HomeMy WebLinkAbout1017 TULIP WAY; ; CB880560; PermitUI z 0 ;:::
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O I hefeby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 ot the Business
and Pfofeaalons Code. and my license is in
lull force and ellect.
I hereby alt1rm that I am exempl lrom ll'le Conlrac·
for s LICense Law !or the following reason (Sec 7031 5 Business and Professions Code Any city or county wtuct, re-quires a permit 10 conslruct. alter. ,mprovt demohsh. or
repair any slruclure, poor to I1s issuance also requires !heap·
phcanl lor such permit lo l1le a signed stalement Iha! he ,s
hcensed pursuant to ll'le prOYIsIons ot the t.:ontractor • s
license law (Chapter 9 commencing wrth Section 7000 ol Oiv1s10n 3 ot lhe Business and Ptotess1ons COde) or that 1s ex:
empt lheretrom and lhe basis lor the allegea exemphoo Any violat,on of Section 7031.5 by an appl1can1 lor a perm11 sub-
Iects the apphcanl to a civil penalty ol not more lhan hve hun-
dred dollars 1$500)
I, as owner 01 the property. or my employees wilh wages
as I heir sote compensaoon. will do the wOl'k _ and the slruc-ture Is nol inlended or ollered for sate {Sec 7044. Busmess
and Prolessron~ Code The ContractOI' s L.cense law does
nor apply to an owner ol property who btnlds or improves
!hereon and whO does such work h1msell or lhrough n1s own
emoloyees provided lhat such .mprovements are 001 ,nIend· ed or offered for sale II, however lhe building or improve-
ment ,s sold w1th1n one year ol completion_ lhe owner-builder wtll have the burden ol provrng lhal he did nol build or 1m·
prove lor the purpose 01 saleJ
1. as owner ol tne property. am exclusively contrachng
with licensed contractors to coostrucl the p,o,ect (Sec 7044, Busmess al'ld Proless.ons COCle The Contract()('s License Law does noI apply to an owner ol propetty whO bu,kJs or rm-proves thereon. and who contracts lor each pro,ects wllh a contractoc(s) hcense pursuant to the Conuactoc's License Law)
! l As a homeowner I am Imp,ovmg my home and the follow mg conc:hhoos ex,sl 1 The work Is being pertormed priOf to sale
2 I have hved m my hOme for twelve monlhs prior 10 complet!On ol this work
I have nol clarmed lh,s exempI100 durmg the last lhree years
g :n~: ,:~:1 under sec ______ , B & p c -------------
C I hereby allirm lhat I haYe a cer11l1ca1e of consen1 to
sell•insure or a cert1f•cate or Workers Compensauon In-
surance 01 a cert1f1ea copy lhereol (Sec 3800. Labof Code)
POLICY NO
COMPANY
Copy IS !tied with lhe city
~ Cert1f1ed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need no1 be comp{eted ,f the permit
is lor one hundred dollars (S 100) or less)
0 I cet11fy Iha! in the perl0<mance of lhe work tor which
this permit 1s issued. I shall not employ any person in any
manner so as 10 become subJect 10 the Workers Compen-
sation Laws of Cahforn,a
NOTICE TO APPLICANT It. after making lhiS Cer11f1cate
ol Exemption. you should t)eeome subject lo the Workers
Compensation Pf0Y1s1ons of the Labor Code. you must
forthwith comply with such prov1s1ons or this permit shall
be deemed reY0ked
0 I hereby alfirm !hat lhere is a construction lending
agency for the performance of the work tor which this per-
mit ,s issued (Sec 3097. C,'111 COde)
Lender's Name
Lender s Address
USE BALL POINT PEN ONLY & PRE!S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Pa lmas Dr., C arlsbad, CA 92009-1915 (619) 438-1 161
PERMIT NUMBER JOB ADDRESS AV. ST.RO THOMAS BROS NO. I DAY E :F27~1g~NI
BUSINESS LICENSl).,, ~ j ~LUA~r11 lo\7 Tv\ .. '~ y $"0 z.:~ 9 ~}ftObie BLOCK -MUBOIVISION .J ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE" I , ' b LOT 28°? -">~ s .-:"' k '-'' \ v .... ,-+-~ \.( c,J \ '"' ,~ ... , 9 c./</-o 14. 7 OWNER"S NAME I OWNER"S PHONE
s~""-w~o~,f'J u CONTRACTOR·s ADDRESS ' STATE LICENSE NO.I
BU~~!;GE t.t8" ' €"?0\ -Z,\ "u.;, o-R.,'-c~ , O\Co,~ 4 .5V2~~ OWNER'S MAILING AOOA ESS (_
I0\.7 Tv \,'~ w~v DESIGNER
~:·)_-.'~4
DESIGNER'S PHONE
~~V\ OESCRt$Tr~ OF WORK / ~ I g HIV ., (;, o.: 'o ~ De.c.: OESIGNER"S ADDRESS STATE LICENSE NO. ~'\) , . , 1
F/P FLA ELEV. NO OCC GP EDU ~ os~2 0101 02r.1o~t 90." STORIES ~ v0 N0 -"(, . ~ "'?;,<o ~ I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TVPE OCC LOAD Fl\!]~ ~ -~ ~',-AREA CONST \j~ ~,'1 ·'-',~~ ..
y D ND ,□ N□ vO NO .\.\' No-.-.,,-chine Certd,ed
QTY. PLUMBING PERMIT • ISSUE IJ{! QTY. MECHANICAL PERMIT· ISSUE /~-~ SUMMARY/~~~•~~~BER .... • . .c ~
EACH FIXTURE TRAP • INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING ·tt1ml I ~... . .... "'"" vv-00-0llU ~~ c...J-
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT ·''-"'° 1 ·810·00·00·8221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK \\"-' 001 ·810-00-00-8891 c'2~-
EACH GAS SYSTEM I 10 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 i ·810·00·00·8222
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223
EACH INS IAL . ALTER. HEPAIH WAI EH PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS 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 I -TOT i=.L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00·8227
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·8740
---~!:L MOB ILE HOMF SETUP
BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT • ISSUE QTY. PARK-IN·LIEU (AREA --... ----)
NEW CONST EA AMP SWl BKR CAR PORT /-~----... 6/l~ TIF 312-810·00·00-8835
I PH 3 PH AWNING /o,.:r ... ..... ~ LA COSTA TIF 311·810·00-00-8835
EXIST BLOG EA AMP SWT SKA GARAGE fti,l -~ FMF
I PH 3 PH r.:.• HAT l~HH ";a LICENSE TAX 001·810·00·00·8162
RE MOOE L AL HR PER CIRCUIT ;. PAID r MFF 880·519·92·57
TEMP POLE 700 AMPS
,. YIJ I:'. ., I~ l'\r ,.,._,...,-..;,;_;:-•-
OVER 200 AMPS \'~ CARI.Sll~O r~C ~
TEMP OCCUPANCY 130 DAYSI \.C-A. ~~ ,o. ~ 1\,3/ CREDIT DEPOSIT
TOTAL ELECTRICAi I ffi"tM.VGo.,-~
TOTA L FEES PAYABLE I CJo-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY Exp1r1t1on E-wery permit issued by the Bu1ld1ng Offlc1al under the pr0\ltsions of this * AN OSHA PU .. :T IS REQUIMO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••p•re by hm1tat1on and become null and void If tne building o, work ~-O" DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by such perm,t lS not commenced within 180 days from the date of suet\ DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I& :~~~n~ ·~, t:~v ~~:1~H.~~h:~~,:~!h:~~:1~le~~~~ rn:~~'~r'i:r;.~ 0
'
STRUCT\JR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y ANO STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLICANTS 7;:::_R:.. • OWNERn CONTRACTOR 0 APPROVi 7 ;i-/2//1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,_ BY PHONE rJ GRANTING OF THIS PERMIT r
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TYPE DATE INSPECTOR '\
BUILDING C,6~go~
FOUNDATION « ~ FIELD INSPECTION RECORD
REINFORCED STEEL '.,.:-} ~
MASONRY . REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF D SHEAR
FRAME
INSPECTION REQ IF INSPECJ,0.A'S DA-Ti ' CHECKED APPROVK I,,. ., ' ' SOILS COMPLIANCE .. -PRIOR TO 1-.; ..
FOUNDATION INSP ,J , \ . ,, ' •"
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
STRUCTURAL CONCRETE \.~ !:..-J OVER 2000 PSI ~· 11'1,") :::-
PRESTRESSED !> h-i \ ◄' ,,,, O· CONCRETE d\ .T. ,:.,
POST TENSIONED
~' ~ , • CONCRETE ~~. ~<?:
PLUMBING FIELD WELDING . ~, 'S'J~
□ SEWER AND BUCO □ PL/CO HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
'
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
•:
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D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
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<-:,,~ ··•'.(, ..,.• . \ ' L ~ -• -• #,
D BONDING D POOL <# ~ ,~ \;' -· f' ;"\ '.,':1·· ..__ ·-'-~ ~;,_
MECHANICAL
D DUCT & PLEM., D REF. PIPING
1, .. ,.. ..,,('-r -..._ ( ~. c>.c;-._ ' ..... _, ',,. "' I ~o < ,.J ....
-,.•• T • c:;;,
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
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FINAL ,I
PLUMBING /-2.o \ft
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ELECTRICAL , f -...
MECHANICAL "' ... \' . ,
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GAS ~ \ -BUILDING .
SPECIAL CONDITIONS .
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