HomeMy WebLinkAbout2329 VIA CLEMENTE; MP; 82-203; PermitCl) z 0 .:: "" a: "" _, u ... 0
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!I hereby affirm that I am licensed under
slons of Chapter 9 (commencing with
Ion 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
lie No __ Class ____ _
I hereby affirm that I .n exempt from the Con• ~~~-:~~~:;:: ~; ~~,~~.:~~=,e:~.\~,
county which requires a permit to construct
alter, improve, demolish, or rep.au any structure.
pnor to its issuance also requires the applicant for such permit to ftle a signed statemenl that he 1s
licensed pursuant to 1he prov,s,ons of the Con-
tractor's License Law (Chapter 9 commencing with Section 7000 of 0r,1s1on 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the basis tor the alleoecf exemptt0n. Any v1ota11on of
Section 7031 5 by an apphcant for a pem11t subJects
tne apphcanl to a c1v11 penalty of not more than five
hundred oolla,s ($5()())
D I, as owner of the property, Of my employees .,.,th wages as their sole compensat,on, w,11 do the
wont, and the structure Is not intended or offered for sale (Sec 70,,,M, Business and Professions Code
The Contractor's License Law does not apply to an
owner of propeny who builds or improves thereon and wno does such wont. himself or through his own
employees, provided lhal such 1mproveme;"1tS are
not mtende1 or offered for sale If, however, the building or Improvemen1 1s sold within one year of
completion, lhe owner-builder will have the burden of proving that he dtd nol build or improve lor the
purpose of sale)
□ I. as owner of the pre>perty, am exclusively
contracting with licensed conuacIors to construct lhe proiec:I (Sec 70,U, Busmess and Professions
Code The Contractor s License Law does no1 apply to an owner of property who builds Of ,mproves
thereon. and who contracts lor each pro1ects with a
contractO-,s) license pursuant to the Controetor's
License Law)
D I am exempl under Sec
tor this reason
. B &PC
D I hereby affirm lhat I ha·,e a cert1ftca1e of consent
10 selt-msure. or a cert1f1cate of Workers
Compensation Insurance. or a cert1fled copy thereof !Sec 3800. Lab<>< Cooe)
POUCYNO
COMPANY
~Copy is flled w11h 1ne c,1y t:11--
0 Certified copy 1s hereby furn,:JJ
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Ttus section need not be completed 11 the perm,1
,s tor one hundred dollars (S100) or less)
D I certify that ,n lhe performance of lhe work tor
wh,ch this perm,, Is issued, I shalt no1 employ any
person in any manner so as to beeome subIect to
!he Wot1(ers Compensa11on Laws of California
NOTICE TO APPLICANT H. after makml this Cert,
hcate of E.-.:empt1on. you should beCome sub1ec1 I?
the Wot11;ers' Compensation prov1s,ons of !he Labor Code. you mus! forthwith comply w1lh such
prov1s1ons or lh1S permit Shall be deemed revoked
0 I hereby afhrm Iha! there ,s a construcuon
Iend1no agency tor the perfOf'mance ot !he woflit tor
which !his permit 1s issued (Sec 3097 C1vd Code)
Lenders Name ___________ _
Lenders Address __________ _
-------··---------. ' --~--... -
CARLSBA\, BUILDING DEPARTMENT A~. l lCATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB A0OAESS (MI?) AV. ST. ,DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER
AO. id----2329 Via Clemente 4/20/82 21268 -
OWNER'S NAME '---" I OWNE A'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE # ZONE 1.P3
r, ~ -c ... -n ,'IPt"ln n,.,. 455-6200 Broactnoor Hanes 455-6200
OWNER'S MAILING ADORES!; -.. CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
3911 SOn-ento V'8.ley Bl'Vd.,, San Diego, 92121 Saine 219975 ~r
LOT I BLOCK I SUB0)VISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE er 79-27 156-260-24 FX'?Ilk Radtiacher ~soci ates 1110 DESCRIPTION OF WORK Hook-UP elect.x-j:c meter poo.estal DESIGNER'S ADDRESS DESIGNER'S PHONE 7
to i;r:x-igation e<::11trollei; .. 7722 Irvine Blvd., Tustin 714-832-1774
-----~ -----· --·---F/P FLA ELEV. NO DCC GP EDU
STORIES
vO NO --5/20/825220 27'.00
CENSUS TRACT I ---GP LANO use I PARKING SPACE I RES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST
YO N 0 v O NO vO NO Not Valid Unkss Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7,~ QTY. MECHANICAL PERMIT· ISSUE 3,,~o SUMMARY/ACCOUNT NUMBE R
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000·4220 -EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000·4806 ----EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01 ·000·4222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223 '/_-1,tJO --------EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000·4224 -EACH VACUUM BREAKER MECH EXHAUST H000I0UCTS M0BILEH0ME 01 ·000·4225 --~
WATER SO FTNEA RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSlDE) SOLAR 01 ·000·4226 -TOTJ;L MECHANICAL STRONG MOTION 65·640·0519
f--r -TOTAL PLUMBING FIRE SPRINKLERS 01 ·000·4227
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 25·000·4933 .J.o, BRIDGE FEE
• -A NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
t~~ Ji PH) 3 PH ~'&-,()0 STORAGE TANKS Carlsbad 65·623·0519 ,,r, EXIST BLDG EA AMPISWT/BKR ROCK STORAGE Encinitas 65·624·0519
l PH 3 PH PUMP San Dieguito 65·625·0519
REM00EL'AL TEA PEA CIRCUIT PLAN CHECK FEE San Marcos 65·626·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI ---------
TOTAL E LE CTR ICA L f 1--11.QfJ TOTAL SOLAR TOTAL FE ES PAYABLE I 1,;1.00
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit issued by the 8u1td1ng Off1c1al under the provisions ofth1s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void If the building or work 5' 0" DEEP AND DEMOllTIOH OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit Is not commenced wIth1n 180 days from the date of such STROCT\JR£S OVER 3 STORIES IN HEIGHT permit. or 11 the bulfd1~n: or work authorized by such permit Is suspended or ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any time r the.J1Work Is commenced for a oenod of 180 dav•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APP;Jz JJ~ OWNER□ CONTRACTO~ ~Jt DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND £, ierZt>-82 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT, . V -
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BUILDING
INSPECTION TYPE DATE INSPECTOR • S?-::>--;)0.3 l -
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR ro
FOUNDATION INSP
SHEATHING I STRUCTURAL CONCRETE
FRAME • OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
INTERIOR LATH & DR YWALL , POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING .
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
• TUB AND $HOWER PAN
GAS TEST PILES•CAISSONS
ELECTRICAL
TEMPORARY POWER -.
'· .J ~
ELECTRIC UNDERGROUND --
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING '
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
JOB SITE FINAL I '
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED ....... _, .