HomeMy WebLinkAbout1880 VALENCIA AVE; ; 86-325; Permit..,
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,,1SE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
,l:8d'" 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 mBlcense is In
full tom ef'l!J lit No 6 Class
I hereby amrm that I am exempt from lhe Contrac·
tOf·s lieens, Law tor U1• lotlow1ng reason (Set 70315 Business and Protess10ns Code Any city or county whlCh re-quires a permit 10 construct, alter, improve, demohsh. or repair any strucIure. pnor to I1s issuance also requires !heap• P'icant for such permit to hie a signed statement 1ha1 he Is hcensed pursuant 10 the prov1st00s of lhe contrac1or·s License Law (Chapter 9 commencing with SectlOO 7000 ot
Olv1sk>n 3 of the Business and Professions Code) or Iha! 1s ex· empt therefrom and the basis IOI' !he al!egeo exemption Any
v10lation of Section 7031.5 by an apphcant for a perm,t sub· 1ects the appllcant 10 a CtVII penalty o1 no1 more lhan hve hun· dred dollars ($500)
□ I, as OW'!!f of the property. O! m-, emplo-1ees w1!h wage::;
as !heir sole compensallon. will do lhe work. and the struc·
ture Is not intended or offered (or sale (Sec 7044, Business and Professions Code The Contractor s License Law does
f:~r:gf!0:,0 V:~o ~oe":rs~~fw':t~i;~r ~'~iekJ~~~~~=~
employees, provided that such improvements are not intend-
ed or ottered tor sale. If, however. the building oc improve-ment ,s sold w11hin one year of completion. the owner-bui1der will have the burden of proVing thal he did not build Of Im-pro,e fDf lhe purpose of sale).
D I, as owner of the property. am exclusively contracting with hcensed conrraclors 10 construct the prQJect {Sec 7044.
Busmess and Proless,ons Code: The Contractor·s Ucense Law does no! apply to an owner of property who butlds or im-proves thereon. and who contracts tor each prQfects with a
contractor(sl license pursuant to the Contractor·s License Law).
□ As a homeowner I am improving my home, an<I the totlow mg cond1t1ons eKIst:
1. The work 1s being performed pnor to sale
2. I have kved in my home for twelve months prior 10 complehon of this work
3. I have not claimed this exemption dunng the last three years.
g :h~~ ,e:a~~ft under Sec ______ , 8 & p C ----------
~eby alt.rm that I na .. e a cert,t,cale of consen1 ~~;,·,.insure, or a cert1t,cate ol Wo,...ers
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT TA-f/110 -#-5-1831
LOT },..,__ ./' APP !CATION BUSINESS L
BLOCK S-UBDt\llSION .1.--'I • /::L e,t;:, 2 0 ;;NSE r, VALUATION PE,IT NUMBER
ow-.a·s •••• -OQ <ONmcma C> T ;-r--tJ ~ £ -,-I. R I s I CONTRACTOFIS PHONE •
..,JO VII\ OCI O ··••0 •• D c;t. a.-r 4 '°'
ow••·· .. .,u.Gaooam sl-a.. -070 commoa·s.oD h I: >Z-ozc;;z.. ~
JOB ADDRESS
1880 Vc-t( enc ,·;_ST.'Ave~RESTCROSSP~r k
om•!~•o•~·· u~(enc,O... Ave... o,,, G_6o <'<
11 dis. '""""'"' E~ 7"\ ~ LICE JM"' v,-e~ jZ/2/ NSE• STANOAROPLAN# BUILDINGSO.FOOTAGE
PLAN 1.0. # BLOG USE CODE
DESIGNER'S ADDRESS p
_}_-$t>lq.ft~rl-3C>t>J/<. I
So I c;..r tu~ k He°' t-er-F/P
vO NO
FLRELEV.
,E~fiio3 I GP LAND USE I PARKING SPACE l::~s J
QTY.I PLUMBING PERMIT -ISSUE 7!2-
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM I TD~ OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~. ALTER. REPAIR WAT ER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
GAAOING PERMIT ISSUEO
YO ND I REDEIIE LOPMENT AREA
vO NO
QTY.I MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS i.lP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3.15 HP
METAL FIREPLACE
VENT FAN SING LE DUCT
MECH EXHAUST HOOD/DUCTS
RELOCATION OF EA FU RNACEIHEA TE R
TOT.C.L MECHANICAL
---,;m
STORIES
TYPE
CONST
:3-
DESIGNER'S PHONE
8/2ti/t1650~o T5,0.
OCC GP EDU
ace LOAD FIRE SPR
vO NO Nor Valid Unless Machine Cerrilied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00-00-8220
SIGN PERMIT 01-00-00·8221
PLAN CHECK 01 ·00·00·8B06
TOTAL PLUMBING 01 ·00·00·8222
ELECTRICAL 01 ·00·00-8223
MECHANICAL 01 ·00·00·8224
MOBILEHOME 01 ·00·00·8225
MOBILEHOME PARK INSP
SOLAR Ql ·QQ·Q0-8226 L S--
Compensatoon Insurance. 0< a cen,t,e<l copy lheteol I ] II I I
!Sec 3800 Laoo, CodeJ TOTAL PLUMBING . ··--· ....... __ ,._
POucYNowcz..-t~/2-o2-7q'/7-o,s",I 1 1 1 11 -.. -.. --·-.. ·-·-·---
coMPANY l-(be-rhLl7'l411.;{-;,_p,.( : QTY. ELECTRICAL PERMIT· ISSUE s--u •uu,
STRONG MOTION 80·92-33-0519
FIRE SPRINKLERS 01 ·00·00-8227
~Ut!LI\; ~A\;ILI I ltS ~EE 32·00-00-89ll QTY. SOLAR • ISSUE
~y ,s l<le<l W<th lhe {l, I COLLECTORS
RRtnr,E FEE
SCHOOL FEE • DISTRICT
0 Cert,he<l copy ,s hereby lurnoshe<l I -----''c------------,.,,c----STORAGE TANKS
A AMPISWT BKR ~/J
Carlsbad 80·92·21-0519
CERTIFICATl OF EXEMPTION fROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed 1f the oerm11 Is tor one hundred OOllats tS 100) or less)
0 I cer11ty that 1n the performance of !he wOOt IOI
which 1h15 permit ,s issued, I shall not employ any
person in any manner so as to become subIec1 10
lhe Worke,s Compensa11on Laws ol Cahtorn,a
NOTICE TO APPLICA.Nl II. after makin1 lh1s Cen1 licate of EKempflon you sf\Ould t>ecome sub1ec1 l'J
1he Workers Compensation prov1sIons ot me Labor Code. you mus! tonl"l"Atth comply w111i suer..
prov,s,on.s o, 1tus permit shall be oeemeo revOlil.e-ct
O I hereby affirm Iha! !here 1s a cons1ruc11ol'l
Iendmrg agency tor lhe pertOlmance ot lhe w-ork lor
wtllCh lh•S permit 1S IS.S~ed \Se~c 3097 Civil CocJel
Lenders Name __ -':..("""rJ"'~'++=~----lv 1
Lenders Aodress ____ ,_ ______ _
IPH ~~H
REMODEL Al T~RCUIT
TE MP POLE ioj;&'Ps '
OVER20-0~S .............
TEMP oct'uPANCY (30 DAYS)
TOTAL ELECTRICAL
~ --J
ROCK STORAGE
PUMP _d
PLAN CHECK FEEf / , • Lt),AY L ,4/Afl:/
'5ll7V ~
TOTAL SOLAR
Encinitas 80·92· 22·0519
San D1eguilo 80·92·23-0519
San Marcos 80·92· 24-0519
LICENSE TAX 01-00-00·8162
MFF 80-92-57-0519
CREDIT DEPOSIT
/5--TOTAL FEES PAYABLE l / >"---
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT°' AND DO HEREBY Exp.ratton Every permit Issued by the Bu1t<long Ofl1c11I un<ler the prov11Ions of thos
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall exp.re by fIm1t1t1on an<l become null and void fl the buildmg or work * AN OSHA PERMIT IS AE0Ulft£0 FOfl EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1th,n 180 days trom the date of such 5· D" DEEP ANO DEMOLITION 0A CONSTRUCTION OF
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· permit. or 11 th• buitdlJ or work auth0t<Zed by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND aband0 at an tome I er the work II commenced for I nod ot 180 d
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO AP CAN. ·5 StGNAT~RE OWNER □ PPROVE.D BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE //2A./
GRANTING OF THIS PERMIT (/r YI...... 0 r DATE
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TYPE I DATE INSPECTOR I
BUILDING I
--. ' 8~.,3~ ' -
\ •, '
FOUNDATION I
' FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
i
GUNITE OR GROUT l
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING □ ROOF □ SHl:EAR . PRIOR TO
FRAME ' I
EXTERIOR LATH I
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL i -
PRESTRESSEO I
CONCRETE
POST TENSIONED
' CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO I
I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W~TER
HIGH STRENGTH
BOLTS ,
SPECIAL MASONRY
TUB AND SHOWER PAN I :,
GAS TEST I
I ' PILES CAISSONS
□ WATER HEATER □ SOLAR WAIT"ER
I ' ' I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ VFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO$ARY
□ BONDING □ POOL I
I
I ' -
MECHANICAL I
I .
□ DUCT & PLEM., □ REF. PIPIN1G -
HEAT -AIR COND. SYSTEMS I . • ' ' . .
VENTILATING SYSTEMS ' I ..
I ·.-v·. --:1 lfl•C
CALL FOR FINAL INSPECTl:iN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I t
' \
•--,P, I ... ,
'
PLUMBING I .A -
I I
--' -• -
ELECTRICAL I V \R I
MECHANICAL I
"J I "' GAS I ' V 'f -
BUILDING 1, -~ ' I
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SPECIAL CONDITIONS I ✓
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