HomeMy WebLinkAbout1839 VALENCIA AVE; ; 85-10; PermitII[
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O I lle<eby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfeHlona Code, and my license Is In
full force and effect.
Lie No ______ Class
I hereby affirm that I am enmpt lrom the Con1rac-1or·s License Law IDf Ille lollowing reason (Sec. 7031 5 Business and Protess1011s Code· Any aty Of county which re-
quires a permit to construct. aner. improve. demolish, or repair any struclure. pnor to Ifs 1ssuanc.e also requires !heap-
phcant !or such permit to flle a signed statement that he 1s lrcensed pursuanl to the provisions of the Contractor·s Ltcense Law (Chapter 9 commencing with Section 7000 ot
OMsK>n 3 of lhe Business and ProfessJOns COde} or thal is ex• empl therefrom aoo the basis tor the allegecl exemption Any
violation ol Sect,on 7031,5 by an a111>lbnt tor a perm11 sub•
jects the applicant to a tMI penalty ot not ffl()(e than Ove hun•
dred dollars ($500).
□ I, as owner ot the property. or my employees with wages
as their sole compensation, will do the work. and Ille strut· ture is not intended or offered for sate (sec, 7044, Bus,ness
and Professions Code: The COntractor's License law does not apply to an owner of property who builds or improves
thereon and who does such work himself or through his own
emplOyees. provided that such imprOYements are not intend-ed or offered to< sale. If, howevtr, the building or m,prove-
ment Is sold within one year of comp&etion, the owner-builder
will have the burden of proving that he dkf not buiki or im-
prove-lallhe purpose ot sale).
D I, as owner ot Ille p,operty. am extlusively contracting wtth licensed contractors to construcl the p,oject (Sec. 7044, Bus1ness and Professions Code: The Contractor's Ltcense
Law does not appty to an owner DI property who builds or im-
proves thereon. and who contracts for each projects with a contractor(s} lteense pursuant to the COntractor·s license Law).
D As a homeowner I am Improving my home, and lhe follow-ing conditions exist:
1. The work is being pertormed prior to sate. 2. I have lved In my homo tor twelve months
3. rr:v~ ~~ot t1~: =~ption during the last three years.
D lamexemptunderSec. ______ , B&P.C.
for this reason -------------
□ I hereby affirm that I ha.re a cer11t1cate ol consent
10 self-insure. or a cer111ica1e ol Workers'
Compens.alton Insurance, Of a cert1f1ed copy !hereof
(Sec 3800. Labor Code!
POLICY NO
COMPANY
0 Copy ,s hied with the city
O Cen1hed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm,,
Is IOf one hundreo dOllars (S 100) Of ~ss)
0 t certify tha1 ,n the per1ormance ol ll'le wofil: IOf
which lhts permit IS issued. I Shall nol employ any
person in any manner so as to t>ecome sub1ect to
the Wor1'.e,-s· Compens.ataon Laws of Calitom,a
NOTICE TO APPLICANT If. after makin~ this Cert,
hcale of E•emPtton. yoo sttould become subJect I?
lhe Workers· Compensahon p,ov,sIons ol the UlbOI"
Coae you must tonhw1th comply with such
prov,s,ons or lh1s permII shall be c>eemed revOked
USE BALL POINT PEN ONLY & PRESS HARD --
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-552L
JOB ADDRESS A V. ST.RO. NEARESTCAOSSsf:
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LOT
OWN~'Sl'lAME
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OWNER'S MAILING ADDRESS
~34 ' DESCRIPTION OF WORK
(""')/\ I --~ -i C I f L{)l, F ..>ri-r F/P FLA ELEV.
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS 'EL0PMENT
v □ NO
QTY.J PLUMBING PERMIT · ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER OVE R·:i00.000 BTU
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM I TO 4 OUT LETS
EACH GAS SYSTEMS OR MORE
EACH INSTAl . ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKE R
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN I INSIDE)
TOTJ;L MECHANICAL
TOTAL PLUMBING
QTY. QTY. I SOLAR· ISSUE
NEW CONST EA AMP/SWT IBKR COLLECTORS
I PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BK ROCK STORAGE
I PH /3 PUMP
REMOOEL 'ALTER · () 0 I! I PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS
TOTAL SOLAR
I HAVE CAREFULL ✓~AMIN ED THE C~Pl~~ PUCA TI0N ANO. PEAMlr'.ANO 00 HEREBY·,· '~-~;
CERTIFY UNDER PENALTY OF PEAJU Y T L INFORMATION HEREON INCLUDING TH" Cll!II· ..... --
DECLARATIONS ARE TRUE AND CORR CT AN I HER CERTIFY ANO AGREE IF A PERMIT
ISSUED' TO COMPLY WITH ALL CITY, COUNTY A ATE LAWS GOVERNING BUILDING OCl
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I LSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLS<& AGAINST Alic
EXPENSES WHICH MAY IN ANY WAY "CCflUE AGAINST
GRANTING OF TfflS PEftMIT.
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
BUSINESS LICENSE ti VALUATION PERMIT NUMBER ~ u::
371
ZON CONTRACTORS l't<ONE •
14l-]ooo
C/i,;_,,10
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E Q) I-PLAN 1.0. # USE CODE I
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STAN DARO PLAN# BUILDING SO. FOOTAGE I 0 0 I ~s
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TYPE
CONST
occ LOAD I FIRE SPR I
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vO NO Nor Valid Un~s Abchine Cutififtf
3--SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·B220
SIGN PERMIT 01 ·00·00·B221
PLAN CHECK 01 ·00·00·B806
TOTAL PLUMBING 01 ·00·00·B222
ELECTRICAL 01 ·00·00·B223
MECHANICAL 01·00·00-8224
MOBILEHOME Ol·OO·OQ·B225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION 80·92·33·0519
FIRE SPRINKLERS 01 ·00·00·B227
PUBLIC FACILITIES FEE 32-00·00-B933
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad B0·92·21 ·0519
Encinitas 80·92·22-0519
San Dieguito 80·92·23-0519
San Marcos B0·92· 24-0519
CREDIT DEPOSIT
TOTAL FEES PAYABLE
the prov,stons of 1h11 If the budding or worli , from the da'te of suet\
* AN~ PEMIIT IS AEQUIAEO FOfl EXCAVATIONS OYER
5' O" DEEP ANO DEM0UTION OR CONSTRUCTION Of
STIIUClURES OYER 3 STORIES 1H HEIGHT
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TYPE I
BUILDING I
OUNDATION I
~EINFORCED STEEL I
I
'1ASONRY I
:.lUNITE OR GROUT I
LOOR & CEILING SUB FRAME I
F
R
M
G
F
s
F
,HEATH ING D ROOF D SHBAR
' RAME I
EXTERIOR LATH ! l
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN :
GAS TEST I
D WATER HEATER D SOLAR WATER :
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH,.,ELECTRIC I
I
D EJ,£CTRIC SERVICE D TEM POl=IARY
~ (g'BONDING D POOL I I .
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS !
I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
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CALL FOR FINAL INSPECTlbN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
I _L_
ELECTRICAL I 7 / I r ,[ / ~~ I /
MECHANICAL I r ~ -JI/% 'l /). ~ µ
GAS I I../'/ /IV I
BUILDING I , ,
I
SPECIAL CONDITIONS I
I
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FIELD INSPECTION RECORD x:;;-10
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTOR'S INSPECTION REQ IF DATE CHECKED APPROVAL --~. ·~
' SOILS COMPLIANCE .
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE .
OVER 2000 PSI -.
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING I
HIGH STRENGTH
BOLTS --.
SPECIAL MASONRY
PILES CAISSONS
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