HomeMy WebLinkAbout2716 SOCORRO LN; ; 83-378; Permit'
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ffvf/ I hereby affirm that I am licensed under
jlov11Jon1 of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Profeaalona Code, and my license is In
lull force and effect. l,c No ______ Clm
I hereby att,rm that I am exemo1 lrom lhe COntrac
10n Locense Law lor lhe toltow,ng reason !Sec 70315 Business and Protessrons Code Any city or coun1y wnKn re
quirts a permtt to consttuct. alter. 1rnprove demolish. or repair any structure. pnor to 11s issuance aiso requues !heap-
pltc.ant tor suet! permit to hie a s1Qned starement thal he ,s
llteJ'ISed pursuant to the prOVISIOOS ol the U>ntractor s Locense uw (Chapler 9 convnenong w,1h Seel'°" 7000 ot DMs,on 3 of the Business attd Prolessions COde) or thll 1s ex.· empt lherefrom and !he basis !or the allegeo exemption Any YIOlahon ol Secl<OO 7031.~ Dy an aPl)llcanl tor a pe,m,1 s,,D
ie,c1s lhe apphca;nt to a c1Vtl penalty o, not more lhan 1r1e hun
dred dollars (S500)
J I, as owner o1 lhe property or my emp:oyees with WilgeS
as lheIr sole compensation. Wttl do the work, and !he struc,
ture 1s not intended cw offered fOf sale (Sec 7044 Business
and Protession5, Cooe the ContractOf·s License Law dots
no1 appty lo an owner of property who builds or unpro-1es
thereon and who does such work hamsel1 or through his own employets. provtded lhar such rmprovemenrs are no1 intend~
ed or ollered tor sale 11. howm!r. the bo<ld,ng or '1114>'°"" men! ts S<Md wIth1n one year of compleI1on the owner•builder
will • -.w I._ burMn of PfOYlng !hat he: d1d not bulk! or mi p,o-. .o, 1ne purpose ol sale)
0 I. as owner ot the property, am exclusively contractmg
wtlh l<Oensed COOlrilClors 10 cons1rutl lhe proiect (Sec 704• Bus,nns and Profess10ns Code The Contract0t's L.cense Law does not appty 10 an owner of property who buIkts Of sm•
proves thereon. and who contracts tor eath pro,ects with "
~}acto,(s) license pursuant 10 the Con1tact«'s License
□ As • '""'-""' I am tl!l!)fOVlng my home ind lhe lollOW 1ng condit,ons must I The wcxk IS being ... ~.,,med pr,or 10 sa~ ? I have ti-..ed tn rnv ~:i:ne tor twelve mon1hs ora 10 complebOn of l!iis WOf'k 3 I have not da1med 1,1tS exemphon during the last lhree years
□ I om exempl under Sec ______ • 8 & P C
lo, this ruson
0 I hereby affirm lhat I na .. e a cen,t,cate ol consen1
to selt-in$u,e, o, a cer11f1ca1e of Wort..ers
Compensation Insurance. o, a cen1he<l eopy thereof
(Sec 3800 Labor Code)
POLICY NO
COMPANY ~
~y IS filed Wllh the City
0 Certified copy ,s ne,eoy furnish
CERTIFICATl OF EXEMPTION FROM WORIIERS" COMPENSATION INSURANCE
(This section need not be completed 11 lhe oerm11
,~ !Of one hundred 0011~,s (S 100} Of less)
0 I cert,ty that ,n the pe,,10,~nce ot the ...,or,,. '°' which this perm11 ,s ,ssued. I shall nol employ any
pe,son In ¥iY manne, so as to become sut>teel to the Wor"Kers Compens.at,on Laws of CahlOfn,a
NOTICE TO APPUCANl II alter ma)l.In;, !ntS Cen•
1ica1e of E11emp1+on you should t>ecome sub1ec1 f")
lhe WOf'kers Compenuhon PfO¥•St0ns ol the LabOf
Code you musI fo,th...,ith comol)' w1in such
p,ov,s~s or this permn shall be oeemeo ,e...,~eo
O I heret>y ,1thrm tnat there ,s a cons1,uc1ion
1enc,1ng ~ency t()f' the per1ormance ol the wor11 ro,
wf'HCh lh1s oermll IS •SSue<:I 1Sec 3097 Cr.-, Coo••
Lenoer s Name ___________ _
lenders AOdress __________ _
.
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USE BAU POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST RD NEAREST CROSS ST
i ijE,°~f~9 ~l
BUSINESS LICENSE #
~L~T;;CJ
PERMIT NUMBER
,;}..~/~ S'ocote£o 1'.AA/~-~:r?:>18 LOT 8L0Ct< Is ;~_S3.Nq I ~SSESSOR P~E~¥.2 . CONTRACTOR , CONTRACTORS PHONE • ZONE I
.:2.0 .:, ,~. ~In Ci3.A-fl LU~ /<:.,?C~.-' ~ 44~3"· y~9 OWNER'S NAME I 0WNE R"S PHONE /h,_ (/Jtu . Sc 4 ,f-C L '-
CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLOG USE co~-r. ~~,3 c~~4(--:DIC. !J fl-I B, 0 11\<NE RS MAIL NG ADORES' h,. e:-~. .
OESIGNER ~11:---a LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE 5 ·--..... , t.5~.~ 0ESCR1Pl ION OF WORt< .k.-"t e...
DESIGNER"S ADDRESS 0ESIGNER"S PHONE 8n3 l/8:t I .w1
~J\&OVC. c~)-!frr> ~ a;,.:---'IJ ~.11e /W<r . w A't-L. s . } 0001.1~0· 8'311 [!;"; ·2 6,B6 NO .. -.. '-' -Fl P FLRELEV OCC GP EDU ..
-t-Atovc. IG~,v Lo~ STORIES
vO r,O --
CENSUS T"'RACT I GP LANO USE I PARl(t"G ,PACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y D ND vO NO vO NO Not Val,d Un/~J Machine Certditd
QTY. PLUMBING PERMIT • ISSUE 7,S"o QTY. MECHANICAL PERMIT· ISSUE d,()Q SUMMARY/ACCOUNT NUMBER _,, -I EACH FIXTURE TRAP // .c::r INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 ~-~D
EACH BUILDING SEWER -:-OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
E.ACHWATER HEATER ANO OR VENT BOILER/COMPRESSOR UPT0 3 HP PlAN CHECK 01·00·00·8806 ~
EACH GAS SYSTEM 1 TO 4 OUTLETS 80ILER/C0MPRESS0R 3 15 HP TOTAL PLUMBING 01·00·00·8222 I "'I • ,::: "1
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 ~~--o o
I EACH INSTA~. ALTER, REPAIR WATER PIPE h .r::c. VENT FAN SINGLE 0UCT MECHANICAL 01 ·00·00·8224 . -i:;, DO ----I '/ .t?/J EACH VACUUM BREAKER MECH EXHAUST • H000/0UCTS M0BILEH0ME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER -MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1 .nn.nn.ooo~
TOT .;L MECHANICAL
~ix; STRONG MOTION 80·92-33·0519 ,,,z::;n ....
TOTAL PLUMBING I I 'I ,~(. FIRE SPRINKLERS 01 ·00·00·8227 ,_.
PUBLIC FACILITIES FEE 32·00·00·8933
QTY. ELECTRICAL PERMIT · ISSUE t-r:iJP QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92· 21 ·0519
EXIST BL0,G-EA AMP/SWT 'BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Oieguito 80·92· 23·0519
<o REMODEL ALT ER PER CIRCUIT "'lin ---PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS ,
OVE R 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI . " . . . CREDIT DEPOSIT
TOTAL ELECTRICAL I ~G.--TOTAL SOLAR -...-:'...-.. .... . ' TOTAL F EES PAYABLE /"" .. J4to .~5
I HAVE CAREfULLY.EXAMJNE0 THE COMPLETED "APPLICATION AND PERMlr ANO DO HEREBY Ex~rat1on Every permit ,ssued by the Bu1ldmg Ott1c,a1 undef the pfov1s10,,s ot th,s * AN OSHA PERMIT IS REOUIAEO FOi! EXCAVATIONS OVER
CERTIFY .UNOEI< PENALTY OF PERJURY THAT ALL INFOR~ATION HEREQr, INCLUDING THE Code shall expu·e by 1tm1t1t,on and become null and void If the bu1ld1n9 o, work s· O" DEEP AND OEIIOl.lTION 0A ~STIIUCTION Of ,uthot1zed by such perm,t •$ not commenced w,tturi 180days from the dale of sucn DECLARATIONS ARE lPUE. ANO CORRECT ANO I FURTHER C!:RTIFY AND AGREE IF A PERMIT I1:i permit. or 11 the bu1l
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'2
1
or work ■uthorLZed by such permit 1s suspended or STIIUCT\JAf.S OVER 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ;.LL CITY COUNlY ANO STATE tAWS GOVERNING BUILDING CON abandA-\ed 11.-,,v hm ter the work •s commenced fo, a OfmOd ot 180 dav~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY A1VV1/:'1. }URE lf-OWNER □ CONTRACTOP,: 110VEOBY 1f DATE IIEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO ~~ I ~,pf ,8,<, E>-PENSES WHICH MAY IN ANY WAY'ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH /. ' BY PHONl D ~~ .. /~A_J.{]J GRANTING OF THIS PERMIT • ' •,
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TYPE l D.f)TE INSPECTOR
BUILDING l
~)•~"-'•; ~ 1·---.... ' -.. ' t~----. ' . .. _.. ~ C,. \ g~..-37i' ... ~-. i
FOUNDATION '-.,._ I
. /j FIELD INSPECTION RECORD .
REINFORCED STEEL '--... '1-/S-•1'3 'T
MASONRY I I
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
' REO IF INSPECTORS -/ii-'•••~ A~A_, ~•A-I /4_.~,,,,_ ,,y.,.~~vn;;;, Jt -INSPECTION . CHECKED APPROVAL DATE ,.. -FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHEAR I
FRAME 9-15'-6J. 1rr
A
EXTERIOR LATH I /i'J-.Z-11. rt:.
9-jc.--:.,P:J -f/ ./
SOILS COMPLIANCE
PRIOR TO I FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I " 9-✓,-YJ "' INTERIOR LATH & DRYWALL ! 9-/~ll~ ,, PRESTREssro .
CONCRETE
POST TENSIONED
I J CONCRETE
PLUMBING I ' FIELD WELDING
SEWER AND BUCO □IPUCO ,,
UNDERGROUND ~ WASTE )lWATER ,-,s-:.n 1--f'
TOP OUT □ WASTE □ WAtER
HIGH STRENGTH
BOLTS
SPECIAL MASQNRV "" ,., . .--.... . ... 't: \'\. .. , . . . ..
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
□ WATER HEATER □ SOLAR WATER .. ·-
'
. . ! . .... ' . ' . .
ELECTRICAL /J )j._ ELECTRIC UNDERGROUND □ UFFER 'l-1S-:H TA
ROUGH ELECTRIC f/-/r-S'1 ,-,
. -~ . ..
' .
_. /I:). '. ·-. .;:: ' -at.:.
□ ELECTRIC SERVICE □ TEMPORARY I --;.:~~·~o ·' ~ . . □ BONDING □ POOL . . ..
MECHANICAL " ~ DUCT & PLEM., □ REF. PIPING 9-IS-·YJ --r
'HEAT -AIR COND. SYSTEMS ~ I ..:: ~,I J ) {._ ~.i,,t,f--
VENTILATING SYSTEMS I r . ,. (: ,.-:;i."' I ~ : . r • ~ {1 ll• ::'Ji ~".: '
,,
' \ "5 ~ • \'( .. .., . ,, ,-Dft4;-i ,.. -.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
. . . -. \ , \ . ' ·'-. --.,.. -\-' '.• "t ,. 1-\.:
6.' ' ,. .. -
·----..... -...... ------
FINAL 'i ){" t ~~-:, ' ! .-.. .
' .... ' . ' PLUMBING '-,
~ H--. .. .... ~--.,, ,._ I,
'" ... \ .. "--=' -,t;:~ . ,._. ' .
' . -~ .............. ., ... -~ r:'\ .. r:-.. .... ~ --.__,· ..... _. """'"'~ ...... .. .
... I."·· .... ~ . -. ... -..\ . .. . .\. '
ELECTRICAL "' I . /) ' MECHANICAL ""' ~ 1rV ·1
GAS " 111.IJ~-17 --
BUILDING " ;I'"' • I
SPECIAL CONDITIONS
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