HomeMy WebLinkAbout2276 PLAZUELA ST; ; 82-181; PermitCl! z 0 ~ C :5 u w 0
e[ : ... z 8
C w 0 ... 5 I w z ~
z 0 ;:::
~ z w A. ~ 0 u
Cl! a: w "' C 0 3
il
!I he l fflrm that I am licensed under
lslon .. -'f Chapter 9 (commencing with
lion 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect. L,c. No. ______ Closs _____ _
1 he<el>y amnn that I am exempt lrom the Con-~~~-~!:;:: ~-~.~~i~~c!fe~~l~~; county whlCh requires a permil to construct
alter. improve, demolish, or repair any structure. pno, to its issuance also requires the applicant for
such pennit to file a signed statement that he is
licen5"d pursuant to the p,ovisions of the Con· trac:tOf''s license UW (Chapter 9 commencing with
Section 7tXI> of Oiv1sm 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the
t>as,s tor the alleged ex.emphon. Any vlOl.ation of
Section 7031.5 by an applicant for a permit subjects 1ne applicant to a civil penalty of not more than five hundred dollars (S5()()).
C I. as owner of the p<operty, or my employees
•ith wages as their sole compensation, will do the wOlk. and the structure 1s not intended or offered for
sale (Sec. 7044, Business and Professions Code: The COntractor's l.Jcense Law does not ap()ly to an
ownet' of property who builds or improves thereon
and who does such wOtk himself or through his own
employees. proyided that such 1mp,oveme;its we
not intende1 or offered for sale. If. however, the
building or improvement 1s sokS within one year of
comp~tk>n, the owner-builder will have the burden
of p,<Mng that !'e did not build or improve tor the
purpose of salel.
□ I, as owner of the property, am exclusively
contracti"i with ltcensed contr~tors to construct
the protect (Sec. 70.U, Bus,Mss and Professions
Code: The Contractor's License Law does not apply
to an owner of property who builds or improves
~':~t~ ::nc:'~:!~: ~~~h~r~~~~::.:
Lteense Law).
0 I am exempt under Sec. _____ , 8. & P.C
to, this reason ___________ _
□ I hereby affirm that I ha-...e a certificate of consent
lo selt-msure, or a cert,hcate of Workers·
Compensation Insurance. or a certified CoPY thereof
(Sec 3800. Labor Code).
POLICY NO _______ _
...;JMPANY w--
~ IS hied With the city
□ cen,tied copy ,s hereby furms
CEATIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed 1t the pemut 1s tor one hundred dollars ($100) or less)
0 I cert,ty that 1n the performance of the work fOf
which this perrmt 1s issued, I shall not employ any
pe<son in any manner so as to become sub1ect to
lhe Workers· Compensa11on Uws of Caltforma
NOTICE TO APPLICANT II. atte, mak1n;i this Cert,,
fteate of Exemphon. you should t>ecome sut>,ect I?
the Workers· Compensation provisions ot the LalxM" Code. you must forthwith comply w1lh such
prov1st0ns or this perrmt shall be deemed rev~ed
D I hereby athrm that there 1s a construction
lending agency '°' the performance of the work fOf wtuch this permit is ,ssued (Sec 3097. C1v1I Code:l
Lenoefs Name ___________ _
Lender"sAddress __________ _
U~t. D,.LL r-u1n1 r-Ln vnLI a r ftL"'1"'1 """" f \\ ---. -·-· ----·4----,::;_ ______________ .;_ ____ .;._;; ___ __;;.;;_;.;.;,;..;.;_;...:...._;_,
~ )// CARLSBA~ UILDING DEPARTMENT A~.-.-ICATION & PERMIT 'I / 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOs;~; ~ ft.A?( l,:::f_A .c.,-r Ai~T-ii;;:p~~NI ;;t~
1
LIC;: W~o PERMIT NUMBER
OWN£R"S ~~-~ . I OWNER'S PHONE PRIM£ CONTRACT~ CONTRACTORS PHO¥. ZONE 8t:--l8 l .. \s:::~_, \.\ 11 J -C: M. ~ .., D t.() .._ 'f (. L...C-,t Yo
0-ER"S MAILING ADDRESS CONTRACTOR'S ADDRESS "LICENSE NO. PLAN 1.0. # BLOG USE CODE
:_, ~"''-'· I U ,t S-l' 1. J. • ,,,'t~-v 1 L lJ 3~ ct !"'~ -~ fb::x_
LOT BLOCK I SUBDIVISION I 'I' ....... ~~~0-05 DESIGNER S~NSE # STANOAR-0 PLAN# BUILDING SQ. FOOTAGE
O£SCRIPTIONOFWORK -~ -· __ !l~9l~a67 I 6oa(Jj!.,o
t---------------------------------lDESIGNER'SADDIIESS -Dlil -Ii ~I.Jl.l,l!?fl I .., ... .,, l:J? 107, IU
~lA"""""~~,~ .t-bat . _ ___ ~------F/P FLR ELEV. NO OCCGP EDU STORIES
vO NO
CENSUS TRACT I GP LAND USE 1 PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPA AREA CONST
y O N D vO NO v□ NO Not Valid Unwss M.chine Certifii!d
QTY. PLUMBING PERMIT -ISSUE 4't5(} QTY. MECHANICAL PERMIT. ISSUE ~(JO SUMMARY/ACCOUNT NUMBER 1
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000·4220 /"'f-, ~
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·000·4221 r
/ EACH WATER HEATER AND/OR VENT --,.-,-_. •on BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK~.A ~ ,._A, /-~"1.n.<2r.r~ •
{ EACH GAS SYSTEM 1 TO 4 OUTLETS ~ ~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING r 01-000·4222 l l l .f!fn
EACH GAS SYSTEM 5 OR MORE -..,. METAL FIREPLACE ELECTRICAL 01-000·4223 •~./'JI}
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·000-4224 r
/ EACH VACUUM BREAKER '7 CJ". MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE) SOLAR 01-000-4226 ft:-,,. t)O
I ~---'-----------~ .,_ TOTt.L MECHANICAL STRONG MOTION 65-640-0519 • -/,.;?
TOTAL PLUMBING I 'l... ~ l&J . r1' 11 FIRE sPRINKLERs 01-000-4,21 -
QTY. ELECTRICAL PERMIT· ISSUE J.(J() QTY. SOLAR. ISSUE :~~~~~ ~:~ILITIES FEE 25-ooo-4933
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65·623-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65--624·0519
1 PH 3 PH PUMP San Dieguito 65·625-0519
/ REMODE L/ALTER PER CIRCUIT t::: ./Yl PLAN CHECK FEE San Marcos 65·626-0519
TEMPPOLE 200AMPS V 1 (\r'?
OVER 200 AMPS ~ _ _ ~ / _,/"\ J-'i\'t-
TEMP OCCUPANCY (30 DAYS) -----+------lt---f-{/ J'{ \ \ / _. /V VI '-._ ---+':t--1--tv~ ..... 't--J-----\,_,:-. _ __,,~----~.,,-:,-+.-----11--------------+-----------l
TOTAL ELECTRICAL I 1 _oo I TOTAL so~ f..l:j,oo TOTAL FEES PAYABLE I t O 1, ~o
I HA\11:CAREFUUY EXAMINEOTHECOIIIIPLETEO "APPLICATION ANO PERMIT" ANO DO HEREBY ~ --'rtlle8uilding0fticialunderlheprovia,onaofthia * AN08HA P£MIIT IS IIEQWIED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT AU INFORMATION HEREON INCl..uortlt THE CGd9 .,_.":j'lJ;j!P)ipiiiiiici and !lee-. null -VOid If the building or worl< ·5" O" DEEP ANO OElllOUTl0N OR OONSTAUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE If' A flEIIMJJ_ ts IUlllorilllcl IIJ, :J . ..__ la IIOl-icacl .m,,n 180 days lro"! the dale ol auch STRUC'IUIIES OVER 3 -.. HE"'"'-Plrlllit. -"l ·-I ..... aulllOrlad by IUCh permit .. -pended or ... ...._. ...... l8SUEO: TO COMPLY WITH AU CITY, COUNTY AND STATE LAWS GOVERNING BUii.DiN$«: lll•dl?'Nd'II · .__. .. _icacl tor a...,.,.., of 11111......,_ • ~..:'fr~~cirv~~:R=Ai:::.~Att~:.~J:g_i:i=~MD ·--·-• -OWNER□ CONTRACTOR~ A::r.f)VEDBY II DATE ~~ :'~is M~~ ~ WAY ACCRUE AGAINST SAID crrv IN CONSEQUENOEC>F 1JtE -/7\. 4 i-1 ~ BY PHONE b ~ t1~ i-1 <o . q . '8 z.
,
~ u::
>,
iu
0 C.
E
{!;
I
"O 0 <!l
f l <II .2 a. C. 4:
I
_:;::
C: a:
0 VJ
VJ Q) VJ VJ 4:
I
~ .2
ai >-
ui VJ Q)
0 0 a:
<II co 0
~
Q)
0 C: <II
C: u::
C: Q)
Q)
<!i
0 0
Q)
C. VJ
C:
.! :2 s:
INSPECTION TYPE DATE INSPECTOR
BUILDING
i=OUNDATION " REI NFORCED STEEL ~ / JI"'" If
I
MASONR Y I
I GUNITE OR GROUT I
FLOOR & CEILING SUB FR AME I
I SHEATHING I
FRAME I l I
EXTERIOR LATH lNSULATION I
INTERIOR LATH & DR YWALL i
PLUMBING I t --
SEWER AND BL/CO !
PLUMBING UNDERGROUND ' ~-/1-112-f
PLUMBING TOP OUT I ,
TUB AND ~HOWER PAN I
~
GAS TEST I IL-
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND 17-'7~~, ,..,,
I
ROUGH ELECTRIC .
ELECTRIC SERVICE
BONDING ~ ~-/1-91-If
G. F. I. -SMOKE DETECTOR I
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS -
VENTILATING SYSTEMS . ' ' , ~-..6
CA LL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHAN ICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF ocr -,ANCY ISSUED •
..,
--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE • PRIOR TO -FOUNDATION INSP ... .
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING ·-HIGH STRENGTH
BOLTS
SPECIAL MASONRr
-
PILES CAISSONS ,....,_ .
-
l"°•
~-. ~
'
'
.
"'i ,,,.,.--:_ -... -.
---)
'
-
... ·.;;
-c..t ' •c • r ,__ --~ " -------
-. '
----
-+ --~~ .
I /! . I r
I '
I INSPECTOR'S NOTES l' ,.r-\ , ' I
DATE L -'-' ; ----
_,..-;I'
-,, -
:~.
-
.. r-• ,,. . ~ .
~~' ,-
' "-,._"
.
' I~ -\'f, \~~
1 ~. ~ C 1 (:· ,. i .. '":" . ~ ,., ..-.. ..:; -=----=-.. -· 'u .., ,4, ,_ ...
. --~:.'
F"..:~~S-l
·--
,. --~ -~ . ,,
_ . ._ ~~., _ ~•1~~-T--I " -~---~· ~ "'· ~ ~---~ .. ·-,_ --' 1' • llt-. .. t. -~ 1 _,. , ... , 'r ;, .,
~ -·~ .... -=--L-'--,'
I .
~-\ --=···,,, t ,.;_, ,=-,, ~ ... '·.. . -~-' ---I.,-•.._ -~~-·-·1,~~ .. I ~-t, r .-:--ii.. ~ "1{-: ~ ) ----,:c--" ---.;;;.:--,, ~ --"'\. ~:;-' .... ""'-·' ,, ' -.
.. .
I :--. .
'L----
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUI~DING ADDRESS, {!.)_ 7 {, 1!~
.2.1~ _ 3yo -oS--
PLANNING DEPARTMENT
.,~ECEIVED
DATE: __ J-1+U1NN----'-,7r-1P-498911'2~-
CITY OF CARLSBAD
Building Department
ZONE __________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ____________ UNITS PROVIDED ____________ _
PARKING SPACES REQUIRED PROVIDED ------------
% COVERAGE ALLOWED PROVIDED ------------------------
BU IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
/ROVIDED _______ _
NTRUSIONS
l ANupCAPE & IRRIGATION
ENVIRONMENTAL
OK TO ISSUE: TO FINAL ________ DATE ____ _
ENGINEERING DEPARTMENT rrJ pc
R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS ---------------
SEWER CONNECTION
GRADING PERMIT
________ DRIVEWAY LOCATIONS ____________ _
______ EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTION _____________________________ _ . ADDITIONAL COMMENTS ____________________________ _
OK TO ISSU£ DATE&j;f:51,,--:wr ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
FIRE HYDRANTS LOCATION __________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQ~IREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
84•'''
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
~it!' of l!arlsbab
TELEPHONE:
(714) 729-1181.
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new 0£ replacement
fossil-fueled heater will be issued until this certification is
e.xecuted.
For the swimming pool located at 2 1-7~ -/J/o 2v ~le ~--+
(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heater.s will be met:
1. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to 'allow future solar installation.
4. After January l, 1982, new heaters installed must have 75%
thermal effi.ciency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Print Owners Name:
Owners Signature: ;;?/JU? Date: b:' 7-Y-'2._
Print Contractors Name: _ __,E:;N...,_4-~B"'-'-t~CU..,=-"A..):c.,_ ______________ _
Contractors Signature:
Address: