HomeMy WebLinkAbout2633 VALEWOOD AVE; ; CB891068; PermitCII z 0 ;::
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J!...1 11«.t>y affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of OIVlslon 3 of the Business
and Prof ... lons Code, 1nd my license is In
lull force and effect.
I hereby altirm lhal I am exempt hom the Conuac:-to,'s Lieense Law 10< the looow,ng reason (Sec 7031 5
Business and Pfotess1ons Code Any c11y 0t county whu♦ re-quires a permit 10 cons1ruc1 aller 111\p(OVe. oemohsh or repair any s1ruc1ure. prior to ,ts ,ssuance also requires !heap· plttant tor sucl'I t,e1m11 to file a s1qned statement that he ,s t1censed pursuant 10 !he provisions ol !he c;onuactor s
License Law (Chapter 9 commencing with Section 7000 ol Qlvisron 3 of Int Bus.mess and Prolesst00s Code) or that 1s ex empl lheretrom and the basis fOf lhe allegeo exemption Any
viota11on of Section 7031.5 by an apphcant !Of a pe,m1I sub ,ects the apphcant 10 a Clvrl penally of not more than 1,vi ht.in·
dreo dollars (S500)
t as owner of the properly. Of my employees w11h wages
as 1heir sole compensattOn will do !he work. and the struc•
lure is not Intendeo or ollered tor sale (Sec 7044 Business aoo Profess10ns Cade lhe Contr1e1or·s L1tense Law does
no, apply 10 an owner of pioperty who bu1kts or improves
!hereon and who does such work h1mseU or through his own
emolOyees, provided !hat such improvements are not intend· ed or oftefed tor sale II, however 1he Dmkhog Of 1mprow·
men! 1s sold within one year ol comP,etion. lhe owner-builder will have the burden of proving thal he did nol bmk1 or Im·
prove 101 the purpose ol sale)
I I. as owner of the property. am eKclusIvely conlractmg
wllh licensed contractors to construc1 the pro,ect (Sec 704◄ Business and Professions tocie The Con1rac1or·s lfcense
Law does not apply 10 an owner of property who builds or ,m proves thereon. and who contracts for each protetts with a
contractor(s) hcense pursuant to the Contraclofs lttense Law)
1 As a homeowner I am unprovIng my home and lhe tollow ,ng COndlhOC'lS ex,sl
1 The WOfk IS being per10fmed pnor lo sale 2 I have hved In my home lor twelve monlhs
prior 10 completion ot this work
I have no1 claimed lhlS exemo110t1 dumlg lhe last three years
0 I am exempl under Sec ______ . 8 & P C
tor this reason -------------
0 I hereby altum !hat I have a certificate of con5en1 to
sell•1nsure. or a cer11t1cate ol Workers· Compensation In-
surance or a cert1hed copy lhefeof 1Sec 3800. Labor Code)
POLICY NO
COMPANY
=1 Copy 15 hied With the city
0 Cer1'11ea copy 1s '1ereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Tn,s section need not be compteted II the perm11
1s Im one hundred dollars (S 100) or less)
0 I cen,fy 1'1at in lhe performance ol lhe work tor which
1h1s permit is issued. I sh.all not employ any person ln any
manner so as to become sub1ect to the Workers Compen-
$atton Laws of California.
NOTICE TO APPLICANT If. after making this Cet11hcate
of Exemption. you should become sub1ect to the Workers·
Compensation p,ov1sions of the Labor Code. you must
forthwith comply w11h such provisions or lh1s permit shall
be deemed revoked
0 1 heteby affirm that there ls a construction Jend1ng
agency tor the performance ol the work fO< wh,ch !his per.
mil is iHued (Sec. 3097. Clv0 Code)
Lender's Name ______ _
Lender's Address ____ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
0 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
,oB Ao;E~ ? :} t//lt.-~u_J ~Ro,,~ ~H;As BROS NO. I oAn oF APPL1CAT10NI Bus1NESS uceNse • ;;;u~ PERMIT NUMBER
LOT BLOCK I SUBDI VISION I ASSESSOR PARCEL NO CONTRACTOR ~DNTRACTDRSPHONE• ZONE I l, ~9-/0 h s
OWNER'S NAME I OWNER'SPHONE /h /~/a.) , ~.A •• ,y.,l"<::J!!ljJ' b~z.at'\ i "? A-u,.Jt:, <:; u .J ~ A ?-.J _ <!-7 ~ coNTRACToR·s ADDRESS STATE ucENSE No. eu1LOING so. FOOTAGE
OWNER'S MA ... ING ADDRESS /'?Clt;,c # '~ ¼'l!J i'C 2'33 ,t,/~~ ~-DESIGNER DESIGNER'S PHONE
OESCR1PT10N O~RK -,11 , / r~ ~ .;,rrfJ--y.... {j"() DESIGNER'S ADDRESS STATE LICENSE NO.
FtP FLR ELEV NO OCC GP EDU 8640 08/01/89 00-01 01 02
vO NO --STORIES BldP111t 148.0(
I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FI RE SPR
I AREA CONST
v □ NO vO NO v□ NO Nor V~lidUnlt!ss M~chineCtrrd,l!d
QTY. PLUMBING PERMIT . IssuE -=,-s 0 QTY. MECHANICAL PERMIT. IssuE 1 ~oo suMMARY1AccouNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU l!lJTOJINl,PtHMII uv1·810·00·00·Hau / / '/
EACH BUILOING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00·8221
/ EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 1 ~
/ EACH GAS SYSTEM 1 TO 4 OUTLE TS BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING OOi-810·00·00·8222 / C,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00·8223 I?
: EACH INSTAL . ALTER . REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00-00-8224
I / EACH VACUUM BREAK ER MECH EXHAUSl HOOD DUCTS MOBILEHOME 001·810·00·00-8225
: WATER SO FTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226
I EACH ROOF DRAIN i1NSIDE1 DRYER VENT STRONG MOTION 880-519·92·33 /
I t--_..,_ _______________ .....J __ __,_;__....jl TOT.t.L MECHANICAL FIRE SPRINKLERS 001-810·00·00·8227
I I TO I Al PLUMBING I /~ PUBLIC FACILITIES FEE 320-810·00·00·8740
I h 1oc) BRIDGE FEE 360·810·00·00·8740
1 QTY. ELECTRICAL PERMIT . ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l
NEW CO NST EA AMP SWl BKR CAR PORT TIF 312·81 0·00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311-810-00·00·8835
EXIST BLOG EA AMP1SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00·00·8162
--...:2_ REMODEL ALTtR PER CIRCUll MFF 880-519·92·57
TEMP POLE 700AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
1 CREDIT DEPOSIT <1l r1 " ">
lOlAL ELELlRICAL I /""" TOTA l ''°"' I /) . L TOTAL FEES PAYABLE /t./(6 q;
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION ANO PERMIT ANO 00 HEREBY E,p,rallon Every permit ,ssued byttieBu~cltngOftt<:,al unde<theproYls,onsollhrs * AN 06HA PlNilIT IS IIEOUIAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm•llllon and become null and •O"I If Ille bu,ld,ng Or work s· o-DEEP ANO DEMOLITION QA C()IIISTAUCTION OJ
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 1'> auihortZed b. y such perm,! 15 not commenced wrtlun l80days lrom Ille <lateolsuch ST'"'---~ 1G T permit. o, ,t the bu1td1ng or work 1uthonze<S by such permit 11 s1.11pencJed or nllA,, •~ A 3 STORIES IN Hf H
ISSUED TO COMPLY WITH ALL CITY COUNl V ANO STATE LAWS GOVERNING BUILDING CON-abandoned at anv llme after ihe work ,s commenced tor 1 ,,.,,00 of toil A•··• I\
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ·L A
EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .#J -... ,. _ n j ~. ./ 1.-,/ /'J,,z/y-u KEEP HARMLESS THE c 1TY oF c ARLSBAo AGAINST ALL uAB1uT1Es JUDGMENTS c osTs AND APPucANrs siGNATT~Re o wNeR n coNTRAcTolle:! P!kPRo, 0 sy / / DATE
GRANTING oF THIS PERMIT _Lt / _ ~ BY PHONE II r 1 17 v.,. ~ I / .. 0✓0 1
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TYPE I DATE INSPECTOR
BUILDING I
I
. ' ~ C,tJ ~ JO{pf5
FOUNDATION I .l.,)h l'1-FIELD INSPECTION RECORD
REINFORCED STEEL I ~(V. f"
MASONRY l
I
GUNITE OR GROUT I
SUB FRAME O FLOOR D CEILING
SHEATHING □ ROOF □ SHEA~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTOR'S t?/( ,r; /1(.;~J'['t./--9.7,C, -~
,.
INSPECTION CHECKED APPROVAL DATE ,
' ... ~, ';_ SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP ..
EXTERIOR LA TH I STRUCTURAL CONCRETE ,.
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE -
PLUMBING I FIELD WELDING
D SEWER AND BUCO D PUCO HIGH STRENGTH
UNDERGROUND □ WASTE □ WA{TER BOLTS
TOP OUT □ WASTE □WA~R SPECIAL MASONRY
TUB AND SHOWER PAN I /J
GAS TEST I \-C,,4'1 r-,....1~ I
□ WATER HEATER □ SOLAR WAT~R '
' ~
I \
PILES CAISSONS
--
I -. .
ELECTRICAL I \
□ ELECTRIC UNDERGROUND □ UFfEFI
ROUGH ELECTRIC I
:\ ..._,
D ELECTRIC SERVICE □ TEMPORARY .. \'
.lt'l"BONDING ~POOL I ~-1-"'« "-.It) .,_ , . -, -.
I
MECHANICAL I
I
□ DUCT & PLEM., □ REF. PIPING '
HEAT -AIR COND. SYSTEMS I " -
VENTILATING SYSTEMS I
I
i '·•. -~ ;;
I --.
CALL FOR FINAL INSPECT/OM WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEl!_APPROVED.
·, ' . .
FINAL I
I
PLUMBING l ~ -, 4 . . I. . ' ' ..
ELECTRICAL ' ~
MECHANICAL I }. . 1
< ' ~= ' .~ \ • , .. . i . '
-GAS I ~ l ~-... \ I ' ' ,,. ' . ' ' BUILDING I .... , \ \ ""-.J"
'· •
SPECIAL CONDITIONS ' _\) ~ I
I ~ ~
.I
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
THIS PERMIT MUST BE
POSTED ON THE JOB SITE
CARLSBAD, CA 92009-4859
(619) 438-1161
RIGHT OF WAY PERMIT
Applicant Please Print and Fill In Shaded Area
11697
JOB
ADDRESS ISSUED BY /f_jJ~fL DATE
NEAREST
CROSS STREET C-/.,/ £ $'T. ,-..IV..,... EXPIRES
PROJECT --. NUMBER ( 7 -I (7 " f 24 HOUR NOTICE REQUIRED FOR
ASSESSOR'S PARCEL NO. . I'"
7
INSPECTION AND PRIOR TO START OF WORK.
APN / -._:::, CALL 438-3101
CONTRACTOR YOU MUST CALL UNDERGROUND SERVICE
1---L.!.}c.LL.' o.-..t:.!...l ""'-)~L-=-44..!....::.c -><:..::C{l'--'--'-/_,;CJ'--0c>-.--=.J ____ ~ ALERT (1-800-422-4133) TWO
CONTRACTOR'S WORKING DAYS PRIOR TO WORK.
MAILING t".;; <,, '{ 0-C.,. /n / A. A,.., "L ~ 4
ADDRESS
24 HOUR
CITY ., /), ZIP ' 111. { TEL. /J<;'J" lOc>1
STATE C,. f O BUSINESS
LICENSE l/ q ?f j LICENSE C!
NUMBER l /.;;, f-NUMBER ;ri.? jq I
DESCRIPTION
OF WORK .:SUJ l>t 1 ~--·L7 f) b::,n ......
START
DATE 7 2) ri
ESTIMATED
COMPLETION DATE 7
THE UNDERSIGNED ACKNOWLEDGES THAT ALL WORK
SHALL BE PERFORMED PER CITY CODES, STANDARD
UNDERGROUND SERVICE ALERT NO. _____ _
THIS PERMIT IS INVALID WITHOUT THIS NUMBER
IF ANY EXCAVATION OR BORING IS DONE.
VALIDATION AREA
INITIALS
~ 7/"~ TRAFFIC CONTROL PLAN APPROVED
AND ATTACHED
.,......-1-) LIABILITY INSURANCE VERIFIED
"
PAID
"-~ (Ji) SPECIFICATIONS, CITY APPROVED PLANS AND FEE: ~-BILLED
STANDARDS. f-'..-~..:=':::::i:::.:==::::=::=::=::=.'.:'.~~--===========::....J
RESTORATION SECURITY $ ___ _
",U ,:ILe
TRAFFIC CONTROL DEPOSIT
INSPECTOR'S
SIGNATURE
BLUE . FILE; YELLOW • INSPECTOR; GREEN • UTILITIES; PINK· FINANCE; WHITE • CONTRACTOR
$ ___ _
DATE