HomeMy WebLinkAbout2082 TRUESDELL LN; ; 82-68; Permit.. ..
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~ hereby ati, ... f'that I am licensed unde<
pro-,)alona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
end Profeaalona Code, and my license Is In
~~:):~Dass !J / 1<'/'I
I -.by alhnn that I am exempt from the Con-
~~t~:~~,::: ~-~o;;t~~~1~c~.t~~i~ county which requires a permit to construct alter. Impt0Ye, demolish, or repair any structure, pno, to its issuance aJso requires the apphc1nt tor such permit to hie a s,gnec:J statement that he 1s hcensed pursuant to the P,OY1.st0ns of the Con-tracto,·s Locense Law (Chapter 9 commencing w,tn Section 7'000 of O,v,s,on 3 ot the Bus,ness and Pro-'"''°"' Code) o, that ,s exempt therefrom and the t,as,s lo, the alleged exompt10n Any YIOlatlOl'I of Sect10n 7031 5 by an applicant lo, a permit subtects tne ~teant to a c,wit penalty of noc more than hve nundfod clollars (S500)
C I, as owner ot the property, o, my employees ••th wages as their sofe compeosat,on, will do the
wo,tt, and the structure 11 not intended°' offered fOf' sale (Sec 704-4, Busmess and Protess,ons Code The Contractor's License Uw does not ~fy to an
Ownef of p,operty who builds 0t 1mpro¥eS thereon and who does such wont himself or lhrough his own
employees, prO"ltded that such Imp,0¥eme,1ts are not mtende1 or offered for sate If, hOwevet, the bu1k!1no or ImPf()Yement Is sold w1th1n one yea, of
completK>n, the owner-builder will have the burden ot prov,no tnat _he d.O not bu•kS or ,mp,ove tor the
purpose of sale)
O I, as owne, of the prc,perty, am exclusively
contrachns1 with licensed contractors to construct the pro,ect (Sec 7044, Bus,neis and Protess10ns
Code: The Contractor's Locense Law does not apply
to an owner of property who bu1Jds or 1mp,cwes ~:r=-~ 7.~nc:'';~!~~ -::~~\~.:::-: Locense Law)
C I am exempt undef Sec ____ -· B & PC
tor this reason
✓i' hereby affirm that I ha"9 a cert1f1cate of consent
to self-insure, or a cert1f1ca.1e of Workers·. Compensation Insurance. or a cert1fted copy thef,
(Sec 3800. ut>o< eooel
POLICY NO WC.. 4J ' g 7 O ,
COMPANY wy;f_>t_..z.~
Ja""'eopy IS hied w,ln the City
0 Cert1hed copy Is hereby furn1ffled
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
ITh1s section need not be completed 11 the permit ,. to, one hundfed dolla1$ ($100) o, less)
O I certify tN.t ,n the perlonnance ot the work fOf
wtnch ttus permit ,s issued. I shall not employ any pe<son ,n Miy ~ner so as to become sub,ect to
the Workers· Compensation Laws of Gahtorma
NOTICE TO APPLICANT If. alter malun~ lhlS Cen,
ticate ot b .emptlOt'I. y<>u shouk' become sut>tect ,.,
the Workers· Compensal•on provIst0ns or lhe Lat>or
Code. you must forthwith comply with such
provisions or IhIs perrmt shalt be deemed revoked
\ D I neteby affirm lhiit there Is a consIructt0n
lend•nQ agency fOf the performance of lhe wQnl for
wruch this pci,mIt Is issued (Sec J097.,C1-.-it Code) I
Lenders N~------------
Lender s AOdr~s __________ _
••· ···-0 .... -·-····· ·-··--······· -· --·. "8 ,----·······-··-· 0 CARLSBAD BUILDING DEPARTMENT . APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOI ADD .. ESS
A~~T-1 °"J;fih~ONI
BUSINESS LICENSE It VALUATION PERMIT NUMBER
2tJ'¥A-• r~t.ee,. ~ell L.~AJ~ 2'IIP? ~~ OWNER'S IIIAME S. f.l/./L o~,s r I OWNER'S flHONE s::;T:r;,;,,t /1,( #> 1) •
CONTRACTORS PHONE • ZONE
Ro&ttt.r '?At-&l.l'I ~8'.J-~:l ~ I
O_E .. 'S MAILING ADDA~ COIITRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE . • -,~ ,:1v,_qi11td>1'lt 5T s. !>. ~pt,23
LOT I BLOCK I SUBDIViScON I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRtPTIOIII Of WORK
DOI-ER'S AOORESS DESIGNER'S PHONE
WNnf!. _l#!fTelL c.L.."14 e;J-~ .r: ~Z-;tf i&> .~.
F/P FLR ELEV. NO OCCGP EDU 211 B/828967 10.00 , STORIES
vO NO --
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERUIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unkn M.chint wrtifitd
QTY. PLUMBING PERMIT -ISSUE -,d' QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-000-4221
I EACH WATER HEATER ANO /OR VENT ~~ BOILER/COMPRESSOR UP TO 3 HP PlAN CHECK 01-000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 /0-PU
EACH GAS SYSTEM 5 OR MORE METAL FlREPI.ACE ELECTRICAL 01-000-4223 --
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/OUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOT.la MECHANICAL STRONG MOTION 65-640-0519 ----
TOTAL PLUMBING I JnJJh FIRE SPRINKLERS 01-000-4227
QTY. QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 25-000-4933 ELECTRICAL PERMIT -ISSUE BRIDGE FEE .__
NEW CONST EA AMP/SWT/BKR COLLECTORS ,, . SCHOOL FEE • DISTRICT .----.:::..,_.._______
1 PH 3 PH STORAGE TANKS Carlsbad _,,,,,-65·623-0519 ) '"-.
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ' I Encinitas / 65·!i24·0519 I I \ . ' . ,
I PH 3 PH PUMP . -. San gieOuito A • ;J65·625"P,19 /'u. V I
REMODE L/ALTER PER CIRCUIT PLAN CHECK FEE .. ~Marcos -1 . J'.,,fi5·62f~ J
TEMP POLE 200 AMPS \ \ ':1 I I A~. . • JJ'I. C t • \ ' /
OVER 200 AMPS .,. , r 1/-1''1 /
TEMP OCCUPANCY (30 DAYS) .. --#',-{ /
I, ~1 \. / ~ -
TOTAL ELECTRICAL I ~. -
~TAI .-.-:~ ~•" -~ TOTAL SOLAR lo.ov -CDLC
I HAVE CAREFULLY EXAMINEO THECOMPLETED-APflUCATION AND PEIWIT"' ANO DO HEIIE8V .......... ..., ............ b\ttllellutldlngOff~lunderthep,ov1110n1oftn11 ♦ AN OSHA PERMIT IS AECIUIAED FOR EXCAVATIONS 0Y£R CERTIFY UNDER PENALTY OF PERJURY THAT AU INFORMATION HEREIDN 1NCUJ01NG THE CldalMI ... Ill'~ and become null and w01d If the building or worli 5· 0" DEEP ,.NO OEMOUTIOH OR CONSTRUCTION OF DECI.ARA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND "'8AEE IF A PERMIT IS ....._.Ill'__., ....... la nae c:ommenc:ed wittun 180 days from the date of suet, STRUCl\JAfS OYER:, STORIES IN HEIGHT ..... « W .. :-.J.:« won autllorlUd by IUCh permit 11 luapended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING IIUllo.tG CON-2111 •a Id .d _ .._ .. won II c:ommencad for a """od of 111/1 "•u• .
STRUCTION, WHETHER SPECIFIEO HEREIN OR NOT. I ALSO AGREE TO MVE mllEUIIFV AND ---•-81GNATUAE _. OWNER □ CONTRACTOR@" APPROVED BY DATE
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3: KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGM£N1'8, 00818 ANO 'HK-~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -~ ~
GaANTING OF THIS PERMIT. Jr-~ BY PHONE 0 ~ I v 7.--(~-~-
INSPECTION TYPE DATE INSPECTOR
BUILDING 1;
FOUNDATION t
• REINFORCED STEEL l
MASONRY I I
GUNITE OR GROUT !
FLOOR & CEILING SUB FRAME i
SHEATHING r 1
I FRAME . I
EXTERIOR LATH lNSULATION i
' INTERIOR LATH & DRYWALL I
PLUMBING !
SEWER AND Bt/CO • ·• ,..-, .. • I
I PLUMBING UNDERGROUND I I
PLUMBING TOP OUT " I I
TUB AND $HOWER PAN I
I GAS TEST I
ELECTRICAL I
TEMPORARY POWER
ELECTRIC UNDERGROUND ;, ROUGH ELECTRIC I
.. ..
ELECTRIC SERVICE
~ I !"'BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
I
1 I
T
I
I
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
.. .... ' s . .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV~ BEEN-APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS \
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUP/ --:_v-'-1sc_;sc..;u;__;;e:.;:;o _____ -1,l'-----'-1
~
--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MAS9 NRY
PILES CAISSONS
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INSPECTOR'S NOTES
DATE ~an().;--.~ tiJAA /f/1L--I ~)V~7l~ -
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