HomeMy WebLinkAbout2735 SOUTHAMPTON RD; ; 86-1011; Permit<I) z 0 ~ a:: < ... u ... 0
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~ I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
fuli lorce and affect. .., '13 lie No ______ Class
I hereby afhrm thal I am exempt lrom lhe Contrac-10r·s Ltcense Law for !he loJklwIng reason (Sec. 7031 5
Business and Professions Code Any city or county wh1ct. re-quires a permI1 10 construct alter. improve demohsh, or repair any structure, pnor to 11s issuance also requires !heap·
pl1cant for such perm•! to Ille a s1qned statemenl that he is
lteensed pursuaru 10 lhe ptOY1S1011S ol !he ContractDf s License Law (Cl'lapler 9 commencing w11h Section 7000 of
Otv1s1on 3 ol lhe Business and Professions COdeJ Of that 1s eJC· empt therefrom and the basis tor lhe allegea exempllon Any v1olatIon ol Secflon 7031 5 by an apphc.ant tor a perm11 sub-
)etls 1he apphcant to a CIVIi penalty of not more than five hun-dred dollars ($500)
I, as owner ol the property, Of my employees with wages as their sole compensahon. wall do the work. and the struc-
lure 1s not intended°' offered for sale (Sec. 7044, Business
and Professions Code The Contracto( s License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or lhrough tus own employees. provided ll'tat such improvements are not intend-
ed or ottered for satt If. hOwever, the building or 1mprove4
men! 1s sold w1thm one year of complebon. the owner4bu1lder will have the burden ol proving !hat he did 001 bmld or im-
prove tor the purpose ol sa!e)
□ I, as owner of the property. am exclus,vely contract,ng w11h license<' cootrac10rs to construct the prOfecl (Sec 7044.
Business and Professions Code The Conlractor·s license
Law does not apply to an owner of properly who bwtas or Im proves !hereon. and who contra<:ts for each pro,ecls with a
contractor{s) hcense pursuant 10 the COl'llractor's license Law)
C As a homeownt!f I am Improvmg my home. and the fol tow
mg cond11ions e>1Ist: 1 The work Is oeing oertormed prior 10 saJe 2 I have hved ,n my home tor 1welve mon1hs
pnor to complellan of lh,s work
I have nol clamled this exemption durmg the las! three years
D lamexemptunderSec ______ ,B&PC. !or 1hIs reason ____________ _
0 I hereby alftrm lhat I have a cer11f1ca1e of consent to
self.insure. or a cert1hca1e of Workers· Compensation In-
surance or a certified copy the~~r (Sec. 3800, Labor COde}
POLICY NO. 7'03V ~'( -8 'J
COM PA NY (.,I.Jv/$1:J
~ Copy IS filed with the City
D Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need nol be completed II the permit
1s for one hundred dollars {$100) or less)
D I certify that in the performance of the work for which
this pemut is Issued. t shall not employ any person in any
manner so as to become sub1ec1 to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of lhe Labor Code, you mus1
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the performance of the wol'k for wh,ch this pe,.
mit is issued (Sec. 3097. Civil Code}
Lender's Name ____________ _
Lender's Address, ___________ _
USE BALL POINT PEN ONLY & PRESS HARD "'t"t"Lll.,l•U'1 I IV rlLL , ... lf'1rVM1¥11"\ I IVl't ffl I nll't ;;,,n"'ucu HnC.K Hl'fU UC.\.,Ll'\nl"I IVI•~·
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -Carlsbad, California 92008-1989 (619) 438-5525
. NEAREST CROSS ST. . COB ADDRESS AV ST.AO DATE OF APPLICATION! BUSINESS LICENSE tt R~o~ PERMIT NUMBER
'1~7:l.5' ~r,Jliw,~AJ ?" . r:2.:2 At,, 13713 ~..-
I \ LOT BLOCK I ~y'v;:~,<+ I ASSESSOR PARCEL NO CON'.lRACTOR CONTRACTORS PHONE • ZONE , 10\ I
I Fe_V/IAll"\,C:, I /E1JJ1J.l'!:a /'_£. .... -/A45-0'fll I OWNE R"S NAME ~~WNER"S PHONE 1h"J;::' \~ /_ __ \AJ,4,RO!> /,ll'J11MPt4/,J11!.<. 55·:l90.:J
CONTRACTOR"S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
I 7S'ltiT~1t1t'VC :Sr ~ 7) ~1,::,1 I OWNER'S MA,L!NG ADDRESS eeACJl 1 ~ J"'1/'\ I'! ,;r _ 1:1r.,... Uo N /!,I~ ,OA,,,.,. (; Jd q.:}IJ.J'J -;}/fl9J.
DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORI<
DESIGNER'S ADDRESS LICENSE NO.
._IO '1-1 '""' -F'E"'-'~ I ENNIS C()vrtj Q/0 ~ FiP F LR ELEV. NO OCC GP EDU
STORIES fRiiT 94. u vO NO --
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CENSUS TRACT GP LAND USE I PARKING SPACE l AES uN1f s I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR Ci-iEr~ 223.•
AREA CONST ii9i~{~~ . iiii~ uul 14.,
y D ND vO NO vO NO ot a td Unless Machine Cerrtf, 1
4-': 4tf
QTY. PLUMBING PERMIT -ISSUE 7~0 QTY. MECHANICAL PERMIT -ISSUE ~--SUMMARY/ACCOUNT NUMBER __,
I EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU BUILDING PERMIT 001-810·00·00·8220 '17-
I EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810·00·00·8221 ,
I ~7 -
I EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00-8806 -I EACH GAS SYSTEM I TO 4 OUTLETS BOILER1COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00-00-8222 . ,
I --~
I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00·8223
I EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 ---->-
EACH VACUUM BREAKER MECH EXHAUST H00010UCTS MOBILEHOME 001·810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE l SOLAR 001·810-00-00-8226
TOTAL MECHANICAL '-STRONG MOTIO~ 880·519-92·33
TOTAL PLUMBING I FIRE SPRINKLERS 001-810-00-00·8227
ELECTRICAL PERMIT -ISSUE t:;--QTY. SOLAR· ISSUE
PUBLIC FACILITIES FEE 332-810·00·00-8930
QTY. -NEW CONST EA AMP SWT BKR COLLECTORS ' SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMPISWT 'BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Dieguito
REMODEL AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 001-810·00-00-8162
TEMP OCCUPANCY (30 DAYS) MFF 880-519·92-57 ~ --
CREDIT DEPOSIT { J I (__ _.,,.er
lOTAL E LE(;TRICAL I TOTAi SOLAR TOTAL FEES PAYABLE I (Jt/--
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT'" AND DO HEREBY E•pirat1on Every permit issued by the Building Offoc1al under tile prov,s,onsofth!S * AN OSI-IA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shali exp"e by limitation 8nd become null •nd void If th" bu•lding or work 5'; ., DEEP ANO OEt,tOUTION OR C°"STRUCTION OF authorized by such permit 1s not commenced within 180 days from the date of such
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or 1f the bu!idinPt or work authorized by such permit " s1;spended or ST IUCTUR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON· at anv ttme a ter the work 1, commenced for a OAnocJ of t80davs
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ~v -2 OWNER□ CONTRACTOAA APPROI 'E 81
l~,_hb KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUOGME;tFNO APPLiC s Slr:RE •
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOU E OF THE ~ BY PHONE 0 _j 'ni ~J .ll GRANTING OF THIS PERMIT. ·.t _ !"~ r-JN '_1,47/-~ ~
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TYPE I DATE INSPECTOR ..
' ... ---/"-.. .
BUILDING I
·, · X0-IVI I ' ' .. -~ \ ·,
FOUNDATION I FIELD INSPECTION RECORD ! REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE ~
CHECKED APPROVAL . \
SUB FRAME □ FLOOR □ CEIL!ING
SHEATHING D ROOF D sH;EAR
FRAME I
\-... -... \ ,-.
SOILS COMPLIANCE \ . ....__ -PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I
I FIELD WELDING
□ SEWER,bNQ BUCO D PIL/CO
UNDERGROUND ·' · G ..y,tASTE D iWATER
HIGH STRENGTH
BOLTS --.
TOP OUT D WASTE D vi/ATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR W~TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND o:uFFER ·, \
ROUGH ELECTRIC I ' .
D ELECTRIC SERVICE D TEMPQRARY ,,_ · ......
D BONDING D POOL I
I
-. .. .... '
I -~
MECHANICAL I " . --'\".:'-: '.fljt_l ! '! , ~I'"
D DUCT & PLEM., D REF. PIPl)',IG . , .. ..... \ ... I ,,..._
HEAT -AIR COND. SYSTEMS I·. ' I ·-C'-'E~' --L ~,\9t . -
. ' --:.;-1~ ~-!·!. ., • r ) -.;.. -
VENTILATING SYSTEMS ' l 'j l I\ ' .. . .
I . ' ' \. ... \ \.. • • f •. . .
I
CALL FOR FINAL INSPECTfON WHEN ALL APPROPRIATE
____ /_TEMS ABOVE HAVE BEEN APPROVIW. • ,.. ·, .; · ' .. \ -. ' ,< ' t.. --. . -
FINAL .......
PLUMBING I I ·-'!'. \ : '; '' ·,
-,; ! • -. Ct \ ';\ :· ' . . .
ELECTRICAL
MECHANICAL
GAS
: .. 1' .• -•, l' ',:,, r• •. ,..___":. ... •·"'. . .. i •• -... ' ' . ! '-. . . ! r ,
BUILDING -.. / ' ' J
SPECIAL CONDITIONS
PLAN CHECK NO. ¥-er:'. ADDRESS %-1:tJJ Ht-:-r,:f?:b?~
PLANNING
DATE
~(
ZONE:~ TYPE OF PROJECT AND USE: -ft',vPIJ Couvb
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS CARLSBAD~ SAN MARCOS __
SETBACKS: FRONT 0C. SIDE c:9,,c.._ REAR C=),/'c:.___
DISCRETIONARY ACTIONS: _________________________ _
REDEVELOPMENT PERMIT REQUIRED: _____________________ _
LANDSCAPE PLAN COMMENTS: ________________________ _
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ENVIRONMENTAL REQUIRED: _______________________ _
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ADDITIONAL COMMENTS:__,.(4,._, . ..,.}=:.'--_·_,,~.,.:;....--·--"'ot:?'---'''---'Z(,__-~J._:1_... ________ _
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OK TD ISSUE: e---~H--DATE: q/z,-z/'('o
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ENGINEERING
LEGAL DESCRIPTION VERIFIED? -------APN CHECKED? __________ _
PARK-IN-LIEU QUADRANT: ____ , FEE PER UNIT: ____ TOTAL FEE: _____ _
P.F.F.: ____ TRAFFIC IMPACT FEE PER UNIT: __ _ TOTAL FEE:
FACILITIES MGMT. FEE: _________ BRIDGE & THOROUGHFARE FEE: ______ ,
IMPROVEMENTS: _______________ ,
FIELD CHECK DATE & INITIALS: ________ RIGHT-OF-WAY: __________ _
DRIVEWAY: ______________ EASEMENTS: ___________ _
E.D.U.: ________ _ SEWER: -------LATERAL: ________ _
INDUSTRIAL WASTE PERMIT: ___________ DRAINAGE: ___________ _
GRADING PERMIT: ____________ GRADING COMPLETION CERTIFIED: ____ ~
ADDITIONAL COMMENTS:, _________________________ _
--------------------------------------
OK TO ISSUE: ____________ ___:DATE: _____________ ,
DPD2:DPD6:O7/17/86