HomeMy WebLinkAbout1878 OUTRIGGER LN; ; 85-119-29; Permit•
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USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 ' Q) t; Section 7000) of Division 3 of the Business
XO)' I hereby affirm that I am licensed under ~ [ provlalona of Chapter 9 (commencing with
c and Pfoleaalona Code, and my license Is in JOB AOO&ESS' AV. ST.RD. NEAREST CROSS ST.
10;7;~;~~CATIONI
BUSINESS LICENSE # VALUATION PE-RMITNUMBER ~ if
~ lull lorc.,.ft~IIHl-4 B z Lie No _,.)'-' ''+'--'-'IL= b"-----' Class -~----
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1 hereby affirm lhat I am exempt from the Contrac·
1or·s L,c,nse Law tor the following reason (Sec. 7031.5
Bustness and Protessions Code: Any city °' county whkh re-quires a permit to construct. alter. improve. demolish, or repair any structure, puor to its issuance also requires ?heap-phcant for such penTHI 10 Me a signed stalemenl that he is lteensed pursuanl to the prov,stOOs o1 the Contractor· s
license Law (Chapler 9 commencing w1lh SectlOfl 7000 of
01v1st0n 3 of lhe Busmess and ProfesstOns Code) or that is ex· empt lherelrom and the bas,s I« the atlegeo exemption. Any
violation ot Section 7031.5 by an apphcanl lor a perm,t sub· jecls the applicant 10 a cMJ penatty of not more than five hun·
dred dollars ('500).
O I. as owner ot Jhe property. or my employees with wages
as !heir sde compensation. will do the work. and the struc·
lure Is not intended°' otlered for sale (Sec 7044, Business
and Professions Cade: The Contractor's License Law does nol apply to an owner of property who builds or improves
thereon and who does such work himself o, lhrough his own employees, provided that such improvements a,e not intend·
eel or otfe1ed tor saJe II. however. the building or 1mptove-men1 ,s sold within one year ot completion, the awner·bui!der
will have the burden of prov,ng that he did nor build o, im-
prove 10< Jhe purpose ol sale).
O I, as owner ot lhe property, am exclusively contrac1m9 with licensed conlraclors lo construct the proiecl (Sec. 7044,
Business and Professions Code: The Contractor's Ucense
Law does not apply lo an owner of property who builds or im-
proves thereon. and who contracts tor each projects with a contractor(s) license pursuant to the Contractor's license Law).
D As a holneowner I am improving my home, and lhe follow· ing condthons exist t. The wo,k Is being perlormed prlOf to sale. 2. t have tived 1n my home for twelve months pnor to complehon of !his work. 3. I have not claimed this exemption during the last lhree years.
D I am exempl under Sec. ______ , B & PC.
tor lhis reason -------------
){d I hereby affirm that I na·ite a cen ,1tca1e of consent
10 sell-insure. or a certificate of Workers Compensalton Insurance, Ot' a cen,f,ed copy thereof
ts« 3800. Lat>or Code)
POUCYNO 82WC 101624F
coMPANY :,1 i s s i o n I n s
I!~ /'{?} Copy IS filed wtlh the City
0 Certified copy 1s hereby turn,shed
CERTIFICA'Tl OF EXU.4PTION FROM
WORKERS" COMPENSATION INSURANCE
(Th,s sechon need no! be completed ,t lhe pe,m,1
1s fo, one bundred dollars ($100) or less)
0 t centty that in the performance of the wor11. to,
which ttus penn,1 ,s ,ssoed. I shall not employ any
person 1n any manner so as to beeome sub1ec1 to
!he WOttlers CompensatlOO Laws of Calitorn,a
NOTICE TO APPLICANT II. at.ter makm~ this Cen,
ltcate ot ExempllQn you should become sub1ect ,.,
the Wot11..e,s· Compe-nsat,on p,ov1sK>11s ot lfle Lat>or
Code. you must forthwith comply w11h sucn
prov,Stoos Ot 1h15 perm11 shall be oeemed revoked
1878 OUTRIGGER LANE ....W1 '-le>~ DV Neblina Dr. 10801 110,859
2°9 BLOCK t'f'''13~t:e ASSE~:ftilr 59
owNER'SNAME owNEA'Sl'HONE ative Sun Development Co . 941-1155 ~-
CONTRACTOR CONTRACTORS PHONE • ZONE ~5-11 9-~
3£;-'
N t . s C O 41 115 5 CONTRACTOR'S ADORES$ LICENSE NO. PLAN I O # a 1ve un-arew J -· ·
owNeR'SMAILING AooRess O Escondido Ave #103Vist 347284-B
BLOG USE CODE
110 Escondido Ave. Ste.103 Vista 92083
DUCRIPTtpN OF WORK -, 1ownnome
DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
1. 750
JlA.tLA _lreurs~l 31655 2nd _e~~-
1
Lagun~ ~~h(,~4)49f-1924 ---------r--F/P FLR ELEV. NU OCC GP EDU !.I (1.~1~?~6~~ 3ega~ss
CENSUS TRACT GP LANO use PARKING SPACE RES UNITS
481 1
IQTY. PLUMBING PERMIT · ISSUE ,-,~ r, ~ EACH FIXTURE TRAP ~? c; n
1 EACH BUILDING SEWER 6.50
1 EACH WATER HEATER AND/DR VENT 2 .50
1 EACH GAS SYSTEM l TO 4 OUTLETS 2.50
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl .. ALTER, REPAIR WATER PIPE
1 I EACH VACUUM BREAKER 2 .50
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOfAL PLUMBING I 54 .00
QTY. ELECTRICAL PERMIT · ISSUE -"-NEW CONST EA AMP/SWT 1BKR 10 0 A 25.00
l PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
l PH 3 PH
REMOOEL 'ALHR PERCIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPAN CY (30 DAYSI
TOTAL ELECTRICAL l 30.00
STORIES
vO NO 2
GRADING PERMIT ISSUED REDEVELOPMENT
AREA
TYPE
CONST
y ~ ND v□ N~ V-N
QTY. MECHANICAL PERMIT· ISSUE ~-
INSTALL FURN . DUCTS iJP TO 100.000 BTU @4 4 •. 00
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
1 METAL FIREPLACE 3 •. 00
3 VENT FAN SINGLE DUCT @ 2 6 .-00
MECH EXHAUST · HOOD /DUCTS
RELOCATION OF EA FURNACE/HEATER
1 Dryer
TOTAL MECHANICAL
2 .·00
18 .. oo
QTY. SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE CLEA~ED
PUMP
PLAN CHECK FEE II II n ~ 1qlR6 V ww o u
...... ~ ..... ,. •• , ••an
v:_•! .. :.:. ~ .. ,vi:~t'.111'-UDV<.
Ut'ftL\.lrm~n, ......
TOTAL SOLAR
R-3 1 .
OCC LOAD FIRE SPA
v(X NO Not Valid Un~s Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·8220 460.50
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01 ·00·00·8806 281. 45
TOTAL PLUMBING 01·00·00·8222 54 .00
ELECTRICAL 01·00-00-8223 30 .00
MECHANICAL 01·00·00·8224 18.00
MOBILEH0ME 01·00·00·8225
MOBILEHOME PARK INSP
SOLAR n1.nn.nn.a,,~
STRONG MOTION B0-92·33·0519 7 .76
FIRE SPRINKLERS 01 ·00•00·8227
PUBLIC FACILITIES FEE 32·00·00·8933 2 ,2 17.18
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad LTR 80·92·21 ·0519
Encinitas 80·92· 22·0519
San D,eguito 80·92·23-0519
San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-8162 I
880 .00
CREDIT DEPOSIT (56 .34)
TOT AL FEES PAYABLE 3,892 .55'
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XQ{ 1 nereby ofll<m ""'' Ine,e ,s a conrnuct,on I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO.PERMIT" AND 00 HEREBY *
::; lending agency ro, Ir.e peno,mance ot me wor>. to, I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION FIEREON INCLUDING THI!
o wn,cn 1n,s pe,m,I •• issued 1sec m1. c,,,, CodeI I DECLARATIONS ARE TRUE ANO CORRECT AND I FURTH.ER CERTIFY ANO AGREE IF A PERMIT IS ffi Lende• • Name B a n k O f Am e r i CI ISSUED. TO COM PL y WITH ALL CITY' COUNTY ANO STATE LAWS GOVERNING BUILDING CON-~ _, ....uu..,...L._. ...... _.&:.l.Jc,_1--1-<1-I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A;_k~~'!i:~~~~~~~~~1!.:~~~~!2!~~gi2Lii.2~a.::..-::--j,~1111111111~---~~~=.:.:~:.:::~:.:.:==:.....l, ____ .J r.
Lende•. Ad<J••·· 8 a 1 N Ma i n KEEP HARMLESS THE Cl.TY OF CARLSBAD AGAINST ALL LIABILffiES. JUDGMENTS, COST
0'ff I s:
S t A
1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE J:J.._ q f a n a n a : GflANTING oF THIS PERMIT • I r r O ~
. -~ (,. ·;,'\._ ..... " ~ l, " .,_ \ ,.r " , :, •f ... --.. . ~ ... ""~:.. ' ' .... ~ TYPE I DATE INSPECTOR -' ' I ' ' ' " .. '-'· ~i s-11q ... ~ 1' • BUILDING I ~ ~ -'
....
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ! I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REQ IF INSPECTOR'S DATE GUNITE OR GROUT i INSPECTION CHECKED APPROVAL
FLOOR & CEILING SUB FRAME f
OEIIH ~1,WH~t oi ounrM• ii.ti.A,. . I SOILS COMPLIANCE t I h ! SHEATHING D ROOF D SHEAR PRIOR TO C {J. Gt,
,, _____
i-~JJf~;t~r, FOUNDATION INSP ., FRAME I
STRUCTURAL CONCRETE I ........ _.
I .~ t J •c ~ • EXTERIOR LATH I OVER 2000 PSI • i.
INSULATION J PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL .
l .. l I:. ~ 15 E' f) I POST TENSIONED
J CONCRETE
PLUMBING I FIELD WELDING --SEWER AND BUCO D IPUCO H IGH STRENGT+i .
I
BOLTS UNDERGROUND □ WASTE □ VfATER
SPECIAL MASONRY TOP OUT □ WASTE □ WATER
Ir TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS
□ WATER HEATER D SOLAR WATER
I I'
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ WFFER ., -ROUGH ELECTRIC ' I
□ ELECTRIC SERVICE □ TEMPOPIARY 'l ' .. ~,.... . -~~ --D POOL ,._;. "'~· ' D BONDING I
I
1
MECHANICAL I
□ DUCT & PLEM., D REF. PIPING . HEAT-AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I ~ ---------. -....... --.. . .Jt.Lev~IJ.J '11fU• .. <Cl"
I
CALL FOR FINAL INSPECT~2 N WHEN ALL APPROPR/A TE
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING .
f
ELECTRICAL I . . MECHANICAL I
.:: ' GAS ' fl ., I
BUILDING I 1,-JL~ ~ v~-~,. . ---SPECIAL CONDITIONS I -•· • I ·,
J
"'· • J"f
CITY OF CARLSBAD LOT # cJ)'J
INSPECTION RECORD
lA:<aw-vt:J @-: /4-p<
ADDRESS:
BUILDING
FOUNDATION ~ --S < " / p,I ? ..Atr :z
REINFORCED STEEL / 10,tJv '<$,i.,,1.--/JlfIT. ·
MASONRY
GUNITE OR GROUT
SUB FRAME ( ) FLOOR ( ) CEILING
SHEATHING ()cl ROOF (1<>) SHEAR.P,.;,G. ~
FRAME ~-?:o , '8>:?: P~ -
INSULATION cf-, -'8'tr,
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
( ) SEWER & BL/CO ~ PL/CO S ,c;;)t:9 ~
UNDERGROUND oo'f'tlt;;;. ( ) WATER
TUB & SHOWER PAN
GAS TEST 3 · 2-D -~
( ) WATER HEATER ( SOLAR WATER
TOP OUT 2(}> WASTE ( ) WATER
ELECTRICAL . ---J.:)-1 .?· 'i ...
( ) ELECTRIC UNDERGROUND ( 'C UFFER
( ) BONDING ( ) POOL
ROU:iH ELECTRIC 2) · 2-0 ,-'8t;..
ELECTRIC SEnVICE ( ) TEMPORARY
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS ?::>-2o -~
VENTILATING SYSTEMS
COMPLETE BUILDING FINAL ~
DATE: & ,/3 ,8 I
CLEARED WITH GAS AND ELECTRIC
DATE: ___ ___. __ __,_,
NOTES ON REVERSE SIDE ••••••
•
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER:
ADDRESS:
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.:
TYPE OF UNIT: ---"-'----------NUMBER OF UNITS:
DATE ~ /... -/✓/ £' J ,
INSPECTED: ~ APPROVED_ ~ DISAPPROVED __ _
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED: ____ _
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS: --------~------------"'-------------
~ ~-~
Rev. 1186 WHITE: Suspense GREEN: Englnee ' g CANARY: Utilltl PINK: Planning GOLD: Fire
••
....
... FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
ADDRESS:
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: ---~---------NUMBER OF UNITS:
~y~PECTE~~~
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
APPROVED. A-DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS: _________________________________ ..i__
I \
\
\
Rev. 1/86 ANARY: Utilities PINK: Planning GOLD: Fire
'
I
"
...
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: ----~1}_5_~_1_1_') _________ _ DATE: ---~-•_1_1_•_t_(, __
1_Ar1i~• ~r • b~~.-C,? ~~, PROJECT NAME: -------=-'"'-"-~_.,,_"_-"_•·-"'-"::...._"'__:" ___ · _,_._·~_ ... _._· __________ _
ADDRESS: _______ __,.~ .... 'f,; ... 7._____..8.wO.,,_r..,_,T.L.L<.H..&.i .... ~-.!i:fk"'-f-!l8..__ _______________ _
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: Sf ('i NUMBER OF UNITS:
CONTACT PERSON: ___ __...Jt..,1Jµ,;1-!:.__:S:l,.fLJFr:...J._f !:!:.1'.a..J°.?!.A..unc.i::! ________________ _:_ __
INSPECTED DATE BY: _________ _ INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE BY: _________ _ INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE BY: _________ _ INSPECTED: APPROVED DISAPPROVED
COMMENTS: -------------------------------
CL fc t 1,. osta Real_ Mu~icipal Water District~ /,,., / _ _,,./"l<A"' A-/P'1
_ ':,,.ft.. Engineering Department <£~to /~ ULA:-~
.......... ······ (619) 438-3367
JUN I 7 I
Rev. 1/86 WHITE: Suspense GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
( I FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
ADDRESS:
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: _____________ NUMBER OF UNITS:
INSPECTED a-:: DATE ofuf-;◄ APPROVED ~ BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: -----------------------------------
Rev. 1/86 WHITE: Suspense GREEN: Engineering Fire