HomeMy WebLinkAbout2777 JEFFERSON ST; 202; 86-460; Permit"' z 0 ~ < a:: < ...,
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0 I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing wit~
Section 7000) of Division 3 of the Business
and ProfeHlona Code, and my license Is In
full lore• and effect.
I hereby allirm 111a1 I am exempl lrom !he Conuac·
!or's License uw lor the lollowmg reason (Sec 7031 .5 Business and Professions Code Any city or county wh1ct re·
quires a perm,t to constrm::t. alter. ,mp rove demohsh. or repair any structure. pnor to Its issuance also requires !heap-phcant lor such permit IQ file a signed slatement 1ha1 he 1~
'tcensed pursuanl 10 lhe provisions of lhe (;on tractor's License Law (Chapter 9 commencing with Section 7000 at
Otv,s,on 3 at lhe Bus1ntSs and Professions CDde) or that ,sex-·
empt therefrom and the basis !or the allegeo exemption Any v1olalion ol Seclion 7031 .5 by an apphcanl lor a perm11 sub·
1ecls the apphcan1 10 a civil penalty of not more than hve hun·
dred dollars ($500) -
I, as owner al the property or my employees-with wages
as their sole compensation. w,11 do the work, and the slruc·
lure ,s not mlended or ottered !or sale (Sec 7044 81.Jsmess
and Professions Cade Ttie Contractor's License Law does not apply to an owner ol property who builds or improves
thereon and who does such work h,msell or through his own employees, provided ltlal such improvements are not intend·
ed or offered for sale. II; however. the building or improve-ment Is sold Within one year of compteuon. the owner-builder
wilt have the burden ol proving thal he did not build or 1m· prove for 1he purpose ol sale/
n 1, as owner of the properly, am exclusively contractmg w11h licensed conlraclors lo conslruc11he proiec11sec 7044 Business and Professt0ns Code The Contrac1or·s License
Law does no! apply to an owner of property who bwlds or im· proves thereon, and who contracts for each pro1ec1s with a
contractoris) license pursuanl lo the Contractor's License Law).
lJ As a homeowner I am improvmg my home, and the loHow Ing condllions ex,st l The work 1s being performed pr;or lo sale
2 I have lived in my home for twelve months prior lo completion of this work
I have not claimed this exemption during the last three years
l.J I am e,empl under Sec , B & P.C for this reason ____________ _
~ I hereby aflirm that I have a certificate of consent to
self-insure_ or a cert1hca1e of Workers Compensation In-
surance. or a certll!ed copy 1hereof {Sec. 3800. Labor Code)
POLICY NO
COMPANY
~ Copy IS filed with the City
0 Certihed copy 1s hereby f~rmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSArlON INSURANCE
(This section need not be completed If the permit
is for one hundred dollars ($100) or less)
0 ! certify that In the performance or the work for wh,ch
this permit is issued. I shall not employ any person ln any
manner so as to become subJect to the Workers· Compen-
sation Laws of California
NOTICE TO APPLICANT: If. after making this Certlficale
of Exemption. you should become subject to the Workers·
Compensa1ton p,ov1sions or the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked
C I hereby afthm thal there iS a construction lending
agency for the performance of the work for which this per•
mlt Is lss·ued (Sec. 3097 Civil Code}
Lender·s Name
Lender's Address, ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED ARf-A AND DECLARATIONS.
CARLSBAD BUIL_Dl~G DEPARTMENT APPLICATION & PERMIT • Carlsbad, Cal1forn1a 92008-4859 ::;_ ;,?; u /E.r~~~~~T RO ~T I DATE OF APPLJCAT!ONI BUSINESS LICE~N:E# 1 ;;Lr~1 PERMIT NUMBER
LOT • BLOC~ I sueo, v1S10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTWS PHONE• ZONE / If/ 1 I j,,..o
[JWNER'S NAME I OWNER"S PHONE ~ t>\'\"' ~ •l'tt\, l1 C '·"'}4,.,,J~ 'i~~-2.11 L-T)\/J, lf"'-~, S. \-1 , LTS) ~3'(-~S1L COl',JlRACTQ~":AODRESS <;:.I ST~~ELICENSENO 'llUILOlNGSOFOOTAGE
OWNER', MAil NG ADDRESS 3 5 b ~ I • c,1\/Y) -1.> ~'fl £ 1 i (5
if Q_ S er 1 f'I A / J I I' 9 . DESIGNER t=. '( 1 "\ 1 ,,, \ , ,..... DES1GNER·s PHONE \ <' {JO"' I \. I Jr .> It'( I \. A~ LOO<,
DESCRIPTONOFWORK .-,----~f'51tir'\ h('U\ • --' \ ,_j_ DESIGNER'S ADDRESS STATE LICENSE NO.
Is c::2.. b ... " Av< Sl'k. O,t'\c f., ~
,-F/P FLA ELEV. ~o occ GP y ou
STORIES
vO NO ---
1 I
PARKING SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE DCC LOAD FI RE SPA
AREA CONST
y D N O , O 1vO v O NO Not Valid Unlers Machine C~rtifled
QTY. ' PLUMBING .PERMIT . ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE ~ ,..-; • .:; • SUMMARY/ACCOUNT NUMBER _
EACH FIXTURE TRAP : / INSTALL FURN DUCTS UP TO 100.000 BTU LJ... -BUILDING PERMIT 001-810·00·00·8220 / 0 ~ -
EACH BUI LO ING SEWER • OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221
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-"' _c: -EACHWATERHEATERAN010 ~ENT -BOILER/COMPRESSORUPTOJHP --PLANCHECK O!lt-a1Q·00,;0.0-8806 _ ·--·-·-"'--.5(-___ .
"/.:if. EACHGASSYSTEM1T04)11'.iTLETS ---t----. 801LERCOMPRESSOR315HP TOTAL PLUMBING > ~O~o'tl:1!22~' ..,,u.,,nn1tr ~(-=:J ••
EACH GAS SYSTEM 5 9,Jl"MORE ~ MElAL FIREPLACE • ELECTRICAL (_)'' 001·810·00-00·8223 v.r--:-
EACH INS~ A~ REPAIR WATER PIPE . __ _:. -~-~EN2_FA~NG~UCT_ _ ;·. MECHANICAL 001·810·00·00·8224 7 -
EACH VACLJ)i1',IBREAKER . MECH EXHAUST HOOOIOUCTS ",. MOBILEHOME 001-810·00·00·8225
WATE ~FTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001·810·00·00·8226
f ~ROOF DRAIN IINSIOEI DRYER VENT STRONG MOTION 880·519·92·33 , ""/ T_/
TOT.C.L ME CHANICAL FIRE SPRIN~LERS-001·810·00·00·8227 ,'
TOl AL PLUMBING I --1. --PUBLIC FACILITIES FEE 320·810·00-00·8740
5 --, BRIDGE FEE //)A
QTY, ELECTRICAL PERMIT . ISSUE QTY. MOBILE HOME SETUP 1t---P-AR-K-·IN---LI-EU-(-AR-EA--+~-) ------+--------t
NEW CONST EA AMP SWl BKR CAR PORT r,._ TIF ;'/14 001·810·00·00·8835
I PH 3 PH AWNING ~~ LICENSE TAX z.·1 001·810·00·00·8162 ~-~T) -
EXIST BLOG EA AMP'SWT BKR • GARAGE C:,-.-. -~ MFF # j;, 880·519·92-57
I PH 3 PH ·~-~.a, ~--.-
REMODEL AL HR PER CIRCUIT /.L). -~(Z;}.,.. _ " ~ ~" .
TEMP POLE 200 AMPS -~ ""JI' '"~ '( ~ ---',....:s-=--.._---=-.,--~~'----~-------------~--------l ovER 200 AMPS """..,,,_QA /o "\.': ".A·
TEMP OCCUPANCY 130 DAYSI .,,., ~. ~ ';J> ~ , 1.
, .. ~ ·~ CREDIT DEPOSIT L (,, o ->
, TOTAL ELECTRICAL, : -z:-r.--TOTAL ~~ :=,d TOTAL FEES PAYABLE 1 '-11 s-~
I HAVE CAREFJLLY EXAM. ,NED TH~ COMPLETED APPLICATION AN[' PERMIT AND DO HEREBY Expiration Every permll '':?2Y the Building Official underJhe provisions-,, •h,s I * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER P"NALTv OF PER URY THAT A• L iNFORMAT1,QN HEREON INCLUDING THE Code shall expire by Jim,taho d become null and void II the build,ng-0r . ..,o« ' , 5·o···oiP ANO ~MOUTION OR C""'STRUCTION OF· J -L. · aulhonzed by such permit ,s n ommenced within 180 days from the date of such ~ · ~ '""' .. DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ perm,1, or ii the building or work authomed by such perm,, 15 suspended or S1RUCl R£S vV 3 STORIES IN HEIGHT
~Wffil000MPUmTHAUCIT~OOU~·v ~D8AfEUMG~ERNING~IW~OON ~·~~~n~~~n~~~-~1~•~~L·~==•~~~~~r~ffi~e~w~o~r~k~~~c~o~m~m~e~n~c~~~~~r~a~oo=r~~~~~1~8~0~d~~~-~~----------------------~
~;:~c;!~~L~~i~~~Rc~:VEg~~fR~~:!~ A°c,:~~~ A1L~~~f8~3~itTJ~g~~i~~~E~~~~ :~g APPLQANT s1G,WA4Be .,. owNERD CONTRACTOR¢ APPROVED BY t DA'fT'i,e
EXPENSES_ WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE fft-/' / I . J,4
GRANTING OE' l:HIS PERMIT 4 ')' 3 /){(!;>
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION FIELD INSPECTION RECORD r. . f .. ' REINFORCED STEEL .. . I REQUIRED SPECIAL INSPECTIONS -INSPECTOR'S NOTES MASONRY I _... I I I REO IF INSPECTORS .
GUNITE OR GROUT I 1-, :zil "T INSPECTION CHECKED APPROVAL DATE -I ,
,;,: ' -· \. -;> SUB FRAME ti FLOOR f/l CEiLING \ I ., I ' \ -SOILS COMPLIANCE
SHEATHING D ROOF ' D Sti EAR I • A PRIOR TO -....
lt'l -'l o ..... FOUNDATION INSP . FRAME
STRUCTURAL CONCRETE -
I
--EXTERIOR LA TH I OVER 2000 PSI \ ~
INSULATION I
I I ·" PRESTRESSED . ,. ";, ~ ~"'-Q I I CONCRETE 0 ,~, ~ .... -.:; ._ ... ~ INTERIOR LATH & DRYWALL I POST TENSIONED ~ "t·.. .. I ' I CONCRETE .. ......... '."""' -. I
PLUMBING I FIELD WELDING i \, -l
0 SEWER AND BUCO 0 F?UCO HIGH STRENGTH
d WATER BOLTS UNDERGROUND D WASTE
.... \ ""' D WATER SPECIAL MASONRY TOP OUT D WASTE
TUB AND SHOWER PAN ' .
GAS TEST I
I PILES CAISSONS
' --D WATER HEATER D SOLAR WATER \;L,EA h-
. . I .... ,.eu ·-. • . . ~-ELECTRICAL ' n" ... -[!) UFFER . ...,, ~~19RR ·!~~·~ ·...1~1 1,J~\!~ . -D ELECTRIC UNDERGROUND ' ·--. ---. . ROUGH ELECTRIC I
IJJlr:.... ~,., ~-~ -D ELECTRIC SERVICE D TEM P.ORARY ., .,,
D BONDING D POOL . --.. , !118--~· I ~~
MECHANICAL I
D DUCT & PLEM., D REF. PIPING -HEAT -AIR COND. SYSTEMS .
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEF};.ION WHEN ALL APPROPRIATE ITEMS ABOVE H VE BEEN APPROVED.
FINAL I
PLUMBING I
I ; ELECTRICAL I .)r· ' MECHANICAL I /'\ -" ·:. \ i r)'::{"'I I I -.. Y . l,o.
GAS ... \ \ -.... "-I ' I . ----\ ::5 i ,, ..., I Io :;;f,, fl. /L__,J'~/ ~~ I BUILDING .
I
SPECIAL CONDITIONS I • I ... v --. I
....
0/~_, ~ PLAN CHECK NO. J>t-.//tP ADDRESS -.... d=-.,2'"-,."'-2""~--~r;r.......,,..._..--;1A'7-<=---~-~--
~.-~-· :~ ,<' PLANN C ,-f' _,---~ ZONE: t::'.f Q TYPE OF PROJECT AND USE: __ /_''-~-------------
DATE ~/6
SCHOOL DISTRICT: SAN DIEGUITO _ ENCINITAS_ CARLSBAD ~ SAN MARCOS __
SETBACKS: FRONT ~ SIDE a;;,~c__ REAR c::,/c_
REDEVELOPME NT PERMIT REQUIRED: ~, l~
LANDSCAPE P LAN COMMENTS: ,ll t,-
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AL REQUIRED: t" t b,, 0:::
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••
ENGINEERING
LEGAL DESCRIPTION VERIFIED? '1J,,P?c= APN CHECKED?_~----------
PARK-IN-LIEU QUADRANT: tJ/R> , FEE PER UNIT: N//l. TOTAL FEE:_IJ...,.1, ..... & ____ _,,
P.F.F.: ;J/f.!s. TRAFFIC IMPACT FEE PER UNIT:~ TOTAL FEE: r 1 --------
FA CI Ll TIES MGMT. FEE: f~ ,,J>p.~ BRIDGE & THOROUGHFARE FEE:_AJ._...~..,.._ __ _
IMPROVEMENTS: fJ/{:!:r --'-+,.__-----------~-----------~-~
FIELD CHECK DATE & INITIALS: _______ RIGHT-OF-WAY:___.~ ......... ·~-ao.;f-------
DRIVEWAY: JJ I& EASEMENTS:__,__,Mf-J,V.i): ________ _
T • ( I
E.D.U.: AC>~ ·u:,« SEWER: ";'/e LATERAL:_N.__,/f±._ ____ _ ..
INDUSTRIAL WA STE PERMIT: JJ/Rr DRAINAGE :_._65-+/.f-a~-------Cl w
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GRADING PERMIT: ,J~ GR ADING COMPLETION CERTIFIED: ,
0::: ADDITIONAL COMMENT S:
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OK TO ISSUE ~~::2r::::.::;;-L__f;~~-~==--ac::::::::=-~-1DA TE :-+~..=...;-~-do _______ __,
DPD2:DPD6 :07/17/86
1200 ELM AVENUE
CARLSBAD, CA 92008-1989
TELEPHONE
(619) 438-5523
<ttitp of ctCarlsbab
FIRE DEPARTMENT
PLAN CH ECK REPORT
PAGE 1 OF _
APPROVED
DISAPPROVED
PLAN CHECK#
PROJECT_-'---~---''----'---'-'--'-'---~ ADDRESS --'----'----'---'---'------"~-----~--~)1--_
ARCHITECT ADDRESS
OWNER ADDRESS
PHONE
-~-'-'---"'-'--::.:_:;---PHONE
OCCUPANCY ------CONST. TOT AL SQ. FT. ---'"--=--'---=----STORIES
D SPRINKLERED n TENANT IMP.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
__ 1. Provide one copy of: floor plan(s); site plan; sheets
__ 2. Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
__ 3. Provide specifications for the following:
__ 4. Permits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation.
__ 5. The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
__ 6. The following fire protection systems are required:
D Automatic fire sprinklers (Design Criteria: -----------------------
0 Dry Chemical, Halon, CO2 (Location:
D Stand Pipes (Type:
D FireAlarm(Type/Location: -----------------------------
--7. Fire Extinguisher Requirements: O One 2A rated ABC extinguisher for each __ _;;__ sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed 75 feet of travel.
D An extinguisher with a minimum rating of ___ to be located:
D Other: ___________________________________ ~
__ 8. Additional fire hydrant(s) shall be provided ------------------------
EXITS
__ 9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
__ 10. A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and
doors ___ ~--~--~_.__,.______,_-=----"--+-~-----J'-'-"-~-------------
__ 11. EXIT signs (6" x 3,4 " letters) shall be placed over all required exits and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
__ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
__ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
__ 14. Additional Requirements. ------------------------------
__ 15. Comply with regulations on attached sheet(s).
Report mailed to architect ___ Met with --------------__ Attach to Plans