HomeMy WebLinkAbout2602 VIA BOCAS; ; 84-582-494; PermitU) z 0 ~ a:: <I( _.
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is ,n
full force and effect.
LIC No------Clm
I hereby alflrm Iha! I am exempt from the Conuac·
!or's Ucense Law tor the toilawmg reason {Sec 70315 Business and Pfo!esst0ns Code Any City or counly whlcl'l re-
quires a perm,t 10 construct. alter. ,mprove. demolish. or repair any structure. pr,or 10 ,1s issuance also requires the ap·
pllcan1 !Of such permn 10 Me a s,Qned statement !hat he is hcenSed pursuant 10 lhe provisions ot the Con1rac1or" s
Lttense Law (Chapler 9 commencing wllh Sechon 7000 or D1v1s1on 3 ol Irle Business and Professions Code1 or lhat 1s ex-
empt therefrom and the baSjS for !he ailegeo exemptton Any VJO!allOn ot Section 7031 5 by an apphcant !or a perm,1 sub· 1ec1s !he applicant to a c1v1t penalty of not more than ftve hun-
dred do<lars ($500)
ri I, as owner ot 1ne property. or my employees w1lh wages
as their sole compensation. will do lhe work. and the struc· lure 1s not intended or offered !or sale (Sec 7044 Busmess
and Protess,ons Code The Contracloc's license law does
nol apply to an owner DI property who builds or Improves !hereon and who does such w0fk himself or through hts own
employees, provided !hat such ,mprovemenls a,e nol intend· ed °' ollered tor saie 11, nowever, the building or 1mprove-
men1 1s sold w1thm one year ot complellOn, lhe owner-builder will have the Durden al proving th.al he did not build or 1m·
prove fOf lhe purpose of sale)
J I, as owner of the property, am exclusively contracting
with licensed contraclors to consuuct the pr0ject (Sec 7044 Business and Professions Code The ContractOf'S license
Law does nol apply to an owner of property who builds o, tm• proves thereon. and who contracts for each proiects wllh a
conlractor{s) hcense pursuan1 lo the Con1ractor's License law)
[" As a homeowner I am 1mprov1ng my home, and the lollow ing cond1110ns ex1s1.
1 The work ,s being performed pr10r 10 sale 2 I have !wed m my home 10( tweive monlhs
3 rr~!v~o =~1~:::' 1~i: :X~~pt1on dunng !he
I.as! three years
g )h~:r".'..":::g1 under Sec ______ . e & p c ----------,------
D I hereby aflirm tr1a1 I ha"e a certificate of consent
to sell insure. or a cer111tca1e ol Workers
Compensation Insurance or a cen,hed copy 1heteof
!Sec 3800 Labo, Code)
POLICY NO
COMP,.NY
Q Copy IS hied With the Clly
D Cen1f1ed ec,py 1s hereby furnished
CERTIFIC" Tl OF EX~MPTION FROM
WORKERS COMPENSATION INSURANCE (This sec11on need not be completed 11 the perm11
,s tor one hundred dollats ($1001 or less)
0 1 cer11ly lt\at 1n the performance ot lhe ..-on,, tor
which this permit 1s issued. I shall nol emoiov any oerson 1n any manner so as lo become sut>1ec1 10
the Wo~e,s Compensation Laws ot Ca11tom1a
NOTICE TO APPLICANT If_ afler makin1 lh1s Cen,
hca1e of E:it:emphon you shoukJ become suo1ec1 I?
lne Workers Compensahon prov,s,ons ol the L...bor
Cooe you must tonh..-.,th comply w,lh sycr,
p,ov1s,Qf"1s o, 1t11s perm11 shalt oe deemeo re-vokeo
O I hereby at11rm 11\at there ,s a consuuct•on 1end1ng aQency 10, the perlormance ot 1he work tor
wr11ch trus permit 1s tssued 1Sec 3097 Cn111 Cooe1
Lencte, s Name ___________ _
LenOer s Aociress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ~ APPLICATION & PERMIT
;OB AOORESS V,a--Bo~~-AV ST.RO. NEAREST CROSS ST. IOATE OF APPLI.CATIONI BUSINESS LICENSE a VALUATION PERMIT NUMBER,./
....2 (,p O;), s; S'S"l/ 6~
/l'1lfl BLOCK J74-V,:,s:J.S-I ASSESSOR PARCEL NO. i1 CONTRACTOR CONTR,.CTORS PHONE• ZONE 14/ L-}q~ I "'74 I~~"'()(.
' OWN~ R'S NAME I . , . OWNER'S PHONE
?A-e I-+ I I'} /... I l'.J ilA (> .,,l'-1
CONTRACTOR'S A OD RESS LICENSE NO. PLAN 1.0. It BLDG USE COOE
I ., .
i OWNER'S MA,L NG ADQ,jfess
I ---. DESIGNER LICENSE" STANDARD PLAN # BUILDING SO. FOOTAGE ,r l ;oq z.--: . ' • ' ' I DESCR~ON OF WO~RK,r, 'PIA/\J .1 D ,A I / / OttJ" "'-1:>.P DESIGNER'S AOORESS DESIGNER'S PHONE
I
I _ F1P FLA ELEV. NO OCC GP EDU Ir~,,.,~._.._,,. r. L C t.'• ,.
' STORIES
I v□ NO --I CENSUS TRACl I GP LANO USE I PARKING SPACE I RES UN ITS I GR,.OING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FI RE SPA I AREA CONST
I y D ND vO ,,.Q vO NO Not Valid Unless M•chine Certified
I ~ C' I QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE -SUMMARY/ACCOUNT NUMBER I --I ~ ., ,
EACH FIXTURE TRAP s '. INSTALL FURN DUCTS UP TD 100,000 BTU ~---r BUILDING PERMIT 01·90·00-8220 < . I
r EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I -,_
EACH WATER HEATER ANO OR VENT . BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 . . f EACH GAS SYSTEM I r□ 4 OUTLETS I --, . ,-BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 I ' I ..: '-~
I EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ELECTRICAL 01-00-00-8223 --;:( -
I EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 I·. -
I I --I EACH VACUUM BREAKER MECH EXHAUST HODO 'DUCTS MOBILEHOME 01 ·00-00-8225
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I EACH ROOF DRAIN I '!SIDE I SOLAR 01-00.:J)Q-•00~
! TOT l:.L MECHANICAL STRONG MOTION 80-92-33-0519 I I ' r, . , --
I r □I AL PLUMBING . -l FIRE SPRINKLERS 01-00-00-8227
I -PUBLIC FACILITIES FEE 32-00-00-893)
I QT'(. ELECTRICAL PERMIT -ISSUE .--QTY. SOLAR -ISSUE ..,. BRIDGE FEE I NEW CONST EA AMP SWT BK R
,,.. -COLLECTORS I ... SCHOOL FEE -DISTRICT
I l PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
I EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encmilas 80-92-22-0519 I l PH 3 PH PUMP San D1egu1to 80·92-23-0519 :
I REMODEL A LHR PER CIRCUIT . PLA!J CHECK FEE San Marcos \ 80-92-24-0519
I TEMP POLE 700 AMPS nr t·,-r ~"I llJ V . I OVER 200 AMPS l~L .LJ I .u• UI I \ LICENSE TAX 01-00-00·8162 -.... _,,, -t TEMP OCCUPANCY IJO DAYS! MFF 80-92-57-0519 -I
I I CREDIT DEPOSIT -' -
I lOTAL ELECTRICAL I ~ TOTAL SOLAR I '
I -. TOTAL FEES PAYABLE -1
I ' I
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY Expirat,on. Every permit issued by tl"\e Bu1ldmg Oft1c1el under the prov1s1ons of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltm11at1on and become null and void If the building or work 5 O' DEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,s not commenced within 180 days from ltle dale of such STRUCTURES OVER 3 STORIES IN HEIGHT I ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ~;::C,n°.:d 1!, t=~v ~~~:,~.i~h=~~,:~!h~;~~.:leJ~~~ :'0:7i~d1~fsr:rd"a~~ or f STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE Jf. OWNER□ CONTR,.CTOR,("') APPROVED BY DATE i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE I :..:... BY PHONE 0 I r GRANTING OF THIS PERMIT ' ~.~~ .. ·-. ' .
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TYPE ; DATE INSPECTOR
BUILDING ,
FOUNDATION l FIELD INSPECTION RECORD
REINFORCED STEEL .
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT ,! INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME '
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH i
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ! PRESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING .
I FI ELD WELDING
SEWER AND BUCO D IPUCO I HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC f
D ELECTRIC SERVICE D TEMPO_FlARY
D BONDING D POOL
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV~ BEEN_Ap_PROVED.
FINAL I
PLUMBING I
\", "
ELECTRICAL -·~ I .,
MECHANICAL • ..::>
GAS i -.9 \....Y
BUILDING l . "--= SPECIAL CONDITIONS ~ ~") .
I -~'"" ,-; -,,r _ .. "" ,,
\ ,, ... "" .-'\. 'J\., ::-... "'t-. . 'Xi' .... "·-.. .."-;.. "-\.. <f. ·'<:I· -"x.• -: '\•fl -·"•". -. ···". :.. \:: ~" ,.. ~\.; -... "' -, • ~'
( , ~-• ~ • , • ~! -..1/,:""'i-. ~•,, -.. -z·_~ . -~ ..:.~-j~ ~-~~~ • _-<...-,.f.' _ ..... .,y_~ ~ • ~~ •.-t':s • .::t:~ • -2..·:.-• •-f~-!~ ~-; -1 ~:.., • .,;-•_:· -• ~·:s. ~-jtj7_· ;)~
1
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( 11 ~ _J_!i_SlJJ~ll_ON CERTIFICATION )~
1 j jfi This is to certify that insulation has been installed in confonnance with the 1) ~~ current energy regulation, California Administrative Code , Title 25, State of J9
;'. (~ Cali fomia, in the building 1 oca ted at : l.t
~ SITE ADDRESS ~loo~ Via Bocas I Carl sbad . CA ~
;~ K~_ CEILINGS Owens/Corning 6}" ) __ ~I .. Ccrta in Teed 6 '' 1 ·f (d Batts: Type Fiberglass Manufacturer Manville Thickness 6~" R-Value 19 ·i
. ~ ~
11 ~: Blown : Type Manufacturer Thickness R-VaJue ~f.
1( ((ft -----Owen s/Con1ing 3 " ---Y~
11 ». EXTERIOR WALLS ~».·_~ , -------Ccrta inTced 3 " • ~.~
Type Fibe rglass Manufacturer Manville Thickness 4 " R-Value 11
FLOORS Type _____ Manufacturer _______ Thickness ___ R-Value __ _
General Contractor ________________ License# ________ _
~ By _____________ Title _________ Date _________ ))
( Schmid Insul ation Contractors , Inc. License # 221517 C-2 :~
1
. By{t),'o~ i). lSQ/r.A.u Title Vice President Date ________ -I (~ ))
. ~ ~ -. ;✓-:.~ -~-~;-½_~t~·--... ~--~~ .. ~:,~· '
,,_ -'/4'>.=-jifh:,~-~l~,,,,;J;;,..10.~~:z4., ~ A.~A~4t~f,ft,~~~~~-l~•~li!~lrl:!.J -gJ~~.:~;~~~·i4ti~ --__ ~; ~,~-~~~~~~ 1; #
CITY OP CARLSBAD LOT # .£/ ?£
INSPECTION RECORD
BUILDING.
FOUNDATION ' • \ lef E) $-
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME ( ) FLOOR () CEIL+NG Cf HEATHINjp]l/'WJ8Fv ff<f ;J;.yiri ,PvF'"
FRAME
INSULATION 5 · Z,Z • 8..!,-'5Nv--
EXTERIOn LATH "• f ,fit'~
INTERIOR LATH & DRYWALL 3 ·'Z?-8~
FINAL -------------·
PLUMBING
( ) SEWER & BL/CO ( ) PL/CO
UNDERGROUND ()rg~TE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ) SOLAR WATER
FINAL ------------
ELECTRICAL
ELECTRIC UNDERGROUND ( ) OFFER
BONDING ( ) POOL
FINAL ------------
MECHANICAL
() DUCT & PI.EM., ( )REF. PIPING
HEAT -AIR CONO. SYSTEMS
VENTILATING SYSTEMS FINAL ___________ _
COMPLETE BUILDING FINAL
DATE:7•7$·4BS-~
CLEARED WITH GAS ANO ELECTRIC
DATE: --------
NOTES ON REVERSE SIDE ..... .