HomeMy WebLinkAbout2503 SOMBROSA PL; ; 84-140; PermitfJ) z 0 ~ ,c
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O I hereby affirm lhal I am licensed under
provlalona of Chapler 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full forca and effect. Lie No ______ Class
I hefelJy al!irm 11\at I am ,xempl lrom !he Conlrat· tor·s License Law lor lhe lollow,ng reason (Sec 7031 5
Business and Professions COde Any c,ty Of county which re-quires a perrml to conslruct. alter. ,mprove demolish, °' reparr any structure. pnor to us issuance also requires !he ai,· pl,cant lor such pemwl to file a s,qned statement 11\at he os
ltcensec:t pursuant to lhe pcCMSIOOs of lhe COntrac1or s Lo<ense Law (Chapter 9 commencing with Sectoon 7000 ol
O.v1s1on 3 of the Business and PfotesSK>ns Code) or that 1s ex· empt therefrom and lhe basis ,,.. lhe atleveO exemptoon Any
v!olatoon of Secloon 7031 5 IJ'f an appl,canl 1..-a permit sub·
iec1s Ille appbcanl 10 a CMI pena•y al nol more 11\an low hun dred dollars (S5001
□ I. as owner ol the property. or my employees with wages
as lheor sole compensatoon will do lhe work. and lhe struc·
ture 1s not intended or ottered for saie (Sec. 70« Busmess
and Professoons Code The Contract..-·s Loc:ense law does not appfy 10 an owner of proper1y who bu1k1s or improves
thereon and who does su h work h1msell or through h,s own employees. provided I such improvements are not ,nlend· ed or ottered ,,.. sale II. . the bu,td,ng ,.. omprove-
ment tS sdd within I comptebon, the owntf'•builder
WIii have lhe bur rOVtng 11\al he dod not buold ,.-Im•
prove~or I pu sale)
□ I. as J)(operty am exclusively contractulg Wllh I ors 10 GOnSlrucl tt1e pro,ecl(Sec 7044.
BuStness Pr ess100s Code The Contractor's Lanse Law OOes apply 10 an owner o1 properly who builds or om• proves !hereon, and who con1rac1s lor each prOiects w1lh a contractor(s) license pursuant to the contractor's ltee.nse law)
D As a homeownef I am """''"""9 my home, and lhe lollow· ing conditions exist:
l The work is being perfo,med prior to sale. 2 I have ~ved in my home lor twelve months pr,or lo canplellon ol lhos -k
3 I hlvt nol clatmed Int$ exemphon dunng lht last three years
D. I am exempt under Sec. ______ • B & P C
kM' this re.ason
0 I hereby afltrm 1/'\at I hat'e a cert1hcale of consent
to selt-msu,e, o, a cer1,t1cate ot Wo,kers
Compensation Insurance. Of a cen1t1ed copy thereot
(Sec 3800. I.JobO< Code)
POLICY NO
COMPANY
Q Copy IS filed With the City
0 Cert1fted copy IS hereby turn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section ~ not be completed 11 lhe perm,1 ,s lo, one hundred do41ars (S 100) o, less)
0 f certify that In the performance ot the w()f'k lor
which 1h15 perm,1 ,s issued. I shall nol employ any
person ,n ~Y ma,nner so as to beeome sub1ec1 10
the WOf1ilers Compensa,11()('1 Laws ot ca111om1a
NOTICE TO APPLtCANT If. afler ma1o.in11h1s Cen,
t,cate of Exemption. you ShOuld be<:Omf! sub1ec1 1'> lhe Wot1ite,s· Compen:sat,on p,ov,s,ons or the Lat>Or Code. you must font1 .. 1th comply w,tti such
ptQ'IIIStOnS 01 1n,s pemu, SNII De deemed re,.,ok~
□ 1 hefll!by Jiftlfm lhal there IS ~ COM:ltUCltOn
1en0,no agency t0t ,,,._ per1ormance ot the wC)f11 to1
wr•uch lh1s permit 1s ,ssueo {Sec 3097 C1v1i Cooe1
Len<Je-f s Name ___________ _
LenOer s Add,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad_.California 92008-1989____@_19)438-5525
JOB A0 0RESS A\/ ST RO NEAREST CROSS ST. 0ATE OF APPLICATION BUSINESS LICENSE • 'VALUATION PERMIT NUMBER
:l65o3 ~~~ A llJA.9~,f:t... l:::e 3· -eL
LOT , BLOCK ~,UBOI\/ISION l ASSESSOR PARCEL NO. ----y CONTRA.CT OR n uJ aJe L. lj;;,;;;A: utAk(;:.. ,4,~6,~ I ,s3~~,P;ONE CONTRACTOR'S A00RESS
;~3A~~ p~ ~int.) DESIGNER
OE~~ ~ ' _ u,,J-~ cJ_g / r. .. er~ spa. a ~f) J",JI
-~ . ~ I-
.... DESIGNER'S ADDRESS
~~~ ···-r~ --F/P F LR EL EV
vO NO
CE NSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT
AREA
YO ND vO NO
QTY. PLUMBING PERMIT · ISSUE 7~1 QTY. MECHANICAL PERMIT· ISSUE
EA CH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU
EACH BUILDING SEWER OVER 100.000 BTU
EA CH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 IS HP
EACH GAS SYSTEM , OR MORE METAL FIREPLACE
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTI.L MECHANICAL
TOT AL PLUMBING ]
QTY. ELECTRICAL PERMIT · ISSUE ~--QTY. SOLAR · ISSUE
NEW CONST EA AMP1SWT BKR COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT'BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL l TOTAL SOLAR
NO
STORIES
TYPE
CONST
3--
I
4--WO
CONTRACTORS PHONE• ZONE '64 -140
LICENSE NO PLAN 1.0 .• BLOG USE CO0E
LICENSE # STAN0AA0 PLAN # B~J~TAGE
DESIGNER'S PHONE
EDU -4/U3/ _ ·-·--. _:. I occ GP OOuJ B46b 4/UJ/ [.4 -LL~. I occ LOA0 FIRE SPR
vO NO I Nor Valid Unlffs ~chint Ctrltli«J
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01·00·00·8220
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01 ·00·00·B806
TOTAL PLUMBING 01·00·00·8222
ELECTRICAL Ol·OO·OO·B223
MECHANICAL 01·00·00·8224
MOBILEHOME 01 ·00·00·B22S
MOBILEHOME PARK INSP
SOLAR Ql ·O!M!Q·8226
STRONG MOTIDN --~-92·33·0519
FIRE SPRINKLERS 01 ·00·00·B227
PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
carlsbad B0-92·21·0519
Encinitas B0·92· 22·0519
San Dieguilo B0-92· 23·0519
San Marcos B0-92· 24·0519
LICENSE TAX 01-00-00-8162
d'lee
CREf>1TDEPOSIT
TOTAL FEES PAYABLE I
J--5d?J
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<3z.~ 4-Z-·.
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO 00 HEREBY E..,._ Ewrypenntt-bytlleBuoldtngOtloc1■tunde<lheprov,soor,solthts * AN 06HA PEAlillT IS IIE0UIAE.D FOfl EXCAVATIONS OVER
CERT FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOING THE Code -"pore by hlNtabOn -be<:ome null -vOtd II the bu•'d'"g or work 5· O" DEEP ANO 0EMOUTl0N OR CONSTRUCTION OF 1 aulhohZed by such permit 11 _not commenced w,ttun 180 days trom the date of sucn DECLARATIONS ARE TFtUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS -mil, or ,I Ille budding or won authorozad by such pe,mot II suspended or STRUCTURES OYER 3 STORIES IN HE!GtiT
ISSUED.·-TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· L.:abal::,::ldot=ied=,:al~an~.::bma=.:•=fter:..tlle!!:::..:w::or=k.::1•:.:c::_:om="-Cad===f~o:..r ~•~r7,-~of!...!ll ""-'.,..L.. __ ...,~""""!""'"""""""------------------'"""'I
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~ .c ~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO e:;T· • 0 APPROVED BY
KEEP HARMLESS HiE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND S~TURE~ OWNE CONTRACT~R ~-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • -✓-~ ,.,,.,, , ""-BY PHiNE 0
GRANTING OF THIS PERMIT ,'1if VVF 'V ~ vr ~ 1:e.~A{H-J
DATE
,
~·
I
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I .
I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME J
SHEATHING D ROOF D SHE;\R
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL !
I
PLUMBING I
I
SEWER AND BL/CO □IPL/CO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W~TER
TUB AND SHOWER PAN I " GAS TEST I Jh~ll'."'1 -f
D WATER HEATER D SOLAR WAtER I I I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D i:,FFER '
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO!itARY
D BONDING D POOL ' I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING ' -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPECT/(f)N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
I
PLUMBING "" I /}
ELECTRICAL "' I '~.A -f/
MECHANICAL ,: -6 /q /rr I
GAS !"-. t)/ -
BUILDING I '
SPECIAL CONDITIONS I
I
I I
,..~ --,, '8'-/-) 1../,0
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTO RS DATE CHECKED APPROVAL --
' -. -SOILS COMPLIANCE ',
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE I
OVER 2000 PSI
PRES TRESSED
CONCRETE -
POST TENSIONED
CONCRETE
-
FIELD WELDING ►'
HIGH STRENGTH
BOLTS I
SPECIAL MASONRY 1; ~ ' ;,
PILES CAISSONS .
I
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PLAN cHEci~ • '"'oREss_d_s;~o __ -3 __ ~-------o~ CE I VE D
PLANNING:
0::: w 3 w
iYPE OF STRUCTURE ___ '-¥~....,,,,..~~-------ZONE: M.L\R 2 R 19R4
CITY OF CARLSBAD
Bulldlng Department SCHOOL FEES: SAN DIEGUITO ENCINITAS --------
CARLSBAD --------SAN MARCOS --------
REQUIRED SETBACKS --1'-------.--
F RON T ---+-+""T--+--.......... -
FENCES/WALLS -----+--+-rr----_.;:,.-S IDE ----t--''rr---"-----
T WO CAR GARAGE -----------R EAR ----------
;: ~ COMMENTS: __________________________ _
~ ~
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0::::::::, □ 0::: O' 0 W u 0:::
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REDEVELOPMENT APPROVAL REQUIRED: /tJ A--------.....a..-------------""""'---
LANDSCAPE PLAN COMMENTS : ____ ___,µ,___ft ______________ _
ENVIRONMENTAL REQUIREQ_: ----~----t------+---------------
ADDITIONAi. COMMENTS: ------------------------
OK TO ISSUE: DATE: ---------
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? oJ( A.P.N. CHECKED?,do)/6
P.F.F. 4/4 PARK IN LIEU ;//4-
j '
R.O.l~: ~ IMPROVEMENTS: ell~
E.D.U: ;)j1
SHIER: ~ /J(jJ ~/( .,ui? ul/>A ~ ~ .sis1..~
LATERAL: C:.X/}] DRIVEWAY: ~IA
GRADING PERMIT: ---"-~....:_.:.__ ____________________ _
DRAINAGE: MAX.E=-S'.U/1...iE )tioL. /<.,,(/A} Orr .,,J:>fi::,4/;y 7irlJ:;;:;:f;J7 _
EASEMENTS: -~-_...__ ________ ADDITIONAL COMMENTS: _______ _ ~ □ -o □ 1-W
_____________________________ c
I u 0::: w-
0::: 0 0::::::::, □ ow uo::
OK TO ISSUE: ~/:c;S~:£?5,Ug:::==:.._J'~#p-· DATE: -1.}._.'LA:....,,+fse-A..----,;;.._. ____ _
* ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC ~!ORKS INSPECTOR: _____________________ _
FINAL OK: DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL M;:.KE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)