HomeMy WebLinkAbout2614 VIA MASADA; ; 84-582-421; Permitu, z 0 ~ < a: < .....,
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O 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.
Lie No ______ Class
I hereby a1hrm thal I am exempt from ll'le Contrac-lof's Lteense Law tor the following reason {Sec 7031 5
Business and Professions Code Any c11y or county which re-quires a permit 10 construe!. alter. improve. demol1sn, or
repa,r any structure. prtOf to as issuance also reqwres !heap-plicant tor such perm11 10 lf;e a signed statement that he 1s
hcensed pursuant to lhe p<O"W1s)()Os of lhe Comrac10( s License Law (Chapter 9 commencing w11h Section 7000 of
Dlv1st0n 3 of rhe Busmess and Protesst0ns Code) oc Iha! lS ex· empt therefrom and !he basis !or the al!ege<1 exemption Any
v,olation or Secllon 7031.5 bv an apphcanl for a perm11 sub-
Jects the appllcant 10 a cMI penally at nol more than live hun-dred dollars 1$500)
1 I, as owner of the property, Of my employees with wages
as their soie compensation. Will do the work. and lhe struc♦
lure 1s not intended or o!Jered for sate (Sec 7044 . Business and Protess1ons Code· lhe Contrac!Of's L1tense law does
not apply 10 an owner of property who builds or unprO\/es
!hereon and who does such work himself or through h,s own employees. provided lhal such improvements are no1 intend-
ed or offered tor sale U. however. !he bulldmg or improve-ment 1s SOid w11h1n one year ol complehon, the owner-btutder
will have the burden of proving !hat he did not build or im-
prove for the purpose ol sale)
D I, as owner of the property, am exclus,vety contracting with l,censed contractors to construct the proiect (Sec 7044, Business and Profess,ons COde The Contractor's license Law does no! apply lo an owner of property who builds or 1m-pr0\les !hereon. and who COfltracts for each pr01ec1s with a
contractor{s) hcense pursuant to the Contractor's license Law).
D As a homeowner I am ,mprovmg my home, and 1he tollow
ing cond1t1ons exist 1 The work 1s bemg per1ormed pnor 10 sate
2. I have lived in my home tor twelve monlhs prior to completion of lhis work
I have not claimed lhis exemp110n during !he last three years
~r :h~:r:e:t under Sec. _____ _ B&PC
D I hereby affirm 1ha1 I ha,..e a certificate ol consen1
10 self ,nsure, or a cert,ttcate 01 Workers
Compensal!on Insurance. or a cer1,t,eo copy thereot
!Sec 3800 ubor COdel
POUCY NO
COMPANY
□ Copy IS hied Wllh the Cl!)'
D Cen,hed copy 1s hereby furn,shed
CEATIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Tt-us section need not t>e completed 1t the oerm11 ,s to, one hund,ed OOllars ($100) or less)
0 I certify that 1n the per1o,mance ot !he woo. !or
which this perm\l 1s ,ssued. I shall no1 employ any
person in any manner so as to become sub1ec1 to
lhe Workers Compensation Laws ol Cahlornia
NOTICE TO APPLICANT II alter malunJ ttus Cen•
flca1e ol E1emp11on you should t>ecome sut>1ec1 I'> the Workers' Compensation pro,.,1s1ons ol u,e Labor
Cooe you mus! lorth~tth comply w11h such
p,ov,s,ons or this permit shall be deemeo re"oke<J
0 I hereby atf11m Iha! ttlere 1s a consuuchon
lending agency tor the performance 01 me wor11. to,
which 1t11s perm11 ,s issued 1Sec Y:F.J7 C,v,1 Code•
lenders Name ___________ _
Lenders Address __________ _
1 USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
,!J_(;, /4 CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB AODAESS V/~ /'1.:J~-:icdc:.;RD.
NEAREST CROSS ST.
,4~~9L~Cesl
BUSINESS LICENSE # VALUATION PERMIT NUMBERtP
-cie-5-1-4-8850 ...5JSB4-:42 JI BLOCI( 1$,/UB4-0IV'SI0N I ASSESSOR PARCEL NO CONTRACTOR CONHlACTORS PHONE • ZONE j~fb'V' -..:J _.:;-l<li 4 ,~ ~~<!>D 7?,e 1-/;Dh/..::,nc./ C!o. 4~4-4594 OWNERS NAME I OWNER'S PHONE
1Ae /-//al, L"ln .d <2o CONTRACTOR"S ADDRESS LICENSE NO PLAN 1.0. # •~LOG USE COOE
(t..:>, I .:s b...:J~ CA ~ 4--24-07 OWNER"S MAIL NG-;iroQAESS
I Ol< c' .J-,~.s-fru f+<.R_.q (?Qr-/.:s~d DESIGNER LICENSE u STAN OARD PLAN# BUILDING SO. FOOTAGE
G-, v, ,-onn, ~t.,;;, I l)s:s; ~,., C1198 109~ DESCRIPTION OF WOA.J-.1< p c::20A I / ~~., J -;, ~~ .r~~t!!! 1/-::,.,, OESIGNEA"S ADORES$ OESIGNE A"S PHONE
I ~in i-f-~ <!.A t.J.A 'J £.:)0;}, '
~-·-~5 F/P FLA ELEV. NO OCC GP EDU Lt c..:4 /[l.,~t:.., I 4-lLt '11 • ~),
STORIES l<.:3 vO NO /70. 'f o.< I -
CENSUS TAACl I GP LANO use
1
P44S0CE I AES;NITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAESPR
AREA ;"!J{ CONST
y D ND vQ N VN vO Nb{ Nor Valid Unless Machine Cutd1ed
QTY. PLUMBING PERMIT -ISSUE 7~-QTY. MECHANICAL PERMIT -ISSUE l.5-SUMMARY/ACCOUNT NUMBER
C-f EACH FIXTURE TRAP :..:.J~ Sr / INSTALL FURN. DUCTS i.JP TO 100.000 BTU 4. BUILDING PERMIT 01-00-00·8220 ~P.5'-
I EACH BUILDING SEWER hSn OVER 100.000 BTU SIGN PERMIT 01-00-00·8221
I --_LB~ 135 EACH WATER HEATER AND DR VENT ...:2~0 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
I EACH GAS SYSTEM 1 TO 4 OUT LETS f---1""° -~f'j 8DILER/C0MPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00·8222 4...1 _<;r,
EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 .....3o-
EACH INSTAl . ALTER. REPAIR WATER PIPE ----1,.!i/ VENT FAN SINGLE DUCT ?, -MECHANICAL 01 ·00·00·8224 /c::a -
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-QO-R??~
TOT M MECHANICAL STRONG MOTION 80-92·33·0519 t-.~J:J_ /~.---TOTAL PLUMBING I +J -51 FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT· ISSUE
,_ ~--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SW! BKR /OD c:2~--COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad V L-77':z 80·92-21-0519
EXIST BLDG EA AMP:SWT 8KR ROCK STORAGE Enc1nilas 80·92-22-0519
1 PH 3 PH . PUMP San Olegu1I0 80·92-23-0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 L n.... ~ .P -
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 / (41_ ~Bo-fs~() -
I CREDIT DEPOSIT
lOTAL ELELTRICAL ! TOTAL SOLAR l '30--:--TOTAL FEES PA YABLE o74-7 ~ . 9 (., I
I HAVE CAREFULLY EXAMINED THE COMPLETED · APPUCATION ANO PERMIT ANO DO HEREBY Expiration Every permit issued by the Bu1ldm9 Ofhc1al under the prov1s,ons of this * AM OSHA ~~•-TI e,ou1REO FOR EXCAVATIONS OVEP CERTIFY UNDER PENAL,:Y OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tatton and become null and void If the building or work s· o·· DEEP ANO ITION OR CONSTPUCTION OF authonzed by such permit ,s not commenced w1lh1n 180 days from the date ot such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or it the bulfdinft or work authonl:ed by such permit 1s suspended or STRUCTURES O R 3 STORIES IN HEIGHT .J ISSUEO TO. COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned II anv time a te, the work 1s commenced for a period of 180 davs STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE lf. OWNER□ APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
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.c ~ CONTAACTO~ ~~ 1i~J-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~:~~~~-; BY PHONE 0 +-GRANTING OF THIS PERMIT
c., ✓
TYPE j DATE INSPECTOR
BUILDING I
FOUNDATION .
I
REINFORCED STEEL I
' MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I .
i
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE □ W1'TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
i
ELECTRICAL I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC l
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., □ REF. PIPING -
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAYS_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
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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' INSULATION CERTIFICATION ;
This is to certify that insulation has been installed in confonnance with the
current energy regulation, Ca lifornia Admini strative Code , Title 25, State of
California, in the building located at:
SITE ADDRESS 'd.5\4 Via Masada 1 Carlsbad , CA
CEILINGS Owens/Corning 6¼"
Certain Teed 6 "
Batts: Type Fiberglass Manufacturer Manville Thiclmess 6111 2 R-Value
Blown: Type Manufacturer Thiclmess R-Value
EXTERIOR WALLS Owens/Corning 3 "
Certain Teed 3 "
Type Fiberglass Manufacturer Manville Thiclmess 4 " R-Value
FLOORS Type Manufacturer Thiclmess R-Value
General Contractor License#
19
11
By Title Dat e --------------------------------
Schmid Insulation Contractors , Inc.
By{J:o~ b. B~ ~
Title
License# 221517 C-2 ---=-=:c.=..:c--=c.......=:..--
Vice President Date ---------