HomeMy WebLinkAbout2340 VIA FRANCISCA; MP; 82-201; PermitVJ z 0 ;:: < IIC j
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! I hereby affirm that I am licensed under
visions of Chapter 9 (commencing with
tlon 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 the Con•
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county which requires a permit to construct
alter. improve, demolish, or repair any structure.
pnor to its issuance also requires the apphcan1 for such permit to file a signed statement that he ,s
lteensed pursuant to the pro111s1ons of the Con·
tractor's License Law (Chapter 9 commencing with
Section 7000 of 01111s1on 3 ot the Business and Pro-
fessions Code) o, that 1s exempt therefrom and the basis for the alleged exemptt<>n. Any v1olat1on of
Section 7031 5 by an ~phcant for a permit subtects
tne applicant to a civil penalty of not more than five hundred dollars ($500)
C I, as owner of the property, or my employees
....,,1h wages as their sole eompensatt~. will do lhe
work, and the structure 1s not mtended or offered tor
saJe (Sec 704,C, Business and Professions Code
The Con!ractor's License Law does not apply 10 an
ownet' or property who builds or improves thereon and whO dOes such wOf'k himself or through his own
employees. provided tha1 such 1mproveme;i1s a,e
not 1ntende1 or offered tor sale It, however. the
butldmg or improvement 1s sold w,ttun one year ot completion, the owner-builder will have the burden
of proving that he did not build or improve lor the
purpose of sale)
□ I, as owner of the propeny, am e>ecluswely contracting with llcensed contractors to construe!
lhe pro1ect (Sec. 704,,t, Business and Professions
Code The Contractor's License Law does no1 apply
to an owner of property who builds or improves
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license Law)
D I am e>eempt under Sec
for this reason
,B &PC
0 I hereby affirm that I ha,e a cer11t1cate ol consent
to self•1nsure, or a cer11f1ca1e of Workers
Compensation Insurance, or a cer11hed copy !hereof (Sec 3800. Labo< Code)
POLICY NO
COMPANY .AIL.-
b/Copy 1s hied wolh the clly L1J ~ Cer11hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permit
,s for one hundred OOllars (S 100) or less)
0 I certify that ,n the pertormance ot lhe work !or
which this pem,11 1s issued, I shall not employ any
person m any manne, so as to beeome subJecl to
the Wor11:ers' Compensation Laws of Cahfom,a
NOTICE TO APPLICANT It, after makm'J lh1s Gen,
lie.ate ol Er.emption. you should beeome sub1ec1 l'l
the Wof1il.ers· Compensation pro\11s1ons of the Labor Code. you must forthwith comply with sucn
pro\11s1ons or tn,s perm,1 snall be deemed re\/Oked
O I hereby affirm 1na1 1here 1s a cons1ruct1on renchng agency tor the performance ot lhe wor1o. tor wh,ch lh1s permit •S issued (Sec 3097 C,v,t Code)
Lenders Name ___________ _
Lenoer·, Address __________ _
IA -, .... I V "'I I I Ln Vl'I .. I .. I HLVV ll~n ... ,, ..
• •• ACl1~ATION & PE CARLSBA..,"8UILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS A V, ST. I DATE OF APPLICATION! BUSINESS LICENSE It ,mt RO.
2340 via Francisc~ 4/20/82 21268
OWNER'S NAME ~~ OWNE R'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE 11
~;,m ni~ n-i'u;-..,;-,....,.. 455-6200 Broactoc>o,r Hanes San Diego Div. 455-6200
OWNER'S MAILING A'f>DRESS 3911 Son'ento Vall~ Blvd. , "B" CONTRACTOR'S ADDRESS LICENSE NO.
~~n D-i',:,nn. rr.. 9212 ~ 219975
LOT l BLOCK I SUBDIVISION 1 Ai~i~~6cr.:2~N°
DESIGNER STATE LICENSE It er 79-27 Frank P.aanacher Assoc!ates 1110 DESCRIPTION OF WORK
H. ook-uo electric meter nErlestal DESIGNER'S AODRESS DESIGNER'S PHONE
to i,r:r.igation controller .. 17722 Ii::vine Blvd., '1\Jstin 714-832-1774
------F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING /'.EAMIT ISSUED I
REOEVE LOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND v O NO vO NO
QTY. PLUMBING PERMIT · ISSUE 7,5o QTY. MECHANICAL PERMIT· ISSUE r.7,dtJ SUM~
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT ------
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UPT0 3 HP PLAN CHECK
~ ---
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -~--EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL -
EACH VACUUM BREAKER MECH EXHAUST H000I0UCTS MOBILEHOME ----1------
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
I EACH ROOF DRAIN (INSIDE) SOLAR
_I -TOTJ;L MECHANICAL STRONG MOTION
I -
TOTAL PLUMBING FIRE SPRINKLERS
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT · ISSUE
---_'),(lg QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -DISTRICT
ino 1 PH 3 PH ~,OI) STORAGE TANKS Carlsbad
kM1-1 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Dieguilo
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS -
TEMP OCCUPANCY 00 DAYSI ---·-
TOTAL ELECTRICAL -7 -1,,,1. tn TOTAL SOLAR TOTAL FEES f
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Ex:p1rat1on. Every permit ,ssued by the Buildtng Official under the provisions 0(1h1s ..
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,cpire by 1im1tat1on and become null and void If the building or work
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
authortzed by such permit 1s not commenced w1th1n 180 days from the date of such
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON• ~~~~~n°~ i~t ·~~v ~~:':H.?!h=~~,:~!h:~:1~le~~~~ r~':!~1~,sr:rcfa~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TD SAVE INDEMNIFY AND
APPL7YZ~
OWNER□ CONTRACTOe'.l!J: i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ./4 BY PHONE 0
GRANTING OF THIS PERMIT
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND B LICO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
DATE ~ INSPECTOR
t
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. ~L
"I ALL APPROPRIATE
:N APPROVED . . ./
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPEC TION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR ro
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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