HomeMy WebLinkAbout2603 VIA BOCAS; ; 84-582-484; Permit<II z 0 i= C II: C ....
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No ------Clm
I hereby athrm lhat I am exempt lrom lhe Contrac· lof's Ucense Law tor the following reason (Sec 7031 5
Business and Protess.ons Code Any city or county which re· quires a permit to conslrucl, alter improve demohsh, or
repair any structure. pnor to its issuance also requires !heap-pl1tant lor such perm11 to lite a s19ned stalement !hat he 1s
licensed pursuant to the prov1st0ns ol lhe Coo1rac!Of s l1tense Law (Chapter 9 commencing W1th Sechon 7000 of
Otv1s1on 3 or the Business and Proless1ons COde} or that 1s ex· empt lherelrom and the basis lor the allegea e,i:empt,on Any
v1otat10n of Section 7031 5 by an apphcant IOI' a pe1m11 sub-
1ects lhe apphcanl to a civil penalty of nol more than five hun-
dred dollars ($500).
J I. as owner ol lhe propeny. or my employees wuh wages
as their sole compensa!lon. will do lhe work. and the s1ruc-1ure 1s no, intended or offered for sale (Sec 7044. Busmess and ProfesSlOOS Code The Contraclor's Ucense law does
not apply 10 an owner ot property who builds or Improves
thereon and who does such work htmsell or through hrs own employees. provided that such improvements are not intend-
ed or olfered tor sale. II, however the bu1lcllng or improve· men! is sold within one year ol comptehon. the owner-buitder
wm have the burden of proving that he did not butld or im-
prove for the purpose ol sale).
D I, as owner of lhe property, am exclusively contraclmg w1lh licensed contractors lo construct the protect (Sec 7044. Business and Professions Code The Contrattor's License law does not apply lo an owner ol property who builds or im-proves thereon. and who contracls f0< each protects with a
conlractor(s) l,cense pursuant to the COn1ractor's license Law)
D As a homeowner I am improving my home. and lhe follow ing cond11ions exist. 1. The work Is being performed poor to sale 2 I have lived m my home !or twetve months
pnor to complel10n ot thts work 3 I have not claimed this exemp110n dunng the last three years.
D I am exempl under Sec ______ , B & P C
tor this reason -------------
D I hereby affirm that I ha"e a cer'llf,cate of consent
to self-insure. or a cer11t1ca1e ot Workers
Compensation Insurance, or a cemf1ed copy thereof
(Sec 3800 Labor Code)
POLICY NO
COMPANY
0 Copy IS hied w1lh lhe Ctly
□ Cert1hed copy IS hereby lurrHShed
CERTlflCA Tl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Th,s section ne-e<J nol be comolele<l 11 lhe oerm11
1s tor one hundred dOllars (S HX)l or 1ess1
0 I cert,ly Iha! m the performance 01 the woni. tor
which lhts perm,1 1s issued. I shall not employ any
person ,n any manner so as to t>ecome suo1ect 10
lhe Workers Compensation Laws ot Ca1tlorn1a
NOTICE TO APPLICANT It alter makmJ lh1s Cert1
llcate ot Exemption you should beeorne sub1ec1 I? !he WC>f1lers • Compensation prov1s,ons or !he Labor
Code. you musl tor1tw,11h comply with sucn
prov,s,ons or lh1s perm11 shall be oeemec revokecJ
D I hereby afllrm Iha! there ,s a conslruc1,on
1eno1ng agency tor !he performance of the wo~ !or which lh1s perm,1 •S •SSued tSec )097 C1111I GocJel
Lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
,08 ADDRESS
lltJ • .Soa..J.s
AV ST. RO. NEAREST CROSS ST. l/n4.P~ESNI BUSINESS LICENSE # VALUATION PERMIT NUMBER
d~O.E __£690 4--7 <?~4-0 84--.SB.Z-~4l BLOCK I ~ueo1v1.:Js10._A;N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE 4-84-... 74---I ,,,-, U I ::::l 3t,,, <)(J 7JJe ~n/2 L ,.n-1 Oo. 14d4-4o94-OWNER'S NAME 14d;4~94 77,e M· Qh 1-lnc:I &. CONTRACTOR'S~ORESS LICENSE NO PLAN 1.0. # BLOG use CODE
C!.c::Jrl.s b.ad, ~A _::}.4-:)4-0 7 OWNER'S MAIL'NG AOORESS
<l:Jrls; J.. "'\_. /0/.S Che..:s./nuf /Ive #._a~ OESIGNER LICENSE q STANOARO PLAN# BUILDING SO. FOOTAGE
Eriv iroNne~ l~J qt; C!.1'Jq8 /760 OES~RI ONOFWOJ..R~ ~)/_ ~OA / '~~J.---~J--.""\.,-"\ OESIGNER'S ADDRESS DESIGNER'S PHONE
Ena in , + ~:s. CA 94-.:J ~".:i
----F. p fLR ELEV. NO OCC GP EDU v□ NO /"?0..'7 STO~S R-3. I
CENSUS TRACT I GP LANO USE I p4~CE I RES ?TS I GRADING PERMIT ISSUED
I
REOEVELOPMENT TYPE OCC LOAD FIRE SPA L AREA CONST ··--
YO ND vO ~ V/\/ vO N1'J/ Not Valid Unlers M~chine Certtfied
QTY. PLUMBING PERMIT -ISSUE 1.f!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
II EACH FIXTURE TRAP ..::J7. ~D / INSTALL FURN. DUCTS UP TO 100,000 BTU LL ...... BUILDING PERMIT 01-00-00-8220 _::J7_~-
I EACH BUI LO ING SEWER ~ .-=;-a OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO OR VENT ~,,Sri BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 c.'24-:)4-~
I EACH GAS SYSTEM 1 TO 4 OUTLETS o.2.6c BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01 ·00-00-8222 4-L,. so
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01-00·00-8223 ....;.o-
...3 ---~-/~-EACH INSTAl , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 -
EACH VACUUM BREAKER MECH EXHAUST H000'0UCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FU RN ACEIH EATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01_-00-00-A??~
TOTi;L MECHANICAL STRONG MOTION 80-92-33-0519 ~~S7
TOTAL PLUMBI NG I 4./,,,.<c /$-FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE s-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00-89l)
NEW CONST EA AMP SWT BKR I Ot""JA ,.::J5'-COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad V 1 -T12 80-92-21-0519
EXIST BLOG EA AMP:SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE ]00 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /<.:9~~ -t
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 I (f) X 8 0 B~o-
CREDIT DEPOSIT
TOTAL ELECTRICAL I <:::Bo-TOTAL SOLAR TOTAL FEES PAYABLE I ~/83.SZ ►
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT" ANO 00 HEREBY Exp,rahon Every permit issued by the Building Offlc1al under lhe provisions of lh,s * AN OS~ IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e.w:p1re by hm1tat1on and become null and void If the bu,ld,ng or work 5' O" DE AN OEMOUTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit ,snot commenced wnhin 180 days from the date of suet"\
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~ STRUC,-7 ~.ER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-~~~~n~ '!, t=~y ~~:
1~ft:~h:c:~,:~!hc°~~~l~~~~ ro:r;;~'~tr~~~ 0 '
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO OWNER □ CONTRACTO~ APPROVED 80:, ~
1°77 /6{" KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO APPLICANTS SIGNATURE Jf. ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH~~
GRANTING OF THIS PERMIT /• p~ BY PHONE 0
7
,,
.... , I ' ~!,... TYPE I DATE INSPECTOR
84 -5~~, W,~ .\ BUILDING I
F FOUNDATION I FIELD INSPECTION RECORD
M
-' REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
INSPECTION REQ IF INSPECTORS DATE . GUNITE OR GROUT i CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE -SHEATHING □ ROOF □ SH~AR PRIOR TO -• I FOUNDATION INSP FRAME
s
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □\PUCO f HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
-
GAS TEST I
I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I --□ ELECTRIC UNDERGROUND □ ~FFER -,,
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOF.IARY -
□ BONDING □ POOL ,, . I
~ ,,
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA Ve BEEN APPROVED.
. .
FINAL I .,,,,.-
PLUMBING I ' . .-L ~ '
ELECTRICAL I . 7' ,,,, _.,,. ~...-'
MECHANICAL I .,., -4 _,,,? r -
GAS I A ~f j 7 /Y .
BUILDING I i, I -//
SPECIAL CONDITIONS -I
I
.
'/ ' • ,/' • . / ',;,
'J11js j s to ce;1Ufy tbt insul .i ti on l ias hc:cn in~t;i]J ed in confonunnce ,,·jth t he
current c:nt.:rgy regu]ation, Ca ]jfo1nia /1.tlHdnj s tr<¾tive Code, Tit le 25 , St ate of
Caljfo1~5a , jn the buj]djng l ocat ed at:
CITY OP CARLSBAD LOT # //15"
,INSPiCTION RECORD
ADDRESS: d k 0 ? ~ ~ ......
~ BUILDING:
' ,S FOUNDATION l -11, ·,q.~ ~ REINFORCED STEEL x.. ---t<> MASONRY
~ GUNITE OR GROUT ! SUB FRAME ( ) FLOOR ( ) CEILING
~SHEATHING ( ) ROOF ( ) SHEAR
FRAME
INSULATION 3 • U., .. ~ S-~
EXTERIOR LATH ~ /• ~
INTERIOR LATH & DRYWALJ/T~ ~
FINAL -------------
PLUMBING
( ) SEWER & BL/CD) PL/CO
UNDERGROUND (\.· j ,~ E ( )
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL -------------·
ELECTRICAL
ELECTRIC UNDERGROUND ( ) UFFER
BONDING ( ) POOL
FINAL ___________ _
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL ____________ _
COMPLETE BUILDING FINAL ~
DATE::Z-t3-8:
CLEARED WITH GAS AND ELECTRIC
DATE: ---------
NOTES ON REVERSE SIDE ..... .