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HomeMy WebLinkAbout111 SEQUOIA AVE; ; CB881115; Permit.,, z 0 j:: C C C ..J u Ill D C g [-[]I' I hereby alllrm that I am licensed under U "llftffltlon• of Chapter 9 (commencing with : Section 7000) of Division 3 of the Business .-and Profa99ions Code, and my license is in ~ lull lorce and effect. u C Ill D ..J 3 ~ Ill z 3 0 z 0 j:: ~ z Ill CL 2 0 u .,, a:: Ill >i: C 0 3 ![ I hereby affirm ltlat I am exempt from lhe Conlrac- ror·s License law tor the fotlow1ng reaso (Sec 7031 5 Busmess and Professions COCle Any city or oonly whK.r, re-quires a permit to construct. alter. 1mpr e demolish, or repair any s1ruc1ure. poor to 11s issuance al requires !heap• pl1canI tor such perm,I to tile a s,~ned temenl lhal he Is l1Censed pursuanl 10 lhe ptov1s10f1s !he Contractor s License Law (Chapter 9 commenc•r'IQ 1th Ser.lion 7000 ot 0iv,s10n 3 ol the Business and Proless1 s Code) or that 1s ex-empt 1neretrom and the basis for lhe eged exempttOn Any violat10n ot Sec110n 7031.5 by an ap ,cant 10, a permit sub- 1ects the apphcant 10 a c1v1I penally not more lhan five hun- dred doi~rs (5500) I. as owner ot tne prope,ty. as 1he1r sole compensallon. w11 lure 1s no1 ,nrended or o11ered and Profession~ Code-The nor apply 10 an owner ol p thereon and who does s\Jch k h1mselt Of lhrough his own emptoyees. provided Iha! ch improvements are nol mt end· ed or offered for sale II. ever. the building or Improve-- ment 1s sold wtlhm one y r ol compleflOn !he owner-builder will have the burden of roving that he did not build or ,m- orove for lhe purpose sale) 1. as owner of t property, am exclusively contracting w11h licensed contra rs to construct !he pro1ect (Sec 7044, Business and Profe ons Code The Contraclor's License law does no1 apply o an owner of prOJ)erty who builds or 1m· proves tnereon. a who contracts fOJ each proteets wnh a contrac:tor(s) hce pursuanl to the Cont,actOl''s license Law) ... As a horn er tam improving my nome. and 1ne f~low ing COndl!IOl'lS e 1st 1 Tne ork 1s being per1ormed prKX to sale 2 I na hved m my name for twelve months poor to completion of 1h1s wOl'li: I have nol cla1mecl 1n1s exemption dunng lhe las! lhree years D I am exempt under Sec ______ , 8 & P C !Of lhis reason ____________ _ r/' hereby affirm that I have a cemticate of consenl to ~sure or a cert1hcate of Workers Compensation In- surance or a cer11f1ed copy thereof tSec 3800. Labor Code) POLICY NO F~'"t~O :_'.:MPANY ~\~ ~ 1s filed with the c,ty 0 Cert1t1ed copy ,s hereby lurmshed CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATI INSURANCE 0 I certify that in the pe,I mance ol lhe work for which Ih1s permit 1s issued. I sh not employ any person 1n any manner so as to becom ubJec1 to the Workers· Compen- sation Laws of Caltf la. NOTICE TO A.PPLI NT: It, after making this Certificate of Exemption. you uld become subject to the WOfkers· Compensation pr is,ons of the Labor Code. you must torthw1Ih comply with such prov1s100s or this permit shall be deemed revoked D t hereby affirm that there ,s a construction lending agency for the performance of lhe ~ for which this per• mI1 Is Issued (Sec 3097. C1v1I C~) USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT .-2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1 161 JOB ADDRESS AV. ST.RO. THOMAS BROS NO. ID~J2SJ~;;ONI t3SI 5EZ:. VALUATION PERMIT NUMBER /II s:'~q ,1n1~ ~T /9A'o itl \ \5 LOT I BLOCK I Sl/y:)IVIS1QN I AS~~t Pt-CEL NO. d CONTRACTOR CONTRACTORS PHONE • ZONE C. ~ 0 rr,.-/J/,.3-0 ~p~ Poels t~ ~-- OWNf R'S NAME ~4:N;;.;Oz ~ -~-"~a s"'°"".e:. ~soc::-CONTRACTOR'S AOiJRESS STATE LICENSE NO. BUILDING SO. FOOTAGE zc::ios--c; .~~1o~,. ~( 7"-{ / OWNER'S M'2-~A"t!. ~ ..L Ai • t)-2, DESIGNER'S PHONE _'C_ ..... -~ ~ DESIGNER r --~ "f..\_._ .._ . I"" ..,h q-,,_-, L DESCRIPTION OF WOA~ . <e...4... DESIGNER'S ADDRESS STATE LICENSE NO. ' M.P.77 F/P FLA ELEV. NO OCC GP EDU STORIES 1512 08/25/88 0001 01 02 vO NO --I CENSUS TRACT I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD Fl RE SPR BldPllt 76-0• AREA CONST y O N 0 vO NO vO NO Nor Valid Un~s Machine Ctrtdied . ~ ?£e-QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE /5 Y3L SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU ~UILUINt, Pti,M11 001-810·00·00·8220 4¥.., EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00·8221 I EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891 ~c;, 1 EACH GAS SYSTEM 1 TD 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 /"i EACH GAS SYSTEM, OR MORE METAL FIREPLACE ELECTRICAL 001-81 0·00-00-8223 /5 EACH INSTAL. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810-00-00·8224 I EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS MOBILEHOME 001·810·00-00-8225 WATER SQFTNER RELOCATION Of EA FURNACE/HEATER SOLAR 001·810-00-00·8226 EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92-33 I TOT.t;L MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227 101 AL PLUMBING I I .!J _o ?UBLIC FACILITIES FEE 320· 810·00-00-87 40 BRIDGE FEE 360-810-00-00·87 40 QTY. ELECTRICAL PERMIT -ISSUE -~<51--QTY MOBILE HOME SETU P PARK-IN-LIEU (AREA l NEW CONST EA AMP SWI 8KR CAR PORT TIF 312·810·00-00·8835 1 PH 3 PH AWNING LA COSTA TIF 311-810·00·00-8835 EXISI BLOG EA AMPISWT SKA GARAGE FMF 1 PH 3 PH LICENSE TAX 001 ·810·00-00-8162 r-1_ REMODEL AL HR PER CIRCUIT MFF 880-519-92-57 TEMP POLE 700 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) CREDIT DEPOSIT < ~q ;> TOTAL ELEnRICAl I 15 ft) TOTAL TOTAL FEES PAYABLE l 7b tri> I HAVE CAREFUL~Y EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND 00 HEREBY E1tp1rat1on Every permit issued by the Bu1ld1ng Oft1c111 under the prov,s,ons of 1h1s * AN OSHA PERM:T IS REOUIMD FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOING THE Code shall expire by hm1tat1on end become null and void It the building o, w ork 5' O" DEEP AND DEMOUTION OR CONSTRUCTION OF authorized by such perm,1 1s not commenced w1tnin 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ :~~~n~ 1~t 1:~v ~,;!!'~H.~~h:~!,:~!h~~~~le:~~~ :9~~~'~,S~:ged~~ or STAUCl\JRES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON STRUCTION. WHETHER SPECIFIED HEREl N OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If-OWNER[] CONTRACTO~ ri: I EO BY] DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE G,~ BY PHONE fJ GRANTING OF THIS PERMIT ,~ I i·~"-fa I ~ LL >, 05 0 Cl. E Cl) t- i 'O 0 (.'.) C «I -~ a. Cl. <i I "" C ii 0 t/) t/) Cl) t/) t/) <i I ;: .2 Q) >- Cl) u C «I C LL :::: C Cl) ~ c., 0 u Cl) Cl. t/) C Cl) .c ~ TYPE DATE INSPECTOR BUILDING FOUNDATION A _.. .,,~ n.✓• REINFORCED STEEL 1-.·n· ,, ,~.,. MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING D ROOF D SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUM.BINµ □ SEWER AND B UCO -□ PUCO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER A ,, TUB AND SHOWER PAN 13 ·{ • l1 fL1'l GAS TEST D WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMPORARY ,, ~ONDING }S-f'OOL rt·t'i•'R fr.£. MECHANICAL D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS I , CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. FINAL ., PLUMBING ELECTRICAL ,._ MECHANICAL , . t'L' \ l.. GAS V .... ~- BUILDING \... \ \ "'> SPECIAL CONDITIONS I\ ... ' ' ., . - . C2,~~luS-.. \ . FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL -I .. SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY ' PILES CAISSONS ' . ' ' .. , .. -: " . .... \ {· . ' l •J '1:C.-T _.,,. '\, Pr.i 08\.'Q\P,8 OOOT OT OS . :. - -< / ·-.... . f . . -.--l . . . -. --.. -. \ . . ---. . , . ---~. . . . .. , . ' -. . r i~" . . f 1· . -. .. r •-~ .. 4 ' ' > ~ ' • - PLAN CHECK NO~ <"/ ---- //15 ADDRESS _/_(_/ __ 5_:z~l.i_C>_/A ___ _ I.. QI 3 QI ·s: QI QI .... o:~ D □ -.. .!2 .:ii: .... u C: Cll ~ PLANNING ZONE: TYPE OF PROJECT AND USE: ✓ S.PA-----SCHOOL DISTRICT: SAN DIEGUITO SETBACKS: FRONT DISCRETIONARY ACTIONS: -------------ENCINITAS SIDE CARLSBAD SAN MARCOS REAR -----------------------REDEVELOPMENT PERMIT REQUIRED: --------------------LANDSCAPE PLAN COMMENTS: ENVIRONMENTAL REQUIRED: ---------------------------------------------COASTAL PERMIT REQUIRED: YES NO ---------ADDITIONAL COMMENTS: _____ ___._ _________________ _ £NGIN£ERING LEGAL REQUIREMENTS LEGAL DESCRIPTION VERIFIED? APN CHECKED? --------------- EASEMENTS: RIGHT-OF-WAY: --------------------- EDU' S: DRAINAGE: ------------------------- IMPROVEMENTS: -----------=F"""I""E""'LD-c""'HE=c=K,-,,,-DA.-:T=E,-&'=""""'I=N=-=-I=n=--=A~L-=-s-: ----- PERMITS REQUIRED GRADING: ___ _...,_ _______________________ _ GRADING COMPLETION CERTIFIED: ____ _ DRIVEWAY: INDUSTRIAL WASTE: FEES REQUIRED PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL FEE: _____ _ --------- P.F.F.: FACILITIES MGMT. FEE: SEWER FEE (CONNECTION): SEWER LATERAL: ADDITIONAL COMMENTS: I COUNTY OF SAN DIEGO DEPARTMENT OF HEALTH SERVICES .. -. .. .. ~ Division of Environmental Health Protection 1700 Pacific Hwy., San Diego, CA. 92101 (619) 236-2243 , PLAN CORRECTION SHEET PLAN CHECK#: PAGE . ._-:, I 7 J,./ 1 .' OF / s.,y,,. ADDRESS: PHONE: / ,, / ------------------- I / Address of Proposed or Remodeled Heal th Regulated Building : ________ 1_, _______ 1_A ___ .,._,,..:,._'r_>_l'J" __ TYPE OF BUSINESS: __ ~~~ _____ RECHECK REQUIRED CHECKED BY: 1 ",J""~ ~ ITEMS I I I I I \ ~DHS:EHP-886 (4/84) /vJ APPROVED ,I ,1../.J..-- r ,. l