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HomeMy WebLinkAbout1768 FOREST AVE; ; 85-510; Permit"' z 0 ;:: " a: '.I " w Q "' i[ 8 "' w Q ... 5 ~ w z ~ z 0 ;:: ~ z w .. ,. 0 " "' ic w " .. 0 ~ L ![ ~ I hereby affirm that I am licensed•under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 1s 1n full for; and effect. t:) L,c No 6 IH'l3 Cla,, --0 I hereby atl,rm tha: I am exernpl trorn the Cantrac !O's License Law for the 101.~w,ng reasor !Sec l83' 5 Business and P'otess,ons Coce Any c1·1 or county wr,cr •e QUl'es a oerm,1 lo con,:ruct alter l"'pr~ve de.,,~l,sh ~, ·eoa,r any structure .i~1or to ,ts ssua1ce als~ requ,res the ap ci,carl 'or suer ~em,,: Iv He " ;,snec sta:eme'' ·nat r,e s 1censed pursuant to the ~ro,wons o' the Cor,t'aCTv; L,cense Law :Chapter 9 C~"'"1enc,n~ w1Th Sen,or ?OCO ol D1v1s1on 3 of the Bus,ress a1c P•otess Jns Cede, V' !hat ,s e,: e"lot theretrorn and lhe has,s tor ·oe alieqe~ exempt,on Ar·1 v1olal101 of Section 7031 5 Dy an ar;pl,cant •or a pe·rn1l sue 1ects the aopl,cant to a r.'"•I pena ·, of not ~are than l·ve '"'" d'ed do lars 1$500 as 8W~er af the pcopert, 8r my e-r,:oyees w·t~, waoes as t~e" sole ccrnpersaM~ will do :ne w0•k dnc t·,e struc '·.,re 1s no: ,ntended or o'tereG lor sale ,sec 1844. Aus1ness crnO Prafess,ons Code •he Con'·ac!o· s 11,ense Law does ~ot appl·1 to an owner of oroper:y who bu1 ds or 1mp·a·1es thereon and who does sue" work h1"'self o· 1'1rough h:s o,,r ern;Jloyees pro,ided Thar S'Jch 1~,p,:ivemen:s are ncl ,n!e~d ec or ottered for sale If, however the bu1lni1r, or :rnprove r:",en1 1s so,d w1t11n one year of completion The owne'-bu,1aer w1I! have \he burden of orov1ng that he did not build or 1"1 prove for tne purpose of sale) 1. as owner of the oro~erty. am e,c1u,1vely contracting with l1ceosed contractors tc construct the pro1ect (Sec 7044 Business and p,afess1ons Code The Contractor's L 10€nse Law Ooes not aoply to an owner of pcooeriy who bo1'ds ~r ,m-proves thereon and whO conTracts lor each prn1ec's wit~ a contractor(s! 11cense pursuant to the Cortr;icto,·1 11cens~ Lawi As a homeowner' am 1mpcov1ng rny ~orne. and the fo low 1ng cond1:,ons exist 1 ihe wo•k ,s being pe·f~rmed prior to sale 2 I have l,ved 1n my home hr ·we1ve months or,or to como·et1on o' this work I ha,e noT cla,med this exemption cur1n~ the last three years I am exe111pt undec Sec B & P C for this reason------------- D I hereby a!hrm that I ha,e a cen,11<.ate or consen1 lo self insure or a cer11!,cate ol Wor~ers Compens.11,on Insurance o< a cend1ed n;py thereat {Sec 3BOO L_;jt,o, COC1e1 POLICY NO COMPANY O Copy 1s l11e<1 w,m lhe c,ty 0 Cert,he<l copy ,s hereby fur,1,shed CERTIFICATl OF EXlMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s seci,on <1eed ncl be complPte,1 ,I th,:, p,:,,m,i ,, to, one hundrp(l dollars 1S100, ur less1 "ti, I cert1!y that ,n the pertormance ,1• tho? "''"" tor ~(h this perm,! ,s ,ssued I shall not e"'PIOy an, person ,n any manner so as tc become sub1e< I , the Won<ers Compensat1or-L.i•s o' C.,1,for-1,a NOTICE TO APPLICANT 1t. a•ter 'T1a~,r:J th,s Cpn, •,cate of Exempt,or you should bf>come sut,:e, t '' lhe Wor.e,s Compens_¥,n pru.i~1ors ,:,I 'he Labvr Code you m·~s~v,1lh c0mp·, ,..,1~ 5.._,,r be Qpr·~;""""'l ·,---c;,,-- D I hereby a't"ro 1na1 :~p,p ,s J ')"SHc.r • ending agen:., •or •re oert,;,Marce ~· •>-,p ,.,,,, • wn,('1 :n,~ pe•m,• ,~ ~sued .SP, VlG' (,,, (~0de LerdersName ___________ _ Lende, s Ado,ess ----------- USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~ • CARLSBAD BUILDING DEPARTMENT PERMIT ,j...-,.~---,.~~~~~~~~~1~20~0;.;.El~m~,~C~a~,l~s~b~ad~,~C~a~ll~fo~,~c~la~9~2~00~8~·~19~8~9~(~6~19~)~4~38~·~55~2~5;...~~~~~~~~~~~:::::'~:"::"::::T""~~::::~::f11:::if::::':"":~r-~7::-:-c,:c,;,:c:.,---~~r----;cc;;:::c;-:;:,::-;:;,;:-~ I Joe ADDRESS AV. ST.RD. NEAREST CROSS ST. VALUATION PERMIT NUMBER ' ' I {, 8 Ft>~fST ltl~\tlAtJO I 5 /i : ASSESSORPAr.;~o ~7D l.}<f Do ZONE J / {) I OWNER'S NAME OWNER'S PHONE : :f\1"1E 1/. '()l.F-e_ L/3~-ll 6' I OWNER'S MAILING ADDRESS : 1-, 6 ~ F O fCl. ;:...g T· It" VJ6.. DESIGNER ,r LICENSE# STANDARD PLAN # BUILDING sa. FOOTAGE I I C l'r1t r oA.-r DES1GN€R'S ADORES$ DEStGNER·s PHONE ' I I EACH GAS SYSTEMS OR MORE. ----------------- ... F,P FLR ELEV Mt~Al FIRt.PLACE ·-- VENT FAN SINGLE DUCT NO STORIES ace GP EDU BUILDING PERM:T SIGN PERMIT "·~. -~"' ~ ELECTRICAL MECHANICAL "(Hlll i:i..inMi: 1 1-----EACH-1NSTA~ ALTER~Rf.-PAIRl/,'ATERPIPE I : --EACH VACUUM BREAKER -------1 i: I MECH EXHAUST HODO DUCTS I II Mvu,c.L"V"''- 1 WATER SOFTJ\JER RELOCATION OF EA FURNACE:HEATER I II IVIVU,LL11V"' 11non i:i..in••: PARK INSP I -·--I u I f-,~CH RCJCI OR,11'; 1i'E,ll);__, I SOLAf!__ STRONG MOT ION ' I , -----'-----i TOT.C.L MECHANICAL 01-00-00-8220 01·00-00-8221 - 01-00-00-8806 01 ·00-00-8222 01-00-00-8223 01-00-00-8224 ·---- 01 ·00-00-8225 ·---- 01 00-00-8226 80-92-33-0519 I TOTAL PLU'v1B1NC ' __ I I ---FIRE SPRINKLERS _______ , 01-00_.·0c,0_,·8c,2.o17'---l----------' 1 ' PUBLIC FACILITIES FEE 32-00-00-8930 : QTY . ELECTRICAL PERMIT. ISSUE 5,,... QTY. SOLAR -ISSUE BRIDGE FEE I .- I NEl/1 CONST EA AMP SWT !lKR COL~t.ClO"iS SCHOOL FEE -DISTRICT -·-----1--. I I PH 3 PH I STORA[;F l r,}JkS Carlsbad I I EXISIBLDGEAAMPSVVTRKR I ROCKSTIJRA(;E Encinitas I 1 PH 3 PH --, · ---PLJl,,1P S~~-[)~~g-u1to 80-92-21-051 ~ ----t- __ 89-~;-2;~~-s i~ _____ _ 80-92-23-0519 I ------· ,r-------- ; REr,1onEL ALTtK PEH CRCU!~ +-------+---------J.-P_4\ Cl-'FC>'. 'EE -·-San Marcos 80-92-24-0519 ---- I TEMPPOlE /OOAMPS : ll\if:.R 2lJU AMPS I I. I ------~-----I ll-- 1 T[r,,<P OCCUPANCY 1]0 DAYSI I I LICENSE TAX 01-00-00-8162 MFF 80-92-57-0519 ------- ' • 1 T ------f ~,' "' ' CREDIT DEPOSIT i[ T1JTAlt.lll,TRILA. f,v.., s,_,1,,~ TOTALFEESPAYABLE ----·· ··--------+----------------~t---t------- ! I HAVE CAREFULL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'' AND DO HEREBY Expiration. Every per_m1t issued bythe8u1ldmg0fhc1alundertheprov1s,onsofth,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall e)(ptre by hmttahon and become null and votd 11 the building or work 5' O" DEEP AND DEMOlJTION OR CONSTRUCTION OF T authorized by such perm,t 1s not commenced w1thm 180 days from the date ol such DECLARATIONS ARE TRUE AND CORRECT AN_D I FURTHER CEA, IFY AND AGREE IF A PERMIT IS permit. or if the bui!dm r work authonzed by such perm,t ,s. s.uspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED· TO COM Pl Y WITH ALL CITY. COUN1 Y AND ST ATE LAWS GOVERNING BUILDING CON-L~•~b!'"~d~o~a~o~d!_•~tc•~c!t_l~im~,~~·~'."'°~'~w~o~ck~,sco~o~m"m'!'!O"c£OO~d'..!,lo~,0'!J!'~'C'°"'eQ.SOCC 0'800!.J!d••<>L.--,;;,-1"~~~~~~~=-------------.,.----~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT ! ALSO AGREE TO SAVE INDEMNIFY AND I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND OWNER O CONTRACTOR V DA...,ff ! 1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE <( • f GRANTING OF THIS PERMIT \I w LL c ro 0 0. E ID f- l TI 0 ('.) C ro 0 0. C. "' " C a: 0 w ~ w w w "' ~ 0 w >- ,ii w w 0 0 a: ro ;;; 0 ~ © 0 C ro C LL ,:. C w ~ ('.) 0 ;:; • 0. w C 0 ~ s TYPE DATE INSPECTOR BUILDING FOUNDATION l,~Z,7A~ -' REINFORCED STEEL .. ' ' MASONRY, GUNITE OR GROUT • FLOOR & CEILING SUB FRAME ,, ,- SHEATHING D ROOF D SHEAR ' ' ' FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO ;J'PL/CO ~ UNDERGROUND C WASTE C WATER TOP OOT = WASTE D WATER TUB AND SHOWER PAN GAS TEST = WATER HEATER 0 SOLAR WATER ELECTRICAL C ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC C ELECTRIC SERVICE D TEMPORARY D BONDING D POOL MECHANICAL D DUCT & PLEM., D REF. PIPING HEAT -AIR COND, SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUMBING \,_(\ ELECTRl(:AL "'<;) \~ MECHANICAL_ '0-, ,__ GAS " "''' \ BUILDING J '" \_ \ - SPECIAL CONDITIONS '" """-' ) I --------------------------------• , ?J'S-S"(u FIELD INSPECTION RECORD REQUIRED SPECIAL 1NsPEc,10Ns 11 INSPECTOR s' NOTES , I I ' I I REQ IF I INSPECTOR s CHECKED APPROVAL INSPECTION DATE SOILS COMPL._.Ar;JCE PRIOR TO -' , f , :~~::;l~~~: ~~(~;CRETE --_JII _______ +-- O'v ER 2000 PSI PRESTRESSEC' I I CONCRETE POS' ffSS,CSEC 1 JI -~-cc_,,r,.,c;:iE~E _ _ - ---- <>ELU WELC'"" ____ __ --i --- HI ,H s-::iE"-3T...., L ----, 80L TS ').-"EC A~ i,,;..::: )~RY I ~ I I ,---=· += 1 __ i'_ -=-:-±=J : I r------~ ----1 I I ' ' ' I ! , I ' -t ~ [~-- ~ _c_·-+==~-- c-----+--+ --F= ----+-------+---+---------- PILt:::, C.t.1~>::o:_Jr,,,~· +------ ------i--------i +--------+---------1--------- ' I I I I ' I i I I I I j I I PLAN CHECK NUMBER ~( 'Q ADDRESS / 76J: ~ M. DATE ?{s~_s'° , I PLANNING: TYPE OF STRUCTURE ~µ,....,...;... ~ ZONE: ----- SCHOOL FEES: SAN DIEGUITO --------ENCINITAS _______ _ CARLSBAD --------SAN MARCOS ---.------- REQUIRED SETBACKS ____ _ % COVERAGE ----------~ BUILDING HEIGHT ---------------FENCES/WALLS __________ _ • HJO CAR GARAGE :;::_T~~:a~::,::,-z;;....:.-:~~:_-_-_-_-_ REAR a: Lo.I 3 Lo.I --------------------------- ;: ~ CGr'iMENTS: ____________________________________ _ u.J < a:: Q ~ D REDEVELOPt1ENT A?PROVAL REQUIRED: s~ D -------------------=----- u.J -~§.D 8 ~ LANDSCAPE PLAN COMMENTS: -------------------------- ENV I :1m:~1ENTAL REQU I REP: ------------------------------- ADDITIONAL COMi"'1ENTS: ---------------------------- ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?_ P.F.F. ______ PARK IN LIEU----------------- R.O.l~: IMPROVEMENTS: --------------- ________________ E.D.U: --------------- SEWER:------------------------------ LATERAL: -------------DRIVEWAY:-----------0:: ~ GRADING PERMIT: ---------------------------u.J > I-~ ~ DRAINAGE:-------------------------------------- r-Lo.I ua: u.J- EASEMENTS: -----------ADDITIONAL COMMENTS: ------- .. : . . . ~. D 260 ~s o · 7~ u a: OK TO ISSUE: --..... ,'-L-L~.....;;.....;...· _;::;=---- * ENGINEERING INSPECTION REQUIRED: ________________ _ PUBLIC l-!ORKS INSPECTOR: __________________ _ FINAL OK: -----------DATE: ____________ _ * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)