HomeMy WebLinkAbout1710 KIRK PL; ; 84-481; Permitb I hereby affirm that I am licensed under ~ l vlalon!I ol Chapter_ 9 .(commenc1·e· i;i w1t.h I-/ Section 7000) of Division 3 of the Business ~ and Professlons Code. and my license 1s 1n
~ full lor~:!,;__.rJ-9,,.e! ~!/'' ,1 ~--; :,.-, z L,c No -> . 4.o-Ca,, _j__--=--.:.......,, _
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1 herelJy aft,rrn thal I am e,e...,p1 from the Conrrac
Ior's License Law tor lhe to11ow1~g reason 1sec 7031 5
Bus,ness aml Prote,s,ons Code Any 0I:y or counry ,..h,cr, re au,-es a perm,t to construct a1ter ,rnprove dema·,sr .. or
repa,r any structure or,or to ,ts ,s,uarce also requ res The ap-pl,cant tor sucn pe,'".11 to hie a s,qred stale'l'ent that he 1s
11censed pursuan: to the ~•o,·1s1o~s of !he conrrac!O• ~ I_Icense Law ICha~ter 9 commenc•~g wI1n Section 7000 ot
o,,,s,on 3 of the Business and Proless,oe,s Code·, or t•,at ,sex
emo! theref'Om and lhe bas,s lor the al,'egeo e,empt•on Any v,0Ia\Ion of Sec11on 7031 ~ by an app11ca~1 tor a perm,t su~·
1ec1s the applicant to a cIvi'1 pe~alty of no\ more than fw~ ein
ored do'lars !S500!
I as owner of The properly or rry employees ·,1'1~ wages
as '.heir sole compensation will do the wor·~. and The slruc-
lure Is not ,nte~ded or Oflered for sale ,:Sec 7044 Business
and Professions Code lhe Contractor's License Law does
no\ apply \o an owner ol property who builds or 1mpro•1es
thereon and who does sue~ work h1msell or through h,s own
emp:oyees, orov,ded that such improvements are no1 intend-
ed or ottered tor sale If. however. the bu,ldIng or ,mprove·
rnent Is sold w,thIn one year of cornplet,on. lhe owner-buI'der w,II have the burden ot proving that he did not bu,ld or ,m
prove for me purpose of sale)
I, as owner of \he property. am excIusively contraclmg
with l1censed contrac\ors to construct the proIec\ !Sec 7044
Business and Pro1essIons Code The Contractor's License Law does no\ apply to an owner of oroperty who bu,lds or ,m
-. proves thereon and who contracts for each pro1e_cts with a contrac1or1s1 license pursuant to the Conlrac\or s License Law)
L
·-J As a homeowner I am 1mprovIng my home a~d lhe tol'o.-i Ing cond,tions ex,st
, 1. The work Is oe,ng performed pr.or to sale
2 I have I,ved In my home tor twelve mont~s orior to comple1,on of this work
1 have nn1 claimed this exemption during the las\ three years
lor ih~:r::;;t under Sec ------B & PC
/
,rib I hereby a!tirm that I ha,e a cemf,cate uf cunsen• 'w\sel! insure. or a cert,t,cale of Worke•s
Compensa!1on Insurance o, a cert,t,e<:J cop 1hereo
(Sec 3800. La.~C~Jr1, /--. r:. "-<"=
POUCYNO 7l,Z '-/~-'/_.~,,:-:_:
c9MPANY [!ff[ I(__:'.. /-.-It-(
':)g_Copy ,s liied with the c,ty
0 Cert,t,ed copy ,s hereby !urn,she<:l
CERTIFICATl OF EXE:MPTION FFIOM
WORKERS' COMPENSATION IN$URANCF (Th,s sect,on need not be compleled ,, tne ;,e,,.,,,,
•~ for one hundred dollars 1Sl001 or less,
tJ I cert•Ty 1hal ,n the pertormance o' tne worl< to,
wh,ch this pe,m,t ,s ,ssued I shall not emµI0, an,
person ,n any mann<'r so as to becom<' subwc' h lhe Wof1<ers Compens.at,on Laws:.,• CaI,•orn,a
NOTICE TO APPLICANT It aher ma~cn:i tn•s C,e,t,
t1cate of E•emp1,on you snould become subIe,1 ,,
lhe Won<ers Compensai.cn prosIsIor.s ol ine La,t,Qr
Code. you must lorthw,th co<nply w1\h su~"
prov,s,ons or lh,s pe,m,I sh~I' b., dee,--,ied rp,c,seo
il
O I hereby affir,,, that the,e s a t,n~
,end,ng agency tor 1,-,e µerlorma<'Ce .-,' wD'' 'r_.' wh,ch th,s pe•m,t ,, ,s~ued IS.,c )09? C,o,d.,
lenders Name, ___________ _
Lenders Address __________ _
· USE BALL POINT PEN ONLY & PRESS HARO I , CARLSBAD BUILDING DEPARTMENT APPLICATIO PERMIT
I 1200 Elm. Carlsbad. California 92008-1989 {619) 438-5525
I JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. I DA.TE OF APPUCATlQNI BUS!II; ~ LICENSE # I VALUATION
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CONTRACTORS PHONE# I ZONE
11./-3-2006
I IV /I.JV I 81'-'18 I
LICENSE NO. I PLAN 1.0. 'If o2(b70D
I DESIGNER
, OESCR"T<ONOSWOR< /.-.t {;lotD0 Pt>OG ---~-~
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LICENSE # I STANDARD PLAN# t:'_ o:J-to'?0o _, ,._ ___________________________________ ,..
:~~~~~.~.SG't--'7~""r,:r /J[Z_IMJ_b
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STORIES
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AREA CONST
I CENSUS TRACl I GP L_AND USE IPARKl:-.JG SPACf RE:S UNITS I GRADING PERMIT ISSUED I RE:DEVELOP....,ENT TYPE occ LOAD FIRE SPP
y O ~ 0 . , :J , □ YO "'0 ) Nor Valid Un/en Machine Cert died
: QTY. PLUMBING PERMIT -ISSUE I ', _<;r) 1
: QTY. MECHANICAL PERMIT· ISSUE ',:-SUMMARY/ACCOUNT NUMBER • 1 I
1 EACH FIXTURt TRAP I INST Al L FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT --~00-00~220 { ,t'/ .~1
1 _ ~~B~L~__!__N~E~E~ ______ ~ __ _ __ -l-_ _ ___ O~E~100000~TU ___ ___ SIGN PERMIT ---~1-0~-~8~1 __ In-~C~WAT~H~~R~N~~V~T-__ .J___ ~~ --+--BOILER CUMPRESSORUPT03HP • PLANCHEC~Jt.S:f2Fi"",1~ :tT EACHGASSYSTEM2-__!Q__2~lL~1s _ • ~ !:,Q Jso1L~R co~~ESS~]_15~P ___ ------·--~ 2"TA_LPL_U~ _ _ 01oo•ooa222 . JG• 00
00~ 1 EA!H ~AS S!ST~M___': OR ~R~ _ _ __ -..---_ _ --+ _ t '~T:L ~R~L~C~ _ _ _ _ _ _ _ _ ___ _ _ ELECTRICAL _____ O~-QQ-81_23 __ JG-
I _ ,-E~~H __ INS_'.A~-A_L~E~. R~PAIR 1',ATER PIPE -1 • -~ ___ I VEN_~tAN SiNGL~ □~-~T __ __ __ _ _ __ _ ___ -~ECHANICAL ______ __Q__!_-00-00·8224 1
1 ·r EACH VACUUM BREAKER I /J Z::.I"' MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225 1
1 WAHR SOFTNER ! --RELOCATION OF EA FURNACE·HEATER MOBILEHOME PARK INSP l---+--------------
1 -~i RDW '1i:i:.1'J ,.:"'J?rlt, 2Dl~R Q<,·QO-OG-8U6
I _ l________ _ ---, ___ ( _. TOHIL MECHANICAL S1RONGMIJTIO"J 80-92-33-0519
l(]lAI PlUM81r.L /,;5 _,l)q FIRESPRINr<URS 01.-00·00-8227 1 1 I -----1 I I I I -·-··--·-·-·-----I I
I QTY ELECTRICAL PERMIT -ISSUE I s-I QTY. -~ -I " I -/1 BRIDGE FEE -----------+--------
I NEW CONST EA AMP SWl 8KR ---l---;' ,::GL1JCT[Wi~ I ll SCHOOL FEE -OISTRIC'
1 1 PH 3 PH l_ _____ ____Jl__ Sr□R,'\G~ Tk',KS I
I tXISTDlDGEAAMPS\·\/T8KR I 'I RUCKSTORi'.iGE I
SOLAR· ISSUE
----~ -----------J
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I-r'Utllll,;t-Al,;lllllt~t-tt _____ 32-00-00-893:J_+---_
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I-C~sbad _______ 80-92-21J!.?}2___,_ ________ _.,
Enc1n1tas 80-92-22-051.9
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1 PH 3PH I ii /PLJl,\P
01 "'-'J cntri.: 't~ ----l-------
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San Dieguito _____ 80-92-23-0519
_ ~~c_o_s ______ ~0-_-~9~2-~2~4~·0~5-' 9'--'---------
TE~IP Plll t. }00 :.MPS
OVER ?(JD AMPS
I TEMP OCCUPAN-CY-,J-0-□-A-Y--S-,----------+------f----1-------------------+--------jf MFF 80-92-57-0519
LICENSE TAX 01-00-00-8162 -----+----------
I +-------------------+--------1c-------------------+-----11----------------------------
CREDIT DEPOSIT
: lll!Al fll:LTRILAL TOTU.l SGLAR TOTAL FEES PAYABLE ~,00
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT"' AND DO HEREBY EKpiration. Every per_mtt issued bytheBu1ldingOf11c1alundertheprovis,ons Ofth1s * A.N OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by llm11ation and become null and void If the bulldmg or work "O" DEEP ANO DEMOLITK>N OR C RUCTION OF E R T authonzed by such permit 1s not commenced within 180 days from !he date of such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER C RTIFY A~D AGREE IF A PE Ml IS permit or if the building or work authorized by such permit ts suspended or STRUCTURtS OVER 3 STORIES I IGHT
I ISSUED. TO COMPLY WITH A.LL CITY. COUNTY ANO STATE LAWS GOVERNING BU!LDJNG CON-Ls•,ebCa~n1Cn~,o"',,i,:'oce~IC,m!!!!•1•~ft~•~'~th~•!!•~o~"c!!"cce!o"mcm!!!!eOec~e·dLl;lo"'1''-l!~']'oad!.£of!_l18.0Ld1•!!Xl•C·-'\:a>'f~~:'.':~::"'::::"":""":'"'""1i""--f: ... r;,.---~".'"------1
STRUCTlON WHETHER SPECIFIED HEREIN 0"1 NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDq t ~ S • □ E
KEEP HARMLESS THE CITY ◊. F CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND A f AN.' IG ATURE . • CNER CONTRACTO DAT -{.
EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID CITY \N CONSEQUENCE OF THE (/!, . A J' I h Jt A ' I\, 1' I B E □: q, lq ~
I GRANTING OF THIS PERM\T {f,(..A.... (::(../lJ..A,.., ' t?t.. .C.....-G«... '}J.....__.I y PHON l .,. 1L------------------------------;;,_+------------""l-ll.!!<====~--
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TYPE I DATE INSPECTOR -----~·--.--------------------
BUILDING ' I 'ii <-f-CJ, k. I • ~-
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL {,i'-,,1/4-" ; , I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION. REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHE,AR
SOILS COMPL;l\,NCE I PRIOR TO
FRAME '
EXTE,RIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □IPL/CO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
FOUNDATION INSP I
--------· . ____ __j_ __________ -t----~ STRUCTURAL CC!NCRETE: I =j OVER 200() PSI
PRES TRESSED i CONCRETE
POST TEN2',IONE.O j CONCRETE -r-·+-~--IC"IELO 11\iE'LOIN(-;
-------------· '·---------------
rll(~rl :::iTRE'\JGTr<
BOLTS
Sf-'EC1A~ rv-."ASONRf i-:
I
GAS TEST I 1-/:,'-,n /l
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I ,
-----""'""""" , I---------+----------· -~ --+------
D El£CTRIC UNDERGROUND □ L'JFfiER ~
·---·---
ROUGH ELECTRIC I 1-1 ;_ .,.. 1//°( ,1 --------
□ .cLECTRIC SERVICE □ TEMPORARY r--------------------+------------I-"-----
□ BONDING D POOL /;.-)./-f-'J ~-I
I ·-.--. --------------
MECHANICAL I -----------------~
□ DUCT & PLEM., □ REF. PIPING -·---~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I .. . . '
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;
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ITEMS ABOVE HAve BEE/JI APPROVED. .
FINAL
PLUMBING , ' -,. ., ·-: ' -
ELECTRICAL -MECHANICAL -·-c
GAS
BUILDING -
SPECIAL CONDITIONS I
---------------~--. .l .___ ____ ____.
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
TE Le PHONE:
(7Ul 729-1181
ftitp of Carl~bab ·
This document will certify that I am aware of the provisions of the
,California Administrative Code, Title 24, Section T20-l406(c),
"Swimming Pool Heating", as shown on form DPL 1297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electri·cal permit for a new or replacement
fossil-fueled heater will be issued until this certific.ation is
executed.
~~~ t!h:d~;!'.:fni ~~~~i~~c~~=~ :f 1 IJ l~h~ ~fr.co~equ(~e~Eff'or
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped wi~h.a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 751
thermal efficiency.·
S. Time clocks installed to allow pump operation during off.-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print owners Name:
•
Owners Signature: Date: '.3-J-M
Print Contractors
Contractors Signature: Date: tJ-/g>-ft,
Address:
,,
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PLAN CHECK NUMBER™.f..L ADDRESS \ 14>0 k. 1,.. ~ I
# .
DATE
PLANNING:
a:: LU :z LU
TYPE OF STRUCTUR~ Q O \
SCHOOL FEES: SAN DIEGUITO
CARLSBAD
IGHT
% COVERAGE
BUILDING HE
FENCES/WALL
TWO CAR GARAGE
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ZONE: ------
ENCINITAS --------
SAN MARCOS ___ -+--,1---
REQUIRED SETBA7T\-+-f---
FRONT __ -+-~---II-"--_::.___
SIDE __ --l,-..->,+-----
REAR ___ .:;._ ____ _
;: ~ COMMENTS: __________________________ _
~ ;§ ~ □ REDEVELOPtlENT APPROVAL REQUIRED: v\):fr
-C □ ---it-~--'--------------1-LU UC:: LU-
~g o 8~ LANDSCAPE PLAN COtt1ENTS: ____ H>''--'--~-------------
ENVIRONMENTAL REQUIRED.._: ---~+----------------
------------------------------
ADDITION>IL COlf1ENTS: ----------,-----------------
q I,~ ,~TO FINAL, __ DATE: __ _ OK TO ISSUE: 1!it: DATE:
*************** .. ********'**'**'******* **************** ***********************
ENGINEERING_ LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? 7
P.F.F. ________ PARK IN LIEU ________________ _
R.0.1": IMPROVEMENTS: _______________ _
_______________ E.D.U:
SEWER: ----------------------------
LATERAL: DRIVEWAY: ___________ _
a:: ~ GRADING PERMIT: _________________________ _
-LU i ~ DRAINAGE:·----------------------------
~ □ ~□ \0
EASEMENTS: ___________ ADDITIONAL COMMENTS: _______ _
OK TO ISSUE: --~----------DATE:__,.1./.~q,:;.,c.V:--..1.;;i;.~/----=J';..,t-// ___ _
" ENGINEERING INSPECTION REQUIRED: __________________ _
· PUBLIC ~'ORKS INSPECTOR: _____________________ _
rnAL OK: -----------DATE: ____________ _
~HIS ITEM IS NOT CHECKED, BUILDING DEPAR11'1ENT WILL MAKE ALL INSPECTIONS
"WAYS, CURB CUT, DRAINAGE, ETC.)