HomeMy WebLinkAbout2802 VIA DIEGO; ; 88-127; Permit.,, z 0 .: C a: C ~ (J ... 0
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,;d I hereby affirm 1hal I am licensed under
~ovlalona of Chaple, 9 (commencing wl1h
Sec:1ion 7000) of Division 3 of !he Business
and Protea■lona Code, and my license is in
lull force and ellecL
I l'le1eby a1t1rm ltlat I am exempl lrom lhe Contr~· tOf·s lteense Law fOf lhe tollow1ng reason (Sec 7031 5
Business and ProfesslOfls Coele Any cIIy or county wh,cr+ re· Quires a perm11 to construct. alter improve, demolish. or
repair any structure, prior to its issuance also requires !heap-
phc.anl for such perm,t 10 Ille a s1qne<1 s1a1emen1 that he ,s
I~nsed pursuant to lhe provIs.ons or the ton1rac1or s Ltcanse Law ( Chapter 9 commerw:Ing w1th Sec Hon 7000 ot
Otv1Sf()O 3 of lhe Business and Profess.ens Cade) or lhat 1s o
empl tnerelrom and the bas1S tor !he allegea exemphon Any v10lat1on of Sechon 7031 S by an apphcanl IOJ a permtl sub·
1ects the apphcanl to a civil penalty of not m0te than live hun·
dre<l dollars {$500)
1. as owner 01 the property, Of my empk)yees w11h wages
as lheIr SOie compensat10n. wilt do lhe work aoo the struc·
lure 1s not intended Of olfered lor sale (See 70U Business and Professions Code The Con1racIor s license Law does not apply 10 in owner oJ property who bu11Cs 0f improves
!hereon and who does such work n,msel1 Of through n,s own employees. provided lhal such 1mprovemen1s are not 1n1end·
ed or ottered lor sale 11 however 1he..Dmld1ng or 1mprove-men1 1s sold wuhm one year of completion, the owner·bu1lder
WIii have !he burden ol PfOVIOQ 11\at he dtd no1 blHld or tm·
prove lor lhe pU!pose ol sale)
1 t. as owner of !he property. am exclu.swely conlfacllng w1lh ltcensed contractors to construct the proiect (Sec 7044, Busmess and Proless1ons COde The Con1racIors License
Law does not apply lo an owner of property whO bu1kts or ,m-pr~es thereon. and who contracts lcw each proiecls with a
con!ractor(s) hcense pursuant to lhe Contractor's License Law)
! l As a homeowner I am 1mprovmg my home and the follow
Ing condIt1ons e,ost
t The work LS being performed prior to sale
2 I have hved In my hOme IOI' twelve months prior 10 completlOl'I of 1h1s work
I nave nol claimed this exemption durrng the
last lhree years
0 I am exempt under Sec ______ . 8 & P C
IOf lh1s reason -------------
i,: I
I hereby allum that t have a cert1flcaIe of consent to I
nsure or a cer11hcate ol Workers Compensation In. I
sorance. 01 a cert,hed copy thereof !Sec 3800. Labor Code)
POLICY NO. 1013568-87 :
COMPANY
')11 Copy os 1,iS~Wc,.f und I
.:Xeemlled copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
tTh1s section need not be completed 11 the permit
,s !or one hundred dollars {S 1001 0t tesst
C I certify that ,n lhe performance ol the work for which
lhts permit Is 1ssued. I shall nol employ any person many
manner so as 10 t>eeome subJect to the WOfkers· Compen-
sation Laws of California.
NOTICE TO APPLICANT· II. after ma)ung this Certificate
ol Exemp11on. you should become subIect lo the Workers
Compensation provIs1ons ot lhe Labof Code. you must
forthwith comply wIlh such provisions or this permII shall
be deemed revoked
0 I hereb)' athrm that there 1s a construc11on lending
age!)cy tor the performance ot the work IOf which 1h15 per•
m11 ,s issued (Sec 3097Jt.<.}l_!'~~l
Lenders Name .~~
lender s Address
USE BALL POINT PEN ON_LY &_!RE~S 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. I OA~~;l;;~;ATIONI
BUSINESS LICENSE II VALUATION ~ ~AMIT NUMBER
2802 Via Dieao Via Astuta 19451
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE ,ir OWNf R'S NAME I OWNE A'S PHONE Arlen Foster plnmhinn 697-4151
434-5574 CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
Nancv Deeds
OWNER"S MAILING AOOFIESS 2819 Central Ave. 443348
2802 Via Diego Carlsbad 92008 DESIGNER DESIGNER'S PHONE
OESCR•PTION OF WOROC Water H~at.,,_r Renlacement OESIGNER·S AOORESS STATE LICENSE NO.
F /P FLA ELEV NO OCC GP EDU ~ STORIES
vO "O --I CENSUS TRACT I PARKl"G SPACE I RESUNITS I GRACING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
,□ ND ,□ NO vO NO Not Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT -ISSUE .ct2.. QTY. MECHANICAL PERMIT • ISSUE l~o SUMMARY/ACCOUNT NUMBER }f r-:-:JU
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TD 100,000 BTU / ~UILUINt, ~tKMI I UU l ·ij lU·UU·UU·ouu
EACH BUILDING SEWER OVER 100.000 BTU / SIGN PERMIT 001-810-00·00·8221
1 EACH WATER HEATER AND OR VENT $2 .50 BOILER/COMPRESSOR UP TO 3 HP / PLAN CHECK bl11JlJ.o-Qruo();sg'910 01 02Kdf''l)t ).O
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP / TOTAL PLUMBING 00i·810·00·00·8222 sin nn
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE / ELECTRICAL 001 ·810·00·00·8223
EACH INSTAL . ALTER . REPAIR WATER PIPE VENT FAN SINGLE au<;)"" MECHANICAL 001 ·810-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST ,Af()OD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATIO~ EA FURNACE1HEATER SOLAR 001·810·00·00-8226 ~
EACH ROOF DRAIN !INSIDE I DRYER~ STRONG MOTION 880-519·92·33 -~-=
·---~ /1QTJ;L MECHANICAL FIRE SPRINKLERS 001·810-00-00·8?£.Z --~ ..... \
IO I Al Pl UMBING I $10.00 PUBLIC FACILITIES FEE 320·810·00·00-t/40 -~ \
£~ BRIDGE FEE 360-810·00·00·87'10 Ve." -
QTY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA . 1 l ...
NEW CONST EA AMP SWl 8K R / CAR PORT TIF 312-810·00-<l0-8835
1 PH 3 PH / ,/ AWNING LA COSTA TIF 311-810·00·00-~5
EXIST 8LDG EA AMP,SWT 8KR / GARAGE FMF
1 PH 3 PH / LICENSE TAX 001 ·810·00·00·8162 .. ..... ~/
REMODEL ALHA PER CIRC\J)-l"' MFF 880-519·92·57 ~JLGB~
TEMP POLE 700 AMPS/
OVER 700 AMPS /
TEMP OCCU~Y 130 OAYSl
/ CREDIT DEPOSIT
/ TOIAL (LECTRICAL I TOlAl TOT AL FEES PAY ABLE I sin nn
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT ANO DO HEREBY E•p.ratton E\fery permit ,s1ued by tt\e Budding Off1c111 undef the prov,s,ons of tn,s * AN OSHA P£Mit:T 16 AEOUIAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m1tat1on and become null and void If the building or work s· O" DEEP ANO OEMOUTION OR CONSTRUCTION Of authorized by such pe,rrut ,s not commenced w1th,n 180 days hom tne date \Jf such OECLARA TIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I!> ::;;;,:cs'~,•:~" ~,;::•~.~~~':~,:~:~o~~:1.~l~~~~ :9~':'~·~,•~~~ o,
STIIUCT\JMS OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANrs SIGNATURE ... OWNER n CON TRAC TO~ APPAOVEP f IDi¼?kf i<EEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
~1,rr,.-.~-O...
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BV PHONE fJ GRANTING OF THIS PERMIT ' n ,-A-!.1 -·-
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
-
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH !
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
I
□ SEWER AND BUCO CJ PU CO
UNDERGROUND □ WASTE □1WATER
TOP OUT D WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER □ SOLAR w'~TER
! . ELECTRICAL I
D ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMP(i)RARY
D BONDING D POOL I
I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIP(NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTWN WHEN ALL APPROPRIATE
___ l-'-'TE=M~S~ABOVE HAVE BEEN APPROVED
FINAL I
I
PLUMBING I ·' \
ELECTRICAL I I.>. ~ \
MECHANICAL ' ~ 0 I
I . "-. GAS ,..
BUILDING I I 'v
SPECIAL CONDITIONS I
I
I
'i/8 • 1 >)
FIELD INSPECTION RECORD
REQUIRED SPECIAL IN SPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTO R S 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 I!
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