HomeMy WebLinkAbout1366 PINE AVE; ; 86-758; PermitI ~ u w C
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D I her9by affirm that I am llcen9ed undw
provtalon• of Chapter II (commenolng with
8eollon 7000) of Division 3 of the Business
and Proleaelona Code, and my llcenN la In
full loroe and effeol.
I hereby lllifm tha1 I am m,mpt trom the Conlr>c·
to,·1 l.lClnse uw tor the follOftlg rum, (Set. 7031 5 8" sn, ss 1111d Proless1o ns Coda· Arry aty or county "'1, ch re-
q ul res a prmut to construe!. 111l,r. U11pf0\'0, domol1sb, or repair lI1Y struchn, pr1or to rts tUUanai mo requ•"' tho ap-
pt,cant lor suth porrrlt to !1la • ugnod sllterTulnt Iha! ho ,s htenstd p '"' uan1 to 1hl ?fOY1llOllS ot the Cont r iletor ·, Lia""' Llw (Chaplar 9 cami1ncng w~h s.ctJon 7000 ol
Oivls,on 3 ot tho Busl1ns lT1d Prof""'°"• Code) or tho! "me· ,mpe thore!rom and tho tm,s for the aJ!ell!<I exarnp!J!!n Any VJOlabon al Secilo<1 1031.5 by !J1 ID!)kln1 far I pernrt sub-
J!cl) lht applant lo I CMI penalty cl not ITOOI tlw, h .. hun·
-dollars ($500).
11 I, a, owner al the proporty, or rrry ~ wrth -M thoo i;o!t cmnptnsa!ron, W1I do the work, and the slruc·
l\r'! " not rTl!nded or ol!ared !or Silo (Set: roe~. Bwness and Protenu,ns Coda. Tho Conlfacio<'s Ltcensa Law does
nol apply to an ,_ al proporty wt,o builds or ~<MIi
thef9on and who doas IWch wor1< h1m'"'1 Of !1-.ough hLS own
~loyeas. prow;l!d that such """'"""'""nt, are nol utlond· Id or ollafod tor sala If, """1M!f, the bu11d.-.g or lllpfO'IO-
menl IS so((I wrthLn 0!11! yw ol cmtll)(e1""1, tho OWTU!f·bu11der
will l1IY!I the burden ot provmg tha1 ho d<I not bl.lld or m-
pfC\'8 far th! p Ll])OSO ol sala)
D I, a, owner al tho proparly, am a,a:hismfy c:onlroct1ng wrth 11"""""1 contractors to construct the proiad (Set 10«, Busl non 1111 d Prolass1 ens Godo Tho Con1 r>el!r' 1 I..JcanA L.rw does nol apply to an ow MT ot property who bu lid I or m-p fOYO 5 th llfl!Oll , and Who CO nlracll lor eoch pJt'\!C1 S with I c::;~•l_ l!a!nsa P"rsuanl to the Con1raclor' s LIC8!1IO
D ,.. • homeowner I 101 ~ rrry horn!, and tho fallow·
\nocondrtmrlsmn1t:
1 Tho won< ,, bmr,g portonned ~ to sale.
2 t ~ =-~ ~ J:""work twelvo months
3 ~ not daunB<l 1lu exempboo danng the lat 1hieo yars
g ~T;' ,::,:1 undar Set -----. B & P C.
0 I hereby affirm thl!l.t I have a cert1ncate ol COl"IHTll to
sall m&ure. or a Cflrt1llcate of Worker-9' COmpenaatlon ln--
SLQI1C8 or a cert1 !led copy th&reol (Sec 380Cl. Labor Cods)
POLICY NO
COMPANY
D Copy ,. filed w,th ttui city
D Cart1hed copy ,a horoby tumlahe,i
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(ThJ • -,tt00 noed not b4I completed II tho permtt
Is for ono hundred doU!Jll (S1CX)) Of 1-)
D I certify that in tho porloononce of tho WO<k for wt.ch
thLS perrmt lo ,uued, I ahatl not omploy any porBOO In any
manner so u to become subJect to the WOrk.ws" Compen-
&allon Lawe of CaJlfomlL
NOTICE TO APPUCANT· II, after malong thlo C.rtlftcate
ol Exemption. you ahould become 11<Jbjocl to tho Wori<ers'
Com penaat,on prOYl1kln.& o1 the Labor Code. you must
forthwith comply with such provta,oos 0< this pormrt lhall
be daemed revoked. ·
ffi ogenay for the porlormanca ol the wO<k lo, wh,ct, ttu• pet· l D I hue.by atflrm that there 11 • COMtruction I-ending
C mtt la -(Seo 3N7, C1'1I Godo) z . ~ Lender's N---'------------
4 ~nder'•Adm~·--~--------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT CARLSBAD BUILDING DEPARTMENT
Carlsbad, Gallfornla 92008-4859
AV. ST.AD. NEAREST CROSS ST. I DATE OF APl'LICATIONI
LOT BLOCK I suBo~v1s10N I ASSESSOR PARCEL NO CONTAACTOA
OESCAIPTIO~~-.,.,,, / ,,I / \ ._ ___ _::2//C,'~~-.,~-~:!:_L_,-~,~~~~-·~i~i:;~---------------J OESIGN E A'S ADDA ESS
I
I PARKING SPACE R~S UNITS I
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 DR MORE
EACH INSTAl. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP/SWT1BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMDDEL.'ALHR PER CIRCUIT
TEMPPOLE 200AMPS
DVE R 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL I
F/P F LR ELEV.
vO NO . ---
NO
STORIES
GRADING PERMIT fSSUEb I REDEVELOPMENT AREA TYPE
CONST
QTY.
QTY.
YD N 0 vO NO
MECHANICAL PERMIT -ISSUE 3-
INSTALL FURN. DUCTS UP TO 100,000 BTU
DVE R 100,000 BTU
BOILER/COMPRESSOR UP TD 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HODD/DUCTS
RELOCATION OF EA FURNACE/HEATER
DRYER VENT
TOH,L MECHANICAL CI;E' ,I-_ -.
1.4 lt) b~.
-'.A.:iLJ
MOBILE HOME s~ 9 n _
CAR PORT -·--~ /~ ~5
AWNING nri,.:~•, Of ~.a ....
TOTAL
BUSINESS LICENSE #
CONTRACTORS PHONE t
STATE LICENSE NO.
OESIGNER'S PHONE
STATE LICENSE NO .
ace GP EDU
OCC LOAD FIRE SPA
YO NO
ZONE
VALUATION PERMIT NUMBER
BUILDING SO. FOOTAGE
7/89/B6S7TB
ooorn7r~ 7~8~7 86
Nor Valid Unlwn lkchiM Cffrified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-00-00-8220
SIGN PERMIT 001-810-00-00-8221
PL\N CHECK 001-810-00-00-8806
TOTAL PLUMBING 001-B 10-00-00-8222
ELECTRICAC ·--oo 1-810-00-00-8223
MECHANICAL 001-810-00-00-8224
MDBILEHOME 001-810-00-00-8225
SOLAR 001-8"10-00-00-8226
STRONG MOTION 880-519-92-33
FIRE SPRINl<LERS 001-B 10-00-00-8227
PUBLIC FACILITIES FEE 320-B 10-00-00-87 40
BRIDGE FEE'
PARK-IN-LIEU (AREA
TIF 001-810-00-00-8835
LICENSE TAX 001-810-00-00-8162
MFF 880-519-92-5 7
3/1 -(Y -. -
CREDIT DEPOSIT
TOTAL FEES PAYABLE I -
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 1$
ISSUED TO COMPLY WITH ALL CITY, COUNl Y 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
fJ(p-1rat1on Every permit 11sued by the Bu1ldtng 01t1c1al under the prov191onB of this
Code sh.all IJ)lpue by llm1tation and be-comtt null and void Uthe bu1ld1ng or.work
authorr.zed by s.uch permit~ not commenced wrthm 180 days from the date of such
perm1~ or 1! the bu1fd1ng or won,. au1horiz~ by such l)<lrm1t ,. 1uspended or
abandoned at any ~me aftB< the work ~ commsnced tor 1 'benod of 180 "-"u•
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' O" DEEP ANO DEMOU1lON 0A CONSTRUCTION ~
STRUCTURES OVER 3 STOA1ES IN HEIGHT
APPROVED BY
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TYPE I DATE INSPECTOR -I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I.
GUNIT.E OR.GROlJT I
StJ_6.FRAME,D FLOOR q· CE11;.1NG
S}IEATHING D ROOF El St-fEAR
F.RAME-' -· -., ·.
EXTERIOR LAIB·· I • • .. I .
1· .. -1NSU~TJON .
INiERlOR LAiH.&. DRVWALt ., · ·, .. ' . .-. . • I . .
PLUMBING I
D SEWER AND BUCO D Pj.JCO
UNDERGROUND D WASTE D~WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PA~ I
GAS TEST I.
D WATER HEATER D SOLAR WATER
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEM~RARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE
ITEMS ABO.VE HAYE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD ~-76¥ 1
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES , -
:
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMRLIANCE
PRIOR TO.
FOUNDATION INS~
STRUCTURAL CONCRETE
OVER 2000 PS~ -· -' .. .
PRESTRESSED
,·r..\1' ;-;,\t1'.l CONCRETE -. .. i,~·-tH POST, TENSIONED µ\· ~· ;~
t,\e., ~ -...
'CONCRETE ' J \:': .:.: .1 ~ ~,ft.'<A ' ' . .
:.,• ... ·.,...li"! t,~ 'b .. FIELD WELDING .. 'I>., • ·,
\ ; ' -HIGH STRENGTH ; BOLTS ·).
SPECIAL MASONRY -,~ ~ w ,< r: \)
{.~ \ u ,.,.
PILES CAISSONS
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LOCAL CODE COMPLIANCE CERTIFICATION
(~ect1on 221 (d) 2 (f) National Housing Act)
WILLIAM HARKINS
Mortgagee
Property Address:
1366 PINE AVENU~, CARLSBAD, CA 92008
Street · City
IT IS HEREBY CERTIFIED by .the Undersigned:
~ . i'lr. ·
Zip
1. That he is the PRINCIPAL BUILDLNG INSPECTOR of the
~~~~~~~-(~O~f=f,~.c~i-al=--=T~i~tl~~~)~~~~~~~~~-
CITY OF CARLSBAD, COUNTY OF .SAN DIEGO
(City-County) 1
STATE OF CALIFORNIA
State
2. That it is a part of his official duties to inspect and/or detennine whether
buildings, structures, real property or premises ~eet or comply with the
requirements of State and Local Laws, Ordinances·,!Codes, or Regulations relating
to Public Health, Safety, Zoning or otherwise, wh1ch may be applicable thereto.
I
I •
3. That on July 29,· '1986 . · ,l9 __ , the property of premises above
described was inspected and as of that date said property or premises and the
structures and buildings located thereon did meet 1and comply with the require-
ments of all said laws, codes and ordinances applicable thereto.
4.. That on , 19 , the property or premises above .
described was inspected and as of that date said property or premises and the
structures and buildings locat~d thereon did not :meet and comply with the
requiirements of all said laws, codes and ordinances applicable.thereto for the
following reasons: · ·
'·· ;·.
':.-··'
'' _,.
I "•. •, :: ., . . ' ~·
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_J_,~~1-v-'·L..::.;..;....;-=+-_;~::,::;;,..-.....,.....aftl ..... '-"-= ... '-1 _9·_·a_G_· __ '.'\l)j
l'.~~A-'/ ,.t.':.'li)~~~-·,;,
__ P_r_in_c_: i_p_a_l _J_~_f_1~-~-n~_r_\_~-~-~_e_it_o_r ____ /~i'.[J
DATED This 29th day of -----~--~
(Signed)
Title