HomeMy WebLinkAbout2450 Pio Pico Dr; ; 86-72; Permit"' z 0 i= .. a: .. ~ u w 0
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rtJ I hereby affirm that I am licensed under
pk,v1s1ona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
:~;' ~~"~'2'l~'et7 ,,,,, ~ L _~
I hereby alfirm that I arr exemol trom 'he Contrac tees L1csnse >aw tor the folow1nq reasor. 1Sec 7031 5
Business and Proless1ons Code Any city or county wh,cn ·e-qu,res a permll t~ construct alTer ,rnpr8,e demo1,sh o·
repa,• any struclure pr10' 10 ,1s issuance al~o requires The a~ pl,cant for such pw....,,1 to 1,;e a s,qned sraterner.t that ~e 1s
lrLensed p~rsuant lo the prov,s,oss ol the C8nTrac1or ,
L:cense Law :Chaoter 9 commenc,ng wr:h Sec.on 700G ol
Di.1s,on 3 of t~e Bus,~ess and Profess1Gns Code; or that ·s e,
empt the,efrorn and the bas,s for the allegeo exem~:,on Any
violation or Section 7031 5 by an applicant tor a perm,t sjb
,ec•s the aopl1cant to a c,v,1 penalty 01101 more than tive h,;r
d•ed do lar> 1SJ001
I as owner of the property or my employee, ,.,,1r wages
a> the,, so:e cDmpensat1on w,11 do ihe work ;inc ttie stru:
ture 1s ~ot 11tended or oflerec for sale (Sec 7044 Bcs1sess
and Proless,on; Code. The Contraclo' s L1ce~se Law Coes
not apply :o an owner of property who builds ~r ,mproves
thereon and who does such work himself or through h,s own
employees. provided that such improvements are rot rnrend-
ed or of'ered for sale II however. the building or '"'P'ove-
,1,ent ,s sole w1th1n one year of complel1on. lhe owner-bu<lder w1il have the burden of prov,ng that he did not build or ,m
8rove for the purpose of sale1
I as owner ol Jhe property. am exclusi.·ely c8ntract1ng
with licensed contraclors to construct the proiect (Sec /044
Business and Proless,ons Code The Contractor's L,ce~se
Law does not apply to an owner ol properly who builds or ,m
proves thereon and who contrac1s to, eacr, pro1ects w1lh a
contracTor{s) i1cense oursuant 10 the Contractors L1rn~se Law)
As a homeowner I am ,mprov,ng my home_ and the fodow
1ng cond11,ons ex,st
1 The work ,s being performea prior to sa1e
2 I have lived 1n my home for :welve monrhs prio, to completion or th,s wo-k
I have not claimed this exempt10~ Cu·,rq the l IJS! three years
I am exempt under Sec ------
lor this reason~------------
B & PC
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I nereb; affwn that I have a certlf,cate ol consent to
self ,nsure. or a cen,f,cate o' Worke's Compensation In
surJ"Cc ~· a cert1',ed copy !hereof ,Sec 380C L3bor Code>
POLICY ~O
~ \~::.~: '1lert;~tf>
_ CB'llf•ed copy 1s hereby lurn,shed
CERTIFICATE OF EXEMPTION FROM
'.'iORKERS' COMPENSATION INSURANCE
iTh,s section ~eeo not be co'T1pleted 1f the per,r,,t
'S for one hundred dollars 1S1001 or less)
_ I certify that ,n the perfor,r,ance of the wo,~ for which
1~1s pc•rrnt ,s ,ssued. I shall not employ any person ,n any
'!'anner so as to become sub1ec1 to the Workers Compe~
sat,on Laws of Cal1fom,a
NOTICE TO APPLICANT If. after making this Certihcate
of Exemption. you should become subJect 10 the Workers
Compensation prov1s,ons of the Labor Code. you must
lorthw,th comply with such prov,s,ons or this permit shal•
be deemed revoked
J I hereby a/firm that t~ere 15 a const·uct,on lenj "G
agency for the perfo,mance of the work tor ,..h,c~ this per
m,t ,s issued (Sec 3097 Civ,I Code,
Lpndc,·s Namf'
Lenders Address
USE BALL POINT PEN ONLY & PRESS KARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
2.J-·s-o f;!) Pico
AV. ST. AD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # 1~rtk)ON PERMIT NUMBER
&b-7--v--CONTRACTORS PHONE ,; zoNe
72q-/7/9
LOT BLOCK
J ·'-nO/lES 2.J-;l-/,,
LICENSE NO. PLAN I.D. #
BUt~?aFOOTAGE t!/ s723t/l/ .
DESCRIPTION OF WORK
t-----------------------------------------1 DESIGNER'S ADDRESS ~J't'')(zo!_f?/f77() Ot'f::.7L _ __ .7~7;5~~:7c~57:C •A,:~
CEl'sSUS TRAC1 I GP LAND USE I PARKING SPACE: RES UNITS r
QTY PLUMBING PERMIT -ISSUE
!
GRADING PERMIT ISSUED
I
REDEVELOPMENT
ARE A
•._J ,o
I QTY. MECHANICAL PERMIT -ISSUE
STORIES
TYPE
CONST
3-
DESIGNER'S PHONE
LICENSE NO.
OCC GP EDU 2/li;/66~' ;;
01 1 12:. ·9 ?/J:_:/::Jr~
ace LOAD FIRESPFI
Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
EACH FIXfURE TRAP I I INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING PERMIT 001-310-00-00-8220 -,,J~ • ..J.D l---f.-'-~-~----~-------------1+-----~-~---,.C.C:::.:CCC'-'-:"-'.'..'..-"..""~-"-'--'-"--"'::_:::::__::_:_:: __ --J ____ ~---i----------------------~
EACH BUILDING SFl/;'ER ; OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221 1 ~
EACH WATER HEATER ANll OR VENT -t----------BOILE-R,..CDMPRESSOR UP TO 3 HP -------1--PLAN CHECKO _0_1_8_1-00-0~0-8805 -----/ ~--z....<ji,.--
1----+~E_A~C_H __ G~A~:' S _!_E_M_l _l_lJ_4_0 ~ 1 LETS t--------+-~---_,_'-8-0_I_L_E_R_:C~M~~E~SO_R_~-~ HP ~~~-=---!------~-=~--.._ __ TOTAL PLUMBING ______ 001-810-00-00-8-·2-2_2__, ____ ,_I.,_ L ___ ,
I ME-l!1L F REPL1\CE ELECTRICAL --t-------.[.-------FACH GAS SYST ~M 5 OR MORE l------1--- - -----------
EACH INSTA~ ALTE.R. REPAIR \",'ATER PIPE
001-81 0-00-00-8223
__ 0_01_-8~0~0-000_,8-"2'-24_, __ _
EACH VACUUM BREAKER
-1 4 _ VEN~AN SINGLE DUCT ___ __ _ _____ ----MECHANICAL
------~---~---;~---1--'MC:EC:C'..'.H'..E:.CX HA UST HOO O D UC TS MOBILEHO ME 001 ·81 0-00-00-8225
------l-----'--+' --+--":.:':.:':.:o_c,,A,TIO~_OF EA FURNACE.HEATER MOBILEHOME PARK INSP '.'VATl:R so~ TNER ---t~!':~ ~()()F ''1H.'.d, I ~-
1 Ur A! Pl UMHINL
----,
QTY. ELECTRICAL PERMIT -ISSUE
NE:W cor-.isT t.A AMP SWl BKR f-----+----
I PH :l PH ---------
EXIST BlflG EA AMP·S\\/T R KR
1 PH ~ PH -
REMOUEL AL It R PER (IR(UII -----------
-
--
TOT/'...L MECHANICAL
'
>-'I QTY :1 SOLAR ISSUE
' --~ ---'-~c~o~.L~c~c_,_: _Rs~· __ _
,, STC,RA(;F TA'1k,S _, _________ _
I ' ::JC{~, Sl'.JRN"i~ i
_SOLAR
STRONG MOTION
FIRE SPRl~Ji<.LERS
001-81 0-00-00-8226 ---
880-519·92·33
001 ·81 0-00-00-3227
_ _P~_fACILITIES FEE __ _______TI_2-810-00-0Q-fil)3_0
Carlsbad ___ _ _____ _
Encinitas
-
------------·--J SCHOOL FEE DISTRICT _
---------+C-----.1-'P _0'.I __ MP _________ ---------+' ------'--~-San [}1eg_u~---_____ _ L. --------
P[ A'·J C>-iFCk "EE San Marcos -
-
-
TE'MP POL[ ---------·------------lOOAMPS
OVER JOU AMPS LICENSE TAX 001-810-00-00-8162
---+---------·---880-519-92·57 1 TE\<iP OCCUPANCY ,Jo DAYSI MFF i -------------~-------------,, CREDIT DEPOSIT
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-----
TC A S·'.11 :..>< I;
' l I T1ITAL flll.TR1[:A1
TOTAL FEES PAYABLE
I
1 HAVE CAREFULL y EXAMINED THE COMPLETED · APPLICATION ANO PERMIT" AND DO HEREBY Exp1rat1on Every perm,t issued bythe8u1ldmg Otl1cu:11 underthe prov1s1ons ollhis * AN OSHA PERMJT IS REQUIRED FOR EXCAVATK>NS OVER
CERTiFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eJ1pire by limitation and become null and void II the bu1ld1ng or work ' 5· 0·· DEEP A.NO OEMOUTK>N OR CONSTRUCTK>N OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such ~TRUCl\JRtS OV£R 3 STORIES IN HEtGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON lc~~:~:~'::~~~~~e~~''!.'!:!_.1!:n~8vcb~1:~~~l~c':~g~•,;_!;~;!•S':,;0~1'!:c:'clh£~0£' m~"~":!eoo,"ci••e~_!uf~£:C'-:,• ,.~t0"£:£do~c!t'J:~;Qgs~"t,,dy8cs"_0
0
'7 +.,.,.,,,~.,,.---------------,,-e~ •--.--~ STRUCTION. WHETHE"R SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND _'d, APPR ED BY 1 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND AP. ~PUCANT'S SIGNATURE Jf, OWNER O CONTRACTOR,,,.._ ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _ 1 Lt /J / BY PHONE O ..._ O -.-. ,. ,
1
• / 7 /(/ /
GRANTING OF THIS PERMIT / • , ... . ~ ,. ~ " __ .. -z:::; l • I Ofe
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
UNITE OR GROUT '
SUB FRAME D FLOOR D CEILdNG
SHEATHING D ROOF D SH;EAR
FRAME I .
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL I .
I
PLUMBING I
' SEWER AND BL/CO ,-Pl/CO •--
UNDERGROUND D WASTE D :wATER
TOP OUT D WASTE D VVATER
TUB AND SHOWER PAN I
' GAS TEST I
D WATER HEATER D SOLAR W/1.TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D1 UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
'
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPl)'JG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
'
PLUMBING I
ELECTRICAL I ~\)
MECHANICAL ' I '>c'l ~
GAS I . '-.., ·~
BUILDING I 'J ''~ -'\
SPECIAL CONDITIONS I . '~ I --
I . ') -
--c--------------------------,------------------------------""-----.;·-------------'8 (;; -7 ;;i,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL ---dee--= S01LS COMP:_IANCE
PRIOR TO
FOUNDATION INSP
1-----------_ ___,__ ----· i -----
STRUCTURAi ccr-..CRETE I
f-'0--'-V"-ER-2:_:0_:_0C:_P_:S:_I ----+---+------+' ____ _
PRESTRESSED
CONCRETE .
INSPECTOR'S NOTES
l--~-'-g-~T..:.c_;~:_~-=~·-·10_.,._c_c ___ 1...--____ +--------l----->-------------------------------'
FIELD \hEL81NG
------ ------+---rllGH STRENGT,-, lj
BOL Ts
-------------
I
1---------~-------I--------
~--------+-----+-----+---
PILE'S cJ.1ssor,.,:· : L ---1=----I ---------
:_ --------__ j ______ -r=----~
----+--------L_-~ e---------~
i 1-----------------!------------------+--------
1---------+--___ .....___
I ~-----· ---I-------..-----------------
I
I------------'----------I-------
1---------+---~-----+----
1----------~1 :
~----------+-----~-------------~ ___J
•
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PLAN CflECK HUMBER ff f .2.. ADDRESS e)_ '/S-tJ 13c ~ DATE ;2-7-/"(
PLANNING: TYPE OF STRUCTURE._;....j,/k:.=:::..;..' .::;:tl.:;:,t..~:::.;:J._::;;. ________ _ ZONE:_..,.... __ _
SCHOOL FEES: SAN DIEGUITO. ______ _ ENCINITAS. ______ _
CARLSBAD. ______ _ SAN MARCOS._..,.. ____ _
S COVERAGE. _________ _ REQUIRED SETBACKS _____ _
BUILDING HEIGHT ________ _ FRONT ___ .;... ___ _
FENCES/WALLS. ___ .;.... _____ _
TWO CAR GARAGE. _________ _ SIDE._,&;,_,.~.,.----REAR ________ _
= a
;: ~ Cott!ENTS: ~ ! -------------------------
~· D REDEVELOPflENT A:'PRDVAL REQUIRED: E; D . ______________ .,.. --
...,_ =s. Slit D LANDSCAPE PLAN CIM1ENTS:. __________________ _
ENVIROt"1ENTAL REQUIRED.,.=--------------------
ADDITIONAL COMMENTS,.:--------------------
OK TO ISSUE: 4< DATE: 2("?f?6 OK TO FINAL:-DATE: ___ _
ENGINEERING LEGAL DESCRIPTION VERlFIED? ____ A.P.N. CHECKED?_
P.F.F •. _. ------PARK IN LIEU ---------------
R.O.W:. ______ IMPROVEMENTS: ---------------
--------------E.D.U: -----------
SEWER:--------------------------
LATERAL: -----------DRIVEWAY:----------= a GRADING PERMIT: -----------------------...,
; j DRAINAGE:-----------------------------------
EASEMENTS: ----------ADDITIONAL C01f4ENTS: --------~ -D Q· , .. . .
t~ --------------------------------------= D ...,_
!I!= ' S ld D -OK-. -TO-IS-SU_E_: --4--~. -. -----D-A-TE_: _.i-,._c_z_/,_~_'( _______ _
* . ENGINEERING INSPECTION REQUIRED:. ___________ _.;.. __ _
. PUBl:.IC WORKS INSPECTOR=-----------------
FINAL OK: __ ...;.. ______ _ DATE: ___________ _
* IF THIS ITEM IS ~OT CHE.CKED, BUILDING DEPARfflENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)