HomeMy WebLinkAbout2512 VIA ESPARTO; ; CB880647; Permit"' z 0 .: C ac C ... 0 ... a
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0 I llefeby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full force and effect.
I hereby allirm thal I am exempt from lhe Contrac.-1or·s license Law for !he lollowmg reason (Sec 7031 5 Business and Proless1ons Ccx,e Any c11y 01 counry wtuc.r. re·
quires a perm,1 lo construct, alter improve demohsh. Of repair any slruclure. preor 10 11s issuance also requires !heap-
phcanl fOf such perm11 10 hie a s.pned slatement lhat he 1s licensed pursuant 10 lhe prov1s1ons of the Contrac1oc s License Law (Chapter 9 commenc,ng with Sectton 7000 o1 Otv1s1on 3 of 1ne Business and Professions CoCle) or 11'\at 1s ex
!fllpt therefrom and lhe bas.s fOf the allegeo ex-emp11on Any 'l1ola11on ol Sec11on 7031.5 by an appltcant lor a pe_rm,t sub-
1ects the apphcant 10 a c,v,I penally of ROI more than hve hun•
dred dollars !Sm)
1. as owner of lhe property or my employees w11h wages
as ll"lelf sore compensatt00. w,11 do ltle work and the s1rvc-
Iure 1s not ,oiended or offered tor sate (Sec 7044, Busrness
and Protess,om, Code The Contracror·s license law does
nol apply 10 an owner ol property who builds or improves
thereon and who doeS such work hImsell or through tus own
empk)yees. prov1ded thal such improvements are no! mt end-ed or ottered tor sale II. however. the bulldmg or improve-ment 1s sold w1thm one year of comptetion. the owner-builder w111 nave the burden of proving lhat he did not build or im-
prove tor the purpose of sale)
r I I, as owner of the property. am exclus1vety contrac11ng wllh licensed contractors 10 construe! the pro,ect (Sec 7044.
Busmess and Proless10ns Cooe The Contrac1or·s license law does nol aoply to an owner of property who builds or im-
proves thereon. and who contracts tor each prOjects with a contraclor(s} license pursuant lo the ConlractOf's L,cense Law)
( J As a homeowner l am improving my home and the lollow mg CondtllOOS ex1sl
t The wOfk ,s being performed prior to sale
2 I have hved ,n my home tor twelve months
pnor to complet1on ol lhts work
I have no! claimed lh1s exemphon durmg !he lasl three years
g 11h~: ,:~:t under Sec ______ . e & p c
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0 I hereby altum that I have a cert1l1cate of consen1 to
sell-insure. or a cerhllcate of Workers Compensation In•
surance, or a cer1thed copy thereof tSec 3800. labor Codel
POLICY NO
COMPANY
Copy 1s filed with the City
D Certihed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 11 the permll
Is for one hundred dollars ($100) or less)
0 I cer1,1y lhat In lhe performance ol the work tor wh+ch
!his perm11 is ,ssued. I shall not employ any person in any
manner so as to become sub1ecl to the Workers Compen-
sation laws of California.
NOTICE TO APPLICANT: If, after making this Cemf1cate
of Exemption. you should become subject to the Workers
Compensation provisions or the Labor Code. you musl
torthw1lh comply with such provisions or this permit shall
be deemed revoked
0 I hereby alhrm thal there Is a constructIor, lending
agency for lhe performance of the woct,; tor whteh this per
mIt Is issued 1Sec 3097 C1V1I Code)
lender s Nam•
lenders Address ____ _ __ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN 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. BUSINESS LICENSE tt PERMIT NUMBER
.l -S-I ..1 v;e,__ Es1:::,\\~ I
OATE OF APPLICATION'
S -19-ffl /7~101/ t7 t1fl/J/-/;" LOT BLOCK I SUBOIVIS1QN . J I ASSESSOR P't/CEL N~ CD7JW~c~ CONTRACTORS PHONE • ZONE
3 -4 Th"-1r:: }e: v.J11.:.> /u,7-11-'-I
OWNfA"S NAME r I OWNER'S PHONE
A IA.) S+-o"" e. '7Jo-'/o'1--S' CONTAACToR·s ADDRESS STATE LICENSE NO. BUILDl3ir'iGE
OWNER'S MA,LING ADDRESS
-P O -go:;,. IO lo3 C?~fl ls bll..d c..Cl.. ~J._obY DESIGNER OESIGNER"S PHONE (
DESCRIPTION OF WORI<. Coven .e:?cf-9/?' 0024 05/1:9 0101 02£:ldf'rit 69-\, -P~no OESrGNEA"S ADDRESS STATE LICENSE NO
-7
F/P FLA ELEV. NO DCC GP EDU
STORIES
vO NO I CENSUS TRACT I PARK ING SPACE AES UNITS I GRAOING PERMIT ISSUEO I REDEVELOPME NT TYPE' OCC LOAD FIRESPP
AREA CONST
y D ND vO NO vO NO Not Valid Unkn Machine CemliM
QTY. PLUMBING PERMIT · ISSUE 7.s-0 QTY. MECHANICAL PERMIT · ISSUE /S"~ SUMMARY/ACCOUNT NUMBER , '
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TD 100.000 BTU BUILDING rtHMIT 001·810-00-00·~au 'I-I-
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00-00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00·8891 -J,-
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 i ·810·00·00·8222 .
EACH GAS SYSTEM ~ OR MORE MET AL FIREPLACE ELECTRICAL 001-810-00-00·8223
EACH INSTAL . ALTER . REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00·8224
EACH VACUUM BREAKER MECHE XHAUST HO□□,□UCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226
EACH ROOF ORAIN !INSIDE) DRYER VENT STRONG MOTION 880·519·92·33
, __
TOT/;L MECHANICAL FIRE SPRINKLERS 001-810·00·00·8227
TOI AL PLUMBING T PUBLIC FACILIT~.,,,~2~1--. <ai
s~ MOBILE~~~~.; 7~
BRIDGE FEE ~-~ilt-o.woJ·uu·o, ,u
QTY. ELECTRICAL PERMIT · ISSUE QTY. ~ PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWl BKR CAR PORT /.:..' ~.--~\ TIF JUN 3);H:tolfdbiija35
1 PH 3 PH AWNING ,. -~ Ul'V 10Q!I. ' LA COSTA TIF 311·810·00·00·8835
EXIST BLDG EA AMP1SWT BKR GARAGE ~ ..... -i FMF ~RY Of·~---......
1 PH 3 PH ~ fflY lREASUKt!'_ ~ LICEN~"" 'lPMEtJT ~~MJfH(J2 .av~
REMODEL ALTtA PER CIRCUIT \9. \il~l.~f .,,i..n l'l Ji) MFF 880·519·92·57
TEMP POLE 700 AMPS ,~ .... -/JI/
OVER 200 AMPS "-.<.o _(1 1/
TEMP OCCUPANCY 130 OAYS) ~~£"7-l-~
CREDIT DEPOSIT /, .
TOTAL ELELTRICAL 1[ TOTAL TOTAL FEES PAYABLE I y /_q~ J --
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMlr AND DO HEREBY ElCpirahon Every permit issued by 1ne Building Qlt,c11I unde. the prov,s,ons of this * AN OSHA PERM:T IS RE=~IREO ,,J; EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1ta1ton and become null and void It tne bu•ld,ng a, work 5 0' D£EP AND OEMOl. ION Ofl CONSTRUCTION OJ
OECLAAA TIONS ARE TRUE AND CORRECT AND • FURTHER CERTIFY AND AGREE IF A PERMIT I'., aulhorized by such permit 1s nol commenced ~,,nin 180days from the dateot such STRUCT\IR£S OVER 3 STOfltES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~~~~"~ '~t ·:~y ~~:':P..~~h:C:~r:~!h:~~~-~le:u,~~ ro:r;:~1~,s~~II~ or
STRUCTION WHflHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPtw~ 4 OWNEAJ)? CONTRACTOR 0
APP~, -;;/;17,~ KEEP HARMLESS Tt-<E CITY OF CARLSBAD AGAl"IST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WA,Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE f] GAANYING OF THIS PERMIT
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY ' '
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH ' ' INSULATION ;
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D WATER
JOP OUT D WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS ;
'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE ,,,,..
PRIOR TO ;$'~~ FOUNDATION INSP
STRUCTURAL CONCRETE l~ OVER 2000 PSI
l~ PRESTRESSED
CONCRETE
POST TENSIONED ~ CONCRETE
FIELD WELDING ~ '
HIGH STRENGTH '
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES . DATE .
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