HomeMy WebLinkAbout2616 VIA MASADA; MP; 84-582-E; Permit"' z 0 ;::
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O I hereby atllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Professions Code, and my license is in
full force and effect.
Uc No ______ Clm
I hereby affirm Iha! I am exempt lrom the Contrac·
10r's License law fiK the lollowmg reason (Sec. 7031.5 Business and Pro1essions Code Any city or county wh,ch re·
quires a permit to construct. alter. improve. demolish, °" repa1r any structure, pnor to 11s issuance also requ1res !heap-
phcant '°' such permit to hie a s1Qned statement Iha! he Is hcensed pursuanl to the prov1s1ons of lhe ContractOf s License Law (Chapler 9 convnencing w1lh Sechon 7000 of Drv1s1on 3 ol the Business and Prolessions Code) or lhal 1s ex-
empt lheretrom and the ba56s lor !he alleged e-.emplton A.ny vu>lat\On ol Secuon 7031.5 by an apphcanl IOI' a perm11 sub·
1ects !he apphcant to a civil ptnalty ol not more than live hun·
dred dollars ($500)
rJ I. as owner of lhe property, or my employees with wages
as their sole compensation, will do the work. and lhe struc-
ture Is not in1ended or offered for sale (Sec 7044 Business
and Professions Code The Contraclor's license law does
not apply lo an owner ol property who builds or Impl'Oves
thereon and whO does such work himself or lhrough his own employees. provided that such improvements are not intend-
ed or offered tor sale II, ha-Never. the building or improve-ment 1s sold w1th1n one year of completwo, the owner-builder
will have the burden of proving lhal he d1d not build or im-
prove lor the purpose of sale)
D I, as owner of lhe property, am exclusivety contracltng
with licensed contractors 10 construct !he proiec1 (5ec 7044
Business and Pfoless1ons Code: The Contractor· s License
Law does not apply to an owner ol property who builds or 1m·
proves !hereon. and who conlracts tor each protects with a
contraclor(s} license pursuanl to the Contractor's License Law)
D As a homeowner I am ,mprovmg my home, and the follow·
ing condil1ons exist 1 The work Is being performed pnor to sale
2 I have hved m my home lor twelve months pnor to complehon of 1his work
3. I have nol clanned this exemplt0n during lhe last three years
D I am exempt under Sec ______ , 8 & P C
for this reason -------------
□ I hereby affirm lha1 I ha"e a cer11f•ca1e of consent to self-insure. or a cer111,cate of Workers
Compensation Insurance. or a cen,l1ed cooy !hereof
(See 3800. Labor CO<lel
POLICY NO
COMPANY
□ Copy IS hied w11r, lhe city
0 Cert1f1ed cooy 1s hereby turn1shec,
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be compIe1ed 11 !he perm,1
,s tor one hundred OOllars IS H))) or iess)
0 I certify that in lhe performance 01 !he wont. ,o,
wh1cn this perm11 Is issued I shall not employ an,,. person m any manne, so as 10 beeome suDJect 10
rhe Wo~ers Compensation Laws ol Cahlom,a
NOTICE TO APPLICANT If, after makmJ ltus Cen1
ticate of Exemot1on you stmuld oecome sub1ec1 I'>
lhe Wont.ers Compensat,on prov1sIons ol the LabOr
Code. you mus! tonr,._,,,r, comoly w1tfl such
provIs1ons or this perm1I sna11 be cteemed ,e,..oke<J
O t hereby attum Iha! !here 1s a cons1tuc11on iena,ng agency tor the perlo1mance ot !he wo°' ro,
wtucn th•S perm11 ,s ,ssued (Sec 3097 c,,..,1 CooeI
Lenders Name ___________ _
Lenders Aoa,ess __________ _
1 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) 435.5525 ,,
~~D;~ V i -> M~.s-1d_;V.ST.R~?NEARESTCROSSST. 1;;~E2F ;~;SNI BUSINESS LICENSE" VALUATION PERMIT NU;R~
421 BLOCK l~o/4-'".._;,!5 I ASSESSOR PARCEL NO CONTRAC~OR . CONTRACTORS PHONE O ZONE //c I_,, .$1,
OWNER'S NAME l OWNER"S PHONE 7"'A~ ;./,qi, I...Jr>d C' c::>. 4-.:5..;-~594-7>'-r
The. I-/; Qh /~rid Co,rin..:,/1~
143445
'14-coNTRAcToR·s AooREss LICENSE No
7
PLAN 1.0." BLDG usE coDE
owNeR·sMAILINGADDREss 101:S C!h~.sl-nu-1--4vc::::. .34-.:2.,,,_0
101
::5 CAe.:sln1...1f-Ave {l.;:,,-/...$,6.,;/ld DESIGNEFI ;-:z::b, . ucENSE• sTANOAADPLAN# Bu1Lo<NGsa.FooTAGE
DESCRIPTION OF WORK G?v irohm~n-1..:i .s ".,9/') C! /-? 98
Elec+r; c Me:.--ier-~,-....5 or;/>Jt:. /~,-DEstGNER·s ADDREss 0Es1GNrn·s PHONE
--'--, • 1, , Enc;,,,,·-1~ C.'1'9 9~1.t:,.:l'6~ . . -·
-C!.ori-rro l,c=r-~ 9o1r-d /✓..9h-fu-~. F/P FLA ELEV. No occGP Eou w~~i,./bu~uul 31.flf
STORIES
vO NO
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDE VELOPMENT TYPE occ LOAD FIRE SPR AREA CONST
y O N O v O NO v□ NO Not Valid Unless Machine Certifted
QTY. PLUMBING PERMIT -ISSUE '7 !!!-QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 01-00·00·8221 -
EACH WA TEA HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP \ TOTAL PLUMBING 01-0:.:0...::·0:.:0...::·8c:.22::::2=-i. ________ -l
I 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 'OUCTS . \J MOBILEHOME 01·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER \\ I t; \ ~ MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE] \1 If. SOLAR n,.nn.nn.0000
TQT/;L MECHANICAL (\~.I \\' STRONG MOTION _ _ 80·92·33·0519
TOTAL PLUMBING j . , V\ FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE ~ QTY. SOLAR . ISSUE V ,..,. , j\ PUBLIC FACILITIES FEE 32·00·00·B9ll :;>-8 y BRIDGE FEE
NEW CONST EA AMP SWT BKR / OOA z.!$' -COLLECTORS (.I SCHOOL FEE . DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP SWT SKA ROCK STORAGE Enc1mlas 80·92-22·0519
I PH 3 PH PUMP San D1eguito 80-92-23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 700 AMPS
OVER 200 AMPS LICENSE TAX 01·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF 80·92-57-0519
CREDIT DEPOSIT
TOTAL ELEURICAL I -....:3 0 _ TOTAL SOLAR TOTAL FEES PAYABLE I '\..:::10 _
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT"" AND 00 HEREBY Expiration Every permit issued by the Building Olhctal "nder th8 prov15oons ol th" 1' AN "-rT IS REQUIRED FOfl EXCAVATIONS OVER
CERT"FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,ptre by hmitalion 8nd become null "nd vo,o II Ille bu,ld,ng or worl< "oef~p O DEMOLITION OR c ~STRUCTlOl'I OF 1 --_ authorized by such permit 1s not commenced w1th1n 180 days from lhe date of such """ DECLARATIONS ARE TRUE. AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or ,r the building or work authonzed by such permit ,s suspended or STRUC S OVER 3 STORIES IN HEIGHT _J
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~•b!!!a!!!n:!!do!!!n!!ed~l!_;I B!!!n!llY_!tl!!!m!!e..!•!!!fl!!er'._!l!!!he~wo~r!_k_.!!tS~C,!:O!!!m~m:!!e~nc£!&!!!d_!lo~r'._!8!J08,!!!!•n_Q!od!!_2!ol~1!Jl80!!.Qda!J•v~,s-.---:=fl----"-----------~:jjl;_ ___ ...,.
I STRUCTION WHE. THEA SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT· SIGNATURE ,._ 0 C ,'fl'f APPRO>:E B1 r;~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS A~~O ~ ~~OWNER ,ONTRACTOR("", •
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE O ~-.:;,.--.. I & ,--
I GRANTING OF THIS PERMIT 1/ _/, ~CJ ZJ--.i
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TYPE I DATE INSPECTOR
BUILDING
OUNDATION F
R
M
:EINFORCED STEEL
IASONRY
GUNITE OR GROUT
LOOR & CEILING SUB FRAME
' I
I
I
I
I
I
I F
s
F
HEATHING □ ROOF □ SHBAR
I RAME I
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ Wi,>.TER
TUB ANO SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
' ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l)FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOijARY
D BONDING □ POOL I
I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIP1Nt3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTld.N WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE. BEEN APPROVED.
FINAL I
PLUMBING I I
ELECTRICAL I ~\.V
MECHANICAL I ,, j IJ'-'--'
GAS I ,, ·v lC ~
BUILDING I --{ )'
-SPECIAL CONDITIONS I
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\-" '\ it.t -s-.t:> ., 6 ,.--, '\ "
" FIELD INSPECTION RECORD ' ~
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH_ STRfNGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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