HomeMy WebLinkAbout2418 TORREJON PL | 2420 TORREJON PL; ; 80-288; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi•
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is In full force and el•
feet.
OWNER-BUILDER DECLARATION
D I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to Its issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the provi-
sions of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
!as owner of the property, or my employees
wages as their sole compensation, will do
h work, and the structure is not intended or of-
fered for sale (Sec. 704-4, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
Improves thereon and who does such work
himself or through his own employees, provided
that such Improvements are not Intended or of-
fered for sale. II, however, the building or Improve-
ment Is sold within one year of completion, the
owner-b~er will have the burden of proving that
he did o 'eJ or Improve tor the purpose of
sale). , {-
'.JI, as wner of the property, am exclusively con-·
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property t•ho builds or Im·
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuanno the
contractor's License Law).
I am exempt under Sec _____ B. & P.C.
for this reason, ____________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, oi a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO. ____________ _ COMPANY ___________ _
□Copy Is flied with the city.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit Is for one hundred dollars ($100) or less).
I certify that In the performance of the work for
which this permit Is issued, I sl)__aJI not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: 11, after making this Cer•
tlflc:.te of Exemption, you should become subject
11, the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
pr~•,lslons or this permit shall be deemed revoked.
• CONSTRUCTION LENDING AGENCY
I hereby af~lrm !hat there Is a construction len-
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
NO, i -JOB A~SS
:Z,4,J~ it~C,I 7i 'i ~ ~E;J e~I~ I I I I I I I _L I J____J_
AV. ST. DATE OF APPLICATION! IIUS. LICENSE
RO 7-2~'1Je_
ti~ :D.e-v-. ~ • Y:ifoE:fi97{:,
PERMIT NUM8ER
ftJ-;J..fR PRIME CONTRACTOR
°f:i>ERg;;;:;_o~ 7<P. . I~ S'a-d.( ~ ~
CONTRACTOR'S ADDRESS
LOT BLOCK Sj.B_AIVISION__u ASSESSOR:-•s-PARCEL NO.
.i ~,A,SiJ.-# ...3
T STATE LICENSE
l35"'1s-02
CO NTRACTO R-,5
PHONE
STATE LICENSE
DESC:P~~ttF WORK -...f-... _... . /J. A/)• r:,..!...:.12...!::::C:::~C'.~~::::'.:.:::J~~~------l---c:-:=:-:-:,-----1 w~ ~ -~-· ~:i:'.::~~:::::::::::_ -~---_ DESIGNER'S PHONE 1l.1. A.; AA--V
CENSUS TRACT GP LAND USE V 7 7S-S--~
-ZONING/? -2.
lr§iis:C IB~~M,;t; !STANDARD PLAN# lp79~Jo2-I TYPEvONN' :Jf-IOCC.LOAD _ I
l RES. UNIT2 I PARK':j:{8-ffo •) I NUMBER;F STORIES
,....-.. ii -···---·------I II I MECHANICAi PFRMIT I AMT. ~ ,i ~ ....
FURN. DUCTS UPTO 100.000 BTU * ~ ~z. -~ ~R.
AMT. QTY. •••--• ,, ~,,.,_r,-I ~11111'11 I
INSTALL -···---_____ ·--,----·-
3/25/804719
Not V•lid Unless M•chin• CartifitKI
uvtH iuu.uuu sTu I II a A " ~~
?, ............. ·~·· -~ _ 11 1 '° ILEA/COMPRESSOR """ "' 1 1 vv~ 1 I, ii?
II j ILER/COMPRESSOR 3-15 HP i ii / J
--•------ESSOR 16-30 HP
, EACH INSTAL., ALTER, REPAIR WATER PIPE I II 7J VENT FAN SINGLE DUCT I /L'j • -11 ,. ,. ., er
··---HOOD/DUCTS II~ I ::l 7,57~
.-. .. ~rn ""'" nnn .,..,..,,
BOIL
80
BOILER/COMPR ____ ,, ,_ --,,,
.21 VENT FAN SINGLE DUCT
MECH EXHAUST ··---·---·-
• l.j;
~ ~ 0 ~
WATER SOFTNER ~-RELOCATION OF EA FURNACE/HEATER -
CONTRACTOR
TOTAL PLUMBING TOTAL MECHANICAL S-7. CONTRACTOR
~
,:24-.-
BUILDING PERMIT ' '
SIGN PERMIT
PLAN CHECK 157 7f' pJ. C JS-'1
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
p.: ~9 -:
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25 3 PH
=2 EXIST BLOG EA AMP/SWT/B KR /Zr;--1\
1 PH .25 3 PH
REMODEL/ALTER PER CIRCUIT
11 TEMP POLE 200 AMPS
AMT.
f&"l..50.
s---
QTY. MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMADA, CABANA
FEN CE OVER 6'
TOTAL MOBILE HOME
AMT. ELECTRICAL
I L5:21 -
I i(..fk$il
MECHANICAL l ~~-MOBILE HOME I J. l
SOLAR l , l I l
S7'lt; I ·l ..L....:.-1
J. J ~
MICO I IC -1...L._.J,-,t,,,, A
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI ~ ~~ : :a~b~W
TOTAL ELECTRICAL
CONTRACTOR
::2 -
/&·
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. !,A LSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTI NG OF T HIS PERMIT.
I -,-,-.1
TOTAL FEES PAYABLE l , I 1
..L
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'-0'" OEEP ANO DEMOL ITION OR CONSTRUCTION OF
STR~;ORIESI;;; J_
__J_
APPLICANT1f:wi~~ OWNERt\
. ----·-,...,
. -:FT?Y t"'.
~3/J/,53 P~ 1✓ffl ~~~ />,,~So _.s',. /(;)
"'/'.£%/ /} f??, ~:,
'A ---CONTRACTOR□ I APPROVED BY;5,ff7
w., ·-I
__,,. -r~
RE~U~ST :::: INSPECTION TIME· 7,'°2.'i~
INSPECTOR u PERMIT N0 _______ DATE: 3:-Z-?S"'/
OWNER ___ ~~-~/c~(.)_,~A./~t~e_=·· ~+------~r------------
ADDRESS ..21 If{¢ ZO MCI Jo/&l)
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT • GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
TERI0R LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
OG.F.I.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D ATIO h □ SIGN 1 /ri
D ~::y
ITIONED AIR SYSTEMS
REFER PIPING
D FINAL
READY FOR INSPECTION: (ITMoNDgi/ □TUESDAY □WEDNESDAY □THURSDAY 0FRIDAY
DA.M.
SPECIAL INSTRUCTIONS <c:□P.;J~-~✓ e fttw:kb
;;me ,/:J? Y ,1,l()s1de. 6#1:Je dr0 DL/,E;io~f:
REQUESTED BY JI€, /}/l{e. f-PHONE N~o
PERSON TAKING REPORT _______ _
REQUEST FOR INSPECTION
/,I LO'::'::'\-, INsl>ECTOR ______ .,._.,--------------U __ ,,___ __ PERMIT NO. DATE:
OWNER ____ J;;;.jw,::-""'c..c...w..:3-.--+----,--------,---------------
ADDRESS_~~---+----l---'.J----------"d-=---___,__d_U-=---~.....,__::_,c-==+---'-f',---"--'\..__.--==--------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME ~
,..e,:(EXTERIOR LATH~
D INSULATION
Ji<l'.INTERIOR ~O
D FINAL<.!:!._V
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
DA.M.)
0P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
----· -----------..
□TUESDAY~ □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS _________________________ _
REQUESTED BY ___ U_" +-~;_,.. _________ PHONE NO. '.)/ 3-~3 1 0
PERSON TAKING REPORT __ __,cr+....-----
BUILDING
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
□ GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
~FRAME
0 EXTERIOR LATH
0 INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGH PLUMBING ~ TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
□ GAS TEST
0 WATER HEATER
□ FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND "'JC ROUGH ELECTRIC
0 POOL BONDING
□ ELECTRIC SERVICE
0 CEILING HEAT
□ G.F.1.
□ SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
.J:,r;(coMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
□ DRIVEWAY
□ CONDITIONED AIR SYSTEMS
□ REFER PIPING
0 FINAL
READY FOR INSPECTION: ~ONDAY □TUESDAY □WEDNESDAY □THURSDAY □FRIDAY
DA.M.
0P.M.
SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY __________________ PHONE NQ. __ ~~-----
PERSON TAKING REPORT _ ___.~------
tH:OUEST FOR INSPECTION TIME:_~2c.c~,...,· >1!=' "'----
INSPECTOR, __ .=,.,___ _______ PERMIT NO .. ________ DATE: __ g:::;_ _ _;/.:_/_-"'-~---
ADDRESS
BUILDING
0 FOUNDATION
D REINFORCING STEEL
0 MASONRY
D GROUT • GUNITE
Cl FLOOR AND CEILING FRAME
D SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: (OM~
~
oP.M.
□TUESDAY
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 PLENUM ANO DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS ____ ~fE'-'-'""'E=L/"-'--1¥1'--'--'-/-'-N.-'-'A/<--:__;_--'i--'-F.--'fl.Ac....:.--'-'-M.J=F~---------
o/V
REQUESTED BY ___________________ ,PHONE NO. _______ _
PERSON TAKING REPORT __ J¼_i!:3:_3'J"-____ _
REQUEST FOR ~~CTION TIME_· -YI---"--": H~-
INSPECTOR Zt?{ PERMIT No. 2/-Jo,,2-DATE:~7_-_t_0 __ _
OWNER_~.J~.,U~-'-~~-t_r:--,<------------------------
ADDRESS __ .u,,..._,_Y-LU.-r-----",2C>--CY,..::.,.,l__<J _ __,_·7t--"--'~'f'=-"'--~~--------
BUILDING
r::J FOUNDATION
:J REINFORCING STEEL
,_-; MASONRY
C GROUT -GUNITE
0 FLOOR AND CEILING FRAME
~-::J SHEATHING
C:1 FRAME
[J EXTERIOR LATH
C1 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
□ TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
□MONDAY □TUESDAY □WEDNESDAY DTHURSDA~
□ A .M. ,,-/· /,l /.,7 a _,. Z:.t-• W a.Y. _Q__
READY FOR INSPECTION:
o P.M. f/ /c,,:A: U' -t. ·c.-,,-_
• _.AA-Ill '-~~~;:u,.~ SPECIAL INSTRUCTIONS __________ -/ffJ-.-.:.-----,~;,,L"'_,..__ ___ ~(1/~-------
REQUESTED BY __ ~ __ /4_._,{__ __________ PHONE NO. m -O ,¥~/
PERSON TAKING REPORT--~'t'.:+------
TIME· ______ _ REQUEST ~OR INSPECTION
INSPECTOR. '-~ / PERMIT NO. Y-3ci~ :_;? DATE: ½Ito 7/7
. ...,
ADDRESS~'-'-...L.LJ.'-----r-=--+-~-"'----"-----,;""'-~"---------------
, . OUNDA
-~EINFORCING STEEL~/4,,;.
~MASONRY
c_-:-GROUT· GUNITE
[J FLOOR AND CEILING FRAME
~:: SHEATHING
Li FRAME
Ci EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
DA.M.
DP.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
SMOKE DETECTOR
FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS _________________________ _
;? yc:z -c✓ /' I
PHONE NO. ----f-hb1-
PERSON TAKING REPORT--'~~"--'------
(!j G-tf-G__ (lX_,t_ ~d~
--7"'""1 ~
@ f /v'V~ ~7-1.h ~
~ c~ ~ ~_,,,___~~
!J,U---)2--~ t,¼4Y+v---.
(j ~,;;~ Q•ee• µ}~ ~~
B -~~·
. &/r/Eo
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
0 FINAL '
r-----+-------~--.0'
D-.l.lllitDE«G"ROUND PLUMBING
, 0 UNDERGROUND WATER 'tJ ROUGH PLUMBING ID TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
~
'
READY FOR INSPECTION: □MONDAY
~A.M.
□TUESDAY
TIME_· _____ _
DATE:_J_-__ ;2..--0 __ _
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□WEDNESDAY □THURSDAY o FRIDAY
----;;:::c :1:,~ ~ .
OP.M. ~--,.,?t-~
SPECIAL INSTRUCTIONS _________________________ _
•\~ c"-~ REQUESTED BY ___ f'c. _______________ ,PHONE NO.
PERSON TAKING REPORT _______ _
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
PLANNING DEPARTMENT
zoNE ___ ~R-~_v_· ____ LoT sizE
UNITS ALLOWED -----------vf PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
50'?t:>
/
UNITS
J.
" DL:,J,:.
LOT WIDTH ro1 1
PROVIDED --v
PROVIDED '--(
PROVIDED 0 t,,:_
PROVIDED 0~
FRONT SETBACK: (
?-0
SIDE SETBACK: REAR SETBACK:
/J.-.F' ALLOWED (,. "I
PROVIDED ____ J:~◊---t"if OK___
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ: {;~~f
. SCHOO S DI_S_T.,_R~I'-C-T'--~$~ .. ~,,~;;,~,=,=i;..-,~=•-AM-O_U_N_T-.,,_~,'f~,~f-~9~il~,-.~3-,~,r,.~-_/j... ,--0 -,,-
L FEE : : £,-J c. ,,,, 7,4.f : /;u,,, -,.. 500 2 •o~ -;:: :ff' c> ' no -ADDITIONAL COMMENTS:______. ---------------------------/, j
ENGINEERING DEPARTMENT
LEGAL DESCRIPTION 4,-,.· ••cf c•· ---~~~~-~----------------------
' fADDIT10 NA L coMMENr·s_-·_··_-_· ____ ~~-------~~~------------
i OK ~o. :7~¥z.t}a'.?'~~~Ee~~~/:g:~"ffi(~Jf/;~~iK TO ~)INALl,tUC DATF2-2o-c]f
tl
FIRE DEPARTMENT
SPRinKLING SYSTEM FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS -----------------
FIRE HYDRANTS LOCATION -------------------------------
ADDITIONAL COMMENTS
JK TO ISSUE:l~ DATE£'--7-?f OK TO FINAL DATE -----------
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _________ DATE ________ _
79-3()2-