HomeMy WebLinkAbout1911 SWALLOW LN; ; 81-268; PermitC i[
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I hereby afflnn tt,at I am licensed under
slona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
~~II:: and effect. Clm C.,--5?)
I hereby affirm that I ""' exempt from the Con-
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county which requires a permit to construct
111181'. improve, demolish. or repair any structure.
prior 10 Its 1.s:su.nce also requires the appticant for
such pennit to file a signed si..tement tttar he is
licensed pursuant to the prOYisions of t
tractor's Lteense La hapter 9 eom ing with SectiOn 7000 of Div of the Bu · and Pro-lessions Code) from and the
basis to, all . Any violation o1 Section 5 by r fo, a permit subjects tne applican to a b..ffi;;ii:JflL of not more than five
nun doll
ope,ty, or my employees
hei so compensation, w,11 do the the s t re is not intended or offered for
70o&4 Bu iness and Professio~s Code:
tr tor' Uc nse Law does not apply to an who builds or improves theteon
doe ch work himself or through his own
• provided that such ,mp<ovements a,e
not mt or offered tor sale. If, however, the
building or improvement is sokS within one year of completion, the O*ner-builder will have the burden
of proving lhal he did not build or improve lor the
purpose of sate).
□ I, as owner of the property, am exclusively contracting w11h licensed contractors to construct
the protee,t (Sec. 70U, BusinesS and Profess10ns Code: The Contractor's License Law does not apply
to an owner of property who builds or imptoves thereon. and who contracts for each proiects with a contractor{s) hcense pursuant to the ContfciCtor·s
license Law).
□ I am exempt under sec. _____ B. & P.C.
lorth,sreason __________ _
□ I hereby affirm lhat l ha'-le a~cel'tilicate of consent
to seH-msure. or a certificate of Wonters· Compensation Insurance, or a cert1hed copy thereof
(Sec, 3800. Labor Code).
POLIC't'N --
COMPAN't'...,,,-1,co=,..,,_u.._,_=~--t--\-
D Certified copy 1s hereby furnished.
CERTIFICAH:. OF EXEMPTION FROM WORl<ERS" COMPENSATION INSURANCE
(This section need not be completed 1f the pemut
1s for one hundred dollars tS 100) or less)
D I ce<11fy that in the per1ormance of the WOt1< for which 1h15 permit Is issued, I shall not empl0y any
person In any manner so as to become subJect to
the Workers· Compensation Laws of Ca.hfornia.
NOTICE TO APPLICANT If. alter makm3 1015 Ce<11-
f1cate of &emption. you shoukl become subject to
the Wonc.ers· Compensation provIsIons ot lhe l..abot
Code. you must forthwith comply with such
provIsIons o, ttus permit shall be deemed revoked
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{'ere afhrm tnat there ,s a construcllon ffi I '"° iilO nc the per1ormance ol the wOf'k lor 0 1ch lhl per IS ISS 3097. C1vll Code)
~ ·s an'F-----------_,
Lende,·s ddress _________ _
USE BALL POINT PEN ONLY & PRESS HARD ~---------------------A_P_P_L_IC_A_N ip FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBhO BUILDING DEPARTMENT AiPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
0ESIGNER"S PHONE £51:._ 1'-t1~r~( J\")
NO OCCGP EDU
STORIES
TYPE OCC LOAD FIRE SPA
CONST
CENSUS TRACT I GP LAND use I PARKING SPACE RES UNITS I GRADING f'.ERMIT ISSUED
YO ND
I REDEVELOPMENT
AREA
vO NO vO NO Nor Valid Unlt!ss ~chine C,mified . .
QTY. PLUMBING PERMIT -ISSUE 7,50 QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER -...
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT ~.-~o
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT . z. EACH WATER HEATER ANO/OR VENT e:,~o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK !?Ib. 7.L Pd "7-241
I EACH GAS SYSTEM 1 TO 4 OUTLETS "IA,t;o BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING LO.oo
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL J/L~ DO
EACH INSTAl .. ALTER. REPAIR WATER PIPE -"7•1,; -VENT FAN SINGLE DUCT MECHANICAL
2, EACH VACUUM BREAKER e:'.00 MECH EXHAUST -HOOO/OUCTS MOBILEHOME I
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE} SOLAR
TOTJ:.L MECHANICAL STRONG MOTION
TOTAL PLUMBING I // .,,f}, 01\ FIRE SPRINKLERS
QTY. ELECTRICAL PERMIT· ISSUE 1,, tlO PUBLIC FACILITIES FEE
QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMPISWT/BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT /BKR ~ ROCK STORAGE Encinitas
1 PH 3 PH ~ ..... PUMP San Dieguito
(JS; REMODEL/ALTER PER CIRCUIT J /!J,OO PLAN CHECK FEE San Marcos
TEMPPOLE 200AMPS . -
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI 1----+-------------
TOTAL ELECTRICAL I I '1,,oc TOTAL SOLAR TOTAL FEES PAYABLE I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY EXl)lratton Every permtl Issued by the Buildtng Ottic,al under the pr0Vte1onsofth,s
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code thall expire by hm,tation and become null and void If the building or work * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 19 not commenced within fBO days from the dat" of such -S' O" DEEP ANO DEMOUTION 0A CONSTRUCTION OF
STRUCTURES OYER 3 STORIES IN HEIGHT permit or 11 the building or work authorized by such permit is suspended or ISSUED: TO COM Pl Y WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· L..::•::::b:an:::do=n::::ed::...:at:_a::n::i•V~l:::•me~=•lt~er!!...!t!.:he~w~or!!k~i!!s.!:c~o!!m:::m.!!:en:=..::::ced~f~o~r~a...1oe~,n~od~o:_f ..!.J180=d,!.!a!.llvs_..,...,f-,,-t-..,..., _____________________ .,.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND -~ ::kC ~;!-APPROVED B't' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND T' SIGNAT E OWNER O CONTRACTOR , Jf
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE d H _.. BY PHO O -'f' -•~. II u/
GRANTING OF THIS PERMIT. ~ L,._._. -(;tv,r"""°"""'t
DATE
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION fl
REINFORCED STEEL ,., .. n ~
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME ,-
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO ' /I
PLUMBING UNDERGROUND At_1'l1 ,d/
PLUMBING TOP OUT
TUB AND $HOWER PAN j
GAS TEST ✓
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND /
ROUGH ELECTRIC ,/
ELECTRIC SERVICE , }
BONDING dLt-/1 ,Y
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN-APPROVED.
JOB SIT~INAL
PLUMBING " -
ELECTRICAL '-. -fl
MECHANICAL "" i ;J/LQ'l
GAS ~ l"r . .,-V
BUILDING "' SPECIAL CONDITIONS "" CERT OF OCCUPANCY ISSUED
-81-;l.1"7 ~
FIELD INSPECTION RECORD
REQUIRE.D SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONC~E
OVER 2000 PSI -
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES1CAISSONS ,
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INTERDEPARTMENTAL INFORMATION SHEET
r~ILDING DEPARTMENT
BUILDING ADDRESS: .. .,
fff!;J ;;.;;;-r-OS;;. -0 I ,
PLANNING DEPARTMENT
DA ECEIVED
JUL O 2 1981
CITY OF CARLSBAD
Bulldlng Department
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED ----------------------
PROVIDED -------------% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED PROVIDED ----------
FRONT SETBACK: SIDE SETBACK:
ALLOWED -------
PROVIDED -------
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS: ~ ;
REAR SETBACK:
~~
OK TO ISSUE: ,v/lf= DATE7-2..-t bK TO FINAL _______ DATE ___ _
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ---------------------
SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS DRAINAGE ---------------------
LEGAL DESCRIPTION C,, t ? 9 -2J7 It
ADDITIONAL COMMENTS ----------------------
OK TO ISSUE:!W}Q., DATE 1.a-r81 PWI OK TO FINAL DATE ------------
FIRE DEPARTMENT
SPRINKLING SYSTEM FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS __________ LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE ----------------------
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _____ ~---
SHI MM11JCi POO L AtlD SPA PU\N C1i°ECK
,.,, --
~ 1 . Tv10 site pl a ns to s cale sh \'>l ·ing:
--...,,. A. Legal dcscripti on an d ad lress.
~-42 11 minimum he i ght pf fence and s e lf -c los ·ng
latchi ng gate s .
e 1 f-·.
"-..c. toc ll ti o n.
t i
Two foot cl arance from bu il ding s , pro ert_y
lines and slopes.
POOi..
riv e f oo cl ea rance from prop e rty li nes, bu il dings ,
top of sl opes and bottom of .slopes, unlc s surch rge
c a ·1 c u l a t i o n s u r c s u b m i t t e d f o r j u s t i f i c J t i o n .
"-, D. Loc at i on of heater .
1 . H e a t e r s · s h a l 1 c om p 1 y vi ·i t h a l l g o v e r 1 ·i n g c id e s a n d -manufacturer 's· r ec o111111e ndations. (St ckless mod els·
m~y n6t terminate c l oser than 1' hori zontal ly to
« n y o p r a b ·, c 1v i n d' o \'1 ) • -
2. May not be u nde r roof overhang s . -
_l;·4 ' c·l ear from pr operty l in es.
-......... 2 . I de nt ·ify ma nufacture of cquirme nt and spas for approval.
\\3.
4 .
Show ~ per draina~e of s~rfac c ~a er.
S h o \·1 in t t. ll o d of d i s p o s a 1 of po o l f ·1 u s h i n g 1•1 a t r .
i. Ca 11 o u t th e 1 o ca ti on for d i s po :i i'I 1 of e · rt h re 1a o v e d .
-6 . . E x p ,rn s ·j v e s o i 1 d e t o ·i l s a r e o b c u c d u n 1 c s " a s o i l s r e p o r t
~ fo r poo l site is s11b111 ittcd.
~ ~AAI.VY'!!i SL~-&: f C#~/1Jlk~~P,41~£L
p -~f!J(;___ tf/4:' i-R-' I U:t/4!: "'.1;f£,,.} 5:C~/.4,~ .r. dA:e: ,tJTudClle.#
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