HomeMy WebLinkAbout2072 LEE CT; ; 86-120-23; PermitCl) z 0 ;:: < a: < ... (.) w 0
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O I hereby affirm that I am licensed undor
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
■nd Professions Code, and my license ;s in
fu II force and effect.
•. , No
1 !'Jereoy al!irrn trat am exemp! •rJ"!"J t!"e Can:•;;i~
~~i~ n~~~e;~; /g~!:;n t!~~:o;~:~ ~ 1~~~gro~J1; ;~~: w~~~ ·-e:
:"!J res a perl"'11 '.C .::c~s:-uc'.. al1er I....-,;::i•J·,€' der-ol•S~1. :-i·
repa1,. ar,'j st-.. ctL.re. ;r or to its. ,SSJar:-e a;so rl!'~wres ~he i!p-
pllc.ant for suer.-:ierm·t '.c '•le .a si(jned ':it.:.:emer:'. '.'la'. r,e :s
:1censed ptr.suant to '.t'le pro....-1s;:>ns o~ tht: ::..or.t·.a.cm· s ~ICe:"-1,e I a"1! · Cna:iter 9 ~o•rmenc:.ng wilh Ser.~mr 7'.'.itO ::,~
::11~•-s;0'"1 3 c' '."t B,.s1'"ess an-d Pro•i!:'!,"S·ons C-:irle '".1' :ria: 15 e•
em;1'. t'lere1·crn and :rie bas;s for 1he: al!egea ete-m□tIon. A'l-y
\"O a! ;.in .::if Se:::11c-n 7031.:i bv a!' ap:;i!1cart 10, a: Dl:l''l-.i~ s:..;ti-
.r:~.ts '.!"le r.1pp:Icant (o a ::1·~·1 oeraI1y of n-;:,1 r.iure 1han '1ve hJ'I·
d~ec dc·:IMS ($!::OC•:.
i as :'.lw'ner of 1he ;:n;,;:1eriy or ""Y ,el"'lp,cye-e-s w 11 waoes
as thei• s•~.e ~□:1pe-sat1o'l will co ~ne w::iri..:. a1c: r'le s:r~c-
ture I-s :ia: I11!e=-ded or altered lor s.ale (Sec 704,:_ Bus·ne::;s.
and Profess;-:,~~ Code: -:-.-,e Contractor s L Icensi:: ~ . .aw dces ror a.pp v to an owrier of omper!y "N-hO builcs ;Jr 1rr::iroves
'.~ernor, and who does %Ch work h1mse r or i-hrough hI5 owr
emplG~ees. p•ovideC that suc.h ·mpraver-ents are not •'lte-nd-
ed or l}ftered 'or sale. If, "D'We•Jer. trie bu1I01 ng or imp ro-re-
rr:e•H is soid wim1n one year of comple:ion. theowne-r-Du1lder w~I have :~e tiurc-en of oro".!mg that he d-0 n:rt bu1l-d or 1rn-
;:iro~·e for t~e ::H.1 rpose of sa!e)
· I, as ::iwn!:lr of '.r"IB ii]rCperi~·-am -exclusively con-trac111c
w11h 1censed c:mtract:>rs tG construct the pr-oJP.Ct iSec 70-44~
Business and Pr-:Jfe-ss,:ms C-:Jde· The Ccmt·ac!or's L•cense
Law does not apply lo a'l ow-,er o• P'Oj)er1y whc-tlu11ds or :m-orm,es n1er,e-on:. and wno con1r.acts. for each voiecls w1tti a co--rracrorfs.J •icerise pursu.a1~ ~o lne Cont'actar"s ,!cense Lawj
· As a homeowrier I -31"11 ,mpraving ':IY ~ome, .anr. the ro::ow :ng conc'itioris ex1s.t. l' 1. The-work. is being periorrned prior to sa,e 2. I ha\le lived ;11 my home for iwe ve r:,{.lnP·,s
p•·or le cornplet1on of !h1s worK
I h,we riot c1.aimed !his e1rer:1ptior ::lu•i.11:; 11r:
last ~~'."ee years.
1.arne11:emptLtnderSec. _______ B&PC.
ror lh·s reason
1 hereb'f affirm !hat I r,a,,..e a certif:cat-e ot cons-e-rt 10
sc-f 1.,5-1,re. c· a cerhf1ca1e of\"./orkers· Compens.atiO'"'I l'l-
5.Lrance or (":I cert1f ed ccp')I Thereof !Sec 380C·. Labor Cede)
POLICY NO.
COMP A \IY
Copt IS 11:ed ..... 1th the Cl!y
Certlf,ed copy s tiereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1_Th1s :section need 'lot be completed ,t the perm,'.
is for one hundrea Collars lSlOO) or less] =~ I certify that m the perrormance of the work 10"" which
tt-is ~ermit 1s issue!;!. I shall not ernploy a.riy person many
--nan'ler so as to become subject to the Workers· Compen-
sation laws of California:.
NOilCE TO A.PF'LICANT. If. after making this Certificate
oJ Exemption. \'OU should beco-me s1.1bj-ec1 to (he Workers
Cornpens.a.ti-on provisio-ns of the Labor Code. y-ou m1,1s1
forthwith coc'r'lply with such provisions or this permit s,all
be deemed revoked.
I hereby affirrn that there is a cons1ruction Ie11ci ng
agency for 1he performance of the work for whicl'!i this per-
mit is ts.sued {Sec. 3097. Ci\lil Code)
lerd:er"s Name ______ _
Lenaer·s. Addtess
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
i-,~ '2.,-, 7
JOB ADDRESS AV. ST-RO. NEAREST CROSS ST-IIUSINESS LICENSE ,. • ...,.,XLVKTION PERMfT NUMBER
OuA.J /VA { 3c:,,)
CONTRACTORS PHONE •
OWNER-s NAME
/ic.J;H,'7
ZONE ~l [)..C',
.'" 1.._ "3
// I /l.JC--,:_J,4t F CONTRACTOR-s ADDRESS LICENSE NO. PLAN 1.0." BUILDING SO. FOOTAGE
OWNER'S ¥Ai LING ADDRESS I -;,U,;c.·3
OES•GNER DESIGNER'S PHONE
DESCRtPT<ON 01' WORK .~ F/> --:::1.._ Q("_j{". DESIGN.R'S ADDRESS l-------~-----::,,,,oe....::.--:=--JL.=-=~:__:,,,----------1 LICENSE NO. 7/23/f~63li·:2
---··--------·--··
cu,sus TRACl I
QTY.
ll
' {
PLUMBING PERMIT -ISSUE
EACH flXIURE TRAP
EACH ~Ul!.OING SEWER ··---------·---· ---------·-
EACHWATfR HEATER All.ll OR VtNT -·--·-------------
t---/t-E_A_C_H 9~~~YSTE!-1 I _!,ii _4 UU l cUS
t.ACH GAS SYS HM~ OR MO Rf
EACH INSTA~ _ ALTER. HEPAIH WA!f:R PIPE t-----<---
fLREL-EV .
GRADING PERMIT ISSUED TYPE
CONST
OCC GP e~
OCC LOAD
EDU
I
~IRE SPR AES \JNITS I I ~£DEV E LOPME 1\1 T
ARE A ,c-« VA/ Not Valid Unless Ahchme Certihed
--1 ;,-Q lj :3-~ ii QTY. MECHANICAL PERMIT -ISSUE " 'l:f:7 Ii::;;! / INSTAI ! FURN DUCTS iJP TO 100 000 BTU :/ .-BUILDING PE'lMIT 00'·810-00-00·8220
.:___:__0 _:ro l ___ ovEA100.oo□BTU _____ ·--__ sI_G_N_PE_R_M_Ir ___ ... _·-~-~_N _ _!8i17gg,s22-;-_-_·~---
~ _ .. J-(c=o~· ·-----~LEA ClJ MPH [SSO_R_UP_T □_3_H_P _____ +-------t---PL_A_N_C_H_EC_;~~· .i••n,."'----..,.----0"□1.·8~•-□_·0_0-_0_0-_88_0_6-+---'je:....e::;J-_-::-::'(::-"--_--·-· ..-, _..-v.• BOILER COMPRESSOR 3 15 HP . TOTA~llT-1'~.ll" OJ nAa.Jtwi~3t2_ 1.-/'7 -
,.1 :>~----j l ME:Ac_,"_~Ri01.~~~-----. ~~--= e---ELEC~~~oP}dENT ~M7Cl_6'f. ., _ s·y-
_!/5}r-
I ~-
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EACH VACUUM BR~AKER
. t--" VENTFANSINGLED~CT-_ ·-_____ .!£:__-:-.. ~·-·MECHANICA.l,_ ________ 001-810-00-ii~+f;,5 /1/-
2.-.fc.:,..;.. ;. MECH EX HA LJS_l ___ H_O __ o_o_□_LJ_C_T_s ___________ --1i------M_O_B_IL_E_HO_M_1E _____ o_o1_-8_1_0_-o_o_-o_o_-8_22_5--t ________ ----j
I: RELOCATION OF rA FlJRNACE·HEAfER MOBILEHOME PARK ;,SP
I
WATER so~ TNlR ·--+---·-------,,~.--+--------·· -------
-~•f---~--~=~~=~ ~=~------.---...... -------Jt-··--~·OLAR TOT,;L MECHAN1CAL I srnor.G MOl\ON
! I L/_ -FIRE SPRINKLERS
__ _J_.
TOIAI Pl llMBINL -~l I
l '-t 5a-·--I
QTY. PllBLIC FACIL'TIES FEE ELECTRICAL PERMIT -l"'SUE ,,. QTY SOLAR -ISSUE ------· ------" __ 6 ----+--------------+---------1~---'1'-----.,,_t_,F'-----
----·
001-810-00-00-8226
880-519-92-33
001-810-00-00-8227
332-810-00-00-8930
'8-, 77 --
3;3?..-S3 . Lcc,;J.c.c;,
-·-·-·----··---4---
/ NEW CONST EA AMP SWT HKR •.l-c,;o~---;--· -:,:;;::.,,-i CCL.!:CIORS SCHOOL FEE -DISTRICT
l-./-----1-I-P_H ___________ :!_P~H"--=--'---"---=--+--~J.C=-----li-----+I-S-l-C-R-A-G-F-"-,\-rJ-K-S----------------j------·-.--fl---C-a-rl--'sb'-a'--d=----"--'--"---------
-
~XIST BLDG EA AMP·SWT BKH I HOCK s I [:RA[;F Encinitas -·-+--------------------+--------11 -----------+---·--.
1 PH J PH
--
REMOOEl Al Tl A PER CIR[Ulf
TE MP PO I ~ 700 AMPS
I
-
-··-· --·----···-·---------+-------SanDi~--------
San Marcos
----------------------<r-----------+---------------------~----ff,---------------------+-----------I OVER lOO AMPS LICENSE TAX 001-810-00-00-8162
-:'!-.~-,~-_ofc~~--N:C_Y-_-,.J=O=D=A=Y=S~1 _··-------~-----+----------1.....---+-_-_-_-_-_-_-_-_~============================--------M-F~-CrL Lv'I{) --·---880·519-92-57 _. /.$ ~C• -
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]()!Al EllLTRILA! I ~~-;
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMlr' AND DO HEREBY
CERTiFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT_ I ALSO AGREE TO SAVE INDEMNIFY AND
11:EEP HARMLESS THE CHY Of CARLSBAD AGAINST ALL UABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
CREDIT DEPOSIT
J{JTA; SO[Ai:i -----r TOTAL FEES PAYABLE
E•piration. Every permit issued by the Building Otticiel under the provisions ottt'!is
Code shall expire by li.mitation and be<:ome null and void II the building or work
authoriied by such perm~t is not commenced wtthin 180 da.ys from the date of such
~~~:on°.'d •~I l~~v ~r:i~R.~~,,:-:..~,:~!h~~,,:i.,:xe~~~~ .,P~~-;:~i~t";';b"';..~~d or
APPLl~~NA~~R~~ ~ bWNERgi.....-CONTRACTotta"'
~~c.....c.----SYPHONED
* AN OSHA PERMIT tS REQUIRED FOA EXCAVATIONS OYER ~-o·· DEEP ANO DEMOLITION Ofl CONSTRUCTION OF
STAUCT\JAES OVER 3 STORIES IN HEIGHT
APPROVED BY
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL 1
PLUMBING I
::::J SEWER AND BL/CO [~ P~/CO
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE
TUB AND SHOWER PAN
GAS TEST
□ WATER
I
I
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND Di UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL 1
MECHANICAL
I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECt[ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'lE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL ) c-,.. I
MECHANICAL I '"¾
GAS I ,~ ,'-:::"
BUILDING I ~ ~ ~ I
SPECIAL CONDITIONS I ~ .. _ --~ I
---·--~ 15 lJ_ _____ ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL --i
SOILS COMPLIANCE
I PRIOR TO
cOUNDATION 1".JSP
·-· -----STRUCTURAL CONCRETE
OVER 7000 PSI
PRESTFIESSED
CONCRETE I I
POST TENf,IONEO !
CONCRETE ,._ -------~ I---------
•IE:_D WELDING
--Hl'.::;H STREM3Tf-'
801 TS
SPECIAL MASON<W ---
..-------~
P•:_ES CAISS(Jr,,,,,
~------------------··· --
-t----------
,•-' '. .,-. --C ~--JI!". ,. .,.
. .I.---------
---
--1--------i ., ., .. , ·-l \ .•
------···-------
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---------L. ---__J
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: -Q-7
PROJECT NAME: ____ .:..::...:=----------------------------
ADDRESS: ('
PROJECT NO.: -----------UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: -----~-------NUMBER OF UNITS:
CONTACT PERSON: ________________________________ _
CONTACT TELEPHONE: __________ ---,-____________________ _
~;PECT~~~ FNAsTiECTED: ~~z APPROVED ):: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: --,-------------....,.....,,-1 ___________________ _
lH¼ lr-aJ7 0 }L L~ /2/.p
Rev. 1/86 WHITE: Suspense BLUE: Water District CANARY: Utilities PINK: Planning GOLD: Fire
' , ......
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: -Q-7
PROJECT NAME: -----'-'-'------------------------------
ADDRESS:
PROJECT NO.: ---------'~ UN IT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: ----~~'--------NUMBER OF UNITS:
CONTACT PERSON: ________________________________ _
CONTACT TELEPHONE: _______________________________ _
INSPECTED ~NASTiECTED: / b-1/J 7 ~ DISAPPROVED BY: APPROVED I
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE ' BY: INSPECTED: APPROVED DISAPP~OVED
COMMENTS: -----------------------------------
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE:
PROJECT NAME: ----------------------------------
ADDRESS:
PROJECT NO.: ________ PHASE NO.: _______ _
TYPE OF UNIT: _____________ NUMBER OF UNITS:
CONTACT PERSON: ________________________________ _
CONTACT TELEPHONE: _______________________________ _
INSPECTED '.De_ DATE tiln BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Rev. 1/86
J
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: DATE: -Q-87
PROJECT NAME: ____ r,_._..,....._ _________________________ _
ADDRESS:
PROJECT NO.: ____ __.__p-c;.c...._ .......... ,_ UNIT NUMBER: ________ PHASE NO.:
.TYPE OF UNIT: _____ c<~-------NUMBER OF UNITS:
CONTACT PERSON: _______________________________ _
CONTACT TELEPHONE: ______________________________ _
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Costa Real Murncrpat Water Qjstrict JAN. 2 6 1987
COMMENTS: .Engineering Department
619) 438·3367
I