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HomeMy WebLinkAbout1776 Forest Ave; ; 87-479; Permit.. z 0 ;:: .. <C .. ~ " w Q I[ ... z 8 <C w Q ~ s ~ w z ~ z 0 ;:: ~ z w .. "' 0 " .. ir w " <C 0 ~ ![ ~ l hereby affirm that I am l!cense<I under pr6¥1alona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pl'otaaalons Code, and my license 1s in full force and ellecl I hereby afhrm lhat I am exemp! from me Contrac tor's License Law lor lhe lollow,ng reason ,sec 7031 5 Business and Professions CC>de Any c,ty or county wh,u, re quires a per<n1t lo construct. alter. 1mpro·1e. Gemol,s~-. or repa,r any s1ruc1ure prior to ,ts issuance a·so reauires !ne ao pl1cant for such permit to hie a s,oned s1a1emen1 Thar he ,s 1,censed pursuant to the prov1s10ns ot the ConTr~ctor ~ License Law tChaoter 9 commenc,ng with Sect,oo /000 01 D1v1s,on J 01 the Business and Profess,ons Corje, or That ,sex empl therefrom and The bas,s for the 011eged e,empt,on An·1 vioiation ol Section 7031 5 by an applicant to· a perm,t sub 1ects the applicant to a c,v,I penalty o1 rot more than five hu~ dred dol,ars ($SQQ\ I I. as owner of the properly. or ,r,y employees w1!h wages as their sole compensation will do the wors and 'he struc ture ,snot ,ntended or ottered lor sale 1sec 7044 Bu,1ness and Pro1ess,ons Code The Con!racror's License Law does nor apply 10 an owner ol property who Dwlds or ,mproves thereon and who does such work himself or through his own employees providea that such improvements are not ,rtend- ed or ollered lor s.,le II Mwever lhe bu<ld,ng or improve- ment 1s sold w1th1n one year 01 complehon. lhe owner-bui<der will have the burden 01 proy,ng that he d•d not build or ,m prove tor the purpose o1 sale1 I . .is owner of lhe propeny am e~c1us1vely con1,act1ng with 1,censed contractors Tc construcl lhe pro1ect [Sec 7044 Business and Proless1ons Code The Conlrac\or s License Law does not apply to an owner of property who budds or ,m proves thereon. and who contrac1s lor each pro1ecrs w11h a contractor(s! 1,cense pursuant to The Coniracror's License Law) As a homeowner I am ,mprov,ng my home. and the fol'ow ,ng cond1t,ons ex,s1 1 The work ,s being performed prior to s.,le 2 I have lived 1n my home for Twelve monrhs p,,or lo completmn of th,s work I have not claimed this exempl1on durrng lhe lasl three years I am exempt under Sec ------B & PC for this reason------------- -X I hereby aff,im thal I have a cert,t,cate of consent to se,f-,nsure. or a cert,ticate of Worke,s Compensation In surance. or a cert11,e<J copy the·eof 1Sec 3800 Labor Codel POLICY NO 1013568-87 COMPANY = Copy ,s f1le~~~~tyFund ::_: XrH1ed copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE iTh1s section need not be completed 1f the perm,1 1s for one hundred do>ia,s 1$1001 or less) _ I cert,fy that ,n the performance of me wars for wh,ch rn,s permit ,s issued. I shall not employ any person ,n any manner so as to become sub1ect to the Workers Com pen sat.on Laws of Califorrna NOTICE TO APPLICANT. If. after making this Cert1f1cate of Exemption you should become sub1ect lo lhe Workers Compensat,on prov,s,ons o1 the Labor Code. you must forlhw1th comply w,th such provosrons or th>s perm 11 shall be deemed revoked C I hereby affirm that there ,s a construct,on lending agency lor the perlormanc~e>r~ for wh,c~ th·s per m,t 1s issued [Sec 3097 C,v,I Godel Lender's Name _____ _ Lender s Address __ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr .• Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT JOB AODRESS !DATE OF APPLICATION! 5-22-87 15402 · 7 -i./ n a CONTRACTORS PHONE ll ZONE I ( 697c-415), BUSINESS LICENSE # VALUATION PERMIT NUMBER AV. ST.RO. NEAREST CROSS ST. Pico Dr. 1776 Forest Ave. COT l SUBDl-\l'!s,/ON Arlen Foster Plumbin__g_ I ASSESSOR PARCEL NO BLOCK CONTRACTOR OWNER"S NAME I OWNER·s PHONE STATE LICENSE NO. BUILDING SQ FOOTAGE CONTRACTOR'S ADDRESS 729-0407 Donald Glidden 443348 2819 central Ave. OWNER"S MAILING ADDRESS ~ u: 1776 Forest Ave. Carlsbad 92008 DESIGNER DESIGNER'S PHONE 0015 06/02 0101 02Bldf'lnt 10.09 ~ DESCRIPTION OF WORK Water ffeat~r_ll.eplacement DESIGNER'S ADDRESS STATE LICENSE NO. ~ I >APK'NC. S>ACC I RCS UNC.S I GRADING PERMIT ISSUED YO ~ D " FLA ELEV YD -..o I AEOEVtLOP...,ENT AREA ,0 -..c NO STORIES TYPE CONST OCC GP OCC LOAD EDU FIRE SPP YO '<D Nat Valid Unless Machine Certd1ed QTY e---- PLUMBING PERMIT -ISSUE ! ' ' j $1}~0 QTY MECHANICAL PERMIT -ISSUE 397' SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP __ _j INSTALL FURN DUCTS i.JP TO 100 000 BTU___ BUILDING PERMIT 001 810-00-00-8220 EACH BUILDING SEWE:R I OVER 100.000 BTU SIGN PERM'T 00'-811J-00-:J0-8221 1 EACH WATtR HEATE-R-AN[iO"R -~--;~2-:50-; HOILER.COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8821 -~~(_H ~__:'S SYSTEM I T (J 4 OU I LE TS ---+---~ER.COMPRESSOR 3 1:J HP _ __ TOTAL PLUMBIIJG 001-810-DC--0-0-8-22-2----1----$-1_0_. -0-0 e----EACH GAS SYSTEM :J OR MO Rf · Mf'Tt.l F REPL.A.CE: ELECTR1CAL 001-810-00-00-8?23 n-EA~H_L~~'.~~ _!'_l_T_ER, REPA1R-~;A_T_ERPi"Pi -------~---_ : vENl f-AN s1N G LE O UCT C01-81J-00-00-8224 EACH VACUUM BREAKER I MECH EXHAUST DUCTS 001-810 00-00-8225 ---+-w0.~-~~~!_rNI~--------=:-~-=---T~-001-s·o-oo-oo-s226-1 ____ _ 1 lA['l Rr:·DF [:8,\1\ •:"-J<;I[)[ 880-51~-92-33 . , 001-810-,JQ-,JQ-8227 TU l Al Pi UMRINL $10 .. 00-1: _ '>, PliBLIC FACILITIES FEE 320-81C-00-00-87--10 s1-------------,1 1 ) ~ .:{~ BRIDGE FEE 360-810-00-00-8740 ~/y', 1· QTY. I MOBILE HOME SETUP (l , ., / ---- _.)~ .; ' ~Z_ PARK-IN-~IEU !AREA ~£ . 1-TIF 134-810-00-00-8835 11 1 ·-'"""W =: . LA COSTA TIF '33-8~0-00-00-8835 I :;7 -FMF -----t-------~ QTY ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP SWl HKR T " I CAR PORT ----------------. ----------- -~---+-I PH .: PH Ii i AW~l1~1r, ·-·· - - -·-----. ----- ~XIST fHUG EA AMP·SWT 8KR I GARAGE I PH lPH / ---+-----------------4 --LICENSE TAX / 081-310-D0-00-S 162 MFF ---380-519-92-57_)__ ______ _ $10,00 I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'" AND DO HEREBY CEATiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE OECLARAT!ONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 1S ISSUED: TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!D CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT E;,o;p1rat1on Every perm!t issued bytheBu1ld1ng Ot1,c1al under the provisions olth1s Code shall e;,o;p,re by hm1ta1ion and become null and void If the building or work authorized by such permit ,snot commenced within 180 days from the date of such perrrnt, or ,f the bu1ldrng or work authorized by such permit 1s suspended or abandoned at any tim~ft!!:r the work is commem::~(1_!or a penod of 180 days * AN OSHA PEAM:T l$ REQUIRED FOR EXCAVATIONS OVER 5' o·· DEEP ANO DEMOLITION OR CONSTRUCTJON OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROV~ OWNER O CONTRACTOR 0 . 4i BY PHONE 0 APPLICANT'S SIGNATU;>) ' \, '-'.Yl /J '--_Q,.., Ci( DATE 16-/--f? I (°1t / 0 0. E © r- D 0 CJ C 0 u 0. 0. <{ I ~ C a: 0 00 ~ w ~ ~ <{ • 0 © >- w Ll C ro C LL ::c C w ~ CJ 0 u w 0. ~ C ~ re ;; TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR D CElblNG SHEATHING D ROOF D St'iEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING D SEWER AND BL/CO D fi'L/CO UNDERGROUND D WASTE d WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN GAS TEST D WATER HEATER D SOLAR WATER ELECTRICAL ' D ELECTRIC UNDERGROUND ['] UFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMf'bRARY D BONDING D POOL I MECHANICAL [] DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS I l DATE INSPECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA,VE BEEN APPROVED FINAL I / PLUMBING I " I ELECTRICAL I ~-II MECHANICAL ") ~ GAS I ; ..... . BUILDING I I\, SPECIAL CONDITIONS ~ ...... t/;;C, ur FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL .•. SOILS COMPL:ANCE PRIOR TO FOUNDA nor,,.i INSP ------i --STRUCT1JnA1_ CONCRETE U\/f_R 2000 PSI ----------~'i1fSTf1ESSED I CONCRETf _ __J ------~ POST TEN'.<!ONEO CONCRE i E F'IELD WELDING I I ~- I ~ I Hl(_lH STRENGTH I BOL rs I ~ S~'ECIAi MAS()NPY 1 C---------t ,__ _____ ··j--~. ~~-ZAl~SOr-.' ~ ------1 --- 1 I i -------------------~"j' ---·----. 1-------~ I ------- ------------·----------~---... t------- ---- C-----· -------·-----·-------------------l--- ----·----~ -- •r,..'ii::. (_, ... \\>,_ _,.; ·)--,.J~• .. "'\i._•' -I . c· ~-~---~--------------