HomeMy WebLinkAbout1198 PINE AVE; ; 86-75; Permit"' z 0 ~ "' .. ~
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?reby affirm that I am licensed under
provisions of Chapter 9 1commenc1ng with
Section 7(00) of DIYision 3 of the Business
and Professions Code, and my license is in
full for_ce jr.Q ~--C rl Q L,c Ne j!:Q 'L'J__)_ '''' '-.cc} ---
1 ne·so1· af',rm •·,al I a-. Vf'TlPT :·J-T~e
1-:;r s License Law ·or 'ne 'c :cw1·1s reco~r ,Sec
Business and ~rofess,urs Cade A".y: ·y ~r
1xes a pe,,,,t IJ nr'o''A' a,·e· ·-w:;,e s· or
cepd r any sTructwe r,rior IJ ,ts 1s;uor.le olo: euo,·es ·t,e a~
plira11 \or such ~erm,1 Tr '1e a ,1a:e·1es: teat s~ ,,
11censed ~~rsua1: t:; :ne o' , .:cw C"<::ter 9 co-,,.,enc,ns w1T" o'
0° 3 ~f ··e 5uo1rtso ar1c P<:iless,or< Cor.e, er s ,,
"1erel'orn a~r :he tao1s for :he a:ie,;eo e,erc.pMn An1
01 Sect1co ,031 5 D) an app1,ca1t for 1 ~err-,t SaD
lhe app1,cart to a C",,i pe·,a111 of nc1 more lhan be n1.n-
do lors ,5500·,
JS 0,11er c' tre prooer'·/ 0· e"''(l'"V""" "'!1 ,.,yes
as "",e,, sole cumpensa110° w I' do w0c1<. aod ,:rec
tu·e ,o nu: ,r.te~dec Q' of!e·ec for sale .Sec ?C44
MC Prnless,cns Cor.e Tr.e Cont·acrvr o License ,aw coes
no· ap:ily tc Jn owner of properly who bJ Ids 0' 111pro·;e1
t'ere8n and w'ln does sue~ /'/ors h,msel' or throug" h,s own
er1r;ioyees P'OV1dec !hat sJcr ,mpro-,ements are not ,n:e"d-
ed or 0•1e,~d 'G' sale 1f. however the bu1'd1",g or ,moro·1e
rce'·I ,s sold w1lh,n o~e yedr of comp1et,on the owner-bu,lde' .,. I' hdve t~e n~rcen Jf pro~1ng t~a: he did no• build or ,,,,
:J'OVP. tJ" tre pJr;JOSC 81 Sd'P.I
I. as owrer of the pr~~e'ty am e,clusi.·e:y con•·actng
w,•h 1,ce~se11 co~t,aclo's to e0n~1rut1 The orowrt I Sec 7044
Business ana Proless,on~ Cede Tne Cont,dcto, s _,ce,se
Law does ooi cppiy to ar o""er of omoert1 wrv 8J,,ds or I'll
proses !hereon anc wro co~t·acts for eacn pro1ects "'lh a
conlractorisJ 1,cense pursua~• lo t~e Cor·t·acto· s L•cer,oe
LdWI
As a ~omeow~er I a"l ,m~rnv,ng my norne and l<-e fol'c·w ,nG ccnd,•,on1 e,,st
, 1 The wcr< ,s be1~g pe·formed pr,or to sale 2 I -1ave li,ed ,n my home for tweloe rnor11ho
prrn ro comp,et,o~ of this work 1 "ave nol claimed th,s exernpt,or du•ns the
las! Three years
.;m exemo' under Sec ______ B&PC
tor t01s reason-------------
I sereoy aH,rrn t~dt I ra,e a cwt,•,cate o consent to
se'\ 1"surc or a ce·t1\ cate o' Wo•,e,s· Com
,crdnce. or d :ui, ,pC ccp\' '.hcr~of ,.Se
PCuCY NO
::;::;\1PANY
Ccp; ,s 1, ed ·.s,t~ the c,ty
Certlf,ed c8~Y ,s hereby furrnshed
CERTIFICATE OF EXEMPTION FROM
WORKERS" C0\1PENSATION INSURANCE
,Th,s section need sot be completed ,t the permit
& s fo, one hundred aollars :S1001 or less1
certify that ,n tr.e performance of the work for ,.,s,ch
erm,t ,s ,ssued. I shall not employ any person ,n any
r"Canner so as !o become sut>1ec1 to the WorKers· Compen-
sa! on Laws of CalLforn,a
USE BALL •OINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad. Cal1lorn1a 92008-1989 (619) 438-5525 APPLICATION _,J-,PERMIT
JOB ADDRESS
I I 't 8 {, T.
LOT l BLOCK 1 ;:;uao1 VISION -I
OWNER"S NAME
OWNER'S MA'L;"lG ADDRESS
D,:1CRIP1 :c:,~ OF WOR I(/') , --
•
AV ST.RD. ' NEAREST CROSS ST.
fid {> I 'C,_t)
ASSESSOR PARCEL NO
-()CJ::yt-M/Dt.=--'tM ~-,
0 e! • /,, A ~, J /
DA TE OF APPLICA Tl ON I
i-2.'2..-f'-I
CO",TRACTOR
CONTRACTOR·s ADDRESS
/I 3o T~~C}C-
DESIGNER
DESIGNER"$ ADDRESS
FP ~LR ELEV NO
STQR:Es
GRAOING PERMIT ISSUEC TYPE
CONST
B:~ LICENSE :: VALUATION
CONTRACTORS PHONE~ ZONE
LICENSE NO PLAN 1.0 . .:;
DESIGNER.S PHONE -i /~J_-lb£.
ace GP i EDU
ace LOAD FIRESPP
PERMIT NUMBER
BUILDING SQ FOOTi',GE
! r\ ~ 0
I c:; ~,
Cf NSUS TRACT ! R~S UNITS I
I
REDEVE:LOPMfNT
ARE A
,r -,O Not Valid Unless Milchine Certtl1ed
OTY PLUMBING PERMIT ISSUE QTY MECHANICAL PERMIT -ISSUE SUMMARY~CCOUNTNUMBER
BUII_DING PERMIT
-----
SIGN PERMIT 001-810-00-00-8?21
001-81 D-00-00-82/0
----------t---·--_---·t----tlNSTALl FURN lJUCTS iJPTO lOOOOOBTU
---+------· i -+ _oyERlOOOOOBTU _
----____ j______j__B9_1LER COMPRE~SOR UP--2._~~-~-P ____ _
, -t--', SOILfR COMPRESSOR 11'.J HP ___ _
tALHGASSYSTEM'.JOR \'URE \·1[]{;' FREPLACC
EACH INSTA~ ALTER -REPAIR 1\ATER PIPE ---T--VENT ~AN SINGLE DUCT ----·-t--MECHANICAL ---=rf-~ VACUUM BR E_A_Ks-c' ,,H____ '. _ ,i M f CH-f-X HA us_1 __ H_OcO=-cO,,O,,O::_:_C_T s:_ ___ ---------1-------\~"----_JI__-_-,,-M=O-BI LEHOM E---
--~~ R _SO_f_l St R __ _____ R_E_L_O_CAT_IO~ _O_F_l_A_FURNA_CE_H_EA~~R --\-l-l,---<C'i,-\'1.AJ----ll---"M'-"O""B'"IL"cE'-'HOe'M"E"-'-PA"'R"K""IN"'S'-P-----______ _
-_-±!t~:;·.1 r,cn:,, ''"'"·''1~----------,-+-I -,I, TOT kl MECHANICAL I /\ -"''/ "y_ SOLAR 001-s10-oo-oo-s226 \J STRONG MOT',ON 880-519-92·33
TUI Al PlU\HilNL a=I FIRESP_R_IN_i<LERS _____ ~O!Jl-810-00-00·8227-+------------
o
--TY.1 s---ISSUE \ \\ 1' · \ PUBLIC FACILITIES FEE 332-8_10·00-0_0_-8930 ,_
------!1-----E-L_E_CTRICAL PERMI_T_-_is_s_u_E_~--l----:_ , QTY SOLAR-----i ~ 1· "i ~ ------
NfW CONST EA A'viP sv,·1 fiKR ' ~ll_-~CTC,HS \\ V..J , _", SC~1Q_9~1STRIC'_, __ --_:__
1 PH -1 PH --=--=--__ --it-. s1l:•RAGt 'A'·J~S -------\ Carlsbad f---+-----',-+--->---------------------+-----------
1 t----FXIST RLOG EA AMP SWT -~K_R_____ 1 1 ROCK STC,RA!)L --------'-"' 1 Encinitas ----------
1---1---'-P_H _____________ J_P_H_____ '1 ~L,1/P ____ __ l...__S~1~to __ ____ -----l---------__
REMOOELALT!:R
EACH ~IXTURE TRAP ' --
tACH BUILDING SE'NER ---------
001-810-00-00-8806 E:.ACHINATER HfAlER ANU OR VENT PLAN CHECK -----+---------------
001-810-00 00-8?22 TOTAL PLUMBING
/~-•
EACH GAS SYSTEM I TU-10\JlLE:.TS ....:_ __ _
00 ', -8 ". 0-00-00-8223 ---------. n_ _ __cE:cLEC.~~-CA_L __ _
001-810-00-00-82 24 -------L---
001 ·810-00·00-8225
----
-
' --
PE:R CIR CUil p1 i,'J -:Jhr.'K 1·EE ---------------San Marcos ___ J
I IE'v1PPULE /[)[JAMPS
I OVER](JUAMPS J] -"
----
LICENSE TAX 001·810·00·00·8162
r-.OTICE TO APPLICANT: If. after making this Cer1,f1cate I )---1---,-,-,-,P ()CC UPAN ,-v-,-3-0_0_A Ys1 ., -
o' Exemption you should become sub1ect to the wo,kers I l---1----c-a I ~ -,,-t= Cor"1pensat1on prov,s,ons of the Labor C e you must ~ ~----/' 7'if ---------------------!-----~ --------------------
MFF 880·519-92-57
-
L iorthw'1~complyw,tt1suchprov 1sperm1tshall I /I! r-:,JJ ,Jll,f:""1,, p/-/ C,I _ ______jj_ ___ -c+------------CREDIT DEPOSIT
l1lTAl [Lt[TRl[:Al /_ 'OTf\! S\,l.C,R /'~ -----be deemed revoked ,,!.~~~,-----: 6"-I ~' ' ] : ... ________________________________ __./ __ .;a.. ___ -__ ... , __ __. ____ ..., ________________________ .... ________ ..11,, ____ T_o_T_A __ L_F~E-E_s_P_A_Y_A_B __ LE ____ _. ____ ..:,._~~,,.......-.... ;... ________ ... -"'1
_ I hereby affirm \hat there 1s a construction lerd1ng
agency for the pertormance of the work for which this per
m,t ,s ,ssued !Sec 3097. C1v11 Code)
Lender's Name
L Lenders Address __ _
I ! HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT .. AND DO HEREBY E~pirahon. Every per_m1t issued by the8u1lding Ottic,al under the pro ... ,s,ons ollh!S
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1mitat1on and become nuH and void !I the blJflding or work
* AN OSHA PERMIT lS REQUIRED FOR EXCAVATK'JNS OVER
5· 0 .. DEEP ANO DEMOI.JTK>N OR CONSTAUCTK'JN OF
STRUCTURES OVER 3 STORIES IN HEIGHT I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authom:ed by such permit ,snot commenced within 180 days from the date ot such permit, or 1f the bmldmg or work author1:i:ed by such perm,t 1s suspended or
t ISSUED TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• l.!'~'~'~"~·~o~, .. ~!'L' !'"~'~1,;m:i,··~"j!!·•Jt~he!_!WS0"'-'-''"'--"'02m~m~,""''•""e.!'o••c••'~ -e"Qod,Uo>!!Jl~8Q0Jd~·"'"'--:~~~~,::o::,::-~~-----------'.:":-::------~
1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND -'°J''J APPROVED /8'~ I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB1UTIES. JUDGMENTS. COSTS AND APPUC T'S 1'IG~E Jf,. OWNER O CONTRACTOR"t"J DA TE ft
', l]E1X~P~E:N~S~E~S~W~H~l~C~H~M:A~Y:IN:A:N:Y~W:A:Y~A:C:C:R:U:E~A:G:A~IN:S~T~S:A:l:D~C~IT~Y~IN~C:O~N:S:E:O~U~E~N:C:E~O:F~T:H~E----~~,~~ ,~.~~/ -~ //~~;::::::::::::::::::::::.. ________ •:v:.:P:H:O~N:E..::O:..L ____ L_~~~~~------1__f /-::~~ )~,L~:r!.~~ GRANTING OF THIS PERMIT ·i; -/1,.. ,. tY .
D
0
(')
BP
~L u
Q
Q "' I
TYPE ' DATE INSPECTOR
-~ --·--
BUILDING ' 5!t,.,-7S ' FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' RED IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEILdNG ------
SOILS COMP~:ANCE SHEATHING D ROOF D si:i;EAR PRIOR TO ~--J ______ ±= FOUNDATION INSP FRAME I
. -------
EXTERIOR LATH STPUCTL:RAL COr'-.CRETE I . I OVER 2000 PSI -, ' -INSULATION PRfSTRESSEO ' ' I CONCHFTE I
INTERIOR LATH & DRYWALL I
POST TENSIONED
' CONCRETE -PLUMBING I FIELD VVELOING
---T--·--·-------SEWER AND BL/CO Pl/CO ,flC-iH SI RENGTH c__J
UNDERGROUND D WASTE D ,WATER ~TS
TOP OUT D WASTE C \/yATER :if-'ECIAL MASl)NRY
----
TUB AND SHOWER PAN I i
GAS TEST !----.
' L:•cES CAISSC"• : +--D WATER HEATER D SOLAR W~TER . ---------+------' I ' --ELECTRICAL I
DI UFFER ---D ELECTRIC UNDERGROUND
ROUGH ELECTRIC ' ·-------~--. --~-
D ELECTRIC SERVICE D TEMPORARY ~-7-----------.._ _____ --------
D BONDING D POOL I
/ --------------
I
I
MECHANICAL ' L----: -~-=+---I /J i D DUCT & PLEM., D REF. PIPI_NG. ----~----. I ·1-· . .. HEAT -AIR COND. SYSTEMS I ·.
VENTILATING SYSTEMS ' ' -' 'II. u. h ", , .. , I ' I
/1 . . ..
CALL FOR FINAL INSPECT/0~,WHEN ALL APPROPRIATE / ..
ITEMS ABOVE HA VE EEN APP-ROVED. . / ., FINAL I l' ~ \ ' I " ·. -. ' PLUMBING ' -~ \(\ \. \ ' . .
ELECTRICAL I i ., 1 I
' .. ' MECHANICAL ' \. \l vr '
' GAS I . ' { ' i
. -.
: BUILDING ;y ' ' I • ' ---~--SPECIAL CONDITIONS ' ,, I ,_.. ________ L ______ L_ I ' ' \ ~------I