HomeMy WebLinkAbout2763 SOUTHAMPTON RD; ; 85-355-113; Permitlb z 0 ~ < IC < ~ 0 "' 0
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O I hereby affirm that I am licensed under
provlalona 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 afhrm thal I am exempl lrom the Contrac·
10( s License Law tor the 1o11owmg reason (Sec 7031 5 Business and Proless1ons Code .6.ny c11y or county wtnch re-
quires a permit to construct. alter, improve demohsh. Of
repair any structure, prior to 11s issuance also requires !heap•
phcant for such perm,1 to lite a signed statement lhat he 1s licensed pursuant 10 the prov,swns of lhe con1rac10( s
License Law (Chapter 9 commencing with Sec11on 7000 ol Division 3 of the 8USH"leSS and ProleSSJOOS COde) or lhat IS ex·
empt therefrom and the basis for lhe alleged exemption Any v10lat1on of Section 7031.5 by an applicant for a perm1I sub·
1ects !he apphcanl 10 a civil penally of not more tnan hve hun-
dred dollars ($500)
fl I. as owner of the property or my employees w1th wages
as their sole compensation. wdl do the work. and the struc-
ture is not intended Of ol1ered lor sate (Sec. 7044 Business
and Prolesswns Code The Conuacto<'s LJcense Law does not apply to an owner of property wl\O builds or improves thereon and who does such WOfk tumself Of lhrough his own
empk>yees, provided lhat such improvements are not intend-
ed or ottered tor sale 11. however. the bu1\d1ng or improve-ment ,s sold within ooe year ot completlOO. lhe owner-builder
W111 have the burden of proving !hit he did not build or 1m• prove !or lhe purpose ol sale)
D 1, as owner o1 the propeny, am exclusively con1ractmg
with hcensed contractors to construe! the prOiecl (Sec 7044, Business and Profess10ns Code The Contractor's License
Law does nol apply 10 an owner 01 property who builds or 1m· proves thereon. and who contracts lor each prOjects w1lh a
contraclor(s} license pursuant 10 the Con1ractor's license Law)
D As a homeowner I am improving my home, and lhe follow· mo condihons exist
1. The work 1s bemg performed prior to sale
2 I have ltved m my home for twelve .months prior lo complellon of lh1s work
3 I have not clamled this exemption dunng !he
last three years
D I am exempt under Sec. ______ . B & P.C. for this reaso11 ____________ _
0 I hereby atfmn that I have a cert1fica1e of consent to
self-insure. Of a cert1hcate of Workers· Compensation In-
surance. or a certified copy thereof {Sec. 3800. LabOr Code)
POLICY NO.
COMPANY
C Copy 1s hied with lhe c11y
D Cert1lled copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the permit
1s for one hundred dollars ($100) or less)
D I certify !hat in the performance of lhe work for which
this permit 1s issued. I shall not employ any person in any
manner so as to become subject to the Workers' Compen-
sation Laws of California_
NOTICE TO APPLICANT: If. alter making this Cer111icate
of Exemption. you should become subject to the Workers
Compensation provisions of !he Labor Code. you must
forthwith comply with such provisions or this perm ii shall
be deemed revoked.
D I hereby affirm that there is a construction lending
agency for the performance of the work 104' wl'HCh this per-
mit Is Issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
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USt IIALL l'UINI l'tN UNLT & l'Kt:0:0 nAKU ....,, '_,...,.....,, ... -. ·--........ _,, ....... ·-·· --· -..... -· .. -----
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS · AV. ST.RD. NEAREST CROSS ST. I DATE OF APPLICATION I BUSINESS LICENSE" VALUATION PERMIT NUMBER
2763 Southamoton Road Tamarack Avenue/El Camino Real g_fi_Ai:; 30744Fi 'l:>.7111 Y S--355-
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL N'.h I rrf) CONTRACTOR CONTRACTORS PHONE • ZONE-.-,~ /1 3 13 r T QA _ 14 ')r)S<. I u.t) -Z
OWNER'S NAME I OWNER'S PHONE Tho :.: ·-..1 ,.,,...,, ... --~ --T--17111 ac:c: .?an?
CONTRACTOR'S ADDRESS --, --· LICENSE NO -• PLAN 1.0. # l LDiJ,;·:;TAGE ·;1m~r;:irl< Drdn+o v,.,. ... +,n,•,:i 71A QC:C:_?On? 51 nn f.;1mn, .. , nr OWNER'S MAILING ADDRESS --~~ P.lo,.,..,,,._.._ Dn~-h AC:C1t:C:
DESIGNER DESIGNER'S PHONE "', ' , ,. IJ I ..
plQQ Camnus DrivP_ NPwnnrt Ro;1rh r;1 O?t::t::n
DESCRIPTION OF WORK Ade Collie 714 l:;':!?_1:;At:7
DES GNER"S ADDRESS LICENSE NO.
111 s. Oranae. r ran no rn a?t::t::t:: I
S_:ingle Family Detached C-2 -F/P FLA ELEV. NO OCC GP EDU ~t~:~ (Garden Homes) tl.' vO NO ST~ A,3 \
CENSUS TRACl I GP LANO USE I ptZJGj2CE I RES Uj'TS l~~~IT~SSUEO I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA ~rl... r-v v0 NrJ.. v0 N
7.e
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QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
r~ EACH FIXTURE TRAP ~_j,. '.J. ,5c, , ~.i. .5t:) I INSTALL FURN OUCTS UP TO 100.000 BTU .Lt -BUILDING PERMIT 001 ·810·00·00·8220 Llt::l. -
I EACH BUI LO ING SEWER L.-t;"t. OVER 100,000 BTU SIGN PERMIT 001 ·81 O·OO·OO·B221
I EACH WATER HEATER ANO OR VENT .:1.Q BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 001·810·00·00·8806 ;,,.1.7!()
S _'Uj EACH GAS SYSTEM 1 TO 4 OUTLET~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00·8222
~ EACH GAS SYSTEM 5 OR MORE (M;J/,. /, .S-I ~ . .:>..C I METAL FIREPLACE 6 .-ELECTRICAL 001·810·00·00·8223 ~c _,
',h_ 1Kh ~4'~ v.-'JJI!} -EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001 ·810·00·00·8224
I
-~ "l n r HODO ouB's EACH VACUUM BREAKER MECH EXHAUST MOBILEHOME 001·810·00·00·8225
WATER SOFTNER REi,OCATION Of EA FURNACE/HEATER V.. MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) 7 -,An.-~---'2.. -SOLAR 001·810·00·00·8226
~TJ;L MECHANICAL ~NGMOTION --880·519-92·33 I, !J..'1.-
TOl Al PLUMBING I J, jJ.. . ., ,; 2_{!), -FIRE SPRINKLERS 001·810·00-00·8227
5-QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE 332·81 O·OO·OO·B930 l K~IL.l,.
QTY. ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP SWl BKR / Wll,,t,.,t. :l._(" -COLLECTORS SCHOOL FEE · DISTRll>T
1 PH 3 PH
, I STORAGE TAN KS ✓ Carlsbad
EXIST BLOG EA AMPISWT 'BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Diegu1to
REMOOEL ALTt R PER CIRCUIT PLAN CHECK FEE _ San 111arcos
TEMP POLE 200 AMPS J ./~ ~ /L ,,::_ L N I H, -P::::J .L.S lf. -.,.
OVER 200 AMPS LICENSE TAX 001 ·810·00·00·8162
.
I TEMP OCCUPAN CY 130 OAYS) MFF 880-519·92·57 RI~ -
I CREDIT DEPOSIT
I
I lOTAL ELEllRICA L I 3~.......-.._ TOTAL SOLAR TOTAL FEES PAYABLE I 4-.;17~ 3:t I
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit issued by the Bu1ld1ng Offlctal under the prov1stons of this * AN OSHA PERl,t:T IS FIEQUlflED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmitat,on and beeome null and void It the bu,ldmg or work 5' O" DEEP AHO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w,thm 180 days from the date of such STRUCTURES OVER J STORIES IN HEIGHT I ~~~~~n~ 1!t t=~v ~~:'~ffe~~h=~~r:~!hi~~~e~leJ~~~ ;>~7t~•~fs~:gec,"a~~ or
I ISSUED TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPL12_T: s;A/4/~~ /l~OWNERQ
CONTRACTOR~ ro~~ ~\ .. Q
DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND er/,~~~ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
I GRANTING OF THIS PERMIT.
BY PHONE I -I -
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TYPE I DATE
BUILDING I
FOUNDATION ' REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME □ FLOOR □ CEIL!ING
SHEATHING □ ROOF D SHEAR
FRAME I
I
EXTERIOR LATH I .
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BUCO D Pr,_/CO
UNDERGROUND D WASTE □WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
INSPECTOR
. . "' . t ·s. ;
~ .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSP§CTION
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
•~f;;ho WEL9r-NG_
HIGH ST RENGTH
BOLTS
SPECIAL ~fS'ON6Y .•
PILES CAISSOl'vS
.... ~ -.-.i __ ,
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REO IF I INSPECTOR S
CHECKED APPROVAL
'.
DATE
. ~
~s-:s55-113
INSPECTOR'S NOTES
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ELECTRICAL I ••-s.. --·
I I l . J. .. ~ --• -:-1·---'I·' • 1 1 ·i------::-c-----------------;-~,, -._---,
D ELECTRIC UNDERGROUND D UF.FER
ROUGH ELECTRIC I
I ' D ELECTRIC SERVICE D TEMPORARY (, ·,. ..
y: ta.~' "! (
-
~.... .. . ". -~ ... .} .~ " ... '..,· ✓
D BONDING D POOL I
I
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MECHANICAL I .
D DUCT & PLEM., D REF. PIP,NG
HEAT -AIR COND. SYSTEMS I
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VENTILATING SYSTEMS I
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CALL FOR FINAL INSPEC1'/ON WHEN ALL APPROPRIATE
___ ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING '·... ..... ' !; !,,.
ELECTRICAL
MECHANICAL -.... -.
\
GAS ._..,. j
BUILDING \ --. '?-~
SPECIAL CONDITIONS
FINAL BUILDING INSPECTION
.I
PLAN CHECK NUMBER: DATE:
PROJECT NAME: __ _., .... ' t .. ·U: .... ~ .... ~--....... c .... ~-"--'P:O"-' ........... I .... :iuo'i'~ ..... t~·s ....... _.j,L,j_..s,-___..l11.a.•~.___ ______________ _
ADDRESS: ____ lt=Jl__;_;_lt._c_Ii;..!_, __ 2_7_6_1.=_!..., _2_7_6....:.3_:,_2_7_6_5_,:_2_7_6_7~~'-o_u_t_h_am_____:p:._t_o_n _______ _
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: ______ _
TYPE OF UNIT: -~IC111-Ea:..fl.u.,J,f..i::f<-J.B::..i:E';...i,,Ll _____ NUMBER OF UN ITS:
CONTACTPERSON:. ___ ---'l=&"=R=.~ =----UO==ll'---------------------'----
CONTACTTELEPHONE:. _______ ~4~J~~~.--'-s~·~o=~~7---'--------~---------
~;PECT~~ ,
INSPECTED
BY:
INSPECTED
BY:
COMMENTS: ~U~ _
9/4¢ u-1~
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
41 )z!>) ?d, ,-. APPROVED_L DISAPPROVED
APPROVED DISAPPROVED
APPROVED. DISAPPROVED
r -
Rev. 1/86 WHITE: Suspense GREEN: Ensilneerlng CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ___ . a...l· ).,_, ....:·•..alloau.·~, . .:..:.· •......:..· _,::..,· ;~! ~· -"-e--"'•'-'---' __._.'..3."f_-_,,.~•"-: _______________ _
ADDRESS:
PROJECT NO.:
TYPE OF UNIT:
INSPECTED
BY:
INSPECTED
BY:
INSPECTED
BY:
RJllli, 2 761,276 3, 2 765,276 7 southa.-npton
________ UNIT NUMBER:
-----"-'~'-'-•--·',......._~_,_-~-----NUMBER OF UNITS:
lJ/«1 DATE LJ:-J6-%b APPROVED_~ INSPECTED:
DATE
INSPECTED: APPROVED
DATE
INSPECTED: APPROVED
. --------
DISAPPROVED
DISAPPROVED
DISAPPROVED
COMMENTS:----------------------------------
7 /✓.(,_//.-I ,
Rev. 1/86 WHITE: Suspense NK: Planning GOLD: Fire