HomeMy WebLinkAbout1841 VALENCIA AVE; ; 87-288; Permit..,
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O I hereby aHlrm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000J of DMalon 3 of lhe Business
and ProfeHlons Code, end my license is In
full force and effect.
I hereby •ll•m 111a1 1 am uempl lrom lhe Coollac• lor s l.Jcense L•w tor tho t0110w,ng , .. son (Set 7031 5 Business and Protesst00s COde ~ny oty or county wnicn re qu,res a perm,1 to construe!. alter. improve demohsh, Of repair any slructure. pnor to ,1s 1ss1.rance also requ,res !heap-
plttanl tor such permll IO hie I S,Qf'ed SU!lernent lhit ne IS
1,censed porsuanl to lhe Pf'O"MIO"S ot the l.onlr~tor s
L,c;ense uw (Chapter 9 commenang W,lh Set.lM 7000 ol
Oi¥1St0n J of the Bus,ness and Profess.ons COdet Of lfYit rs u
empt lherefrom and the biis1s to, lhe ii~ exemP110n Any ~•~~~ :pp~:~:\X~3c~v~ :~~tyai>/,:~ :~,,~~ ~~~·
dreo doHars (S!iOOJ
'1 I. as ow""' of lho p,openy or my emp>oyees "''" W390S ~lhelr soie compensahcw1. w,M do lhe w.oric. and lhe slruc· ture Is not Intended or otlered lor saIe rsec. 70◄◄ , Busmess and Protesst0ns COde -The Contraclor's Licent.e Law does
not apply 10 an owne, of p,openy who builds or tmproves !hereon ano wt'lo dOes sucn woo: hlfflsen or 1t1rough h,s ~n empklyees. proveaed lhat such ttnpcovtmenls are no, inlend· odor ollerld lor Sile II,_., lho t>u"<l<ng or_...,.
menl 1s scAd w1lh1n one year ot cornpletJOn. the owtier-bu11der will have lhe burden of pra..,ng Iha! he did nol build or un-p<ove tor tho purpose or sale)
1. as owner of lhe p,-operty am exdus,vety con1,ac11ng
with l,c;ensed contraclors 10 conslruct lho Pfoietl (Sec ™• Business and Professions Code The Contractor·s Ltcense Uw ctoes not apply 10 an owner of property who builds or im-proves thereon. and who eon1rac1s lor each l)l()teels with a
cootractOf(S) ltcense pursuaint lo lhe Con1rae1or·s LICef\se I.Aw)
As a homeowner I am ""PfOY1ng my home. i1nd the follow
u,g conc'11ions ex.1st
1. The work 1s being performed poor 10 sa1e 2 I have ~ved in my home tor twelve months
r':V~ =:=:1
1t1
1i ::!p110n during lhe lasl lhree y,ars
□ I am exempl undef Sec ______ 8 & P C
for lh1s reason
C I hereby alftrm thal I have a cert,hcate of consent 10
self-insure. or a cert1hcate of woncers Compensation In-
surance. or a een1f1ed copy thereof (Sec 3800. Labor Code)
POLICY NO
COMPANY
C Copy •S filed with the city
D Certified copy is hereby rurn1sl'led
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be compfeted ,f tl'le permit
IS fo, one hundred do11ars tS100) Of IHS)
:J I cen1ty n,aa 1n 1he perform-,,ce of lhe wonc for ,.hlch
u,~ perm111s 1uued. I shall not employ any person In any
manner so as 10 be<:ome sub1ec1 to tne WOfke,s Compen-
s,llon Laws ot California
NOTICE TO APPLICANT; If. alter mak;ng this Certificate
of Exempuon. you should become subJect to the Worke,s·
compensat,on p,ovIsions ot the Labor Code. you must
forthwith comply with such Pt'OY1s,ons o, this perm,t shall
be deemed revoked.
0 'I hereby 1ftifm tha1 there 11 a construction lending
agency tor the perlOffflance of the wOric for wh,ch 1h1s per
rnit is issued ~Sec 3097. Civil Codel
Lender"s Name __ _
Lende, s Addreas, ____ ...,.. ______ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT t I 2075 Las ~lmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 -,oe AOORESS
'
~'~-' ~ J._V"' ~ A-AV ST RO. NEAREST CROSS ST 't;T~ I DJ:;:;~IONI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
\'i41 .. • ' .. ' ,1 Al~#J t)( A /O~ ~~1, ---•• -~ "-~ ' ~ i LOT I BLOCK Su~;.i -llS OJ\I l~OR PARr'ftj In
n T;:C~O~ ~ ~ _(L CONTRACTORS PHONE • ZONE
-"v -~
OWN'f R'', I\IAMl
"t) \ \ ;1\1 A I OWNER'S PHONf
~1\,~ ,~-i ¥oP C~CTO-R'S AOORESS STATE LICENSE NO. BUILDING SO FOOTAGE
OW"-~ R , MA Nf, AOOR£SS
~l""I~
OE.S>G,..ER OESIGNE R'S PHONE
OESCRIPT ON OF WOR o< i).~4, nn.e tJ. ": it DESIGNERS AOORESS STATE LICENSE NO.
-RI\\-, 0
' 1q1-f,' _v..)000 co~ FIP F LR ELEV NO OCC GP EDU STORIES
vO NO --0010 04/03 0101 02Blcht I I PARl(ING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAO Fl RE SPP 31-~ AREA CONST
YO N D vO r,,O vO NO Not Valid Unlns Mach,nt Ctrt1f1td
QTY. PLUMBING PERMIT · ISSUE 7:50 QTY. MECHANICAL PERMIT · ISSUE I< ~(rO SUMMARY/ACCOUNT NUMBER
~
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100000 BTU BUILDING PERMIT 001 810 00-00-8220 I "'1
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810-00·00·8221 -~ -------/1/ EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8821 -
EACH GAS SYSTEM I TO 4 OUTLETS --l ---_:__ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00-00·8222 -->-->-_...~ ·810·00·00-8223
---
EACH GAS SYSTEM 5 OR MORE I . METAL FIREPLACE ELECTRICAL
EACH INSTAl ALTER, REPAIR WATER PIPE ~l VENT FAN SINGLE DUCT MECHANICAL -"t) 001 ·810-00-00-8224 ---------~ --
MOBILEHOME.._ ~ EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS 0_0'\-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR L';. .►' ... ~:810·0\ ..... 2_q_--'I I'"
EACH ROOF DRAIN (;NSIDE I DRYER VENT sT
1
io~ 10: 1 .~ ~'! ~~n:f TOTkL MECHANICAL FIR P RLERS () ~ OW · ~ 227 --
I _,____ ~---~-_:__
PUBLIC FACILI~ FEE ~s.iti !)3-00·87 40 fOI Al Pl UMBINl.
,:5oa BRIDGE FEE "'' 3~·00·00·8740 QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP PARK-IN·LIEU (A~ ;;:,,. . :~
NEW CONST EA AMP SWT BK R CAR PORT TIF .... "\~' 134·810·00·00·8835 ----1 PH 3 PH AWNING LA COSTA TIF 133-810·00·00·8835
EXIST BLDG EA AMP·SWT BKR GARAGE FMF
·-1 PH 3 PH LICENSE TAX 001·810-00-00·8162
REMODEL Al HR PER CIRCUIT MFF 880-519·92·57
TEMP POLE JOO AMPS -OVER 200 AMPS -TE MP OCCUPANCY 30 DAYSI
CREDIT DEPOSIT
"
TOTAL ELELJRICAL I TOTAi TOTAL FEES PAY~ ~, ,.--I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT Ar~D DO HEREBY EJ1pirat1on e ... ery permit ISS~ byttie Butld,ng QU,c1ai undet thP prO't'l510f'l5 of lh]S * AN 06~:T IS REOUIAED FOfl EXCAIIATIONS OIIER CERTIFY UNDER PENALTY OF PERJURY THAf ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm•tahon and become null and void II the budding o, work. 5 O" DEE ND DEWOllTION Ofl CONSTRUCTION OF author,zed by such perm,t ,snot commented w1tl'\m 180 days from the date ot such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHE'R CERTIFY AND AGREE ,FA PERMIT If> ~~~~no~ i~t t=~v ~~:1Je~~n::!,~~hc°~~~~i~~~~ :e=.~•~,s~rc,".~~ or
STRUC ES 0 1/ER J STORIES IN HEIGHT
ISSUED TO COMPLY WIT'i All CITY COUNlY AND STATE LAWS GOVERNING BUILDING cm, \ . ,
STRUCrlON WHETJ.iER SPECIFIED 11ERE;N OR NOT I ALSO AGREE TO SAVE l"iDEMNIFY AND APPL_!S~fH s SIGNATURE • OWNER!t CONTRACTOR [ APPAOVEf Bo< L\
111/87
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST $AID CITY IN CONSEQUENCE OF THE ~~ );,._f)~ BY PHONE rJ 2::r GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION I FIELD INSPEC TIO N RECORD
REINFORCED STEEL I
I REQUIRED SPECIAL INSPECTIONS
MASONRY '
GUNITE OR GROUT t INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl:LING SOILS COMPLIANCE
SHEATHING □ ROOF D SHEAR PRIOR TO
FOUNDATION INSP
FRAME I
EXTERIOR LATH l
'
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
'
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ ~UCO
UNDERGROUND D WASTE d WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I ~
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
' ELECTRICAL I
'
D ELECTRIC UNDERGROUND ill UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
T
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ~ ~ ~-;°''\
VENTILATING SYSTEMS I . .
I
CALL FOR FINAL INSPEC[ION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
' j FINAL I
PLUMBING I
·. . ~,~ ,-... "7 . . ELECTRICAL I
I
MECHANICAL I
\-~· .. GAS I . ·-, ...... -· ~
BUILDING I 'I-C,-7..., ll'11;:b~-r • I
SPECIAL CONDITIONS I . I
DATE
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INSPECTOR'S NOTES
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