HomeMy WebLinkAbout1736 Geranium Ave; ; 84-616-26; Permit"' z 0 ~ "' .. .., u .. 0
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D I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) cl Division 3 of the Business
and Professions Code, and my license 1s in
lu!! force and effect
Lie No ____ _ C a,o
I hereby alf1rrn that I am exerrpl fram the Con:·ac-•or s License Law tor tre fol!ow,ng reason iSec 7031 ~
Bus,ness and Proless,ons Code Any c,t·i o· coumy whrch re-~uires a oerm,t to co1s1ruct alter. -~,prove demo,s1. or
·epa1r any structure prior to its 1ssua1ce also requ,·es 'heap-
~I cant for such perm,t tc Ille a s,qned state"ient that he ,s
1censed pursuan: to the prov1s'0ns ol tne C,onrraciar s L1ce1se Law 1crapter 9 corwnenc,ng wrtr, Se,.:,01 7000 ct
D"•1s1on 3 ol the Bus;ness a1d Pro!ess·ons Code, or that 1s ex-
emol lhe'efro"' ard t~e basis for the al'egeo exemo11on Ant
v,01a1,on of Sec1,on 7031 5 by an applicant fo, a perm,• sub-,ects !he app11ca1: to a ~1v1I penalty o1 not more than f1·,e run-
dred dcllars !S5O0]
I as owner of the prooerty. or my e"1ployees with ,.,ages
as the,, sole compensation. w1I do :he work ard :he struc-
ture 1s nol ,ntended or offered for sale 1sec 70~4 Bus11ess
and Profess1~ns Code The Contractors License Law does
not apply to an owner ot properly w~o builds or improves
t~ereon and who does suet, work h1msel1 or through his own employees, prov•ded Iha! such improvements are not ·ntend-
ed or olfered tor sale If. however. the bu,ld1ng or 1mpro·,e-
ment 1s sold w1th1n one year of cornple11on. the owner-oui·de:
will have 1he burden ol proving Iha! he did not bu11c or im-prove lo-the purpose ot saleJ
I. as owner of the property, am exclusively con•racr,ng
w•tr licensed contraclo's to conSHuct the pro1ect !Sec 704~.
3usrness and Proless1ons Code The Contractor's i 1cense Law does not apply to an owner o1 property who bu1·ds or 1m
oroves thereo'l, ard who contracts for each pro1ecls w,r~ a
contracror{s) 1cense oursuant to the Contractor's I 1cense Law)
As a homeowner I am 1mprnv,ng my home anC The lollow
1ng cond1l1ons ex,st
1 The WO'k ,s being performed ~r1or IO sa·,e
2 I have lived 1n my nome 10, twe've monihs pr·or lo complehon ol 1h1s work
I have not claimed this exemption during ·he 1ast Three years
for ,In~; r~~~;it under Sec -----~ B&PC
0 I hereby al!,rm 1hal I ha,e a cer1,hcate o' CO'lSe'l! to sell ,nsure or a cert,t,cate ot Wrnker~
Compensat,on lnsu,ance or a cer1d,e<J cop~ •he•e0'
1sec 380.'.l. Labor Code1
POLICY NO
COMPANY
0 Copy ,s hied w,1~ 1he crty
0 Cer1il,ed copy ,s hereby furnished
CERTIFICATl OF EXE:MPTION FROM
WORKERS COMPENSATION INSURANL~ (This sec11on need not b€ completed,, 'he ;,erm,t
,s •or one hu'ldred dollars 1$!001 '" res\,
0 I cer1,1y i'iat ,n 1he per1orm;ince o' the W(J'~ ''"
... r-,.ch th,s pen-n,1 ,s ,ssued I shall no1 e,ru10, a,,-,, person "' ;my ma,n.-,er so as tc become sub1w' ,,
tt,e Wor><e,s Compensa1,on l..d"'s ,,, Cd,·lorn1d
NOTICE TO APPLICANT 11 alter --nak1nJ Hi,~ Cer1,
hcate o1 Exemp1,on you should t>ecome sub1ect T lhe Wor><ers· Compensa1ron pro.is,ors ol :he L.abur
Code. you mus1 torth.,.,1h comply ,.,,h such
pro,1s,ons or 1h,s perm,! shall be jee"'e~ 'P>Dkea
0 I hereDy al!irm •hat thPre ,~ d , "' '" "''"Y 1end,ng agency'"' thf' p,•rtorma,·ce ~• the woe> wh,ch th,s pe,,r,, ,s ,s~~ed .s.,, ].()<l7 c,.,. C,,<J~,
Lenders Name ___________ _
Lerioer s Aooress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 {619) 438-5525
JOB ADDRESS ,l AV.ST.AD, NEARESTCROSSST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER ·(!' 11 /~nfn, 7141962-6683 /71(.· , · :-.',(;:J.,vu ,,, J,Y F.l r,..,....,...,J--l)..,,,,.,, Fv A----., "" $123,965.00 84-616-26
'°' BLOCK ·1 SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE# ZONE
o, 79-4 215-051-01 -same-OWNEffS NAME
p14/ 9~~:;;;;0NE
-same-R-1
CONTRACTOR'S ADDRESS UCENSE NO. PLAN 1.0. # BLDG USE CODE .. .,,.,,, ders
OWNER'S MAILING ADDRESS -same-328559 2220
DESIGNER LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE
P.O. Box Drawer A, Huntineton Beach, CA 92648 2220 DESCRIPTION OF WORK Blair Ballard & Assoc. C-7386
DESIGNER'S ADDRESS h OE'o/ft,J• 'HONE Laguna Beac 850 Glenneyre St., __ nn«i 494-809
--------Single Family ----Medel~220-----ee FLFI ELEV NO OCC GP EDU
STORIES
YD ",• 2 R-3 1
CENSUS TRACl I GP LAr-.D USE I PARKIN4;;ACE FIES UtTS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD Fl RE SPF'
AREA CONST
'xl N • ,c 'W vO NO Not Valid Unless Machine Certified
! QTY. PLUMBING PERMIT -ISSUE I 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
:1 EACH FIXTURE TRAP ' 32.50 1 I INSTALL FURN DUCTS i.JP TO 100.000 BTU 4.00 BUILDING PERMIT 01-00-00-8220 493.00 ----
Ll EACH BUILDING SEWER -i ---6..50 --OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
--II-----+---------------------
_l_ EACH WAHR HEATER ANlJ UR VENT __ j_ 2'>0 , · BOILER..-COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-88D6 320.45 , EACH GAS SYSTEM I 10 4 OUT LETS 2 .50 --4_s_q 1 ~E_R. _c~M~~ E~_so _R L~--~P TOTAL PLUMBING 01-00-00-8222 51.45 + ~ --
EACHGASSYSTEMJOR ~ORE 0 I \IIE:.TAI ~l~EPulCE 6 00 ELECTRICAL 01-00-00-8223 ~n nn
-------T --------~---
EACH INSTA~ ALTER, REPAIR WATER PIPE '1 -VENT FAN SINGLE DUCT ~__2 .illL MECHANICAL 01-00-00-8224 l'i nn
---------~ ---------------------
EACH VACUUM BREAKER MECH fXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225
'NAH.R SUFT"'JER I RELOCATION OF EA FURNACE HEATER MOBILEHOME PARK 'NSP -----------
~t.r:H RrH:,r 11Q2--. , •;< m 1 SOLAR 01-00-00-8226 --
I TOH,L MECHANICAL I 15.00 STRONG MOTION 80-92-33-0519 8.6.1 51.5-U-i -----
TO I Al Pl UMFllNr.
' FIRE SPRINi<LERS 01-00-00-82?7
Ii QTY.
PUBLIC FACILITIES FEE 32-00-00-893)
QTY. ELECTRICAL PERMIT -ISSUE 5.00 SOLAR -ISSUE -~
BRIDGE FEE -~-
NEW CONS! EA AMP SWT BKR 100 25.00 ,,
:::OLL~CIV~ SCHOOL FEE -DISTR1CT
I PH :l PH II 's-o::iAGL r Am.s Carlsbad ___ Ltr 80-92-21-0519 ----
fX1STtllLJGEAAMPSWI RKR ' ; ROO, :3T:::H-"Gl Encinitas 80-92-22-0519 -------_,_' -------------
I PH 3 Pf-I 'I rur-,,r San D1egu1to 80-92-23-0519 --------
1 REMODEL Al TtR PER ( :J-1(:LJIT P' . .:','J ::>--1l21-'. f~E. __ L__ __ San~~o~--_ 80-92·24,0519 -"-+ ------------
Hr.ip POl E 200 AMPS ----------
. OVE:R 2lJU AMPS LICENSE TAX 01-00-00-8162 2.479.00 -----
TEMP OCCUPANCY '30 lJAYS1 -
MFF 80-92-57-0519 1 @ 880 880.00 ~ ---
'
CREDIT DEPOSIT /200.00)
HJTAl El tUHIU,L 30.00 ! !QT Al srn AR ' 15,/def' TOTAL FEES PAYABLE
I I I 4,077.62
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by the Bu1!d1119 d'liic1al under the prov1s1ons ollhis * AN ~rEQUIREO FOR EXCAVATK>NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1talion and become null and ~01d !I the budding or work 5' O" DEEP .\NO MOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permit 1s not commenced w1th1n 180days from the date ol such STRUCTURES ER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-:~~~n~ 1
it t~!.,,~~~
1
:Xei~h:~~,:~ti~~~e:Ze~~~~ :9~7i~d!~i5~:gd:~~ or
STAUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND AP77U~✓/ OWNER• CONTRACTOR 0 APeROVED B(.,)-/7'911,!--KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ,, .,. '/
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TYPE "T DATE INSPECTOR '· -------· ----.
BUILDING
FOUNDATION ' ~'-I . le ) (.,!> -~, ~ •
FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
GUNITE OR GROUT INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME 1
SHEATHING D ROOF • SHEAR
-· --
SOILS COMP'._.A\1::-;E
PRIOR TO
FRAME ' F-OLJNDAT10N l~SP I
-----------------------
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 "''.;I
INSULATION ' PRES TRESSED
INTERIOR LATH & DRYWALL CONC::iE~E
POST TEN:C: ()NED
CONCRETE
PLUMBING FIELD ··,'VEL'.)1r--;G
SEWER AND BUCO •iPUCO T --------~ HI(_;,-. '.:,TREr,;G'H
UNDERGROUND • WASTE • WATER BOLTS
' TOP OUT • WASTE • W*TER ':iPECAc MASCN8Y
-----
TUB AND SHOWER PAN
' GAS TEST ' PILES CAl~sor--..::.· • WATER HEATER • SOLAR WATER ---. ----!--------------i--------
' --------
ELECTRICAL
• ELECTRIC UNDERGROUND • lJFFER --
ROUGH ELECTRIC ' --t---·--
• ELECTRIC SERVICE • TEMPORARY ~--------· • BONDING • POOL I
------
MECHANICAL -----------------• DUCT & PLEM., • REF. PIPINi3
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS
I
CALL FOR FINAL INSPECTIQN _w_HEN_ ALL APPROPRIATE
----.. -. -..... ..... '. ·-·---
FINAL I
PLUMBING .
I
ELECTRICAL " I -MECHANICAL '\... . ..f.J I • GAS "-I '•"I'" I
BUILDING '\. 1.,,. /
SPECIAL CONDITIONS ''-'
I
CITY OF CARLSBAD LOT # ot' INSPECTION RECORD
ADDRESS: /1~t, /2~ >
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME ( ( ) CEILING
SHEATHING ( ) SHEAR I ~ Y
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWAL0 -z../; f:
; '
PLUMBING
( ) SEWER & BL CO (
UNDERGROUND ( ) WASTE
TUB & SHOWER PAN ;p
GAS TEST ¥--t
I
( ) WATER HEATER ( ) SOLAR WATER,:;z?
TOP OUT · ( ) WASTE ( ) WATER ~fa
I
ELECTRICAL
( ) ELECTRIC UNDERGROUND ( ) UFFER
( ) BONDING ( ) POOL ~
ROU3H ELECTRIC --:z.-)4 ;
ELECT RIC SERVICE () TEMPORARY
MECHANICAL
( ) DUCT & PLEM. ( ) REF .
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
COMPLETE BUILDING FINAL ~
DATE: ,V~J:6'.
CLEARED WITH GAS AND ELECTRIC
DATE: --------
NOTES ON REVERSE SIDE .•....
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: S-1 l-
.... ...i(;Jil,) l..A \lU&ftA
PROJECT NAME:__:..---'------_-------------------------
1 736 GeranJurn
ADDRESS: ----------------------,-----+---------
4' PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: -----"ff~""'"l) ________ NUMBER OF UNITS: _l __________ _
CONTACT PERSON_· _J_o.. __ u_•_n ___________________ __:.. _ ___:_ __
4lQ-l7!U c.DNTACT TELEPHONE: ______________________ --,-____ _
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS:-------------------------------
. u~1c1pal w~t~, Di::ltnct ;2::/7l/J ()~('-()/IJLY ~ EAQ1Aeer,ng Department
-~............... . . (619) 438·3367 -.._f/19/g(q
R ... 1/BS WHITE: Suspense GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
.. , w ..
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: _________ _
ADDRESS: 1736 Geranium
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: __ __:::=....::;;_ _______ NUMBER OF UNITS:
.,,_
~y~PECTED#/:~ DATE s-l~/~ APPROVED X INSPECTED: .-. DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ---------------------------------
I I
Rev. 1/86 ANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER:
1736 Geranium
ADDRESS: ---------------------------'--------1~-~'--'--'-'-H-l
TYPE OF UNIT: __ __:::__ ________ NUMBER OF UNITS:
~y~PECTED ( l { m
INSPECTED BY: _________ _
INSPECTED BY: _________ _
\ •
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED __
APPROVED __
DISAPPROVED __
DISAPPROVED __
DISAPPROVED __
COMMENTS: -------------------------------
Rev. 1/86 WHITE: Suspense GREEN: Engineering CANA PINK: Planning GOLD: Fire