HomeMy WebLinkAbout2809 VIA CASCADA; ; 83-63; Permitu, z 0 .:: < CIC < ... u ..,
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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 aflirm that I am exempt lrom the Contrac-
tof' s License Low tor the tottOWlng reason (Seo 7031.5
Business ana Professions Code: Ally city 01 county which re-quires a perrrut to construct, atter, improve. demolish, or repair any structure, prior to its issuance also requires the ap-plicant for such permit to mo a signtd statoment that he Is
licensed pursuant to the provisions ol the Contractor's license Low (Chapl8f 9 commencing With Socllon 7000 of
OW1sNln J of the Busmess and Profess,ons Code) or that Is ex-
"'"P' therelrom and the basis tor the alleged exemption. Ally Yiolat10n ol Soot ion 703 t ,5 by an approcant 101 a permit sub-iects the appllcant to a cMI penalty ot not more than hve hun· dred dollars ($500)
□ I, as owner ot the property, or my OfnPloyees with wages
as their sole compensation, will do the work, and the strut·
lure is not Intended or offered for sale (Sec. 7044, Business and Pfotessk>ns Code: The COntractor's License Law does
not apply to an owner of property who builds or lmprOYes
thereon and Who does such -1< himself or throogh his own employees, provided that such Improvements are not Intend-
ed 01 ottered for safe. II, however, the building o, improve-ment is sold within one year of completion, the owner-bulkier
will have the buraen ot prOYing that he did not build or im· prOYe for the purpose of sale).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Seo. 7044,
Business and Professions Code: The Contractor's License law doos not apply to an owner of property who builds or Im-proves ther~. and who contracts tor each pro;ects with a
contracto,(s) license pursuant to the Contractor's LQnse Low),
□ As a homeowner I am improving my home, and the totlow·
ing conditions exist: 1. The -1< is being per1o,med prior 10 sate.
2. I have lived In my home for twelve months
3. rr:v~ :"pc~ of ::i~ ~ption during the
last three years.
g :h-:,~:t under Sec,------, 8 & P,C, -------------
□ I hereby affirm that I ha.,e a cert1hQte of consent
to self.insure; or a cert1f1cate o~Wortters' Compensat,on Insurance. or a cert,h;:} cop~~
"° -tl!Jt, ~ VY--" POLICY NO },. / __ . _
,
COMPANY ~--"1-. J ~ Copy Is flied wItn the city /YW/11.4,,(
0 Certified copy ,s hereby furnished
CERTIFICA Tt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit
1s tor one hundred dollars ($1()01 or less)
O I cert1ty that in the performance of !he work for which lh1s pemut ,s issued. I shall nol empl()y any
person in any manner so as 10 become sub1ec1 10
the Workers· Compensatton Laws of Cahforn,a
NOTICE TO APPLICANT II. atler makm~ this Cert•
hcate of Exemphon, you should become subject 1-, the Wo,t,;ers' Compensation prov1s,ons of 1ne Labor
Code. you mus1 forthwith comply with such
prov1s10ns or 1n1s permit shall be deemed revoked
0 I hereby alfum tf\al there 1s a cons1ruct1on lend1no agency tor the perlormance ot !he wonl lor
which lh1s perm,! 1s issued (Sec 3097. C1v11 COde)
Lenoet s Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD I APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT <Z rl J APPLICATION & PERMIT ..._ ~1~ -~ 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525 I l /I//
Jj:D<JEo CJ V/ 11 C115c HD~
AV.ST. DATE OF A~PLICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
RO, 7'-/19 °I g~/
y;s_;:;;~(c I AJG /, 5}) Al£ I OWNER"S PHONE . ~,;;:_;~IM feolt,//4 CONTRACTORS PHONE • ZONE {,3 ?29-/:.J 7 I Z (Jt,--2231,
OWNER'S MAILING ADDRESS
CG,T]C7lZ
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LICENSE NO PLAN LO.# BLDG USE COOE
.S/fme.,, .19/4t,z ~
LOT BLOCK I SUBDIVISION I ASSEsso ~;::,~c~~ :WOO DESIGNER LICENSE• STANDARD PLAN# BUILDING SQ. FOOTAGE
Dy;e /')ON/p-:J'K f)P,1~{< (I )'/ /J A -r,; /()/~J
.....
DESIGNER"S AOORESS OESIGNER"S PHONE
0 c•/ I..,;., ' e or -• -----·---F/P FLA ELEV, NO OCC GP EDU
STORIES
v O NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE l RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO v□ NO Not Valid Unlm Machine wrtifitd
QTY. PLUMBING PERMIT -ISSUE "}~ QTY. MECHANICAL PERMIT -ISSUE ""5~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO/OR VENT .:> .<r BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM I TO 4 0 UTLETS BOILER/COMPRESSOR J,15 HP TOTAL PLUMBING 01-00-00-8222 JIJ .Ot'J
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) cn1•0 n,_nn.nn.oooe
TOTI.L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I //J ,-::;• FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE rl.~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923
BRIDGE FEE ..,.
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80-92-22·0519
1 PH 3 PH PUMP San Dieauito 80-92-23·0519 .
RE MOOE L/AL TE R PER CI RCUIT PLAN CHECK FEE San Marcos 80-92-24·0519
TEMP POLE 200 AMPS • --··
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) j
------
..
TO TAL ELECTRICAL ,-TOTAL SOLAR TOTAL FEES PAYABLE I /0, (J O
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' ANO DO HEREBY Expiratron. e .. ry permrt issued by the Buifdlng Oll,c1at under the provIs,ons of this * AN OSHA P(AlrtlT IS AEOU1AED FOR EXCAVATIONS OYEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmrtatron and become null and v0td If the bu1tdrng Of work S' O" DEEP AHO OEM0UTlON OR CONSTAUCTION ~
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such perm,t Is not commenced wrthin 180 days from the date ot such STRUCT\lflES OYER 3 STORIES IN HEIGHT permrl or 11 the buIldr~ or work 1uthonzed by such permit 11 1uspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at any bme a er the work is commenced for I DIIOod of 180 ~-~-• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , OWNER □ CONTRACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 2pp ICA~'//S SIGNATU • -~<?J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,. J BYPHONE0 ~ I GRANTING OF THIS PERMIT. ,,--..__ -~-. J '--17 "7'
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INSPECTION TYPE DATE
BUILDING J
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME ,
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING i
SEWER AND B LICO i
PLUMBING UNDERGROUND ;
PLUMBING TOP OUT i
-
TUB AND $HOWER PAN
GAS TEST -
-
ELECTRICAL ' <'. .
I
TEMPORARY POWER '
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 APP,,
ITEMS ABOVE HAVE BEEN APPRO,
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUE[)_
INSPECTOR
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' 8''3~3
FIELD INSPECTION RECORD •
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL . •
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH ' BOLTS
SPECIAL MASONRY
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PILES CAISSONS ,. .
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