HomeMy WebLinkAbout1306 KNOWLES AVE; ; 82-96_misc; PermitIll z 0 ~ a: ~ iii 0
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0 I lle(aby affirm that I am llcenaed under provision• 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. Loe. No ______ Class _____ _
I he<et,y affirm that I am exempt hon, the. Con-
tract0<'s License Law f0< Ille following ,_ (Sec.
7031 ~ Business and P!Ofessions Code: Any city 0<
county which requires a peffflit to construct
alte<, ilT'lp<O\'e, demolish, 0< repair any structun,, pnor to its issuance also requires the applicant for
such pennit to file a signed statement that he is
licensed pursuant to the provisions of the Con-tractor's ucense Law (Chaple, 9 commencing w,111
Section 7000 of Division 3 of Ille Business illld Pro-
fessions Code! 0< Iha! ,s exempt ,,,.,.,from and the
basis for the alleged exemption. Atry violation ol
Section 7031.5 by .on l!)Plicant lor a permtt subjects
tne applicanl to a civil penalty of not mon, than -hundred dollars ($50DI-
□ I, a.s owner of the propeny, "' my employees ,.ith wages as their so5e compensation, will do the
work, and the structunt ,s not tntended or otterad for
sale (Sec. 71)14, Business and Prolessiom Code:
The Contractor's Lteense Law does not l!)Ply to .on
owner or property who builds 0< imp,oyes theteon
and who does such WOf1< himself or through his own
employees, pl"O'lided that such ,mproyeme;,ts ,n
not intende1 or offered fOf saN!. If. howeYer, the
buikting or improvement is sold within one yu, of
comptetk>n. the owner-buikter w,11 have the burden
of proving that he did not build or im-for the
purpose of sale(
C I, as owner of the property, am exclusively contracti"i with licensed cbntractcws to construct the pr0f8CI (Sec. 71)14, Business and PIOlesslons
Code: The Contractor·• License Law does not apply
to an owner of property who builds °' tmp,owes ~=i~ ~~c:1~:!~ ~~:~~-=-= License Lawj.
0 I am exempt under Sec. _____ B. & P.C.
forth1srea.son ___________ _
✓-arr.rm that I haw, a certificate of consent to self-msure. or a certificate of Workers·
CornpensattOn Insurance, or a certif,ed copy thereof JSec. 3800. 41>0r Code!.
~ANY _-p
Copy 1$ hted with the city
□ Certified copy 1s hereby turm
CERTIFICATE. OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This sectK>O need not be completed 1f the pen-nit
,s ror one hundred dollars 1$100, or lessl
□ I certify that ,n tile pertormance of tile WOf1< for
which this pemut 1s issued. I shall not employ any
person 1n ilf"IY manner so as to become subfeet to the wroe,s· Compensatton Laws of Cahfomia.
NOTICE TO APPLICANT. If, alter malun~ this Cert•·
licate of Exempt,on, you should become StJbtect I'->
lhe Wor1c.ers· CompensattOn pro'ilSN>f"IS of the la>of
Code. you must forthwith c.ompfy with such
prov,s,ons or this pem,I1 Shall be deemed revoked
0 I he,eby affi,m that there ts a coostruchon l
lending agency fOf the pertormance of the wOf'k lor
wruch this pemut 1s ,ssued (Sec 3097. C.vll Code)
Lender's Name ___________ _
Lender's Add1ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callfomla 92008 (71<l) "38-5525 APPLICATION & PERMIT
J08 ADDRESS
/!Jo6 k'A.JoW l~ Q2R◄. 'lS /3#J) ----ciiiiiiiR'SNAME . -~
lrL6eRl7J
A~iTJiTE;;;;;cA,;1
t)EUAINJ l ----
OWNER'S PHONE PRIME CONTRACTOR
IJ~ <"'~f./ce et>
BU~1CENSE#
~+:0~33
OMfEl!'S M-"ILING -"DORESS
131¼ f<,u,a1ces CARL58~.J
CONTRACTOR"$ ADDRESS
~S' 41 sm7e-C,/JRl.
LICENSE NO.
LOT !BLOCK SUBDIVISION 1 ASSESSOR PARCEL NO.
DESCRIPTION OF WORK
DESIGNER STATE LICENSE #
l39.!.~
1--------------------------------il OESIGNER"S -"DDRESS DESIGNER'S PHONE
F/P FLA ELEV. ~ (OCCGP STORIES EDU
CENSUS TRACT L~ LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED
YO N 0
vO NO
I REDEVELOPMENT
AREA
vO 1110
TYPE
CONST
OCC LOAD FIRE SPR
vO NO
VALUATION PERMIT NUMBER
ZONE -ar'96
PLAN 1.0. # BLOG USE COOE
STANtl'tffir;n~ ~r/4L/''NM so. FOOTAGE
3/t14l8e 133" 13rJ I 4e0 ---J.1t.....fiC.
Not Valid Unlffs Machine ~rtifi«J
QTY.I PLUMBING PERMIT· ISSUE 21!-QTY.I MECHANICAL PERMIT -ISSUE SUMMARVACCOUNTNUMBER
~-
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU L I EACH BUILDING SEWER
__.___LP_
?o""'--OVER 100,000 BTU
BUILDING PERMIT 01-000-4220
SIGN PERMIT 01-000-4221
EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 _..,,
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 /~::::--
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT 7 MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS V MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER (
EACH ROOF DRAIN (INSIDE) .... ~~
TOTAL PLUMBING I tf-Fr TOT.I.L MECHANICAL ~
r,/l/
~I MOBILEHOME PARK INSP
SOLAR 01-000-4226
STRONG MOTION 65-640-0519
FIRE SPRINKLERS 01-000-4227
QTY. ELECTRICAL PERMIT -ISSUE QTY. PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH _ 1STORA~~ Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR V IIIQ~T.¢GE Encinitas 65-624-0519 '\,
1 PH 3 PH (.Jc~
REMODEL/ALTER PER CIRCUIT 'i( J,l(AN CHECK FEE
, San Oieguilo 65-625-0519
San Marcos 65-626-0519 i
TEMP POLE 200 AMPS V . .
OVER 200 AMPS "
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TEMP OCCUPANCY 130 DAYSI
I I I I I I . I ~ '"""""'"" I ""' 5°''" TOTAL FEES PAYABLE !
I HAVE CNIEFUU.Y EXAMINED TH£ C0MPLET£I) ~APPLICATION AND PEAM1T" ANO DO HERESY
CERrFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION Hl:AEON INCLUDING THE
DECLARATIONS ARE TAUE ANO OORAECT ANO I AJRJHER CERTIFY AND AGREE IF A PERMIT IS
ISae TO COMPl. Y WITH AU. CITY, 00UNJY AND STATE LAWS GOVERNING BUILDING CON-SIRU0f10N. WHETHER 8P£QFIED H£IIEtN 0fl NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO
_,. HMWLE88 'fHE Ct1't OF CARUIIIADAIIMINST ALL LIABILITIES, JUDGMENlS, OOSTS ANO
-WHICH MAY IN Mff WAY ACCRIJI AGAINST SAID CITY IN CONSE0UEHCE OF THE OF THIS PEalff,
E,qinllon. &.y ~ ilaued bythe8ulkling Officiel under the provision• ofthla
Coda alllU ..,.,,. by Nffllllltion ancl become null -void. If the building or work
....,.. bylUCII Si• ~-In 180dayl from the dat• of such .... Of W cw by SUCh pe,mit la ~ o • .,..,,..,;,:r;_~~ tor aoe,tod of llllldav• l
APPLIC*...,
~_.;,jT~ ~ ~ _ OWNER□ CONTRAC~
//~ ~ 8YPHONE0
* AN OSHA P£1WIT IS IIE0l#IED FOR YATIONS OVER I
S' O" DEEP ANO OEM0UTION OR CONSTI!UCT10N OF
STIIUCTUAES OVER 3 STONES IN HEIGHT
./ ~
APPROVED BY -µ:..-I~~
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --"2.<-Q? -,r 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
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
---STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE .. -
POST TENSIONED
CONCRETE
F1E:_Q WELDING
-HIGH STRENGTH
BOLTS
SPECIAL MASONRY
! -·
! PILES CAISSONS
!
I
'
I
,-.
$)--9~
INSPECTOR"S NOTES
DATE \u,rrw '''"' ~-<z:!~ -... "-c;, ,,-. ,l.,,.,..,..._ n r, .. ,,()o,,..,
~,---.\ l,,J (),A ~--¥-us ~ ofc\ -. 'c....
c\~, • \,, ~-.. ~ k..-.a ~ ',. II -r'i.., ''\4 ·i.o ,n
' ,_11--' t \::,... ,..l ,,,-:,.Y71'~ '-I. ~.-.-cr7 l 11 f"-L-,
I;-\\~~ I ~~ I ~ ~i .... ~ .l·-
s:L. ~ 1JA..'--/ 1,11
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.. -
·-i---------.-----. ------
----
-----
----------------
--------
------
--------
--------·------
---------------
------------
--· -
' '
~itp of ~arlsbab
REQUEST FOR INSPECTION RECORD
INSPECTOR ()FNflfl$ PERMIT NO.
TIME: ____ _
________ DATE: ;g-4az
OWNER ____ _.Dt'.-<>:___.:vN:-c...7c~+--------------------
ADDRESS _ __,_,! 3,,_0=-...,<;,c__.L!lN.....,,oul/lJc=,,LES-,..~---------..--,-,-----------
REQUESTED BY __.00-""_,,.,_;Jilijq--"-----'S§?..,..,,,,c\,_r".._f,"'--_C;O,,,._"-'--PHONE NO. ¾ &J 3'-'?
PERSON TAKING REPORT _ _,/1~..J.L.:c_ __
BUILDING
□ FOUNDATION
D REINFORCING STEEL
□ MASONRY
D GROUT· GUNITE
D FLOOR AND CEILING SUB FRAME
□ SHEATHING D ROOF D SHEAR
□ FRAME
D EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING JI-SEWER AND PL/CO
□ TOP OUT PLUMBING
-g.'co Of!.. A:f'l'6R
□ TUB OR SHOWER PAN \..,--
□ GAS TEST CJ ~
□ WATER HEATER • ,. y
[] SOLAR WATER .;;:, 'r,/"'
o FINAL -# t5>
~o
ELECTRICAL
□ TEMPORARY SERVICE
Ll UFFER GROUND
D ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
D FINAL
MISCELLANEOUS
□ CONDITIONED AIR SYSTEMS
□ SOLAR HEAT
n PATIO
D POOL □ SPA
□ SIGN
D GRADING
□ DRIVEWAY
..
SPECIAL INSTRUCTIONS ___________________________ _
Ready For Inspection: □ Monday D Tuesday
□ A.M. 'r; P.M. ~ 6:...00
D Wednesday ~ Thursday D Friday
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO Fl LL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
EXISTING BUILDING
LATERAL LOCATION
ST.
LATERAL NO. _______ INSTALLATION DATE--------
SE
ISSUED BY __ __:.,__;:.......a.:.=~-==-----------
DATE ISSUED -----;:....:;_-~__;:....::::...;; ______ _
VALIDATION
LATERAL CHARGE COMPUTATION
OVER 30' H. @ FT. _________ _
OVER 10' V. ___ @ ___ FT. __ _.__. ______ _
STANDARD 6" (Max. H. 30', V. 10')-.-,c.._ _______ _
OVER 30' H. ___ @. ____ FT·---1---------.,-OVER 10' V. ___ @ ____ FT. _________ _
TOTAL CONSTRUCTION COST ----------
SERVICE CHARGE (REPAVING ETC.) _________ _
TOTAL LATERAL CHARGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO,--------------
FRONTAGE ____ COST PER FT. ____ TOTAL __ _
OTHER ____________________ _
CONNECTION FEE
NO. UNITS_,_, __ COST PER UNIT----TOTAL----
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL __ _
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
NOV i'lj• 70 ~p~~O 10)7****%).00
PLUMBING PERMIT APPLICATION ~ ~ • -;O•-f / (p~ ./ City of CARLSBAD, CALIFORNIA
1
...._; 1J
~A-~~~-\;~_~;••;~;m_p_k_~~~~~~~~e~:~7~,~•~~n~:~·~s~~~rl~~~A•i~·~r~uL'A.f)tlL------------~i~
l ~~=~~-Osn. ATTACHtD 9Hl£TI
1
, ,, ~ \. ,...."J I ,o, NO, I '" l '"·----,: ~ 'G \
r2o~w.~ .. ~~--~--~-~-----A~--~M.~,C~.~~~~-M--~----~,~ .. ----./-~~;~:-1_7_J_7~-%~: I
' "--. CONTl'IACTOIII 3LJJ.. £l .,. f~ee ~'MAIL ADDRESS
~ARCHl,TECT 011 DESIGNER
4
MA1 L ADDIIIESS
ENGINEER MAIL ADDRESS
5
LENDEIII MAIL ADOlltESS
6
USE 01" 9UIL01NG
~I \l,v =::, //, A ' ab 7
8 Class of work: □NEW □ADDITION ''<;(,.LTERATION
9 Describe work: (: .. ) -r-~ ' Abu (l~~J t!/A.JG
SPECIAL CONOITION! :
, _ A o: ( I _ _ 11. ~ -12
/ u
PHONl LICENSE NO,
'/9.q,,.ft''J f
PHONE LICENSE'. NO,
;>HONE LICENSl NO,
BIIANCH
0 REPAIR
~ , . n. . j
i'
PERMIT FEES
No. Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN}
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
$
'"" . ~ ~
J~
Fee
APPLICATION ACCEPTED BY: PLANS CHECKED BY:
~ f<)-~c D, ---<
APPROVED FOR ISSUANCE BY, LAUNDRY TRAY ) r· /'f\ l---i1-.=Cc..Lc.cOc..Tc.H.=Ec.c.Sc..W..cA.c..cS..cH_E_R _____________ +--!---I
·' 11,.,~ L V,,,. WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A
PERIOO OF 120 OAYS AT ANY TIME AFTER WORK IS COM-
MENCEO.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
(DATE)
411G T"AE 01" 0WNEIII Ill" 0WNEIII l!IUILDEA DATE
URINAL
DRINKING FOUNTAIN
FLOOR-S·INK OR CRAIN
SLOP SINK
GASSYSTEMS:NO.OUTLETS
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT
TOTAL FEE
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O.
INSPECTOR
I .<:-(\
$ --
CASH
i=.-. ...... 1nn,:, a.fiQ 1t.Eo1tnE1t Flt.OM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS. !!0 110. LOS llOl!ILES .PA!IADENA, CALIFORNIA 91101