HomeMy WebLinkAbout2501 SOMBROSA PL; ; 84-637; Permit~h[~ ~ 1,
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'8reby aHlrm that I am licensed under
ons of Chapter 9 (commencing with
n 7000) of Division 3 of the Business
-ofesslons Code, and my license is in
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I nereby alflrm that I am exempt lrom lhe Conirac•
, Locenso Law for the I01low1ng reason (Sec 7031 5
ness ~ ProtesSK>Os Code Any city Of counly whicn re es a perm11 10 construct, alter. improve. demol1sh. or 1r any structure prtor to 11s issuance also requires ?heap•
In1 lor such c,e<mtt to tile a 519nea statemenl 11\at he 1s
Ised pursuant to the PfOVIStOnS ot lhe COntractOI' s nse Law (Chapter 9 corrmenc1ng w11h Section 7000 ol
i1on 3 of lhe Business and Professions COde) or that 1s ex
t 1hefetrom and the bas,s lor lhe altegeo exemplion Any empl ..... , 1tJOn ol SeclJOn 7031.5 by an apploeant 10< a permll sub·
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; the apphcant to a civil penalty ot not more tl\an 111,e hun
I dollars ($500)
1. as owner 01 lhe property o, my employees w11h wages
l'IM soee compensatt0n. w,tt do the woo:, and the struc-1s not intended or oflered lor sale (Sec 7044, Business
Profess.on!. Code The COntractOf"·s Ucense LaN does apply 10 an O#rter 01 property -.ho builds or improves
eon and who dOes such wort< htfflSelt or through his own loyees, provided lhal such improvements are not mlend· , otlered for sa)e 11. however. the bu1ld1ng 01 improve-
I IS SQtd w1th1n Orie ye.ar of complet,on. the OWnt'f·bu•lder
have the burden of prOV&ng thal he dlC not build or ,m-• tor lhe purpose ol sale)
I. as owner 01 lhe property. am exclusn,ety contracting lttensed contractors to construct the pro,ect (Sec 7044
,ness and Pfolesst0ns Code. The Con1ractor's license does not apply to an owner of praperty who builds ot 1m-
es thereon. and ¥iiho con1racts for each proteets w1lh a }aciOf(s) ,i,cense pursuan1 10 the Contraccor" s License
~s a homeowner I am improving my home and the follow cond1hons exisl
1 The wonc ,s being performed prior to sale 2 I have lived in my home lor twelve months
poof to complehon 01 this work
3 I have noc clall'l'led ttus exemplKln dunng the last three years
1 am exempl undef Sec h1s reason B&PC
affirm 1nat I lla.-e a cert1hca1e of consent
10
Com1 !Sec
~ure. or a cemt1ca1e of Workers
,on Insurance_ Of a cen•he-d cooy lhereot
L.aoo, Code) ~I COM,?" ~ y eopy,s
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hied Wllh the ClfY
:I copy 1s hereby furn,s ..
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TIFIC,\ Tl OF EXEMPTIO
:RS COMPENSATION IN UR ... NCE
on neecl not be Co,T\pleled f !he oermit
one nundred dOllars ($1001 1ess1
that ,n the oertorm~ce ot the .,..on,. 10,
oerm,1 ,s issued I sh.all nol employ an)
1ny manner so as lo t>eeome sub1ect h.l s· Comoensallon Laws of Ca1itorn1a
) APPLICANT ff aher moiklnJ lh1S Ceri,
:emption. yOY snould become suo1ect t?
s· Compen~11on prov1s1ons ol lhe LabOr must IOf1h._.,1n comply with such
or th,s perm11 shat1 be <>eemed revokeo
Address
I USE BALL POINT PEN ONLY & PRESS HARD -----. -. ----------·------------·-------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I
I JOB ADDRESS •.( . {2~Vi~.RD. NEAREST CROSS ST. r;,;; r;L;ATION
1
BUSl~SE• VALUATION PERI\JIIT NUI\JIBER
I Q,~\ 5nM~-J: ~--~fl&-sf✓t3J I UDT/ .,,.
LOT BLO{:t< I suso, v1S10N I ASSESSORJ!l'.RCEL NO () CONTRACTOR
Pen..":>
CONT!l ... CTORS PHONE • ZONE' I r :J. "=> 6'" 0 'ii'-1-0..,, 0 1)w~~11 't-1I-Ot,lD I OWNE R"S NAME I ~¾o-w~ 3oNE I ~-"QQ.c'("\s:,y\ CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLDG USE CODE I f4':) ~(.~ -s~ fi 2o, {,9:, 4i./Z.I bl..-I OWNER"S MA NG ADDRESS
I DESIGNER LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE
I OU,\£~~"' foo6» I OESCRIPTIO" OF WORK
DESIGNER"S ADDRESS OESIGNE R'S PHONE
~n foc1-{s~~ ~ ,---F p FLR ELEV. NO OCC GP EDU
~Bl-~ STORIES
vO NO 18tcJU/tl41Ub5 ---3r.~l CENSUS TRACT I I PARl<INGSPACE I I
. ... -.. -.. ~ ·"' " GP LANO use AES UNITS GR ... OING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
v □ N 0 vO NO vO NO Not Valid Unless M~chine Certilitd
QTY. PLl.:JMBING PERMIT · ISSUE -7!!,-QTY. MECHANICAL PERMIT · ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP / INSTALL FURN DUCTS UP TO 100 000 BTU BUILDING PERMIT 01 ·00·00·8220 L..2. 5 u
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221
2-PLAN CHECK d,J. ~s-DJ, JIJMr/H os -
I EACH WATER HEATER ANO OR VENT .5 CJ BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS ~ .50 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 -~-----
I EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 01·00·00·8223 /~-
I ----EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224 I --EACH VACUUM BREAKER .2. -5~ MECH EXHAUST HOOO DUCTS MOBILEHOME 01·00-00-8225 I
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I EACH ROOF DRA,N NSIOEI SOLAR _ __!ll:00·00-ll??<.
I TOT.C.L MECHANICAL .5c STRONG MOTION 80·92·33·0519 I ------
I TOTAL PLUMBING I /5---FIRE SPRIN i<LERS 01 ·00·00-8227
I 5'-PUBLIC FACILITIES FEE 32·00·00·893) t QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR -ISSUE
I BRIDGE FEE
I NEW CONST EA A MP SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
I 1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519
I EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92·22-0519 I 3 PH I l PH PUMP San D1egu1to 80·92·23·0519
REMODEL Al Tt:R PER CIRCUIT /0 -I --PLAN CHECK FEE San Marcos 80·92·24·0519
I TEMP POLE 200 M1PS
I --OVER 200 AMPS LICENSE TAX 01-00-00-8162 I
I TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
I CREDIT DEPOSIT
I TOTAL ELEt,TRICAL ! TOTAL SOLAR I I /~.-TOTAL FEES PAYABLE Cfq. oC I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'· ANO DO HEREBY Exp1ra1,on Every permit issued by the 8u1ld1ng Off1cu11 under lhe prov1s1ons of rh1s * AN OSHA PERt,t:T IS REQUIRED FOR OCAVAT10NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sh•II expire by l1m1tatton and become null and void If 1h~ bu,ld,ng or worlil 5' o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS author12ed by such permit ,snot commenced w1th1n 180 days from the date ot such STRUCTIJR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON =.:~n~ '!, ·=~y ~~:':~.i~h=~~,:~~~~~~e~le~~~7 :'~';;~'~,sr:r;.~ or . .
STRUCTION, WHETHER SPECIFIED HEREIN QR NOT I ALSO AGREE TO SAVE INDEMNIFY AND • • CONTRACT~ '?IPPROVEO BY ;v, DATE KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES .. JUDGMENTS, COSTS ANO LICANT s SIGNAT~O
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF L, ce_ G.. \ BY PHONE 0 ~ l/£/lr,;,1 I GRANTING OF THIS PERMIT
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TYPE
BUILDING
OUNDATION I Fi
R
M
,EINFORCED STEEL
IASONRY
GUNITE OR GROUT
F FLOOR & CEILING SUB FRAME
I
I .
"" I " I
I
I
SHEATHING D ROOF D SHl;AR
FRAME I
' EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT 0 WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOFilARY
D BONDING D POOL I
'
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
.,..,
l·J. · r'5 V(_
J.1...r< IK-
/)
///Fl~~ r
I , ,.,
vn~ i,r
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I I
ELECTRICAL I \.
MECHANICAL I )
GAS I l --/
BUILDING I r7 .. 1,1,~ -
SPECIAL CONDITIONS I
'
. ' . . , . ~-~ "5 i .. ..
FIELD INSPECTION RECORD
REQUIRED SPECl~l INSPECTIONS . INSPECTOR'S NOTES
INSPECTORS REO IF INSPECTION CHECKED APPROVAL DATE -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI ,
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY • . , -. ..
PILES CAISSOr-.~ -•· ..
. .
, •.. --. . ----~""·. _, .. "· .. \ " .... .,'. ~ ..• ~ .. .
•. " .
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.
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\
PLAN CHECK NUMBERft/.,/;31 ADDRESS c2..C-0/~/4_, I ;
PLANNING: TYPE OF STRUCTURE_r""'~__,.,?kf_c._--.------__,;_----ZONE: -----
SCHOOL FEES: SAN DIEGUITO_______ ENCINITAS _______ _
ex 1...1 3: 1...1
CARLSBAD -------
% COVERAGE -----------
BU IL DING HEIGHT ----------FENCES/WALLS __________ _
· Tr/0 CAR GARAGE ----------
SAN MARCOS ----,-------
RE Q U 1 RED SETBACKS ____ _
:;::_T _ __,.-u~:=t====
REAR ---------
;;: ~ COMMENTS: _________________________ _
~ ~
~ □ REOEVELOPP1ENT A:'PROVAL REQUIRED: 6 ~ □ ----------------=.-----
1..J -~go 8~ LANDSCAPE PLAN COMMENTS: ---------------------
ENVIROr!MENTAL REQUIREQ: ----------------------
ADO I TI ONAL COMMENTS: -'-----------------------
OK TO ISSUE: ~ DATE:/ 2..//f1<fyoK TO FINAL: ___ DATE: ____ _
ENGINEERING LEGAL DESCRIPTION VERIFIED? P& A.P.N. CHECKEofL
P.F.F. PARK IN LIEU ----------------------
R. O. t ~: IMPROVEMENTS: _______________ _
_______________ E.D.U: ___________ _
SHIER: __________________________ _
LATERAL: -----------DRIVEWAY: ----------~
GRADING PERMIT: ______________________ _
DRAINAGE: -----------------------------:
I-1...1 u a:: 1...1-
EASEMENTS: __ ........ 0 _____ <-.. ------ADDITIONAL COMMENTS: ------~ ~-□
2ci □
~& □. -----------------------------~ 8~ ~A:-_ / f t/ OK TO ISSUE: --6--,/~---~_;._----DATE: /L,t/J,/.'4./
* ENGINEERING INSPECTION REQUIRED: ________________ ----:
PUBLIC ~ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARlMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)