HomeMy WebLinkAbout1911 SWALLOW LN; POOL BLDG; 80-956-A; PermitIll z 0 ~ a: C .j u w C
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0 I hereby affirm that I am licensed under
P<O'ilalons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profnslona Code, and my license Is In
lull force and effect. Loe No ____ Class ____ _
t hereby attinn tNlit I am ••empt from the Con-
~~~·~~~=~~,:::.:~~~~.~ COUl'lty which requires a pemut to construct
.atlfN". 1,nptOYe. demolish, o, repair any structure
P,90f' 10 ,ts issuance also requires the applicant f0f such permit to file a signed statement that he 1s
hcensed pursuant to the pr0Y1saons of the Con-tracto,'s Lteense Law (Chapter 9 commencing with
Sectt0n 10lO of Oiv1st0t\ 3 of the Busmess and Pro-
fesslOns Code) or that ,s exempt lhe<efrom and the bos•s lo, Ille alleged exemp110n Any vlOlat,on ol Sect,on 1031.5 by an applicant lo,• pemut su1>t9Cts
tne apphcant to a c1"il penaJty ot not more than hve hundred dol~ ($500)
D I, as owne< ol lhe property, o, my employees
wrttlh •~ as thetr sole compensation, wtll do the ~ and the structore ,snot intended or offered fo,
sale iSec 70M, Business and Profess,ons Code.
The Contractor's License Uw does not apply to an
owner of property who bu•kts or ,mptOYeS thereon
and who does such wOftl: himself or through his o-n
emptoyees. provtded that such lmprcweme:its are
not 1ntende1 or ottered for sate If. however. the
bu11d1no or improvement 1s sokt w1th1n one yu, of
comptehon. the owner-bu1fder w,11 llrte the burden
of Pf'OVmg tMt he dtd not bu1kt or improve tor the
purpose ol sale)
□ I, as ownet of the prop,erty, am exclusively
contract1nv with 1-censed contractors to construct lhe p<<>,eel (Sec 70M. 8us111ess and Proless,ons
Code The Contractors License Law does not apply to an owner ot proper1y who builds or 1mpr0¥9S
~~::;i~ 7.:0~~:!~ ~:~t!'~\~;~:-:
License Law)
0 I am exempt unde< Sec
tor this reason
_,B&PC
□ I hefeby athrm that I ha-,e a cen1hcate or consent to self-insure. or a cer11f1cate of Workers·
Compensation Insurance. or a cen,tied copy thereol
(Sec JIIOO, Labo, Code)
POUCYNO
COMPANY
□ Copy IS hied with tile city
0 Certthed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Th•s section need not be compteted 11 the perm,t
IS tor one hundred dotlars tS100) or ~SS)
D I certify that in the per1ormance of the wOtk tor
which this pem,1t 1s issued. I shall no1 emp'°Y any
person ,n any manner so as to become sub1ect to the W()(ke,s· Compensatt0n Laws of C,hfornLa
NOTICE TO APPLICANT If, after malun, th,s Cert,
hcate ol E.xemphon. you Should become SUbfeel I?
the W()(l(ers· Compensation prov,s,ons of the Labof
Code. you must for1hw,th comply w11h such
prov,s,ons or this pet'ffl1t shall be oeemed revoked
a:I □ I u.l lend.
C wh z Ill ..J
:teby affirm that there 1s a construction ,gency 10, the perlormance ol the worl< lor
l permit 1s issued (Sec 3097. C1v11 Code)
•------------Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD -~--·---. --·-. --· ----· -. ·----····---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, ca11tornla 92008 (714) 438-5525
JOB AOORESS ~ A,.i 1 --• , L ~j£.,
AII.ST.,OATE
,A,?A~NI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
I "f I I RD, (, (/~IJ 'vfi-9.s-b/.j-OWNER'S NAME
j ,r~ C~ lr~r;,~; PRIME CONTRACTOR I I CONTRACTORS PHONE• ZONE
~'lot..'--
o~~S,ILE.~o~i tLJ,...,-~CL.-
, CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLOG USE CODE n ,_,JL
·r 1'•• T IJ
Lor I BLOCK I SUBOIVIS1bN I ASSESSOR PARCEL NO. , DESIGNER STATE LICENSE # STANOARD PLAN# BUILDING SQ. FOOTAGE
-=?,7...3 DESCRIPTION OF WORK ~ DESIGNER'S ADDRESS DESIGNER'S PHONE
Jrfut-~Lb~ -~ ---------F/P FLA ELEV. NO
OP-P
EDU 6/ 17 /81361 I I 91, 12
STORIES _,..,. ... . --· ~·
0 ;_013611 6/ I 7 / 8 I 191.1" vO NO
CENSUS TRACT I GP LANO USE l PARKING SPACE
lR%
GRAOING f'.ERMIT ISSUED I REDEVELOPMENT fhJ OCC LOAD FIRE SPA
AREA
YO N □ v0 Ntx. vO N~ Noc Valid Unlt!ss Machine ~,cifild 7.ij ' /
QTY.1;-PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER .~ ~ -.. \ EACH FIXTURE TRAP /-,/.f/J INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT &1-v-
I EACH BUILDING SEWER h.f'IJ OVER 100,000 BTU SIGN PERMIT I
/ EACH WATER HEATER AND/OR VENT ,;,,,._s, ~ BOILER/COMPRESSOR UP TO 3 HP..,. PLAN CHECK 7::.n r ~
I EACH GAS SYSTEM 1 TO 4 0 UTLETS ~rH BOILER/COMPRESSOR 3-15 JjP' TOTAL PLUMBING ·-:2,.__,✓~
~ / ELECTRICAL ·7 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE --
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SING~UCT MECHANICAL
EACH VACUUM BREAKER MECH EXHA~T HOOD/DUCTS MOBILEHOME
WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER MDBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
--TOTJ.L MECHANICAL STRONG MOTION ---r .. ~lJI') TOTAL PLUMBING FIRE SPRINKLERS
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE //-QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE 4 -0 / __.r Encinllas
I PH 3 PH -~ PUMP ./ Irr A l ~ _,.. San 01egu110
REMODEL ALTER PER CIRCUIT . I ./ PLAN CHECK FEE /)/ /)'\ I L.JJ -i,..........-San Marcos
TEMP POLE 200 AMPS ...->f I 1,uv-__.. --
OVER 200 AMPS \. /, A F ....
TEMP OCCUPANCY (30 DAYSI " JV_,... ,
\ ---
1\,....,/ --~
TOTAL ELECTRICAL ___ l --7 _-,,,.
TotAL SOLAR I 141 ,~ I,, I TOTAL FEES PAYABLE ..
~
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AN~ ANO DO HEftEBt Eapi,allon.~ ............ .., .... BuildongOffoc:all-llleprovi9IClftaof111t1 I * AN 06HA PERMIT IS M0UIREO FOR EXCAVATIONS OY£fl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATIO INCLUDING THE Code at..n ..,.... i., lllnfWlo,, -become null and vood II Ille building or work 5' O" DEEP ANO 0EMOUTioN OR CONSTAUCTION OF
OE CLARA TIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS IUIIIDrilleCI.., _ per.-a nol -ocecl w1111,n 180 deya from Ille dele of such STRUCl\lRES OYER 3 SlONES IN HEIGHT ~ OI II lie =:z.or -~ bV such permit ,a or ISSUED TO COMPLY WITH All CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-...... • -... --ia c:ommenced for a _...., of !Iii "•v• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANT"S SIOIMTURE If. ~ OWNER □ CONTRACTOR 0
APPROJ,k -~~ 1°A7f,7 / Q/ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ... ~
EXPENSES WHICH t,4AY IN ANY WAY ACCRUE AGAINST SAID CITY IN OONSEQUENCE 0#' TH£ BY PHONE 0 GRANTING OF THIS PERMIT.
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I INSPECTION TYPE
BUILDING
FOUNDA l'ION
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
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE --.. -INSPECTOR ---
'
--~.,
CALL FOR FINAL INSPECTION WHEN All ,(pp,~~
ITEMS ABOVE HAVE BEEN A -~ -~ ~n. /
JOB SITE FINAL " t -....;I /
PLUMBING / 11 ~r .........
ELECTRICAL \.. ' (H. y y
MECHANICAL I\ 1'-.r V \
GAS \ '-' lV .. --:" l I-·
BUILDING \) 1
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED -
.
....
---" 80-C.ST.1 -(t,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES 1 •
REO IF INSPECTORS I INSPECTION CHECKED APPROVAL DATE
j
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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CARLSBAD
Prepa~ed ~ . .J' !l:7,>;::.;.7 ,:~ATION AND PLAN CHECK FEE
I
PLAN ~:ECK NO. g>J-9 1J-~ I/ /!l
BUILDING ADDRESS /: .1 / /_ \--; 11' • ( Ir " · G-11 _
APPLICANT/CONTACT J,':v"·tJ (·,un , 11 PHONE NO. i'.)U,) -2.J-: 7{;;
BUILDING OCCUPANCY ~/ DESIGNER PHCNE _____ _
□ Finance
D Esp-i 1
TYPE OF CONSTRUITION ~
· v·r: .•)' r ,-;-<'/ M.J O /
~
-F'·.s-£,? ,,.,_;_,,p l t 'U'-' ·t .H·-,,,-1• I {. -CONTRACTOR PllON;c:
BUILDING PORTION BUILDING AREA VAL1JATIOl1 VALUE
' f rl.ULTIPLIER
P, fl/ .1i ,;_,~--;:; 2. ? d-·<J I OrJ I'<-~E, 't>,.:.Jiv! 4 ,_,;,~r,i / 7,, _.) .,/---
/~,-./
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ITT; , I/, 5 <'., 2 ('; q !.X...,1 I ?:. 0'4"
I -
·-
Air Conditioning
Commercial 2.85 -·
Residential 2.40
Fire Sprinklers 1. 10
Total Value 113 I 7
I
Building Permit Fee
,(8 lj,7/, Plan Check Fee
Accourh.~o. 6S-6J8-0519 (80%
00, I 2-.
of plan check fee)
Account No. Ol-000-4807 (20% of plan check fee)
C01"J,1ENTS '-'----------------------------