HomeMy WebLinkAbout2803 VIA CARRIO; ; CB891343; PermitII:
I[ 0 I he<eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Protn1lon1 Code, and my license Is In
0 full force and effect.
ur I hereby ittum lhit l am exempl from lhe ContrK·
IOf's Ucense Law tor ttle tollowing reason (Sec 7031 5
Business and Protess10ns COde Any c11y or coun1y whtet. re· qu1tes a perm,1 to construe!. alter. improve, demohsh. Of
repair any struclure. puor 1011s ,ssuanu also requires '.heap·
phcanl Im such perm,1 10 tile a signed statement lhal he ts
lteensed pursuanl .to lhe prov,s+ons of lhe ton1rx1or·s L.:ense Law (Chapter 9 commen,;Ing with Section 7000 cl OIYr51on 3 or the Business and ProfesSK>ns Code) or lhal ,sex· empl therefrom and 1he t>aS\5 lor lhe attegeo exemphon Any
vlOlation ot SetllOfl 7031.5 by an apphcant tor a permit sub-
iects Int apphcan1 10 a c1vll penally 01 not men than hve hun· o,eo dot~" (S500)
C I. as r,wner ol the property. or my employees with wages
Ill as their SCMe compensation, w,11 do the worlc. and the s1ruc-
0 ture 15 not intended or ottered for sate (Sec 7044 _ Business ... and ProtessK>ni Code The Contractor s License Law does 5 not apply to an owner of properly who bu1kJs or 1mprOYeS s thereon and who does such work h,mseU or through his own I employees. p(0vlded 1hat sucn improvements afe nol intend· Ill ed or offered tor sale II. howevtr. lhe building or improve· z menr Is sokS wIthm one year ot compleuon. 1he owner-builder • wlll have the burden of proving thal he did not build or m,-0 prove lo, the purpose ot sale)
I I, as owner of the property. am exclusively contraet,ng wI1n licensed con1rac1ors lo construct the protect (Sec 7044.
Business and Prolessions Code The Con1rac1or·s Ltcense Law does not apply to an owner of property who builds or 1m•
"' proves thefeon. and wtiO cootracts for each proiecls with a contraclor(s) ltcense pursuant lo the Contrac.tor's license z Law) 0 ;:: I l As a homeowner! am ,mprov,ng my oome. and the tallow C Ing condIhons extst a: 1 The work Is being perlorrned pr,or to sale C ... 2 I have lived In my home tor twelve monlhs u pnor to complet10n of this work ,., 3 I have nol ctauned !his exemption aunng the
' 0 last lhree years
D I am &XemJ>I under Sec tor ltus reason . B & PC
----
~ I hereby allum 1nat I nave a cert1f1cate ot consent 10
sell-tnsure, or a cerhllca.te o1 Wqrkers Compensation ln•
surance or a certified copy thereof tSec 3600. Labor Code)
POLICY NO z COMPANY 0 ;:: = Copy 1s 1rled with the city C "' 0 Certified copy Ts neret>y furnished z ,.,
IL :I CERTIFICATE OF EXEMPTION FROM 0 u WORKERS' COMPENSATION INSURANCE
"' (This section need no1 be compleled 11 the permit ir: ts for one hundred dollars lSHX)l o, less) ,., 0 I certify that In the performance of the work for wtueh "" a: 1h15 permit Is issued. I shall not employ any person in any 0 rnanner so as to beeome subJecl to the Wotkers Compen-~ sa11on laws of California.
NOTICE TO APPLICANT. II. atter ma.)ung lhts Certificate
of Exemption. you should become subject to lhe Workers·
Compensation provisions of the labof Cooe. you must
forthwith comply with such provisions or this permit shall
L be deemed revoked
![ 0 I hereby affirm that there ,s a construction lending
agency lor the performance of the work for which tn,s per•
mit Is Issued (Sec. 3097. CtvU COde)
Lender's Name
Lender's Address
USE BALL POINT PEN ONLY & PRE~S HARD
JOB A.OORESS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
A.V ST. RO. THOMAS BROS NO.
21'03 v~ c Pte.,,o
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
IOA;:f;:~;ONI
BUSIN~ • VALUATION PERMIT NUMBER
LOT j BLOCK I sueo1 :i1s10N I ASSESSOR PARCEL NO D CONTRACTOR CONTRACTORS PHONE • ZONE g1 I 3 /8"
/~7 5(e0..2.-1 0 ~RlkS i>LuJit4i>t~• -, '/JV ¥7VY
BUILDING SO. FOOT AGE I OWNER'S NA.ME I OWNER'S PHONE
A 11711"& '-, ,IV JJJ'1-o3, r I 'Iv 7s &L,,,d StQ,,v,r cz I ~"J 2. l-1 I I I OWNER'S MA.•L•NG A.OORESS OESIGNER"S PHONE DESIGNER
CONTRA.CTOR'S ADDRESS STATE LICENSE NO.
S,tN.tF
1OESCR1PTION OF WORK
I Rep1t1/I.. I. 1F1t-lr I~ , .. s J., ,,,,,,.. I DESIGNER s A.OORESS
F/P F LR ELEV
vO "'O
~
STORIES
STATE LICENSE NO. ,,... ...
AREn
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>-~
0 a.
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'O
0 (!)
CENSUS TRACT PA.RKING SPACE RES UNITS GRADING PERMIT ISSUED
y D ND
REDEVELOPMENT
AREA
vO NO
TYPE
CONST
-,+...,-----l
ace Lo4o f..1~ f7i 9571 09/06/89 0001 _01 02
-•-vO NO 989 Nor V~/id Unlf!ss Aia/itne ~rrtl,l!d 10.J _
C I I 12.so ~ I ~TY. MECHANICAL PERMIT . ISSUE / so0
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU
QTY. PLUMBING PERMIT • ISSUE
0) u
a. a. <!
EACH BUILUING SEWER I II I OVER 100,000 BTU SIGN PERMIT 00T-8'T'~.s221 I
EACH WATER HEATER ANO OR VENT I II I BOILER/COMPRESSOR UP TO 3 HP
7 EACH GAS SYS_TEM I TO 4 OUTLETS I II I BOILER/COMPRESSOR 3 IS HP
PLAN CHECK 001-810·00·00·8891
TOTAL PLUMBING oo 1 ·810·00·00·8222 I /D
~ C a:
EACH GAS SYSTEM s OR MORE I II I METAL FIREPLACE
EACH INSIAL .ALIEH,REPAIRWAIERPIPE I II I VENTFANSINGLEOUCT
ELECTRICAL DO I ·810·00·00·8223
MECHANICAL 001 ·810·00·00·8224 0 "'
EACH VACUUM BREAKER I II I MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810·00·00·8225 "' Q) "' WATER SOFTNER ___ I II I RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226 "' <!
EACH ROOF DRAIN !INSIDE) DAYER VENT STRONG MOTION 880·519-92·33 I _,..,
TOlAL PLUMBING l A",.
TOTJ;.L MECHANICAL FIRE SPRINi<LERS 001·810·00·00·8227
PUBLIC FACILITIES FEE 320·810·00·00·8740
BRIDGE FEE 360·810·00·00·8740
3:
.Q
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QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWl BKR CAR PORT T1F 312·810-00·00·8835
Q) u
C
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00-8835 0)
C
EXIST BLOG EA AMPISWT BKR GARAGE FMF u.. -I PH 3 PH LICENSE TAX 001·810·00·00·8162 --
REMODEL AL HR PER CIRCUIT MFF 880-519·92·57 C
TE MP PO LE 700 AMPS
Q)
~
OVER 700 AMPS (!)
TEMP OCCUPANCY (30 DAYSI -
CREDIT DEPOSIT 0
TOTAL ELECTRICAL 1 TOTAL TOTAL FEES PAYABLE 1 /0 _J u
Q) a. "' E
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT ANO 00 HEREBY Exr,,rat,on Every pe,m,t i51ued by the Builcltng Ott,c,al ""de< the prov.Stons ofll•tS * AN 06HA PE,_,.:T IS IIEQUIAED FOR EXCAVATIONS OVEII
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exr,,re by hm,ta.llon ano become null ano vo,d If the buitdmg 0' WO<k 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION 01' authouzed by such permit 11 not commenced w,thin 180 days from the date -.:,f sucn DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permit or It the buitding or work outhor1Zed by such pe,m,t 15 suspended or STIIUC'I\INiS OVER l STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY. COUN1Y ANO STATE LAWS GO.JERNING BUILDING CON L!-~~dO~neCl~.!•::._l,:an~!!;l•me~.!•~h•r:...lhe!!!!.!w~o!!.rk!_!:1s~co!o!!.m~men!!!!:!!c:!e~d.!t0!:!!rc;a!.l!!!rc!!1od,!!!.,:O!,!!fc.1!.2!1..lllll. __ ....., ____ ... ___________________ "lli
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO .
KEEP HARMLESS THE CITY OF.CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APP7?tCAN S SIG;7;NATU~E OWNER(] DA TE ~ f/
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ': -/ __,-C)
GRANTING OF THIS PERMIT ~ _,._,,,,,._, I /'
I
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TYPE I DATE INSPECTOR ~-·~ ",, '-.,_. ... >---• ,_ \
BUILDING : " ·"'-· ~ ' \:· CJ3&<; I 3<./3 •
FOUNDATION I FIELD INSPECTION RECORD 1----------------------r~---------------------------, REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY : REQ IF INSPECTOR'S I===,=?'" .,IF====, ===--=======.l',=-~-===f.=q== J,#= __ ====!
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE {t"G,..~~ \ ~, f -'f -¥ I T '°"'~ --
SUB FRAME D FLOOR D CEILING SOILS COMPLIANCE ~~ _o_ --r-t.·~~ J) ...L.-. ~ u
SHEATHING D ROOF D SHEA~ PRIOR TO ( \ -FOUNDATION INSP '-.J
FRAME t 1---------=-------------------'----t
STRUCTURAL CONCRETE
EXTERIOR LA TH I OVER 2000 PSI --------+----+------+----;
INSULATION I PRESTRESSED I CONCRETE
INTERIOR LA TH & DRYWALL 1 1--Po_s_r_r_EN-s-1o_N_E_D---+-----1,--------1,--------1
I 1--CO_N_C_R_ET_E ____ -+-----1,--------1,------1 1------------------------------i
PLUMBING : FIELD WELDING
D SEWER AND BUCO D PUCO 1--H...,,IG-H_-S-TR_E_N_G_TH---+----+------+----;
UNDERGROUND D WASTE D WATER ,__so_L_r_s ________________ ___, 1----------------------------
TOP OUT D WASTE D WAT.ER 1--sP_E_c_,A_L_M_A_so_N_R_Y·--+-----+------+-----1
TUB AND SHOWER PAN 1
GAS TEST I 'f ,,,;l{ ~ t/f/4---~ "' AISSONS
D WATER HEATER D SOLAR WAT~R ., 0
I
ELECTRICAL 1
D ELECTRIC UNDERGROUND D UP.FER
ROUGH ELECTRIC 1 ,___________________ J
D ELECTRIC SERVICE D TEMPORARY --------+----+------+-----< ·:, ' ~ r-·
D BONDING D POOL I .-,• • ••,,_, --' ,~":: ,-,
--------------.L-'--+---------~ 1---------+-----1,--------+-----< ;,-, \, _. -, "·'' '
---------------,.-1 -----------~~~~(,\ ·-
MECHANICAL I ------------. ---------------
0 DUCT & PLEM., D REF. PIPING: 1---------t------,...-----i----1 • • -
HEAT -AIR COND. SYSTEMS 1---------+----+------+----; ,,..... -;--.., .;c' ·•~l ½ ,. , t l
VENTILATING SYSTEMS ; . '.
( ' • ":'·--.. \.., ·..\ : --~ I"",.. ~ • .. -----------------+-----'-----------------~ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE /BEEN APPROVeo.
FINAL : _ /,. , i--:---.-=-----=--_,_. _ ___,,,~-__.._..._ _______________ -1 _____ _.;...;.;...;.;....;;;;...._ ____ __.__--;1115-=t,·:--,tlrdf--+,<j'-:---:----, ' \ #' ·-""' "_ ... _ ~ ' ... ,.:lo -' '\
PLUMBING I i1✓ 1-,-·--< I fl.Jrr. -• ·, '' -1-----------------------------1 ELECTRICAL 1 1 0 ~~-'~ · ". · \, • -, ' · ' ~-~ ~ ' , , ,
MECHANICAL : ' 1------------------------------1
GAS t ...... ..., . ' '-'\ ~ I \ -I = 1--_..;;•;..___-"----------------------------1
BUILDING 1 1---------+----+-----t-----1 /
SPECIAL CONDITIONS ; L-----------'--__ ..._ ___ __._ __ __, ,,
t