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HomeMy WebLinkAbout167 CHERRY AVE; ; 84-677; PermitDECLARATIONS LENDER 9 3 3" = WORKER'S COMPENSATIONI i r OWNER/BUILDER CONTRACTOR I I I •005^2 9"D t pi -,o&»£g *>•;?_ IT a a 3 Tl > -< ? - z Z 11685 ll iffon- 5 c I?E?!-Sfi 3 55 III l-llllo^.o-o^;^"- S = ""- en o<"£5:<''«>§ .5 S oo» =11! '1 STHUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 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 CONSEQUiNCE OF THE1 GRANTING OF THIS PERMIT.V 3 IHirn O 1 §Z Om 3, a n T3 0 mom< 0 "•^•^ ^ rn rn 3T fE CAREFULLY EXAMINED THE COMPLETED "APPUGATIQN AND PERMIT*IFY UNDER PENALTY OF PERJURY THAT ALL .INFORMATION HEREON.ARATfONS ARE TRUE AND CORRECT AMD 1 FURTHER CERTIFY AND AGRED; TO. COMPLY WITH ALL CiTY, COUNTY AND STATE LAWS GOVERNfNAN 0 DO HEREBYINCLUDING THEEE IF A PERMIT IS3 BUILDING CON^Expf ration. Every permit issued by the 8uil<Code shaH expire by limitation artel becomeauthorized by such permit is not commencepermit or if the buiktmp or wprk author)abandoned at any time after the 'work is corling Official under thenut! and void. Jf tfte3 within 180 days fromzed by such atermitnmen^ed for aioetiodjrovtsions of this)uf!ding or workthe date of suchs suspended orof ISO davs.* AN OSHA PERMIT IS INQUIRED5" 0" DEEP AND DEMOLITION OlSTRUCTURES OVER 3 STORIES/FOR EXCAVATIONS OVERR CONSTRUCTION OfN HEIGHT/o m 0 o ! — COOI — 33 TOTAL FEES PAYABLE^\ >CREDIT DEPOSITTEMP OCCUPANCY (30 DAYS)MFF 80-92-57-051 9o m ^oo0 LICENSE TAX 01-00-00-8162—tm O r-O •DC/)REMODEL/ALTER PER CIRCUIT0IEm O -nmm DJ cu oo COCD 03ro ro 0en OD ~oI -oX ~o C/l (Q o oocp ci>ro r\3CO 0 to EXIST BLDG EA AMP/SWT/BKRROCK STORAGEm =3 COcp rxj roro Oa; CO TJ X "DX •M >STORAGE TANKSo 1a. CO cbro ro 0en CO \NEW CONST EA AMP/SWTBKR ^^ 'foAW1\ 0o o—1oX)cr- eno o01 — Tlm C/1— i D .—1<ELECTRICAL PERMI— i COcm > D SOLAR - ISSUEPUBLIC FACBRIDGE FEEf — — * CO mm COrp CDO CDCD COCO 1 | TOTAL PLUMBING |TOTAL MECHANICAL-n m CO 5 1 —m IDCO 0 oo ocp CO en—i O o o oocp cbro COCO OCJl to m • X ID Oo a ID CO Om COo ID o O0 :Dodo NOro01 WATER SOFTNERRELOCATION OF EA FURNACE/HEATERMOBILEHOME PARK INSPEACH VACUUM BREAKERMECH EXHAUST - HOOO/DUCTSoCD Xo m O § Oo COroroen EACH INSTAU ALTER, REPAIR WATER PIPEmZ—1 -n C/3 O rrn O C O— )MEGHANo 0 0o 00-8224Tl X C~i nn (S) en— (m O O ZDm m i — -n IDm 0m mi —mo—l33 0 0 Oo o0 COro CO \ 1 EACH GASSYSTEM 1 TO 4 OUT-n CO BOILER/COMPRESSOR 3-15 HP—io i —c: CD 0 OO COro •o k EACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR UP TO 3 HPT31 — 0 mO CD g OCD COCOoen EACH BUILDING SEWERo m 33 O O "oCDC3 CD -H CO m — 1 0 CDCD 00-8221 -EACH FIXTURE TRAP\ zCO—1 f—f— c: oc: C~3 —1OO c: -H O 0 0 03 — t C BUILDING PERMo o0 oG COroroO o PLUMBING PERMIT - ISSUE^o MECHANICAL PERMIT - ISSUE\SUMMARY/ACCOUNT NUMBER\I CENSUS TRACT11OT3 r Z D CC/lm •D I Z Oif} nm [ RES UNITSGRADING PERMIT ISSUEDYd N QREDEVELOPMENTAREAYD NDTYPECONSTOnn rO D a is 0 I \ < % .. V TfV D ^ z D Tl rjj mrm NOSTORIESOCC GPmD i "•s $ 0 """ Cfln 33b>5 Q ^ 2 i}| ^."; f u *<» Y | DESIGNER'S ADDRESS| DESIGNER'S PHONE• • iNot Valid Unless Machine Certified3) ?Ir 71 5 Jtj o •»3 d 3 ^ i N >f\j 1 DESIGNERLICENSE #— ; t H Z D : —a — ~o ^. TV .BUILDING SO. FOOTAGE 1iy/.i/, ;',->;i: 1|| OWNER'S NAME ' " .;1 P^Mf»vr V... .J^*A/6 -•fca. I i3j Sj iV im 1 CONTRACTOR'S ADDRESS1 LICENSE NO.•pr Z a * CDrOO CV)(n OO, m o mlr~O•*SUBOIVISIOft''ASSESSOR PARCEL Ntr"*1 CONTRACTORCONTRACTORS PHONE f8 m ll JOB ADDRESS ' , AV. ST.RO. NEAREST GROSS ST.J iL1*! .C+/CJ&1 jO „-,' . /ZAJP&5 s^ °~^ > 1 0, Tl CATION:</-BOStNESS LICENSE #VALUATIONJl^V "^VV\ m "i \ a ^v \ z go m 3D""LSBAD BUILDING DEPARTMENT APPLICATION & PEFIm, Carlsbad, California 92008-1989 (619) 438-5525H e m O Z— « m 0 00 -O " fTl 00 X 9D O •o-o o H 3 'ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.White — Inspector Green — (1) Finance (2) Data Process, Yellow — Assessor Pink — Applicant — "Gold — Temporary File i 1 SPECIAL CONDITIONSBUILDINGcV .—- ' 4 O CO •••_7v. -gc ••^^ev •M^** ^MECHANICAL•••"i s »BS» ^^ SMI >•• ^4 .^^ELECTRICAL3 ^^•i**:^ • » *X% --^* • v . — — J •*•PLUMBINGF •^ s^V •n z *^ *— i 1CO i> CD O m 3:i. m DOm IT 2 t 33 0<rn0 _i CALL FOR FINAL INSPECTIC2: — ^a:m ^i.r-r- i> TJT333 0 "^5 ^v mn VENTILATING SYSTEMSHEAT - AIR COND. SYSTEMSD 0 0 TJ m n 30m Tl TJ z (j) <nr3> 2• C r l> >••)>D BONDING D POOLD ELECTRIC SERVICE D TEMPOF3D-< 3 C c £ 3 nrr : c D5 5c n n•) D 5 D ELECTRIC UNDERGROUND D \Tlm 30 ELECTRICALC < J n 31 3r n31 C 0 5 < j n31 ] >H13 I1>H1 3 ] 3 ) 3 >H13 O CO Hm T) r~ men O if!COOz TUB AND SHOWER PAN iO TJ Oc n CO m D Hm30 c/TFT 5 er Z 3] C2 Cr C 3 CC 2 C L < 0 n L <<C n 31 » 5i3)3 5 ' 3 ] > 3H1 ] t > H1 3 aC (/SEWER AND BL/CO DIPL/CO |i 0.1 — t3)ENGTHPLUMBING >TT m 0 rn a z G)CONC33mHm zHm 3C 0 3D | O3D |- T> O H HmZ. 5z ^INSULATION |O T) O 3z m 0^33 3[" m~" COm enmO EXTERIOR LATH iO co< Hm 3333 C o -i §5 TJ >00 I— ~ Oozo 33m mFRAME 'TCCZ C > C Z zcy T SHEATHING D ROOF D SHE>3D PRIORH0 FLOOR & CEILING SUB FRAME !in0 r*en OO 5T3~ ZOm GUNITE OR GROUT iz C/3T)mO H 6 Z o —T- ~_L -1 m noc m T D > ^ T3 G 3p 0^ >C r~ 3a D Hm 1 \ •j 1 ) T 0 Dn•) H 5n 0 REINFORCED STEEL t23moQ 33mO C/3 T!mo > z T>mOH O CD ZCO 13mo ~" iO 33 CO Zo — 1m CO i tc FOUNDATION [T] mr— O C/3 13mOH O Z. 33m o 33O BUILDING i- .••'1 r tjm o5m zCOTJmqoJO I .'' oOii A ^•"kO\ ^"^*^ ^ .' DEVELOPMENTAL .. _ B" » 1200 ELM AVENUE SERVICES • ^&r m CARLSBAD, CALIFORNIA 92008-1989 BUILDING DEPARTMENT m^!^Ji (619) Cttp of Carlsbad Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner-builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by the property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City of Carlsbad. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to. subcontract, you should be aware of the following information for your benefit and pro- tection. If you employ or otherwise engage any persons other than your immediate family, and the work (including material and other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment contributions. There may be financial risks for you if you do not carry out these obligations and these risks are especially serious with respect to workers' compensation insurance. For specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner-builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be , signed by property owners unless they are performing their own work personally. Informa- tion about licensed contractors may be obtained by contacting the Contractors State License Board in your community, or at 1020 N Street, Sacramento, CA 95814. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER-BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL THE VERIFICATION IS RETURNED. Very truly yours, Building Department City of Carlsbad ATTENTION PROPERTY OWNER": An "owner-builder" building permit has been applied for 1n your name and bearing your signature. Please complete and return this Information In the envelope provided at your earliest opportunity to avo1d~unnecessary delay 1n processing and Issuing your building permit. No building permit will be Issued until this verification 1s received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) A&&& ._\nfj^-. s^9ne£l tne application for a building permit. 3. I have contracted with the following person (firm) to provide the proposed construction. Name /[/ «JTT— Phone Address Contractors License No. City 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work. Name /\£ r^ / . Phone Address Contractors License No. . . City 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name XT/v Xv . Address Phone Type of Work Signed: Property Owner r* Social Security Number & J~S~ '- a ja - / Date: EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD. Initials