HomeMy WebLinkAbout2603 VIA ECO; ; 87-416; Permit"' z 0 .: C a:: C .., u w 0
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O I hereby affirm that I am licensed under
pnwl1lon1 of Chapter 9 (commencing with I
Section 7000) of Dlvlalon 3 of the Business
and Profeaalona Code, and my license is in
lull force and ellect.
I hereby amrm lhal I am exempt from the Contrac 10rs L,cense uw tor 11,e toltow,ng reason IS<e 7031 5 Business and Pro1essions Code Any city or county wtuc.t. re quires a perm,1 10 construe!, alter_ lfflprove. demohsh. or repair any struciure, prior tons issuance also requires !tie ap·
phcanl tor such permit 10 Me a signed statemen1 thar he 1s
hcensed pursuant to the Pf0v1s,ons ol lhe tonuactOf s L,cense Law (Chapter 9 commencing w11h S<et,on 7000 ot
Olv1sion 3 ot lhe Bus1r.ess and ProtesslOflS Cade) or lhat ,sex• empl lheretrom and the basis for lhe a"eQOO e.xemphon Any
Vlolalion of Section 7031.5 by an apphcant ror a perm11 sub• ,ec1s tl'le applJCant to a civil penalty ot not mote 11\an hve hun·
dred dollars ($500)
I I, as owner of the property_ or my ernptoyees w1lh wages
as thetr sole compensallon 'MIi do lhe WOfk, and !he struc·
lure ts not intended or ottered !or sale (Sec 7044 Business and Pfoless10ns Code The Contractor's Ltcense Law does
not apply to an owner ol properly who builds Of improves
!hereon and who does such work h,msell o, through h,s own employees, provided !hat such improvements are not intend·
ed Of offered for safe II. however, the building or Improve-ment Is sold within one: year 01 compte!Jon, the owner-builder
w,11 have the burden of PfOV1ng !hat he did no1 build or im-prove tor the purpose of sale)
] I, as owner of the property, am exclusively contraclmg Wllh kensed conlractors to construct the pr Cliett {Sec 7044. Business and Professions COde. The Contractor's Ucense
uw does not apply to an owner ol properly who bull<ls or 1111-proves thereon, and who contracls for each prOfetls WJth a
cooHaclDf(S) hcense pursuant to the Cootraclor's license L,w)
ri As a homeoWner I am improving my home and the toUow
mg cond1hons exist 1 The work 1s being performed pnor to sale
2 I have hved m my hOme tor twelve monlhs r:: :;1P~~:::f 11
~1
1
: :~pllOO dunng the
la:SI three yeifS
D I am exempt under Ste ______ B & P C
for this reason ____________ _
C ~ereby affirm lhat I have a certificate of consent to
self-insure. or a certihcate of Workers· Compensation In-
surance or a cert1hed copy !hereof (Sec 3800. Labol Code)
POLICY NO. TC821698048 •
COMPANY I
[; Copy is hteMAir¥li?nd Casualty,
0 1',rtit1ed copy is hereby furnished I
CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This sec11on need not be completed if the permit
Is lor one hundred dollars (S100) or less}
0 I certify that in the performance ol the work tor which •
this permit is issued. I shall not employ any person ,n any
manner so as 10 become subject to the Workers Compen,
salion Laws of Cah lorn,a.
NOTICE TO APPLICANT. If. after maJung !his Certificate
of Exemption. you should become subJect to the Workers·
Compensation provisions of the LabOf Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby aflirm that tq~~ iS a construchon lendJng
agency tor the performanc'-'MJil'a.Ebrk tor which this per-
mit is lssueo (Sec. 3097, C1v1I Code)
Lenders Name _______ -~----
Lender's Address, ___________ _
USE BALL POINT PEN ONLY & P!E~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
.;OB ADDRESS AV ST RD NEAREST CROSS ST
I
OATE OF APPLtCATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
2603 Via Eco Avenida De Anita 4-28-87 15402 (.'r17-~ \~ LOT BLOCK I SUBD VISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
OWNER'S NAME I Arlen Foster Plumbina 697-4151 ,
OWNEA"S PHONE
434-0109 CONTRACTOR'S ADDRESS STATE LICENSE NO. ' -BUILDING SO. FOOTAGE Karen A. Zapp
OWNE R·s MA 1L ·NG ADDRESS 2819 Central Ave. 443348
2603 Via Eco Carlsbad 92008 DESIG .. EA OESIGNE A'S PHONE
OESCR,PT10N OF WO R .C: 10-( Water Heater Reolacernent OESIGNEA'S ADDRESS STATE LICENSE NO. 0018 05/ll 010102BldPllt
,___ F p FLA ELEV NO OCC GP EDU
STORIES
vO NO --
I
I PARK ING SPACE AES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO N 0 vO NO vO NO Not Valid Un~s Milchine Certtfittf
QTY. PLUMBING PERMIT -ISSUE $11~ QTY. MECHANICAL PERMIT· ISSUE ~~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU /. BUILDING PERMIT 001·810-00-00·8220
EACH BUILDING SEWER OVER 100.000 BTU / SIGN PERMIT 001 ·810-00-00-8221
1 $2.50 ------./ EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 -810-00-00·8821
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP / TOTAL PLUMBING 001 ·810-00·00·8222 _$10 .00 ---'--
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE / ELECTRICAL 001-810-00-00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT _/ MECHANICAL 001-810·00-00-8224 ---
t¢"'0UCTS EACH VACUUM BREAKER MECH EXHAUSl MOBILEHOME 001 ·810·00-00-8225
WATER SOFTNER RELOCATIONj)Y'fA FURNACE/HEATER SOLAR 001-810-00-00·8226
EACH ROOF DRAIN (INSIDE I DRYERV~ STRONG MOTION 880·519·92·33 ----t OTl<l MECHANICAL FIRE SPRINKLERS 001-810-00·00-8227
TO!AL PLUMBING I $10 .00 PUBLIC FACILITIES FEE 320·810·00·00-8740
5JxJ BRIDGE FEE 360·810·00·00-87 40
QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP / PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BKA 7 CAR PORT / TIF 134·810-00·00·8835 -
l PH 3 PH / AWNING / LA COSTA TIF 133·810-00·00-8835
EXIST BLOG EA AMP'SWT BKR / GARAGE / FMF
1 PH 3 Pij./ / LlCENSE TAX 00 l-810-00-00-8162
REMOOE L All t A PE R C .J,JKlJIT / MFF 880·519·92-57
TEMP POLE 200 M,~-/
OVER 200 AMPY /
TEMP occ.¢ANCY 130 DAYS) /
/ / CREDIT DEPOSIT
/ TOTAL ELELT RICAL I V TOTAi TOTAL FEES PAYABLE I ./ c:::,n nn
; HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration Every perm11 ,ssued by 1he 8u,ld1ng Otf1c111 under the prov1s1ons of this * AN OSHA PERM:T IS REOUIAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void It the bu1ld1n9 o, ..,or~ ~ o· DEEP AND DEMOLITION Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such perm111s no1 commenced w,1h1n t80days from lhedate of such STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~'::~no~
1!t l=~y ~~!~'~Pte~;h:~~r:~!~O~~~e:te~~~~ ro'e~~
1~t5r~:~4:1 or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGNATURE 1f. OWNER□ CONTRACTOR 0 APPROVr7 DATE KEEP HARMLESS Tl-IE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO
EXPENSES WHICH MAY IN' ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
Su,~.r) (' 0 ~ Cr ~+) BY PHONE f]
1
s----1I-r? GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION I
REINFORCED STEEL I
MASONRY ' ---. I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SljtEAR
FRAME I
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL !
I
PLUMBING ' I
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE 0 WATER
TOP OUT □ WASTE □~ATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR vj/ATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND _[p UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMRORARY
□ BONDING □ POOL ;
l
MECHANICAL I
□ DUCT & PLEM., □ REF. PlfflNG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPECtrlON WHEN ALL APPROPRIATE
ITEMS ABOVE HA.VE BEEN APPROVED.
FINAL I
PLUMBING I
I
ELECTRICAL I
MECHANICAL I
GAS I
I
BUILDING I
SPECIAL CONDITIONS I
I
I
~
~7-4 I,(.,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
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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