HomeMy WebLinkAbout2124 SUBIDA TER; ; 84-241; PermitfJ> z 0 ~ a: C ... u "' 0
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I hereby affirm that I am licensed under
pr~tsrons of Chapter 9 {commencing w'ilh
S.Ctlon 7000) ot DiYlslon 3 o! the Business
and Proreaslons Code. and my license ts in
lull 101"'11!."ll. ~I.DS,!
lo< N, ~, )~ ,. G20
I. as owner of ttie property or my emp1eyees wi:n wage5
as the1c soLe tompensatu>n, ·~ill oo u·,e wOl'k, .ar\Cl the s!ruc-
!!.ire rs not int!f10ed °' oflerea fCM' 5-3!! (Sec. 7044 6us1ness ind Pftl!ess:ons. COCe: The Contraclor s license Law d_pes
f'\01 appiy to an owner of prooerly 'l'.!'lo 01.i!ds 01 1mprovts
tnereor: dnd w'lo does isl.th Ywlj(": h1msetf or ll'Jrough his own
e,-nployees. ptO\l"'ed It.at !luth llfflP(OYefflt!nls afe r,ot rm~
ed or offered for s.a:e It, how1wer _ the biJild:ng or 1mpnh-e :n.-~~~ ~~~~:l:~~~~J,e~.~h~~';~b~r'~:
pr<W.! •or 11·,e purpose -or sale) ·
[1 i .• as owner o1 lhe properly. am exdus1veiy con1r3cting
with r1censed conuactc,r s to construct the proJect I Sec. 704d Busmess and Prolesst0ns Code The Contra::tor" s License law does not aoply to an owner of property who builds or im-
oroves tnereon. ana who cornrac1s for each pr:ie<.ts ._...u, a contrattor(s) license purs.uan1 10 lt:e Contrdtton: Lr::~nse Law)
lJ As a nQf".cG-,1,nr;: I am 1mpr0vmg my home and the foHow ing cor\d:tions ex,s.t 1 The wottt ·s ~ng performed pr,or to sate
2 I h~e 11Ver1 ,,, ,.. " t,ome for twelve months
prior to comp1111100 o: 1r_1s wor.t 3 i haw, not cta1med lh!S exempiKm durmg the last lhree f~fS
[) I am extmpl unde, Seo ______ , B & P C
lor this reason
Cl I nereby affirm 1nat I na,e a cen1t1ca1e ol consent
to self•1nsure, or a cert1hcate ot Workers
C,o(npensat1on Insurance. or a cert1f1ed copy thereof
ISe<: 3800 Labo< Code!
POLICYNO C2-216996-8
COMPANY INA 12/31/84 'it Copy 1S flied with lhe Ctfy
0 Cer111ted copy 15 hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This s.ec11on nee<J no1 be compleled 11 1he perm,1
1~ t()( one hundred dOllars (S HX)I o, less)
D I cen,ty lhat 1n the performance ot the wor11. 101
which tri•s oerm1t ,s ,ssueo I shall nol employ an~
person 1n any manner so as lo become sub1etl 10
the Wor1'1.ers Compensallon La\1115 ot Cahlom•a
NOTICE TO APPLICANT It alter makin'1 lt\1s Cer,,
llcate of E,:emp11on. you snoutd oecome sub1ect !')
lhe Wor1il:ers Compensation prov,s1ons of the Llt>o•
Cooe you mus1 lor1h"-'•th comP')' >1w1lh such
prov1s,ons or lh1s perm11 shall be Oeeme<:1 1ev0keo
0 I F\ereb't' aitur'I'\ 1na1 ltlere •S a cons1ruc11or, 1eno,ng agency t0t me pertormance ol 1r,e won, for
whtCh lh1s P4!rm11 ,s !,Sued ,5ec )097 C1v1 COde
Lenders Name. ___________ _
Leneer 5 Aoo,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
J.0. /110020 CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. Calrfornia 92008-1989 (619) 438-5525
APPLICATION & PERMIT
s "'" ST R') ~T• -r.5-CROS: ST 'DATE AP ·1-~rroN B E"ISE: II VALUATION PERMIT NUMBER
2124 Subjda Terr~_CarJ.sbad Rusti c.Q 4-20-84
' N " I PARCEL "10
419758
r---I ~, ;i Lf I ,... '"''·A
~--.. , .. ~',\I' , ::;, t-t0Nf Kinney Air Conditioning (619)433-8990
ONTF\A AS A SS IC' -~
I WillianL-B4 Si mm s
w ~ ~ -• A U1 ~ E----------436-6460 2333 W. Vineyard ~ 5977
'.-lf StG:.fr.t
P. _0., _Bolt 3_l_U.___Carlsbad...J CA 92008 I
H -~ .it~ r A:
.nstal l beating_&__ air ___ c.Qn.ditioning I oEsrGNe~·s ADoAess
CENSUS TRACl GP LAND use PARK · • .:, SPACE AES UNITS
F p F LR ELEV
vO 1vO
REDEVELOPMENT AREA
C N
Ot!HGNE R'S PHO"IE
~ I ace GP I EDU
STORIES
TYPE I ace LOAD I Fr RE SPR
CONST
ZONE
PLAN ID, /t BLOG USE COOE
STANDARD PLAN # BUILDING SO FOOTAGE
(J lco1 •
GRADING PERMIT ISSUED
y D ND ,□ "□ vO NO Not Valid Unless Machrne Certified
~~TY PLUMBING PERMIT· ISSUE '.f;!,.. QTY. MECHANICAL PERMIT. ISSUE ,S-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP 1 INSTALL FURN DUCTS uP TO 100.000 BTU L,, _ ()() _ BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER I +-----OVER 100.000 BTU
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP
SIGN PERMIT 01-00-00-8221
PLAN CHECK 01·00-00-8806
EACHGASSYSTEM1T040UTLETS -l 1 1 I801LER/COMPRESSOR3-15HP I 7.50· I ,_ .. ,_, __ ,.,_,..,
EACH GAS SYSTEM, OR MORE r METAL FIREPLACE
TOTAL PLUM BING 01-00·00·8222
ELECTRICAL 01 ·00-00-8223
01-00-00-8224
MUtllltHUMt 01·00-00-8225
WATER SOFTNER I I I RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE! SOLAR 01-00.:l!0.:.62.26
I I TOl AL PLUMBING
TOTJ.L MECHANICAL it_so STRONG MOTION 80-92-33-0519 --------
FIRE SPRINKLERS 01-00-00·8227
QTY. ELECTRICAL PERMIT -ISSUE ~ -II QTY. I SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encimlas 80-92-22-0519
l PH 3 PH PUMP San OieguI10 80·92-23-0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
fEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELEClRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE l $14 .50
I HAVE. CARE.FULLY EXAMl"IED THE COMPLETED APPLICATION ANO PERMIT" ANO 00 HEREBY Expiralton Every perm,t issued by l~e Bu1ld1ng Offlc,ol under the prov,sIons of thl5
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l,m,tat,on ana·oecome null and vo,d 11 the bu,Jdmg or work
DECLARATIONS ARE TPUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS au;horizM by such perm,t ,s nor commenced w1th1n 180 days from rhe date of sue~
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' O"' DEEP ANO DEMOLITION OR CONSTRUCTION OF
ST~nJRES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~~8';;~~n°:.J'!/~~ ~~~:•~He~\ w w :~lhor11.ed by such permit IS suspended or
ST RUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '--:--:::-:-:::-:-=':-"'"":-=:.;:..:=:_:;,::...;c.:;...:....::•~c~o~m=en'.!:c::!e~dc,l~o!..r .:.•~,.,,"od=~0 !..1 .!.!180=d~•=·---i-...... ---------------------~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO APPLICANTS RE OWNER O CONTRACTO~ APPROVED BY £2, DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENC~n~~ GRM, TING OF THIS PERMIT ~__..::::::,,,. -BY PHONE 0 C1~ 1 'J-Lr-Jy
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL I
I
PLUMBING
SEWER AND BL/CO D IPUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
~-~,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECT ION REQ IF INSPECT OR'S DA TE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS