HomeMy WebLinkAbout2710 VIA CARDEL; ; 83-34-218; PermitII) z 0 .:: C a:: C ~ (,)
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0 I hereby affirm that I am llcensed under
prO'tlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license Is In
full fo,ce and effect.
[,c No------Clm
I hereby aftlfm thal I JITl exempt from the Conlrac-t0<'s License u w tor the following reason (Sec. 7031.5
Business and Professoos Code Any c,ty or counly which re--quires a permit to construct, alter. improve. demolish, or-repair any slfucture. pnor to ,Is issuance also requires ?heap• -phcant lor such permit to lite a s19ned statement thal he is
hcensed pursuant to lhe Pf'OYJStans of the Contractor·s LJC<nse Law (Chapter 9 convnenc,ng with SecllOII 7000 ot
Oiv1st0n 3 of the Busi~s and Pro1essKlfls Code} Of that rs ex-empt therefrom and lhe basis tor the alleged exemptton Any
violation of Sect,on 7031.5 by an applicant IOJ a permit sub-jeets the applicant to a cMI penalty of not more than live hun·
dred dollars ($500).
D I. as owner ot the property, Of my employees with wages
as their $Ole compensat10n, will do lhe wock. and the struc-
ture is not Intended or olfered tor sale (Sec 7044, Business
and Professtons Code: The Conlractor's Launse Law does
not appty to an owner of property who builds or improves
thereon and who does such WOfk hll'Tlsetf or through his own employees, provided I hat such mprovements are no1 intend♦
ed or ottered !or sale. II, however. the building or improve-ment is sold within one year ot compteUon. the owner♦builder
will have the burden of provtng that he did not build or im-prove t0< the purpose of sale).
□ I, as owner ot the property, am exclusively contracting with licensed con~actors lo construct !he proiect (Sec. 7044,
Business and Professions COde: The Contract.or· s license Law does n01 apply lo an owner ot property who builds ~ im-proves thereon. and who contracts tor each projects wrth a
contractor(s) license pursuant to the Contractor's Lteense uw).
D As a homeowner I am improving my home. and the follow♦
Ing conditions exist: 1. The wor1< is being performed prior to sale.
2. I have lrted in my home for twelve months
3. rt,~ :rpi~~ o1 :: :ption during the
tast three years
D I am exempt under Sec. ______ . B & P.C.
tor !his reason ____________ _
D I heteby affirm lhal I ha-.,e a c.ert1t,cate of consent
to self-tnsure. or a cert,t,cate ot Workers·
Compensation lnsutance. o, a cert1t1ed CoPy thereof
!Sec 3800, Labor Godel
POLICY NO
COMPANY
□ Copy IS filed With the CII)'
O Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Ttus .secttOn need not be completed 1l the perm11
,s to, one hundred dollars jS 100) Ol le.ss)
D I cert,ly that 1n ltte performance ol lhe wOf'k to,
which Ih1s permI1 ,s ,ssuecl. I shall not employ any
person ,n any manner so as lO bec~e sut>IecI 10
lhe Wortters· Compensa1ton U'Ms of Caltlom.a
NOTICE TO APPLICANT If. aftet makTn~ 1h1s Geri,
hcale ol Exemp1,on. you should beeome sut>IecI I'>
the Workets· Compen~t•on pro~1s10.ns of the Ubof cooe. you must tonhw,th comply w1Ih such
prov,s,ons o, this permit snail be deemed ,e~Okeo
O I hereby attum thal !here ,s a cons1tuc11on
lend1no i)Oency 10, the perfotmance of lhe wortr. 10,
which 1h15 permtl IS issued !Sec 3097 C1111I CodeL
Lenders Naime ___________ _
Lender·s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD --♦---++•+• APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT/7J /1 J I_ I I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.AO. NEAREST CAOSS ST. I DATE OF APPLICATION~ BUSINESS LICENSE # -..,vv;rAT/O~-.. PERMIT NU~ 1 / -,L~
271n "J:11 -~ 1. 0:trlsbad. CA 92008 --2-~ -,
LOT J 'Bt.OCK I SUBDIVISION I ASSESSOR PARCEL NO. CONTAACTOA CONTAACTOASPHONEt ZONE 41> '*/ ?1 . 72-21 167-340-20 -ro '1he Hi rrh 1 2...A -.. 942-6262 OWNEA•s NAME • I OWNER'S PHONE il.Y .
cl99icv~"ii:;;EPk:Q~~i' #201 LICENSE NO. PLAN 1.0,-# BLOG USE CODE
'1he Hj_r,h 1 AM ,-' 942-6262 "Res..
0-ER'S MAILING ADDRESS 1,nr.; n; ,._ .. .,. • t"n ,,._-,A'>A,07
1991 Village Park way, 1201, Encinitas, CA 92024 DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
Enviromlental Design C-1798 AIA /4-9~t/JL, v'.
DESCRIPTION OF WOl'IIC • ,.
.._.,_ __ I-. ~t:Vtr~;~Pka~A 1201
DESIGNER'S PHONE -
50 Plan 1496 s.f. nA---'ii.:,, 3_/27 /847863 10?1.r..1
' -----F/P FLRELEV. NO ace GP EDU
v□ N~
STORIES '1?-3 J -. 1" ., --
CENSUS TRACT I GP LANO use I PARKING SPACE 1#;1¢1 GRADING PERMIT ISSUED I RE DEVELOPMENT TYPE OCC LOAD Ft RE SPR
AREA CONSN LIO vO ~ y D ND v □ Nbi v-Nor Valid Unmi Machine Certified
QTY. PLUMBING PERMIT • ISSUE ~~ QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER....._$ /:i 0..0
JI /'/'] 5,o 7 INSTALL FURN. DUCTS UP TO 100.000 BTU A .f''>O BUILDING PERMIT 01 ·00-00-8220 -, = -
EACH FIXTURE TRAP
I EACH BUILDING SEWER 6 6o OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
I EACH WATER HEATER ANO /OR VENT ~-So BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 c:.2.,;J./; 00
I EACH GAS SYSTEM 1 TO 4 OUTLETS _-, ,&;r BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 <1-t::, . ..5 C)
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 ..:So.nn
EACH INSTAl . ALTER, REPAIR WATER PIPE ..3 VENT FAN SINGLE DUCT ,?, 00 MECHANICAL 01 ·00·00·8224 / d. I'") I"">
EACH VACUUM BREAKER ME CH EXHAUST -HOOD/DUCTS MDBILEHOME 01-00·00·8225
WATER SOFTNER -~ RELO CATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP <
EACH ROOF DRAIN (INSIDE) SOLAR 01.no.nn.000~
TOTA L MECHANICAL r4:. I q --STRONG MOTION 80·92-33-0519
TOTAL PLUMBING I <[_bti'.r) /.:3. .00 FIRE SPRINKLERS 01 ·00-00-8227
\.. -PUBLIC FACILITIES FEE 32·00-00-8933
QTY. ELECTRICAL PERMIT· ISSUE ~ QTY. SOLAR· ISSUE BRIDGE FEE
/{X) NEW CONST EA AMP/SWTtBKR COLLECTORS SCHOOL FEE • DISTRICT
IJiiJ(. (i' PH) 3 PH cQ_,=, ,"y"\ 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 Dieguito 80-92-23-0519
REMODEL 'AL TEA PE R CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200.AMPS I
OVEI\ 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) ~,;:::-~ .A/Y)Q~
CREDIT DEPOSIT
TOTAL ELECTRICAL I '30 00 TOTAL SOLAR TOTAL FEES PAYABL E I /0~?, ~7
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMlr-AND DO HEREBY Exp,ratton Every pe,11111 INued by the lkulding Olflctal un-Ille provIsIon1 ol th11 * AN OSHA!~AEOUIREO FOfl EXCAVATIONS OVER
CERTIFV~DER f'ENALT•Y. OF.P.ERJURY THAT ALL INFORMATION HEAEON INCLUDING THE Cocle .i>all exptre by ltmltatlon -b8Coffle null and vOKI If tt,e buddmg or work !S' O" DEEP ANO OR CONSTl'IUCTION OF au111«1zed by such permit ia not commenced wllh1n 180 days from the date of such OECLARAtlONS ARE TRUE AND CORRECT AND I FURTH£A CERTIFY ANO AGREE IF A PERMIT IS ~ '!,'=.. =·~: u:'.:.:':.~ such IIIIOIIII '"of·~~ or STRUC ? , ~R 3 STOAIES IN HEIGHT
fS&UEO TO COMPt.Y WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUC_ TION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPuN•••~GNA RE • ~ CONTRACTOR 0 APPROVED BY ~ ~-" KEEP HARMLESS THli CIT'Vt OF CARUlBAO AGAINST All LIABILITIES. JUDGMENTS, COSTS AND;~--W
EXPENSES WHICH MAY IN Alf# WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE ~ BYPHONE 0 ,1,,..-1!4 GAANTIAG OF nils !'€AMIT.---_.,-.,,,,,,,--r ~
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TYPE I DATE INSPECTOR
BUILDING ' I .,
FOUNDATION ("'"~ ,-ljfjl,-!:"f/,I( /~
REINFORCED STEEL I ·,-,-· ~
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB F~AM.Jr I
SHEATHING ~R~SH~AR ,,I
FRAME '\•,-I ~~ .. 'f' ~
EXTERIOR LATH I ,_ J
INSULATION I ~t.z-vt'I ICI.J!i!IZJ I
INTERIOR LATH & DRYWALL j .. ' I .•
PLUMBING I /
SEWER AND BUCO DIPUCO I ~ A .t?~, ~
UNDERGROUND D WASTE D WATEFV' ..., ... --. -
TOP OUT D WASTE 0 ~ATER ~.~,)di ~
TUB AND SHOWER PAN I
GAS TEST I ~5<:1.5<i ,..,..,..,. ":yJ'
D WATER HEATER D SOLAR WATER
t
ELECTRICAL I
D ELECTRIC UNDERGROUND O~UFFER
ROUGH ELECTRIC I ~~•)<]! ✓K7'!>~ I
D ELECTRIC SERVICE D TEMPQRARY -
D BONDING D POOL I I
l
MECHANICAL I / l
D DUCT & PLEM., D REF. PIPlt'JG ~ ,¼ \ (JI r--.... --,
HEAT -AIR COND. SYSTEMS I -
VENTILATING SYSTEMS ' j
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ IT~E_MS ABOVE HA \4E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
... "' -,, "\
--.. 9° 3 , 3yf _ d-f 8'°' ~ -. ..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE -' C
PRIOR TO -FOUNDATION INSP .,
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
. -. ,.. . SPECIAL MASONRY C
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-. -..
; PILES CAISSONS I
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