HomeMy WebLinkAbout2320 VIA FRANCISCA; ; 82-202; PermitII) z 0 ;::: < a: < ... 0 ... 0
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.j ,...,,ereby affirm that I am licensed under
i,,r.lslons 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 affirm that I am exempt from tne Con ~~o;·~~~~~s:;:; ~f~~.~,:-~'9:~~.(~
county which requires a pemut to construct
alter. improve. ~•sh. or repair any structure. pnor to its issuance also requires the applicant for
such permit to hie a signed statement that he 1s
hcensed pursuant to tne p,ovIsI00s of the Con-tractor's License Law (Ch.,ter 9 commencing with
Section 7000 of DIvIs100 3 of the Business and Pro-
fessions Codel or that 1s ••empt therefrom and the
b,aS,s for the alleoed exemptK>n. Any vIolatIon of
Section 7031 5 by an apphcant for a permit subIects tne applicant to a cIvII penalty of not more than five hundred dollars ($500)
0 I, as owner of the prc,perty, or my employees
*1th wages as their sole compensation, will do the woo., and the structure Is not intended or offered for
saae (Sec 7044, Business and Professions Code The Contrac101's License Law does not apply to an
owner ol property who builds or improves thereon
and who does such WOO himself°' througt-his own
emp~yees. provided that such ,mproveme:"ts .re
not mtende1 or offered for sale It, however the building °' improvement Is sold within one year of
completion. the owner-builder will have the buroen
of pro'tlmg th.i.t he did nol build or improve for the
purpose of sale)
D I. as owner of the pr()f)erty. am exclusively
contracting with licensed contractors to construct the proIect (Sec 70.U. Business and Professions
Code The Contractor·s License Law does nol apply to an owner of property who builds or improves
thereon, and who contracts for each proJects w1tt1 a
contracl()((S) license pursuant to lhe Controetor·s
License Law)
0 I am exempl undet Sec
tor this reason
. B & PC
O I hereby affirm that I haie a cer11t1cate ol consenl
10 sell insure, or a cert1hcaIe ol Workers
Compensation Insurance, or a certified copy thereof (Sec 3800. Labor Code)
POLICY NO
COMPANY §lj-
y Is hied wItn the city
f;:1tf,ed copy ,s hereby lurn,s
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This secIIon need noI be completed 11 the permit
Is tor one hundred <'Ollars ($100) Of less)
0 I certify that m the per1ormance ol the work lor
which this permit Is issued. I shall noI employ any
person ,n any manner so as to t>ecome subIecI to the Wor1iters· Compensation Laws of CaI1Iorn1a
NOTlCE TO APPLICANT 11, after makmJ this Cert1 hcate ol Exemption. you should oecome subIect ,.,
lhe Wor1(ers· CompensaI1on provIsIons ol the LabOf
Code. you musl tonhw,tn comply with such
provIsIons or this perm,I shall be deemed revokeo
0 I hereby affirm thal there Is a cons1ruc1Ion
lending agency IQf the perlOfmance ot the wo~ for wh,ch lh•S permit IS issued !Sec 3097 C1'1tl COde)
Lenders Name ___________ _
Lender's Address __________ _
... .., .. -··--. -···· . -·· -··-· -. ··---...... -If' i:"
CARLSBAL, BUILDING DEPARTMENT At-.. l1cATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADOAESS AV, ST.IOATE OF APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
2320 v.ta ;E):'ancisca mP AD. g}-4/20/82 21268 -OWNER'S NAME B~Hares 1 OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE • ZONE ~L,
San Dieao Division 455-6200 BroadJroar Hanes 455-6200
OWNER'S MAILING ADDRESS 3911 Sor:rento Valley Blvd. CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
~ Diego, CA 92121 Same 219975 t::::l .,_,, " ~
I l
LOT BLOCK I scr011912~1 I Assergg.::~go:.14 DESIGNER STATE LICENSE# STANDARD PLAN # BUILDING SO. FOOTAGE
OESCRIPTION OF WORK Frank Radnacher .Associates 1110
Hnnk-tm elecb:ic fflPter ~~~-~tal D~'H2 't nvme Blvd., Suite 3 DESIGNER'S PHONE !:l/20/825220 21,or
to irtig~t!on a:muolle,r. 'l'm::t-i'n ('!a, a~ ~"n 714-832-1774
----··---~ ---F/P FLA ELEV. NO OCCGP EDU STORIES
vO NO --
CENSUS TRACT I GP LAND use I PARKING SPACE I AES UNITS I GRADING ~ERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAO FIAESPA
AREA CONST
YO ND vO NO vO NO Not Valid Unlt!ss Machine wrtified
QTY. PLUMBING PERMIT -ISSUE ~~ QTY. MECHANICAL PERMIT -ISSUE d,od SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-000-422n
EACH BUILDING SEWER --= r-~ OVER 100,000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEA TEA ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 -----
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000·4222 '---'/, 7,770 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000·4223 ----------
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 -
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS M0BILEHOME 01-000-4225 -------------
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -SOLAR EACH ROOF DRAIN (INSIDE) 01-000-4226
_j -----TOT,l;L MECHANICAL STRONG MOTION 65-640-0519
I -
TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227
QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 25-000-4933
QTY. ELECTRICAL PERMIT -ISSUE ~,PO BRIDGE FEE -------
, --~ CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
l~V.. f 1 PH} 3 PH -tJa,OO STORAGE TANKS Carlsbad 65-623-0519 -
IU''I EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San 0ieguito 65-625-0519
REMODEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS --
TEMP OCCUPANCY 130 DAYSI ----
TOTAL ELECTRICAL l 'Z.>1 IP TOTAL SOLAR TOTAL FEES PAYABLE ~7,,00
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exptrat1on. Every permtt issued by the Butfdmg Ofhc1al under lhe provIs,ons ofthis * AN OSHA PEFw.tlT IS REQUIMO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tation and become null and void If the butld,ng or work 5' 0" DEEP AND DEMOUTION OR CONSTRUCTION OF authorized by such permit Is not commenced within 180 days frorn the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
~~~::On~ 1~t t=~y t~:1:He~~h:c:~,:~!h::~.~le~u,~~ !9~~~1~11r:rd~t':1 or
STRUCTUR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO
APP;Jz;J J /~4WNER0
CONTRACTO~ ... ~Ji~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND 1s1LJ~Bz EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
I REINFORCED STEEL
MASONRY I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL ~ ,
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT I
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL I
TEMPORARY POWER I
I
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 APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
~ECIAL CONDITIONS
CERT OF.OCCUPANCY ISSUED ,-
\ (
' . .... ,: ' ~~·d-{1,---J .
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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING .
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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