HomeMy WebLinkAbout2711 TIBURON AVE; ; 87-96; Permit"' z 0 .::: C m: C _,
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'A'1 hereby atflrm that I am licensed under
i!f'o,,ialona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profaulona Code, and my license Is In
full force and effect.
I hereby a11irm that I am exempt • from the COntr It i
101' s license uw 101' the lollow,ng reason (Sec 703 t 5
Business and Proless10ns Code Any c,ty or county wh,ct re qu,rn a perrrut to construct .. alter., improve. demolish. °'
r8')aIr any structure. pnor to its issuance itso requ,res !he ii>
pi,Canl lo< SUCh -to hie • s,qned Sia-I 1'131 he IS hc:ensecl pursuanl 10 the prov1s,ons of the t.:ontractor s License Law {Chapter 9 commencing wrth Set11on 7000 ol
Division 3 of 1ne Business and Profess,ons Coe1e1 o, 1t1a11s ex empt therefrom and lhe bas•s tCM' lht a,iegea exemp1ion Any V101at10n ot Sec-1101'1 7031 5 by an app1an1 tor a perm,, sub Iects !he apphcant to a tN1I penalty o, not more thin hve hun dre!I dOllars ($500)
1, u owner of lhe propeny o, my empioytes w11h wages
as their sole compensatK)n, will do lhe work. and !he slruc•
ture 1s not intended Of offered for sale (Sec 700. eusmess and Proless,ons Cooe The Contractor s License liw does
not ilPP'Y 10 an OWl'ler of PfopeT'ty who bu11os Of imprOYeS
thereon and who does such wOfk h1msetl °' rhrnugh his own
employees. PfOVldeCI 1hal ~h improvements ate not intend·
ed or of'ered tor site tf howeYef the bu11drng or arnprove-menl is sokt within one yeM ot complehon. lhe owner -buftder WIii ha .. tne burden of DIOVlng Iha! he did not build 01 Im• prove ,.,. the purpose ot sale)
, I, as owner ot the Pfopefty. am e:xc.lusively contracting with licensed contractors 10 construct lhe pro1ec1 (Sec 70,44,
Business iind Pf'oftsSK>Os Codt The Contractor's License LJw does no1 ilPf)ty to an owner of property who bu1ids or wn~ proves thel'eon. and who contracts IOr e.ch prorects w,th a
contractOf(S) hcense pursuJint to the Contractor·s Ltcense Law)
As. _.., I am lffll)IOV,ng my home and the tollow.
1rig conchhons extSt 1 The wOl'k ,s being pertormed prlO! 10 sale. 2 I ha,. lived In my home 101' 1we1,. months Pf'°' to compte1ion ot th,s wotk
I have not clarmed trus eic:emphon during the lasl three years
O I am exempt under Sec ______ 8& PC
for this reason -------------
~I hereby attum thal I have a cert1l1cate ol consenl to
/.~~~~sure Of a c.erhhcate ot Workers Compensation In-
surance. or a certified copy thereof tSec 3800. Lab04' CodeJ
POLICY NO
~4NY
' Copy IS flied with the city
□ Cet111ied CWY IS hereby furnished
CERTIFIC4TE OF EXEMPTION FROM
WORKERS COMPENS4TION INSUAANCE
(This ,ection need not be com~eted 1f tne permit
11 for one hundred dollars tSH)()) or less)
:J I certify that ,n the performance of the work for whtch
tn,s penn11 ,s issued. I shall not emptoy ■ny person in i!lny
manner so as to become subject to the Workers' Compen-
sa1t00 Laws of Cahtorma.
NOTICE TO APPLICANT U. after matung Uus C.r1thcate
of E11emp1t0n )'OU ahOuld become subfect to the Workers
Compensation Pf0Vlsions ol the Labor Code, you must
lorthw1th comply with such prO'ftsions or this permit shall
be deemed revoked
D I hereby affirm that there 1s a construction i.ndmg
agency to, the performance of lhe wotk lor•hteh this per-
mit is issued !Sec. 3097. C1v1I Code)
Lender's Name __ _,~rl+I.,..... ______ _ -t;::// I\
Lender I Address.
US£ BALL POINT P(N 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 -n~~ eoK/Tir1t<'ARESTCROSSST
1
DA~ T ;r~C;TIDN
1
JOB ADDRESS BUSINESS LICENSE It VALUATION PERMIT NUMBER ~1ll 'l~fnl) b rxJt f7-9G LOT BLOCK I SU801VISION ASSESSOR PARCEL NO ~<; ~ou CONTRACTOR CONTRACTORS PHONE • ZONE r u,Ct I r --, -,\ ~ -5fsl-ll!)tJJ'°5 OWNERS NAME
I (.\ ~~w~~\s~HlNE
\/Aoa_c;. (/('V'\} .~
(x)Nt-JA CONTRACTOR'S ADDRESS STATE LICENSE NO. . BUILDING SO. FOOUGE C'A~'OA '
OWNER'S MAILING ADDRE5S 'rZ4. 9 t ,,, '1 m R<tl <.. l A Orl .. °3L\7119
~'I:-
DESIGNER . DESIGNER'S PHONE Ct.£\-•t.LSBA~. C A . S tr\tl\~.e::~.R .. <...\~~ -S'74 l OESCR,PllON OF WORK 'lYz_c:_)l_ DESIGNER'S ADDRESS STATE LICENSE NO
C.,lo·\C,e..-e.. AJ-e.. le.. ,f()e Sc.... (;'.€')~~,
-Fl P F LR ELEV NO OCC GP EDU
STORIES
vO NO --
I I PARt<tNG SPACE I RES UNITS I GR4DING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST 0033v~/.GainUGilc"°2&lllRlt y D ND ,o ,..o vO NO 79-~
QTY. PLUMBING PERMIT · ISSUE 7-$L) QTY. MECHANICAL PERMIT· ISSUE :-=:s Q"O SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100 000 BTU BUILDING PERMIT OOH 10·00·00·8220 t,.,~ -
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00·00·822 I -------q/ -EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8821
EACHGASSYSTEM I T040UTLETS ---1 801 LER/COMPR ESSO R 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 -------
EACH GAS SYSTEM 5 OR MO Rf MET AL FIREPLACE E~ICAL 001 ·810·00·00·8223 --AE-cYANICAL EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT 001·810·00·00·8224 ---------,(\ .M!JBILE!jOME EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS .-. ,OQ.-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER -. ]f)LAR r--Cb \ ~..., • :;-:001 •810·00·00·8226
EACH ROOF DRAIN ( ,NSIDE I DRYER VENT -~ ,Y STROMN.10T10f'f ~"-880·519·92·33 ,,so
TOTJ.L MECHANICAL ,"! ~RINKJ,l;'BS ..._,,• 001·810·00·00·8227 --I --/y ,j~BLIC F)~t,Tl{~~EE 320·810·00·00·8740 TOT AL PLUMBING -,._• BRIDGff.,.FtE' / .-' 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT· ISSUE ()""° QTY. MOBILE HOME SETUP PARK~-1,..(HJ (AREA )
NEW CONST EA AMP SWT BKR CAR PORT ._.,_.,...;., 134-810·00·00·8835 -1 PH 3 PH AWNING ~-R95TA TIF 13J.810·00·00·8835
EXIST BLOG EA AMP SWT BKR GARAGE -~r
I PH 3 PH "!..ICENSE TAX 001·810·00·00·8162
REMODEL A L Tt R PER CIRCUIT MFF 880·519·92·57
!£MP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT :J..~-
TOTAL £LEL1RICAL I TOlAl TOTAL FEES PAYABLE I 79,50
I HAVE CAREFULl Y EXAMINED THE COMPLETED "APPLICATION ANO PERMIT AND 00 HEREBY Expiration Every permit ,ssuect by the Bu,1dmg Oft,c,al urider lhe pro..,1s1ons of lh1s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall e:cpire by f1m,1at1on and r:>ecome null and 'I01d U lhe building o, work ~-0 . DEEP ANO OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE .AkJ CORRfCT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such per mil 1s not commenced ,.ith1n 180 days from the dale ~f such STRUCT\JAES OVER 3 STOAIES IN HEIGHT
ISSUED ·ro COMPLY WITH ALL CITY COUNlV ANO STATE LAWS GOvERNING BUILDING cor, :~~~n°~ 1
!1 ·z~y ~!:·:H.~~h:':~,:~!"c0~~:1.~i.~~~~ ro~r;;~·~,sf:rr;.~~ ,H
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE If. OWNER □ CONTRACT~ APPROVED BY f~ 1d~1/,7 KEEP HARMLESS ,-HE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY N CONSEQUENCE OF THE 0 ~ r~o GRANT'NG OF THIS PERMIT BY PHONE 0
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION : 'f-C,~"T M.1i:...<9
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT !
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SlrtEAR
FRAME I
EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL :
I
PLUMBING I
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND Gl UFFER
ROUGH ELECTRIC f
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIRING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPECt /ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
I
ELECTRICAL I
MECHANICAL I
GAS I
f
BUILDING I f ,t 6"b'i ,,,,, • I I i ,
SPECIAL CONDITIONS I
I
I
81--9 ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
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
OO?i ,cw\OS oror mJqbSf .\l,·20
V
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DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208
SAN DIEGO, CA 92123
(619) 560-1468
JURISDICTION: §APPLICANT
JURISDICTION
PLAN CHECKER
FILE COPY
QUPS
QDESIGNER
PLAN CHECK NO:
PROJECT NAME: ____ P=E=6~K'---------------
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The plans transmitted herewith have been corrected where
necessary and substantially comply with the jurisdiction's
building codes.
The plans transmitted herewith will substantially comply
with the jurisdiction's building codes when minor deficien-
cies identified ge:,._0 ..; are resolved and
checked by building department staff.
The plans transmitted herewith have significant deficiencies
identified on the enclosed check list and should be corrected
and resubmitted for a complete recheck.
The check
The plans
plans are
list transmitted herewith is for your information.
are being held at Esgil Corp. until corrected
submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
f!j,Esgil staff did not advise the applicant contact person that
plan check has been completed.
0 Esgil staff did advise applicant that the plan check has
been completed. Person contacted: --------------
Date contacted: ----------Telephone# ---------
REMARKS : IJ0"1€; -~ PA /~ {\)CT[ eater IZF' 71//:, f'E/:/)1 /1
By:A ~ d<:P
ESGIL CORPORA~ION
Enclosures: ------------
</'-3/87
Prepared by,
<met Ar,l(pa
Jurisdiction c..,n OE CA<eU':,BAD
VALUATION AND PLAN CHECK FEE
PLAN CHECK N0,_--"8'-'1_:-:..."ic:,eo'-a=+~-
BUILDING ADDRESS -z..711 11@\IRQt,l Al/*
□ Bldg, Dept.
O Esgil
APPLICANT/CONTACT _________ PHONE NO, _______ _
BUILDING OCCUPANCY l-l\-\ DESIGNER PHONE, _____ _
TYPE OF CONSTRUCTION v-,-J CONTRACTOR PHONE
BUILDING PORTION
--• V
Air Conditionin~
Commercial
Residential
Res. or Comm.
Fire Snrinklers
Total Value
Fee Adjusted To Reflect
------
BUILDING AREA VALUATION VALUE
MULTIPLIER
2-Sco"' 9 2:.o.L
@
ta
@
-Z.~o4
0 Energy Regulations (Fee x 1,1)
□Handicapped Regulations (Fee x 1.065)
Building Permit Fee $•-------------------~---'-,.=.""5~o ___ _
Plan Che ck F ee_.,,_$ ____________________ ..cS._....::"2.:.,Se,,,..::D::.'?.~---
C □MME N TS;_•-------------------------------
B/4/82
I!\ Yl-f't ··~ ' ~~, ~
: / P. 0 ~ PLAN CHECK No.-----£r 'l£: ADDRESS ~ 7(/ ~C,/ fu(),~ ~ (~a•
~~~ -c,'> ,;,
I.. a,
:t a,
·-a, > .... a, ro ~o
/ .....,-/t'-, ~ ,,, ' PLANNING ------..........__o/.<) Q~ ,.;; ·. II-:),..
~ o✓., "' ·•·~
ZONE: ~ \ TYPE OF PROJECT AND us/ ,L, t>~ ~ ~ ', .. ~"'"'
SCHOOL DISTRICT: SAN DIEGUITO _ ENC~~S ~ ~~ MARCOS _
SETBACKS: FRONT Qf._{_ SIDE &)/L REAR q,~
DISCRETIONARY ACTIONS: yl J.,br
-L.:..-+.J, r...---.--------------------REDEVELOPMENT PERMIT REQUIRED: -fill~..,._ _________________ _
LANDSCAPE PLAN COMMENTS: -f-'--+..£.-,<t---------------------
E NV IRON MENTAL REQUIRED: __ -+-,....~------~:::a-...-----------
COASTAL PERMIT REQUIRED: YES -----ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE: ~ DATE~Jtt,q:
~
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERITTEO?~
EASEMENTS:_~-----------~-H+ ......... --"-------------
EDU'S: NIA
APN CHECKED? __ ..,,.~~-=--------
RIGHT-OF-WAY: __ ~--'--'a.=..;-?f-------
DRAINAGE: AJ/JJ, --1~ ..... ---------I
IMPROVEMENTS:_,__f.J++/Rc...._ _______ :-=--,~-==~-e-=-=--:-:-:--::~-:-::-------
FIELD CHECK DATE & INITIALS:
PERMITS REQUIRED
GRADING: A) -~+-+---------------------------
GRADING COMPLETION CERTIFIED: ------
DRIVEWAY: 4{/fi-INDUStRIAL WASTE: AJ//!J:
I
FEES REQUIRED
PARK-IN-LIEU QUADRANT: /\f/A-, FEE PER UNIT: /J,l!i TOTAL FEE:_/J._,.,,.'/4-___ _
D □-
P.F.F.: Nj/4-TRAFFIC IMPACT fEE PER UNIT: ~L½}: TOTAL FEE:_M:......1//b~---
FACILITIES MGMT •• FEE:rnef.,k #:~ BRIDGE & THOROUGHFARE FEE: __ 1'-~-----
SEWER FEE (CONNECTION): ,:J/tt SEWER LATERAL: ..
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c ADDITIONAL COMMENTS: -----------------------,--------
0 a, u .... ~ OK TO 15~-L<~C:::~....:::~:Z:==~~---=DATE: __ 2 _-...;...,2_~_ .... _e_._z _____ _
DPD2:DPD6:10/24/86 .