HomeMy WebLinkAbout1760 Kirk Pl; ; 82-58; PermitIll z 0 ~ a:: ~ ~ 0
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ffjhereby ~-J that.I a~.ied under
provisions of Chapter 9 (com,nenclng with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
~~l~~i-r,· Class 1)/$~'/l{
I hereby atfirm that I ""' exempt from the Con-¥:J~t;!f .:':: !;!;' ~,:,t:;~~c!l. ~~
county whtCh requires a permit 10 construct
alter, ImJ)(ove, demotish, or repair any structure.
priof to its issuance also requires the applfcant tor
such pennit to file a signed statement that he is
ltCenNd purwant to the provisions of the Con-
tractor's License Law (Chapter 9 commencing with
SecOon 7(0) ot DivisN)O 3 of the Business and Pro-
fessions Code) or that is exempt therefrom and the
basis tor the aUeged exemption. Any vk>lation of
Section 7031.5 by a,, applicant for a permit subjects tne applicant to a civH penalty of not more than t,ve
hundred dollars ($500).
C I, as owner of the properly, or my employees
"1rith wages as their sole compensation, will do the w<>fk, and the structure is not intended or offered for
sale (Sec. 70W, Business and Profess,ot,s Code: The Contractor's License Law does not apply to an
ownet' of prc>perty who builds or improves thefeon
and who does such wont himself or through his own
empk>yees. provtded that such improyeme:its are
not intende-:S or offered '°' saJe. If, tlowever, the building or improvement is sold w1thm one yNif of
complehon, the owner-buik:Jer will have the burden
of provIn9 tNlt he did not build 01 improve for the
purpose of salef.
□ I, as owner of the property, am exclusively
contract•"i with licensed contr~tors to construct
the pro,ect (Sec. 704-', Business and Professt<>ns
Code: The Contractor's License Law does not apply to an owner of property who bu1kfs or Impr0¥es
~~~i~ ~~c:1~~!~~ ~~~~~~;:.:
lteense law).
□ I am e•empt undef Sec. _____ , 8. & P.C.
tor th,s reason ___________ _
~reby affirm that 1 have a cet11ficate of consent ""'io' · Seit-insure, or a certificate of Workers·
Compensation Insurance, or a cert1f1ed copy thereof
(Sec. 3Sl0, l..al">'.Codij '
POUCYNO ~
COMPANY ~-.1-1.-=..,._,,c=....:,-_..r---
□ Copy IS hied with the city.
□ Cect,tied copy ,s hereby furn1s
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed 11 the permit
1s lor one hundred dollars ($100) or less)
D I certify that m the perlormance of the worit for which this permit 1s issued, I shall not employ any
person ,n any ~nner so as to become subJect to
the Workers· Compensation Uws of GahfOfma
NOTICE TO APPLICANT 11, atte, malun~ thos Cert•·
ficate of Exemption, you shouki become subject l"J
the Wonters· Compensation provIsK>Os of the labor
Code, you must forthwith comply with such provisions or this permit shaJI be deemed revoked
0 I hereby affirm that there 1s a construe.hon
iendmg agency for the perlormance of the work tor
which ttus permit Is issued (Sec 3097. C,v,I Code)
Lenc,e,·s Name ___________ _
Lender's Address __________ _
-•• -•• • • n --•n•n--~---• -• •--••• •••• -••n•••••-•• ••••••••• -••••---••••-••• _M° ... ---••n•••-••-•
( ) CARLSBAD BUILDING DEPARTMENT {. ) APPLICATION & PERMIT \ )
1200 Elm, Carlsbad, California 92008 (714) 438-5525
.IOtlAOOR_, _-us ,/_ -., ;:iJ-• ~ -JO -AV.ST.l°"_ ;,~~.Af'PLICATIONI BUSINESS LICENSE# VALUATION PERMIT NUMBER .Ai l?~o-r,.,,,~""... ,r/,1ce -~i~:~,/,~ 1 :?t//?1 Br'
----~,.::9-C.,,... • I i,,,,;:•,rs PHOME .... .,.CONTRAC~ I : ~'-':rt, ..A -~ --. -·-PHONEt ZONE ,-a.
· ;'L!:'~#1 . .;N/"1ScAJ ✓~✓-/?Is ~.,J £~ > -~-0 ~ 2~a~, ""::::)CJ
0-_ ..... :15.1,!NO ;"~~• zj~~CT "S . ·: ;. UCEN8E NO, PLAN 1.0. # BLOG USE CODE ... -,-. _U , •. ,._ _.,,,.-,,----. · ~e. · -,v -· . .a-, =' ;;..;--·~-~-=::;;.:._~',ui:.....::l,T#;~6=2=~~1-----~~~~=-,,.............
LOT l BLCXtt I suB01v1s10N I ASS~'f:l'<l'"Q ?';)..CJ() DESIGNER ~ STATE LICENSE,, STANDARD PLAN# eu1Lo1NG sa. FOOTAGE
oescRtntON" OF IIIIORK _
t---~-:---::------:---::::a:::----:-'7.-'7---------"7"---tl DESIGNER'S ADDRESS DESIGNER'S PHONE wA v.-.... Lfl!!-~__. r~ .~ ... ~ /ffJ~1 r . ~ ~
--# • F/P FLR ELEV. NO OCC GP EDU '11 ("'.'\.IA..
--STORIES y '\Vty -
vO NO --
AREA CONST ' --t CENSUS TRACT I GP LANO usE I PARKING SPACE I RES UNITS I GRADING f'.EAMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPA 211 a1e2a 5167 _i O 0
YO "o v□ NO v□ NO o;J,,~i~l1i,ssAiMit'e19"pwt 1;,□·-01
QTY. PLUMBING PERMIT · ISSUE / n QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP • INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01·000·4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·000-4221
/ EACH WATER HEATER AND/OR VENT --2_. z;,l BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01·000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·000·4222 /a•C?I/
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·000-4223
EACH INSTAl.. ALTER. REPAIR WATER PIPE . ~ VENT FAN SINGLE DUCT MECHANICAL 01·000·4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·000·4226
TOT J.L MECHANICAL :;TRUNij MOTION 65·640-0519
TOTAL PLUMBING I _J[L.,b FIRESPRINKLERS 01·000-4227
PUBLIC FACILITIES FEE 25·000-4933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
NEW.CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE· DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65·623-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH PUMP San Dleguito 65-625-0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 65·626·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ---------t------r----i------------------t-------11-----------------t---------,
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I / 0, {!()
l~ __ c CAREFUI.LYEXAMINID_ ~Ttte~_ ,~TIONANO~ANO-DOHEAal_:r :~•:.:,Pl .. '-·· .• ' -. , ..... -,,:~°!:: * ANOSHAP£AMIT IS IIEQUROFOREXCAVATIONSOVER CER1'IFY UNia PENALTY OF ~-.-r AU INFQfliiATION HT~ UOIN8 THE ___ ....... --·-mi: .5· o· OUP ANO OEM0UT10N OR CONSTAUCTl0N OF
..
ANOOO,ARECrMD f Ail:rl'ifl!R 0ERTIFY ANO _ A PERUn' IS .... fjf ff=-· ' -=-,.,:::-,... °'-: STPlJClURIS oval 3 STONES IN HEIGHT AU.cnY,COdirtYAND8TATELAWSGOVEANING8Ull.DINGOOM-· • -· .,_ _ _.__., __
. . --_.::._ ·-:., __ ftC!!_ •. _ l ALSO_ AGREE_ TO SAVI! 11«JEMN1FY AND _ ·, ,t•·· ;._7'Y ___ Q -APPROVED BY DATE -...: M.LUA81UTIES.JIJOGMENft,COSTSANO (>J>::"_:. ,# -. -.: > ,· ,. .• ;,i:g;-----
,->~ -r~p/~~-""°~1Ncottan1ENCEOF_:r-~.:.il···~·-.~ll! .. ~-·.~-{',r.i,, •• • "·· •PHONE □ ~ I 'l'L~-~-
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INSPECTION TYPE C DATE -· .. INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND Bir/CO \.' . ,
PLUMBING UNDERG,ROUND -
PLUMBING TOP OUT ---
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS -
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPL:ANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
i FIELD WELDING
HIGH STRENGTH
BOLTS
i SPECIAL MASONRY
! ____
-----
i PILES CAISSONS
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JOB SITE FINAL ~ -I PLUMBING ~ -1.1--·'KZ N j
ELECTRICAL .. . -. ' ' '-. •. . ' .
MECHANICAL .
GAS ·--· ... . ' . ~-
BUILDING ' . ____ ,
SPECIAL CONDITIONS -CERT OF OCCUP r;y fbs,Ji!} • -...___
-. g'.;).. 51g
INSPECTOR'S NOTES -
DATE -----
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_______ , ______
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only I Permit No 7(,,// {,
JO& AODft £55 . • . I ' " --•-
LOT NO. I OLK I TO,~CT ! .;
LEGAL I 1 DISC~.
OWNU, MAIL AOO,itESS ll P PHONC
2 . . -r Pl.ace 1sba'l. ea. 19200 '(' .. ;;;-.'j!J'.)
COHT,.ACTOR MAIL ADOAtSS PHONE LICENSE NO, STATE CI TY
3 B(tf: IC'l'~WIM•cq,. _i;;;,.::Huari.• 2 .. .., t. :.>t. ~'I-'"--7,---1 ,Elj ,. 107 /Ji+~
ARCHITECT Ofll 0£$\GNCllt MAIL AODfl':ESS PHONE LICEN~E NO,
4
EHGIHC.t.ft MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION (NS. CARRIER ""'4AIL ADOIIIESS BAA.NCH
6 t, r.e -·ti r ce . • 0. ~--"""""' S4D --•,,,'lo ---~ •
USE OF BUILDING
7
8 Class of work: 0 NEW 0 ADD ITION 0 ALTERATION 0 REPAIR
q Describe work:
-"" . __ ., . ---i C -.. PERMIT FEES r( • .. No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) s
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
.4PPLICATl0N ACCCPTEO BY PLANS CHEC~E O BY APPROVE O FOR ISSUANCE BY LAUNDRY TRAY
CLOTHES WASHER
DATE ,II,. WATER HEATER .J...,
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· DRINKING FOUNTAIN
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GASSYSTEMS:NO.OUTLETS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. . WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS AND 0.lDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMP!_IED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER .
_j; ~ ' CESSPOOL ,,..
f fi SEPTIC TANK & PIT
J l,..., ROOF DRAINS
~IGNATUAE. 0,. COHT .. ACTOIII 0111 AUTHONIZ.£0 AGENT {DATE)
PERMIT $ -
TOTAL FEE $ 7 " ~
~•GNATUIU~. or OWN[III 11"'1'6Wtitlll ■Ull .. OlR) (DATE) r
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR