HomeMy WebLinkAbout1775 VALLEY PL; ; 85-8; PermitJfr 8
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'I hereby affirm that t am licensed under
,visions ol Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full lo~f{';'i,Aff~1 1'1~-~,i,f
UC No~Class~~
I hereby alllrm lhat I am exempt from the Contrac· ro(s License Law tor the toHowmg reason (Sec 7031.5 Business and Profess,ons Code: Any city or county which re-quires a permit to construct. alter. Improve. demohsh. or repa1r any strucluro, pnor to its Issuance afso requires the ap-
plicant for such perm•t lo file a S1~ned statement that he Is licensed pursuant to the prov1st0ns r1 the Contractor's License Law {Chaple, 9 commencmg with Sect,on 7000 of
Dtv1s1on 3 ol lhe SusJness and Professions Code) or that 1s ex· empt therefrom and the basiS for the alleged exempt,on Any violation of Section 7031.5 by an applicant tor a perm,t sub· jects the applicant to a civil penalty ol noc more than live hun· dred dollars ($500)
D I, as owner ot the property, or my employees with wages
as their sole compensation, Will do the work. and the strut· lure is not intended or offered tor sale (Sec 7044, Business
and Professions Code The COnlractor·s License Law does ~~r:~~~o :~o ~oe":'si ~::;k11:~tf :i~~~h~r;:~
employees. provided that such Improvements are not Intend-ed or offered tor sale. ti, however, the building or Improve-ment is sof4 within one year of completion. the owner-builder Will have the burden of prov,ng lhat he did not build or tm-PrOVI! tor the purpose ot sale)
0 I, as owner of the property, am axclusivetv contracting with licensed contractors lo construct the projeci (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Im·
proves thereon. and who contracts tor each projects with a cootractor(s) license pursuant to the COntract0<'s License Law).
D As a homeowner I am improving my home, and the follow· ing conditions exist.
t. The work ,s being pertormed pnor to sale. 2. I have l1Ved In my home tor twelve months
3. r:v~ :rip~:;:: t1~l: ::~ption during the last three years.
D I am exempt under S.C. ______ , B & P.C.
lor this reason
□ I hereby affirm that I ha-1e a cer11hcate of consenl
to sell-insure, or a cert1f1ca1e ot Workers·
Compensat,on Insurance. or a cert1f1ed c0py thereof (Sec 3800. Labo< Code)
POLICY NO ~'i' ~~~C!Pfr
COMPANY ~¼'1"'~¼
2{' Copy 1s filed with the city -/
D Cen1hed CQPy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1t lhe perm,1
Is fo, one hundred dollars {S 100) Of less)
D I cer11ty that 1n the performance ot the work IOf
whten this pemul 1s issued. I shall not employ any
person 1n any manner so as to become sub,ecl to
the Wort,i;ers Compensation Laws of Gahtorma
NOTICE TO APPLICANT If, aller makin~ lh1s Cer1•
t,cate ol Exemphon. you should beeome sub1ect I".> the Wof'k.ets' Compensation prov1s1ons ol lhe Labor
Code. you must lorthw1th comply w1tn suer.
provisions or this permit shall be deemed revokeo
0 I hereby affirm lhat !here 1s a consiruct1on
lending agency tor the pertormance of !he wor1t. to,
which !hos perm,, IS ISSUed !Sec 309~Code)
Lenele< s NamP 4b.)t£ bo\ •~
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USE BALL POINT PEN orm_!__f>_RE~S HARD -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1ft) •· 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
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BUSINESS LICENSE It VAL(JATION PERMIT NUMBER 1 ·17-3" ~:;)5~ I. ~ -% 1 U V .., DS -0
i:E)S, ~rr1. Au1--rv-om~JJ l·'Yi=~s,,ONE
Vl CONTRACTORl!Q ' , CONTRACTORS PHONE • ZONE •
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OWNER'S MA LING ADDRESS Pl-l1-ir-rbMo 9,;oo~ ;~:;T;·rr~~~; l~{} Jl!f~oej PLAN 1.0. # BLDG use CODE
,\71~ \)a..Q(~
LOT I BLOCK I suBD1 v1s1Q!;,1 I ASSESSOR PARCEL NO. DESIGNER LICENSE# STANDARD PLAN It BUILDING SO. FOOTAGE ~--<"-C;R)-~~
OESCRIPT~I OF-JRK • "' A.v--r ,l ')ft--~ t, ~ ~~ c~ DESIGNER'S .ADDRESS DESIGNER'S PHONE
l) _j..\ ' \}J / f,4$$ i" u L-.. --. -F/P F LR ELEV. NO OCC GP EDU STORIES ,, 1/04/Bblbb7 It-,tl v□ NO --tll.10i it:lb7 flil4/ R5 1c. u CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD FIRE SPA AAEA CONST
YO ND v□ NO v□ NO Not Valid Unlt!ss Machine Certifi«J
QTY. PLUMBING PERMIT· ISSUE -:7~ QTY. MECHANICAL PERMIT -ISSUE 3---' SUMMARYMCCOUNTNUMBER
EACH FIXTURE TRAP ' INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·B220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221 --~
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 --
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VE NT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP ~
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00-8226 / < v:,..-TOT,t;L MECHANICAL STRONG MOTION 80·92·33-0519 ~ ----·, --TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227 5_,-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8923 QTY. ELECTRICAL PERMIT -ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLDG EA AMPISWT/BKR ROCK STORAGE Encinitas 80-92· 22·0519
I PH 3 PH PUMP San Dieguilo 80·92·23·0519 • REMODEL/ALTER PER CI RCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS \ -
TEMP OCCUPANCY (30 DAYS) -------t-
~
TOTAL ELECTRICAL -r TOTAL SOLAR ,s-o :-. V TOTAL FEES PAYABLE I ;,5-tr~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT"' ANO 00 HEREBY Expiration Every permit issued by the 8utl1 ng Offlc11I under the provisions ofth,s * AN OSHA PERMIT IS R£aU1AED F0A EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt expire by hm,tatlon and become null and ,o,d II the bu,td,ng or worft 5' O" DEEP ANO OEIIIOl.lTION OR CONSTffUCTION Of DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERT)FY AND AGREE IF A PERMIT IS aut"1onzed by such permit 1s not commenced within 180 davs from the date of sucn STRUCTURES OYER 3 STORIES IN HEIGWT permit. or If the buildcnx or work authorlUd by such permit IS suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandoned at any hme a er the work 11 commenced to, a oenod ol 180 "•u• -STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICA~
U7rrQO& OWNER □ CONTRACTOR!]
/}~BY
DATE 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 I ~,I-L/1'~ -GRANTING OF THIS PERMIT. r,'/ BY PHONE 0 ----
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INSPECTION l'YPE DATE INSPECTOR
BUiLDING. • .!t.
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT -TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING .
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 HAVE BEEN APPROVED.
PLUMBING
ELECTRICAL
MECHANICAL
GAS "-<r
BUILDING
SPECl~L CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
O1/ER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH ' ,
BOLTS
SPECIAL MASONRY
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PILES CAISSONS -
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INSPECTOR'S NOTES ~
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