HomeMy WebLinkAbout1315 PINE AVE; ; 86-699; Permito
oi—
□ I hereby efllrm that I am licensed under
provisions o> Chapter 9 Icommet^clng withSection 7000) of Division 3 of the Businessand Professions Code, and my license >3 in
full force and effecu. ^
l.c Ko
I Heretry allirm tnsi l am oempt Iram Iti; Conlractoi's License law lor the loifowing reason (Sec f03l bBusiness and Piofess>ons Code Any city or caunty whicr. re-quires a perimi lo consliucl. alter, improve. dernoNsn orrepair any siruciure pno' to its issuance also lequnes the applicant tor such permit to tiie a signed siaiemeni iriat ne islicensed pursuanl to ine provisions ol itte (jofliractor'sLicense Law (Chapter 9 commencing with Section 7000 olOivlsioh 3 oMhe Business and Protessions Code, or that is ei-empt Iherelrom and the Oasis tor the alleged eaempimn AnyviDlaiion (d Section 703! b Oy an applicant toi a inrmit subjects the applicant lo a civil penalty o' nsi more than live hundred dollars IS500)
. I. as ownei ot the property, or my employees with wages
as their sde compensation, will do the work, and the structure IS not intended oi ottered tor sale (Sec 7044, Businessand Professions Code The Contractor's License Law doesnot apply to an owner ol property who builds or improvesthereon and who does such work rumseli or through his ownemployees, provided thai such improvements are not inteno-eO or ofleied lor sale it. however the building oi improvement IS sold wiinm one year ol completion the owner-buiiderwill nave the burden at proving thai he did not build oi im-piove toi the purpose ot sale)
ri I. as owrter ot the property, am ekciustvely conlraclirtgwith licensed contractors to construct the protect (Sec 7Dti.
Business and Professions Code The Cenlracior's LicenseLaw does not apply to an owner ot property who builds or improves thereon, and who contracts for each protects with a• coniracloris) license pursuant to tite Contractor's licenselaw)
n As a honsawner I am improving my liome. and the following conditions exist.t The work is being performed prior to sale? I have lived m my home tor tweii« monlhsprior to completion ol this work.3 i have not claimed this ek«nptiort during thelast three years
□ I am exempt under Seclor this reason ..BSPC.
! [ 1 hereby affirm that I have a certificate ot consent to
sell'insure. or a certificate of Workers' Comoensallon in
surance. or a certified copy tnereoi iSec 3800. Laboi Codei
Copy IS filed with iha-city
Certified copy is hereby lumished
CEHTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Tltis sectiort need not be completed it the permit
is for orve hundred dollars (SfOO) or lessj
1 certify ttiat in the performance Of the work lor which
irtis permit Is issued. I snall not employ any person in anymanner so as to become subieci to the Workers' Compen
sation Laws of California
NOTICE TO APPLICANT: II. after making this Certilicata
ot Exemption, you should become subiecl to the Workers'
Compensation provisions Of the Latioi Code, you must
toithwith comply with such provisions or this permit shall
be deemed revoked.
O I hereby allirm that there Is a construction lending
agency for the performance of the wodi for which this per
mit Is Issued (Sec. 3097. Civil Code)
Lender's Name
Lender's Address.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PER
j08 address AV ST.RO. NEAREST CROSS ST.
IBIS* "P,M"A-v/E-o Co
Subdivision AS-SEiSSOIA PARCEL NO
ZlO S"-
OWNER'S NAME OWNF R'S PHONE
213-"OWNER'S VAiLiNG ADDRESS
Z4a-s. oltc 4^- ° ' °
CO
> M
L.&.
I HAi,i
QTY.
uf LAND DSt PAHA.*N\j
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANQ-OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl., ALl ER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN u^SinEi
TOIAL PLUMBING
R L S w -NI T S
DATE OF APPLICATION BUSINESS ^CENS^T^
CONT RACTOR -Q .tJ
NTRAC TOR'S ADDRESS
M.
jtN C in
DESIGNER'S ADDRESS
f L R £ I. f V
GHADiNo PERMIT ISSUED
vD N □
QTY.
QTY.ELECTRICAL PERMIT • ISSUE
NEW CONST EA AMP'SWt BKR
1 PH 3 PH
EXIST BLOG EAAMP/SWT'BKR
1 PH 3PH
REMODEL ALTER PER CIRCUIT
TEMP POLE 700AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYSI
5
REDEVELOPMENT
AREA
V □ nD
MECHANICAL PERMIT - ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 IS HP
METAL FIREPLACE
VENT FAN SINGLE OUCT
MECH EXHAUST HOOO'OUCTS
RELOCATION OF £A FURNACE,HEATER
TOTAL MECHANICAL
TOTAL ELEGTRlCAl
QTY.
NO
STORIES
TYPE
CONST
SOLAR • ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT ' AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEDECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNIV AND STATE LAWS GOVERNING BUILDING CONSTRUCTtON, WHETHER SPEClFiED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANDE.XPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
CONTRACTORS PHONE ■
LICENSE NO
DESIGNER'S PHONE
LICENSE NO.
EDU
FIRE SPR
yQ nQ
VALUATION
4.3/1^
ZONE
PLAN I.O. «
PERMIT NUfMBER
(cPtq
BUILDING SO. FOOTAGE
77'0S786e6t6
OQDTBBlfi 7m/Bi
Not Valid Unless Machine Certified
tiiebi
SUMMARY/ACCOUNT NUMBER
BUtLDING PERMIT 001-810'00-00'822D
SIGN PERMIT 001-810-00-00-8221
PLAN CHECK 001-810-00-00-8806
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
MOBILEHOME PARK INSP
.S_OL^
STRONG M0TI0N_
FIRE SPRINKLERS
001-810-00-00-8226
880-519-92-33
001-810-00-00-8227
PUBLIC FACILITIES FEE 332-810-00-00-8930
SCHOOL FEE - DISTRICT
Carlsbail
Encinitas
San Diegmto
San Marcos
LICENSE TAX 001-810-00-00-8162
MFF 880-519-92-57
CREDIT DEPOSIT
•so
TOTAL FEES PAYABLE
Expiration Every permit issued by the Building Officiai under the provisions of thisCode shall expire by limitation and become null and void n tite buiidmg or workauthorized by sucft permit is not commenced wilhm 180days from the dale of suchpermit, or it the building or work authorized by such permit is suspertded oiabandoned ei any time anei the work is commenced for a period of tSO days
APPLICANT'S SIGNATURE OWNER D CONTRACTOfb^i^
BY PHONE n
* AN 05HA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' 0 ' DEEP AND DEMOLTTION OR CONSTRIX^TION Of
STRUCTURES OVER 3 STOfltES IN HEIGHT
APPROV&9 BY
TYPE 'DATE INSPECTOR
BUILDING 1
FOUNDATION |
REINFORCED STEEL !
MASONRY 1
GUNITE OR GROUT 1
SUB FRAME □ FLOOR □ CEIljlNG
SHEATHING □ ROOF □ SHEAR
FRAME 1
EXTERIOR LATH |
INSULATION 1INTERIOR LATH & DRYWALL |
1
PLUMBING i□ SEWER AND BUCO □ PI^/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ]
GAS TEST >
□ WATER HEATER □ SOLAR WATER
1
1^ ELECTRICAL '
□ ELECTRIC UNDERGROUND niUFFER
ROUGH ELECTRIC |
□•ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
1
1
MECHANICAL >□ DUCT & PLEM., □ REF. PIPI^JGheat — AIR COND. SYSTEMS [
VENTILATING SYSTEMS i
1
1 -■ •
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATEITEMS ABOVE HAVE BEEN APPROVED. - ■
FINAL
PLUMBING
■■~■■ ■ /ELECTRICAL v/MECHANICAL
GAS • •.' r J .
BUILDING \
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REG IF
CHECKED
INSPECTOR S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
structural CONCRETE
OVER 2000 PS!
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
-
■ » -, • -i. ,—
f '1 ; ■ ■-« K
j" - '7 j :r . ■: ■* (
r
o
UJ
a
UJ
cc
\A
Z
o
H
U
UJ
u
o
0)
s >O 9>
u o:
PLAN CHECK NO.ADDRESS A.OE.
PLANNING
DATE
ZONE:
SCHOOL DISTRICT:
SETBACKS: FRONT
TYPE OF PROJECT AND USE: ftrt-
CARLSBADSAN DIEGUITO ENCINITAS SAN MARCOS
SIDE REAR
DISCRETIONARY ACTIONS:
REDEVELOPMENT PERMIT REQUIRED:
LANDSCAPE PLAN COMMENJS:
ENVIRONMENTAL REQUIRk
ADDITIONAL COMMENTS:
Q
UJ
3
a
UJ
q:
(A
Z
o
H-
O
ui
q:
o
u
u
V
4)
>
0)
OK TO ISSUE: 62^
ENGINEERING
LEGAL DESCRIPTION VERIFIED?
P.F.F.: /J/^
RIGHT-OF-WAY:
EASEMENTS
APN CHECKED?
PARK-IN-LIEU QUADRANT:
TRAFFIC IMPACT FEE PER UNIT:
DRIVEWAY:
E PER UNIT:
IMPROVEMENTS:
/
E.D.U.:
LATERAL:
y
GRADING PERMIT
DRAINAGE'.O/^
ADDITIONAL COMMENTS:
FIELD CHECK DATE:^
SEWER:
INITIALS:
INDUSTRIAL WASTE PERMIT:
GRADING COMPLETION CERTIFIED:
OK TO ISSUE:_
r»or\o. none. n/C/n /fl/i
liAA^DATE:7M6
77