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HomeMy WebLinkAbout2121 PALOMAR AIRPORT RD; 105; 83-31; PermitQ I ttlirm thai t am licensed under provisions of Chapter 9 (commencInQ with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. i.jc No Class I herstiy alfirm that i am tMmpt Irom the Contrac tor's Licanse Law for ttis foUowlng reason (Sec. 7031 S Business and l^otassKins Code'. Any dty or county wfiicli requires a permit to construct, aller. improve, d^llsfi. orr^r any structure, prior to Its tssuance also requires the ap- pwani lor such permit to hie a signed statement that ha Islicensed pursuant to the proviso of itie Contractor'sLicense Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Prolessms Code) or that Isex- empt therefrom and the Isasis lor the aileged exemption. Anyvitxallon of Section 7031 ,S liy an applwanl lor a permit sub-)ects the applicant to a civtl penalty of not more than five hun dred dollars ($500). □ I. as owner of the properly, or my employees with wagesas their sole compensaHon, will do the work, and the structure is not Irrtended or olleced tor sale (Sec. 7044. Business and Professions Code: The Contractor's License Law doesnot apply to an owner of pr^rty who twiids or improvesHiereon and who does such wohc himself or through his ownemployees, provided ihai sucti imprcnrements are not Intended or offered lor sale. It, however, the building or Improvement Is scM wimtn one year o( cornpieiion, the owner-builderwill have the burden of proving that he did not build or Improve for the purpose of sale). D I, as owner of the property, am exclusively contractingwith licensed contractors to construct the protect (Sec. 7044,Business and Professions Code The Contractor's Licenselaw does not apply to an owner ot property who builds or Improves Ihereon, and who contracts for each prqects with acontractorts) lleanse pursuant to the Contractor's LicenseLaw). □ As a homeowner! am Improving my home, and the following conditions exist:1. The wont is being performed priot to sale.2. I have lived in my home lor iwdve monthsprior to completion of this work.3. I have not claimed tftts exmption during thelast three years. □ I am exeunt under Sec .B&PX. tor this reason O I hereby ellir^ihatJ have acertilicaieot consentto sei'-insure. Vr h ca^nicaie of Woriiers'Compensation Innra^ige^ a certified copy thereof(Sec 3800, Labor upde) POLICY NO COMPANY □ Copy IS filed with the ciiy □ Certified copy is hereby furnisr^ CeRTIFICATt OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE(This section need not be completed if trie permit•s for one hundred dollars iStroi or less) □ I ceniiy that m the performance ot the wont lotwhich this permit is issued. I shall not employ anyperson m any manner so as to tiecome subieci tothe Workers Compensation Laws of California NOTICE TO APPLICANT If, after making this Cerlilicaie of Exemption, you should become subject tothe Workers Compensation provisions ol the LaborCode. yOu must forthwith comply with suchprovisions or this permit shall be tleemed revoked □ 1 hereby affirm that trtere is a constructionlending agency for the performance or itve work forwhich this permit is issued (Sec 3097, Civil Cooei Lender S Name Lertder's Address. USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT AF/ / 1200 Elm. Cafisbad, Catifornia 92008-19e9/<e^19) 438-5525JOB AODRESs"~~V^ /\/ ST. OAT E Ol APPLjfc ATI ON OWNER'S NAME * | OWNER'S PHONE CONTRACTOR / /^ I I la APPLICATION & PERMIT OWNER'S MAI LING ADDRESS LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. OES^I^ION OF WORK lA-A-TTT/Oh^ ^ t CONTRACTOR'S ADDRESS 002 }\)- flio^ OESrGNER'S ADDRESS F. P f uR ELEV. vD nQ CENSUSTRACT GP LAND USE P ARk INO :>PACk RESuNlTS GRADING PERMIT ISSUED Y □ N □ QTY.PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 T040UTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAt, ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INStDE) TOTAL PLUMBING OTY. 7.Sb QTY. REDEVELOPMENT AREA *□ nG NO STORIES TYPE INST ^3vy(: CONTRACTORS PHONE « i/.r7-37/7 UCENSE NO. DEStGNER'S PHONE EOU FtRE SPR vG nG VALUATION! 0,000hMF fZONE PLAN t.D. # STANDARD PLAN # PERMIT NUMBER BLOC USE CODE BLNLDfNG SO. FOOTAGE ««Ke7VSBSi)H Not Vak'd Unkts Machine Certified MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100.000 BTU OVER 100.000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 IS HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOO/QUCTS RELOCATION OF EA FURNACE/HEATER ELECTRICAL PERMIT - ISSUE NEW CONST EAAMP/SWT/8KR 1 PH 3PH EXIST BLOC EA AMP/SWT/6KR 1 PH 3PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL TOTAL MECHANICAL QTY. M 3' SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR I HAVE CAREFULLY EXAIVItNEO THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT ISISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL HABILITiES. JUDGMENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 SIGN PERM PLAN CHEi TOTAL PLUMBING ^✓01-00-00-8221 01-00-00-8806 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP SOLAR 01-00-00-8226 STRONG MOTION 80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-S923 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 Encinltas 80-92-22-0519 San Dieguflo 80-92-23-0519 San Marcos 60-92-24-0519 So n -^o TOTAL FEES PAYABLE SOA) Expiration Every permit issued by the Building Official under iheprovisiortsofthis Code ahsil expire by limitation and become null and void if the building or worii authorized by such permit is not commenced within 180 days from the dale of Such permit, or if the building or work authorized by auch permit is suspend' abandoned st any time after the work is commen(;ed for a tieriod of 180 da APPLIQANT'S SIGNATURE "ff ' OWNER D CONTRACTOR * AN OSHA PERMIT IS REQUIRED F<DR EXCAVATIONS OVER 5' 0 • DEEP AND OEMOLfTION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVE BY PHONE G INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND i PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. 1. - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING T . HEAT — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBIWG ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED FIELD INSPECTION RECORD ( REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER ?000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY • * PILES'CAISSONS n - \ *' A . ^ \ \ .. .i . n n V ' J, • n . 0 INTFRPFPARTfCNIAL INFORFIATION SHEET DATE: BUILDING ADDRESS A.P.N: -/< C.T: ^ ************* A***-A A A ft ZONE: ENCINITAS -SCHOOL FEES: SAN DIEGUITO CARLSBAD SAN MARCOS UNITS RHQ'D: % COVERAGE ALLOWED: PROVIDED: PROVIDED: PARKING SPACES REQ'D:_ BUILDING HEIGHT REQ'D: FRONT SETBACK ALLOWED: PROVIDED: PROVIDED: SIDE SETBACK REAR SETBACK PROVIDED: \ \\ \ INTRUSIONS: V7 D RE-DEVELOPMENT APPROVAL REQ'D: LANDSCAPE ^ IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: OK TO ISSUE: R.O.W: DATE:OK TO FINAL:DATE: **********^******************g***************^*****;^:fc:riA}^;% IMPROVEMENTS: PUBLIC FACILITIES FEE:SEWER CONNECTION: DRIVEWAY LOCATIONCS): GRADING PERMIT: EASEMENTS: LEGAL DESCRIPTION: ADDITIONAL COMMENTS: DRAINAGE: *CHECK IF ENGINEERING INSPEqTI0N REQ'D. ON FINAL: OK TO ISSUED DATE: DATE:^-PWI:OK TO FINAL: ******* A ******* ^ ***** ^ ******** ^ ^ ^ ^' ^' ^ ^ ^ ^ '*■' * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE FINAL INSPECTION. ^GE 1 OF CARLSBAD FIRE DEPARTMENT- 275 ELM AVENUE, CARLSBAD, CA 92008 (71^) 438-5521 PLAN CHECK REPORT y APPROVED DISAPPROVED PROJECT OFTt'CS ARCHITECT OWNER 1>-M OCCUPANCY <3-^.CONST. ADDRESS ^h-.i /V7/g ADDRESS ADDRESS PLAN CHECK § OTHER REF § . TOTAL SO. FT. f T ^ ^SPRINKLERED^^)^ENANT IMP. PHONE ^ / PHONE STORIES APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: ■H I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I ' I I I I . Provide one copy of the floor plan(s), site plan, and sheets Storage, dispensing or use of any flarrmable or combustible liquids, flammableliquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code and ^5, Bulldlng(s) not approved for high piled combustible stock. Storage In closelypacked piles shal l not exceed 15 feet In height, 12 feet on pal lets or in racksand 6 feet for tires, plastics and some flammable liquids. If high stock pilingIs to be done, comply with Uniform Fire Code, Article 81. Medical gas system(s) shall comply with N.F.P.A. Standard 56F. Fire extinguishers shall be provided based upon'the following criteria:^a) 1-2A rated ABC extinguisher for each ^sq. ft. or portion thereof^b) maximum travel distance to an extinguisher of ^feet c) other: X 6. Fire sprinkler system(s) per N.F.P.A. Standard X3 provided to protect g... shal1 be 7.Dry chemical extinguishing system(s) shall be Installed per N.F.P.A. Standard 96 to protect cooking equipment and exhaust system. —Plans of . 9. 10. system(s) sha11 be approved by the Fire Department prior to In sta1 1 at I on ofsystem(s). Show on site plan locations of all nearby proposed or existing hydrants within 200 feet. Hydrant(s) shall be provided and located Show ]ocatIon(5) on site plan. Fire Flow: hydrants. 1 1 . Access for fire apparatus is not adequate. Provide _^pm for hours from 12.shal1 be of with openings protected with hour assembl les. 13. Comply with regulations on attached sheet(s). P^n^Exafliiner Report mailed to architect Met with hour construction Date/^Attach to Plans