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HomeMy WebLinkAbout2811 VIA CLAREZ; ; CB890242; Permit"' z 0 ~ IIC C ... u "' 0 a: I[ 8 IIC "' 0 ... 5 ~ "' z ~ z 0 ~ "' z ..,, IL 81 "' ic "' " IIC 0 3 ![ i i hereby affirm that I am licensed under lalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and affect. ¼ Lie No~1----c1ass C- l hereby affirm that I am exempt from the Con- ~~0;°8~~~=:: ~ ~f~~l~l~~~~I~ county which requires a permit to construc1 alter, improve, demohsh. °' repair any structure. pnor to its issuance also requires the ~hcant tor such pemut to file a signed slatement that he ,s lteensed pursuant to the prov,s1ons or the Con· tractor·s License Law (Chapter 9 commencing wl1h Sect10n ,ax, of Or"1st0r'I 3 ot the Business and Pro-fessions Code)°' that Is exempt therefrom and the b&s•s for the ,:lleged exemptt0n Any YK>latIon of Sectt00 7031 5 by an ~phcant fOf a permit subt9Cts tne IIPPhe&nt to a c1v11 penalty of not more than hW! hundred <1011"'5 (S500) Q I, as owner ol lhe property, Of my employees . ,.1th wages as thtm sofe compensation. will do the wo,k, and the structure 1s not intended or offered fOt' sale (Sec TOW, Busmess and Professions Code: The Contraclor's License Law does not apply to an owner of p,operty who builds or improves thereon and who does such wonc: himself Ot througl"l his own employees, provtded that such ,mproveme:its are no1 intende1 or offered tor sale 11, hOwever, the building or 1mp<ovement ,s sold w1th1n one year of completion, the owne,~1lder will have the burden of proving that he did not build or improve tor the purpose of sale). □ I, as owner of the property, am exclusively contracting with licensed contractOfs to construct the proJect (Sec 70M, Business and Protess10ns Code: The Contractor's License Law does nol apply to an owner of property who builds Of improves thereon, and who contracts fOf each pro1ects w1lh a contractor(s) hcense pursuant to the Contr&ctor's. lteense Law) 0 I am exempt under Sec ____ ,B &PC tor th,s reason ___ _ '4. • hereby affirm that I have a cer1'11cate of consent ~elf-insure, or a cer11ftcate at Workers' Compensahon Insurance. Of a certified copy thereof (Sec 3800. Labo< Code) POLICY NO ----333\ 1 __ _ COMPANY --s-~fvJ ~Copy IS filed With the: City 0 Certified copy 1s hereby turn,shed CERTIFICAT~ OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1t the permrl Is fOf one hundred OOllars CS H)0) or less) 0 I certify that in the performance ot the wcw1t for which this permit 1s issued. I shall not emplOy any person in any manner $0 as to become sut>1ect 10 tne Workers· Compensation Laws o1 Cahlorn,a NOTICE TO APPLICANT If. after maktn1 ttus Cen1 he.ate ot Exemption. you should become SUble<:I I':> lhe Workers· Compensation prov1s1ons of the Labor Code, you must forthwith comply w11h such p,ov1s1ons Of this pe,m,1 shall be deemed revoked O I hefeby affirm that there 1s a construct,on 1end,ng agency tor the performance ol the wono. lor which 1h15 permit 1s issued (Sec 3097 C,v,1 Code) Lenoe, s Name ___________ _ Lenders Add,ess __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 VALUATION PERMIT NUMBER l1lli J =-· 2,~/ ~ • Lq ._J\} \\€, 0 Cl~ dQ~~ ~ PRI CONTRACO/" b ~ ZONE 'f::/f 0 )./J- ______.._,.__....,:_O'~-=--t f{ vltt l >t~ . ::CML ow~rttLIN~:REC{o.v-'l-2, ~u~iJ q~o</ CONTRACTO~A~W>: I k ~ I i SENO. PLAN 1.0. # BLOG USE CODE LOT BLOCK SUBDIVISION R ELN0.1<,72,lQ oc;·{;)C) DES~ s~rz:E it STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WORK /d 3 OESIGNER"S ADDRESS DESIGNER'S PHONE 1---N'----------,---------------------tl lrftlL-~.-.. .... 1.\1' J {,f,~ CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS - GRADING ~ERMIT ISSUED YO ND F/P F LR ELEV. vO NO 1 REDEVELOPMENT AREA vO NO NO OCC GP EDU STORIES TYPE I occ LOAD • FIRE SPR CONST vO NO 5024 02/27/89 0001 01 02 Bldf'mt I Nor Valid Un~s ~chine <Artifi«I QTY. PLUMBING PERMIT· ISSUE I. ,.«J QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TO 100,000 BTU I I BUILDING PERMIT EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK •. EACH GAS SYSTEM I TO 4 OUTLETS j ? ,a:, I I BOILER/COMPRESSOR 3-15 HP I I TOTAL PLUMBING toioo EACH GAS SYSTEM 5 OR MORE i I I METAL FIREPLACE I I ELECTRICAL EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 10.00 I j EACH VACUUM BREAKER MEC~XHAUST -HO00/0UCTS MOBILEHOME WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN (INSIDE) SOLAR .--r T:' f\ .,n..----11-----------11 STRONG ~Tj)L, £i l"" .I-' TOTJ;L MECHANICAL ~ TOTAL PLUMBING l t,o,.c,:> FIRE SPRINKLERS -_ •"'"''"' QTY. ELECTRICAL PERMIT· ISSUE QTY. I SOLAR · ISSUE PUBLIC FACILITl(!iF,E~B Z 8 \'3tj::J BRIDGE FEE ---n&.D NEW CONST EA AMP/SWT/BKR COLLECTORS 1 PH 3 PH STORAGE TANKS SCHO~ C I ifYRial c1u<--· _ ar st»rl __ m nou~Ml pQ.Q(ESS\'MG-S-cD\IC EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ~wv 1 PH 3 PH PUMP San 0Iegu1to REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) TOTAL ELECTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE Li /0,o:::> I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Everyperm1ttssuedbylhe8ulld1rn;iOfllc1alundertheprov1s1onsofth,s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp, on and become null and void If the building or work * AN OSHA PERMIT IS AEQUtAEO FOR EXCAVATIONS OVER S' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF STAUCT\JA£S OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulnomed by I commenced within 180da sfromthedateof such ISSUED, TO COMPLY WITH ALL CITY. COUNT'( AND STATE LAWS GOVERNING BUILDING CON-~r STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND "-;=,~';;;:;;;;;;;;~:;:7.:'"-'7!-"?;,.::.it-7====~~~!!..!!:!...l!!!!LJ!!:£L.-:::-:t,!~~~~~-----,,-------,---,,--~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPROVED BY EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '<?(} GRANTING OF THIS PERMIT -,.~----.;....,;~~ .. ~ .. ,.&,,;;;., ___ .;..;;....,J.;,... ______ ..JL _____ J_--'::..._...1._ • l () 6 ~ u::: >-~ 0 a. E Cl) I- I u 0 0 c ., -~ a. a. <I: I .:£ C ii: 0 r/) r/) Cl) r/) r/) <I: I ?: .2 Qi >- Iii r/) Cl) 0 0 a: ., <U Q ~ Cl) 0 C ., C ii: :::. C Cl) Cl) a 0 0 Cl) a. r/) C ~ .c ~ INSPECTION TYPE ··--·--··-. ···-DATE INSPECTOR BUILDING I FOUNDATION REINFORCED STEEL MASONRY I GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING l - SEWER AND BL/CO '.'-(. I I PLUMBING UNDERGROUND I PLUMBING TOP OUT I TUB AND ~HOWER PAN I GAS TEST I ELECTRICAL -I TEMPORARY POWER ELECTRIC UNDERGROUND • ROUGH ELECTRIC ELECTRIC SERVICE BONDING A l G. F. I. -SMOKE DETECTOR . MECHANICAL I 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 PLUMBING ELECTRICAL MECHANICAL GAS "" BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ;( - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REQ IF INSPECTOR'S 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 ,- '. -.1 . • I I' --r -. . . .:, ... -~ - ' t -I :::- ~ • !· ~Ef,Oc>l+~ - INSPECTOR'S NOTES I. - DATE _'..._,·•t· ~ ., ---~ J ,-.. .. ....... ,' ·~ (· .-,.,. -.,...., ~·-'" ' I , . if;~:-cJ': I - I, / ..... r-... ---. .. • I J"~ I?' K •4 f: a d _, '\, C • CC' - ~ -~ l'TGLr ~· 20l'# O~\So 0001 ": r.p ' - . • ' > ' . . ' '' -' - +-' \.:, -. l • C ..!, "" --• •j ~' -