HomeMy WebLinkAbout2514 VIA ASTUTO; ; 84-505; PermitW I hereby attlrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llceni is In ~ lull force and effect. e ~
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.-1· I ~m 91iat I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit 10 construct, alter, improve. demonsh, or repalr any structure, p_rior to its issuance also requires the ap--
·' pl.cant for such pelllllt to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commenciRQ with Section 7000 of Division 3 of !he Business and ProfasS10ns Code) or Iha! Is ex·
empt thorefrom and the bas,s for the alleged exemption. Arry
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dred dollars ($500)
□ I, as owner of the property. or my employees with wages
as their sole compensation, will do the work, and the struc·
lure Is not Intended or ollered for sale (5ec. 7044. Buslnoss and Protessions Code: The Contractor's Ucense Law does not apply lo an owner of propeny who builds or lmp,oves thereon and who does such work himself or through his own employees. provided Iha! such lmprovemenls are nol inlend-ed or offered lor sale. If. however, lho building or improve-
ment is sold within one year ol completion, the owner-builder will haw the burden of proving thal he did not build or im-prove for lhe purpose of sale).
□ I, as owner ol tho propeny. am exclusively contracttng with licensed contr,ctors to construe! the proj<ct (Sec. 7044, Business and Protessions Code: The Contractor's License
Law does not apply to an owner of propeny who builds or im-proves !hereon, and who contracts fo, each projects with a contractor(s) license pursuanl to the Conlractor's License law).
□ As a homeowner I am improving my home, and the follow· ing conditions exist: 1. The work Is being perlormed prior to sale. 2. I have lived In my home lor twelve monihs prior to completion of this wof1r:. 3. I have nol claimed this exemption during lhe last three years.
□ lamexemptunderSec. ______ ,B&P.C.
for this reason ____________ _
thereby affirm that I ha\le a cer'hf,cate of consent
~~e~~·~~sure, or a certificate ol Wor11:ers·
~t,on Insurance. or a certthed copy thereof
:l:::t~=-7~ IS filed With the Coty
~rt1hed copy 1s hereby furnished
CERTIFICA U OF EXEMPTION FAOM WORKERS" COMPENSATION INSURANCE
(This sec11on need not be completed 1f the permit
1s IOf' one hundred dollars (1100) Of less)
0 I certify that ,n the perlormance ol the work for
which this permit ,s issued. I shall nol employ any
pe<son in any manner so as 10 become sub1ec1 to
the Workers' Compensation laws ot Ca11torn1a
NOTICE TO APPLICANT If. atter makin1 this Cen1
flcate of Exemption, you should beCome subJect I'> the Wot1c.ers· Compensahon p,ov,s1ons of the LabOr
Code. you must toru,w1th comply with such
prov1s1ons or tn,s permit shall be dee-med revoked
0 I hereby affirm that there 1s a cons1ruct1on
lending agency IOf the performance ol the w<>OI lo,
wh1ct'l ttus permit ,s issued lSec 3097, C1v1t Code)
Lenders Name ___________ _
Lender·, Address __________ _
USE BALL POINT PEN ONLY & PRESS 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
JOB ADDR3?s,/, (/,/A_; ~/-A A~;_T. ID~ ~,t::i'Co/NI ~~17NSE # VALUATION il:.,>,OT NUMBER
---
CMNE{/.A~ /77 OWNER'S PHON E CONTT7J'fOR -f ~ I.' CONTRACTORS PHONE • ZONE ...S oS 7~/¢t-7. --j • ~~ -1/.. ~~ -7,:JJ, -?Ode
7 R'S MA16 ,AO0RESS
I I \ \ ct>Al-klsbJ co/Ri?j; ~ L '~i,:c;sen PLAN 1.0. # BLOG USE CODE
C-O><-
LO-f' I BLOCK I SUB0IVISION I ASSESSOR PARCEL NO. DESIGNER 'LICENSE tr STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
/ DESIGNER'S ADDRESS DESIGNER'S PHONE a1c: ~~ _k.-L"!~ 8/ I I /t:1"E7d f ·,!·o --.-..-----F/P FLR ELEV. NO OCC GP EDU oqtjazi:i f '§/1 I I BLI STORIES !fl. t
vO NO --
CENSUS TRACT l GP LANO USE I PARKING SPAC,E 1 RES UNITS I GRADING f'.ERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CONST
YO ND vO NO vO NO Not Valid Un~s Machine Certifi«i
QTY. PLUMBING PERMIT · ISSUE 7,$2, QTY. MECHANICAL PERMIT -ISSUE r.:fdCI SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TD 100.000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 -z. -.5 -rn EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01 ·00·00·8806 , -
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 Yoo-,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~--ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/OUCTS MOBILEHOME 01-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00-00-A1?R
TOTAL MECHANICAL STRONG MOTION 80--92·33-0519 -TOTAL PLUMBING I /Q.OU FIRE SPRINKLERS 01·00·00·8227
,<;17 QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00-8923 QTY. ELECTRICAL PERMIT· ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT JBKR COLLECTORS ' SCHOOL FEE • DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
l 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 200 AMPS -
OVER 200 AMPS /1~ I -
TEMP OCCUPANCY (30 DAYSI -
TOTAL ELECTRICAL 7-I_ TOTAL SOLAR TOTAL FEES PAYABLE I /t:J-;:: -I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Expirabon Every permit iuu.d by Ille Bu1tdmg Off1c1al under the provisions oftn,s * AN OSHA P£111,11IT IS IIE0UIAED FOR EXCAVATIONS O'IEfll
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm1tatton and become null and void If the bu1ld1ng or work s· 0" DEEP ANO DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorlled by sucn permit is not commenced within 180 days from the date of such STflUCl\JfllS OYEA 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON =::o.:i 1~1 l~y i:r.:::1~.~~,,:C:...!':!".=~~~~ :=:::,rotr~-~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ,, .
\ D ~NER"(□) CONTRACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND l A !CANT s SIG~ATURE • ~ I f,1(--Y~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE in .Yl • ,., -tJ BY PHONE O ~
GRANTING OF THIS PERMIT. ~ "--. ' --,
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INSPECTION TYPE --DATE INSPECTOR ----
BUILDING '
FOUNDATION <
REINFORCED STEEL '--
MASONRY . I ,,
-I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME '
EXTERIOR LATH lNSULATION I
ThTERIOR LATH & DRYWALL I
PLUMBING I t
if EWER AND B LICO ' .. ,,
, -PLUMBING UNDERGROL,LND I
PLUMBING TOP OUT ;
-
TUB AND ~HOWER PAN ' .
GAS TEST ..
ELECTRICAL !
I '
TEMPORARY POWER
ELECTRIC UNDERGROUND i
ROUGH ELECTRIC I
ELECTRIC SERVICE 'I -
BONDING t
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS .... ~ -
VENTILATING SYSTEMS , ...
'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED .
JOB SITE FINAL ~tJ.."'
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PLUMBING ~)\
ELECTRICAL ,Y . -1\. .)
MECHANICAL ' {:I. . ' • -, .
GAS --· ...... ., ,_""'!° V\ . . . ,-., . ,
BUILDING I " \i ' ' ' SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED i
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH ' BOLTS
SPECIAL MASONRY .
PILES CAISSONS -
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INSPECTOR'S NOTES
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