HomeMy WebLinkAbout2821 VIA CARRIO; ; 85-529; Permit.,, z 0 .:: • a; • ., 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 Proloaalons Code, and my license is In
lull force and effect.
l.: No ______ Class
I nereby affirm lhal I am exempt from lhe Contrac-
lor' s license law IDf !he lollowmg reason (Sec 7031 5 Business and Professions Code Any c,ty or county which re-
quires a perm1l to construct. alter, improve, demohsh, or repair any structure. pnor to I1s issuance also requires !heap-
phcant for such perm,1 10 Me a SIQned statement Iha! he 1s hcenSe(I pursuant to the provisions of !he Contractor s license Law (Chapter 9 commencing with Sect,on 7000 of
DIvts1on 3 ot the Business and Professions COde} or I hat ,sex· empl therelrom and lhe bas,s tor the allegeo exemplton Any violahon ol Seclton 7031.5 by an apphcan1 ICK a perm1I sub--
Jects the apphcanl to a c,v,r penally 01 no1 mDfe than tIve hun-dred dol~rs ($500)
r I. as owner of tile property. or my employees w,th wages
as !heir sole compensa1,on. will do lhe work. and the struc-lure tS not Intended 01 ollered 101 sale (Se< 7044 Business
and Profess10ns: Code The Con1ractor's L+cense Law does
001 apply 10 an owner ot property who builds or improves thereon and wno does such work htmself or through his own
employees, provided that such Improvemen1s are 001 intend-ed or offered tor sa!e If, however, the building oc improve·
ment Is sokf w1thm one year ot complehon, the owner-buIkler will have !he burden of proving that he did not build or im-
prove la< the purpose ol sale)
D I, as owner ot the property. am e)(tlus,vely contraclmg
Wlth licensed contractors 10 construe! the proIect (Sec 7044, Business and Pfofess,ons COde The Con1rac1or' s license Law does not apply 10 an owner of property who builds or ,m-PfOves thereon, and who contracls tor each proiects with a contractor{s) license pu(suanl to the ContractOf's license Law)
0 As a homeowner I am improving my home, and lhe tolJow ing condItl()(ls ex1s1
1 The work ,s bemg performed prior to sate 2 I have hved in my home for lwetve monlhs prior to comp~llon of this work
3 I have not claimed this exemption during !he last three years
~r /h:;r".'..':t' under sec ------· e & pc ----------
D I hereby alt.rm tf'lat I na .. e a cert1hcate ol consent
to self insure. or a cer11!1cate ol Workers
Compensa1ton Insurance. o, a cert,hed copy !hereof !Sec 3800. Labor Codel
POLICY NO
COMPANY
0 Copy IS filed wIlh the city
0 Cer11hed cooy Is hereby lurmshecJ
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This sec11on need not t>e comoteled ,, the perm11
Is tor one hundred OOllars ($100) or less)
O I cer11ly I hat In tf'le performance or lhe wort,, l0t
wf'l,ch mis perm,1 Is issued I shall no1 emotoy any person in any manner so as to become sub1ec1 Ju
tf'le Workers Compensa11on Laws 01 Cahlorn1a
NOTICE TO APPLICANT If. after mak1n, in,s Cen,
hcate or Exempllon you should oecome sut>Je<:1 I? lhe WOOCers Compensalton provis,ons of the LabOr
Cooe you must f0f1h'Atlh comply w11h sucf'l
prov1s1ons o, 1tus permI1 shall be oeemed ,e..,oked
0 I hereby alltrm thal the,e is a constryc1ton
Ien<2,ng aoency 10, tf'le performance ot tt\e work 10,
wtuch lf'l•s permit ,s issued 1Sec 3097 C,v,I Cooe1
Lenders Name ___________ _
Lenoer s Address __________ _
I USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad, Ca!lfornia 92008-1989 (619) 438-5525 I I DiTi ;i;;ATtONI
VALUATION PERMIT NUMBER JOB ADDRESS AV ST RD NEAREST CROSS ST BUSINESS LICENSE " I /l-t-4~0,J K:.. I ~ 15' "i}../ Ul4 (!_fi~e/ D
I LOT I BLOCK I sueD,vIs,oN I ASSESSOR PARCEL NO CONTRACTOR Pu.i""~'"' ,.CONTRACTORS PHONE• ZONE 5d.</ I 1~7 3<.o~ ;).~00
I OWNER'S NAME t;.l(oC, I O<:.E,,9-~,:~~~WNEA'S PHONE
v.,OMIU '-,:54-f-U(..;o '-1?'7-St1 I
I CONTRACTOR'S ADDRESS LICENSE NO PLAN t.D. # BLDG use CODE
I Rof!>&IZ. r t>A-L/ 61 n,ll't I" _A.. ,e; u~ ? Z.1-o t 'f-o
~105 ~~I> ~~9'l)l;, I OWNER'S MA1 : NG ADDRESS , :::J...9;7-.'1'
I (.)14 (!_A. ~/Z.,/ 0 eA-~8-9--4M, I ..1 fSd-/ DESIGNER ()'d ;D,!5 t' ~ 'fZO:>¥ LICENSE • STAN0ARD PLAN# BUILDING SO. FOOTAGE
1 DESCR•PT•ON Of WORK
I DESIGNER'S ADDRESS 0ESIGNER'S PHONE
'
; ~ F/P FLA ELEV. NO OCC GP EDU STORIES
vO ,-.o --
CENSUS TRACT I GP LANO USE I PARKING SPACE
1
RES UNITS 1
GRACING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPP AREA CONST ll, YO ND ,o NO vO NO Nor Valld Unless M~chtne Certified
QTY. PLUMBING PERMIT· ISSUE :2_3!-QTY. MECHANICAL PERMIT -ISSUE 3'-
,:
SUMMARYMCCOUNTNUMBER
EACH FIXTURE TRAP , INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00·00·8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00·00-8221 -EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM l TO 4 OUTLETS 80ILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00-00-8222 lO • o (.)
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 DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN 1 'NSIDE l SOLAR 0.LOO·OO-R??~
(Ad,c A• ~I,._ ~~ TOT ,t;L MECHANICAL STRONG MOTION 80·92-33-0519 >--·
T/JTAL PLUMB I G I t. o. Oo FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·89ll
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinilas 80-92-22-0519
1 PH 3 PH
' PUMP San D1eguIto 80·92· 23-0519
. REMODEL Al HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
I TEMP POLE 200 AMPS
; OVER 200 AMPS LICENSE TAX 01-00-00-8162
'
: TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
I CREDIT DEPOSIT
. TOTAL ELECTRICAL I TOTAL SOLAR I ID. u o ' TOTAL FEES PAYABLE
' I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Exp.ration. Every per'm1t issued by the Bu1ld1ng Ofhc11I under the prov,s,ons of this * AN OSHA PEFWll:T IS REQUIRED FOR EXCAVATIONS OVER
' CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltm11at1on and become null and void If the bulld,ng or work 5 O" DEEP AND OEMOUTION OR CONSTRUCTION OF authonzed by such permit Is no1 commenced w1th1n 1BO days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or 11 the bulldin~ or work authonzed b'f such permu 1s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any t,me • er the work Is commenced lor a period of t80 davs
STRUCTION. W. HETHER S.PECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNA~. RE 0 CONTRACTOR ~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND a. u / L OWNER
' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-~ ~ ~ BY PHONE 0 KB4A~,· 11 ~ l J'1,J's"" GRANTING OF THIS PERMIT ,q--• ~ _;;,r / ~,
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TYPE i DATE INSPECTOR .. -.
BUILDING t
FOUNDATION f ,.
I FIELD INSPECTION RECORD
REINFORCED STEEL I
J
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT ' _l
REQ IF INSPECTORS DATE -. INSPECTION CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHE;AR
FRAME t
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PR ESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING '. FIELD WELDING
SEWER AND BUCO □\PUCO I
UNDERGROUND □ WASTE □ VyATER
TOP OUT □ WASTE □ WATER .. • ·" -1
HIGH STRENGTH
BOLTS
SPECIAL 'M;,,SON~'1"-' . . •.
TUB AND SHOWER PAN I
~
GAS TEST I PILES CIIISSOM,
□ WATER HEATER □ SOLAR WArER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l!JFFER ' ' . ,
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY .
□ BONDING □ POOL I ,
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
_J
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED. ------
FINAL I ' } PLUMBING I J .
-' I ► \.
ELECTRICAL I \ \v J''l I
MECHANICAL I ' r 11\ I ,, ~
'. -GAS I '\ I'.
BUILDING I \ \
SPECIAL CONDITIONS I
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