HomeMy WebLinkAbout1275 HOOVER ST; ; 81-291; Permit.,, z 0 ~ a: C ~ 0 ... a
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O I 1.!19by affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect. Lie No _______ Class _____ _
l hereby afhnn that I am exempt from the Con· ~~~·~~~~::: !;; ~,~r::'~~~.\~
county which requires a perrmt to construct
alter, improve, demohsh, or repair lilly structure, prior to its issuance also requues the apphcant tor
such permit to hie a signed statement that he ,s
hcensed pursuant lo the prov,s,ons of the Con·
tractor's License Law (Chapter 9 commencing with
Sectt()f"I 7000 of 01v1s1ori 3 of the Business and Pro-fesst00s Code) or that ,s exempt therefrom and the
bas1s for the alleged exempt.on. Any violation of Seehon 7031 5 by an apphcant for a permit subjects
tne apphcant to a civil penatty of not more than five
hundred dollar$ ($500).
□ 1. as owner of the property, or my employees
••th wages as then sole compensat~. will do the ~. and the structure Is not intended or offered tor
sale (Sec. 704-4. Business and Protess,ohs Code·
The COntractor·s License L.aw does not apply to an
owner of pt'Operty who builds or improves thereon and who does such wM himself or through his own
employees. provided that such ,mproveme:its are
not inlende1 Of offered for sale. If, however, the building Of ,mprovement Is sold within one yNr of
complehon, the owner-builder will have the burden
of proving that he dad not build or improve for the
purpose of sale!
□ I. as owner ot the propeny, am exclusively
contract,ni with licensed contr~tors to construct the proteet (Sec 7044, Busmess and Professions
Code The Contractor's License Law does not ac::,ply
to an owner of property whO builds or improves thereon. and who contracts for each pro,ects with a
contractor(s) hcense pursuant to the Contr.ctor's
License Law)
O I am exempt under Sec ____ ,8 &PC
tor this reason ___________ _
D I hereby affirm that I ha11e a cert1t1cate ot consent
to sell-insure. or a certificate of Wor1(ers·
Compensation Insurance. or a cert,hed copy !hereof
(Sec 3800, Labor Code!
D Cert1hed copy ,s hereby furnished
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t lhe perm,1
1s tor one hundred dollars ($100) or less)
0 I certify that in the performance of the wont tor
wtuch this permit Is issued. I shall not employ any
person in any manner so as to beeome sub1ect 10
the Wor1(ers· Compensation Laws of Calltorn1a
NOTICE TO APPLICANT It. after makin~ this Ce,i,-
hcate of Exemption. you should become subIect t'J
the We>n(ers' Compensation pt0vIsIons of the L.abof
Code. you must forthwith comply with such
p1ovIsIons or this perrrut shall be <)eemed revoked
O I hereby affirm lhat there ,s a construc1Ion
Iend1no agency tor the perlormaoce of the w()f1( lor which this permII 1s issued (Sec 3097. C1v1t Code)
Lenders Name ___________ _
Lender's Address __________ _
USE BALL P.01i PEN ONLY & PRESS HARD APPLICAN FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~= 1200 Elm, Carlsbad, California 92008 (714) 438-5525
~~ CARLSB.;, BUILDING DEPARTMENT ".--PLIC~T~N~J!RMIT ~~~C)
I JOB ADDA ss tz. ,5'i H-cooo.Re <z,t-. A~i.T·I 7::F f5:gorl
l OWNER'S PHONE' PRIME CONTRACTOR w~ew ~,
~~,:t"cE"llfsR
--::)Q.~, .. , . ~-
~NE
N -PERMIT NUMBER
Bi-Z-11 ~~~\-t~o~.
~ER'S MAILING ADDR_ESS -
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STAN DARO PtAN °# /
BLDG USE CODE
LOT I BLOCK I SUBDIVISION IZ~~ci~O-DI DESIGNER
DESCRIPTION OF WORK ~~2' c~~r · Aeallr J "'"""'""°"""'
F/P FLA ELEV.
vO NO
CENSUS TRACT l GP LAND USE PARKING SPACE. RES UNITS GRADING ~EAMIT ISSUED
YO ND
REDEVELOPMENT
AREA
vO NO
QTY. PLUMBING PERMIT -ISSUE '2,.§1) -aTY. MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TD 100,000 BTU
EACH BUILDING SEWER I I I OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT -I BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TD 4 OUTLETS I I I BOILER/COMPRESSOR 3.15 HP
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FU~ACE/HEATER
""7 -:;::;;,--
EACH ROOF DRAIN l)NSIDE) I ff I 7
TOTAL PLUMBING l
TDT.C.L MECHAf/,7AL p ~
~
STORIES
TYPE
CONST
STATE LICENSE #
DESIGNER'S PHONE
OCC GP
OCC LOAD
EDU
FIRE SPA
vO NO
~NG SQ. {e>qTAGE g, 4~
7 /2 I /8 15454
o□o 15454 71211 a,
Not Valid Un~s Machine Certified
6u.a~
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(j)-FJ SUMMARY/ACCOUNT NUMBER ~ .....
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHDME
~HOME PARK INSP
~HSOLAR
STRONG MOTION
FIRE SPRINKLERS
r;;;; r f,"1' -> '2..Pi bi;)
'7 .,.
4 _z;_F)~
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QTY. ELECTRICAL PERMIT -ISSUE .. 11 / PUBLIC FACILITIES FEE
BRIDGE FEE -=
'{1 J7 NEW CONST EA AMP/SWT /BKR COLL"jjt~ r SCHOOL FEE -DISTRICT
1 PH 3 PH V 7 Carlsbad
EXIST BLOG EA AMP/SWT/BKR I II ~oW°STORAGE \ VJ \, , " ,. ~9 1 o Encinitas
silf,i/1.TANKS I i i
1 PH 3 PH I .::::::---1 I PUMP I / Ill/I P' I ll San D1eguito ~ • l REMOOEUALTER PEROIRCUIT c:z:.· ~ IPLANCHECKFEE / f•, I II SanMarcos I I
TEMP PO LE 200 AMPS ~
OVER 200 AMPS :;?'
TEMP OCCUPANCY 130 DA
~·----
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE ] '14. 05
I t,iAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-
STRUCTION., WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO ..!o-~~~~~r\"f!!!~n--f!!!~f.!.~~~~:!!!!..!2!:..!.J~:22..l!!...!.!!!l~!ll.-,;~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS A
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT
GRANTING OF THIS PERMIT BY PHONE 0
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* AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER
5' O" DEEP ANO OEMOUTION OR CONSTRUCTION OF
STRUCl\JRES OVER 3 STORIES IN HEIGHT
I ,I ~· ·--vJ/f-'//lf-11
~1~-17-81
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INSPECTION TYPE ---... -DATE -· INSPECTOR ··--· --· -··
BUILDING
.,FOUNDATION
REINFORCED STEEL • MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
SHEATHING -I 0 I
FRAME r--J / 7,'1 _,,~
EXTERIOR LATH INSULATION • I .. . I
INTERIOR LATH & DRYWALL I
PLUMBING
• SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS ~ ~ ri • ~--•-
VENTILATING SYSTEMS ' " ' J.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL . .
PLUMBING .
ELECTRICAL ,_ , ;,rr ' MECHANICAL
GAS ',
, .. t. , .
BUILDING
SPECIAL CONDITIONS
CERT OF CV"'":UPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES ~ . .--"
DATE ' "I '•
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT ~ftCEIVED
BUILDING ADDRESS: .llll 151981
Cln' OF CARLSBAD
B11lldlng Department
PLANNING DEPARTMENT
ZONE __ =rL~~_,,__ _____ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED tR/t:. PROVIDED __ ~f1-l-l,V~-------
% COVERAGE ALLOWED ) PROVIDED v,...,----------'h'-+---------___ ....,__ ______ _
BUILDING HEIGHT ALLOWED PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED ---__...j°JT_i-.---
PROVIDED ___ Qi---l-llf~~--
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION rf'
ADDITIONAL COMMENTS:
ENGINEERING DEPARTMENT r ~ V~:
R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS _________ DRAINAGE ____ _
LEGAL DESCRIPTION «2 u ( --/ £0-0 /
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE~:ffigQ;.;TEJ-1~1 PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARHS EXITS _______________ _
FIRE HYDRANTS LOCATION. _________________ _
ADDITIONAL COMMENTS ____________________________ _
.o K TO I S SUE : _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _