HomeMy WebLinkAbout2714 SOCORRO LN; ; 81-171; Permit"-
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0 I hereby affirm that I am llcansed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect. Lie No _______ Class _____ _
I hefeby 1tf1rm that I am exempt from the Con-
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county which requires a permit to construct
alte,, improve. demoltsh. or repair any structure. pnor to its ,ssu.nce also requires the applicant for
such permit to file a signed statement that he 1s
hcensed pursuant to the PfOVtSM>f'\S ot the Con-tracto,·s License Law (Chapter 9 commencing with
SecttOn 1000 of Otv1s1on 3 of the Business and Pro-
fessions Code) or that Is exempt therefrom and the
basts fOf the alleged exempt,on_ Any YK>latk>n of
Sect10n 7031.5 by an applicant tor a perm,t subjects
tne ac:,plicant to a civil penalty of not more than hve
hundred dollars (S50()).
g -W 1, as owner of the prc,perty, or my employees 5 Q h wages as their sole compensahon, will do the ■ WOfk.. and the structure Is not intended or offered tor ii: sale !Sec. ,-, Business and ProfessiOlls Code: w The Contractor's Ucense Law c:Joes not apply 10 an Z owOM of property who builds Of imprO¥eS thereon ~ and who does such wOf'k himself or through his own O empk,yees, prOYided that such ,mproveme.its are
not mtende-1 or offered for sale. ff, however. the
bu1ld1ng or 1mprovemen1 1s sold w1ttun one yeat of completion, the owner--butlder well have the burden
of prOY1ng that he did not build or 1mproYe tor the purpose of sale).
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□ I. as owner ot the property, .-n exclusively contrachni with licensed contr~tors to construct
the proteet (Sec 7°". Business ~ Professt0ns
Code: The Contractor's License Law does not apply
to an owner of property who builds or 1mptOYeS ~~~.~~ =n~"~!~ ~~~t!'~~;.;;:.:
License Law).
O tam exempt under Sec ____ , 8. & P.C.
torth1s reason ___________ _
0 I hereby affirm that t ha.-e a certificate of consent to self-insure. or a cert1t1cate ot wooers·
Compensatt<>n Insurance. or a cet11hed copy thereof
(Sec 3800, Labor Code)
POLICY NO·--
COMPANY
□ Copy IS hied With the Ctly
D Cert1hed cQpy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORI\ERS' COMPENSATION INSURANCE (This section need not be compteted 1t the perm,t
Is t01 one hundred dollars (S 100} or less)
l 1-• I cert1ty that 1n the performance ot the work tor
O which ttus permit 1s issued. I shall not employ a,ny 3 pet'son ,n any manner so as 10 beeome subject to
the Wort(ers· Compensauon Laws of ca11torn1a
tl
NOTICE TO APPLICANT 11, alter malun~ th,s Cer1•-
ticate ot Exemption, you shouk2 become sut)Jec1 ,.,
the Workers· Compensation provisions of the Labor
Code. you must forthwith comply with such prov1s10ns or this perm11 shall be deemed revoked
O I hereby att,rm that !here Is a construclton
1end1no agency tQf tl'\e perlormance ot lhe w0f1t tor
which ttus permit ,s issued !Sec 3097. C1v1I CoOe)
Lenaer·s Name ___________ _
Lenders .AOdress __________ _
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 (714) 438-5525
JOB ADDRESS AV. ST.I DATE OF APPLICATION I BUSINESS LICENSE ,t a ATION PERMIT NUMBER
.:l 7 J# ~I/CC tJ f'/A
AO. oo /4,,,/~ /2.,,,,.1 < _,,~~ /JJ. ';i'.JAp9,P' 5-~b-'ill / 8(-/7/ OWNEA'S4'AME OWNER'S PHONE PRIME CONTAACTOA CONTRAC7NE # ZONE
J"JA~//f/ Al, ,,,,,,,...11,. ~ t-1JP-J.J1A1 ,,,,,, ,n~ ,; '/ /. -
OWNER'S MAILING ADDRESS . . CONTAACTOA"S AOOAESS L7NO. PLAN 1.0. # BLDG USE CODE
~ ,/~ ."Sdc~~ -,,. • ~-~ ~Jl'L,t; A'AA /A. q ... -J2. Rl-11/
LOT I 'i!LOCK I SUBDIVISION I ASSESSOR PARCEL NO:J./~· ►'-'"'2 DESIGNER /STATE LICENSE ,; STANOARO PLAN# BUILD<~G SQ. FOOTAGE
--S -II / ..-4oor#
OESC~0~;°/2/_r ,;,,' ~o41 DESIGNER'S ADDRESS ✓ DESIGNER'S PHONE .
~ -------------F/P FLA ELEV. NO OCCGP EDU
STORIES '2-3 5/26/8122~4 39~00 vO ~ --ooh 12?3it · s'i261 E!'I 3_9.00 CENS~ TRACT I GP LAND usE I PAR111N: s~~ RES UNITS l GRADING f'.EAMIT ISSUED I REDE~ELOPMENT TYPE OCC LOAD FIRE SPA
AREA l'\/:slJ .c::[0 vO N~
00Uliac~4 04 !J/'J~,/,
I I YO N'lil::! vO N\1 Nof Valid Un.rs Machine ~rrifi«J
, .
QTY. PLUMBING PERMIT · ISSUE / QTY. ME~NICAL PERMIT -ISSUE SUMMARYMCCOUNTNUMBER
6ACH FIXTURE TRAP / . I INSTALL FURN. 'D4.I..CTS UP TO 100,000 BTU BUILDING PERMIT ~~.F>O
EACH BbwJ)ING SEWER / ~VER 1q,it.'ooo BTU SIGN PERMIT .
EACH'Y/ATE~ATER AND/DR vj'NT
.
BOILER/COMPRESSOR UP~HP PLAN CHECK ',Tz::;pt; -oA a:::;,A,8 I
EACH GAS SYST~TD 4 ouuhs 801 LER /COMPRESSOR 3-1f{H1',_ TOTAL PLUMBING .
EACH GAS SYSTEM!, o"lNt.o f}{ METAL FIREPLACE / " ELECTRICAL
EACH INSTA~ .. ALTER, REP~ER PIPE VENT FAN SlNGLEflUCT ' MECHANICAL
EACH VACUUM BREAK~ .......... MECH EXHAUSY-, HOOD/DUCTS ............__ MOBILEHOME
WATER SDFTNER / ) RELOCATIOJ('oF EA FURNACE/HEATER MOBILEHOME PARK INSP ' EACH ROOF DRAIN (J,l(SIDE) . / SOLAR
/ JOT.l.L MECHANICAL STRONG MOTION • r;;n
TOTAL'fiLUMBING I FIRE SPRINKLERS
~~~CAL PERMl~/s'suE ~OLAR -ISSY'
PUBLIC FACILITIES FEE I
QTY. QTY. BRIDGE FEE
NEW CONST E~P/SWTIBKI( COLLECTORS'-. SCHOOL FEE · DISTRICT
I PH "" /3 PH STORAGE TANKS " Carlsbad
EXIST BLOG EA AMP~KR ROCK STORAGE
..
Encinitas
1 PH I °'S{H PUMP San D1egu1to
REMODEL/ALTER P¢t CIRCUIT"-._ PLAN CHECK FEE "' San Marcos
TEMP POLE 200 A,if,s "" J ~-
OVER 200 AMPS / ' TEMP OCCUPANIN (30 DAYSI ........
I --I
.
TOfAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I "3?,oo
I HAVE CAREFULLY EXAMINED THE COMPLETED •· APPllCA TION AND PERMIT" AND DO HEREBY Exporabon. Ewwy permit .-ied by the Building Off1c1el un-lhe prov1S1on1 o(th11 * AN OSHA PERMIT IS AEOUIRED FOA EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON lNCLUDtNG THE Code lhall expire by Hmitation and become null and void II the bu1ld1ng or work 5' O" DEEP ANO DEMOUTlOH OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonZed by such parmll la not commenced willlin 180 days from the dateot such STIIUCTUAES OYEA 3 STORIES lN HEIGHT -mil or If Iha ~ wort< authorized by ouch permll ,a suapended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON---at --Iha work ,a commenced for a oanod of 1Ali d•~•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~ ·-···---L OWNE~ CONTRACTOR 0 J;~:~ DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~ICA ~.£~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 15 ... Zfg-8I GRANTING OF THIS PERMIT. , ~ , _ BY PHONE 0 .
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INSPECTION TYPE DATE INSPECTOR ~ . BUILDING 8,/..,/7/
FIELD INSPECTION RECORD
FOUNDATION '
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . .
MASONRY INSPECTION REQ IF INSPECTOR'S DATE ' ,:--;,
CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP l
SH EAT.ti ING I STRUCTURAL CONCRETE
FRAME OVER 2000 PSI \
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE ' PLUMBING ' FIELD WELDING .
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS -C
PLUMBING TOP OUT SPECIAL MASONRY ~ ~ ~· --
TUB AND ~HOWER PAN
GAS TEST PILES CAISSONS .
ELECTRICAL I
TEMPORARY POWER . I
ELECTRIC UNDERGROUND -' --.
ROUGH ELECTRIC ,, I":, f .: -.,--1 . ~ \ '.
ELECTRIC SERVICE :--.. •:-._ ::.....-... ,_-l_< J
BONDING ' ' .. ' '
G. F. I. -SMOKE DETECTOR ' .• ·, n ~
MECHANICAL r . 1.' ..... .
r '. r ;__,. ..
DUCT & PLEM., REF. PIPING t ._, [ . .. -
HEAT_::: AIR COND. -SOLAR SYSTEMS -1. " ·~
-
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ., -,..-
ITEMS ABOVE HA VE BEEN APPROVED. ... 7--
' -
JOB SITE FINAL -"' ' I ,
PLUMBING
,
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ELECTRICAL I I ' MECHANICAL C#/ I / . ~ ..
GAS 111 I ,/ / _ I , "Wi I• al r I ' BUILDING I Ill (I .,vr-... -L'
SPECIAL CONDITIONS I ,
CERT OF OCCUPANCY ISSUED
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT -ii:CEIVED
BUILDING ADDRESS: MAY o 8 1981
CITY OF CARLSBAD
eulldlng Department
PLANNING DEPARTMENT
7.0NE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED I UNITS PROVIDED
PARKING SPACE_S_R_E_Q_U_I_R_E_D➔~~~r~========~ _____ PROVI_D_E_D====~==lg================
% COVERAGE ALLOWED PROVIDED Ll-
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED .J/--
p RO VI DE D--+-+-+--~-(/) IL
INTRUSIONS ______ tf[~ I--
LANDSCAPE & IRRIGATION PLAN COMMENTS: ~/P( -'--fl......_ _____ _
ENVIRONMENTAL PROTECTION REQ: _V*Y.~tM~➔f_f..._ ______________ _
OK TO FINAL DATE -----------------
ENGINEERING DEPARTMENT.).
R.O.W. ______ INDUSTRIAL WASTE
.1 ocf'O,
IMPROVEMENTS ---------------
SEWER CONNECTION DRIVEWAY LOCATIONS ---------------------
GRADING PERMIT EASEMENTS DRAINAGE ---------------------
LEGAL DESCRIPTION
ADDITIONAL COMMEN_T_1'1' __ <✓-.,J.&.-":l...v'.--.-.?,---n-f--4-~---.-~-----------------
OK TO ISSUE: .;t«1C DATE i5/B{i!1l PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ----------------FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ___ -,-____ DATE _______ _
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