HomeMy WebLinkAbout175 MAPLE AVE; ; 87-317; Permit.. z 0
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D I hereby affirm that I am llcensed under
prOYlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
lull force and effect
1 hereby alfirm that I am exempt trom t~e ~ontrar
lor's License Law lor lhe 1ollowrng reason (Sec 703' "
Business and Proless1ons coae Any city or counly wh1cr. re quires a perm,! to construe!, ater. improve demol•sh. or
repair any structure. pr,or 10 ,ts issuance also •eouires !heap-
plicant to, such perm,t to l1le a s,9ned sratement Iha! he ,s
11censed pursuant to the prov,s,ons of the Contracior s
License Law (Chapter g commencing wrth Secl,on 7000 ol
Ow1s1on J ol l~e Business and Professions Code, or that ,sex empt lherelrom and the basis !or the al•eged e,e,,,pt,on Any
violar,nn ol Section 7031 5 by an applicant lor a perm,t sub jects !he applicant to a c,v11 penalty or nor ,r,ore lhan f,·,e hun
dred dollars (S501J)
I as owner of the properly or my emp18yees w,th ,iages as Their sole compensation w,1, do the wo,, and the slruc
ture 1s not intended or oflered for sa1e (Sec 7044 Busrness and Protess1ons Code The Contractor's License Law does
not apply to an owner al property who bu•lds or ,mproves
thereon and who does such work himself or through h,s own employees. provided lhat such improvements are not ,n!eM ed or ollered for sale It. however the building or improve
ment ,s sold w,th,n one year al completion. lhe owner-builder
w1tl have the burden at proving •nat he did not bu,ld or ,m prove for the puroose ol sale)
1 I, as owner o1 the property am exclusively contracting with licensed contractors 10 construct the pro1ecr (Sec 7044
Business and Proless1oos Code The Contractor's L,ceose
Law does not apply to an owner of properly who bu,lds or ,m-oroves thereon. and who contracts for each projects w11h a cont•actor(s) license pursuant to lhe Contractors l1ce~se Law)
' As a homeowner I arr ,mprov,ng my home. and the tallow mg cond111ons exist
1 The work ,s be,ng per•ormed prior to sale
2 I have 1,ved ,n my home 1or lwelve months prior to complel,on of lh,s work
I have not claimed lh,s exempl1on Gu11ng The las! three years
7 lame~emptunderSec ______ ,B&PC tor th,s reason ____________ _ ,,,
~
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I hereby attirm that I have a cert1l1cate o nt to
self., nsc•e or a cert1f1cate of wo,kers Co!T'p n !n-I
surance. or a cert1f1ed copy thereof ,Sec ~Labor Code\ I
POLICY NO v'J I
COMPANY
Copy s filed ·-.·,tt, the c,ty
Cert,f,ed copy ,s hereby furn.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Th,s sect,on need not be completed ,1 the perm,t
1s for one hundred dollars 1$100) or less)
C I ~e,:;f; that in the perfo1,T,ance cf :r,e ,.;:,rk fo, -.h,ch 1 th,s pe-m,t 1s ,ssued. I shall not employ any person ,n any
manner so as to become subject to the Workers· Compen-
sat,on Laws of Cal,forn,a
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption you should become sub1ect 1o the Workers
Compensation prov,s,ons ot the Labor Code. you must
forthwith comply with such pro,,s,ons or this permit shail
be deemed re,oked
I hereby attirm that there 1s a construci,on lenj,~g
agency for the performance o' :he work for which tr,s P<"f
m,t 1s issued (Sec 3097. C1v1I Code:
Lenders Name
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 ,.
JOB ADDRESS AV. ST.RD. NEAREST CROSS ST.
1 D;; .:; ;~laT:;.N
BUSINESS '-f # VALUATION PERMIT NUMBER
Ir~ //'Jl}f{E Sl/<.f:FT G,IJAFIFLP 5/, /7' , 5 5 cl.._ ~-3/7 ,7'•
LOT I BLOCK I SUBDlVIS,?bN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE # ZONE "(;I
OWNE'R'S NAME
1 ¥?/?:N3/ ;7E RJ)SWL,(.J/, r A,... __ t>£il, ¥?.~-3/'f I
/If /1-1<..'( ti, GetJSS£ CONTRACTOA"S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
OWNER'S MAILING ADDRESS ~ ~-, , All~/.t)/1-6/',,,,CIM,"15
5B"50 4//@JIP,A-GWC//t/4 <:. c}Jl},_ES/3,qo CA -,~r DESIGNER'S PHONE
DESCRIPTION OF WORK . D,-tf, DESIGNER'S ADDRESS STATE LICENSE NO.
Rlzi7ll /f)/A/6 W/1-1-L--;c ,rv, / /~7,3?" __ . 0025 04/13 0101 02BldPmt 64-11
>-'----··----------. ee FLAf;LEV NO DCC GP EDU
STORIES
YO .... u ---
I I PAF't<;ING SPACE: RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPF! AREA CONST
,□ 'D ,0 .... o Y□ /\lo Nor Valid Unless Machine Cerldmi
: 7~c, I] QTY QTY, PLUMBING PERMIT. ISSUE
'
ov MECHANICAL PERMIT· ISSUE ~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 810-00-00-82?0 ~ --
EACH RUlllllNG SEWER ' I OVER 100.000 BTU SIGN PERMIT 00 1-3 1 0-00-00-82 21
~· ------------------t-
EACHWATfR HEATER ANO OR VENT I BOILER:COMPRESSOR UP TO 3 HP PLAN CHECK 00 1-81 0-00-00-8821 ;2 s:-----------. ,
EACH GAS SYSTEM l TO 4 UUT LETS ! BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBlf,•::; ao 1-81o-oo-oo.s222 ----------------1 r,'.'.:T~-L ~!Rt.PLACE -------------
EACH GAS SYSTEM 5 OR MORE ELECTR CAL co 1-8' 0-00-00-8223 --·-1-----------
EACH INSTAl. Al TER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MEC!-,ANICAL 001-i::i 0-00-00-8224 -----.. -----------~. v EACH VACUUM BR.EAKER MECH EXHAUST HOOD DUCTS MOBILEHOI/E 00 • -8 · C-00-00-82 25
WATER SOFTNER RELOCATION OF EA FURNACE.HEATER SOLAR 00 1 ·81 O· 00· 00 · 8226 ---------·~ --·-__ J]!_ -fACI-I ROOF '1R,'d, ::r,c, nF, DRYER VENT SrRONG MITIO\J 880-519-92-33 . --! TOTM MECHANICAL FIRE SPR '<;:S:~EqS GO 1 ·81 O· 00-00-R? ?7 --------------------: -,1 ·---------TUIA/ Pl UMl-llNi, PUBLIC FAC:LITIES FEE 320-810-00-00-8 7 40 -----
cc::_c6 BRIDGE FEE 360-310-00-00-87 40 QTY. ELECTRICAL PERMIT· ISSUE ) QTY MOBILE HOME SETUP PARK-l'HIEU /AREA .,. -------NEW CONST EA AMP SW! t!KR CAR PORT TIF 134-810·00-00-8835 -------------I PH ·;n-1 AWNING
' LA COSTA TIF 133-81 0-00·00·8835 ---·-fXISf BLOG EA AMP SVVT BKR I : GARAGE FMF --------I PH 1 PH
' • LICENSE TAX 001-310-00-,JQ.3· 62 -----------II ! ----.. -------A[r,,,1Ql7E:[ Ill Tt>! PtA c sru1T f,lli Sou-:., ,·::r'cJl-Ji ~ -------t--.
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TE \1P P(JL f lUU AMPS
' ----------------. -1,-------------·· -·-OVER }(JU AMPS " I ~ -----, --
TUIP OCCUPANCY '30 UAYSI ' ' ,_ --------, -------. ----I ; ' ' CREDIT DEPOSIT
I !()IA! flU.lRl(.Al !
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I 0 t/ .d'--I i1 I
TOTAL FEES PAYABLE
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I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION ANO PERMlr AND DO HEREBY Expiration Every perm1t issued bytheBu1lchng Ofl1c1a! under the prov1s1ons ofth1s
I * AN OSHA PERt,m IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m1tat1on and become null and vo,d !I the bu1ld,ng or work 5· 0" DEEP ANO DEMOLITION OR CONSTRUCTION Of authorized by such permit ,snot commenced w1th1n 180 days from the dale 01 such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, Of ,t the buildmH or work aulhonzed by such perm,t 1s suspende<"_...),. STRUCnJRES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WlTH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned 111 anv time 11 !er the work 1s commenced !o1 11 period of 160 da11" -STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . r APPROVED BY .u~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICANT s Sl~URE A OWNER D CONTRACTOR 0 o/ I , . I, ~ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE "/. /J/ ,,. ~~ B HONE 0 I; s/J7 IIJG OF THIS PERMIT, ~ ~i,I, ; ~ c-y p
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TYPE DATE INSPECTOR 2'7-3 t::::,
BUILDING ... _. -FOUNDATION n_. FIELD INSPECTION RECORD
REINFORCED STEEL ov
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY -
INSPECTION REQ IF INSPECTORS DATE GUNITE OR GROUT CHECKED APPROVAL
SUB FRAME □ FLOOR D CEl~ING SOILS COMP~:ANCE SHEATHING □ ROOF □ SPIEAR PRIOR TO
FOUNDATION INSP FRAME ' --------------
EXTERIOR LATH I ' STRUCTURAL CO~CRETE
! OVER 2000 PSI
INSULATION ! •--~ }... PRESTRESSED '
\ CONCRETE : INTERIOR LATH & DRYWALL I POST TEN~IONEO !
! CONCRETE :
PLUMBING ! FIEL_O WELDING
! --. .
u SEWER AND BL/CO DI LICO --------r71GH STRENG:"H
UNDERGROUND □ WASTE , WATER ., BOl TS
TOP OUT rn-'WASTE □ WATER/t ~ /.. I)' r;:;_ -1 ...... ~ EC I ALI ~_tf;.ONJl.>'
-
TUB AND SHOWER PAN ! 0 , -!
GAS TEST "'I ✓-:. • ---,::-....x; : s-. I cL--. rft.•-Pil.ES CAISSON'..'
□ WATER HEATER □ SOLAR WATER -~ ---~---
I
ELECTRICAL !
□ ELECTRIC UNDERGROUND [I] UFFER
ROUGH ELECTRIC I -~
□ ELECTRIC SERVICE □ TEMPORARY I ----'---------------
□ BONDING □ POOL I I
' I
MECHANICAL I --~--------. ·---' □ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS : ... -. .,...., -.. --.... _,. ...... ,. ·--., .. ,. '"· . --VENTILATING SYSTEMS I . ..,, . ~ -~ _...,-.;,. n:7
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CALL FOR FINAL INSPE~r,ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL
'
,.., ' MECHANICAL '
GAS _., /
BUILDING ' I / ,. ',/(J " ,v ' SPECIAL CONDITIONS J ,/ .
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FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 86-496 & 317 DATE: 11-20-,
PROJECT NAME: ----------------------------------
ADDRESS: 175
PROJECT NO.: _____ e_o_-_l_ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____ 9_C_o_,u_u_u_, _1 ___ NUMBER OF UNITS:
d i>
DATE
__ _,_~(L-l.A.:..-----,£,~~-;.,_...,....,INSPECTED:
INSPECTED BY: __________ _
DATE
INSPECTED:
DATE
INSPECTED:
o/7 APPROVED
APPROVED
APPROVED
~ DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS: -----------------------------------
Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering
. ,
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;
~ ~ PLAN CHEC~ NO. !!!.J-DATE ~l
ZONE: \2-::?
SCHOOL DISTRICT:
SETBACKS: FRONT
PLANNING
TYPE OF PROJECT AND USE: #.rd-if /2, ::t= I,_ AC,,cJ
SAN DIEGUITO __ ENCINITAS_ CARLSBAD~ S~RCOS __
Q[L SIDE c)1,C... REAR _..;;.c:O_"'_L ___ _
DISCRETIONARY ACTIONS: ----------------------------I II REDEVELOPMENT PERMIT REQUIRED: -------------------------
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LANDSCAPE PLAN COMMENTS: ---------------------------ENVIRONMENTAL REQUIRED:
COASTAL PERMIT REQUIRED_:_Y_E_S __ -_--~,..... _-_-_ -_ -_ -___ N_O __ --~..,.><=====~-----------
ADDITIONAL COMMENTS: -----------------------------
DK TO ISSUE:_ .... e=::-==:; _____ _
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? Ir!: --17 ........ .l-'----
EASEMENTS: --------------
APN CHECKED? _ _._Y_t: __ S _______ _
RIGHT-OF-WAY:-'LJ;.;...&..}ft.__._ ______ _
EDU'S: ------------------DRAINAGE: ___________ _
IMPROVEMENTS:
------------..-r=1E=-L-D-C"""H""'E=c.,.,.K--,D .... A""'T=E"""'&,......,,,I.,.,N.,,.,IT"""I,..,.A.,..L"'"s-: ------
PERMITS REQUIRED
GRADING: ----------------------------------
GRADING COMPLETION CERTIFIED: ______ _
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: -----------------
P.F.F.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: ----------------
D □-FACILITIES MGMT. FEE: BRIDGE & THOROUGHFARE FEE: ----------------
SEWER FEE (CONNECTION): SEWER LATERAL:
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c: ADDITIONAL COMMENTS: ------------------------------
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