HomeMy WebLinkAbout2706 SOCORRO LN; ; 81-283; PermitUI z 0 ~ cc C ~ () "' a
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O I llereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHslons Code, and my license Is In
full force and effect. lJc No ___ _ Class ____ .J..
I heteby affirm that I am exempt from the Con·
~~~·~=~~,=~~ ~.~ county which requires a penn11 to construct
alter. ,mptOYe, ~1sh, Of repair any struclure, pno, to ,ts ,ssu.ance also requites the appheant tor such penn1t to file I SJOned statement that he ,s lteensed pursuant to lhe PfoYtStC)Os of the Con-
trac:10,·s l.Jcense Law (Chapter 9 commenc,ng wolh Sectoon 7000 of O,vostor1 3 ol the Busoness and Pro-fastor1S Code) o, that •• exempt thefelrom and the
bas•s for the alleged exemphon Any vK>latK)f"I of
Sectoon 7031 5 by an apphcanl fo, a permit subjects IC tne apphcant to a c1vtl penalty of not more ,,,.,, five
"' ~u dollvs (S500) 9 I, as owner ol the property, or my employees 3 1 wages as their sote compensatt00. will do the ■ , and U,e structure 1s not mtended Of offeted for ii sale (Sec 704-4. Business and ProfesslOtls Code w The Contracto,'s L1c&nse Law does not apply to an Z owner of property who bu1tds or 1mpf()'leS thereon ~ and who does such WOtk himself or througt: his own O empk)yees, proYtded that such improvements are
not 1ntencw.J or offered for safe If. however. the
budding or improvement 1.s sold within one year of compfet,on, lhe OW--OUlldet WIii have the burden
of pmv,ng In.It he did not bu1td or improve tor the
purpose ol sale).
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□ I, as O'#nef ot the property, am exclusrvety contractine with hcensed contf'actOfS to construct
the p,o,ect (Sec 7044, Business and Professions
Code The Contr~tor·s License Law does not apply
to Mi owner of p,openy who bu1tds or ,mprOYeS ~=·~ =oc:~r:!~ ~n:~~;.:;:.: lteense Law}
0 I am exempt under Sec
to, th,s re~ __
___ ,8 &PC
0 I hereby athrm ll'\al I ha-le a cet11fteale of consent
10 self-insure. or a cert1f1cate ot Workers·
Compensatt0n Insurance, or a cen,fted CoPy thereof
(Sec 3800. l.aOOt Cooe)
POLICY NO
COMPANY
□ Copy IS hied Wllh the Ctly
□ Ce,t1hed copy IS hereby lurn1she0
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This secttOn need not be completed 11 the permn
1s tOf one hundred dollars (S 100) or less)
0 I certify that ,n the performance ot lhe woo to,
wtuch trus pem,11 ,s ,ssued, I shall not employ any
person in any manner so as to become subteet to
the Wortters· Compensahon Uws of Ca.11tom1a
NOTICE TO APPLICANT II. alter"'""'"~ lhos Ce,t, hate of Exempt'°" you should become subjecl I?
the WMers· Compensation prov,sK>Os ot the Labo< Code. you must tonhw1th compty with such
PfOVIStQnS OI this pemut shall be deemed reYOkeo
D I hereby affirm lhat there 1s a cons1ruc1ton
lendino a,gency 10, the perlormance ol the wM '°' whteh this permit ,s issued (Sec 3097, C1._t1 Code)
lef'ldet'SN¥ne ___________ _
Lende:r s Address __________ _
ONLY & PRESS HARD APPLICANJ "'\) FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSB"'-J BUILDING DEPARTMENT APPLICATION & PERMIT -.;;.;.
1200 Elm, Carlsbad, Callfornla 92008 (714) '438-5525
JOBAD0P,5~
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A\/. ST. DATE F APPLICATION Ln. _CMIJ:....DACJ RD. 7 '/J (r.
owr:;i:t;. I S 1<, W,; ,J...5 M3F~~ois-lYIMECO;;a/;,,/? ~/d'R"
0W"E R'S MAILING ADDRESS
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~.$-3/ ~ONTRACTOR'S ADDRESS/
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0ESCRIPTI
DESIGNER
()\I\ 0~ .:s ,.. 0ESIGNER.SAD0RESS
CENSUS TRACT GP LAND USE PARKING SPACE
QTY.
/
PLUMBING PERMIT · ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
I LI ---/
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL. ALTER. REPAIR WATER PIPE
fACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING r-
'QTY. ELECTRICAL PERMIT· ISSUE
/ NEW CONST EA AMP,SWT /BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
I PH 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL -1
RES UNITS I
:z~I
·-
GRADING f'.ERMIT ISSUED
YO ND
F/P FLA ELE\/.
YO NO
REDEVELOPMENT
AREA
YO NO
QTY. MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS UP TD 100.000 BTU
. ./7J I OVER 100,000 BTU
~ . .> -I I 801 LEA/COMPRESSOR UP TO 3 HP
. .A'JI I BOILER/COMPRESSOR 3-15 HP
Y· !> ~ I METAL FIREPLACE
-,/;,• VENT FAN SINGLE DUCT I --I I MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
~A TOTJ;L MECHANICAL
vr'
.A QTY. I SOLAR· ISSUE
~""' COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
11/1 TOTAL SOLAR
---m,-
STORI ES
TYPE
CONST
BUSINESS LICENSE #
CONTRACTORS PHONE•
LICENSE NO.
STATE LICENSE ,r
DESIGNER'S PHONE
0CC GP EDU
0CC LOAD FIRE SPR
YO NO
VALUATION~ PERMIT NUMBER
' ,,~ llj~ ;iBj ZONE
BLDG USE CODE
STANDARD PLAN# BUILDING SQ. FOOTAGE
7/2 1/8154&1.1
00015469 7 Ir.." 8 I td~
Not Valid Un/t!$s Ahchin~ <Artifi«I
SUMMARY/ACCOUNT NUMBER Co
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Enc1mlas
San D1egu1to
San Marcos
TOTAL FEES PAYABLE
2 3 ~ l1h,.
L~EZ .,~:, /_s---
7~---
_51'
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EBY E"l)lratoon E.-y perflllt -by the Buijdlng Off,c,11 under the p,o,,;.,on, of th,s I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMJr" AND DO HER Code 1hall e•ptre by hrMet1on and become null and void If the bu1ld,ng or work * AN OSHA PERMIT IS REQUlflED FOR EXCAVATIONS OYER
5' O" DEEP ANO OEMOUTION OR CONSTRUCTlOH OF
STAUCT\JAES OVER 3 STORIES 1H HEIGHT CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit la not commenced within 180 deya from the date of auch
DECLARATIONS ARE'lRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS -m•~ 0< if the buUding or work aulhot,zed by such pe,m,t 11 -<led or
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON---at en 11-after the work 11 commenced for nod of 1 ,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA CONTRACTOR O APPROVED BY DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY (N CONSEQUENCE OF THE BY PHONE D ~ ~ .} I ·--9L_
GRANTING OF THIS PERMIT _._ _ _._ ----____ / ~~ ~ 7-✓~ -0 ..
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INSPECTION TYPE ···-· -....... DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN ' ~
GAS TEST ~f}-1.,1/ ✓
ELECTRICAL
TEMPORARY POWER ,,
ELECTRIC UNDERGROUND fJ-~-YI t.l'
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS -
CALL FOR FINAL INSPECTION WHEf-! f~L APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING '\.
ELECTRICAL ' .-I .
MECHANICAL ' lj/j_ l"1
GAS '\. f,/"rr -,
BUILDING '\. . ~
SPECIAL CONDITIONS
CERT OF orv;UPANCY ISSUED
I
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-
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES •.
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS -
SPECIAL MASONRY .
PILES CAISSONS
-
-.
·--,-,_ . -
~ -
-
-
-
-.
-
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT ~~~EIVED
BUILDING ADDRESS: d~b .IUL l 3 1981
Cln' OF CARLaJ.~b
Bulldlng Deportment
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED --------------------------
PARKING SPACES REQUIRED __________ PROVIDED ___________ _
PROVIDED -------------% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
-----------
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
REAR SETBACK:
OK TO ISSUE$ ✓fbn-(.3 OK TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT U;JL·
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _
GRADING PERMIT EASEMENTS DRAINAGE -----------------------
LEGAL DE s CR Ip TI ON __ ~-2-+I ---~.____-____.),e.__-;-y-4-_~=..,._-_ __,l'--3 _____________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: ~ATE 1-D ·f!i) PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPFI~KLING 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 ________ _
a1-L 8_