HomeMy WebLinkAbout2622 VALEWOOD AVE; ; CB890016; Permitth z 0 ;= < ac < ~ 0 Ill 0
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1 USE BALL POINT PEN ONLY & p__RE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
O I lleteby affirm that I am licensed under p,cwl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profnalons Code, and my license Is In
full tore• and ellect.
I nereby att1rm 1~1 I am exempt from lhe Contrac-• lo(s liter"st Law IOf !he loUowmg reason (Sec 7031 5 Business and Protess10ns COCle Any city or counly wh1,r. re-
QUlfts a pernHI 10 construe!, alter improve. demolish or repair any strutlure poor 10 IIs issuance also requues !Map
p1rean1 tor such oermn to t1Ie a signed statement lhal he ,s Iac.ensed pursuant lo the PfCMStOnS ol ltle t:ontractor s L1tense Law {Chapler 9 commencing w1tn Section 7000 ol 0N1s1on 3 of the Business and PJotess,ons C0c:Je1ortna11s ex-
empl lherelIom and the basis tor lhe a!legeo ex:emp1,on Any v101a1ton o1 Section 7031.5 by an appl1can1 lor a perm,1 sub·
IecIs lhe aPf>'ICaOI to a civil penalty of not more than five hun·
Ored Ooltars ($5001
I, as owner of lhe propeny. or my employees w1Ih wages
as Ihe1r sole compensahon will do lhe wtwk and lhe slruc· Iure Is not intended or offered IOI' sale (Sec 70•U Busmess
and ProtesStOO!> COde The Contractor s Ucense law ooes
not apply 10 an owner ol property WhO bui:ds or improves thereon and who does such work h,msell o, through his own
employees. provided lhal such ImprnvemenIs are nol intend· ed Of ollered tor sale II. however. the building or 1mprove-
menI Is sold wIthm one year ot comple110n_ the owner-builder will have the burden ol proving Iha! he dtd not build or im-
prove tor tl'le purpose of sate)
J I. as owner 01 lhe property. am exclusively con1racImg
with license<' contractors to construct the protetl (Sec 7044.
Business and ProlessJOOs Code The Con1rac1or·s Ucense
law does not appty lo an owner o1 property who builds or ,m-
proves the<eon, and who contracts !or each prOjecls w,lh a conlractCN'(S) lteense pursuant to lhe Contractor's Ucense law)
I l As a homeowner I am 1mpr0Ytng my home, and the follow mg conditions e:ius1 1 The work Is bemg perlonned pnor 10 sale 2 I nave hved In my home tor lwetve months prior to complehon of lh1s WOfk
I nave not ctalmeG u11s exempI10n during Ille last lhree years
O I am exempt under Sec ______ . S & P C
tor lhIs reason ____________ _
0 I hereby affirm tha1 I have,. certificate ct consent to
self•msure or a cer11t1cate cl Workers· Compensation In-
surance. or a cet11hed copy thereof (Sec 3800. Labor Codel
POLICY NO
COMPANY
:: Copy ,s hied With lhe city
0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no1 be completed ii the perm,t ,s tor one hundred dollars 1s100) or l~ssl
0 I cert,ly thal in lhe performance of the wOf'k for which
this permit ,s issued. I snall not employ any person in any
manner so as to become subJect to the Workers· Compen-,
sation Laws of Cahfom1a_
NOTICE TO APPLICANT. If. after ma.Jong this Cert1hcate
ol Exemption. you should become sub1ect to !he Workers·
Compensation provisions or lhe Labor Code. you must
forthwith comply with suctl provisions or this permit shall
be deemed revoked
D I hereby affirm that !here is a construc11on lendmg
agency for the performance ot lhe work tor which lh1s pe,•
m11 is Issued (Sec 3097 Civil Codel
Lenders Name
Lender's Address ___________ _
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
APPLICATION & PERMIT
~Af ~H.,.,/o~sT.AD~~ROsNa D•TEoF•PPLICATION ■us;e;io -7 v~o
10 1-,::....:..:;:.....;:._...::.. _ ___,_.:..:._;_ ____ ~...,:::..;_ ___ .;.,..__, ______________ C_O_N_T_A_A_C_T_O_R_....L~~.L,'-'~~-~ COOITRACTOAS PHONE• ZONE '69 oo
PERMIT NUMBER LICENSE •
~~:.J....,------l.--'--L.&.-.ILlr.....t,IL-...L..---,,-.i..a....t..:.,,3.--=-=._0W...:N::.E=A:..._S-P..:H:..O....;N:=E :....al ~ 2.. Ol-7?_
STATE LICENSE NO BUILDING SO. FOOTAGE
~~~~~~1.Sl~!.±::::~~=--7~Z!f=.L..:..-:..LJ.'....ll-l I c; d o ,s r 3 J
DESIGNER'S PHONE <---~4--,.,e ....
STATE LICENSE NO 02
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~ ~ 0 a. OESCRl~;Jtf~ m-1)..A ///A./1/~ ?ooL 7
i>ES•GNEA'S •DDRESS -4069 OVl0/89 0001 01
BldPmt E
125-op (!?.
CENSUS TRACT P-.RKING SPACE RES UNITS
QTY.I PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
7-W
EACH BUILDING SEWER
EACH WATER HEATER AN O OR VENT
EACH GAS SYSTEM 1104 OUTLETS
EACH GAS SYSTEM~ OR MORE
I
EACH INSTAL . ALTER. REPAIR WATER PIPE I EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF ORAIN !INSIDE I
TOIAl PLUMBIN(; _I I A au
QTY., ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SW I BK R
0-.00
1 PH 3 PH
EXIST BLOG EA AMP1SWT BKR
1 PH 3 PH
7 REMODEL A L TtR PER CIRCUIT
TE MP PO LE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL l _j_Q_ ~
F/P F LR ELEV
vO NO
GRADING PERMIT ISSUED l REDEVELOPMENT
AREA
YO N 0 ,o NO
QTY. MECHANICAL PERMIT· ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
MET Al FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION Of EA FURNACE/HEATER
ORYER VENT
TOTI.L MECHANICAL
QTY. MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOTAl
---,;,a
STORIES
TYPE
CONST
lo-a::>
OCC GP EDU
OCC LOAD FIRESPR
vO NO Nor Valid Unlffs Machine CertiliM
SUMMARY/ACCOUNT NUMBER
BCJICDIFlG PtRf;lll 1l01-B11l-OO-ml-mO C/'9
SIGN PERMIT 001·810·00·00·8221
PLAN CHECK 001-810·00-00·8891 ~¥
TOTAL PLUMBING 00 i ·810·00·00·8222 1 !J
ELECTRICAL 001·810·00·00·8223 ..LQ_
MECHANICAL 001 ·810·00·00·8224
MOBILEHOME 001·810·00·00·8225
SOLAR 001 ·810·00-00·8226
STRONG MOTION 880·519·92·33 1
FIRE SPRINKLERS 001 ·810-00·00·8227
PUBLIC FACILITIES FEE 320-810·00·00-87 40
BRIDGE FEE 360-810·00·00-8740
PARK-IN-LIEU (AREA I
TIF 312·810-00·00·8835
LA COSTA TIF 311·810-00·00·8835
FMF
LICENSE TAX 001 ·810·00·00·8162
MFF 880·519·92·57
CREDIT DEPOSIT <.Coy --'")
TOTAL FEES PAYABLE l /(7( 6 tJ::l>
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT ANO 00 HEREB'r' bp,ratron E.-ryparm.t-t,ytl>eBu1tdongON,c1alun-thepro••11onsol1h11
CERTIFY UNDER PEN Al TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda ohall ••p,re by llmit1t,on and become null and •0td II the bu1ld1ng or work
* AN OSHA PEMm IS AEOUIRED FOR EXCAVAllONS OVER
.5· o· DEEP ANO OllilOLITION Ofll CONSTRUCTION Of
STRUCT\JMS OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ aulh ced within 180da s from th .:,I such
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILlllES. JUDGMENTS. COSTS AND -~===~ "' PROVEO BY
EXPENSES WHICH MAY IN _ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,n _ _ ' _
GRANTING OF THIS PERMIT ~ ~ j
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
' GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~ING
SHEATHING □ ROOF D SHEAR
FRAME ' EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
I
D SEWER AND BUCO D PUCO
UNDERGROUND □ WASTE □,WATER
TOP OUT □ WAS,:E □ WATER
TUB AND SHOWER PAN
GAS TEST I
□ WATER HEATER □ SOLAR W~TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND o ;uFFER -·" ()' , •.
ROUGH ELECTRIC I L.l •0
' ''-~ -
□ ELECTRIC SERVICE □ TEMPORARY II
□ BONDING □ POOL I
I
I
MECHANICAL I
I
D DUCT & PLEM., □REF.PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA \lE BEEN APPROVED.
FINAL I
I
PLUMBING ! \ . -
ELECTRICAL I ! ~ . .
MECHANICAL V " J !
GAS I ..l .. \ 1\;"'
BUILDING -'l v I
SPECIAL CONDITIONS I \ " I
I ~ .
',
\ -•· ~ gqoe l <.o
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO IF INSPECTOR'S DATE
'"' 0
tft,t(l,(L, . CHECKED APPROVAL ! . .
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
\ I
PILES CAISSONS :
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