HomeMy WebLinkAbout2719 TIBURON AVE; ; 87-396; Permit"' z 0 ~ C CIC C -' u "' 0
a:
i[
0 u
a: "' 0 ..,
5 I "' z 3 0
z 0 ~ C "' z "' ... :I 0 u
"' a: "' "' CIC 0 3
il
0 I hereby affirm that I am licensed under I
provisions of Chapter 9 (commencing with 1
Section 7000) of Division 3 of the Business I
and Profffslons Code, and my license is in l
full force and affect. I
I hereby alhrm that I am exempt lrom the Contrac·
1
1
lor's L1tense Law tor u,e lollowmg reason (Sec. 7031 5
Business and ProlesstOfls Code: Any CJty or county wh1cl'i re· I ~;~: a~/;~~~u~~-~~i~~~!s !1!~~~~:~eq~~:~:·a: ·1
phcant few such pe1mtt 10 hie a signed statement !hat he ,s I r~:;r: L:1(C~1pt~~ ~~oJ:::~:; :i!h '~:C,1;:;'~=~~ I
Ofv1s1on 3 of the Business and Profess,ons Cooe~ or thal 1s ex• , ::~1~hne~t~1~n: ;g;t~5~/~n1~:;~,:~;';~, !~~ I
Jetls the appltcant lo a tivll penalty of not more than five hun· l
dred dollars 1$500) I
r"L. I, as owner of the property, or my employees with wages t
fs• their soie compensat10n. will do the work. and lhe strut-1 lure 1s not intended or ottered !or sale (See 7044. Busmess
and Protess10ns Gode The Contractor's License Law does I
::r:gtJn~
0 :f1.o ':e":1s~~f!::1~,::1 :1:~~~~~f;';!~ I
employees, prov~ that such improvements are not intend· I :: i~~: ~~hf:~ ~ea~~P1~~0~:~:0~~e~~:i::; 1
w,11 have the burden of prevtng ~I ~d-not build or tm• I
prove 10< the purpose of sale).~ I
n I. as owner of the property, am exclus,vely conuacting I with licensed contractors 10 construct the project (Sec. 704•.
Business and Professions Code. The Contract0t's License law does nol apply lo an owner of property who builds or Im•
proves !hereon. and whO contracts tor each proiects with a
contractor(s) license pursuanr 10 the Contractor's license Law).
D As a homeowner I am improving my home, and the lollow· ing con<hllons exist:
~: [h~a~~~~ ~~g ~rt~= f~tOr :ei:e.months
3. f':v~ ~':p~~::3' t
1~i: :~!phon during !he last three years
D lamexemptunderSec _______ B&P.C.
for this reason
0 I hereby aftum that I have a cert1hcate ot consent to I
self-insure. or a cert1hcate of Workers· Compensation In• I
surance. or a cert1fted copy thereof tSec. 3800. Labor Code) I
POLICY NO
COMPANY
0 Copy Is lilecl with the city
0 Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1f the permit
Is for one hundred dollars (SH>O) or less)
D I cer11fy that in the performance of the WOfk for which I
ttus permit ,s issued. I shall not employ any person in any I
manner so as to become sub1ec1 to the WOl'kers· Compen• I
satlon Laws ol Cahlornia. 1 ~l~~~P~~:.~~;~~J~ ~~~ ~i~[;:t !~1~~w~~1~:r~ I
Compensallon provisions of the Labor Code. you must I
for1hwith comply with such provlsions or this permit shall I
be deemed revoked.
0 I hereby affirm that !here Is a construction lending I
agency for the perfom1ance of the work for which this per-1 mit 1s Issued (Sec. 3097, Civtl Code} I
Lender's Narne _____________ 1
Lender's Address ____________ I
I
USE BALL POINT PEN ONLY & PRESS HARD
JOB ADDRESS
:l...71!t
LOT BLOCK
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
AV-. ST.RD.
TJ.'3uL41\1
NEAREST CROSS ST.
~,vr1.AC..
CONTRACTOR
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT I;;; i P;C;TIONI
BUSINESS LICENSE # VALUATION
~
PERMIT NUMBER g7-
CONTRACTORS PHONE • ZONE
171
I SUBDIVISION -
1
ASSESSOR rARgJ;L t:!D O , '6-l'::>l.;;l.4--7 .,_J
OWNER'S NAME l/3 1.,a:;;;o;E ~ 3 ?t
RD 81:T/lT ToDO
CONTRACTOR'S A DDRESS STATE LICENSE NCf BUILDING SO. FOOTAGE
OWNER"S MAILING ADDRESS
DESlGNER DESIGNER'S PHONE
a,
u:
~ .:l.. 7 , ,__Tis tAll..iJIY
DESCRIPTION OF WORI< t):;,.~,~~.o:/ ~/ ftCYy l"'"'"'"""""m
0023 05/06 0101 02Bldf'at 26 -~0 ~ a.
QTY.
<:'4?&"(_~--I ---y PAAl<ING SPACE RES UNITS
PLUMBING PERMIT. ISSUE I 1 · stJ
GRADING PERMIT ISSUED
y D N D
F/P FLA ELEV.
vO NO
REDEVELOPMENT
AREA
YO NO
QTY. MECHANICAL PERMIT · ISSUE
EACH FIXTURE TRAP I I INSTALL FUR N. DUCTS i.JP TO 100.000 BTU
EACH BUILDING SEWER I OVER l00.000 BTU
EACH WATER HEATER ANO ,OR VENT BOI LER/COMPRESSOR UP TO 3 HP
~
STORIES
TYPE
CONST
/5· Of)
T
STATE LICENSE NO.
OCC GP EDU
OCC LOAD FIRE SPA
vO NO Not Valid Unless Machine Cutified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810·00-00·8220 n-
SIGN PERMIT 001 ·810·00-00-8221
PLAN CHECK 001 ·810·00·00·8821 /o-
EACH GAS SYSTEM l TO 4 OUTLETS___ I i I BOI LER/COMPRESSOR 3-15 HP I I 'V"'", W "'V"•Y _
MET AL FIREPLACE EACH GAS SYSTEM 5 OR MORE
TOTAL PLUMBING 001·810·00·00-8222 :....:..:..::.. ELECTRICAL 001-810·00·00·8223 _j
EACH INSTAl . ALTER, REPAIR WATER PIPE MH'.flAl,llrAI VENT FAN SINGLE DUCT I I '"LV""'"V"L 001·810·00-00·8224
EACH VACUU M BREAKER MECH EXHAUST HOOOtOUCTS MOBILEHOME 001-810-00-00·8225
WATER SOFTNER RELOCATION OF EA FU RNACE/HEATER SOLAR 001-810-00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519·92·33 ,ft)
TOT,(l MECHANICAL FIRE SPRINKLERS 001·810·00-00·8227
TOTAL PLU MBING T PUBLIC FACILITIES FEE 320·810·00·00·8740
QTY. ELECTRICAL PERMIT· ISSUE 3, Ob QTY. I MOBILE HOME SETUP
BRIDGE FEE 360·810·00·00·87 40
PARK·IN-LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 134·810-00·00·8835
l PH 3 PH AWNING LA COSTA TIF 1~81ffl¥0-8835
EXIST BLOG EA AMP/SWT BKR GARAGE FMF -1' 1'.j' S, 'R..rJ 1J
l PH 3 PH LICE{Sj J.o.jc.D x 001·810-00·00-8162
REMOOEL 'ALHR PER CIRCUIT
TE MP POLE 200 AMPS
MFF ' 10.~0-519·92·57 ,,r.'-{ ?;b ' .. \
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI 1 Cl:tC•--, ..... -~k, c _ ~.r.<'.c,HG s~th ...
~ C"ll «.B~D
CREOl~~§lJ:ll f'~Ctv.;:)I-
TOT AL ELELTRICA L 1
1
TOTAL nt\J i: .. v I ... ./ ?O --TOTAL FEES PAYABLE ,P"(O ~
I HAVE CAREf lJtL y EXAMIN,ED l;fi~ CO°MPLETEO APPLICATION ANO PERMIT AND DO HEREBY Exp,rat1on Every permit issue<! by the Bu1ld1ng Oll1c111 under the prov,s,ons of this * 4N OSHA PEAMrT IS REOUIAED FOIi EXCAVATIONS OVER
CERTIFY UNDER PENALTY QI' ·PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hmitation •nd become null 8nd void If the build,ng or work 5· O" DEEP 4ND DEMOl.lTION OR CONSTRUCTION OF , • . authonzed by such perm,t 15 not commenced w1th1n 180 days from the date of such DECLARATIONS ARE TRUE At~O CO_ RRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT If> permit. or ii the bUilding or work oulhon.zed by such permit 15 suspended or STRUCTVRES OVER 3 STORIES tN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at an ttme after the work ,s commenced for a nod of 180 da s y •
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATURE If-a,a_?D . llll CO TA C O APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND 'v' N A TOR (Y
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN coNsEauENCE oF THE ~ A~~ r BY PHONE O L
GRANTING OF THIS PERMIT / ~~~~~-~~----------------I -..::::::::= 7 "T 7
I
E a, I-
I
32 0
(.'.)
c (1)
-~ a. a.
<(
I
..x C a:
0 u, u, a, u, u,
<(
I
~ .2
ai >-
a,
<)
C (1)
C
u.
~
I
C a, ~
c.?
0 u a, a. u,
C
~ .c ~
TYPE I DATE INSPECTOR
BUILDING :
FOUNDATION I /" ~ I". ,,,,,, D,,£L
REINFORCED STEEL . ~•tJ •• r ,. "" • MASONRY :
GUNITE OR GROUT j
SUB FRAME □ FLOOR □ CEIJ_ING
SHEATHING D ROOF D St;iEAR
FRAME J
EXTERIOR LATH l
INSULATION I
I
INTERIOR LATH & DRYWALL l .
I
PLUMBING :
□ SEWER AND BUCO □ RUCO
UNDERGROUND D WASTE d WATER
TOP OUT D WASTE D f'ATER
TUB AND SHOWER PAN I
GAS TEST .
J
D WATER HEATER D SOLAR WATER
l
ELECTRICAL I
D ELECTRIC UNDERGROUND [;I UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPPRARY
D BONDING D POOL l
I \. ,,.. j
MECHANICAL J
j
D DUCT & PLEM., D REF. Pl~NG
HEAT -AIR COND. SYSTEMS I
VEN;J;ILATING SYSTEMS I .
I
l . .
---
ITEMS ABOVE HAWE BEEN APPROVED.
FINAL I
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'--.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENG'fH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
' \ <., ..
~
A<~ .
1
'·
' . --
,.,-f"'-~ _ ..... ' .
,.__ _ _.,...,..:...
' ·-·
-.
'-J ;,
INSPECTOR'S NOTES
' ~
\ '\ • l~ • \
~ "
. -. , ' \ '.,
'"••·.-
~,--?q~.
..
.
....... \ ·).
\' \
l,
'~ .
... ,_-_\)
. . .
' . -
. ' --
.1oos1 1oa,o~ oror o~&i0J:.lli~
~.,_ \"'
L-~--.-.;
""-r.v
• .
PLAN CHECK NO. 3 9 t ADDRESS _.;2.._?_/_f__._~,__,_·~----
PLANNING
DATE&?-7
..
:s:. u Q) r. u
C: re
0:::
O'I
C:
"O
:l
a)
I..
Q)
== Q)
·-Q) >..., a, re 0::: Cl
I..
Q)
== Q)
·;;: Q)
Q) ...,
a::: 0
D D
VI
VI
Q) "O I.. Q)
C') ...,
0 Q)
I.. a. a. E
C: 0 u -
-re ...,
C:
Q) ...,
re Cl
ZONE : M . VI)~ TYPE OF PROJECT AND USE:_-Jl,'----~---+----------
SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
ENCINITAS
SIDE
CARLSBAD SAN MARCOS --
REAR
---------------------------REDEVELOPMENT PERMIT REQUIRED: ______________________ _
LANDSCAPE PLAN COMMENTS: --------------------------ENVIRONMENTAL REQUIRED: --------------------------COASTAL PERMIT REQUIRED: YES __,_ ___ _ NO
ADDITIONAL COMMENTS: ______ ..,__ ____________________ _
OK TO ISSUE:.,l,,jta~?d_'-'~.,_..:::;..._ ___ _ DATE: ~
£NGIN££RING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED? ----------=----------,
EASEMENTS: RIGHT-OF-WAY: // --------------~-------------
EDU'S: ----------~--~-/
,
PERMITS REQUIRED /
GRADING: ___ _..... ___________ /-,-----------------
DRIVEWAY:
FEES REQU~RED
GR~NG COMPLETION CERTIFIED:
~DUS TRIAL WASTE:
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: ---+1 ----TOTAL FEE: -------
P.F.F.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: -----.------------
FACILITIES MGMT. FEE: I BRIDGE & THOROUGHFARE FEE: ----------------
SEWER FEE (CONNECTION): SEWER LATERAL:
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE: _________ ...______ ---------------
DPD2:DPD6:1O/24/86