HomeMy WebLinkAbout2617 VIA ECO; ; CB890911; Permit.,,
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O I !Mfeby elflrm the! I am llcenoed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Dlvlolon 3 of lhe Buolneoo
and Prot .. alona Code, and my llcenoe lo in
lull force and ellecl.
I he,eby alftrm thal I am exempt from 1ne Contrac-
tors lteense Law IOf the following reason (Sec 7031 5 Business and Proless1ons Code Any city or county wtntr. re-
quires a permII to consuucl _ alter improve_ demohsh _ or repa,r any suucture pnor 10 ,ts issuance also requires !heap-
plicant lor such permil IO 1"41 a SKlned statement that he 1s licensed pursuant to lhe provIs,ons of !he t:ontracIor s
License Law (Chipte.-9 commencing with Sechoo 7000 ot Divis.on 3 of !he Business and Professions Code) or Iha! tS ex:•
empl therefrom arwi the basis fOJ the allegec:i exempt10n Any vlOLlhOO ol Section 7031.5 by an apphcanl lor a permI1 sub
Iec1s the applicant 10 a civil penalty 01 not ffl()(t lhan hve hun
dred dollars ($500)
I. as owner of the prr,perty. or my employees w1Ih wages
as their sole compensahOn. w,11 do the work, and lhe struc·
ture is not 1n1ended or ollered tor sale ISet 7044 Business
and Pfotes51on~ Code the Cootractor's license law ooes not apply lo an owner or property who builds Of ImprOV'es
thereon and who does such work h1mse!I or lhrough his own
emplOyees, provided thal such improvements are not mtend· ed or ottered IOI' sale II. however the bulfdmg Of llT\PfOY!-
ment Is SOid wIthIn one year ol completion, !he owner·bullder
wilt have the burden 01 proving Iha! he dtd not build or im--
prove IOI' lhe purpose of sale)
I I, as owner ot the property, am exclusively conlractrng
with licensed contractors lo construct lhe pro,ect (Sec 7044
Busmess and Protess1ons Cade The Conuactor's License
law ooes not apply to an owner ot property wno builds Of Im·
proves thereon. and who coolracls IOf each p<OfeclS with a cootrac1or{s) lttense pursuant 10 lhe Con1rac1or's Lteense Law)
l1 As a homeowne, I am ,mprovmg my home. and the lollow
mg condlllons eiusl:
1 The work Is bemg performed prior to sale
2 I have hve<l In my home '°' twetve monlhs
pnor to comp~hoo of lh1s work
I have n01 claimed lh1s exemp!K>n dunng the last three years
0 I am exempl under Sec ______ . B & P C
tor tt11s reason -----~-------
C I nereby affirm that I have a certificate of consent 10
sell•1nsure. or a cer1tf1cate of Workers· Compensation In-
surance. or a cert1f1ed copy thereof (Sec 3800 Labor Code)
POLICY NO
COMPANY
::J Copy IS hied with the c11y
0 Certlhed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Ttus section need not be compte1ed 1f the permit
1s for one hundred dollars (S 100) or less)
D I certify that in the performance of the work for which
this permit 1s issued. I shall nol employ any person in any
manner so as to become sub1ect to the Workers· Compen•
sa1Ion Laws of Calitorn,a
NOTlCE TO APPLICANT If. after making this Certificate
ol Exemp1,on. yoo should become subJect to the Workers
Compensalion provisions of ttle Labor COde you must
torthw1th comply with such prO\liSions or this permit stlall
be deemed revoked
0 1 hereby affirm that !here ,s a construction lending
agency for lhe performance of lhe work !or wtnch ttus per•
mIt Is issued (Sec 3097. c,,,_,, Code)
Lenders Name ______ _
Lenders Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
/1 V1 ;::1 Er__/) AV ST.RD ---·-···---THOMAS BROS NO. BUSINESS LICENSE # .-----VALUATION I PERMIT NUM BER
I LOT BLOti< SUBOIV~ISION~ ASSESSOR PARCEL NO CONTRACTOR
rz:a;grl
OU/rv~ CONTRACTORS PHONE • ZONE C,fo f~Bc?~ 11-::-_ _._ ___ --c .......... ______ ........_ _____ ---:-----------11
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CONTRACTOR"S ADDRESS STATE LICENSE NO
OE.SIGNER DESIGNER'S PHONE
I OESIGNER"S ADDRESS I STATE LICENSE NO. I -,
F/P FLRELEV. NO OCCGP EDU I
STORIES
vO NO ---
BUILDING SO. FOOTAGE
7741 06/21/89 0001 01
Bldf'mt
02
10 .(X
CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE I occ LOAD I Fl RE SPA
AREA CONST
y D ND ,o NO vO NO Nor Valid Unlffs Machine Certtfi«J
PLUMBING PERMIT -ISSUE --=J-SO QTY. M ECHANICAL PERMIT · ISSUE \ ~OC) SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100.000 BTU "T B□IEDlflG PERf;lll OOl-S I U-00-00-8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·8 I 0·00·00-8221
EACH WATER HEATER ANO•OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891
EACH GAS SYSTEM I TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 /0-
EACH GAS SYSTEM !i OR MORE METAL FIREPLACE ELECTR!CAL 001·810·00·00·8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST H000 '0UCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00-00-8226
EACH ROOF DRAIN (INSIDE! DRYER VENT ST RONG MOTION 880·519-92·33
TOTI.L MECHANICAL FIRE SPRINKLERS 001-810·00·00·8227
10 I AL Pl UMBING l PUBLIC FACILITIES FEE 320·810-00·00·87 40
ELECTRICAL PERMIT • ISSUE ,c;oe QTY. M O B ILE H OME SETUP
BRIDGE FEE 360·810-00-00·87 40
PARK-IN-LIEU (AREA l
NEW CONST EA AMP SW I BK R CAR PORT TIF 312·810·00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00-00-8835
EXIST BLOG EA AMP•SWT BKR GARAGE FMF
I PH 3 PH iJcINSE TAX 001 ·810·00-00-8162
REMODEL ALTtR PER CIRCUIT MFF 880-519·92·57
TEMP POL[ 100 AMPS
OVER 100 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELELTRICAL 1 -
TOTAi TOTAL FEES PAYABLE l /Q -
Exp,ra11on Every permit ,sooed by the Burldtng Ofllc,al un-lhe proY1S1ons of 1h15 * AN OSHA PEAM:T IS AEaUIAED FOfl UCAVATIONS OVER
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I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT AND DO HEREBY
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THI:
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~
Code shall exp1re by hm1leh0n and l>ecome null and votd If lhe bu1ldmg or work 5· o--DEEP .fd\10 OEIIIIOl.lTIOH QR CONSTRUCTION OF
authorized by such perm11 1s not commenced w1lh1n 180 days from the date ot such STRUCT\JflfS OYER 3 STOAtES IN HE.KiHT • ~ permit. or 1f the bu1Jd1ng or wor-. authorized by such permJI Is suspended or --ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ab do el en IUT\41 alter lhe work ,s commenced for a " of 180 d ~
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND --=-CONTRACTOR Q APPR~V. BY DA¾E ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND r ll ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [J ---1"'7"/ I /Y, ) <I 7 •
GRANTING OF THIS PERMIT __ ...,_ ____ .
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
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SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAlil
' FRAME ,
EXTERIOR LATH I
f
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
D SEWER AND BUCO D PUC()
UNDERGROUND D WASTE D WA'TER
TOP OUT D WASTE D WAT1ER
TUB AND SHOWER PAN ' . I
GAS TEST hA ~.A A,;._.__ I
D WATER HEATER C{] SOLAR WATEiR
' I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UfiFER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING1
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
J;.44-~ I~ IL,.,,.__ , -~,.. -
11 I]
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CALL FOR FINAL INSPECTIOlj WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE EEN APPROVED.
FINAL I IA
PLU MBING ' {-1,,. I <j -'i 1r~ I
ELECTRICAL I 0 I
MECHANICAL I
GAS I ' BUILDING I
SPECIAL CONDITIONS I
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FIELD INSPECTION RECORD "•
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI -PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
.• -:S CAISSONS
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