HomeMy WebLinkAbout1800 VALLEY PL; ; 87-141; PermitU) z 0 ;:: <C a: <C ..,
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalona Code. and my license Is In
lull force and effect.
I hereby allt,m that I am exempt trom the Con1rac-
1or·s License Law tor the tollow1ng reason (Sec 7031 5
Business and Professions COde Any clly or county wh1tti re-
quires a permit to construcl, alter, improve. demohsh. Of
repair any slruclure. prior to its issuance also requires !heap-phcant !Of such permit to file a s19ned sratemenl that he 1s
hcense<3 pursuanl 10 lhe prov1s10ns ot the t;ontractor s l1tense Law (Chapter 9 commencing with Sect10n 7000 ol
Olv1s10n 3 ol the Business and Professions Code) Of Iha! 1s ex· empt rheretrom and lhe basas for the atlf!geo exempllon Any violat!On ot Section 7031.5 by an apphcanl tor a perm11 sub·
1ec1s !he apphcant to a C!\111 penalty of not mote lhan ftve hun-
dred dollars ($500)
I, as owner of lhe property, or my employees wilh wages
as Iheir sole compensation, w,11 do the work. aM the sHut·
lure 1s not intended or o1ferec:J toe sale (Sec 7044. Business
and ProtesSlOns Code The Conlractof's License law does
not apply to an owner ot property who t>u,kts o, improves
thereon and who does such work h1msel1 or lhrough his own employees. provided that such improvements are not intend•
ed or ottered tor sale II. howeve, the bu1khng °' improve·
menl 1s 5°'d w1th1n one year of complet,on, lhe owner-builder
will have lhe burden of provmg lhal he did nol build or 1m•
pr~e for lhe purpose ol sale}
f J I, as owntr of the propeny. am exclusively contractmg
wtth l1tensed conlractors lo construct the proiecl (Sec 7044,
Business and Protess10ns Code The Conlractor's license
law does not apply to an owner of property who builds or ,m-proves thereon, and who contracts for each protetts w1lh a conlractDf(S) hcense pursuant lo the Contractor's license Law)
□ As a hoo'leowner I am 1mprov1ng my home. and the lollow·
mg conditions exist 1 The wDfk 1s being performed pnor to sale 2 I have lived m my home tor twelve months
pnDf to compleI10n ol lhis work
3 I have not claimed lhis exemption durmg the
last three years
D I am exempt under Set ______ . 8 & P C
lor this reason -------------
X 0 I hereby affirm thal I have a cert1hcate of consent to
self-insure. or a cerUhcate of Workers Compensation In-
surance. or a cer11fied copy thereof (Sec. 3800. LabOr Code)
POLICY NO. TC721698048
coMPAN Y Maryland Casualtyi
C 'fe:>PY Is filed with the c,ty I
0 Certified copy •s hereby furnished I
I
I
CERTIFICATE OF EXEMPTION FROM I
(Ttu~~~:~~~:,e~si~o:e:::~~~:;!,m,1 I
is for one hundred dollars ($100) or less) f
0 I certify that in the performance of lhe work tor wl'11ch 1
this permil 1s issued. I shall not employ any person 1n any I
~a~;
0
erl:::s ~~ ~~;'~I=ubiect to the Workers· Com pen-I
NOTICE TO APPLICANT: If, after making this Certificate t
of ExempI1on. you should become sub1ect to the Workers' I
compensation provisions of the LabOr Code, you must I
torthwIt1, comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there Is a construction lending :
agency for the pe1formanct-Jofie'rk for which this per•
mil Is Issued (Sec. 3097. CiVll Code) I
Lender's Name _____________ I
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV ST.RO. NEAREST CROSS ST.
'
DATE OF APPLICATIONII BUSINESS LICENSE I/ VALUATION PERMIT NUMBER
1800 Valley Pl. Valley St. 12-23-86 15402 ,.1/r; LOT BLOCK I sueo,v1s10N I ASSESSOR PARCEL NO /)1) CONTRACTOR CONTRACTORS PHONE • ZONE
~Sf)~~?) Arlen Foster Plumbing 697 -4151 OWNER'S NAME ' OWNER'S PHONE
• W.L. Blake 729-8334 CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS 2819 central Ave. 443348
1800 Valley Pl. DESIGNER DESIGNER'S PHONE
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>, oi 0 OESw tPT10"' OF WORK ater Heater Replacement DESIGNER'S ADDRESS STATE LICENSE NO. 0006 02/24 0101 O2BldPat 10-0 OE Q)
-F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --
l I PARKING SPACE l RES UNITS I GRACING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y D ND YO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 9-1$r QTY. MECHANICAL PERMIT· ISSUE _,,,, _,,,3_g_ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INS TALL FURN DUCTS uP TD 100 000 B.J.,tr"'" BUILDING PERMIT 001-810·00-00-8220
EACH BUILDING SEWER OV~R 100 BTU SIGN PERMIT 001 ·810·00·00·8221
1 EACH WATER HEATER ANO OR VENT ~l.!:>U BOILER/COMPRESSOR UP T HP PLAN CHECK 001·810-00-00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS ___ +-801 LER /COMPRESSO.,Pefi 5 HP TOTAL PLUMBING 001 ·810·00·00-8222 $10.00 ~
EACH GAS SYSTEM~ OR MO Rf METAL FIREPLA~ ELECTRICAL 001-810-00-00·8223 ---VENT F¢"1NGLE DUCT EACH INSTA~. ALTER, REPAIR \\'ATER PIPE MECHANICAL 001·810·00·00-8224 -ME.efl"EXHAUSl EACH VACUUM BREAKER HODO DUCTS MOBILEHOME 001 ·810-00-00·8225
WATER SOFTNER ,-~ELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810·00-00-8226
EACH ROOF DRAIN !INSIDE) DRYER VENT STRONG MOTION 880·519-92-33 ----
TOTt;L MECHANICAL FIRE SPRIN~LERS 001-810·00-00-8227
10 I AL PLUMBING I ~1~0-PUBLIC FACILITIES FEE 320·810·00-00-87 40
~ BRIDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP ----PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT ..,,,,---TIF 134·81D·00·00·8835
1 PH 3 Pf!/ AWNING ~ LA COSTA TIF 133-810·00·00-8835
EXIST BLDG EA AMP/SWT ~ I GARAGE ~ FMF
1 PH / 3 PH ..,,,,---LICENSE TAX 001-810·00·00·81 62
REMODEL A LH]V'PER CIRCUIT / MFF 880-519-92·57
TEMP POLE./100 AMPS /
OVER ?J!OAMPS /
Tj,,'ll'P OCCUPANCY 130 DAYSI -
.,/' CREDIT DEPOSIT
TOTAL ElELTRICAL l TOTAL TOTAL FEES PAYABLE I $10 .00
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT" ANO 00 HEREBY Expiration Every perm11 issued by the Building Oft1c,al under the prov1s1ons of lh1s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and ¥Old II the bu1ltflf'\g Qr .,wor" ~• 0'" DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by such permit Is not commenced w11h1n 180 day$ from the date ◊f SU~~ DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 1~
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STRUCTVR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING COk
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . [] APPROVED SY , ?fa/1/l KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS A~APPLICANT S SIGNAT~URE •• OW{NER CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT ~ A-Y~I 0
GRANTING OF THIS PERMIT N°"\,0 NE . -----"' ._____
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TYPE . DATE INSPECTOR I
BUILDING ' I
FOUNDATION l
REINFORCED STEEL I
MASONRY ! I
GUNITE OR GROUT !
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D S~EAR
FRAME I
EXTERIOR LATH I I
INSULATION ! I
INTERIOR LATH & DRYWALL !
I
PLUMBING :
D SEWER AND BUCO D RUCO
UNDERGROUND □ WASTE d WATER
TOP OUT □ WASTE □ ~ATER
TUB AND SHOWER PAN I
GAS TEST J
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND [!J UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL ' I
I
MECHANICAL I
I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
j
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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-x,7~/<.}/
FIELD INSPECTION RECORD . , . ' .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
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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