HomeMy WebLinkAbout2605 VIA BOCAS; ; 84-582-485; Permit.,,
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O I hereby affirm lhat I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Proleaalons Code, and my license is In
lull force and effect.
Lie No ______ Class
1 hereby altlrm lhat I am exempl from lhe Conlrac· lor s License Law for lhe lollow+ng reason (Sec 7031 5
Business and Professions Code A.ny c,Iy or counly which re· quires a permit lo construct. alter. improve. demolish, or
repair any structure. ptIor to its issuance also requires !heap·
plttanl !or SIJCh permit 10 hie a signed statemenr thal he is
licensed pursuan1 lo lhe provisions of lhe COntracto, s License Law (Chapter 9 commencing with Sechon 7000 of 0i:v1s10n 3 ot lhe Busmess and Protessions Code} or lhat 1s ex·
empt therefrom and !he bas.s lor lhe aUegeo exempt,on Any Vlolauon ot SechOn 7031 .5 by an applrcanl for a perm,I sub·
JeCls the applicant 10 a CIVIi penalty ot not more than live hun· dred dollars ($500)
rJ I, as owner of the property. or my employees with wages
as their sole compensation, will do the work. and the struc-ture 1s not intended or offered for sale (Sec 7044, Business
and Proless,ons Code The Con1ractor's utense Law does
not apply to an owner ol property who builds m improves
!hereon and who does such work him.self Of lhrough his own
employees, provided lhat such 1mprovemen1s are not inlen<S-ed or offered lor sale II. however. the building or 1mprove-
men1 1s .sooi w11h1n one year ol complehon, lhe owner-builder will have !he burden of proving that he did not build or Im· prove tor the purpose ot sale}
□ I, as owner of the property, am exclusively contracting
with lteensed conuactors to construe! the project (Sec. 7044
Business and Prolesslons Code· The Contractor's License Law does not apply to an owner of property who ~u,lds or 1~
proves thereon, and who conlracls for each protects with a conrractOJ(s) license pursuanl to the Contractor's License Law)
D As a homeOwner I am improving my home. and the follow· ing conditions exist 1 The work ,s being pertormed pr,or to sale 2. I have lived in my home for t~lve months prior 10 complet10n or this work.
I have not claimed this exemption during the last three years
~ 11h~ire:ae:dg' under Sec _____ _ B&PC
0 I hereb'f affirm that I h.a,1e a cen1t1cate ot consent
10 sell msure or a c.emt1ca1e ol Wor..,ers
Compensatton Insurance. Of a cen1hed CODY thereol
(Sec J8:lO LallOr Codel
POLICY NO
COMPANY
D Copy 1s filed with the c1ly
□ Cer11l1ed CODY IS hereby furnished
CERTIFICATl OF EX~MPTION FROM WORKERS COMPENSATION INSURANCE
(This section need no1 be compleled if lhe perrru1 1s lor one hundred dollars (S 1())) or less!
D I certify !hat m the performance of the wont lor
..-h,ch this perm11 1s ,ssued. I shall 001 emDIOy any
person In any manner so as to become subIec.t h.l
the Wor1'.ers Compensa11on Uws of Cailtorn•a
NOTICE TO APPLICANT If. alter mall.In;) 1rus Cen1
hcate of EKemption you should become sub1ec1 I?
the Wor1'.ers' Compensa1100 provisions ol me Labor
Code you must torth"A1lh comply w11h such
prov1sIons or 1nIs permit sna11 be deemed ,e,..okeo
0 I hereby athrm thar there ,s a cons1rucrIon
lending aoency tor the per1ormance ot me won,. tor which lh•S perm,1 ,s ,ssueo (Sec .3097 C1v1J COC1eI
Lenders Name ___________ _
Lenders Aooress __________ _
1 USE BALL POINT PEN _OII_LY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
: CARLSBAD BUILDING DEPARTMENT
1 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
I JOB AOORESS AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE :t VALUATION PERMIT NUMBER
c::)"05 v.:c.J ~c-->.s 1-4--85 c~~/2'!:. ZtE8SS 10 B4--S8Z
&. 4-+as
PLAN I.Q. # BLOG use COOE
c.,,:; ~4-07
OEStGNER
~~~~~~----r....L...J'-"""L.....!..._L-I...L..>1---.::---~~:.....!..!,=~ b,..; i ror,m~rrfc::, I ~{9,"
l,l-L..!i.!~:.&t!::l..,Q.l.,l.!C,,,j~~~-L:.......~..u_:.....L~~~L..!._ _______ --1 OESIGNER·s AOORESS
~G, a ,·c,i +_,.s_CA
t-F/P F LR ELEV.
v□ NO /IQ,.!i
CENSUS TRACl GRAOtNG PERMIT ISSUED
NO
sToz:s
TYPE
LICENSE "
C!1'198
OESIGNE R'S PHONE
9~~~
OCRd I Ei
ace LOAO Fl RE SPP
STAN DARO PLAN # BUILDING SO. FOOTAGE
/4-9~
_I 10'/ /bb2tiB 2906~3
GP LANO USE rAzocE I RES;NITS j
y D ND l REOEVELOPMENT
AREA -....,./
v0 NJ!W.. CVN vO ~ Nor Valid Unless Machine Certified
QTY.I PLUMBING PERMIT -ISSUE I .7 .;,~ II QTY.I ME
,,._ • -·---· LFURN.OUCTSuPTOlOO,OOOBTU I 4,.~ I BUILDINGPERMIT 01-00-00-8220
1 ' '-~•· "'"'" ~···~ '"""" --• UVttl lUU,UOO BTU I I SIGN PERMIT 01-00-00-8221
1 ' ----------• -ER/COMPRESSOR UP TO 3 HP I I PLAN CHECK 01-00-00-8806 I -?.:J.../ -
' f----! BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01-00-00-8222 I %, ~
----·· 'IREPLACE ELECTRICAL 01·00-00-8223 ~0 ---
-' ll,N SINGLE DUCT I 6 .-.-I MECHANICAL 01·00-00-8224 I / ..::i --
C:J\f'U \/J\('11111• DOC:J\ ... C:D 1 .. ar,-11 r'-1.,A ttrT
. ...-7'1 ( --i I INSTALi
CHANICAL PERMIT -ISSUE
-Z?-~O I --·----------·
+ :ii~ I"" :~'"''
~:;.:g I VENT FA, --
MECH tAt1AuS1 -HOOO DUCTS
..::.) -=-
-HUUU UULI~ I II MOBILEHOME 01·00·0.Q-8225
SUMMARY/ACCOUNT NUMBER
'---~4..o-
~r-~--~-~-· --··, FURNACE/HEATER WATER SOFTNER I Il I KtLUlAI IUN U~ tP ,.,vu•••"v"'" '"'"' ,,.v,
I I EACH ROOF DRAIN (INSIDE) I ~ I . -",. .. """' • STRONG MOTION 8□·92-33-0519
FIRE SPRINKLERS 01·00-00-8227 T01 AL PLUMBING ]
!01 l<L MECHANtLAL
4-t.o ~ I I~--,{..._ /B CJ
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWl BKR }00/17
s--QTY.I SOLAR -ISSUE
c::is-I COLLECTORS
PUBLIC FACILITIES FEE 32-00-00·893)
BRIDGE FEE
SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad L 71< / 80·92-21-0519
EXIST BLOG EA AMP•SWT BKR
1 PH 3 PH
REMODEL ALTfR PER CIRCUIT
ROCK STORAGE
PUMP
PLAN CHECK FEE
Encinitas___ 80·92-22-0519
San Diegu,!o 60·9_2·23-0519
San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 OAYSI MFF 80-92-57-0519 / (? 8.8_ CJ
/.37/-
BBo-
TOTAL ElEllRICAL ' CREDIT DEPOSIT
-00--TOTAL SOLAR TOTAL FEES PAYABLE l <;:Q90~~
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPUCATION ANO PERMIT" ANO 00 HEREBY Exporat,on E•ery perm,t issued by the Bu,ldtng Ofhc1al under the pro•1S1ons of th,s * :T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm1tat,on and become null and •o•d It the buold,ng or work O 0£MOI.JTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit IS not commenced w,th,n 180days from the date of sucn 1'111111,>n•oLcs OVER 3 STORIES N HEIGHT _ permit. or 1f the building or work authorized by such permit 1s susp,Qnded or I ISSUED TO COMPLY WITH ALL CITY, COUNlY ANO STATE LAWS GOtERNING BUILDING CON abandoned at an lime after the work 15 commenced lor a nod ol 180 da S
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . 0 7/J
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO ~APPLICANTS SIGN~TURE ~ OWNER CONTRACTO 7 gr
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE_ .....,,,:::::,,/'1J ./ --
GRANTING OF THIS PERMIT ..,; ,-~ ~ 1
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TYPE ' DATE INSPECTOR I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY ' {
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH8AR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □\PUCO ' UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W~TER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ljJFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINp
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPECT/0.N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE, BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
. ..,..
~ . .g4-~sgd -lL-~S" ' ~-~ \ .
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY -
PILES CAISSOI\/S
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