HomeMy WebLinkAbout2326 VIA FRANCISCA; BLDG 3; 83-271-LDRY; Permit<II z 0 ;:: C CZ: j
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D I hereby a111rm that I am licensed under
provisions 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. llc No ______ Clm
I hereby afhrm thal I am exempt from the Contrac-tof's License Law 10f lhe lollow,ng reason (Sec. 7031 5
Business and ProlessKms Code Any city or counly wh1Ct1 re-qu1tes a peun11 10 consuuca auer, .mprove. demohsh, or repalf any structure. poor 10 its issuance also reqmres ?heap·
phcant tor such perrmt to tile i s1qned statement that he is hctnsed pursuant to the provisions of lhe Con1rac1o(s
Lttense Law (Chapter 9 commenc,ng with SecltOn 7000 of Otv1s10n 3 of the 8uS1ness and ProfessQIS Code) or that fs e,c:-empl therefrom and the basis lor the allegea exemption Any
Vlolahon of Sechon 7031.5 by an apphcant lor a perm11 sub !fCIS the apphcant to a CIVIi penalty ot not moJe than five hun-
i dollars {$500)
, as owner of !he prOl)erty. or my employees w11h waqes
eu SlMe compensahon, w,11 do the work, and 1he strvc· lure 1s not mtended or offered IOI' sale (Sec 7044, Business and Professions Code. The Conlractor' s License Law does
nol apply 10 an owner of p<openy who IN11ds or lmJ)roves ther&Ofl and who does such work himself or lhrough his own
employees. provided that such 1mprovemen1s are not intend-
ed or ottered for sale. If, however, the building or improve-ment Is sokl w1lh1n one year of complehon. tile owner·bu11der will have the burden of proving that he did not build or 1m-
~
o for Ille purpose of sale).
, as owner of lhe prc,perty. am exclusivety cont1ac11ng ltcensed contractors 10 construct the prOftCl (Sec. 7CM4. Business and Professions Code The Contractor's Ucense
Law does not appty lo an owner Of property who builds or Im-proves !hereon, and who contracts tor each projects with a
contractor(s) lteense pursuanl 10 the Contractor's License Law).
D As a horMowne< I am improving my home, and U,e follow· ing cond,tions exist: t. The wo,k ls being perlormed prio< 10 sale. 2. I have lived in my home lor lwelve months
3. r:: ::'~~o111:~ =~phon during the last three years.
D lamexemplunderSec. ------· B&P C. for this reason ____________ _
□ I hereby affirm tt'lat I ha~ a cen,t,cate ol consent
10 seU-1nsure. or a cer11hcate of Worl(e,s
Compensation Insurance. C)( a cen1hed copy lhereol
(Sec 31!00, Labo< Gode)
POLICY NO
COMPANY
□ Copy IS Med with tne c,ty
O Cen,hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sechon need not be completed 11 !he pe,m,1
1s tor one hund,ed 00ll ars (S 1CX)) or less)
O I cen1ty that in lhe performance ot 1t'le work '"' which 1h1s pem,11 ,s issued. 1 shall not employ any
pe<son in NIY manner so as 10 beeome sub1ect 10 the Wo~ers· Compens.alton Laws ot Cahfom,a
NOTICE TO APPLICANT If. afler maJuo1 th1s Cert•
hc:ate of Exemphon. you st'loul<t be-Come sub1ect t?
the Wonters· Compensation prov1s1ons of the LabOt"
Code. you musl forthw1lh compty w1lh such
prov1s1ons o, tt'l1s pe,m,1 shall be oeemed re ... okeo
0 I hereby affirm thal !here 1s a cons1ruct1on
1end1no agency f()f the penormance ot the won,. 10,
which 1h15 perm11 1s ,ssueo (Sec 3097 C,v11 C~I
Lende, s Name ___________ _
Lender's Address __________ _
USE BALL P()l~T PEl!_ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIOr-'
CARLSBAD BUILDING DEPARTMENT ; APPLICATION & PERMIT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 I
JOB AOORESS AV. ST.RO. NEAREST CROSS ST. I 0 io O t;pr;~NI BUSINESS LICENSE # VALUATION PERMIT NUMBER
:i~~'-v;~ ~o& .. "-"·• <...-A \,4-c,c...b l .400---v1'
LOT BLOCK I suBpIv1s10,; I ASSESSOR PARCEL NO. CO"-ITRACTOR . ' CONTRACTORS. PHONE • ZONE .
11~,, ~ n ? ');q, 11q, y '"" vl> r_:;:~:~.n~ ~--... ~-~-.Cea? l ~~;:~ooE CO"-ITRACTOR'S ADDRESS.\ LICENSE NO. PLAN 1.0. # ,loo USE COOE
(ur •• ~ l • J. j ... ' '"-..a ~ I -• --1 OWNER'S MAILING ADDTSS ~ -'\
?" ~Lt r-t\Q..~T At)e. .. ~A~ t),;~C) ~~ \09 DESl~E-R . 0 LICENSE • STAN OARD PLAN# BUILDING SO. FOOTAGE
-Z..-00 DESCRIPTI0"-1 OF WORK J 0 DESIGNER'S ADDRESS DESIGNER'S PHONE
! ... ,1,1_1)~ '-~3~-.I W!<1~~1~ ~_,. ~ ..
.
-----F/P FLA ELEV. NO EDU OCC GP
vO NO
ST1RIES ---
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED REDEVELOPME"-IT TYPE OCC LOAD FIRE SPA . AREA
vO N'b( CONST
YQ N ~ YO ND Not Valid Un~r Machine Certili~
. '
QTY. PLUMBING PERMIT · ISSUE --?~ QTY. MECHANICAL PERMIT • ISSUE ~-SUMMARY/ACCOUNT NUMBER -• ,,:
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP 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 UP TO 3 HP PLAN CHECK 01 ·00·00·8806 .:.Z 5 c! ;J
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE . ELECTRICAL 01·00·00-8223
EACH lNSTAl. 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 S0FTNEA .. RELOCATION OF EA FURNACE/HEATER M08ILEH0ME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR n,.on.nn.ao,~
TOTI-L MECHANICAL STRONG MOTION 80·92-33-0519 -
TOTAL PLUMBING I FIRE SPRINi<LERS 01-00-00-8227 -
5=-QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE 32-00-00-8933
QTY. ELECTRICAL PERMIT • ISSUE BRIDGE FEE -
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH 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 Oieguito 80·92· 23·0519
REM0DEL'ALHR PEA CIRCUIT PLAN CHECK FEE (\ San Marcos 80·92-24-0519
TEMP POLE 200 AMPS lv
OVER 200 AMPS I\ ~/V-' x4 LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) ,.,( 0 ~ '"'l A/~I
('r /")-/ CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL so6R TOTAL FEES PAYABLE I (A3 'ri
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'' ANO 00 HEREBY E•po•-hi penntt -t,vtllelkllldingOfflclalundertl'lep,~,9,onsofthta * AN OSHA P£AMIT IS AEQUlflEO FOR EXCAVATIONS OV£fl
CERT. !FY UN0ER PENALTY. OF PERJUR_Y THAT ALL INFORMATION HEREON INCLUDING THE ~-~ llmitallon and become null -vOid II ll'le building or worl< s· o· DffP ANO DEMOLITION 0A CONSTRUCTION ()I' aut parm,t • not commanc:ed _ ,eo clays from tl>e date ol suctt STAUCl\JRES OYER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND A.GREE IF A PERMIT IS . I bu1fd1;x o, work authotlDCI by IUCh permit ,a au&petldad or
ISSUED TO COMPLY WITH ALL CHY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· IV,.... er the-.. commenced IOI •..... od of tllil ... u.
ST RUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO c ·:~ ~SI TUIA£ lf, OWNER}f' CONTRACTOR 0 APPP:]0 D BY ' ,·, ~ • 11rv/4~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ I
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE L BY PHONE 0 .,. a .. . .
GRANTING OF THIS PERMIT· • :--
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TYPE I
BUILDING I
OUNDATION F
R
M
G
F
s
F
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IEINFORCED STEEL I ,I
~ASONRY I
iUNITE OR GROUT .
I
:LOOR & CEILING SUB FRAME I
HEATHING D ROOF D SHEAR
RAME ;
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL ;
I
PLUMBING I
SEWER AND BUCO DIPUCO I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPll)IG
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS I -
I
DATE INSPECTOR
l ,-, \If 1,,-'-""'"·.n/
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CALL FOR FINAL INSPECT.{FN WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. . _ ,.,.,,,
FINAL I
PLUMBING I -~ ~, ,,, :,-(_ ~ ..
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ELECTRICAL I .,· ~ ~~,-71
{i vv.....,........-, C' ,ft ~ MECHANICAL ! --GAS I 7--; -1Y~ F • \
! ";,J . -BUILDING
SPECIAL CONDITIONS I
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FIELD INSPECTION RECORD
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REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO ' FOUNDATION INSP ~
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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