HomeMy WebLinkAbout2615 VIA MASADA; ; 84-582-407; Permit.,,
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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 al1irm lhal I am eJCempI lrom lhe Contrac-lo<'s License La'# lo, lhe loltowmg reason (Sec 7031.5 Business and Professt0ns Code Any city or counry wt11ct re·
quires a perm,t to construcl. aller, improve. demohsh, or repair any struclure. pnor to 11s issuance also reqwres !heap·
P'Ican1 Jor such perm11 to Me a signed statement thal he Is
llcenSed pursoanl to !he provtsMXls ol the Contrac1or s
license Law (Chapter 9 commencing with Sec11on 7000 01 01v1sion 3 of the Business and Professions Code) or that Is ex-empt therefrom and the basis for the al!egea exemption Any
v1olal1on of Section 7031.5 by an apphcanl tor a permI1 sub· Iects lhe apphcani to a c,vll penalty of not more than hve hun·
dred dollars ($500)
r I, as owner ol rhe 1Jroperty or my employees wI1h wages
as their sole compensation. will do lhe work and 1he slruc-
lure as nol Intended or ollered for sa~ (Sec 7044 Business
an<1 Professions Code The Con1rac1or's l,cense Law does
not appty 10 an owner of property who builds or improves
thereon and who does such WOfk himself or uuough his own
employees. provided lhal such improvements are not intend· ed or o1fered lor sale II. however, the building or improve-
ment 1s sold w11hm one year of complehon. theowner·butlder
w11! have the burden of proving that he did nol build or Im-
prove tor the purpose ol sale)
D I, as owner of the property, am exclus1vefy conltactmg
with l1c-ensed contractors to construc1 the proiect (Sec. 7044. Business and Pro!essions Code: The Contractor's License
Uw does not apply to an owner of property who bu1kjs or im-
proves thereon, and who contracts tor each prOjects with a
coolraclor(s) license pursuant to !he ContractOf's license Law).
D As a homeowner I am ImprovIng my home. and the follow· mg condIhons exist
1. fhe work is being performed prlO! 10 sale
2. I have lived in my home for twelve months pnor to complet!On of lhis work
3 I have nol claimed lh1s exemp11on Ounng the last three years
D I am exempt under Se< ______ . B & P C
tor this reason
0 I hereby att,rm ttla1 I ha-1e a cen11tcate ot consen1
10 sell insure, or a cert1f1ca1e of Workers
Compensation Insurance, or a cenrhed copy !hereof
(Sec 3800, LobOr C0<1e1
POLICY NO
COMPANY
□ Copy IS hied Wl1h the city
0 Cert1!1ed copy 1s nereby furnished
CERTIFICATl OF EXEMPTION rROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 11 the perrn1t ,s tor one hundred OOllars fS 1001 Of less)
0 I ceri,ty tha1 ,n the pertormance ot lhe wo~ to,
which ttus permit ,s ,ssued. I shall not employ any
person in any manner so as 10 become suo1ec1 to !he Workers Compensa11on Laws or Ca11lorn1a
NOTICE TO APPLICANT It. atler makrn1 this Ceni
r.cate ol Exemption y04.I shou'd beeome sut>1ec1 I".>
The Wor\.ers· Compensahon prov1s1ons ol lhe Labor
Code you musl lorth¥1-1th comply w11t1 svcn
prov1s1ons or lh1s perm,1 shall De deemed revokeO
0 I hereby allum lhat there 1s a construction
1end,ng agency tor !he performance ot !he won-. 10,
which 10,s perm,1 ,s ,ssuect tSec 3097 c,..,,1 Code1
Lenders Name ___________ _
Lender·:, Address __________ _
I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. I 4/4;;8;N1 BUSINESS LICENSE : VALUATION PERMIT NUMBER/
..:J~IS V; _, /VI-:, .:S..:J d...:, 8850 79~4-0 (1-V 4-tJ1i BLQCK, ls7+12.5 I ASSEf SOR PARCE¥!0. LJ CONTRACTOR CONTRACTORS PHONE• ZONE (ir,,l ,\{O 1 tJ,?L-' l \9,0 7r, e J-lt'q/, k;,/) cl C!.o. 4a4-4S9~ OWNER"S NAME ~34459°4-"Tn~ #/q), /.:lnc/ <!.a. CONTRACTOR'S ADORESS LICENSE NO. PLAN 1.0 . # !!LOG USE CODE
(?-:,,-1.s ~~ CA .S~407 OWNER'S MAIL NG ADDRESS
/0/S C! h~sh,uf Ave: 83 <J.::;rl.:st.>..:1cJ DESIGNER LICENSE " STANDARD PLAN# BUILDING SO. FOOTAGE
G-,v ✓-ronmen 1'..l I lJe:s,' q,, C117CJ8 /7~o DES_7cCA·PTI0N OF WORK P 1-.Jn &, n L:1 /"J I/ • l"'l/J.,/rt An.1. 1...r.-OESIGNER"S AODRESS DESIGNER'S PHONE t~ Er,c i ~ i -f .:,.s, C!A 94,..::26-'.2~
~ F/P FLA ELEV. NO OCC GP EDU u/cii:i /L:;~::,c: 4 Ii..../ ~ • 1
vO NO /70.9 STORIES ~ /2-3 I
CENSUS TRACT l GP LAND USE rz s;cE I RES j'TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA I AREA v J0 I y D ND vO ~ vQ N)if Not Valid Unless M~chine Certdied
I 7!!!-3-SUMMARY) QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE ~CCj \rT NUMBER
JI EACH FIXTURE TRAP -J7 .51' / INSTALL FURN DUCTS uP TO 100.000 BTU ..d. -BUILDING PERMIT } 01 P'x!Oo-8220 ~..,.7,~-I EACH BUILDING SEWER /,,..., </". OVER 100,000 BTU SIGN PERMIT i" 1)\_00-00-8221 J EACH WATER HEATER AND•OR VENT e-.:i :<,r, BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~ \I ~-00-00·8806 ol4.:).~ I EACH GAS SYSTEM I TO 4 OUTLETS I c:2_.5_r:: BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING ~I \11 ·00·00·8222 A./-5n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL \'\ ... l Y ~1 -00-00-8223 \,._<y.Q-
EACH INST Al . ALTER, REPAIR WATER PIPE _-3 VENT FAN SINGLE DUCT &:J-MECHANICAL ~ I 01 ·00·00·8224 /.~--· -EACH VACUUM BREAKER MECHE XHAUST H0001DUCTS MOBILEHOME " 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR IJJ.cOO:JlO·R??fi TOTtil MECHANICAL STRONG MOTION 80·92·33·0519 ....::::> • .;::) / I ~~Sr /~~ 1---.• TOIAL PLUMBING FIRE SPRINKLERS 01-00·00·8227
s--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·B9ll QTY. ELECTRICAL PERMIT • ISSUE
BRIDGE FEE
NEW CONST EA AMP SWl BK R .1nnA _::;.<:'-COLLECTORS SCHOOL FEE • DISTRICT
Carlsbad I/ L--rJ'.< -l PH 3 PH STORAGE TANKS 80·92·21-0519
EXIST BLDG EA AMP/SWT BKR ROCK STORAGE Encinitas 80-92·22·0519
I PH 3 PH PUMP San D1eguito 80-92· 23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 I.::::, 'l-::5 -TEMP OCCUPANCY (30 OAYSI MFF 80-92-57-0519 /@ BBO -BBo-
CREDIT DEPOSIT
HllAL HELlRICAL I ~o-TOTAL SOLAR TOT AL FEES PAYABLE I '1..i?/8.B.5'~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT' ANO 00 HERESY Expiration Every permit 1ssu&d by the Building Ofhc111 under lhe provisions of lh1s * 4N= ~~ :TIS REOUIRED FOR EXC4V4TIOHS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void If the building or work 5' 0 .. o;~EP 4 DEMOllTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced within 180 days from the da1e of such STRUC OVER 3 STORIES IN HEIGHT permit. or if the bu1ldmff or work authorized by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON abandoned al any ttme a er the work ts commenced tor a oenod of 180 davs ~ STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO p NT . . ·
APPAOVZ1---~)r-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND A PLI~ S SIGNATURE 1f. _... OWNER O CONTRAtTO~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~L~-~--:L-~q:__-Bv PHONE D
GRANTING OF THIS PERMIT __ -~1-o,£. . __ ""
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHliAR
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 D WATER
TUB AND SHOWER PAN I
GAS TEST I
I
□ WATER HEATER □ SOLAR WAirER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE! BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PR ESTRESSED
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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h(1.#~-~i ~•-~~.-~,~-·/,/-'~-~-•~,A~-~~-~ ,y~-4~~~~~ ... y!-~~J~'·y'~· • .:;-.•~·-Yj!,"J)°~ ~ ~ . .-.A,C...:-n.:~.. A .A.1-.L'.<--1-.... ~•-·-J ~•-•~-.._.-... ....._ .. _ .. ~-re--.-----~------"'1~"/l"ci/J1
: INSULATION CERTIFICATION l),:)j
This is to certify that insulation has been installed in confonnance with the
current energy regul ation, California Administrative Code, Title 25, State of
California, in the building l ocated at:
SITE ADDRESS ___ ";;l~lo~\_S~_V~i~a-'--'-M~a~s~a=d=a~,---'-C~a=r=l ~s_b~a~d~,_CA __________ _
Owens/Coming 6¼"
Certain Teed 6 " CE ILINGS
Batts: Type Fiberglass Manufacturer Manville Thickness 6 2" R-Value 19
Blown: Type Manufacturer Thickness R-Value ------------~-----
EXTERIOR WALLS Owens/Corning
CertainTeed
Type Fibergl ass Manufacturer Manville
3 "
3 "
Thiclmess 4" R-Value 11
FLOORS Type _____ Manufacturer _______ Thiclmess ___ R-Value __ _
General Contractor License# ----------------
By Title Date -------------------------------
Schmid Insulation Contractors, Inc. License# 221517 C-2 ----==-==-=-'--=--"'---
Title Vice President Date -----------
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