HomeMy WebLinkAbout2459 TUTTLE ST; ; 86-878; PermittJ) z 0 ;: C IC C _,
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Coda, and my license Is in
full forC:l!'P .!"9»-,. A _:;, l, Lie No ..,,,.in3¥-,~la\\ ~ -,,J---
1 hereby alhrm that I am exempt !tom the Conuac-lor's license Law tor lhe followmg reason fSec 7031 5
Business and Professions Code Any city or county wtucn re-quires a permit 10 cooslruct, alter, 1mprCM:, demohsh. or
repa,r any structure, prior 10 11s issuance also reciu1res !heap· phcant for such permit to hte a signed slaternent lhat he 1s
lacensed pursuant to the prov1s10ns of 1he C001rac10r' s Lteense Law (Chapter 9 commencing with SecllOn 7000 ol
DMs1on 3 of lhe Business and Professrons COde) or that 1s ex-empt therefrom anCI !he bas.is IOf lhe al!egeo ex.emption An.y
vIotatton of Sec11on 7031 5 by an apphcant !()( a permI1 sub-1ects the appl,canl to a CMI penalty ol not more than live hun· dred dollars ($500)
I, as owner ol the property. or my employees with wages
as tneIr sote compensation. w.U do the work, and the slruc· ture ,s not intended or ollered lor sale (Sec 7044 BuSJness
and ProtesSJons Code The Contractors License Law does not apply to an owner of properly who builds or rmproves
thereon and who does such WOfk h1mse11 or through h,s own
employees, provided !hat such improvements are no! mtel\d· ed or offered for sale If. however_ the bulld1ng or improve-
ment is sold w11n,n one year of complehon, lhe owner·btulder will have the burden of pr0V1ng lhat he drd nol build 01 1m·
prove tor the purpose of sale}
D I, as owner ol the property, am exclusrvely contracting with 1tcensed contraclors 10 cons1ruc1 the pr01ec1 (Sec 7044.
Busmess and Protess10ns Code. The Contractor's L1tense Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts lor each prOJects with a contractor(s) license pursuant to the Conlractor's License La..-).
D As a homeowner I am improving my home. and lhe follow-ing condihons exist·
t The work 1s bemg performed pnor 10 sale
2 I have hved ,n my home ror 1wefve months
3 r'~!v~o =P~f11
1
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1~i: =~pt.on during the last lhree years
f; :h~: ,:~:t under Sec ______ . B & p C -------------
D I hereby affirm mat I ria..-e a cerM1cate ot consen1 to self insure. or a cer11f1ca1e ot Workers
Compens.a11on Insurance, or a cen1t1eo cooy thereof !Sec 3800 LallOr Code)
POLICY NO
COMPANY
0 Coov IS hied with 1he CHY
D Cer11hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s secllon neecl not be compleled 11 the perm,1
1s to, one hundred dOlfars (S 1()0) or iess)
0 I cer11ly that "" the performance ot !he won. to, wh•Ch lh1s perrrut ,s •ssued I shaH not employ an)
person m any manner so as 10 becOITif' suo,ecl to
!he Workers Compens.11ion Laws ol Ca11torn1a
NOTICE TO APPLICANT It alter mak,n'J this Ceo, hcate of Exemption yov shOukl oecome sub1ec1 t"l
the W~ers Compensa11on prov,sIons ol the Ut>or
Cooe. you musl ronn111o,th comply w,1h such
provIs,ons or ttHS perm,1 shall be oeemed ,e ... okeo
O I hereby afl11m ma1 !here •s d cons1,uc1,on
1ena,ng agency ro, the performance 01 rhe won.. to, wh,ch lh•S perm,! ,s !SSue<l 1Sec 3097 C1v1L Code)
Lencler s Name ___________ _
Lencler s Aao,ess __________ _
USE BALL POINT PEN O~LY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
: CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST RO. NEAREST. CRO.SSST . DATE OF APPLICATIONJ BUSINESS LICENSE" VALUATION PERMIT NUMBER
;µJ-S-q --Tv1tle, 9, -~--. ~ ··•-.1:..., ,' ~n-: (J'.~,\t P-:J..1,--i{, I IR 77 ~& ~
LOT I BLOCK Isueo1vs10N I ASSESSORPARCEL"NO:'\ ~, cwa,,g, CONTRACTOR CONTRACTORSPHONE• ZONE g_ 7B
OWNER"SNAME
1
C'.;•.i--OWNER'S PHONE &vi J>.---~ PLbq,, 7t,.7-7v//-b
/:. ~ /") 1 ,1, _,, l -,_....:. J CONTR..,CTOR"S AOd'RESS -LICENSE NO PLAN 1.0. # BLOG USE CODE
L~, VI K.&_~eas 'L,.....__, .,~-/'2-/LJ A2,.,J / r ..,.-__ /~ ..-, 1J1J. .-,~L1
OWNER'S MA,LING ADOl'!"Ess ~ • ~-;;)~ .J :;;z~~ ~v/~7'1 ,.,.,-rV,-r
,--.A __ r' , '"" r$. : DfS.tlNER LICENSE" STANDARD PLAN# BUILDING SQ. FOOTAGE ':t,,r-rn -e_ r __. -.4, 11· ' •
OESCR PT ON OF WO~K / • --•-l'i!_,,,,. T7,._ _ _.. /'?A-( ~ -',},.?_( OESIGNER'SADORESS DESIGNER'S PHONE
I I /
r-•. ---"" F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --jjjj,21 iiiil Ut,/,!C>/t,t:>l"t(MI iii.I
1 CENSUS TRACT I GP LANO usE I PARKING SPACE I RES UNITS 1 GRADING PERMIT IssueD I REDEVELOPMENT TYPE ace LOAD FIRE SPR AREA CONST 1 y □ N □ , O NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT. ISSUE '7 sn QTY. MECHANICAL PERMIT. ISSUE ,"'l'-SUMMARY/ACCOUNT NUMBER
1 EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU / BUILDING PERMIT 01-00-00-8220
1 EACH BUILDING SEWER OVER 100,000 BTU .,,/' SIGN PERMIT 01·00-00-8221
: EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP _/ PLAN CHECK 01·00-00-8806 -
, / EACH GAS SYSTEM 1 TO 4 OUTLETS ,j__ o2J 8DILER/COMPRESSOR 3 15 HP _./ TOTAL PLUMBING 01· 2~ _ / fl -
1 EACH GAS SYSTEM!, OR MORE METAL FIREPLACE _/" ELECTRICAL -----01-00-00-8223
. -./ '~
1 EACH INSTAl. ALTER, REPAIR WATER PIPE .;......-•-·· "" u" uLC uuu ;,,-"' ICAL 01·00·00·8224
: EACH VACUUM BREAKER -~ MECH EXHAUST .ftOD DUCTS M0BILEHOME 01·00·00·8225
WATER SOFTNER ~ RELOCATIO_¢°EA FURNACE/HEA El MOBILEHOME PARK INSP
• EACH ROOF DRAIN (,NSI0E) _../ _.../ j SOLAR 01-00-00-A??i; l--+-----------_,,.C....----1-----➔----'---;;;,~~,..,.....,.,..,,.,,.,..,......-:-;;-;-,--~1+-r-~------...--~~----_,,,,_.,,,,,_..,._._,._1---------t
t---L----,----_/ _,/' TOT.t;LMECHANICAL / STRONGMOTION 80·92·33-0519
TOIALPLUMBINV J /f,-{JIJ': " FIRESPRIN~LERS 01·00-00-8227
I~ I/ J Cil PUBLIC FACILITIES FEE 32·00-00·89ll QTY. ELECTRI L PERMIT • ISSUE ....-_ QTY. SOU .fl.· ISSUE \ ~ -BRIDGE FEE
NEW CONST~ AMP SWT BKR V COLLECTORS / I\J-J SCHOOL FEE -DISTRICT
I PH / 3 PH ./ STORAGE T~S l / "' ~ Carlsbad 80·92·21-0519
EXIST_/L□G EA AMNWT BKR ./ , ROCK S~AGE V JY J -L Encinitas 80·92-22-0519
1 Pt/' 3.Jl< l1iwl" / // 11 \\ I ,; , /. / San Dieguilo 80·92-23-0519
¥MOOEL AL TtR PE¢°Cuil PLAN CHECyfEE v f / I/ ,., ,'J". San Marcos 80-92-24-0519
I/TEMP Po LE 200 ~s / -+------P "-.,._1---+/\-\-11--l\f-\-\-Y-'V--~-------------+---------j
, OVER 200 AJH'S \_ ) ~ \ \ \f LICENSE TAX 01-00-00-8162
/ TEMP_)XCUPANCY 130 DAYS) 11 1 \ MFF 80-92-57-0519
I L l CREDIT DEPOSIT y rnrAL ELELTRICAL I TOTAL soLAR \... , \ TOTAL FEEs PAYABLE I I n -
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERM Ir ANO 00 HEREBY Exprrauon Every permit issued by the Buildrn~~fl1cral under the prov,sions olth,s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEflEON INCLUDING THE Coda shall expire by ilmltahon aod become n and void If the building or work 5 o•· DEEP ANO OEMOUTION ~ CONSTRUCTION OF . authonzed by such permit ,snot commenced wit m 180 days from the date of sucn DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit or ,f the building or work authOrtled by such permll 15 suspended or STRUCT\JRES OVER 3 ST~IES IN HEIGHT
ISSUED. TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON L...!:ab~a::,:n~do~n.!!ed~a!..:1 s~n!l,v.!t1!!!m.!!e..!;a~ft!!er~t~ha!.!!:wo!!!r~k.!:,s~c~o!!!m!!!m.!!e!!!nc!:le!!ld.!fo2!r:.3a!.Jpe~,n~od!L2_0l!..._1!_!!80!L!/.d!!J&~~•--;-~~~~~~-----,-------------"'!
srnucnoN WHETHER SPEC. tFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APre:LI rs SIGN:z!E lf-0 u,-APPROVED BY 7d OATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND , OWNER CONTRACTOR ""' ~I.,./]
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , _ . .b A ~ _,, BY PHONE O if_£ (!? . ? / ~P/
GRANTING OF THIS PERMIT -r-~//, • ~ __ /4 ~ I. J I 0-C ~ ~ . , F
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TYPE I DATE INSPECTOR
BUILDING i
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHeAR
FRAME i
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W*TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER ,
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I J /
I l /
MECHANICAL I ) /
D DUCT & PLEM., D REF. PIPIN(3 j 1'. r-iL" I -
HEAT -AIR COND. SYSTEMS I V I/~ V ., LL II
VENTILATING SYSTEMS I (._..,,,"' I/// 7',
I ~ n/ -v
CALL FOR FINAL INSPECT/QN wrr9,,·) LL APPROPRIATE I ITEMS ABOVE HA VE, BE Pl ROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL /
GAS L
BUILDING L_
SPECIAL CONJ)fflONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY :
PILES CAISSONS /
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V \{ -w ,
R~~~ n~T n~•~n,oc~J ~! •. E ~t . -,·-. -. ,, l/ J,/
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DEYn;;:. •• '-A • ._• !•~o ---. ~ SERVS. -----,