HomeMy WebLinkAbout2701 VIA JUANITA; ; 83-305; PermitCl) z 0 ~ a: C .J 0 Ill a
IC
I[
8
a: Ill a ... 5 I Ill z ~
z 0 s z Ill a.. :IE
0 0
Cl) ic Ill "" a: 0 3
t[
0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
l,c No __ __ Class
I hereby amrm that I am exempt from the Contrac-tor's llalnse law tor the following reason (Sec. 7031.5
Busmess and Prolessions Code Any c.ty or county wh,ch r&-quIres a perm,1 lo construct, alter. unprove, demolish, or repair any structure, prior to its Issuance also requires the ap--~~~~~orp~~::~1t l~fi!~~~~ :a1::e~~!c~·'!
l,cense Law (Chapter 9 commencing w,th Sect,on 7000 of
Oovis10n 3 of the Busmess and Professions Code) or that 1s ex-empt therefrom and the basis to< the alleged exemption. Any VlolatlO/I of Sectton 7031 .5 by an appl,cant fo, a perm,t sub-jects the apphcanl to a ciV1J penalty of not mo,e than fr,e hun-
dred dollars ($500)
D I, as owner of the property. or my employees with wages
as their sole compensation, wltl do Ille WO<k, and the s1ruc-
ture Is not intended o, offered for sale (Sec 70«, Business and Professions Code· The Contractor·, Ucense law does
not apply to an ow of pr y who builds or lmprows thereon and who doe I'! wOf hi self hrough his own
employees, provided such i pr ts are not Intend-
ed o, ottered tor safe .. l<IJ...l)<l"'"''fll I 1lctlng 0< lmprow-:,"~1sv!~~"~=•-..• ,., .'. ....... ...,. .. ;t .:eo':f~~ ow:1db;1~:.
prove for the p
□ I, as own lhelpropdfty, am excluslvely contracting
with licensed contrzctors to construct the prOject (Sec. 7044, Business and Professions Code: ·The Contractor's License
law does not apply to an owner of property who builds or im-proves lllerOllO, and who contracts to, each projects w~h a contractOf(s) license pursuant to the ContractOl''s License Law).
D As a homeowner I am improving my home, and the follow-
ing cond1t10ns exist: 1 The wo,k Is being performed prior to sale. 2. I have lived In my home tor twelve mcnths
3. rr~.'.° ':'P~~:.iot t~it ';.~ption during the last three years.
D lamexemptunderSec. ______ , B&P.C.
for this reason ____________ _
D I hereby affirm that I ha.-e a cer1thcate of consent
to self-insure, or a cer11f1cate of Wo~e,s'
Compensation Insurance. Of a cen,hed copy !hereof
(Se<: 3800. LabOt Code)
POLICY NO
COMPANY
□ Copy IS filed with the city
□ Certified CoPY 15 hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Ttus section need not be completed 1I lhe permit
Is tor one hundred OOllars {S 100) or less~
O f cer11ty that In the. performance of the wor1i. fOf
wti,ch this penmt ,s issued. I shall not employ any
person in any manner so as to beeome sub1ect to the Workers· Compensation Laws ol Cahforma
NOTICE TO APPLICANT II. atter mal11n, th,s Ce<t•
ticate ot Exemption, you should become sub)ect ,., the Workers· Compensation prov,s,ons ot the Labor
Code. you must forthwith comply with such
prov1s1ons Of lh1s permit shall be deemed revoke<l
0 I hereby atllrm th.ii !here Is a constructton
tending aoency tor the performance ol 1he wo,,,._ ror wtuch lh1s perm,1 ,s ,ssued 1Sec YJ97. C1v11 Codel
Lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S 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 ADORES$ U11 (:,;, II' I .---le.I t'IO h J AV. ST.~ATIE OF APPLICA,:rlO~N BUSINESS LICENSE# VALUATION PERMIT NUMBER
.!2..?o/ J,1AA.l,_,-A-AO. ~-3oi5--J., ,~i,p -
~;#Jo".lD 'i{/~;1-I ~~NE:r;;;,---
CONTRACTOR CONTRACTORS PHONE • ZONE
,,,... / -~/Ll20;;~~ er L~~]}
CONTAACTOA"S ADD~ / ~ LICENSE NO. PLAN 1.0. # BLOG USE CODE
LOT I BLOCK I SUBOIV SION I AssEsso1 tAFJ.JE1:f:~o cJ-lf O u DESIGNER I, LICENSE rt STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK ?..EJ ~~ L~,---,: /,c,//t--DESIGNER'S ADDRESS DESIGNER'S PHONE
?~ ~1,u-€----. F/P FLA ELEV. NO OCCGP EDU
STORIES
vO NO --ol f 6l83513S·4 . 10~0
CENSUS TRACT I GP LANO USE I PARKING SPACE AES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA c::;.-1-6·;·34 6i i i:=, I!'~ •
It13~01" AREA CONST
YO N 0 vO NO vO NO Not Valid Unlt!ss Machine C«rtifi«J
QTY. PLUMBING PERMIT -ISSUE 7.5 0 QTY. MECHANICAL PERMIT -ISSUE .J,oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTA LL F'\I_RN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-B220
EACH BUILDING SEWER '\. OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO/OR V ENT BOILER/COMPR~OR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM l TO 4 OUTLETS ~,G BOILER/COMPRESS~-15 HP TOTAL PLUMBING 01-00-00-8222 /cJ ~(JV
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE " ELECTRICAL 01-00-00-8223
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT ' MECHANICAL 01·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -H00 0/OUCTS ............. M0BILEH0ME 01 ·00-00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER ............. M0BILEH0M E PARK INSP
EACH ROOF DRAIN (INSIDE) ............. SOLAR 01-on-on-R2,1,
-I-~\ I f'1rJ
TOT!;.L MECHANICAL ~ STRONG MOTION 80-92-33-0519 . I TOTAL PLUMBING • FIRE SPRINKLERS 01 ·00-00-8227
I PUBLIC FACILITIES FEE 32-00-00-8923
QTY.\. ELECTRICAL PERMIT -ISSUE S,oo QTY. SOLAR -ISSUE ' BRIDGE FEE
~ CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
!PH"-3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EX 1ST B Lcl's..tA AMP/SWT /BK R ROCK STORAGE Encinitas 80-92-22-0519
l PH "-3 PH PUMP San Dieguito 80-92-23-0519
REMODEL/ALTER ~ CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS "-.
OVER 200 AMPS -"-;I~, -
TEMP OCCUPANCY (30 DAYS) "-"---T~ TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /0 ,0 d
I HAVE CAREFULLY EXAMINED THE COMPLETED ·•APPLICATION ANO PERMIT" ANO 00 HEREBY , Expiration. Every permit issued by the BurtdingOlflClal underthe prov151ons ofthtS * AN 06HA PERMIT IS REQUIRED FOR EXCAVA TlONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 9t,111 exp.re by limitalton and become null and vo,d )I the building or work 5' 0"' DEEP ANO OEMOl.fTION OR CONSTRUCTION Of DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aultiorrzed by sucb..l>atmit 15 not commenced wrthtn t80days from the date of such STRUC1\JR£~A ,.3 STORIES IN HEIGHT . pe:~mIt.0 e -~u1 IZff or work aut~d by such permit 1s suspended or ISSUED. TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· ab ned at anv ea ler thew-15 com-r-tor 1 """"" ol 180 da•s
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPROVED BY -cu . DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO ~UCC~Nr GNATURE If-jf t/2~WN~ONTRACTOR 0
I {-1(-03 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE □
GRANTING OF THIS PERMIT ...-BY PHONE . V 7 ... -
~ ii:
>,
:0 0 a. E (!!.
I
"O
0 (!)
c "' .2 C. a. ~
~I·
?t a:
0 rn rn Q) rn rn ~
I
'i: _Q a; >-
rn rn (I)
(.) 0 a:
"' .;;
0
~
Q) (.)
C "' C u::
::::.
C
(I) ~
(!)
0 0 Q) a. rn C
~
.c ~
INSPECTION TYPE DATE INSPECTOR -
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT I
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL .-r
TEMPORARY POWER I
ELECTRIC UNDERGROUND '
ROUGH ELECTRIC .
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS -
VENTILATING SYSTEMS . ~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL I
..: \.
PLUMBING lfntL1,.w (~
ELECTRICAL " MECHANICAL
GAS t ,,,
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-
' -,,
~ ¥-3--3~ -,• ~ ---
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES -
INSPECTION REO IF INSPECTOR'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
,
~
:
C
~
, .
.. -!,.,., l'C ·; ,, '·~·' -,,. .
~\IE'.\8:i~-:;:, 1 ·'t
--. -~--
-' ~
'
: ' -
'-
\'.\ ' .,
. '. \ ... \.. f
' . ;
~