HomeMy WebLinkAbout2711 VIA JUANITA; ; 84-249; Permit~ I hereby affirm that I am licensed under o pro•lalon, of Chapter 9 (commencing with
Section 7000) of Dl•lslon 3 of the Business
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,c and Proleaalons Code, and my license Is In
a: full force and effect.
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I hereby afhrm that I am exempl 1rom the Con1rac-
1or's Locense Law lor 1he lollOwlng reason (Sec 7031 5
Business and Professions Code Any city or county which re-qu,res a permll to construct, alter. tmprove. demohsh, or repair any structure. prior to I1s issuance also requires !heap-
plttant for such permit 10 hie a signed statement that he Is
licensed pursuant to the PfOVISMmS ol lhe eontrac1or s License Law (Chapler 9 commencing with Sec1,on 7000 ol O,v,s,on 3 ol lhe 8us,ness and Proless,ons COde) or that Is ex·
empt lherefrom and the bas,s lor the a0egeo exemption Any v1olat1on ot Sec110n 7031.5 by an appl,can1 for a perm11 sub-jects the applicant to a cIV1I penally ol oot more than five hun-
dre<l dollars ($500).
O I, as owner of Ille l)foperty, or my employees with wages
as their sole compensatt0n, witl do !he work, and the struc-ture Is not intended or oflered lor sale (Sec 7a..4, Busmess
and ProfesSJons Code: The Contractor's License law does no! apply 10 an owner of property who builds Of improves
thereon and who does such wOfk h1msel1 °' through his own employ8es, provided that such improvements are not intend· ed or offered for sale. 11, however. the building Of improve·
menl is sold within one year oC compteUon, the owner•bu11der
will have the burden 01 prOYmg that he did not buUd Of Im-, pro.e lor lhe purpose ol sale).
0 I, as owner ot the l)foperty, am exclusivety con1ractIng wrth li«nsed contractors to construct lhe project (Sec. 7044,
Business and ProfessiOns Code: The Contractor's license Law does nol apply to an CMner of property who builds or im· prCNes !hereon. and" who contracts fOf each proiects with a contractor(s) license pursuant to the Contractor's bcense Law).
□ As a homeowner I am iml)(OY1ng my hOme. and the lollOw·
ing conditlOOS exist: 1. The WO<I< is being pe~orme<l prior to sale.
2. 1 have lived in my home tor twelve months l)fior lo cornplelion ol lhis WO<k. 3. I have not: claimed thts exemption during the
last three years.
g M~r::{ under Sec. ______ , e & P.C. -------------
D I hereby athrm !hat I l'\a'n a cen,t,ute ot consent
to self-,nsure. or a cert,t,cate ot Workers
CompenSilhon Insurance. Of a cen,he-d copy !hereof
!Sec 3800. Labor Code)
POLICY NO
COMPANY
D Copy ,s hied with lhe city
□ Cet11hed copy ,s hereby turn,shed
CERTIFICATl OF EXEMPTION FROM WORIIERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm11
,s fOf ooe hundred Ooll.ars !S 1001 or less}
0 I certify tha1 ,n lhe performance ol tne w ()nl; tor
which this perm11 ,s issued. I shall nol employ any
pe,son in any manner so as 10 become sub1ect 10
the W~ers· Compensa110n Laws of Cahlom1a
NOTICE TO APPLICANT If. after mall.in;, this Cen,
t1cate ol Exempllon. you shouJd become sub1ec1 I'>
the WC>nle,s· Compensation pro"1s1ons of lhe labor
Code. you must torthw1lh comply with such
ptO'IISIOOS or this permit shall De deemed ,e ... ~ed
O I nereby afllrm thal there 1s a construction
1end1no aoency tor the pet10fmance ol lhe war,,, lor
which this perm,1 ,s issued tSec J097 C1v1I Cooe1
Lenders Name ___________ _
Lenoe,·s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST.RO. NEAREST CROSS ST.
'
DATE OF AP'P'LICAT~ON BUSINESS LICENSE # /ou19 PERMIT NUMBER
2-'711-MA w......-vr?'A Av~,o"' ~ Lov,.s-£ •· 1//6/8 fL/-;2 4 , Lf>T IILOCII I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CJ//3 CONTRACTORS PHONE • ZONE
' ' t : ~ ' s~ OWNER'S NAME _ I 7 L;:E':;6";7 S:L.~<7 CONTRACTOR"S ADDRESS I UCENSENO. PLAN 1.0. # BLOG USE COOE
OWNER'S MAILING ADDRESS
2'7// /h,+ V'-'~✓,,f DESIGNER LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
s;L.~ , DESCRIPTION OF WORK
<!:J;'f?C--.J .PA--n'O Cd~. bL-c; 0 ---~ OU!GNER"$ AQOIIESS --; -·· DESIGNER"S PHONE
! '
.c-b~ -~~· --:_ -•✓N(r Pv~~s~ ' . . -F/P FLA ELEV. NO OCC GP EDU STORIES b/ I L/..,:..._/t,.;;, !a· vO NO --OL.JfattiJ-..J/1'-./ ~·~ 1.
CENSUS TRACT I GP LANO USE I PAAIIING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not V~lid Un~s M.chine CertifiM
QTY. PLUMBING PERMIT -ISSUE rJ '!!!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP
, INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 It./ -
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 i...----
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 Iv.~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00·8223
EACH INSTAl-, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBlLEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A??~
TOTJ;L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ~-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE
NEW CONST EA AMP/SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Oieguito 80-92-23-0519
REMOOEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVE A 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) A-?P,P
CREDIT DEPOSIT
TOTAL ELECTRICA L I TOTAL SOLAR I ~/,?'1 -TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED • APPLICATION AND PERMIT" AND DO HEREBY bpinlllOlt. &wfpenlllt .................. Ollcial_tlleprOV1910RSOflhtS * AN OSHA PEMtfT IS IIEQUIIIEO FOIi EXCAVATIONS OVEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1111111 .... 111r lllllilllllOn 1111 .-Jllill Me VOid II Ille budding or wor1t ~-0-' DEEP ANO OblOUT10N Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS autllOllad by auc:11.-,nil •not-ad willlill tlOcteys from 111ec1ateot suet, STIIUCTUIES OVER 3 STORIES IN HEIGHT partllil. or If --.~or-" aullloracl by IUCI\ permit 11 ,....,..._ or ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-........... --.. --• ·-•-oftlO .. -. ..
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAYE INDEMNIFY ANO A ~ OWNEll}l
CONTRACTOR 0 APPRAED ~y -.. ~~18½ KEEP HARMlESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ~ . , 1
GRANTING OF THIS PERMIT. if.' ~· •-,... (...V' -l r'/ t
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TYPE I DATE INSPECTOR I
BUILDING I I ~4--~ , . '' . ~ ,.
t--.-, 'le,
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT i
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ~
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHEAR
SOILS COMPLIANCE .. -PRIOR TO
FRAME I
FOUNDATION INSP -
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I •
I
INTERIOR LATH & DRYWALL I : '
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING ' .,
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D )NATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOLTS
.. I SPECIAL MASONRY •
TUB AND SHOWER PAN I V ,,
GAS TEST I
I PILES CAISSONS -
D WATER HEATER D SOLAR WATER .
'l I
I
ELECTRICAL I
I I
D ELECTRIC UNDERGROUND □1 UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
.. \ .• . J~~-;
"
'h \ .
D BONDING D POOL I .. -. -. . ..
-I . .... ~· ,
MECHANICAL I
D DUCT & PLEM., D REF. PIPING -·
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECU,ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I -
PLUMBING I .\D !./ ,,
ELECTRICAL I /4' ~l---:.,-~j) t .
MECHANICAL ~ I .C/Pr '
GAS ~ $i,?,, l ,
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BUILDING I / I
SPECIAL CONDITIONS I
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