HomeMy WebLinkAbout2502 SOMBROSA PL; ; 83-496; PermitIt) z 0 ;:
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0 I hereby affirm that I am licensed under
p,OYlalona of Cllapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license is In
full fo,ce and effect. Loe No ______ Class
I hereby allirm lhal I am txeffll)I trom the Contra<·
tor's License Law tor the fallowing ruson (Ste 7031.5 Bus,ness and Professions Code. Any city or county which re-qutres a perm.t to construct, alter. lfflprove, demolish, or repair any structure, prior to its issuance also requires the ap-
plicant tor such permit to tile a signed statement that he is hcensed pursuant to the provisions of the Contractor's License Law (Chaplor 9 commencing w,th S.Ction 7000 of
1lN1S10r1 3 ot the Business and ProfesS10r1s Code) or that ,sex-empt therefrom and the basis tor the alleged exemption Ally
violation of Section 7031.5 by an applicant tor a permit sub· jecls the applicant to a civil penalty of not more than live hun-
dred dollafs ($500)
□ I, as owner ol lhe property, or my employees with wages
as the;r sate compensat;on, wiff do the work, and the struc-
ture is not intended or ottered tor sale (Sec. 7044, Business and Professions Gode: The COntractor's license Law does
not apply lo an own01 ol property who builds or improws
thereon and who does such work himself o, through his own employees, provided that such improvements are not Intend·
ed or ottered tor sale. II. however, the building or improve-ment is sokj within one year of completion, the owner-buikfer
will have the burden of proving that he did not build or im·
prove tor the purpose 01 sale).
□ I, as °"""' 01 lhe property, am exclusively contracting wtth licensed contractors to construct the project (Soc. 704-4,
Business and Professions Code: The Contractor's License
Law ooes not apply to an °"""' 01 property who builds or Im· proves thereon, and who ccntracts lw uch projec1s with •
contractor(s) ticense pursuant to the Contractor's License Law).
D As•_,,.,, am improving my homo. and the lollow· ing conditions exist: t ['t:"~i!i boi: .:= r.,a :~lemonlhs
prior to completion 01 lllis -k. 3. I have not c:lawnod tt.s exemption during the last three years.
D I amoxeffll)lunder Ste. ______ , 8& P.C. ror this reason _____ _
C 1 hereby affirm that t N~ a cer•hf•cate ol con~t
to sell-insure. or a cert1t1cate of Workers·
Compensatt0n lnsur.ance. Of a cert1t1ed copy thereof
(Sec 31100. Labor Code)
POLICY NO.
COMPANY
□ Copy 1$ Med with lhe city
C Cer11fted CoPy ,s hereby fum1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This sectK>n need not be completed 11 the pe,m,t 1s tor ooe hundred dollars (S ,c.:)) ot ie-ss>
cj I cert,ty that m the perlormance ot the work to,
•h•ch th,s permit 1s issued. I shall not emp10y any
person ,n any mannet" so as 10 beeome subJect to
the Wotkers· Compensatt<>n Laws of California
NOTtCE TO APPUCANT If, aher makln;l lh1S Cer11
t,cate ot E•emphon. you should become sub1t!<:t I? the WMe1s· Compensait10n p,cw1s1ons of the Labor
Code. you must forthwith comply with such
provisions or this perm,t shaJI be deemed revotied
0 I hereby affum tNt there 1s a construc11on
lending ag~cy t()f the performance ot lhe wOf'k lo,
which lhtS pe1m11 1s issued (Sec J097. C1v1I Code)
Lenoe, s Name ___________ _
Lenoers AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUllD!HG DEPARTMENT
1200 Elm_,_ Carlsbad, California 92Q08-1989 (619) 438-552.5
AV. ST.AD. NEARESTCA0888T.
vO NO
REDEVELOPMENT
AREA
y D ND vO NO
QTY.I PLUMBING PERMIT -ISSUE .E:-1 QTY.I MECHANICAL PERMIT· ISSUE
QTY.
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM!> OR MORE
EACH INST Al .. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOT AL PLUMBI NG
ELECTRICAL PERMIT • ISSUE
NEW CONST EA AMP/SWT 1BKR
I PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
REMOOEL.'ALTfR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOODIOUCTS
RELOCATION Of EA FURNACE/HEATER
TOTJ;L MECHANICAL
~-larvl SOLAR • ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
00 TOTAL SOLAR
, HAVE ~~1-···~ COMPLETeD '>'APPltcATION 'ANb Pl!Mli"T" ANO ot>tt~ CEJmFY UNO~t{ .. l"ERJURY TNAT AU INFORMATION HliiREON lNCLUOING THE
DECLARJITIONS AA£ TRUE A CORRECT ANO I FURTHER CERTlf'V ANO AGREE IF A PERMIT 1$
ISSUED: TO COMPLY WITH At.i., CITY. COUlfl'Y AND STATE LAWS GOVEf!NING BUILDING CON-
STRUCTION, WHETHER SPECIAED HEREIN OR N,OT. I ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE CITY DE t.ARlSSAD AGAIN&T AU LIABILITIES. J~NTS. COSTS AND
EXPENSES WHICH MAY IN AHY-WJJ,.Y AOCRU£ AGl'IINST SAID CITY IN CONS£OUEHCE OF THE
GRAKTING Of' THIS. PERMIT
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
TYPE
CONST
3-
PERMIT NUMBER
sM%
BLDG use CODE
STANDARD PLAN#
occ LOAD I FIRE SPR 1,11 ... , .~
vO NO l \No1)'41~tesI Mic~C~dif.i«i
95~J; 155.~
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·8220
SIGN PERMIT 01·00·00·8221
Pt.AN CHECK
TOTAL PLUM
ELECTRICAL 01 ·00·00·8223
MECHANICAL 01·00·00·8224
MOBILEHOME 01 ·00-0Q-8225
MOBILEHOME PARK INSP
SOLAR n,.no.no.o??~
STRONG MOTION 80·92·33·0519 / .7..~
FIRE SPRINKLERS 01 ·00-00·8227
PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
carlsbad 80·92·21-0519
Encinitas 80·92· 22·0519
San D1egutto 80·92· 23·0519
San Marcos 80·92·24·0519 1 I
LICENSE TAX 01-00-00-8162 I I
CREDIT DEPOSIT
TOTAL FEES PAYABLE
* ---...at.~----OVllt s-r·-.MOOIMCJW'ION m~o,
snuc:TUIIES.OIISIJS10RIES1t.NBGNT
DATE Jl,q,82'
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TYPE l DATE INSPECTOR
BUILDING ' I
,. -... . . .. .-...... -.......... \. . g3,4q~ . l I ' "' ., \ :..
FOUNDATION ,..............,
IJ
~
FIELD INSPECTION RECORD ' REINFORCED STEEL 1 .............. 1//-11·1'1 --r
MASONRY I I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS i INSPECTOR'S NOTES
' \1:..· ~~ -REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHf.AR A
FRAME I ~-/-¥3 1'
EXTERIOR LATH \i,. j/ /)
,.
SOILS COMPLIANCE
PRIOR TO 11 rouNDATION INSP ,: ' -t -I
STRUC1 URAL CONCRETE
OVER 2000 PSI
INSULATION ,.
1/..1.-.1-1"3 IT/J I
INTERIOR LATH & DRYWALL I \. /..:J-.ttr-~ -r
I I
PRES TRESSED -l ,. CONCRETE .. -POST TENSIONED I -CONCRETE I .
PLUMBING I •
I FIELD WELDING 0 . i
SEWER AND BUCO DIPUCO I .
UNDERGROUND D WASTE D WATER -= ~ '
TOP OUT D WASTE D ~ATER
TUB AND SHOWER PAN I '
HIGH S1RENGTH r .
h BOLTS t • , '
I ,..;.' J . ,. ,· SPECIAL MASONRY L \ .. ,-
' l \ ~~ ,. . . . V
GAS TEST .
' • I
D WATER HEATER D SOLAR W4,TER '
f • I l -~·-.
PILES CAISSONS -.. 1
. ,
I , . ,, , ·' r 11 .,, . -, . -•
ELECTRICAL I
D ELECTRIC UNDERGROUND o:uFFER JI
ROUGH ELECTRIC I V:J--1-rJ "{/
D ELECTRIC SERVICE D TEMPORARY
\~-\j\..~,
,' ( 1r '. : ,.
' 11 l\ \,~."' W• ,~, r,r-,"'" ., Cl\·" . ~ . .-~ t"·"'":! ----I '
I• ·-::c: C 1 I , ' . " .. I '-
D BONDING D POOL I
I
.... -~ ~-I I --. .. ,' " ' !
MECHANICAL I
D DUCT & PLEM., D REF. PIPING . ---~
-. --~ I' -I ~-I,~ , ' ,f !,f• .
(' \ '. J" L-•~ :,·:i I -.
-• -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I I
I I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPFUATE
ITEMS ABOVE HA VE_JJ~_f.N APf'_R_O_V_E_D_. __ _
FINAL
:;.: ,.t \_ 41'~J:.~.r:. ... • l-:-:,._ }<: .-J.
"<;' L: , ~\.,~"), ..._.__,__ •1,-.:-,:-,... ·-~ ·-. . ... -.. -. •, . ,-...
PLUMBING \ < \ I ,~r· . ; •. . .... . "'' 1-~~ .. ~ -, c:r:--.< VV'_' ~~' 4'-' '-' ,, . .
ELECTRICAL
MECHANICAL
GAS
BUILDING
~ r-:·r :.. ;< \2? ~ .. ,.,' ..... _, -"4 .... ~"tj .~· ·1 --
" ~< ~"".t. \ r I r-,-~ I '
. • ' \'-I ~;, r-"'~ ..--\ J r .. .. .... \ \j;:'. ! \ '-'"' l ..._, "-\._\• ;. ,._ ......
' -
SPECIAL CONDITIONS . -
..... ., ' I .... 'r ,_ ~
ex w 3: w
PLAN CHECK NUMBER />3 -L/ 9t
PLANNING:
SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD --------
BUILDING HEIGHT ~ __..., ---++---+--t-+------
FENCES/WALLS ---+--....,_-v------
T WO CAR GARAGE -----------
ENCINITAS
SAN MARCOS
DATE ~
ZONE: ------
--------
REQUIRED SETBACKS ------
FRONT ----------
SIDE ----------
RE AR ----------
;: ~ COMMENTS: ____________________________ _
w c(
0::: 0
~ □ REDEVELOP~1ENT APPROVAL REQUIRED: s ~ □ --r-r---irr-~~J"'------------
w -
0::: O' 0::::::, □ 8~ LANDSCAPE PLAN COMMENTS: -----------------------
ENVIRONMENT AL REQU IREQ_: .,.E,_~---'---if.,_t_.___ ______________ _
ADDITIONAL COMMENTS: -------------------------
DK ro ISSUE:.e,J?.-DATE: 1\ll~~OK rn FINAL: ___ DATE : ____ _
**********************************************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? A.P.N. CHECKED? ------
r F.F. PARK IN LIEU -------------------------
,Q.l~: IMPROVEMENTS: ________________ _
'\ ________________ E.D.U: _____________ _
SEWER:
LATERAL: DRIVEWAY: -------------------------ex
~ GRADING PERMIT: _________________________ _
-w ~ ~ DRAINAGE: ____________________________ _ ex 0
~ □ -□
' 1-W □ u a::: w-
~5 o , 0 w u 0:::
EASEMENTS: ____________ ADDITIONAL COMMENTS: _______ _
OK TO ISSUE: DA TE: _...1-/.J.../_-----=-/__.9_-_~;:;..,.,,. s ______ _
* ENGINEERING INSPECTION REQUIRED: ___________________ _
PUBLIC ~10RKS INSPECTOR: ______________________ _
FINAL OK: DATE: --------------------------
* IF THI S ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE , ETC.)