HomeMy WebLinkAbout2771 SOUTHAMPTON RD; ; 85-355-109; Permitfl/ z 0 ;:::
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O 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
fut! force and effect. I.Jc No ______ Class
I hereby affirm lhat I am exempt from lhe Contrac·
tor·s License Law for the foOow1ng reason (Sec 7031 5 Business and Professions Code Any city or county wh1eh re-quires a perm,t 10 consuuct. alter. improve. demohsh. or
repair any slruclure. poor to ,ts issuance also requires ?heap·
phcant !Of such permn to hie a signed statement lhat he ,s hcensed pursuant 10 the proviswns of the contractor's
License Law (Chapter 9 commencing w11h Sechon 7000 ol 01v1s1on 3 ol rhe BuStness and Professions COde; or Iha! is ex.-empt lherelrom and the basis !Of the allegeo exemphon Any
v1olahon ol Section 7031.5 by an apphcant tor a perm11 sub·
iects the applicant 10 a c1V1l penally ol nol more than hve hun·
dred dollars I S500)
J I, as owner of rne propeny. or my emplOyees w+Ul wages
as their SOie compensation. will do the work, and the strut·
lure 1s not mlended °' offered foe sale (Sec 7044 Busmess
and Protess,ons Code The Contractor's License Law does
not apply to an owner ol property who butlds or improves thereon and who does such work himself or throogh his own
employees. provided thal such lmprCHements are not mlend·
ed or offered for sa•e. tf. however. the building Of improve· ment 1s sold w1thm one year of complehon. lhe owner-builder
will have lhe burden of proving that he did not bu1td or im-prove for the purpose of sale).
C1 I, as owner ol the property, am exclusively contracting
with licensed contrac!Ofs to construct the pr01ect (Sec 7044 Business and Professions Code The Contractor's License
Law does not apply to an owner ot praperry who builds or 1m-prO'W'es thereon, and who contracts lor each proiects with a
contractor(s) license pursuant to lhe Contractor's Lteense Law).
D As a homeowner I am improving my home. and the follow
mg condthons ex.1st.
1 The work 1s being performed prior to sate. 2. I have hved m my home for twelve monlhs puor to completion 01 lh1s work
3 I have no1 claimed !his exemptJon during the
tast lhree years
D I am exempt under Sec ______ . 6 & P C !or lhis reason ____________ _
D I hereby allum that I have a cert,hcate ol consent to
sell-insure. or a certificate of Workers· Compensat,on In-
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy Is r11ed with the c,ty
D Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit
,s for one hundred dollars ($100) or less)
0 I certify that in the performance of the w0tk for which
!his permit 1s issued. I shall not employ any person in any
manner so as lo become subject to the Workers· Compen•
sation Laws of California.
NOTICE TO APPLICANT: If. after making !his Certificate
of E,cemption. you should become subject to the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby atlirm that there is a consHuct1on lending
agency for the performance of the work for which th,s pee•
mil is issued (5ec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address. ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARA"I
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE" VALUATION PERMIT NUMBER
'>771 ~ ........... .., ...... +--T,...,,._..,,.1, 11 •• -.,..,,.,,/C'l f'--.:,...n 1,.,,,,, 1 a_1;_oi::: ·tn7JJ.ll.1; 9-:J...1 7 J 4-8' 1:,-:.._ l S-.b-=-
LOT BLOCK ] sul!o1v1s,0N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE l o9 09 C. T. 84-14 !1~ 140 a,~~
OWNE A"S NAME I OWNER'S PHONE The Woodward r.nmnanies. Inc. 714 9CiCi-?Qn?
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.D. # BUILDING SO. FOOTAGE
T;im;iv-;irlt Pn;n+o \l..,,n+11v-o 71,1 ai:::i:::_?an? /J_ LJJ>7 OWNER"S MAI' NG ADDRESS Stnn r;inmuc: nv-. rJownf\rt o,.,,,,,-h JJ.i:::t::.11;1;,
DESIGNER DESIGNER'S PHONE 5100 Camn115 DrivP. NP1,omnrt Ro::ir-h. r11 Q?1;1;0
DESCRIPTION OF WORIC Ade Collie 714 532-5467 ~/_1~/8olfib~ 4 f7!f. 1
DESIGNER'S ADDRESS LICENSE NO.
2_ingle Fami 1 y Detached Plan C-1 111 s. 0ranae. 0ranae CA 9?"""
(Garden Homes) F/P F LR ELEV. NO OCC GP EDU
STORIES 1~:-3 vO NO --;:;__ (
CENSUS TRACT I GP LANO USE I p~;_PACE l RES UNITS I P-~R':D~~ ~~TISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA
AREA co?tJ J "'.1.•8 Y($.N0 v □ N ~ V . YQ N[Y Not Valid Unless Machine Certtlied
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE ':3--SUMMARY/ACCOUNT NUMBER
J.3 EACH FIXTURE TRAP ~ .;)_,j'Y.> ---, ~~-~-0 I INSTALL FURN. DUCTS uP TO 100.000 BTU LJ.. ---BUILDING PERMIT 001-810-00-00-8220 /if~-
J EACH BUILDING SEWER l:,.S-0 OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
J EACH WATER HEATER ANO OR VENT -:i..s-o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 :>67.80
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 J;'1L, 75
!:> EACH GAS SYSTEM 5 OR MORE ~/;F 3 .15 J METAL FIREPLACE .3 .-ELECTRICAL 001-810·00-00-8223 ~o-
EACH INSTAl . ALTER. REPAIR WATER PIPE a. VENT FAN SINGLE DUCT /4,) :)._!:-K --MECHANICAL 001-810-00-00-8224 ')~ -
I -'-")... J9. T
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001·810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF OAAIN IINSIOE) I ] ) A •-' "/') _ ~--SOLAR 001·810-00-00-8226
fl,Yl J:;L MECHANICAL ;;_ STRONG MOTION 880-519-92-33 t,,. t.1/l.
TOT AL PLUMBING l 54-.7~ ';).p_ -FIRE SPRINKLERS 001-810-00-00-8227
I QTY. 5"-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 332-810-00-00-8930 I. B'StJ..;i;..,
ELECTRICAL PERMIT -ISSUE
I
I NEW CONST EA AMP SWl BKR l vvr.-'~· -~-COLLECTORS SCHOOL FEE · OISilllCT
j ,
STORAGE TANKS Carlsbad Y I I PH 3 PH
I EXIST BLOG EA AMP1SWT BKR ROCK STORAGE Encinitas
I
I 1 PH 3 PH PUMP San Oieguito
I REMODEL ALTER PEA CIRCUIT PLAN CHECK FEE San~arcos L
I TEMP PO LE 200 AMPS f-"~ -~ -/) : ~. I :2... ?::i:-U, -
I LICENSE TAX I OVER 200 AMPS 001-810-00-00-8162
t TEMP OCCUPANCY (30 OAYSI MFF 880-519-92-57 II'8>CJ-
' I CREDIT DEPOSIT
I TOTAL ELECTRICAL I 36>.-C TOTAL SOLAR I Lt., I 7'1. 3 :i. I TOTAL FEES PAYABLE
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" ANO DO HEREBY Expiration Every permit issued by the Budding Oft1c1al under the prov1s1ons of this * AN OSHA PENil:T 1$ REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PE'IAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m,1ahon and become null and vmd Ir the building or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such permit ts not commenced w1thm 180 days from the date 1Jf such STRUCT\JRES OVER 3 STORIES IN HEIGHT
I ;SSUEO TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON-~~~~~n~ 1!1 t~~y ~r~~·~He~~h:~!r:~ti~~:'e~leJ~6~ r~~'~,s~:bct"a~~ or
I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A~?G7~
OWNER □ CONTRACTOR 0 APPROVED BY
_ ~ \. _ ~ \l. --I
0q " ~) 3 S-.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND \ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE(t;L I GRANTING OF THIS PERMIT ~ 0. I
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,. ' ...... . -TYPE I DATE INSPECTOR
' BUILDING .... ~S'-~5"6--10', I ~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REO IF INSPECTORS ' ' INSJ'ECTION DATE ' . -GUNITE OR GROUT I CHECKED APPROVAL . '
SUB FRAME □ FLOOR □ CEIL!ING SOILS COMPLIANCE
SHEATHING □ ROOF D SHEAR PRIOR TO .;. . ·-~
FRAME ' FOUNDATION INSP
I .-. ----·i '--STRUCTURAL CONCRETE . ~ .. ,-l • , .• I --EXTERIOR LA TH I , , . . ~ -OVER 2000 PSI C
INSULATION I PRES TRESSED
I CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I \ FIELD WELDIN<;,
□ SEWER AND BUCO □ P(../CO HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS ; ~ .... _.,,
'
TOP OUT D WASTE D WATER SPECIAL lvlASC:>NRY ":;l \~·, . ---I ' TUB AND SHOWER PAN I ! .. ---' --GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER -.• -I -'"··· --I -.--ELECTRICAL I . . . ' ---.. -. ,,. __ .........
D ELECTRIC UNDERGROUND Q UFE=ER --~ . -. ,. . . \ ,., ' ROUGH ELECTRIC I -. .. -I . . . -
D ELECTRIC SERVICE D TEMP(!)RA"RY ·~ ... ··.· 1 •• ~: ··<. _. -• .. -.
D BONDING D POOL I .
I . . ~ ' , ' ) ,, . _,. MECHANICAL I :"\. -., h "
D DUCT & PLEM., D REF. PIP~NG
HEAT -AIR COND. SYSTEMS I . -•· .
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECJ!ION WHEN ALL APPROPRIATE
ITEMS ABOVE HA '¥E BEEN APPROVED.
FINAL I .
PLUMBING I
.J. l "
\\ -; "' I "
ELECTRICAL I ~ \ i, l) '
MECHANICAL ·~ r7 I ' ., ----~ ... ~ I lA ,.. _../Y GAS I j . '
' q · \ /Jr ..... .. •·. BUILDING I -.,
SPECIAL CONDITIONS I '-,,
I
I
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: · __ ....:l:..:' •:.::i..::..:· l..:.:Ult=;\:..:l,:...' ·....:' _~_-;v;::....:::..I ,;..;_"'..::j,'_....::.,:..;··c....··' --'-J _;;,1-___.;::l;..;-~;._ ______________ _
2775 ,2773,2771,2 769 Southampton ADDRESS: _____ ___:_ ______________________ --,,.4f\.-H-t,,<-,R-1~
r. \'\{ . ".
_ _.....u·•·.._..· _ _.....-4ll;,l
1/')l'--~~......,_T..:.;:\Ec..,.S-=--
\NTENANCE. ~
PROJECT NO.:
TYPE OF UNIT:
_______ UNIT NUMBER: _______ PHASE NO.:
:?.2 ,.; NUMBER OF UNITS:
CONTACT PERSON:
CONTACT TELEPHONE:
INSPECTED <--cJLfll DATE ¢-A;,-Yt APPROVED _Q_NSAPPROVED BY: INSPECTED: I j
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ____________ · _· _·_·~_-_··_~-__ -_.....,.._-___ -_· ___________ _
.? ' .,(L~2··
Rev. 1/88 WHITE: Suspense GREEN: Engineering C GOLD: Fire