HomeMy WebLinkAbout2322 VIA CLEMENTE; LAUNDRY; 83-271-LDRY; Permit"' z 0 ~ C ac C ....
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O I hereby affirm that I am llcensed under
pro•lalona ol Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my llcense is In
lull force and effect.
lie No ------Clm
I hereby affirm that I am exempt lrom !he Conlrac-
tor's L1eense Law tor the following reason (Set 7031 5 Business and Proless10ns Code Any coy or county which re· Quires a permit to construct. alter. improve. demohsn, or repa,r any structure, poor to its issuance also requites !heap-
pkcant for such permII to hie a ~!lned sIatemen1 that he Is
lteensed pursuant to the PfOYIS,ons of 1ne Contrae1or' s
license Law (Chaple, 9 convnenc111Q wIlh SechOn 7000 ol D1V1s1orJ. 3 ol the Business and Prolessrons COde) or that IS ex-
empl therefrom and lhe basis lor the altegea exemption Any v,otauon ot Sechon 7031.5 by an apphcant lor a permit sub-
Jects lhe apphcanl lo a c1v1I penalty of no! fflOfe than hve hun-
dred dollars 1$500).
0 I, as owner ol the property or my employees with wages
as lhetr sole compensallon, will do the work. and tile strut· ture 1s not intended or offered IOJ sale (Sec 7044, Business
and ProtesstOns Code The Con1ractof's Ltcense Law does no! apply 10 an owner of property who builds or Improves !hereon and who does such wcwk himself°' through his own
employees. provided !hat such Improvements are not inlend· ed or offered for sate If, however. the building Of Imp,ove-
ment tssold w1thm one yearol complet10n, the owner·bu11der
will have the burden ol proving that he did not build or im•
prove lor !he purpose of saleJ
D I. as owner ot the property. am exclusively con1ractIng wilh licensed conlractors to construe! lhe projecl (Sec. 7044. Business and Prolessions Code: The Contractor's License
Law does not appty to an owner ol property who builds or im· proves thereon. and who contracts for each projects with a contractOf{S) license pursuant to lhe Contractor's License law).
□ As a homeowner Jam Improving my home. •nd !he lollow· ing condIt10ns exist:
1. The work is being performed prior to sale. 2. I w,e lrved In my homo !or lwelv< months
prtOr to completion of this work. 3. I have not claimed this exemption during the last three years.
D I am exempl under Sec. _______ 8 & P.C.
for this reason ____________ _
□ I hereby affirm tha1 I ha~ a cen1t1cate of consen1
to sell-insure, or a cen1f1cate of Workers'
Compensatton Insurance, or a cen1hecl copy 1hereot
tSec 3800. ut>o< Cooe1
POLICY NO
COMPANY
Q Cooy IS hied Wllh lhe Clly
O Cen1hed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This sectt0n need not be compleled 11 lhe permI1 Is to, one hundred dOllars (S 11))1 01 less)
0 I cen,ty that ,n !he performance ot lhe won,i, to,
which lh1s permit 1s issued. I shall nol employ any
person In anr manner so as to beeome sub1ec1 10
the Wot1c.ers· Compensation Laws ot Cahtornia
NOTICE 10 APPUCANT 11. aher makm1 this Gen,
ticale of Exemption. you should become subjecl t'J tne Wot1c.ers· Compen~t1on provisions ot 1he Labor
Cooe you musl tor1h~11t1 comply wI1h such
prov,s,ons or this perm11 shall be c)eemecl ,e~Oke<J
0 I hereby atlum lhal there Is a consHuchon
Ienct,no agency t0t !he pert01mance ol lhe work lor
which 1h1s perm11 Is issued tSec XY37 C1v1I COOeJ
Lenoe, s Name ___________ _
Len<ter s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
\ 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS \);A G.J~D
NEAREST CROSS ST.
ID~~ O i;Jei:NI
BUSINESS LICENSE It VALUATION PERMIT NUMBER
;l~~~ \.4t>5►. ~~oo-~ ~\ LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO <PNTRACTOR . CONTRACTORS PHONE • ZONE ' I/; It,, "'7 -SO 4--4-' 00 0 "B ~ \~e>-\
o{.)"s NAME • ~ OWNER'S PHONE -.'."_~., ... .ct4. W«AA ~i. 4~~-"~ CONTR CTOR"S AOORESS LICENSE NO. PLAN 1.0. # 'lfLOG U~E CODE ..
I
ow;;s~~1{i::EJ_ ~~~ _ ~.., D,c,~ C. ?.;i,~ DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
7-.,.oO DESCRIPTION OF WORK_ ) ..,
DESIGNER'S ADDRESS DESIGNER•s PHONE
.... , .. ""ft•-BL.QC;. -M:J ~----· -NO F/P FLA ELEV. OCC GP EDU ~ STr RIES -.. vO NO .It!/ t~vp7~~ 63~!5~ CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED REDEVE LOPMENT TYPE OCC LOAD FIRESPR
AREA
vO ~
CONST
YON}! y D ND Not Valid Unkss Machine Certifi«J
QTY. PLUMBING PERMIT· ISSUE -,.J!-. QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER ---
EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMlT 01·00·00-8220 .... ill--=
EACH BUILDING SEWER OVER 100.000 BTU -SIGN PERMIT 01-00-00-8221
-,J,1:;o! EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00·8223 -
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOO/OUCTS MOBILEHOME 01-00-0Q-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK lNSP
EACH ROOF DRAIN ()NSIDE) SOLAR Ot-00-00-R??~
TOTJ.L MECHANICAL STRONG MOTION 80·92·33-0519
TOT AL PLUMBING I FIRE SPRIN~LERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT · ISSUE _y-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00-8933
BRIDGE FEE
NEW CONST EA AMPISWT 'BKR COLLECTORS SCHOOL FEE • OISTRlCT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWTIBKR ROCK STORAGE Encinitas 80·92-22·0519
1 PH 3 PH PUMP San Dieguito 80·92· 23·0519
REMODEL.ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELEl:TRICAL I T01AL SOLAR TOTAL FEES PAYABLE I IA? . ..rs
I HAVE CAREFULLY EXAMINED THE COMPLETED --APPLICATION AND PERMIT"' AND 00 H£REBY Exp,rallon.:...hwv pefflllt -..clbyltle8ullding01ficjaf II-tt,eprov1110ftS of lNa * All OIIHA PENffl IS~ FOR EXCAVATIONS 0V£A
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE CoM IIJA....~ .,._.__ null and •ood H Ille buolding or -5' O" DEEP ANO DEIIOU110N OR CONSTIU:TION Of'
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 15· au:~-by"'-~ • isnol~willlin180dayalrornlhedaleofsuc:h STIIUCTURlS OVER 3 STONES IN HEIGHT perm, Ot •'>~-~or "°"' autboflZecl by IIICh perm1I is wspenmd1iii or ISSUED TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON• Ille_., ,a -iced for a_,... ol 1 '~----
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APfLICCrr~:-RE ... J OWNE~ CONTRACTOR 0 APPAOV~~IBY •• ·, oft;"'();,~~ 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
, GRANTING OF THIS PERM.IT._ L~ Lt. BY PHONE 0 .. JI. .. .. • . I g~
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TYPE I DATE INSPECTOR
.. ~ . . ~ . -·
BUILDING I
I • ' g~--?i7L-LoeJ.( I ' . . i . ~ ' FOUNDATION I FIELD INSPECTION RECORD '·
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~R
FRAME I
.
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
' ' INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL a ..
SOILS COMPLIANCE
PRIOR TO \, FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PAESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY 1,
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS ,·
□ WATER HEATER □ SOLAR W~TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ lJFFER --..
ROUGH ELECTRIC I
. . I
□ ELECTRIC SERVICE □ TEMPO~ARY ... -· ...... ..,, -.-
□ BONDING □ POOL I
I
.. ,::-,-. ~ . -' , ~
I -•-
MECHANICAL l
I
·, >::
□ DUCT & PLEM., D REF. PIPING -• 'G\ \ ... \Ii"" ... ~· .... -• ,;_ -, .. ' ' ' ... T, ___ , w . ,.
HEAT -AIR COND. SYSTEMS I .
I '--,i _! ll . ,..L VENTILATING SYSTEMS .,.. I ~
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ IT~MS ABQ_VE HAVE BEEN-APPROVED. ' ' " ' .. . -
' .. ,,:., -~
FINAL > .
PLUMBING ~ ' f., ' \ . .
ELECTRICAL
MECHANICAL
' .. ' -I : . , I . I ~ ..
GAS i . , ' I
BUILDING -
SPECIAL CONDITIONS --