HomeMy WebLinkAbout2709 SOCORRO LN; ; 81-228; PermitCl) z
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0 I hereby attlrm that I am licensed under
provision, of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license Is In
full force and effect. LIC No _____ Cius ____ _
I hereby ott,rm lhal I am exempl from the Con-
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county whteh requires a permit to construct
ajter. improve, demolish. O< repatr any structure. pno, to 1ts issuance also requtres the appfteant tor
such pemut to hie a signed statement that he 1s
hcensed pursuant to the pr0¥1s10ns of the eon..
tracto,·s UC:ense Uw (Chapter 9 commencing with
Section 7000 of Otv1sK>'1 3 of the Business and Pre>
tess1011s Code! or thal IS exempt 1t1e<11trom ond the
basis tor the alleged exemptK>n. Any vK>lation of
SectlOO 7031 5 by on oppllcanl tor a penn,1 sul>feel• tne apphcant to a c1v1t penalty ot not more than five
hundred dollan (S500).
0 I. as owne< ol !he property, or my emp!Oyees
•ilh wages as their sote compensatton, will do the w<M'k, and the structure ,s not intended or offered tor
sale (Sec 7044, Business and Profe:ssK>ns Code The Contractor's Lteense Uw does not appfy to an owner of property who builds or 1mproyres thereon
ond who does such worlt h1msell or lhrough hlS own employees. provtded that such ,mproyeme;its are
no1 mlende'l °' ollered lo, sale 11, -· the bu1kS1ng or 1mp,o¥e1'nent 1s sold w1th•n one year of completion. the owner-builder will have the butden
ot Pf0\'11lQ that he did not build or improve tor the
putl)OSe ol s.ale).
□ I, as owne, of lhe propef1y, am 8)1Clus1'tttly
contracts~ with hc,ensed contractors to COMlruct
the p,o,eet (Sec 70<-4. Bus,ness ond Proless,ons Code The Contractor's License Law does not apply
to an owner of property wno bu1k1s or ,mprOYe:S ~~~-~ r~c:~~~ -:::~~c!:~~::-: License LJw).
0 I om exempt under Sec ___ .8 &PC
loro·us reason ___________ _
□ I hereby affirm that I ha,e a certificate or consent
to sell-insure, or a cert1f,eate o~ortters' Compensat.on Insurance. or a cert1hed capy thereof
(Sec 3800. labor Code)
z POLICYNO ~ g COMPANY ~ ~ r--.y IS hied with the t z ~ • ~ 0 Cert1f1ed copy 1s hereby furnished
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CERTIFICA Tl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This seclton need not be completed 1f the pe,rm1t
1s to, one hundreo ~lars (S100) or tess)
0 I certify that in the performance ot the wont tor
•h1ch this penn1t IS issued, I sh.all not employ any
person in any manner so as to become subJect to
the Wonce<s· Compensahon Laws of Calltorma
NOTICE TO APPLICANT II. alte, malun~ th,s Cert,
hcate of Eicemphon. you should become sut>tect I? the Workers· Compensation pro'l1s10ns of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked
0 I hefeby affirm lhat there 1s a constructKM'I
lending a,gency IQf the pertounance ol tne wont fOf which U'IIS perm,, IS ,ssuecl (Sec 3097, C1v1I Code)
Lenders Name ___________ _
LenOer sAddress __________ _
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, Callfomla 92008 (71<4) <438-5525
JOB ADDRESS i/4_~7,,,... -A~~.Tr~:~L~C;7N
1
BUSINESS LICENSE • VALUATION PERMIT NUMBER
~7d1 o<1.l s-·o (ot 873 !!-;)_~% O~AME F. r~~~~,,11 OWNE R"S rHONE PRIME ?:!..RACTOR . ~ COHTRACTOR~E • ZONE
,, -./~-"~I-,,_,,,,.,., -/ .... /J_ 727/,6'0
OWNER'S MAX::S: ,; CONTRACP":"S AOORESS -LICENSE,-.0 PLAN I.D. # BLOG USE CODE
fbJI,.. -~, "4...ar JJ.~ ~ ~ c;s;~3330
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGttER ~N~ STATE LICENSE a, STANDARD PLAN # BUILDING SO. FOOTAGE
37.Sr/I OESCRll'TION Of WOflK
DESIGNElll"S ADOIIESS DESIGNER'S PHONE
~""¥"'-375,j -.
F/P FLR ELEV. NO OCC GP EDU STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR 6/2, /813!JI I au; c;o AREA CONST
YO ND vO NO vO NO O, Alcil-.ta-«t lln1es'lflfbin(~,r1,1tt1 F1 I.• I"
QTY. PLUMBING PERMIT -ISSUE 'iiS'l ;)QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
/
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT /4,..,,,/, 0 I', 1
EACH BUILDING SEWER -OVER 100,000 BTU SIGN PERMIT -
EACH WATER HEATER ANO /OR VENT VJ( BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ,(J/f. Yo.tu-
EACH GAS SYSTEM I TO 4 OUTLETS 1, . .(°'{, BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBiUJ 1, -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL I ---7 -
EACH INSTAI, .• ALTER, REPA)R WATER PIPE VENT FAN SINGLE DUCT MECHANICAL ,
EACH VACUUM BREAKER 'Z/.S't MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN (INSIDE) /. <,, .tJ-(, SOLAR
'/'J £-. TOT!.L MECHANICAL STRONG MOTION V
TOTAL PLUMBING I -._....... FIRE SPRINKLERS _;,
7' PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE .z;-_,,/ QTY. SOLAR -ISSUE BRIDGE FEE -NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas
I PH 3 PH PUMP San DIegu110
RE MOOE UAL TE R PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
>
TOTAL ELECTRICAL --r--7,tv TOTAL SOLAR TOTAL FEES PAYABLE I Kl/ 9"0
I HAVE CAREFUU Y EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'" AND 00 HEFl£8V EJtpilaaon. &a,y,--....... t,ylllelluildln9°"1ctef Ull(Mr lM pro,,11t0Moft1,11 * AN OSHA PSWIT IS AEOUlflED FOfl EXCAVAllONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE C-..,....,.. 11¥--.., --null -v01d If IM bu1ld,n9 or worlt I s· O" DEEP AND DEM0UTlON OR CONSTIIUCTJON OF
DEClARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ......_...,,,....,.,...ii nol-With,n 180daya from the date of such STRUCTUflES OVER l STORIES IN HEIGHT ...... -II ... =:I.°'_.. aulllorii:ed.,,, IUCh permit .. auapended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· --• 1111 •-.. -• --iced for a_,,,,, of !Ail"-• STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. ) ALSO AGREE TO SAVE INDEMNIFY AND ~ OWNER □ CONTRACTOR llif APPROVEO~ • DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO -•
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH£ ~ -BY PHONE 0 I ( -LL-¥ I GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR
' BUILDING FIELD INSPECTION RECORD
FOUNDATION -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL
MASONRY INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING 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 -
PLUMBING TOP OUT SPECIAL MASONRY
I TUB AND ~HOWER PAN
GAS TEST PILES CAISSONS . I
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND ' -
· ROUGH ELECTRIC
ELECTRIC SERVICE -
BONDING
G. F. I. -SMOKE DETECTOR r I • I
-. -
MECHANICAL ~ ,. ,, ' ,_
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE '
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL / C ,
PLUMBING I ) /
ELECTRICAL ' . f /
MECHANICAL 1-"I I I Al /
GAS II ~ :~' V / '·
V ~ V '/
,____
BUILDING
SPECIAL CONDITIONS / \..
CERT OF OCCUPANCY ISSUED
BUILDING DEPARTMENT DATE:
BUILDING ADDRESS:
\LANNING DEPARTMENT
JUN 111981
CITY OF CARLSBAD
euHdlng Dep,utment
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
----------
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE:
ENGINEERING DEPARTMENT
-----------
REAR SETBACK:
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION DRIVEWAY LOCATIONS ---------------------
GRADING PERMIT ---~---EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION w,t-3'I CI z:2-4
ADDITIONAL COMMENTS~~ ra~ F
OK TO ISSUE:J).{J?-: DATE ~-J/~'f#/ 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 ________ _
1200 t LM A VENUE
CARLSBf.D, CALIFORNIA 92008
TEl.f PHONE,
(/14) 729-1181
This document will certify tha_t I am awa.re of the provisions of the
California Administrative Code, Title 24, Section 'l'20-l406{c),
"Swimming Pool Heating", as shown on form DPL i12.97. I understand
that neither a swi1mning pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swinuning pool located at ;2..:?o9 ~GfTV 4:i,e.
(site address) I certify that all of the following requirements for
fossil-fueled {or electric) swimming pool heaters will.. be met:
1. Outdoor pools shall be equipped with a poo!_ cover.
2. ON--OFF sw5.tch on outside of heater to allm-, shutdown without
adjusting tlwrrnastat ilnd start-up without relighting pilot J.ight.
3. 36" minimur:i length of plumbing provided between filter and
heater to allow future solar installation.
4. After January l, 1982, new heaters installed must have 75%
thermal efficiency.
5. '.l'ime clocks installed to allow pump operation during off-peak
demand periods {unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Owners Signature:
Print Contractors Name:
Contractors Signature:
Address:
Date:
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