HomeMy WebLinkAbout2765 SOUTHAMPTON RD; ; 85-355-112; PermitCl) z 0 ~ a:: <( ... 0 "' 0
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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 Professions Code, and my license is in
full force and effect.
Loe No ------Class
I hereby alf1rm tha1 I am exempt lrom the Con1rac-
1or's ucense Law tor the loUowmg reason (Sec 7031.5 Bus,ness and Profess10ns Code Any city or cO!Jnly which re·
qu,res a permu to construe!, alter. improve. demohsh. or repair any structure, prior to its issuance also requires !heap-
phcant tor such permtl to flle a signed sta1emen1 that he 1s
hcensed pursuant to lhe prov1s1ons ol the contrattOf s L.c:ense Law (Chapte, 9 commencing with SectKln 7000 of
0l\l1s1on 3 of u,e Business and Pr01ess1ons Code} or that ,sex empl lheretrom and !he basis lor rhe anegeo exemphon Any
vlOlahon ol Sec110n 7031.5 by an appt1can1101 a permll sub-
1ects 1he apphcant 10 a tiVll penally or not more than f1ve hun· dred dollars ($5001
r I. as owner of the property. or my employees with wages
as their sole compensauon w,11 do the work. and the struc-
1ure 1s not m1ended or offered IOf sale (Sec 704•. Busmess
and ProfesSJon~ Code The Contractor·s License La1111 does not apply to an owner o1 property who builds Of improves
!hereon and who does such work h1msell or through his own
employees. provided lhat such improvements are not intend·
ed or ollered tor sare. If, however. the buitdmg or 1mprove-ment Is sold w1th1n one year of complet10n. the owner·bu,kier
will have the burden o1 prov,ng that he did nol build or 1m·
prove tor the purpose ol sale)
fJ I. as owner of the propeny. am exclusively contrac1ing
w11h licensed con1rac1ors 10 construct the pr01ec1 (Sec. 704•.
Business and Professions Code The Contractor's license
Law does not apply to an owner of property who builds or 1m· proves thereon, and who coniracts for each prOjecls w11h a contraclor{s) license pursuant 10 lhe Contractor's lttense Law).
0 As a homeowner I am 1mprov1n9 my home, and the follow
ing condlhons exist 1 The work 1s being perlormed prtOI' to sale. 2. I have lived in my home for 1welve months pnor to completH>O of this work
3 I have not claimed this exemptt00 dunng the
tast lhree years.
D lamexemptunderSec _______ B&P.C.
for !his reason ____________ _
0 I hereby aflum that I have a cert1ftcate of consent to
setf,insure. or a certificate of Workers· Compensation In•
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO.
COMPANY
C Copy 1s hied with the city
D Cert tlied 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 {S100) Of less)
0 I certify thal in the performance of the WOfk for which
this permtl is issued. I shall not employ any person in any
manner so as to become subject to the Workers' Compen•
sa1ion Laws of California..
NOTICE TO APPLICANT: If. afler making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed rev¢ked.
0 I hereby affirm that there is a construc110n lendmg
agency for the performance of the work for which this per•
mil is issued lSec, 3097. Civil Code)
Lender's Name, ____________ _
Lender"s Address, ___________ _
I
USE BALL POINI PtN ONLY & l'Kt:i:i HAKU ----..... -·-···"· ·-. ·--··· .... -· -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS A V ST.AD. NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE ,. VALUATION PERMIT NUMBER
?71.t:. C::n, t-L -.,, .... ;.,n Dn;1rl T.:im.:ir;irl, n ..... .., .. 0/i::1 r;1 ninn Do;1l a_,::_oc ~n7,1,1,:: !(~ I /J... 3 0 ~ 5° -3 55"---
LOT BLOCK r st~VIS~;_ 14 I ASSES?b~FY&'d'O~IPE)O CONTRACTOR CONTRACTORS PHONE • ZONE JI 1.. 11?
OWNE A"S NAME I OWNER'S PHONE ThP Wnnrlt·•~~...1 r---~-~ -~ T ..,,. 71 11 nr-r-----
CONTAACTOA"S ADDRESS " .. -. 'l.ltE:'.'NSE 1'10 -~ --PLAN 1.0. # BUILDING SO. FOOTAGE
Tam-"lrark Pnin+0 Von+, re 714-Qt:.t:.-?Qn? . }, ~~µ
QWNEFrs MAI NG AODRESS 5100 r;1mn11~ n ... ~-o,. .. h Acc.11:.c -DESIGNER DESIGNER'S PHONE
5100 Camous Drive-Newoort Beach. CA 92660 Ade Collie DESCR1Pl10N Of WORK 714 t:_':l?_i::,,~7
DESIGNER'S ADDRESS LICENSE NO. 9/}~/6b16bb 1!J39 .. ~
LSJngle Family
111 s. 0ranae. Oranno r. l Q?fififi
Detached Plan B-3 FtP F LA ELE.V. NO OCC GP EDU
(Garden Homes) vO NO --
STO,ES R-3 J ut!~i~M CENSUS TRACT l GP LANO USE I p~LtiACE
AES ,NITS I l' E AD!t~IT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPA ~ AREA Jr-Al v0 N(lf ,,,
·"1.,r y □ N □ v0 Nr1,. N
1~ , ~\r \
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE 3_.-J SU MMARY/AC~lJNT NUM
l, EACH FIXlURE lRAP iu ~,~ -:t".~ -, INSTALL FURN DUCTS iJP TO 100 000 BTU L.1 _,... BUILDING PERMll 001-810-00-00·8220 ?IS---
EACH BUILDING SEWER ... ~.., OVER 100,000 BTU SIGN PERMIT 001-810-00-00·8221
EACH WATER HEATER AND,OR VENl • . t;'() BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00-00-8806 2-Ci~ :2..6 ..
EACH GAS SYSTEM I TO 4 OUTLE.lS ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 t-810-00-00-8222 ~'l.!J.s_
h EACH GAS SYSTEM 5 OR MORE /JI/~. ':>-~ I METAL FIREPLACE ~ A 3 .-ELECTRICAL 001 ·810-00-00-8223 -,_ (? --EACH INSTAl . ALTER. REPAIR WAT ER PIPE ::, [1.-1L,, MECHANICAL 001 ·810-00-00-8224 1, --VENl FAN SINGLE DU~ ~ '!.::-
I EACH VACUUM BREAKER :J..5& MECH EXHAUSl HOOOIDUCTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDEI I IJJl.1.11 Aj ;p__-SOLAR 001-810-00-00-8226
I TOIIJ:,L MECHANICAL ~ONG MOTION 880-519-92-33 e JNL
11,,-if-g JI,. --7
TOl AL PLUMBING I FIRE SPRINKLERS OOt-810-00-00-8227
.s--QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 332-810-00-00-8930 J. Lt...l.bC.
QTY. ELECTRICAL PERMIT -ISSUE -
NEW CONST EA AMP SWl BKR /f>tJ'I --~ -COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH I STORAGE TANKS Carlsbad V
EXIST BLDG EA AMP•SWT 8KR ROCK STORAGE Encinilas
1 PH 3 PH PUMP San o,eguito
REMODEL ALHR PER Cl R CU IT PLAN CHECK FEE San Marcos ~ I
TEMP POLE 200 AMPS v,,,,..,PJ .J.,,,. V./n11 "PF--'.. '--c;:JL ..__
OVER 200 AMPS LICENSE TAX l 001-810-00-00-8 t 62
TEMP OCCUPANCY 130 DAYSI MFF 880-519-92-57 ~90 -
CREDIT DEPOSIT
TOlAL ELEURICAL I 3 0. _,.. I; TOTAL SOLAR TOTAL FEES PAYABLE I 3,q3qi ~ .
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT ANO 00 HEREBY Exp1rat1on Every permit issued by the Bu1ld1ng Oft1c1al under the provisions of this * AN OSHA P£RM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by lim1tatton end become null and void If the building or work s· o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF
OECLARA"TIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
authorized by such permit 1s not commenced w,thm 180 days trom the date of sucn STRUCT\IR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON ~~~'::::On~ 1
~1 t~~y ~~:1ZPte~~h=~~r:~!h~~~:Se~leJ~~~ r~~·~15rWd".~1 or
I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A~7;}/4/~ OWNER□ CONTAAC~~
~,~R;.vrn ~B~\ ~ Io:; J f ~ ,~s-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMEN"TS. COSTS AND I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
I GRANTING OF THIS PERMIT
BY PHONE
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TYPE I DATE INSPECTOR .
BUILDING I ' .
FOUNDATION I
I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
REQUIRED SPECIAL INSPECTIONS
GUNITE OR GROUT I
I
INSPECTORS INSPECTION REO IF
CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEIi.JiNG
SHEATHING D ROOF D SHiEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I
I
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING : I
□ SEWER AND BUCO □ Pl/CO
• F1hD WEL_OtNG ·-...
HIGH STRENGTH
UNDERGROUND D WASTE D !WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL 11.lASQNl;i~ •
TUB AND SHOWER PAN I . ~ ...... ,. .......
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATl:R -. ._,
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; -: 11, .. ,
ELECTRICAL I -.. ~~ . ' ·:· --..
D ELECTRIC UNDERGROUND 0 1 UFFiER .. -
ROUGH ELECTRIC I \
. .
--.
D ELECTRIC SERVICE D TEMP(l)RAAY ; 1 ~ .~ -· .. •:,_" : ... I
D BONDING D POOL I ' I
MECHANICAL I \ ••• i
•. I -· r
D DUCT & PLEM., D REF. PIPl:NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTVON WHEN ALL APPROPRIATE
ITEMS ABOVE HAfE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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INSPECTOR'S NOTES
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DATE
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FINAL BUILDING INSPECTION
'· ,I
PLAN CHECK NUMBER: DATE:
PROJECT NAME: __ _.,;._.•, ... uw:'\.al..l&A"'-"'<. ... •5.,_,}Kl......._A;Ilfil,i..,."1' _ _,,(.. ..... •J!.__· _,,...:124.c..:-.... l.,,. .. \L._ ______________ _
ADDRESS: ____ R._Jl_:;_:_lt._;_Ii_!., __ 2_7_6_1__:_, 2_7_6_3_!.,_2_7_6_5_,,:_2_7_6_7--'-S_o_u_t_h_am__:p:_t_o_n _______ _
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _ _.IC~J!:..,iJa1!.i.....:,.?-'_...Glgu.£:...Uil..-_____ NUMBER OF UNITS:
CONTACT PERSON: ___ ~ll!!::af.l~'~U{==..,.'-----=OO=l~l __________________ _;__ __
CONTACT TELEPHONE: _______ _:'l~J~4~---=5:.:' 0::,:_~:.' ..!.7 ________ .;__ ________ _
~JPECT~~ DATE 4'/t~/._Rt, APPROVED.L INSPECTED: DISAPPROVED . ,, ► ►
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -"~t...+-"/4-"L~..,_k....,~ ....... ----'c:C....'-<_•=-IJ_---<.M~<=2..:...r __:...e:_~:..:::-::'-'-Lr0--'--',,L.'J-------------
9 /4s;/4--UL~ df/,G'Z /"7'Glf..J: /12 ~E ""YL~~&?
Rev. 1/86 WHITE: Suspense NARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ___ "'..~.,,_. '_;.•s.11!1&:ii!..· ,~•-,...,,. ·.:....' _;•c__::_'.!!.~....c-...:•---"-"---'-" i<_-__.,...c..·'----------------
ADDRESS: R.Jill:li, 2 761,2 76 3, 2 765 ,2 76 7 South a.'1lpton
. ---------
PROJECT NO.: ________ UNIT NUMBER:
TYPE OF UNIT: _ _....a'i.u..''......_.. __ ,_· .. -' _.'c...__ ____ NUMBER OF UNITS:
INSPECTED o/rn DATE Lj--/6-30 APPROVED_~ BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
Rev. 1/86 WHITE: Suspense GREEN: Englneerln I INK: Planning GOLD: Fire