HomeMy WebLinkAbout2807 VIA MAGIA; ; 83-461; PermitVI z
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S.Ctlo
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Loe No
I hef tractor'
7031 ~
county
alter,
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r affirm thi1t I am exempt from the eon.
;:;:: ~ ~1~':.~~=~~l~
ich requires a permit to construct
OYe, demohsh, 0< repair any structure.
"'"" t, such perm
issuance also requires the apphcant for
it to file a signed statement that he 1s
orsuant 10 the prov1s1ons ol the Con-li<:ensed tracto,'!
Section tess,on
basis t◄
Sect,on
tneac>P hundred
□I.as _,1th wag
won<.and sale (Sec
The Con owner 01
and who emplo•
not 1n1
bu1ldin1
comple'
Of p<OVI
purpose
cense law (Chapter 9 commencing with
X> of 0tv,st0n 3 of the Business and Pro-
ode) or that is exempt therefrom and the
he alleged exempt,on Any v,otattOn of
lt.5 by an applocant lo, a penn,t sut>tects Ill to a civil penalty of not more than hve
>liars ($500).
11r1ne, ol the property, or my employees
1 as their sole compensation, will do the
he structure 1s not intended or offered tor
7044, Business and Professions Code:
ictor·s License law does not apply to an
(Gperty who builds or improves thereon
M!S such wont himself or through h,s own
. provtded that such improvements are
13'1 or offered tor sale. If, however, the
improvement ,s sold within one year of
t, the owner-builder will have the burden
that ~ dki not build ot improve tor the sale).
,wner of ltle property, am exclusively
1 with hcense<J contr~1ors 10 construct
l (Sec. 7044, Business and Professions Contractor's License law does not apply
er of praperty whO builds or improves
!
_USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 5/fl 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS 0~ m~q~~-A~JT·19:;J:a51 ■us1J>Jif# VALUAT/ON f PERMIT NUMBER
;?1'07 ~'b /
0)91i-NER' NA:,, 1-,-d de~~~ ~'1,20Q.WN:~o~ PAlM CON~R CTOfl ~;AJ' I. L r;. -_?.Pr.v~ ZONE ~(/ h. u.. ·~~ A.-,~r:-,. 'J ,_...,,,, .,,,,, -·-
OWNEF{"S MAILING ESS " • ?1,,ICONTRAJCT~~2 C/14 & ¢Jio71 PLAN 1.0. # BLDG USE CODE
~ I t -• ~ I .1~ I
LOT I llt..OCK I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER . STATE LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS OESIGNEA"S PHONE
J)d;},.._/,~d~ 11/1 -/"~ tud_~ ---71 F/P FLA ELEV. NO OCCGP EDU ;Jjl·.00 STORIES · il,,.il@ll.1Ni91
vO NO ---0q~~J--t✓•1~3 • 619i0 d CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS
I I REOEVELOPMENT GRADING ~ERMIT ISSUED TYPE OCC LOAO FIRE SPA AREA CONST
YO ND vO NO v□ NO Nor Valid Unlt!ss Machin~ ~rtifil!d
QTY. PLUMBING PERMIT -ISSUE 7,sO QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221
I EACH WATER HEATER AND/OR VENT ,,,.:.; -~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 / C), b-rJ
□,.
con1rac the p,, Code;
to an
thereon
contrK" License
Id who contracts for each proJects with a s) license pursuant to lhe Contractor's
,, EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222
0 lam
lorth,s
W).
empt under Sec
son
___ ,B.&P.C
O the y affirm that I have a cert1hca1e ol consent
,sure. or a certificate of Workers· to sel
Compen
!Sec 3800
I
POLIC
COMP
:~,~~•~1a~acen:Ehereot
71'1 ~ -"'.l ~
~.,..,..,,,r;;,.;,,~-~ ~~ /) _p4,, -. □Ce
WO (This
D le
which
person theW
NOTIC
t,cate
theW
Code. prov1s
D I h lend1"9
which
Lende
lende
Kl copy 1s hereby furnished
ITIFICAT~ OF EXEMPTION FROM :ERS· COMPENSATION INSURANCE 100 need no! be completed ,f the permit
• one hundred dOllars {S 100) or less)
'I that in the pertormance of the wont for
pemut 1s issued, I shall not employ any
any manner so as to become sub1ec1 to rs· Compensation Laws of Ca1tforn1a
0 APPLICANT If. after makinJ lt\ts Cert,,
.xemphon, you should become subJect l"J
rs· Compensal!on prov1s1ons ol lhe ubor
u must forthwith comply with such
or this permit shall be deemed revoked
by aftum tnat there ,s a conslructton
1ency tor the perf0tmance ol the work '°' , perm,1 1s ,ssued (Sec Xl:J7 C1v,1 Code)
I~~-
,ddress
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 ...
! EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOT.C.L MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING '.I/) . th!. l FIRE SPRINKLERS 01-000-4227
PUBLIC FACILITIES FEE 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /0, b-0
I HAVE CAREFULLY EXAMINED THE COMPlETEO "APPLICATION AND PERMIT'" AND DO HERESY £,tpirdon.&.y ........ .,, ........ Ol8clal_.., .. plVllilialiao(lllia * AN mttA l'EIIMIT. AEOlMED FOIi OICAVATIONS OVEfl CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Codtlllall ... .,, ...... _,lleoll.-lllill_,lllllid.H811t:,:.::Zor.wml ·S-O" DEB' ANO OBl0UTl0N OIi OQNSTIIUCTlON Of aulllorized.,, luch.~ ........... ..-Cldwllllln ,.,_.._.. olaucti DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS paallll,orlf._ orWltl........,11Jwcll....-1a or STIIUCnNSCNSl 39tOREI II HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· .. -.... ....... , ............. ,,, ... _
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO ---• ·--OWNER□ OVEO BY.t;;f ~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND --~ ,;z;iTURE • CONTIIACr'
.. -
I ?,_fJ-J3 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ·_.;1
GRANTING OF THIS PERMIT. • " 8YPHONE 0
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, INSPECTION TYPE I DATE -· .. -INSPECTOR .. ·-· --~
' BUILDING I
I
FOUNDATION
REINFORCED STEEL I I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME " I
I SHEATHING I
FRAME !
EXTERIOR LATH lNSULATION I
I
INTERIOR LATH & DRYWALL I i
PLUMBING I --' SEWER AND BL/CO I
PLUMBING UNDERGROUND I I
PLUMBING TOP OUT I
TUB AND $HOWER PAN ' I
GAS TEST I
ELECTRICAL I
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING ~
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS C ..
VENTILATING SYSTEMS ... ..
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
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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INSPECTOR'S NOTES
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