HomeMy WebLinkAbout2910 SOMBROSA ST; ; 85-569; PermitIll z 0 ;::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
futl force and effect. t,c No ______ Class
I hereby affirm that I am exempt from !he Con1rac·
tor's License Law tor lhe fotlowmg reason (Sec 7031 5
Business and Professions COCle.: Any city or·county wh1ct. re-quires a permit to construct. alter. improve, demolish, or
repair any structure. prlor lo 11s issuance also requires !heap-phcant tor such permit to file a signed statement thal he ls
licensed pursuant 10 the prov1s1ons al lhe C.:ontractOf s
Uc:ense Law (Chap1er 9 commencing w1tt1 Section 7000 of
D1v1s1on 3 of the Business and Pro1essions Code} or that Is ex-
empt lhereffom and the basis tor the al!egeo exemption Any
v1otahon ol Section 7031 .5 by an appncanr for a permit sub-
Iec.ts the apphcant to a crvi1 penally ot not more than live hun-dred dollars ($500)
f"' I, as owner ot lhe property, or my employees w,lh wages
as their sole campensatmn, will Clo !he work. and lhe s rue-lure Is not intended or oUereCI for sale (Sec. 7044. Business
and Professions Code The Contractor's l1Cense Law does
not apply 10 an owner ol property who builds or improves
!hereon and who does such work himself or lhrough his own
ernpJoyees, provided !hat such improvements are not mten<l-ed or altered for sale If, ttowever. lhe building or improve-
ment Is sotCI w,lhm one year or compleuon. 1he owner-builder
will have lhe burden of proving that he did nol butld or im-
prove tor the purpose ol sale)
D I. as owner of the property. am ~cluslvely contracting
with licensed contractors to construct the protect (Sec. 7044,
Business and Professions Code.: The Conlractors License Law does not apply lo an owner or property who builds or 1m J)fOYes rhereon. and who contracts tor each projects with a
cantraclor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am 1mprovrng my home. and lhe tallow
Ing cond111ons exist·
1. The work ,s belng performed prior to sale
2_ I have hved m my home for twelve monlhs pnor to completion of this work
3. I have not claimed this exemphon during lhe lasl three years.
0 I am exempt under Sec ______ • B & PC 10, lh1s reason ___________ _
0 I hereby affirm that I have a certificate of consent to
self-insure. or a certif1ca1e of Workers· Compensallon In-
surance. or a certified copy thereof (Sec. 3800, Labor Code)
POLICY NO
COMPANY
CJ Copy is hied with the city
D Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be comple1ed if lhe permI1
is tor one hundred dollars lS100) Of' less)
D I certify that in the performance of the work forwhlch
this permu Is issued, I shall not employ any person in any
manner so as to become sut>ject to the Workers· Com pen·
satIon Laws ot California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subjecI to the Workers·
Compensation provisions of !he Labor Gode. you must
forthwi1h comply with such provisions or this permit shall
be deemed revoked.
0 I hereb)' affirm that there is a construction lending
agency for the performance of the work for which !his per-
mit is Issued (Sec, 3097. Civil Code)
Lender's Name ___________ _
Lender·s Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOS ADDRESS AV. ST.RO. NEAREST CROSS ST. BUSINESS LICENSE " VALUATION
' /~.P/~O -
"); BLOCK I ASSESSOR PARCEL NO _ _ ,"'I ).~5"" JU~ ,;J,.S.Ov
OWNER"S NAME
1! 1 I I -r/ Pi e~,. D o ; 4
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OWNER"S MAk"NG AODRESS
CONTRACTOR
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CONTRACTORS PHONE • </ W-S'i'~
CONTRACTOR•s ADDRESS
.Z.~Gl-f ChaJ ..r~ LICENSE NO. c_ -~'3
f::-.rcv.,I.K, 7f o K't'r
ZONE .
PLAN 1.0. #
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DESIGNER r 04-v,-J 0sff ~ t-J
OESIGN(R'S PHONE
I ~ WI~~ f~ r-OJ ~ .J A-t. DESIGNER'S ADDRESS 1----==-='--'--'.::..-...:...;:-,,. _=---''--=:......:-_;:__:....,F--=----------------1
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1-FfP F LR ELEV. NO
STORIES
LICENSE NO.
DCC GP EDU f II
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PERMIT NUMBER
8<-S'G:>9
BUILDING SO. FOOTAGE .
•
1,_ _____ ...,. ____________ '""'l _____ .,... __________ -,-_v..::O:::.....N...:□=--~.:::_-_--+----+-----+----+-----l
t: 1--c-E_N_,S_u _S_T_R_A_C_T_j __ G_P_L_A_N_□_u_S_E_l_P_A_R_K_IN_G_S_P_A_C_E_J~R-E_S_U_N_,T_S_l...-_G_R_A_DrlN_G:'.__Pq_ER-M~-1Tg1_s_s_u_E_D_J~:-~_~_~_v_E_L:_OgP_M_"'E-Ng_T~~-"""T--~~-~-~-~-T--r-o-c_c_L_O_A_D~-F~1-R~E-S~PpR_~---------------------,----1 Not Valid Unlen Machine Certified
SUMMARVACCOUNTNUMBER : QTY. PLUM BING PERMIT -ISSUE '-1>1) QTY. MECHANICAL PERMIT -ISSUE 3 -
I 1----+------------------+--+-,----t---+-----------------+---=-----1~-;a-;-;-;;-;=,;-;c;=;;-:;--------.;;-;-;;-;-;;,=,;;,7v,-,;--r----:-/'--=----:=:----=-----!
I1---+:E:....Ac.::C.:..:H...:F...:IX::...T...:U:.:R...:E:....T...:R:....A:....P _________ +-----'---i---+-IN_S_T_A_L_L_F..:..U_R_N._O_U_C_T_S_Li_P_T_O_I_O_O.'--OO_O_B_T_U __ -+--___ ....:__--t--:-::------------...,..,--,-,:-:----ll-----"-~"""-'=-•_,,.~c...►V_--; BUILDING PERMIT 001-810-00-00-8220
SIGN PERMIT 001-810-00-00-8221 I EACH BUJLUING SEWER OVER 100,000 BTU 11--.-,1---_:__-,---~--~-=--~-:::.t----=-~:::,a"Z,j..t----t-----------t--------1i-----:::-:-::-=::--------:-::-:-:-::--::-:-:-=--t----::;7;--:Q~,---=--.,---=-i
t H~+:E:....Ac.::C.:..:H:....W:....A_T..::E:....R_H...:E:....A_T_;:E_R_A_N:..::O_O::...R:...:..:.V..::.E__:.;.r-19~.,P~•~•-.1._,-,L----'....J'-""---'-=>...,,.-lld---t-B_O_IL_E_R_/C_O_M_P_R_E_SS_O_R_U_P_TO_J_H_P ____ 7 1------'----lt--::-::-::----------------:-:--t---__..L-_._I-:":::;;~~~-----1 PLAN CHECK 001-810-00-00-8806
t / EACH GAS SYSTEM I TO 4 OUTLET~..,?~ ~ . ~-BO ILER/COMPRESSOR 3-15 HP ~-11-L--!-=-.:....::....:....::....:..::....,:.....::.-=-_;__-=-.:....::...=-=..:.....11-'1!-~~= ~--C~-'-~l----+---------------+------f-----------------t-----L1---
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE , >
TOTAL PLUMBING 001-810-00-00-8222
ELECTRICAL 001-810-00-00-8223 11---+-------------~~~..+-------. ... ..+---+-------=----=---~------t------7t""----------------r-----~-----i I / EACH INSTAl. ALTER. REPAIR WATER PIU?~g ~ -~ VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 ,__,__, __________________ --·--.... :;;.!''"---4---+---------------------lf--------tt----------------------t-----------,
t • EACH VACUUM BREAKER MECH EXH AUST HOOOIOUCTS MOBILEHOME 001-810-00-00-8225 11----1---------------------1---------,;...---+--------------------+-------tt-----------------~----t------------1
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE I SOLAR 001 -810-00-00·8226
TOH,L ME CH AN ICAL STRONG MOTION 880-519-92-33
TOT AL PLUMBING I FIRE SPRINKLERS 001-810-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ," ./ QTY . SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMPISWT 'BKR ROCK STORAGE Encinitas
I PH 3 PH PUMP San Dieguito
REMOOEL 'ALHR PER CIRCUIT (!/b~-:::--/ 0 --,_ PLAN CHECK FEE San Marcos
TEMPPO LE 200AMPS
OVER 200 AMPS LICENSE TAX 001 -810-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 880-519-92-57 / ..,.
I f---4--------------------f--------ll----+--------------------+--------111---------------------+----l'--~~~--c''ll
CREDIT DEPOSIT ( 7', .(; S-
TOTAL ELECTRICAL I /5',--TOTAL SOLAR TOTAL FEES PAYABLE I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
OECLARA110NS ARE TRUE AND CORREC1 A DI FURTHER CERTIFY AND AGREE IF A PERMIT 15
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Exp,rat1on Every permit issued by the Building Off1c1al ~nder the provI$Ions of tt\1s
Code shall e>.p,re by 11rn11at,on and becorne null and vmd If the bu,ld,ng o, work
autnonzed by such parm,11s not commenced w1th1n 180days from tile date of such
~~=~t ~~v ~~~:·~ett.=~~r:~!h:~~~e:le~~~7 r~':!~·~rr:rd"a~1 or
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5· o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCT\JRES OVER l STORIES IN HEIGHT
. Ar;:f'-CA"/ S SIGNA URE~ 'l\ ./11'7 . OWNER O CO~ACT~_FJ( APPROVED BY DATE
A/--#~~ BY PHONE □--~ \cQ;)____ 1 °J--.:rl-'fs<
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TYPE I DATE INSPECTOR ..
• ~~--S1,~,9 -BUILDING I /
FOUNDATION I
FIELD INSPECTIO~ORD I ;"'I
I , ... ,,, -Y r..<<c,,,, REINFORCED STEEL l -..--.,;a ~IRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
MASONRY { I
I INSPECJIOl'>J REO IF INSPECTOR'S DATE GUNITE OR GROUT I CHECKED APPROVAL
SUB FRAME □ FLOOR D CEIL!.ING \. 1, .......
SOILS COMPLIANCE ~
SHEATHING □ ROOF □ SHEAR PRIOR TO
I FOUNDATION INSP FRAME I
EXTERIOR LATH I STRUCTURAL CONCRETE
·' -OVER 2000 PSI
INSULATION I PRESTRESSEb
I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE .. -
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ P(./CO HIGH STRENGTH
UNDERGROUND □ WASTE BOLTS □'WATER
TOP OUT □ WASTE □ WATER SPECIAL MA~C!_NRY .
TUB AND SHOWER PAN I
A
GAS TEST I ID•ZJ .K..t; Plv"r'-t~ PILES CAISSONS . □ WATER HEATER □ SOLAR WATl,:R
t -' I
ELECTRICAL •,
I -, ... ' .
□ ELECTRIC UNDERGROUND □:UFFER , . -.A --. ...
ROUGH ELECTRIC I 10•11.YS 1/'z.f'-~ -·-I ~
□ ELECTRIC SERVICE □ TEMPORARY ' ..
A
i:t' BONDING .zl""'POOL I lb•'l•1~ -~~~ . , I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING '
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I -I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I . I PLUMBING I '-.....
ELECTRICAL I ~ ...
MECHANICAL ,~ .
I \ . ' ---.
GAS I '--C\ ""' ~ -. . ... .. -~ I \
\ \...~'-,,) ~ BUILDING I
SPECIAL CONDITIONS I ~'\ ""'"-I -I ·'
-· ~ Oc::_ ¼ Cf 0 Q ~ · .;. __ : if_,~?
PLAN cHECK NUMBER _l>_.7 __ AooREss cz:z/tt> ~Vd@s4-: oArE __ 't:7""_~
PLANNING: TYPE OF STRUCTURE ____ ~--~--------
-SCHOOL FEES: SAN DIEGUITO -------ENCINITAS ------~
NUMBER OF UNITS CARLSBAD SAN MARCOS
a: Lw :z
Lw
-------
BUILDING HEIGHT ________ _
FENCES/WALLS -----------
TWO CAR GARAGE ----------
---------
REQUIRED SETBACKS ----
FRONT
SIDE ~z~zz~: __,;
REAR V --------~
;: ~ COMMENTS: ~ ~ ----------------------------l
~ □ REOEVELOPttENT A~2iiOVAL REQUIRED: 6 ~ □ . . ----------------........:
i...i-~s-o 8 ~ LANDSCAPE PLAN COr-t1ENTS: ---------------------:
rnv IftCf;f.;ENTAL REQUIR!::Q: ---------------------·
P,DD IT IOtlAL COMi1ENTS: ----------------------
O:< TO I3SUE: ~ATE: ~tt1=roK TO FINAL: ____ DATE: ___ _
•
ENGINEERING LEGAL DESCRIPTION VERirIEO? ___ ~ __ A.P.N. CHECKED~
P.F .F • ______ PARK IN LIEU _______________ _
R.O.W: IMPROVEMENTS: _....__ ____________ _
_______________ E.O.U: __________ _
SEWER: _________________________ _
LATERAL: -----------DRIVEWAY: _________ _
a:: ! GRADING PERMIT: ______________________ _
-I.I > .... ~ ! DRAINAGE: ________________________ _
EASEMENTS: --~---::·e===----ADDITIONAL COM4ENTS: _____ _
ua:: i...,-
!-□ ;::~ □
~§ □------·-~-...,,,..---------------------~ ca: OK TO ISSUE: --~----::..-::..-=.==---DATE: 9/:2-~r-
* ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC ~ORKS INSPECTOR: _________________ _
FINAL OK: -----------DATE: __________ _
* IF THIS ITEM IS NOT CHECKED. BUILDING DEPARlt1ENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)