chap1er 9 commencing with Seclion 7000 of
Division 3 of the Business and Prnlessions Code} or lhal ,sex-empl lherefrorn and lhe basis for lh8 alle~eo exemphon Any
violallon ol Sect10n 7031.5 by an applicanl for a permit sut,. jects lhe applicant to a c,vll penally of not more lhan hve hun·
dred dollars ($500)
rJ I. as owner ol lhe properly, or my employees w,th wages
as their sole cornpensalion, will ao lhe work. and lhe strut·
lure is nol ,mended or ollered for sale (Sec, 7044, 81Jsmess
and Professions Code· 1he Contractor's License law does not apply to an owner of property who buifds Of improves
lheteon and who does such work hlmself or through his own employees. provided lhal such improvements are not intend· ed or olfered for sale. If. however, lhe build mg or improve-
ment 1s sold within one year of complehon, lhe owner-bulldef wlll havo lhe burden of proving lhal he did not build or im-
prove for the purpose of sale).
D I, as owner ol the property. am exclusively contracting w1th licensed conlractocs to construct the pro1ect (Sec 7044,
Business and Professions Code The Contractor's License Law does no1 apply 10 an owner ol property who buI1(ts or Im-
proves thereon, -and who ooniracts for each _proiects w1Jh a
~~ractor(s} license pursuan1 to lhe Conlractor"s license
0 As a homeowner I am improving my home. and the follow ing condttlons eldst· 1 The work 1s being performed prior 10 sale.
2 I have lived ln my home for twelve months
3. rrtv: ~~Pir;~f t~t: :~pt,on during the lasl lhree years.
O I ame,empl ufl<ltt, Seo. ______ • B & P_c. for this reason ___________ _
0 I hereby affirm that I ha"e a certificate of consent
to self-1ns\Jre, or a certtf1ca1e of Workers
Compensation Insurance. or a cen1f1ed copy lhereot
(Sec 3800 Labor Code)
POLICY NO
COMPANY
0 Copy 1S file<] w1U, !he Clfy
0 Cen,hed copy 1s hereoy lurn1sheo
CERTIFICATl OF EXEM PTI WORKERS' COMPENSATION I
(This section need noi be comptet 1s for one hundred dollars is 1
0 I cer111y mat 1n the pertormance I the wons. tor which 1h15 perm11 1s issued. I shaH no1 employ any
person m any manner so a.s lo become suoiect to
tne Wortolers Compensa11on Laws or Ca11torn1a
, NOTICE TO APPLICANT If. alter mak.•n~ 1t11s Cert,
ticate ol Exemption. you shoulO become sub1ec1 19
tne Won-.ers Compensal,on pro.visions ot rne Labor Cooe. vou must lortti....,tfh comply with sucn
prov1s-1ons or this perm11 shall t>e deemed ,evok:ed
O I hereby alftrrn Iha! 1tiere 1s a construchon
lending agency to, lhe oe<tormance at Ille work tw
wruch 1t,1s permtl 1S issued tSec .3097 C1v1I COde)
Lenders Name ___________ _
Lenders ~odress __________ _
:, ....._ _______ c_A_R_Ls __ s_A_o_s_u_1L_o_1N_a_o_E...,;PA_R __ T_M_E_N_r ________ A""'l"PP_L_1c_A_T_1o_N_&-.riiP",,,.E-I_T--==---'),......r-------U---l'...:... /~-'-=i/_,_o_o----1 r-1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 di.A./..._· <-f'
: 1'2:::.JO_;_,...,.o;::_D_R_;:E~,::::s:,,,,c_.:U.:=.:,.I _,l_.tL!.l;A, V\:..U.f)1(..a<..::o::...!.lil-~,.....:,7~0~A-~--;!...s T~.lL~:..:o.L.,A.U~.»..J.AN~(IEA<.L-~.::ES-~4-c-"~"'-oss_,,,L::..S_T:...: (' 4.'"-'Al",,-1.<U.,._.Af{)i<.........IPC>l:J-s:l::-:.LA~• =-...JI_J~U,A-JTi'--,~+-F-Jj'--p.JI. y'P_L. ~""'c ~LA T-1-0N_JI I 3';=-.c.-B-";_St-~~E~~s-~-tC_E_T_"---11-z-oe=N'--Ev-~.c..L_U,,-.·A4._Tl-'--O-~---i O ;__Ml ~N ::: _,1 l~o~ : ,~ii BLOCK ~IS~ L_~s;;.SeJ/ACEl;:1p ~~~ CONTRACTOR 1 ' CONTRACTORS PHONE• C,;:;), .._J °?::) ~
( ..,_O...,WC::N::JE Rc...'S-NA_M_E __ ....:..:,=-.;e;r',,!!---,-<i,l,-<t.!..!.~-4-,---=Ll..l~-=~,__,,z.Lc:u._.s.OW'-'NO:,E::.,R_,_'S'-P-H_O_N_E_lt--11r.11. ~ \ U"Vlt'1 I, 14Dn r r,.A~,,,. .. " ~ '> I WC 71'1455 -l f () 1.. ~
_-r: ,? "1J,/•6 'SS• "'1/i/l;J CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE I-
L . {AMi1P/J.(!J(.. {"'r,IIJ'T'P V€.tu7'U~ '/Y"7, • /,"'/U,(. I
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.Stoo Ci\lV\PUS Ofl, 1'/£WPOR1 ~Ar.µ rA f/1.c.£.C AOESIG,:R LICENSE~ STANDARDPLAN# BUILOINGSQ.FOOTAGE c,
DESCR PTION OF WORK Or:. (' 0 LL/ g_. ) , °3 ~ 2--,.j(J~ fq,l) ~ I EX) ~0-E-'-s-",G:...N"""'ER_'_S_A_,0_0""-=R'--'Es""s=....., ...... -________ ,._O_E_S_IG_N_E_R_'S_P_H_O_N_' E---11-----------.L...-.a...;O--C"--="------f
---~~ \ \ {o" -S,,,F'D --"'/"""-//~=-i..w(}••,flAP:,,.:.N .. (G;.~fllilll~.,C~-E-L"'E '~-.s:i~_rfol~"'" • .':,';.;,u'_.·-.. ~ _ _,.('.._A_.N~--·•7/<""~'/._cc_-~ ... P-.,.-.. G_·y.,o(f--,17~ II I •
syRrEs ~-!> I
OCC LOAD FIRE \;PA
V'S, "' AREA ~ C~1~ST~ ' Noc Valid Unless Machine Cercified
7£!-
CENSUS TRACT I GP LANO USE I PA,4RKIN4G SP,ACE I RES UNITS 0"'11!:GRADING PERMIT ISSUED I REDEVELOPMENT TYPE I ._glf. y D N D v □ N~ .,. rv YO N)d 'l----.-----,._ ______ ,._...:.._...,_ __ .:..._...,.L.__,!_ __ _.r''-'--..-__:::'-_,::::__ __ ...L. ____ =.-4'::......L. __ ..-_.,_....__'-.:._L._ ___ ...... _.::,_~.,:::,,,,....J-------------------,,----I
QTY. QTY. PLUMBING PERMIT -ISSUE
H EACH FIXTURE TRAP (.J _2. ~ ..:J7 _.._,_ 1
1 MECHANICAL PERMIT . ISSUE 3 -SUMMARY/ACCOUNT NUMBER
I ~r+-------,,~-=-------:;=--+---"~=---=d---;--+----------------:-=-:---::-=----c:--::-::--:----t---.t·--t---;;-;..-;-;;-;-;;;;;-;;;:;=-----;;-:-=~=-.--~rrl"."),,P-=---j I INSTALL FURN . OUCTS lJP TO 100.000 BTU .J.l.. -BUILDING PERMIT 01·00·00·8220 _") '""'~ -
I '
EACH BUILDING SEWER {;.. .31\ 11--+++::.:..:.::..:.:_...:.:.:_.:....::..:_:__::_..:.:_..:.:_~~..,,..!=..r.--ilL.=---+--(;:111,,-.l---=.,IIOIO!',;~-\-+:-=-.:..:..::.:....:.:....::....:.:...:..:....:...:o_v-=E-R-1-=o-=-o'-:.o.,-oo=-s=-T=-u--+-__.:::.-\_-'-'----il--:s:-1G=N-=-P=E-=-R-:M-:1T,----------=-01--o-:o-=-o-=o=--a-:2-:21-t--------<-='-------t
\ EACH WATER HEATER AND OR VENT ~-57\ i l--;:-'-f---------------+--~~~q..--t-B-0-IL_E_R_/C_O_M-PR_E_S_SO_R_U_P_T_0_3_H_P ____ -t------t---P:-L-AN-:C-:-H-:E-:-CK-:-----~~..--.1-1·-□0--0-0--8-B0-6-+--~..:1._-,~:.;\;;;;.,,,~2..-'.S'"-=,;;l
'~-t--...i-:::....::.:....:..:.:__::..:.___:_:.:.:_:.:..=_____:_.:..=__.:....:_:_::___:_ ___ ---!. __ ~~~4--+.=-.:....:=-..:.:_-------------+----.:....:-+----------""",,;;;...t:=>------¼--__,_~..,. .... '--'=~-'
EACH GAS SYSTEM 1 TO 4 OUTLQ:S
~ EACH GAS SYSTEM 5 OR MORE(.}, (,,, ,;;-...3.. ..:2s; \
i--;_.,.f---".:..::....:..::......:.::....::__:::_.:.::..c..:.....:.::...:..::...='--';""'"'i-----:::...-+---=,....:.-::-:ai--,---t-B-'-0-IL_E_R_IC_O_M_PR_E_S_SO_A_3_t_5_H_P _____ -t----::.=-...:...__-t-_T_O_TA_L_P_LU_M_B_IN_G_==---~-=00?·0_0~·8.;::;22:c:2-+ ___ ={.J..l_9 ,75
METAL FIREPLACE ~ -ELECTRICAL ~ 01-'5o-Qll:-8223 -::• 1") -
EACH INSTAl . ALTER, REPAIR WATER PIPE .!l_ VENT FAN SINGLE OUCT,.) ~ ~ ,A.. -MECHANICAL ~1-00·00·~ / l.. -
I EACH VACUUM BREAKER
-~ _., .52'> MECH EXHAUST H0OOIOUCTS M0BILEH0ME ~0-8225
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP ~
EACH ROOF DRAIN (INSIDE! • LJ~ ~~ _..:)_ -SOLAR . . TOTJ;L~CHANICAL STRONG MOTION 80-92-J.1·051.9---' I
TOl AL PLUMBI NG I 4"-f ,,:; FIRE SPRINKLERS 01-00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE ✓<--QTY. SOLAR · ISSUE .. PUBLIC FACILITIES FEE 32-00-00-89Il
BRIDGE FEE
,
NEW CONST EA AMP SWT BKR Jnn 9.-P , c:;--COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 l>H \l -STORAGE TANKS Carlsbad 80·92-21 -0519
EXIST BLOG EA AMPtSWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San D1eguito 80-92-23-0519
REMODEL AL TtR PER CI RCU IT PLAN CHECK FEE --san Mar<;.os 80-92·24·0519
1 1--t-T_E_M_P-PO_L_E_2-oo-AM_P_s _______ -+--------,11--+--------------+------..ff'~¼-.r-:.r :c..:...c,..'i'IL+_-;;~ ~--_r-\..";;-.-,,-.-.... -=-=-z.1-1r=-'-,==--=_..::..:..::-t---,1-e-,.,,_s""q..-n-------i
11---+-------------------,-----------+-------------------l----...:..---11-..1..1-.0,-=~=~_.r:~--'!,e_-=:..J-!...._+-__ ...3..z...,,,,~-1----1
OVER 200 AMPS LICENSE TAX 01-00-00-8162 li---;-------------------;-------,i-----t------------------;---------ii--:--::-:::--::-:--:-:-:-:--:-----------t----;;;;;;;;.::;;;;;,e----7 I TEMP OCCUPANCY 130 0AYSJ MFF 80-92-57-0519 ~t') ~
11-----,,----------------+--------1--------------+------n--C-R_E_D_IT_D_E-PO_S_IT----~--A~D---,~--[.~1..t--.1---,-jl_ .::2~00~~----"w/
II I / I .------T-f_lT_A_L_E_L_Ec_·r_R_1c_A_l ___ ...._ ___ ;:a:;;3;.;o~ ... -:-_ .... _....1 __ _, __ T_OT_A_L_s_oL_A_R ______ .._ ____ ...w,, __ T_o_T_A_L _F"!"E-E_s_P_A_Y_A_B_L_E ______ 3=+-7_._-3;;;..~....;.'_~.:..,.'..:L_ ..... -1
I I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PEAMlr AND DO HEREBY Exporation. Every perm,trssued bYlheBuilding O!hc,al ooder lhe provisions ofth•• * AN OSHA PERt,m IS REQUIRED FOR EXCAVATIONS OVE"fl
I CERTIFY UNDER PENALTY OF PERJURY THAT AtL INFORMATION HEREON INCLUDING THE Coae shall e><pire by limitation and become null 8nd void II the building or work 5' o•· DEEP ANO 0£:11101.JTION OR CONSTRUCTION OF
I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulborized ~y such permit is not co;menc,,d ';,11~" l80days from th8 dale~uch STRUCT\JRES OV"EA 3 STORIES IN HEIGHT
I ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON, ~~~':i'::On°..'..i 1a11:~v 't:'~~•~ne~~h:~ork~ti~~~enie~~~~ r:.~d'~,Sr~~vs)'.r ~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND O ,,\-.., JI: PROVED BY \~ I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND APPLICANT'S SIGNa=E 1'-OWNER CONTAAC · ~ 0 W~ 1'""\ -I\• DATE/ / ..
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TYPE I DATE INSPECTOR
BUILDING I
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____,,_
~5' ... iss-1'--" ")..
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FOUNDATION i FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
-
INSPECTION REO IF INSPECTORS DATE .
CHECKED APPROVAL -'
FLOOR & CEILING SUB FRAME l
SHEATHING □ ROOF □ SHeAR
; . ', --. -·,
SOILS COMPLI ANCE -' -◄ ·. PRIOR TO
FRAME I
EXTERIOR LATH I
FOUNDATION INSP -----.
STRUCTURAL CONCRETE r~, Tl· • -
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
l i CONCRETE . .. PLUMBING ' FIELD WE-kDING
SEWER AND BUCO □\PUCO I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH .• \c •• -. .
SOL TS -. ~ . . . ~
TOP OUT □ WASTE D W,i\TER SPECIAL MASONRY =":\. l .
TUB AND SHOWER PAN f -·
. , -
GAS TEST I • PILES CAISSONS . □ WATER HEATER □ SOLAR WATER . I .
~ . .
I ---~-,, -
ELECTRICAL I ' . -' . . f -. □ ELECTRIC UNDERGROUND D lJFFcR --v ~ -. , .. . .
ROUGH ELECTRIC I . ' --;
D ELECTRIC SERVICE □ TEMPO~ARY .. .., \ -... -.., -~-. . ' --. ◄
□ BONDING □ POOL I
I
MECHANICAL I
.. ' . ~ ., i.; .... . ' -t.· ~ ..
' □ DUCT & PLEM., □ REF. PIPIN'3 .
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS /, . < I ..
I
. 'l\ . . . .. ~ -.. \ • i • . . . : . . --"' . . ~ -
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROl,(EO.·:-t • • • ~-
. -• . • r ; r-• --.. .. .. ,. ::... .. ---• I .. '· -
FINAL ' . ,. r ' ~ < ,
PLUMBING . ' . .., '. ~ J • ~ .. . r ...; .. ' . ' . . ~-
ELECTRICAL
MECHANICAL
GAS
' . -' ' ' ·-... •• .J • •. a ,, . ·.\'1 _ ... __ -< ~, \ . I ,, -,. ;, ' . .. .. .
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' . ,-' -. --. . -
BUILDING -
SPECIAL CONDITIONS