HomeMy WebLinkAbout2601 VIA BOCAS; ; 84-582-483; Permit1/) z 0 ;:::
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O 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 In
full force and effect.
Lie No ------Class
I hereby alhrm that I am exempI from the Contrac· lor's Ucense Law tor the following reason (Sec 7031 5
Business and ProtessIons Code Any city or county whict. re• quires a permit lo construct, alter 1mprove. demohsh, or
repatr any structure, pr~ lo 1Is issuance atso requires !heap•
plIcant for such perrr»t 10 hle a ~9ned statement thal he Is licensed pursuant to lhe PfOl/1st0ns of lhe Contractor·s license Law (Chapter 9 commencing w1lh Section 7000 of
O1v1s1on 3 at lhe Busmess and Protess,ons Code) or that Is e)(•
empt therefrom and the basis IOf the aliegeo b:empI10n Any v1ota11on o1 Seclion 7031.5 by an apphcanI for a perm,I sub·
iects 1he apphcant to a cMI penally ol not more than live hun• dred dollars ($500)
:J I. as owner of the propeny. or my employees with wages as their sole compensat10n. will do the work. and lhe struc-
ture Is not intended Of ottered tor sale {Sec 7044, Business
and ProfesslOOs Code. The Conlractor's license Law does not appfy to an owner al property who builds or improves
thereon and who does such work tumsell or lhrough his own employees, provided that such improvements are no! mlend· ed or offered tor sale If. however. the bu1ldln9 or improve·
menl Is sold w1th1n one year of completion, the owner·bu1kfer will have the burden o1 proving lhal he did not build or im-prove for !he purPoSe of sale)
□ I. as owner ot the prope<ty. am exclusrvely contracting with licensed contraclors to construct the proiect (Sec_ 7044,
Busmess and Professions Code The Contractor's License Law does not appty to an owner of property who builds or im-proves thereon. and whO contracts !or each pr01ec1s with a contractor(s) license pursuant to lhe Contractor's LJcense Law)
□ As a homeowner I am improvmg my home, and the follow mg cond1t1ons exist. 1 The work is being performed prior to sale
2. I have hved m my home lor twelve months prtOf to complellon of this work
3. I have not claimed this exemphon during the last lhree years
~r 11h~~r':a8:t under Sec ______ , 8 & P C
-------------
D I hereby affirm 1na1 I l'\a-1e a ceri,1,cate or consent to sell insure. or a certificate of Workers
Corrlpensa11on Insurance or a cen,hed cooy lhereol
(Sec 3800. Lat>O< CodeI
POLICY NO
COMPANY
0 Copy tS Med with lhe city
D Cet11l1ed copy 1s hereby furnished
CERTIFICAH OF EXtMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need no1 be completed ,1 trie perm11
1!) !Of one hundred oonars (S 1001 or less)
0 I cer111y thal in 1he performance ol lhe won, tor
which lh•s perrrul 1s •ssued I shall not employ an)
pet'Son in any manner so as 10 beCome suo1ec1 to
lhe Wonte,s Compensation Laws ot Ca11lorma
NOTICE TO APPLICANT It alter makinJ lh1s Cert,
hcate ol Exemption you should become suo1ec1 II)
the Wo"'-ers· Compensation prov1s1ons ol the uioo,
Code. you musl torth¥,1lh comply w11h such
prov1s,ons or th,s permit shall be deemed re,;0ke<J
0 I hereby atf11m lhal there 1s a construchon
1end1no agency tor 1he per1o,mance ot me wofk I0f
whtCh lt11s perm,t 1S 1ssued (Sec .)097 C1v1I CO<Je1
Lender s Name ___________ _
Lende< s Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
PERMIT NUMBER JOB ADDRESS AV. ST. RO. NEAREST CROSS ST DATE OF APPLICATION BUSINESS LICENSE# VALUATION
~,01 Vt'-' '8oc~.s 1-4--8~ 6804-..5/584-.2.-
BLOCK su ASSESSOR PARCEL NO "3 __ 0 CONTRACTOR CONTRACTORS PHONE. ZONE s 4--s a
OWNEA·s NAME
5 • y, do :wS'A.SPHONE Me 1-l A l:;,r,d Co. ¢...:31-4sq4-483
~he f-l't· hlo:,nd C!.o. 4-.34-4594-CONTAACTOA'SAOOAESS LICENSENO. PLANI.O.# BLDGUSECOoe
OWNER'S MAIL•NG ADDRESS .34-"24-0 7
/0/5 /IL J J /I -/1::o /J J i.. -d OESrGNER ,/J/ACENSEa c...:.n e..s-r /J L/7" Mve '-Q'd cc::,r, ~ c.x:J G>v; ronm C!. I 'J 9.
IL-L...J'-iAU.fL.JIL....u....!~,;::::.:i;;;;,__L..:._..£!lilll.LJ~5!!!::..i..,'..£.Z£S,._ ______ ...... OESIGN E A'S ADOR ESS OESIGNE R'S PHONE
GJcJ/?;t-..xs~ ca ~~-6::,?~
~ F/P FLA ELEV.
v□ N□/~
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRAOING PERMIT ISSUEO
~
s:,s
TYPE
OCC GP
,e..3
EDU
I
STANDARD PLAN# BUILDING SO. FOOTAGE
/09~
f /U/1bodUt:I :7-,,
44-o I v □ ND l REDEVELOPMENT
AREA ~
v□ N crs;.; occ LOAD I FIRE SPR
v□ NI)( Not Vahd Unless M6chine Certdied
---
QTY.\ PLUMBING PERMIT· ISSUE ? !:'-~ QTY.I MECHANICAL PERMIT. ISSUE I 3-SUMMARY/ACCOUNT NUMBER
"T:/" \ EACH FIXTURE TRAP 01 ·00·00·8220 ..::t..::i .sa I I INSTALL FURN oucTs UP TD 100.000 BTU 1 4-~ 1 BUILDING PERMIT 1 8 9
/ EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
BOILER/COMPRESSOR UP TD J HP PLAN CHECK 01·00-00-8806 / EACH WATER HEATER AND DR VENT
/ \ EACH GAS SYSTEM 1 TO 4 OUTLETS ~ .3;21 lso1LER/COMPRESSOR315HP I ! TOTALPLUMBING I 41 01·00·00-8222 -----
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE I I ELECTRICAL ------01·00·00·8223
EACH INSTAl. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOT AL PLUMBING I 4-LS..C
QTY. ELECTRICAL PERMIT -ISSUE 5-
NEW CONST EA AMP sw1 BKR Io oA c2s-
l PH 3 PH
EXIST BLOG EA AMP,SWT BKR
1 PH 3 PH
REMODEL ALHR PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL [LELTRICAL 1 00--:
3 I VENT FAN SINGLE DUCT I 0 ----I MECHANICAL 01·00·00·8224
MECH EXHAUST HOOD 'DUCTS
RELOCATION OF EA FURNACE/HEATER
TOT.1.L MECHANICAL
I~ a-
QTY.\ SOLAR • ISSUE
COLLECTOR$
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
MOBILEHOME 01 ·00·00·82_25
MOBILEHOME PARK INSP
SOLAR 0J-00~
STRONG MOTION 80·92·33-0519 --
FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·B9ll
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad Y"" L '"T1Z 80·92·21·0519
Encinitas 80-92· 22·0519
San D1eguilo 80·92· 23·0519
San Marcos 80·92-24-0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519 / ~ 8 8 Q
CREDIT DEPOSIT
TOTAL FEES PAYABLE 1
....._3 .!,. h I
I0..3Z:-
P,~n ...--+-
~47~-c;~
I HAVE CAREFULLY EXAMINED THE COMPLETED • APPUCA TION AND PERMIT"' ANO DO HEREBY E,p,rat,on Every permit ,ssued by the Building Oflic1al under the prov,s,ons of th,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,pire by ltm1tahon and become null and void If the bu1ld,n9 or work
* AN OSHA PERMIT IS REQUIRED F0A EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,snot commenced within 180 days from the date ot such
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-:~'::::On';,'.i'~.':~ t;:'~'~fie~;h:C:.:~r:~tho<1zed by •~ch pe,m,t '5 ,suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND t 5 commenced or a riod o 180 da
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND APPLICANT"S SIGNATURE If OWNER 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~"7:,, • ~~-
GRANTING OF THIS PERMIT --_/1/ ~,,,,.-,r ~~ ~ BY PHONE 0
APPROVED~
5 o·· MOl.lTION OR CONSTRUCTION OF
ST EA 3 STORIES IN HEIGHT
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TYPE I DATE INSPECTOR
BUILDING I 'o4 -5~).-4-~3 ". -, ·-\.
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHBAR
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
SOILS COMPL ANCE
' PRIOR TO
FRAME I
-FOUNDATION INSP
EXTERIOR LATH i STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE ,
PLUMBING I FIEtD WELDING
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D W,{ffER SPECIAL MASONRY
C
TUB AND SHOWER PAN I
GAS TEST I PILES CA ISSOJ\.S
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D IJFFER .
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOijARY
D BONDING D POOL I . . r .
I
MECHANICAL I .
D DUCT & PLEM., D REF. PIPINµ -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ' I
CALL FOR FINAL INSPECTJQN WHEN ALL APPROPRJA TE
__ ITEMS ABOVE HA VEi BEEN APPROVED.
FINAL I ,_
PLUMBING I ~ ~ I
ELECTRICAL I JY
MECHANICAL •-A\ / ~ I
GAS I A .i 1./ n,.
BUILDING I w I • -
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SPECIAL CONDITIONS I -
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