HomeMy WebLinkAbout1306 PINE AVE; ; 86-461; Permitz
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[~] I hereby aftlrm that I am licensed under
provl8k>na of Chapter 0 (comrr>erK:lng with
Section 7000) of DIvtaJon 3 of the Business
and Profeeal^s Code, and my license Is In
full force and affect.
I hereby affirTn that i am exenpl Irom the Contrac-
ror's Lccense Law for Ihe toflcrwrg reuon (Sk 7031.5Business and ProJessiorts Code Any city or county wfuch re-
qirues a permil to constrxt. after, irprove. demoltsh, dir
repair any structure, prior to its issuance also repuires Iheap-
plicanl lor such perrrvt to trie a signed statement that he is
licensed pursuant to the promiGns of the Contractor s
Licenta Law (Chapter 9 commenang wUh Sedion 7000 ot
Dwisiori 3 ot the Busmess and Protessions Code) or that is exempt therefrom and U>e basis for the alleged exemption Any
vnuton of Sechon 7031 5 tuy an applcam (or a permp sub
jects the applKanl to a civil penalty ot not more than trve hun
dred dollars (S500)
' M as owner ot the property, or my emptoyecs wrth wages
as their sole compensation, will do the work, and the struc
ture a not intended or ottered for sale (Sec 7044. Business
and Professions Code The Ctontiactor's License Law does
not apply to an owner of properly wtw buikfs or improves
thereon and wtw does such work tumsell or through his dwn
emptoyees. provided that such inpfovements are not tnlend-
ed or otler^ for sale If, however, the buMmg or anprove-ment ts sold wUhm one year of com^tion'. the owner-builder
wJI have the txirden ot prowig that he did not buid or im
prove lor the purpose of sale)
I I I. as owner ot the property, am exciusrvety contracting
with licensed contractors to construct the project (Sec 7044.
Busing and Protessions Code The Contractor's Licerse
Law dm not apply to an cwner of property who builds or im
proves thereon, and who contracts tor each projects wrth a
conlractorts) license pursuant to the Contractor's Licanse
Law)
I 1 As a homeowner I am tmprmnng my home, and ttie killow
ing conditions exist
The work is being performed pnor to sate
I have trved in my home for.twehre monthspnor to completion of this workI have not clamad this exemption during Ihe
last three years
□ 1 am exempt under Sec ,
for thrs reason
lJ 1 hereby affirm that I have a certificate of consent tosett-insure or a cerlificete'of Workers Compeneation In
suranca or a certified copy thereof (Sec 3800. t-abor Code)
POLICY NO
COMPANY
Copy It filed with the city
[]I] Certified copy it hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
' (Thia section need not be completed if Iht permit
is for one hundred dollars ($100) or less)
□ I certify that in the performance of the work lor wfnchthis permit is iiaued, i shaJl not employ any person in any
manner so as to become subject to the Workers" Compensation Laws of Calijornia
NOTICE TO APPUCANT If. after making this Certificate-
of Exemption, you should become subject to the Workers
Compensation provisions of the Labor Code you mustforthwith comply with such proviwoni or this penriit shall
tie deemed revoked
EH I hereby affirm tfiat tlwe i* a construction lending
agency for the performance of thie work lor which this per
mit 18 itsuod (Sec 3097 Civil (3ode)
l_endef s Name
1-ender a Addreas.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTIMENT2075 Las Palmas Dr., Carlsbad, OA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS
\iOQ> Pi^g-
AV. ST RD. THOMAS BROS NO.
SUBDIVISION ASSESSOR PARCEL NO ^iflS-O ^ <40 OO
OWNE H'S NAME OWNE R'S RHONE
OWNER'S MAILING ADDRESS
DESCRIPTION OF WORK
QTY.
n
CENSUS THACT
DATE OF APPLICATION BUSINESS LICEfStSE «
CONTRACTOR
CONTRACTOR'S ADDRESS
DESIGNER'S ADDRESS
F/P FLR ELEV
yQ nQ
PARKING SPACE RES UNITS
^iCo
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND'OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM b OR MORE
EACH INSTAL , ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
GRADING PERMIT ISSUED
yO n""
U3..5C
lOI AL PLUMBING
QTY.ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP SWT BKR 150 Amp
I PH 3 PH
EXIST BLDG EA AMP/SWT'BKR
1 PH 3 PH
REMODEL ALTER PER CIRCUIT
TEMPPOLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
total ELECTRICAL
2
QC
S:■O^
3T SL
7 50
QTY.
REDEVELOPMENT
AREA
yD
MECHANICAL PERMIT - ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD'DUCTS
RELOCATION OF EA FURNACE/HEATER
DRYER VENT
total mechanical
NO
STORIES
TYPE
CONST
MN3
oa511
5n
2a
QTY.
57. sd
MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOTAL
I HAVE CAREFULLY EXAMINED THE COMPLETED -APPLICATION AND PERMIT ' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
CONTBACTOHS PHONE •
ATE UCENSE NO.
DESIGNER'S PHONE
STATE LICENSE NO.
EDU
FIRE SPR
yD
VALUATION
2-LQ.-1IO
ZONE
PERMIT NUMBER
SG ' ^(ol
BUILDING SO. FOOTAGE
^058
Not Vak'd Unhss Machine Certilied
SUMMARY/ACCOUNT NUMBER
BUILDING KRMIT
SIGN PERMIT 001-810-00-00-8221
PLAN CHECK 001-810-00-00-8891
TOTAL PLUMBING 001-810-00-00-8222
ELECTRICAL 001-810-00-00-8223
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
SOLAR 001-810-00-00-8226
STRONG MOTION 880-519-92-33
FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACILITIES FEE .O>^0-810-00-00-8740
BRIDGE FEE EZI 360-810-00-00-8740
PARK-IN-LIEU (AREA
TIE 312-810-00-00-8835
LA COSTA TIF 311-810-00-00-8835
FMF
LICENSE TAX
MEF
001-310-Q0-0O-8162
880-519-92-57
CREDIT DEPOSIT
TQTAL FEES PAYABLE
H 76.00
\ 5,-^1
C^OO.CD
<:^LI 20 • 00/
^CyiP>.Sl
Expiration Every permit itsuod by the Building Official under the provisiont of thiaCode shall expire by limttation and become null and void If the building or workauthorized by such permit is not commenced withm 180 days from if>e date of tuchpermit, or if tf>e building or work authorized by such permit is suspended orabandoned at any firrte ifier the work ts commenced tor a period of 180 davt
APPLICANT'S SIGNATURE *OWNER n CONTRACTOR □
BY PHONE n
AN OSHA PERMrr IS REQUIRED R3R EXCAVATIONS OVER
S' 0" DEEP AND DEMCXmON OR CONSTRUCTK)N OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPROVED BY
1
TYPE 1 DATE INSPECTOR
BUILDING 1
FOUNDATION I
REINFORCED STEEL i
MASONRY 1
GUNITE OR GROUT j
SUB FRAME □ FLOOR □ CEILING -
SHEATHING □ ROOF □ SHEAR
FRAME '-
EXTERIOR LATH i
INSULATION 1
INTERIOR LATH & DRYWALL J
1 ,
PLUMBING ' ;- -
□ SEWER AND BUGO □ PUGO
UNDERGROUND □ WASTE □ jWATER
TOP OUT □ WASTE □ V/ATER
TUB AND SHOWER PAN !
GAS TEST
□ WATER HEATER □ SOLAR W^TER
(-
ELECTRICAL I ;
□ ELECTRIC UNDERGROUND dIuFFER
ROUGH ELECTRIC 1
□ ELECTRIC SERVICE □.TEMPORARY
□ BONDING □ POOL |
1 -
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPI MG
HEAT — AIR COND. SYSTEMS
VENTILATING SYSTEMS 1
1
»CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ;
PLUMBING I
ELECTRICAL ( -
MECHANICAL ;
GAS '-V
I
BUILDING 1
SPECIAL CONDITIONS [
1
——— 1
Ql/> -
FIELD INSPECTION RECORD . . •
, . 0EOUIRED SPECIAL INSPECTIONS
-
INSPECTOR'S NOTES " _ - _ . _
INSPECTION REO IF
CHECKED
INSPECTOR'S
APPROVAL -DATE , '-V ~ ,
SOILS COMPLIANCE
■PRIOR TO • ■ -
FOUNDATION INSP
■=
STRUCTURAL CONCRETE
OVER 2000 PSI
- " ■ " — —
PRESTRESSED
CONCRETE - -
POST.TENSIONEDCONCRETE^
■ . - ■ 1FIELD WELDING -. ^ .
HIGH STRENGTH
BOLTS ----
* 1" '
SPECIAL MASONRY
-. -
PILES CAISSONS ,!— - . - • -
:, ' - - -
^1 -■ - - " • ■ ' " '
- - -i .....
• 1
~ ■
- • I "'
- - — , -
•
-
- ■ ■
-
-
... . _
DEVELOPMENTAL
SERVICES
BUILDING DEPARTMENT
2075 LAS PALMAS DRIVE
CARLSBAD, CALIFORNIA 92008-1989
TELEPHONE (619) 438-1161
Date: 2-18-87
Joey Kratcoski.
1302 Pine Ave.
Carlsbad, OA. 92008
Subject: Plan Check Expiration
Citp of Carl^tiab
86-461
1306 Pine
Expires: 3-3-87
Dated 9-3-86
Out records indicate that you have not obtained your building pemit for which
you filed an application on the date shown above.
The provisions of Section 304(c) of the Uniform Building Code state:
Sec. 304(c) Expiration of Plan Check. Applications for which no permit is
issued within 180 days following the date of application shall expire by
linuLtation and plans submitted for checking may thereafter be returned to the
applicant or destroyed by the Building Official. The Building Official may
extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant showing that circumstances beyond
the control of the applicant have prevented action from being taken. In
order to renew action on an application after expiration, the applicant shall
resubmit plans and pay a new plan check fee. -
For your convenience, please check the appropriate box below indicating your
intentions and return this letter to the address above.
Project abandoned. I will pick up plans in 10 days.
^Signature Date
Project abandoned, plans may be destroyed.
Signature Date
Maximum 180-day time extension requested for the following reason:
Signature Date
questions, please contact the Carlsbad Building Deoart
438—iy61,
MARTIN ORENYAK \
Building Official
OlC
PLAN CHECK NO. ADDRESS ^ PI DATE 25^
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PLANNING
ZONE••_gi TYPE OF PROJECT AND USE;
SCHOOL DISTRICT; SAN DIEGUITO ENCINITAS CARLSBAD SAN MARCOS
SETBACKS; FRONT ODl/'. SIDE REAR
DISCRETIONARY ACTIONS;T^) ^
REDEVELOPMENT PERMIT REQUIRED
LANDSCAPE PLAN COMMENTS=j^
1ENVjlRONMENTAL REQUIRED;_
ADDITIONAL COMMENTS; A jD £>€{
DATE^ M/3OK TO ISSUE;
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ENGINEERING
LEGAL DESCRIPTION VERIFIED?
PARK-IN-LIEU QUADRANT;
APN CHECKED?
FEE PER UNIT;
||||f P.F.F.; TRAFFIC IMPACT FEE PER UNIT:'^^6<0
FACILITIES MGMT
TOTAL FEE; "
TOTAL FEE;
. FEE; BRIDGE & THOROUGHFARE FEE; A)//^
IMPROVEMENTS; P /tfo
j jolrjJSC
FIELD CHECK DATE & INITIALS; RIGHT-OF-WAY;
DRIVEWAY; EASEMENTS;
E.D.U.; \.0 goJ SEWER; LATERAL; n
DRAINAGET CiA /JLtnjLTYX^INDUSTRIAL WASTE PERMIT
GRADING PERMIT: dc
ADDITIONAL COMMENTS;
GRADING COMPLETION CERTIFIED;
OK TO ISSUE^^^^g
DPD2;DPD6;G7/17/86