HomeMy WebLinkAbout2659 SUTTER ST; ; 86-1286; PermitIll z 0 .: C II: C ... u "' a
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0 I hereby affirm that I am llcenaed under
provlalona of Chapter 9 (commencing with
Section 7000) ot Division 3 ot the Business
and Prolffalona Code, and my license Is In
full tor.:. and effect.
I hereby •fl,rm that I om exempt from the COnlrac
lor's IJcense Law lor the following ,,.son (Sec 7031 5
Busmess anti ProfesslOOs Code Ally city Of coonty whtth re quues a permit to construct alter, wnp,ove. demohsh. or repair any s1ructure, prtor 1011s 1ssual'\Ce also requires !heap· pkunt IOf' such perrrMI 10 file a SJ9ned statement tNt he ,s
btensed pursuant to tile provwons ot the Contractor s
License Law (Chapter 9 convnencing w11h Sec11on 7000 of IJMs,on 3 ol Ille BuSIOHS •nd Prot ....... s COde) or lhol IS ex
empt lherefrom and !he basis tor the aJ~eo e)lempt,on Any I ~'::::!:i,:~3~ :.:.'!t;~~ ~:,:~~-I
dred dollars ($500) I
~ >< owner ot lhe p,operty. or my employees with wages I ~ SOie compen,.llon. w,11 do Ille work. and the slruc I ~ ~:'s~!~: 01{~:°c~~tr:~J~,c~~~-~':::! 1
not •pply 10 an owne< ot p,openy who bu•<ls or ,mpioves I
!hereon ano woo does such work himself Of through his own I employees. provtded that such 1mpr0Yements are not intend-ed or offered lor ,.le II, now-. the bu11d1ng or unprove-I
ment 1s sofd w1thtn one year ol comptet,on, the owner-builder I ;~11o;:; :::: gi;~ "!t~~~ that he did not bulld or rm-I
I, ., owner ot the p,operty, om exclus,vety cootracl,ng 1
with licensed eontractOfS to construct the pro;ect (Sec 7044. ' Bus,ness and P!olesSIOOs COde The Contractor·s L,cense
Law does 1'101 appty lo an DWnef of property who buttds Of tm· proves thereon. and who contracts IOI' each prOjects with a ~)actor(s) hcense pursuant to the Contractor"s License
D As a -ner I am lfflPIOY1"9 my home, and Ille follow 1ng corn:htt0ns ex,sl
1 The -k IS being pertormed pr,or lo .. le 2 I hove lrved ,n my name lor twelve mon1ns
3 rr:.!0 =p~~:::1 l~.~ :'!pbon during !he last three years
D I •m exemp1 un<1e< Sec ______ . 8& PC. for this reason
~ W I nereby affirm that I have a cen1t1cate ot consent to I =~:cseu:i :' C:n~~~,:~ :::e~~~~~ <;~t~:!'r.!, I
POLICY NO
COMPANY
C Copy Is filed with the cHy
0 ce,11tied copy 1s hereby furnished
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CERTIFICATE OF EXEMPTION FROM I
WORKERS COMPENSATION INSURANCE I
(This sectt0n need not be completed If the permit I
1s for one hundred dollars ($100, or less) I
D I certify that 1n the performance of the work for wf'MCh I ::~=~ ~: 1
1~s=~~:":~
1b:t:~:: .;zk:;~r~;n:. I
sa11on Laws of CaltfomiL I
NOTICE TO APPLICANT If. aft• making trus Certificate I
of ExemptfOn, you should become s.ut>;ect to the Workers· I
f:~!::~hs~!:"pr~::i::h 0~,:~si~~, ~pe:,~t ;r:: f
be deemed revoked. I
0 I hereby atfum that the,e iS a construcuon lending I
agency for tn1 performance ol the woftl for wnlch th,s P8f· I
m1t Is issue<, (Sec. 3097. CIVIi Code)
Ltnde, s Name _____________ I
Lende(s Address _________ _ I --1
I
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 ADDRESS AV. ST.AD. NEAREST CROSS ST
11;;;A;LliONI
BUSINESS LICENSE It VALUATION ~ '.:!AMIT NUMBER -;J..'75YI SvTTcl< s-;; C It I< J11G'L. ,,J.. :J..(p~ ;:if{, 4i BLOc;.-NAl;u;,4t':.~S1 ASSESSOR PARCEL NO CONTRACTOR . CONTRACTORS PHONE • ZONE
?;;;;ME Pl<E s _, L.F~ b,1-19?;9;~ (PW~
CONTRACTOR'S A OD RESS STATE LICENSE NO. BUILDING SO. FOOTAGE
0 hi~"A•v;:;;:REVA-11,( 'DA ~J Lt&Ue»re. (A, DESIGNER DESIGNER'S PHONE
D!cSCR PTION OF WORt< I tfZb72-DESIGNER'S AODRESS STATE LICENSE NO
~·a c111e1t:--t-o C-fy :ff'"-C.~. uu2u uui 12123/56PijMT 64.
,..._ " F/P F LR ELEV. NO ace GP EDU -t1&-4;;L STORIES
vO NO --
I I PARt<ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOP"ENT TVPE OCC LOAD FIRESPR . AREA CONST
y O N 0 vO "<0 vO NO Not Valid Unlffr Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7.so. QTY. MECHANICAL PERMIT -ISSUE 6 oo SUMMARY/ACCOUNT NUMBER •
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 001 ·810·00·00-8220 39-
EACH 8UILOING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00-8221 .
------.:J-r-EACH WATER HEATER ANO OR V ENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS --l--BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222 ---EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 001-810·00·00·8223 -
EACH INSTAl ALTER. REPAIR WATER PIPE VENT fAN SINGLE OUCT MECHANICAL 001 ·810·00-00-8224 -----------
EACH VACUUM BREAKER MECH EXHAUST HOOOtDUCTS MOBILEHOME 001-810·00·00•8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00-00·8226
EACH ROOF DRAIN !INSIDE) DRYER VENT ST_RONG MOTION 880·519·92·33 ~ .!:>-0
TOT;;L MECHANICAL FIRE SPRINKLERS 001-810·00·00-8227 --TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00-00-87 40
L~oo BRIDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT t!KR CAR PORT TIF 134-810-00·00-8835
1 PH 3 PH .. AWNING LA COSTA TIF 133-810-00·00-8835
EXIST BLDG EA AMP SWT BKA GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810-00-00-8162
REMODEL ALTt:R PER CIRCUIT MFF 880·519-92-57
TEMP POLE 200 AMPS
OVER 100 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAi I l ti!:!--TOTAL FEES PAYABLE
I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION A'lO PERM;T 'ANO 00 HEREBY Expuehor, E\litry permit tssued bytl'le Bu,ld,ng Offlc111 under the p,ov•s•ons of tn,s * AN OSHA PERM:T IS REQUIRED F0A UCA\IATIONS OVER
CERT,FY UNDER PENALTY OF PERJURY tHAl ALL INFORMATION HEREON INCLUDING THE Code shall ea:pire by t1m11at,on and become nuU and voad B 1t1e building or .. .,.., ~ O" DEEP ANO DEMOLITION Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORREC• ANO I FURTHER CERTIFY ANO AGREE IF A PERMl'1' 1', authorized by such permit ,s not commenced w1th1n 180 d•v,;.,_':{; the date of such . STRUCTURES OVER 3 STOfllES IN HEIGHT permit. or 1f the bu1fd1nr, 0< wwo,~ autho,1zed b"r such ro: ,is sospttnded o, ...
iSSI.JED: TO COMPLY WITH ,t.ll CITY COUNTY ANO STATE LAWS GOVERNING BUILDING cor. abandoned 11 any hme a ter ttie work ,s commenced for 00 ot 180 dawc. ,
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '~NTS S ~TURE .. OWNEA CONTRACTOR 0 APPROVED BY p ~Ait KEEP HARMLESS 'THE C:TY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN A"lY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Ut lflbf_A ~ BY PHONE [] GRANTING OF THIS PEl1Mn /
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TYPE : DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR D CEll,.ING
SHEATHING D ROOF D SttiEAR
FRAME I
l
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL i
!
PLUMBING I
D SEWER AND BUCO D P,UCO
UNDERGROUND D WASTE O WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER :
ELECTRICAL I
D ELECTRIC UNDERGROUND Gl UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPbRARY
D BONDING D POOL I
J
I
MECHANICAL I
D DUCT & PLEM., D REF. Pl~ING
HEAT -AIR COND. SYSTEMS l
VENTILATING SYSTEMS I .
I
CALL FOR FINAL INSPEC
1
tON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I -
PLUMBING ' I
ELECTRICAL I \ I \
MECHANICAL I -~ ..... J
GAS I ... '-_ .... ~
BUILDING I ~ ~ -
I ("""'o-..._ """'"' SPECIAL CONDITIONS I ' ,~ -
I ~ ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WE-t.DING
HIGH STRENGTH .__
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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PLAN CHECK NO./_ ;d ADDRESS ~S?~ --'"'"'-----,,r'--...;;;.,_---------
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PLANNING
ZONE: -----TYPE OF PROJECT AND USE: ~ ~ ..
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS
SIDE
CARLSBAD SAN MARCOS __J
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
REDEVELOPMENT PERMIT REQUIRED:
LANDSCAPE PLAN COMMENTS:
REAR
-------------------------..:
------------------------------ENVIRONMENTAL REQUIRED: _________________________ ___.
COASTAL PERMIT REQUIRED: YES NO -----ADDITIONAL COMMENTS:
ENGINEERING I
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED?
EASEMENTS: RIGHT-OF-WAY:
EDU'S: DRAINAGE:
IMPROVEMENTS: "" rIELD CHECK DATE & INITIALS:
PERMITS REQUIRED
GRADING:
GRADING COMPLETION CERTIFIED: -------
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: ____ , FEE PER UNIT: ____ TOTAL FEE: ______ _
P.F.F.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: -----------------
FACILITIES MGMT. FEE: BRIDGE & THOROUGHFARE FEE: ----------------
SEWER FEE (CONNECTION): SEWER LATERAL:
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE: -----------------------------
DPD2:DPD6:1O/24/86