HomeMy WebLinkAbout2715 VIA FESTIVO; ; CB890884; Permit"' z 0 j::
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O I hereby affirm lhat I am licensed under
pr0'tlalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolaulona Code. and my license is in
lull force and effect.
I hereoy allirm 11\a:t I am exempl lrom the Contrac· tor's License Law lor !he lollowmg reason (Set 7031 5
Busmess a~ Prolessions Code Any cily or county whttt. re-quires a pern'kt to construe!. alter ,mprove demolish, or
repair any structure. prior to 11s issuance also requnes !tie ap-plicant to, such permII to hie a s19ned sIaIemen1 lhat he Is
hcenSed pursuant 10 lhe provisions ol the <;onirac1or s License Law (Chapter 9 eonwnenc,ng w11h Section 7000 of Oiv,sion 3 ot lhe Busmess and PtolessK>ns Code) Of that tS ex-empt lherelrom and the basis lor the allegeo e11tmplr0n A.ny
v1otat1on ol Sechon 7031 . 5 by an apphcanI fo, a permit sub
IecIs !he app4ttant lo a c1vII penalty ol nol more lhan hve hun·
dred dollars ($500)
I as owner ot the property. ot my employees w1Ih wages
as lhetr sole compensattan. wttt do the wOfk. and ll'le s1ruc·
lure 1s not mtenoed or ottered !or sale (sec 104, Business and Prolession~ Code The Contractor's License Law does
no! apply 10 an owner of property who builds or improves
thereon and who does such work htmselt or through his own
employees, provKJed Iha! such improvements are no1 intend·
ed or ollered tor sale II, however. the buIld1ng or improve· ment Is sdd wnhm one year of complehon lhe: owner·bu1kler will have lhe burden ot proving that he did not butld Of 1m•
p,ove lor !he purpose o1 saJet
I I, as owner ol lhe property. am exclusively contracting
Wllh licensed COOHactors 10 COOSlrUCI the prOjecl (Sec 7044
Busmess and Proless!Ons Code The Contractor's license
law does no! apply to an owner ol property who builds Of im· proves I hereon. and who contracts for each protects with a
contractor{s) hcense pursuanl to lhe ContractOf's license law}
17 As a homeowner I am +mprOYmg my home, and the follow mg cond1hons exist
1 The work Is being performed prtOJ lo sa~ 2 1 have lrved m my home IOf twelve monlhs
puor 10 compleboo 01 lh1s work
I have not ctauned 1h15 e,cempt!Ort durmg !he last three years
D I am exempt unoer Sec ______ . B & P C
tor this reason -------------
0 I hereby &fhrm lh&t I have a cer11hcate ot consen1 to
selt-msure. or a cert1hcate of Workers Compensation In-
surance. o, a cer11fLed copy lhereol tSec 3800. Labor Code)
POLICY NO
COMPANY
Copy IS hied Wtlh lhe C1ly
0 Cer11hed copy Is hereby lurmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the perm,1
Is lor one hundred dollars (SlC)0) or less)
D I cer1ify that in the performance of the w0tk for which
lh1s permit Is issued. I shall not employ any person In any
manner so as to become subJect to the Workers' Compen•
salion Laws of California
NOTICE TO APPLICANT: II. after making this Cert1tlcale
of Exemption. you should become subJect to the Workers·
COmpensa11on provisions of the Labor Code. you must
torlhwith comply with such provisions or this permII shall
be deemed revoked.
0 I hereby alhrm lhat lhere Is a cons1ructIon lending
agency for the performance of the work lor which this Pet·
mIt IS 1$5Ued (Sec. 3097. Civil Code)
lender·s Name ______ _
Lender's Address, _________ _
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USE BALL POINT PEN ONLY & P!_E~ _!tARO APPLICANT TO FILL IN INFORMATION W ITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV ST RO. THOMAS BROS NO.
l°~J;;IONI
BUSINESS LICENSE II VALUATION PERMIT NUMBER
:J.1/5" 1/1,4 FGSTl~O b~_r;~'/ LOT BLOCK I S\J801 VISION I ASSESSOR PARCEL NO J/"J CONTRACTOR r CONTRACTORS PHONE • ZONE C
OWNE R·s NAME
/./4tv.G" 1-?si:i:iii /H)~ &JJllJ#J P~lu "" -?:l~-#!1~
LvAJN c~;,;·s A~~ _$1-. v STATE LICENSE NO . BUILDING SO. FOOTAGE
.2'/f~ft) OWNE ,{-5 MA• tlNG ADDRESS
S~e DESIGNER DESIGNER'S P,..ONE
OESCRIPTIOJ:.Ai:' WOR.K Oi ._ ,.II 'A.__,--; .. ·--lll'l~,( 7 .,.,. n11,1 DESIGNER'S ADDRESS STATE LICENSE NO , 7585 06/14/89 0001 01 02
F/P F LR ELEV. NO OCC GP EDU BldPmt 10.00
STORIES
v□ "'□ --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRESPP
AREA CONST
,□ ND ,□ NO vO NO Not Valid Unlt!ss ~chine Certd1«J
QTY. PLUMBING PERMIT • ISSUE ~so QTY. MECHANICAL PERMIT -ISSUE fc:;oo SUMMARY/ACCOUNT NUMB!~ ~
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PtttMIT 001-~00~0·VJ 1 "~v
EACH BUIL0ING SEWER OVER 100.000 BTU SIGN PERMIT ~~1-,,.,--,. 1
EACH WA r'ER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK '->tm°1-810·00·00·8891 _ ... n
EACH GAS SYSTEM l TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00i·.8,1MO·t\C>•ij22\'~ Q .J /t'J
I EACH GAS S,XS.1'" ~ B f! M0IU--,. --. METAL FIREPLACf ELECTRICAL oo~Woo-oo-a221
__ .. _
EACH INSTAL . ALTER. REPAIR WATElf'PIPE VENT FAN SINGLE DUCT MECHANICAL OOJ-810..0.AO~ .;.w.1r.. C.iY.'t~·
EACH VACUUM BREAKER MECH EXHAUST HOOO:OUCTS MOBILEHOME ~lln~n --~· ~-
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR .
u T0-00·00·8226
EACH ROOF DRAIN IINSIDEl DRYER VENT -880·519-92-33 STRONG MOTION
TOH,L MECHANI CAL FlRE SPRINKLERS 001 ·810-00-00·8227
TO l AL Pl UMBINl, I /-PUBLIC FACILITIES FEE 320-810-00-00·87 40
_c;ro BRIDGE FEE 360·810·00·00-87 40
QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l
NEW CONST EA AMP SWl BKR CAR PORT TIF 312·810·00·00-8835
l PH 3 PH AWNING LA COSTA TIF 311·810-00-00·8835
EXIST BLOG EA AMPISWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810-00-00·8162
REMOOEL ALTtR PER CIRCUIT MFF 880-519-92·57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSl
CREDIT DEPOSIT
lOlAL ELELlRlCAl I fOTAl TOTAL FEES PAYABLE l /o
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Exp,ratoon Every permit ossued by the Bu11d1119 OlftCJal unoer the prov111ons of thts * AN OSHA fl£Nfll IS REQUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by 1tm1tat1on and beeome null and "Otd If the bu1tdtng o, work s· O" DEEP ANO OEMOUTION OR CONSTAUCTlON OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE )FA PERMIT I', au1honzed by such perrr11t 1s not commenced w1th1n 180 days from the date"' such /'""{TRUCTURES OYER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~::On~ '!t l=~y ~~:'~H.~~t!':~,:~!~=:l~•~~ ::.~!i ~.'r~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APa;;;G1:~ OWNER0 COI\ITRACTO~ v;~I&~-~ --174//i KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT BY PHONE rJ
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TYPE I DATE INSPECTOR I \ \
BUILDING I
FOUNDATION 1
·, ;"'-.,.._ Cl¾>~~~
FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I -I
INSPECTOR'S -INSPECTION REQ. IF DATE CHECKED APPROVAL
, I
SHEATHING D ROOF D SHEA'R SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LA TH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I ' I
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING ' FIELD WELDING
' UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN t , ~ .~ II ~
GAS TEST I I, •f)--f\.l'
D WATER HEATER D SOLAR WATER .
~
Df:,1,c-.,.~
PILES CAISSONS -•vvq~;f.:_
C/£l. hlf1.. :r,,.,,.
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UlfFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
• c · •• •-.. ,.,f-/J "tJ·,-• ~) -I .. ~Dl ....
IT' --" / ff }t;µ::.i
Cr,1":'t ►-.. -
. ~ ✓ if T:']) . , ... I.J • .
•· -· ~ -I
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MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I L ' C -. .-◄ ' I . . .. -.
CALL FOR FINAL INSPECTIO>i WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE EEN APPROVED. ' .
FINAL I '· -PLUMBING I ' I'\ V ·., ..... .,, " " . .... ' -' .. ', ' ... -~-~
ELECTRICAL I .'J, ' MECHANICAL I 1>\ ,
J
GAS I j' _t _'l \....,
BUILDING I (~ ~ I
~
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\ ' '·, \. . \ .. ':. "' . '. \
SPECIAL CONDITIONS ' \.·· .
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