HomeMy WebLinkAbout2617 VIA MASADA; ; 84-582-406; Permit<h z 0 .:: < CIC < ..,
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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
lull force and effect.
Lie No ------Class
I hereby allmn Iha! I am exernpr from the Conuac-
lor's bcense Law tor lhe tollowmg reason (Sec 7031 5
Business and Professions COde Any city or county which re-
quires a permit to construct, alter. ,mprove. demohsh. 01
repair any structure prior to ,ts issuance also reqwres !heap-
phcanl for such permit to Ille a s19ned s1atemen1 that he 1s
1Icense<1 pursuant to the provIs1ons of the Coniractof's
Ucense Law (Chapler 9 commencing wllh Section 7000 of
01v1s1on 3 of the Business and Profess10ns CodeJ or !hat Is ex-empt therefrom and lhe basis lor the alle9e<1 exemphon Any
vlol.11I00 of Section 7031.5 by an apphcanl for a permit sub· Iects the applicant to a c1v11 penally of not mOl'e than live hun-
dred dollars ($500)
IJ I, as owner of lhe property. Of my employees w11h wages
as their sole compensa110n. will Clo the work. and the struc·
ture 1s not intended or ollered for sale {Sec 7CM4, Busmess
and Professions Cooe The Contractor's license Law does
not appty 10 an owner ol property who builds or improves
thereon and who does such work himself or through his own
employees. provl(led !hat such 1mpr0\lements are not mtend·
eel or oflerec tor sale II. however. the butldmg or Improve,-
ment is soJd w1th1n one year ot complett00. the owner-builder
will have the burden of provmg !hat he did not build or 1m·
prove tor the purpose of sale)
D I. as owner of !he property, am exclus1Vely contrac1ing wtlh licensed contract0<s to conslrucl the prOfecl (Sec 7044
Business and Professions Cooe The Contractor's l icense Law does not apply to an owner of property who builds or Im·
p<oves thereon. and who contracts tor each prOJects wrth a
conlractoc(s) hcense pursuant to !he Contractor's license Law)
D As a homeowner I am improving my home, and the foUow
Ing conditions exist l The work Is being performed poor to sale
2. I have hved m my home for twelve months
3 rr~;v~ =p~~::t t
1
~,•: ::~pl10n during the
last three years
~r :h~: ,:~:t under Sec. ______ , B & p C -------------
D I hereby affirm 1hal I na,..e a cert1l1cate ol consent to self insure, or a cenit,cate ol Wor~ers
Compensalion Insurance. Of a certified cooy thereof
!Sec J800, Laoor Coelei
POLICY NO
COMPANY
D Copy ,s tiled wIlh the city
0 Cet11hed CoPy ,s hereby turn,shed
CEATIFICA Tl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section neea not be completed 1t the perm,1
•S tor one hundred dOllars ($100) or less)
D I cerhly that 1n the performance ot ltle work tor
which this perrmt ,s issued. I shall not employ any
person ,n any manner so as 10 become su01ec1 10
the Wolil:ers Compensation Laws ol Calltorn,a
NOTICE TO APPLICANT If, alter mak.1n1 th,s Cet11
t1cate ot Eiemp1,on. you should beeome sub1ec1 l".J
lf'le w on,;,ers· Compensation prov,sIons ol me Lat>or
Code. you mus1 tonh~1th comply <w11h such
provIs1ons or lh,s permit shall be deemed ,e,...olled
0 I hereby alfum that there •s a cons1ruc11on 1end1fl0 ageocy to, !he p,ertormance ol the woo. to,
wnicn lh•s perm11 is Issueo 1Sec 3097 C,v1t Code1
Lencter s Name ___________ _
Lenders Aooress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS AV ST.AD. NEAREST CROSS ST BUSINESS LICENSE# ""'' "•T•n~
o:ilo 1 7 v,-~ /Vl..:i.:s-:,dc.2 4--c::J 9-~ Ba_ 5o
BLOCt<: suBZ:,l,2 S ASSESSl~-t~\ ~ CS {)i) CONTAACTOAL /)_ A" I ~ I
OWNER'S NAME OWNER'S PHONE / irl /.Jn d c....:.o. r3"-'4594 . -p-, e 1-1 i h k.Jn d Co
43 445 CJ 4-coNTAACToA·s ADDRESS LICENSE No. PLAN 1.0. • B LOG use cooE
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owNeA·s MA, ,Ne ADOREss Cl.c::,rl~h..::,d c!A '34..:i4-o7
/015 Che.s-f/lut<E3 ~rl.:sfud g:,N;;ron~-t..;l ;/)es_,· e,;c:.;s;:/a
OESIGNEA'S ADOAESS DESIGNER'S PHONE
t---""'----L__,__,,___,.__,~-__,_'--£.-__ L...L.-.,~~"rfr-1--Hf---. c ,·r, i-7'-~.:s, CJA --9~ ~,~
STANDARD PLAN# BUILDING 50. FOOTAGE
/09c:2
F/P FLA ELEV.
/?a'l vO NO --'-"" r "' _
NO ~s EDU
STORIES I ,....:)
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT T v P c I nrr
/
AREA
--,--.,_.o YO NO v□ ~-~ --
I 'ff"C. Iv~~ LOAD FIAESPR
v i\/ •□Jt l \ Nol Valid Un/err Machine Cerltfied
~
I 1QTY. PLUMBING PERMIT -ISSUE 7 ~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMAR
I EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU -BUILDING PERMIT 01r o__:_B_220_ _ _,,_;JB 9 -
f EACH BUILDING SEWER OVER 100,000 BTU ~•Mo nrn"'T -~• .:lllll'I' t"tMMII 01~0-s221 T
I EACH WATER HEATER ANO •OR VENT BOILER/COMPRESSOR UP TO 3 HP no"' NoMI/ t"LAN VMtlA\ t-. \\\ O{-QO-b'O-BB06
: EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3 15 HP ".''.:".':.~ ~~'..:'..'.::::: __ _
I
IIJIAI 1-'I LJMHINI, '" "' t' U'\:D\l·00-8222
I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL ol -oo-oo-s223
I EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT ... M .... n .,
I EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS I ,., __ , __ .. _ ,,_
ca-u Mtl,HANll,Al o:-oo-oo•B224 I
MOBILEHOME 00·00-8225
I WATER SOFTNEA RELOCATION Of EA FURNACEtHEATER ···--·--·-.. _
I EACH ROOF DRAIN (:NSIDEI -,uv,n
TOTt;L MECHANICAL
TOTAL PLUMBING J 4-1 ~c
~nt AD 0 1 • 00· 0__0:__8226, --
80-92-33-0519 I ~.6/ /~-I STRONG MOTION --
FIRE SPRINi<LERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE -QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-893'.l
BRIDGE FEE
NEW CONST EA AMP SWT BKR loo l~-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad v L71<. 80-92-21-0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas B0-92-22-0519
1 PH 3 PH PUMP San D1egu1to B0-92-23-0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TE MP PO LE 700 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 /@ 13 Al) -
L 07l~
ABO-
CREDIT DEPOSIT
TOTAL ElEl,TRICAl 1 ~0--TOTAL SOLAR TOTAL FEES PAYABLE b -<9-76.9~
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT" ANO DO HEREBY Exp,rallon Every perm,1 issued bytheBu1ld1ng Oft,c,alundertne prov,sionsoflh1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e>pore by hm1tat1on and become null and vo,d II the bu1ld1ng or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by suet, permit 15 not commenced w,th,n 180days from tile date of such
* OOIRED FOA EXCAVATIONS OVER
ITION 0A CONSTRUCTION Of
EA 3 STORIES IN HEIGHT
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oSSUED TO COMPLY WITH AL~ CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON ~;o;:;:.,n~ '~t':~ ~::;:~':Pt ~;hw~\:~tho"zed by such permit Is suspended or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 8 8 o 5 commenced for a rood of 180 da
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE • OWNER O CONTAACTO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .. ~~~~.., 7'"-~L-Av P><
GRANTING OF THIS PERMIT ...-~~~ ~~ONE 0
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,eeso,~t-}--~/-z-1., » 1-f_E J
TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
i
MASONRY i
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL i
I
PLUMBING ' I
SEWER AND BUCO □!PUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA ve BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FI ELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
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
DATE
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fl~-INSULATION CERTIFICATION ~l,
~ This is to certify that insulation has been installed in confonnance with the '11'
current energy regulation, California Administrative Code, Title 25, State of -~
California, in the building located at: >"' ))..,
-~
Via Masada Carlsbad CA ~-
Owens/Corning 6¼" ]~•.
CertainTeed 6 " ~.
SITE ADDRESS
CEILINGS
lo\
Batts: Type Fibergl ass Manufacturer Manville Thiclmess 6 1 " R-Value 19 n 1
r :....::.:=-=..::..c_::i.==..:::.... ...;;...c..;...c~:.=.=:.=....---2 _=.::..._ i}j'
Blown: Type _____ Manufacturer _______ Thickness ___ R-Value ___ -t
Owens/Coming 3 " f i
CertainTeed 3 11 P,.
Type Fiberglass Manufacturer Manville Thiclmess 4 11 R-Value 11 -~~~.
Type _____ Manufacturer _______ Thickness ___ R-Value ___ 1~'.
EXTERIOR WALLS
FLOORS
General Contractor ________________ License # _________ ' . \
; By _____________ Title _________ Date _________ ; i
._
1
Schmid Insulation Contractors, Inc. License # 221517 C-2
i{J By • ~ b. f<CVr,.A..u Title Vice Pres ident Date !,~-~ -------
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Jb~ .. ~:£...~·l!."'(v-;;,V-"..~.Y~"<if,:£,;,•~ •,'.•":;;,""•:~~z,,"""-.£'~, '-,,.;;1_;~:;~t..._t1~~~--.~-,fu~"9 ,<.~~~~~~~ .. .., ··&\ ~•:~ ·• "~·r;,. ...... .$.>"~~ -~···:": ~ ~ ~~~