HomeMy WebLinkAbout2642 SUTTER ST; ; 87-14; Permit.,, z
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O I hereby affirm that I am licensed under 1
prOYlalona of Chapter 9 (commencing with 1 Section 7000) of Division 3 of the Business I
and Profe91lon1 Code, and my license Is in
full force and effect.
I hereby afhrm that I am exempt from 1he Conttac·
tor's license Law lor the following , .. son (Sec 7031 5 Business and Professions COde: Any city or county wh1cn re-
quires a permit to construct, alter. improve. demolish. o, repair any structure, prior lo 11s issuance also requires !Ile ap-
phcant fOf such perm,1 to tile a s.gned statemen1 that he 1s hcensed pursuant to the provisions ol the t;on1racIor·s
license Law (Chapter 9 commencmg with Section 7000 ol Div1s10n 3 o1 lhe Bustness and Professions COde) or that 1s ex·
empt therefrom and the basis for the al•egea exempt10n Any v10lat1on ot Sec110n 7031.S by an apphcanl IOI' a permit sub•
1ects the apphcant to a c,v,1 penalty of not more than live hun·
dred dollars ($500)
I I I. as owner of the property, or my employees with wages
as !heir sole compensation, will do the work. and the struc-
ture 1s not intended or olfered for sale (Sec 7044, Business
and Professions Code· The Con1rac1or·s license Law does
not apply to an owner ol property who builds or improves thereon and who does such work tumself Of through his own
employees, provided that such ImprovemenIs are not mtend· ed or offered for saJe. II, however, the budding or improve-
ment ,s sold w1th1n one year ol compie11on. the owner-buitder will have the burden of proving that he did not build or im-
prove tor the purpose of sale).
n I. as owner of the propeny. am exclusively contracting
w11h hcensed contractors to construe! the project (Sec. 7044. Business and Professions Code· The Contractor's License
Law does not apply to an owner ot property who builds or Im• proves thereon. and who contracts for each projecrs w11h a contractor(s) license pursuanl to !he Contractor's License Law)
□ As a homeowner I am improving my home, and lhe follow
lng conditions e.iust·
l . The work IS being performed PflOf to sale.
2. I have live<i in my home fo, twelve monlhs
pr10r 10 completion of this work J I have nol claimed Ih1s exemptlOl'I during lhe las! three years.
D I am exempt under Sec ______ . B & P.C. lor this reason
D I hereby affirm that I have a cert1hcaIe ol consen1 10 1 sell-Insure. or a certificate of Worlters' Compensalion In-
surance. or a cert1f1ed cooy thereof (Sec. 3800. LabOr Code) f
POLICY NO
COMPANY
D Copy Is filed with the city
0 Cert1t1ed copy 1s hereby lurnished
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2 0 CERTIFICATE OF EXEMPTION FROM
0 WORKERS' COMPENSATION INSURANCE Cll i is section need no! be completed ii the permit I ii: is for one hundred dollars ($100) or less) I ~ certify !hat In llie performance ot the work for whieh I a: 15 permit 1s Issued. I shall not employ any person in any ~ manner so as to become subject lo !he Workers· Compen-I
> sat,on Laws of California. I
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NOTICE TO APPLICANT: If. after making lhls Cerllficate f
of Exemption. you should become subJect lo the Workers· I
Compensation provisions of the La~r de. you must
forthwith comply with su";;;;J'h pr ·sionsor is permit shall I
be deemed revoked. I
~ . :
D I hereby affirm that there is a construchon lending I
agency tor the performance of the work for which this ptH-I
mil is issued (Sec. 3097, Clvtl Code) I
Lender·s Name _____________ I
Lender's Address, ___________ _
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 92009-4859 (619) 438-1 161
/
~,4!ESS s~-"4tff_ ~ All, ST.RO NEAREST CROSS ST.
j°;T~O~:L;~NI 8~1ss
1
L;ENS;r ....-VALUATION PERMIT NUMBER
1:2.,ti ....
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BLOCI< ,.,. I SUBOI VIStON I ASSESSOR PARCEL NO D CON~TOR .c-l CONTRACTORS PHONE • ZONE , ,-
. lt-,Slll~O r-. ... ___ ro~ . Ce q("l.-Pt~~, OWNER'S NAME v ... s~c..'i:. I OWNER'S PHONE
~WV,..~
~~~To; :~o;: v • .1 \ ~J,4 STATE LICENSE NO. BUILDfNG"SO. FOOTAGE
4~4., \4 0;~4;NG s::t\ ~~ s4-DESIGNER DESIGNER'S PHONE 11_ -tw'\u.J"1U. 'De.~, ~'IU DESCRIPTION OF WORI< \ ()(_ LI" <Rc.t4',...,:.,.... u.iAU .
DESIGNER'S ADDRESS II STATE LICENSE NO. _-p c;~-11 v~LS ~ 0002 001 01/09/B?PRMT 36. --.. -F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO --
I
I PARK ING SPACE I RES UNITS I GRACING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST
YO N 0 vO NO vO NO Not V;lid Un/en Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7 ,,',0 QTY. MECHANICAL PERMIT-ISSUE -? ,tJIO SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDlNG PERMIT 001-810-00-00-8220 ')---;v"'-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810-00-00·8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00-00-8821 ft-
EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00-8222 --EACH GAS SYSTEM 5 0 R MO RE MET AL FIREPLACE ELECTRICAL 001-B 10-00-00-8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 -r--EACH VACUUM BREAKER ME CH EXHAUST HOOOIOUCTS MOBILEHOME 001·810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810-00-00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92·33 ---.S'<J
TOTJ;.L MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227
TOT AL PLUMBING I PUBLIC FACILITIES FEE 320·810-00-00-87 40
BRIDGE FEE 360-810·00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE 5':tJO QTY. MOBILE HOME SETUP
PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 134 ·810·00-00-8835
I PH 3 PH AWNING LA COSTA TIF 133-810-00-00-8835
EXIST BLOG EA AMPISWT BK R GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810-00-00-8162
REMOOEL ALTtR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I h~~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"' AND DO HEREBY Expir1hon Every permit 11sued by the Budding Offtc,at under the prov1s1ons of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde shall expire by llm1tat1on and become null and void II the bu,fd,ng or work 5 O" DEEP AND DEMOlfTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lF A PERMIT 15 au1horized by such perm11 ,snot commenl t with(, 180 days ffom the date-'"Iuct: STRUCTURES OVER 3 STORIES IN HEIGHT permit. or ,f the butld1nffX:ork authc ized b ~ch permit ,s suspended o, ..... ~ ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at •n~ time • t he *Ork ,s mmen to, a oeuOd ol 180 dav5 I
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPL¢~.· L -,~·-· 'O CONTRACTOR ~ APPROVED BY ;J-IDATEr/J /!; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND }t EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE GRANTING OF THIS PERMIT, --(J_ .
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TYPE I DATE INSPECTOR
BUILDING ~ i FOUNDATION i
. '
"'-l~ ,,,.,..,.. ~-•
: 87--IY .... FIELD INSPECTION RECORD •
REINFORCED STEEL J
_l
MASONRY \ .. ~ l . .
GUNITE OR GROUT .. i
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME D FLOOR ' D CElpNG SOILS COMPLIANCE SHEATHING D ROOF □ SlllEAR PRIOR TO
FRAME ' I
EXTERIOR LATH J
I
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION j PRES TRESSED
INTERIOR LATH & DRYWALL ' I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D flUCO
UNDERGROUND □ WASTE d WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN j
GAS TEST l
_J_ PILES CAISSONS
D WATER HEATER D SOLAR WATER
' ELECTRICAL I
□ ELECTRIC UNDERGROUND [] UFFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE D TEMPPRARY 0 -. -
□ BONDING □ POOL I " -.... -
j
MECHANICAL I
□ DUCT & PLEM., □ REF. Pl~NG
HEAT -AIR COND. SYSTEMS ;
VENTILATING SYSTEMS I
t r I . -'
CALL FOR FINAL INSPE~UON WHEJ,J~AH APP(i9P6#/A--TE . ·
ITEMS ABOVE HA E BEEN A PROVED. • • ·· ·
~i'.00:: l'\11.,. ,.,.. !"'t .,\ \ .--. I. L. _. I _: -j
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FINAL I , : ~ ! ~·· --ti •. --~-.. ·-:-··¥.'~ ,:.i ,,J -t ~ ~ . . . . . ; ~·
PLUMBING •. V -. , . -.,. ,. .. I
ELECTRICAL l
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MECHANICAL l ~ ..J
GAS . --:_,T" .. .,. -. ,,. ,_ ,-I .. . . ~
, >t , ' . . ,· . ~ . . . ' .. •:---BUILDING I
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SPECIAL CONDITIONS I -'--~ •
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• PLAN CHECK NO. ___ _ DAT~h
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PLANNING
ZONE: ,/ .... c_ TYPE OF PROJECT AND USE:___.i=;_* __ '---'_~----r-=-----~
SCHOOL DISTRICT: SAN DIEGUITO ENCINITAS
SETBACKS: FRONT q;(_ SIDE CJ,,,,.__
DISCRETIONARY ACTIONS~
SAN MARCOS
0( ______________________ __,;
REDEVELOPMENT PERMIT REQUIRED: --------------------LANDSCAPE PLAN COMMENTS: _____________________ ____;
ENVIRONMENTAL REQUIRED:
COASTAL PERMIT REQUIRED_: _Y_E_S ______ NO--x--"t--=-------------'
ADDITIONAL COMMENTS: ----------7 _____ ......_ _________________ __,;
OK TO ISSUE:~ --------
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? y,? APN CHECKED? ~~$
EASEMENTS: x) 12 v\. ,£.-RIGHT-OF-WAY:
EDU'S: J\~ ' DRAINAGE: A2 ,sWe,-.-,
IMPROVEMENTS: ~i l ~-ii ~l
rIELD CHECK DATE & INITIALS:
PERMITS REQUIRED
GRADING: ~)1 A --------"-~.------------------------
GRADING COMPLETION CERTIFIED:_...J .... l __ i\;-___ _
INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: i~ A ' FEE PER UNIT: rJ//4--TOTAL FEE :__._fv .... ft_.__ __ _
P.F.F.: i )/Jt TRAFFIC IMPACT FEE PER UNIT: ,//A TOTAL FEE:_./.,...)_)lf:.....__ __ _
FACILITIES
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MGMT. FEE: iJ01¢J:1k. ~yt: BRIDGE
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& THOROUGHFARE FEE: __ ,J_ryt ___ _
SEWER FEE (CONNECTION): tJ1~ SEWER LATERAL: tJ/f+.
c: ADDITIONAL COMMENTS: -------------------------
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DPD2:DPD6:10/24/86
_e~,~~~ ....... ~------< ___ DATE: 1-:1 , PjJ