HomeMy WebLinkAbout2617 SUTTER ST; ; 87-324; Permit"' z 0 .:: C C C ... u Ill a
a: ~ u 0'1lalon1 of Chapter 9 (commencing with e [ affirm that I am licensed under
~ Section 7000) of Division 3 of the Business
._ and Prolffalona Code, and my license Is In ~ lull force and effect. u
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I hereby affirm that I am exempt from the Contrac· lor's l.Jcense uw lor the lollowlng r .. son (Sec 7031 5
Busmess and Protess,oos Code Any city or county whict. re-qwes a pefmtl to construct. alter, improve, demohsh. or
repair any structure, pooc to its issuance also requires !heap-pt,cant tor suet, per""t to Irle • Slllned stalemefll 111a1 he ,s
tc:ensed pursuant 10 the p,OV1s10ns ot the Contrac:1or" s L,cense Law ( Cllapler 9 commencmg with S.Ctron 7000 ot
Otv1s1011 3 01 lhe Business and Prolessrons COdeJ or that 1s ex· ernpl 111ortlrorn ,no the baSIS to, the allegeo Ollemphon Any
YIO!at,on of Section 7031.5 by•• ifllllant tor• perm.I sub· iects the applant to a cMI penalty of not more than five hun·
dred dollars ($500)
I. u owner of the property. or my employees with wages
as their sole co,npensat10n. will do the work, and the struc-
lure 1s not inlendecl or olfered tor sale {Sec 7044, Bus,ness
ind Protessrons Code The Con1racio<'s Lrcense hw does nol apply 10 an owner of Pfoperty who outlds or improves
thereon and who dots such wOJk himself or lhrough htS Mn
employees, provided !hat such improvements are not intend· ed or ottered tor sale II. howeYtr. Ille building or ,mpnwe-
ment tS $Oki Within one year CIC completion. lhe owner~builder
WIii flayt the burden of prOYlng tllal he did not build or rm-prove tor Ille purpose of sale)
rJ I. ,s owner of Ille property. am exclll1Nely conlr,ct,ng with heensed contract0<s to construct the prOfOCI (Sec 7044.
Business and Professions Code The Contractor's l6cense
Law don no1 apply to an owner of propel1'f who builds or im· pmves 111oreon. ind who contracts tor each prOfOCls wnh • cornrxtorts) license pursuant 10 the Contrac1or·s Lteense Uw).
D As a homeowner 1,m ,mprovlng my home, ind Ille follow ,ng conchtions ex.ISi 1. Tl1o -k iS be,ng performed pr,or lo sate
2 I have hved in my home fo, twelve monlhs
3. r:.:: :OP:.:: 11~~ :i,,.., durrng Ille
last three years.
U I am exempt under Sec ______ . 8 & PC.
ror this reason
~ereby affirm that 1 h•ve a cert,ticate ot consent 10
~~~s_ure. or a certificate of Workers· Compenu.tlon In-
surance. or a certified oopy thereof (See 3800. LabOf Code)
POLICY NO 'P~4)c";;l9
COM_PANY L..~ ITrt
~opy 11 flied with the cily
0 Certified copy la hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1f the permit
is for one hundred dollars ($100) or less)
0 I certify that In the performance of the WOfk fo, which
uu, penn1t ,s issued. I shall not employ any per90fl In any
menner so as to become subject to the WOtkers· Compen-
sation Laws of California
NOTICE TO APPLICANT: It, after making this Certificate
of Exempt+on. you should become subfect to the Workers
Compensalion provisions of the Labof Code, you must
forthwith comply with such provisions or this permit shall
be deemed r~ed.
ir
0 I hereby affirm lhat there ,s a construction fending
agency for tM performance or lhe work for wh,ch this per-
m11 Is issued (Sec 3097. Chil COde)
Lender·• Name ~ / ~
Lender s Address ~ /
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB AOORESS AV ST.RO. NEAREST CROSS ST. I OATc:1 ;;r;A;r1
BUSINESS LICENSE # VALUATION PERMIT NUMBER , ~~~r ~+ 0Gr\~bQd) Q ~~~ ti;~ ;)\.o\l ?!7-3-Yi LC.3'1 BLOCK~~ ~,~~•ON I ASSESSOR PARCEL_~ CONTRACTOR CONTRACTORS PHONE • ZONE
11"7-~I\-?f\.rez._ pt:;6\_ s 5LD 1--}(DCoS-OWNER·s "AME
7 lA())<l. L'\.\ t rAclv OWNER'S PHONE ' CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE C:::,-~ ~ ~ ~4-;;}741 D q l.sl:-')9 v\\a.n \ le. 0,,li(.x cs-;~7179 owNER·s MA•L'NG ADbREsli I
-5Prff)l"u DE~r\-\n~t)-Q_(
DESIGNER'S PHONE
'4~toS')YI DESCRIPTION OF WORK 'P\£-r Q--(\/ 4 ~DA <4~ rp, DESIGNER'S ADDRESS AvQ, La. (Des-~ STATE LICENSE NO.
otol'x ;;ef P-,LC>CJ(. uSf\-<..L C:,u lo\0e-e. C.£ )~& 1 0005 06/29 0101 02EldPtlt 123-0 --F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --
I I PARKING SPACE I RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y D ND vO "'O vO NO Nor Valid Unless Machine Cerrifitd
QTY. PLUMBING PERMIT . issuE 1.st, QTY. MECHANICAL PERMIT · ISSUE ;{; f) # SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU . BUILDING PERMIT 001·810-00-00-8220 et<. &e
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00-00-8221 .
I EACHWATEll HEATER ANO ·OR VENT 7~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00-8821 I... O· •o
'J EACH GAS SYSTEM I TO 4 OUT LETS z._J"l) BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 5::,------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00·8223
EACH INSTAl . All ER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810-00·00-8224
-r I EACH VACUUM BREAKER -, -~~ MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·B 10-00-00·8225
,
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810-00-00-8226
EACH ROOF DRAIN (IIIISIOEJ DAYER VENT STRONG MOTION 880·519-92·33
TOTt.L MECHANICAL FIRE SPRINKLERS 001·810-00·00-8227
TOT AL PLUMBING I /.5 . cl:) PUBLIC FACILITIES FEE 320-810·00·00·8740 5/)i) BRIDGE FEE 360·810-00·00·87 40 QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PAAK·IN·LIEU (AREA )
NEW CONST EA AMP'SWl llKR CAR PORT TIF 134·810·00·00·8835
I PH 3PH AWNING LA COSTA TIF r-,e~1crwoo,.9m UT'\
EXIST BLOG EA AMPISWT BKR GARAGE ·-FMF '-.,1.L,1.AJ ... a.A. .L,IAJ .
1 PH 3 PH ' LICENSE TAX 001·810-00·00·8162
2 REMOOEL'ALHR PER CIRCUIT /0 -C!>" MFF U bjols1h2l61I: 'di
TEMP POLE 100 AMPS
OVER 100 AMPS Citv of CAR SBAD
TEMP OCCUPANCY 130 DAYS) nws:1 nDU.ENT __ ,-,. • :c:1111: c:r:~vc;. _
CREDIT DEPOSIT ..(l...0 --/
TOTAL ELELTRICAL I IS-TOTAL TOTAL FEES PAYABLE I ]; ) 83 .22.. _GO
1 HAVE CARE;OLLY EXAMINEDJHE,COMPLETED APPLICATION AND PERMI' ANO DO HEREBY Exp1r1t1on Every permit issued by the Building Ofhc111 under the prov,s1ons of 1h1s * AN OSHA PE,_.:T IS REOUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PEillALTY OFIPERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by llm1tat1on and become null ■nd void It the building or work 5 0 DEEP AND OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND QORRECT AND I FURTH EH CERTIFY AND AGREE IF A PERMIT I~ authorized by such permit :is not commenced within l80 days from the date of suet, STRUCT\JA£S OYER 3 STORIES IN HEIGHT permit. or it the bulld1J or '41rOtk 1uthouzed by such permit 1.s, suspended or ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOI/ERNiNG BUILDING CON abandoned at ■ny time a e, the work ,s commenced to, 1 oenOd of 180 davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANrS SIGNATURE • OWNER[] CONTRACT~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND
LC)'-pv.,~U~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE t,,JJ GRANTING OF THIS PERMIT BY PHONE fJ I $_ iJ
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TYPE I DATE INSPECTOR -8 7., ~ -:;o..f BUILDING i
FOUNDATION I -/./1 ,/In.,,, FIELD INSPECTION RECORD
REINFORCED STEEL i /)!r I ,-
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES : I ' -MASONRY REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE ., --,. . ...
SUB FRAME □ FLOOR □ CEILING SOILS COMPLIANCE Ob\ErOb~,EHl bl!OCE2:mc~ ~F!P ~ "
SHEATHING □ ROOF □ S~EAR PRIOR TO ~!tA Ot C ~tif'"c~\ .i)
I FOUNDATION INSP FRAME
,.-· STRUCTURAL-CONCRETE -~-... T ~ ! C ~ .l EXTERIOR LA TH I " OVER 2000 PSI .._.,,.
INSULATION 1 PRESTRESSED ~~ '4.t:> 'f~y-~ e-:.1?\J_ --·-CONCRETE INTERIOR LATH & DRYWALL .I POST TENSIONED . ~ { _r.. V n ~LJ . CONCRETE I
PLUMBING ! FIELD WELDING
□ SEWER ANO BUCO □ RUCO HIGH STRiNG'CH
□ WASTE [ BOLTS . UNDERGROUND WATER -~
TOP OUT □ WASTE □ NATER SPECIAL MASCNRY
TUB AND SHOWER PAN I I -
GAS TEST I ~,rt.$] . , --I ' PILES CAISSONS-:::·
□ WATER HEATER □ SOLAR ~ATER
I ; -.. -ELECTRICAL i -----
,--_ ' . .: -. ... -:..,,. ...... • r □ ELECTRIC UNDERGROUND qJ UFf=ER ~,VJ wy ~ .~ ..... ..,~
ROUGH ELECTRIC I .-'• --./;I t ......... . ... □ ELECTRIC SERVICE D TEMPpRARY ~ -' \ ~-' . D-13"0NDING □ POOJ.-l //L. 2-1 .,n • ... -', \-, :):---' ... -\. ,, -
l '
MECHANICAL l
□ DUCT & PLEM., □ REF. Pl~NG
HEAT -AIR COND. SYSTEMS I ··' .. .., 10\ ~ 11\TI\T .n~tc·.,c;_~ 'T";;~•N r ... VENTILATING SYSTEMS I ?
I . ' CALL FOR FINAL INSPECJION WHEN ALL APPROPRIATE I .
ITEMS ABOVE HAWE BEEN APPROVED. : . ' FINAL ~ . '
!\ , f PLUMBING I
ELECTRICAL j ... , I .).. . ' -: .J" ~ -MECHANICAL .
I ~ ~ ' \\ ·2 ( ;-GAS
BUILDING . I
SPECIAL CONDITIONS :
I
• PLAN CHECK NO. a 3Jt ADDRESS _.:;;..~_6_f _,_7_,1,.._.~J.------_,
PLANNING _//4 ~ '~
TYPE OF PROJECT AND USE: / ~~
SAN DIEGUITO ENCINITAS CARLSBAD SAN MARCOS
ZONE: ---~
SCHOOL DISTRICT: --
SIDE REAR SETBACKS: FRONT
DISCRETIONARY ACTIONS: _________________________ _,
REDEVELOPMENT PERMIT REQUIRED: ---------+-,,'----------------
LANDSCAPE PLAN COMMENTS :, _____ _,,....-===--~--t,,1---------,,..""--------
ENVIRONMENTAL REQUIRED=-------,~~---+-~---==-------------
COASTAL PERMIT REQUIRED: YES ------ADDITIONAL COMMENTS: _____ ...._,__ __ ___,,__ _______________ _
£NGIN££RING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? ------
EASEMENTS: -------------
EDU'S: --------------
PERMITS REQUIRED
DRIVEWAY:
FEES REQUIRED
PARK-IN-LIEU
APN CHECKED? d ?-S/ & :i.--L
RIGHT-OF-WAY: _____________ _,
DRAINAGE: ------------
TION CERTIFIED: -------
P.F.F.: UNIT: TOTAL ----...------
D □-FACILITIES MGMT. FEE: BRIDGE & THOROUGHFARE FE • ---------------
SEWER FEE (CONNECTION): SEWER LATERAL: ..
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c ADDITIONAL COMMENTS: -----------------------------
Q) 7fJ / ~ OK TO ISSUE: ___ ,;_7 ___ __._ ___ DATE: t -i2/~
DPD2:DPD6:10/24/86
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