HomeMy WebLinkAbout2716 VIA CARDEL; MP; 83-34-E; Permit/;1[
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
full force and effect.
lie No ------Class
I hereby am,m Iha! I am exempt from the Contrac-lof s License Law !Of the loilow1ng reason (Sec 7031 5
Business and Prot6S1ons Code Any c11y or counly which re· quires a permit lo construct, alfer. improve demolish. or
repair any structure poor to ,ts issuance aiso requires !heap·
ri~~!~orp~~~:a:r7:1 t~e111;,!,~~:e: ::a'i:'~~:~~!'!
L,cense Law (Chapter 9 commencing with Secllon 7000 ol Orv1s1on 3 ol the Business and Protess•ons COde} or that 1s ex-
empt therelrom and the basis lor the al!ege<1 ex.empuon Any
v1olah0n of SecltOn 7031 .5 by an apphtanl ror a perm,r sub-Jects lhe appflcant to a CIVIi penalty o1 not more l'han five hun-dred dollars (S500)
I. as owner of the propeny, or my employees w1lh wages
as their soie compensauon will do lhe work and lhe struc-ture 1s not mtended Of ottered !or sale (Sec 70.4. Business
and Professions COde The Contractor·s LJCense Law does
riot appfy 10 an O"Nner of property who bu1fds or improves thereon and who ooes such work himself or through htS own
employees, provided that such improvements are not intend-
ed Of ol1ered for sale II, however the bu1ld1ng or 1mprove-men1 ,s sold w11hm one year of compJett<>n, the owner-budder
win have lhe burden ol provmg lhal he did not build or UTI· prOYe lor the purpose ot salo)
D I, as owner ol lhe property, am exclusrvely conlracting with hcensed contractors to construct the prOJecl (Sec 7044 Busmess and Prolessoos Code. The COntractor·s License
Law does not apply to an owner ol property who builds or im-proves thereon. and who contracts fCN' each protects with a
conlractor(s) license pursuan1 10 the Contracto<'s LJcense law)
□ As a homeowner I am ,mprov,ng my home, and !he follow mg cond111ons ex,sl
1 The work 1s being per1ormed prior 10 sale
2 I have lived an my home lor lwelve months prior to complehon of lh1s worK 3 I have not claimed this exemp!H>n dunng the lasl three years.
□ I am exempt unde< Sec. ______ • B & P C '°' this reason ____________ _
0 I hereby athrm that I ha.-e a cer11t,ca1e ol consen1
10 self.insure. or a cen1t1cate of Workers
Compensation Insurance. or a cer11t1e<J copy thereof !Sec 3800. Labor CooeI
POLICY NO
COMPANY
□ Copy IS hied Wltfl lhe city
0 Cen,trect copy 1s hereby lurn,sheO
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Trus seclion need not be complete<J 11 the permit
1s !or one hundred OOllars IS 11))} or 1ess1
0 I cer1,ty 1ha1 ,n the per1ormance 01 the wo,k lor
which lhtS permit IS ISSUe<J I shall nol employ any
person ,n any manner so as to be<.:ome suo1ec.1 to
lhe Woi1i:ers Compensa11on Laws 01 Galllom,a
NOTICE TO APPLICANT II. after makm'J lh•s Cet11
hcate of Ellemp11on. you Should beeome su01ect l'l
1ne W()l"kers Compensation prov,s,ons ot the Lat>or
Code you must fot1h1111.1th comply w11t1 suet,
prov1s,ons or this permit shall be deemed revokeo
0 I hereby atltrm that rhere •S a cons1ruc.11on
1end1og aoency tor me pertormance ot !he wor11. to,
wh,ch this perm11 tS issued 1Sec. )097 C•v1! Coae,
l enoer s Name ___________ _
l enders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADDRESS
CARLSBAD BUtLntk DEPARTMENT
~00 Elm. Carlsbat. c:~92008-1989 (619) 438-5525
,,p I A;._IJVJo. NEAREST cRoss sT.
APPLICAT~ & PERMIT
J!.. 7 /6 "'1A C!A.RoEi., fr\ _A___MV. J l,fit MUJJe
I 0~ ~E OF APPL1CAT10N1
l!!_-'_ 2 'I-R//-J
~OT 'I • -~jBLOCK l SUBOIVIS. ION . Ti 7.t -~I j jA~ESSOR PARCEL NO CONTRACTOR
~ffe~p(?e, OWNER'S NAME
7B£/M~~
OWNER'S MAILING ADDRESS
/ 19;_w;;;;HONE CONTRACTOR'S ADDRESS
/(?,0-~ ~
/c:?.,C, ~ ,/Jt,1£. ~ DESIGNER
DESCRIPTION OF WORK
~-..1-r-rrc.. k~~ /a1' G .eL.. r-,imr~ DESIGNER'S ADORESS
r--AMO/'~ ~r~~ FI P FLRELEV.
vO NO
CENSUS TRACT GP LAND USE I PAA-K ING SPACE I RES UNITS ~ GRACING PERMIT ISSUED
YO ND
REDEVELOPMENT AREA
~----vO NO
QTY.I PLUMBING PERMIT · ISSUE 7 ~ ~TY.I MECHANICAL PERMIT · ISSUE
EACH FIXTURE TRAP I I I INSTALL FURN DUCTS uP TO 100.000 BTU
NO
STORIES
TYPE
CONST
3-
VALUATION eus'C~E #
CONTRACTORS PHONE #
?-J 'r -,,-..,-y.,.
ZONE
LICENSE NO
4~-;;+~
PLAN 1.D. jt BLDG USE CODE
LICENSE # STANDARD PLAN # BUILDING SO FOOTAGE
DESIGNER'S PHONE
I occ GP I EDU I rr1a91t14~ru2
0001 ~.ro2 · n12~1 sa ,,_....,.
JU . I DCC LOA D I FIRE SPA
I vO NO Not Valid Unless M~ch,ne Cerrrl1ed
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·8220
EACH BUILDING SEWER I I I OVER 100,000 BTU
EACH WATER HEATER AND OR VENT I BOILER/COMPRESSOR UP TO J HP --I I -· ... -··--··
SIGN PERMIT 01 ·00·00-8221
~LAN CHECK 01-00-00·8806 -
I I EACH GAS SYSTEM 1 TO 4 OUTLETS i--I I 80ILER/COMPRESSOR 3-15 HP I I
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE
EACH INSTAl. ALTER, REPAIR WAT ER PIPE -t I I VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS
TOTAL PLUMBING 01 ·00·00·8222
ELECTRICAL 01 ·00·00·8223
MECHANICAL 01·00·00·8224
MOBILEHOME 01 ·00-00-8225
~o -
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I NSIDE)
TOTAL PLUMBING
TOTt.L MECHANICAL SOLAR 0 l:QQ:OQ:.8126
~ONG MOTION -80·92·33-0519
FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT • ISSUE -----.a. J--!!QTY. SOLAR • ISSUE
NEW CONST EA AMP SWT BKR 11J.fJ1F i.:.r ~ COLLECTORS
PUBLIC FACILITIES FEE 32·00·00·89l)
BRIDGE FEE
SCHOOL FEE • DISTRICT
I PH J PH STORAGE TANKS
EXIST BLDG EA AMP1SWT BKR ROCK STORAGE
I PH 3 PH PUMP
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE
TEMPPOLE ?OOAMPS
Carlsbad 80·92·21-0519
Encinitas 80·92·22·0519
San Diegu1to 80·92·23-0519
San Marcos 80·92·24-0519
OVER ?00 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519
TOTAL ELECTRICAL I ...l. ~--TOTAL SOLAR
CREDIT DEPOSIT
TOTAL FEES PAYABLE I ~ -I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT' AND DO HEREBY Expiration Everyperm1t1ssued1>ytheBu1ldingOll1c1alundertheprov,s,onsofth1S
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE C-Ode snail expire by hm,tahon and become null and void If !he l>u•ldong or work
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulho11zed l>y such per mil IS not commenced w1th1n 180days from !he daleol such
* AN OSHA PEAMll IS REQUIRED FOR EXCAVATIONS OVER
5 o· DEEP "ND OEMOUTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
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Q) ISSUED TO COMPLY WITH ALL CITY. COUNlY AND $TATE LAWS GOVERNING BUILDING CON ~;:;;1;/;,n';,',/~/:~ ~~~~I~He~:h:~\:~th0•~~ by such perm,I 15 suspended or
STRUCTION WHETHER SPECIFIED HERE!N OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND o 5 co enced for 3 nod of !80 da 5
KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE "' OWNER D .CON'T~ACTOD~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~~ \,_ . ". r-GRANTING OF THIS PERMIT ,_. _ ~y PHONE Q
• -~ • -[
APPAqtED BY
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I
TYPE l
' DATE INSPECTOR
BUILDING I
FOUNDATION 7
'
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME ' I
EXTERIOR LATH I
INSULATION i
INTERIOR LATH & DRYWALL I
'
PLUMBING i
SEWER AND BUCO □\PUCO '
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WJTER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WA1fER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ QFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOfjlARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN;G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I t ~~ ~ i·--... c-~----._r
I
CALL FOR FINAL INSPECTl:~N WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I t ~_A
PLUMBING I ()~ 'a .A' '
ELECTRICAL /'n 1/ )'I V ---~A '-•_,,, "A "/
MECHANICAL ~vr~" ,-/"},
GAS if, i,; ' . . ..
BUILDING ,-
I
SPECIAL CONDITIONS I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
• I .. ,
FIE:!,.-0 WELOIIIJG -
HIGH STRENGTH ..
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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