HomeMy WebLinkAbout1889 VALENCIA AVE; ; 83-98; Permit.,, z 0 ~ a:: C _, u ..,
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0 I hereby affirm that I am licensed under provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full force and effect.
lie No -------Class
I l>ereby affirm that I am exempt lrom the Contrac· tor's Li<ense Law !or tile following reason (S.C. 7031.5
Business and Profess,ons Code: Any city or county which re· quires a permit to construct, alter. improve. demohUI, or repair any structure, prior to its issuance also requires the ap-
plicant tor such pe,mit to file a signod statement that he Is licensed pursuant to the provisions o1 the Contractor's
License Law ( Chaptor 9 commencmQ with Sec hon 7000 of Drv1s10n 3 of the Business and Professions Codo) or that is ex· empt 11\erelrom and the basis tor tile alie11ed exemption, Any
Yiolalion of Seclion 7031.5 by an applicanl tor a permit sub-iects tile appllcanl to a civil penalty of nol more lhan !Ive hun·
dred dollars ($500}
□ I, as owner of Ille property, or my emplO'feeS wlth wages
as their sole compensation, will do the work, and the strut· ture is not intended or offered for sate (Sec 704◄, Business and Professions Code: The Contractor's License Law does
nol app!y 10 an owner ot property who builds or Improves !hereon and who does such work hlmsell or lhrough his own
emplO'feeS. provided that such Improvements are not intend· ed or ottered IOf sale. 11, however, the building or improve-,
ment is soki within one year~ completion, the owner-builder will have the burden of proving that he did not build or im-
prove tor Ille purpose of sale).
□ I, as owner of the property, am exclusively contracting
with f1Censed contractors to construct the project (S.C. 7044, Business and Professions Code: The COntractor's license Law does not apply lo an owner of property who builds or im-proves thereon, and who contracts tor each projects with a
contractor(s) license pursuant to the Contractor's License Law).
□ As a h-ner I am Improving my home, and tile follow· ing conditions exist: 1. TIie work Is being performed prior to sale. 2. I have lived In my home tor twelve monlhs
prior to completion of this work. 3. I have not claimed this exemption during the
last three yea.rs.
□ I am exempt under Sec. ______ , B & P.C. for this reason ____________ _
D t hereby affirm that I ha'le a certificate of consent
to self-insure. or a cert1f1ca1e of Workers·
Compensation Insurance. o, a cen1t1ed ccpy thereof
(Se<: 3800. Labor Code).
POllCYNO
COMPANY
□ Copy tS filed Wtth lhe Cll)'
□ Cen,hed CoPY ,s hereby fum,shed
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t !he permit
1s tor one hundred dollars (S 100) Of less)
0 I certify that 1n the pertormance of the work to,
which this permit is issued. I shall not employ any
person in any manner so as to become subJect to the Workers Compensation Laws of Cahforn1a
NOTICE TO APPLICANT If. after makinJ this Cen1
flcate ot Exemption. you sh<>uld become sub1ect I?
the Workers' Compensation pro111st0ns ol the labor
Code you must forthwith comply with such
prov,s,ons or !his permit shall be deemed revoked
0 I hereby affirm that 1hefe is a cons11uc11on
1end1nQ agency tor 1ne perlormance ol the woni. !or
which 1h15 perm,t ,s issued {Sec 3)97, C1v1I Code}
Lenoe, s Name ___________ _
Lenoe,·s AOdress __________ _
i
USE BALL POINT PEN ONLY l PRESS 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. /~ A~:T.,DAJ:J~EI
BUSINESS LICENSE # VALUATION ~ PERMIT NUMBER
/~/? . ~'I&~ z;---
OWN;r;~:1 /J;?ct'J l OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE e ZONE err ?~o/~la5 /}t,UAI'('~ llf77L
Oi~fiAILIN;;;z~/"/•A llue CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
'
LOT BLOCK I SUBDIVISION I ~s ESSOR PARt:,No,q
-"" 7-'"7 -/ D
DESIGNER LICENSE# STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
Dl,SIGNEfl'S ADDRESS. DESIGNER'S l'HONE
. ,~~")I/ -}
. H)e _ c9-o X I J...-: . ----NO -F/P FLR ELEV. OCCGP EDU STORIES
vO NO 3h:, .. L • ·:70 :
CENSUS TRACT I I PARKING SPACE AES UNITS I GP LAND USE GRACING ~ERMIT ISSUED I REDE VELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Not Valid Unlffs Machin~ C#rtifi«I
QTY. PLUMBING PERMIT · ISSUE ··7~ QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER LA
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00-8220 76--
EACH BUILDING SEWER , . OVER 100,000 BTU SIGN PERMIT 0Hl0-00-8221
EACH WA TEA HEATER AN0/0 R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 J.s~
EACH GAS SYSTEM 1 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 VENT 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 MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??I:
TOTJ.L MECHANICAL STRONG MOTION 80-92·33·0519
TOTAL PLUMB ING I FIRE SPRINKLERS 01-00-00·8227
QTY. ELECTRICAL PERMIT · ISSUE s--QTY. SOLAR • ISSUE
PUBUC FACIUTIES FEE 32·00·00·8923 . BRIDGE FEE -
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS ' Carlsbad 80·92·21 ·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22-0519
1 PH 3 PH PUMP San Oieguito 80·92·23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK fEE San Marcos 80-92·24·0519
TEMP POLE 200 AMPS -
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL 1 --' TOTAL SOLAR TOTAL FEES PAYABLE I /6~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Eftfl' permit -by""' BuHding Olflctal under the P,CM91onl ofthtl 1!'. N\~ ~ IS RI.QUla) FOR EXCAVATIONS OYEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ehall e,,piN by Hmltallon and become null and void If the building or woll: •l'r DEIP MID DIIIOU110N OR CONSTIIUCTION OJ
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit • not commenced witllin 1IIO da~• om the date ol auc'1 SfflUC1UMSOV913 S10flES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• ::':0,:,1~ ':v =!.1..°'tlle~au11":,,.~~ 1t is,,,~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPllCANrs SI-: -:..:: • 01-ztER ~•ONTRACTOR 0
xy~~
DATE KEEP HARMLESS THE.CITY OF CARLSBAD AGAINST ALL LIABtLmEs, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /°£--... ·---~
,~w.2~ GRANTING OF THIS PERMIT. / .;c..:J~vr / ) BY PNONE □,
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INSPECTION TYPE ; DATE INSPECTOR i=5--4Y a -.----BUILDING j
FIELD INSPECTION RECORD -
FOUNDATION I
REINFORCED STEEL ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ_ IF INSPECTOR'S •. MASONRY CHECKED APPROVAL DATE
GUNITE OR GROUT SOILS COMPLIANCE .
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME ,. OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE ' ' ... POST TENSIONED INTERIOR LATH & DRYWALL CONCRETE
PLUMBING .. FIELD WELDING I -,I SEWER AND BL/CO • .. HIGH STRENGTH : -,.
PLUMBING UNDERGROUND BOLTS
PLUMB! NG TOP OUT SPECIAL MASONRY !. -I •.
I t TUB AND $HOWER PAN :I , .,
GAS TEST PILES•CAISSONS --
ELECTRICAL I
I
-
' • '
TEMPORARY POWER I , . . I I
ELECTRIC UNDERGROUND ' I I " '
ROUGH ELECTRIC ~ . ! ./
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.. ~-ELECTRIC SERVICE ,..,,,, :-.,,. .. ~ -
BONDING \ ) i.----,,
' ~ -,, -
G. F. I. -SMOKE DETECTOR I ~ -r --
(\ . ,.
MECHANICAL ./ ~ ' ,. .. fl DUCT & PLEM., REF. PIPING ! u ~ HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS / ' A// r __ ,,, I \
~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~ /'lr,J1r1 y ~ '
ITEMS ABOVE HA VE BEEN APPROVED. J:?',,. -
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,, .. .
JOB SITE FINAL / 'V I 'I/ • V PLUMBING . /
ELECTRICAL ' / j ' u MECHANICAL / ' GAS L ,__ . BUILDING L / .. ' SPECIAL CONDITIONS ,,?/ --
CERT OF OCCUPANCY ISSUE9""" ~
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