HomeMy WebLinkAbout2711 TIBURON AVE; ; 87-63; PermitIt ~ h«eby affirm that I am licensed under I[ prcwlalona ol Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and ProlHalons Code, and my license is In
0 lull force and effect.
<.>r I hefet,y altirm •~I I am exempt lrom the Con1r,c-lofs Locens, Law tor Ille lollow,og reason (Sec 7031 5 Busmess and Protess100s Code Any city o, county whict, re--quires , permit to construct. atte,, tmptovt, demoish. o,
repair any structure. pr'°' to ,ts issuance also requires the ap phcanl to, sucn permtl to hie a s1qned statement that he is bcensed pursua.nt to the provistOnS ot the LOntractor s Locense Law IC~pter 9 eommenc,ng with Sect,oo 7000 ot
O.v1s,on 3 ol the Business and Protess,ons COOe) or that Is ex. emp1 lhefelrom and Ille basis tor Ille allegeo exempt,on Any
VIOlat,on ot Sect,oo 7031 .5 by an applocanl tor a perm,, sub· ,ects the apphunt 10 a ctv1I penalty ot not more lhan hve hun· dred dollars (S500)
C I, u owner of the propeny, Of my emplOyees with wages
Ill as their sole compensahon_ wtll do lhe work. and lhe suuc-
0 lure i'S not intended or ottered kw sale (Sec 704.t _ Business ... and Proless,ons Code The Contractofs L,cens, Law dOes 5 not apply 10 an owner ol properly who ou11ds or improves
I !hereon and whO does such work h1msell or lhrough his own
employees. pr<Mded th.al such wnprovements are not mte!'ld· Ill ed or ottered tor sate. If. however the bu1ldmg Of improva• z ment ,s sold w1th1n one year of completJC>n, the O'#ner·btulder ~ v,,U have the burden ot p,ov,ng l~I he d<I not build or ,m-
0 p,ovt for Ille purpose ot sale) .
I. as """"' o1 the property am exctusr,efy contrachog .,,,h f,censed contractors 10 construct Ille p,oiect 15«: 70.4, Busmess and Profess.ans Code The Contractor's license
Law does no1 aP()ly to an owner ot property •ho bu1Lds or ,m-
Ill pt'OYeS thereon, and who contr~ts ror each pn:itects with a conlractor(s) lteense pursuanl 10 the Contractor's L1eense z Law) 0 ;; As a homeowr-.er I am Jtnpcov,ng my home. and the fotlow C ing corulIhons exi.SI a: 1 The -k IS t,e,og pe,1ormed p,,cw lo sale C ... 2 I have lrved ,n my home tor twetve months
() pnor 10 comple11on o1 this work
Ill 3 I have no1 cla,med lh,s exemptJOn durmg the 0 last !llfee years
□ I am exempt under Sec . B&P C tor lhlS re.ason I
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I f I hereby affirm that I have a cert1hcate of consent 10 1 sell-insure or a cet"t1hcatt of Worket5 Comit,on In-surance. or a certified copy lhereot 1sec. 3800. borCode) I
POUCY NO I
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-I Copy IS hied with the City
D Certified copy is hereby furnlsl
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:I CERTIFICATE OF EXEMPTI: 0 () WORKERS COMPENSATION 11
Ill (This section need not be compfet1
a: 1s fo, one hundred dollars tS11 Ill C I certify lhat ,n the perfOfmance ot the work fOf wh,ch " a: this perm,t is Issued. I shall not employ any person m any 0 manner so as 10 become subJec:t to the Workers· Com pen• ~ sation Lawa of CaHforni,.
NOTICE TO APPLICANT. If. afte, making this Cerllficate
of Exemphon. you should t,ecome subtecl to the Wo,kers·
Compensation p,ov1s1ons ot 1he LabOf Code. you must
lorthwith comply with such provisions or this permit shall
• "be ~med reYOkod
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0 1 hereby affirm that there 11 • constn.1<:tt0n lending I
agency tor the performance of lhe wOfk tor which this per-t
mil Is 1uued (Sec 3097. Civil Code) I
Lenders Name Ml ft
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Lender's Address I
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION Wl1HIN SHADED AREA AND DECLARATIONS. ------• -· --• -·· -··-· . ··---······-.... -·-····· ·-. ---······· -· .. -. ,
CARLSBAD BUILDING DEPARTMENT APPLICATION & ~E"'IT ' 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV ST. RO. NEAREST CROSS ST I o;~:;.:;;TIONI s;;:;;;E1' 4z;;,ION
PERMIT NUMBER
a '711 Tt!3u1Acll liVI= f?--i3 't? BLOCK I sueo,v1s10N I A1s.sxs9oR PARCEL NO r CONTRACTOR CONTRACTORS PHONE • ZOOE
-S/.::J -4 t}JJ O~&: /JooL.5 C.6'1-766.S • OWNER"S NAME OWNER'S PHO,_E
OcMIAIA e.. 6'111'1/. 43 4 -B/47 t:ONTRACTOR"S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE
Cf6"? 9 MIJR/1.JII /)~. ?,4 7179 OWJ\IER '., MA1 NG ADDRESS
a. '71/ r, .RVRcd 14V£ DESIGNER DESIGNER·s PHONE
OESCR18 0)".,/lf';RK SI',:/ -Cvp,fe. OESIGNER"S AOORESS STATE LICENSE NO.
0003 W19 0101 02Bltht 76-8
~ .. F, p F LR ELEV NO OCC GP EDU
STORIES
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I I PARKING SPACE I RES UNITS 1 GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
y D ND vO NO vO NO Not Valid Unlffs Machine Certifi«I
QTY. PLUMBING PERMIT • ISSUE 7,5""0 QTY. MECHANICAL PERMIT· ISSUE 3 ,ocJ SUMMARY/ACCOUNT NUMBER_,,.,-/) /'"';)
EACH FIXTURE TRAP INSTALL FURN DUCTS u P TO 100.000 BTU BUILDING PERMIT 001·810-00-00·8220 ~v .--:>..,
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00-00-8221 -"'?,... ,,,r-----·-·---_;;-;,z::,. "() ·.::::, EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 001-810-00·00·8821
EACH GAS SYSTEM I TO 4 OUTLETS --l BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING ~1-810-00-~ _/..5 ·~~ EACH GAS SYSTEM 5 OR MORE I MET Al FIREPLACE ELECTRICAL 001·810·00-00-8223 f <.
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL ;-.,._"\ 001·810·00·00-8224
f
--------' EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS ' MOBILEHOME 001-810-00·00·8225 " _,. .... ;
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN (INSIDE) DRYE~ VENT STRONG MOTION 880-519·92·33 ,<O --TOH,L MECHANICAL FIRE SPRINi<LERS 001-810-00-00-8227
TOTAL PLUMBING I Cr~ PUBLIC FACILITIES FEE 320·810·00·00-8740
' ..... ,~I BRIDGE FEE 360·810·00·00-87 40
QTY. ELECTRICAL PERMIT -ISSUE ~00 QTY. MOBILE ~?ME Ph ~ PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT IIK R CAR P.0,RT I\. • ·'I),-7 '\ ./i"' ")-,. TIF 134·810·00·00-8835
~ ,y Jr, -~ -I PH 3 PH AWNIT;g'J',t-., •CJ,, LA COSTA TIF 133-810-00-00-8835
EXIST BLOG EA AMP/SWT BKR GARAGE 'VP.&,,._"'r " '"'d? FMF
I PH 3 PH ,,,r A. •1.Q. LICENSE TAX 001-810·00·00·8162
REMODEL AL HR PER CIRCUIT 'l"UC.r-""b-MFF 880-519·92-57
TEMP POLE 200 AMPS ~»M,.,. -wo
OVER 200 AMPS V Stp.
TEMP OCCUPANCY 130 DAYSI r .)_ .
CREDIT DEPOSIT \ ~7~·.,_7
TOTAL ELELIRICAL I TOTAL TOTAL FEES PAYABLE I 7l.rr I
I HAVE CAREFULLY EXAMINED THE COMPLEIED APPLICATION AND PERMIT" AND DO HEREBY Exp,rahon Every permit issued by the 8u1ld1ng Otf,ctal under lhe prov1.s1ons of tt11s
'
?,;:HA PEIW:T IS REOU~yfJ§. EXCAVATIONS OVER CEPTIFV UNDER PENALTY OF PERJURY THAT All INFORMATION•HEAEON INCLUDING "l"HE Cod• shall exp,re by hm,tation end become null and <void II the bull01n9 o, wo,i.. Dlif P AND DE4 ONSTRUCTION OF authorized by such permit ,s not commenced w,th,n 180 days from lhe oate Ofti!Jch DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!> permit., or 1f the bu,ldmft or work authorized bv such pe,m,1 1s suspend&<1 ot • 'l'f'"r> 'fER 3 IE 11 HEIGHT ISSUED: TO COMPLY Wini ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CO>. ab1ndon.c1 at any lime a ter the work ,s commenced tor a oer1od of 180 davs 'I
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A'lD
APPLICANTT7S SIG Z UR ·~ OWNER □ CONTRACTOR af m~ j~ 12-, 0-g, 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 @ . . .J~ ./ BY PHONE [J
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. ' '{YPE J DATE I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
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MASONRY !
GUNITE OR GROUT
• SUB FRAME D FLOOR D CEl:t-lNG
SHEATHING □ ROOF □ SHEAR
FRAME .
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EXTERIOR LA TH !
INSULATION I
INTERIOR LATH & DRYWALL ,
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' PLUMBING ' D SEWER AND BUCO D ~UCO
UNDERGROUND □ WASTE q WATER
TOP..,OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
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ELECTRICAL I
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□ ELECTRIC UNDERGROUND CD UFFER
ROUGH ELECTRIC I
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□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I :
MECHANICAL I
□ DUCT & PLEM., □ REF. PIRING
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS I
' --. '
INSPECTOR
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
!. REO IF I INSPECTORS 1CHECKED APPROVAL DATE
·: t
STRUCTURAL CONCRETE
OVER 2000 PSI ~ l:-1s:
PRE STRESSED
CONCRETE
POST TENSIONED
CONCRETE I<'
•. -. -..
FIELD WELDING I
HIGH STRENGTH
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BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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0003 0:5\To 10TOT ·OS£Jqb~f 1~·82
CALL FOR FINAL INSPECf.tON WHEN ALL; APPRO/'R~TE ''i---..="-:..--------+----+-----+---+ ITEMS ABOVE H&VE 85.EN APPROVED. • -----------------------------1
FINAL I .
PLUMBING { l. ,I • •' i ' \ ·) ' I
ELECTRICAL !
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MECHANICAL l .
GAS ·,.,, • s-1s,~·> ..
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SPECIAL CONDITIONS J
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• PLAN CHECK NO. Q ?-/J ADDRESS ,:).. 71/ ~ DATE 312f-7
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PLANNING
ZONE: p TYPE OF PROJECT ANO USE: ~ ,,.,._L
SCHOOL DISTRICT: SAN 9J EGUITO ~NCINI-.fA ..... s.._,,,. __ c_;A-·RR-~LS___,...A_D ___ sA_N_MA_R_c_o_s _ __,
SETBACKS: FRONT --~--SIDE REAR
DISCRETIONARY ACT IONS:_9t__,./;f...._..____,,,.._ _________________ ___
REDEVELOPMENT PERMIT REQUIRED:_?-.... U ......... _________________ _
LANDSCAPE PLAN COMMENTS:_~-~__.4..., ___________________ _
ENVIRONMENTAL REQUIRED: ____ ~ __ U._.__ ______ __,~,/ _________ __,;
COASTAL PERMIT REQUIRED: YES NO ~ -----
ADDITIONAL COMMENT~ ~ At?C I
OK TO ISSUE : ___ ----'-'.A.!)'"""C ___ _ DATE: .::)./riltz ,,
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ENGINEERING
LEGAL REQUIREMEN1S
LEGAL DESCRIPTION VERIFIED? ofv APN CHECKED? /P7-_s-1-;,,-r:f
Q~/ EASEMENTS: RIGHT-OF-WAY:
EDU'S: DRAINAGE:
IMPROVEMENTS:
I tIELD CHECK DATE & INITIALS:
PERMITS REQUIRED \ I I I
GRADING: I:\ I I\\\ 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: -----.------------
D D FACILITIES MGMT. FEE:
-SEWER fEE (CONNECTION):
BRIDGE & THOROUGHFARE FEE: --------------
SEWER LATERAL: ro ....
C: ADDITIONAL COMMENTS:
1/1 1/1
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DPD2:DPD6:1O/24/86
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