HomeMy WebLinkAbout2613 VIA MASADA; ; 84-582-408; PermitC/1 z 0 .:: C a: C ...I u ... C
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and eff&et.
L,c No ______ Class
I hereby affirm that I am exempt lrom the Contrac
tor's Ltcense Law tor the toHowmg reason (Sec 7031 5 Business and Professions Code Any city or county whteh re-quires a permu to construct. alter, improve. demolish. or repair any structure, pnor to ,ts issuance also requires !heap-
plieant lor such permit 10 flie a sI~ned statemen! that he is llCensed pursuanl 10 the provIst00s ol lhe t;onuac;tor s License Law {Chapter 9 commencing w1tti SectJOn 7000 of
Olv1sIon 3 of ll'le Business and Profess10ns Code) or Iha! Is ex-empt lheretrom and !he basis tor the alleged exemption Any
violation ol 5echon 7031.5 t>v an applicant tor a permit sub• IecIs !he applicant 10 a c1VJJ penally ot noI more than live hun·
Ored 001\ars ($500)
rJ I, as owner ot the property. or my emp!oyees w11h wages
as !heir SOie compensation. will do the work, and rhe struc·
lure is not intended or offered for sa:Je (Sec 704d Business and Protesst00s Code The eoniractor' s License Law does
not apply to an owner ol property who builds °' improves
thereon and who does such work himsell or through t11s own employees. provided that such improvements are not mlend·
ed or ottered for sale. If. however lhe bu,ldmg or improve-ment Is sokl within one year ol complehon. the owner·burlder
will have the burden of prOV1ng that he did n.ot build or im· prove !or the purpose ol sale)
C' I. as owner of the property. am exclusively conIrac1ing Wlth licensed contractDfS to construct the pr01ect (Sec 7044,
Business and Professions Code· The Contractor's L1tense Law does not apply to an owner of pr0perty who builds or 1m· pf0ves thereon, and who contracts lor each proiecIs with a
contractorts) hcense pursuant to the Conuacto(s License Law)
D As a homeowner I am Improvmg my home. and the lo/low
ing conditions exist: 1. The work ,s being pertormed prior to sale
2 I have lived in my home lor twelve monlhs prior to compleI1on or this work
3 I have not claimed lh1s exemp11on dunng lhe last three years
g :h~~r':ae;d:1 under Sec _____ _ B&PC
D I hereby affirm that I r,a.,e a cen1t1cate ol consent
to self-msure. or a cer11t1cate ol Workers
Compensation Insurance. or a cen+heel copy Thereof
(Sec 3000 ubor CodeJ
POLICY NO
COMPANY
O Copy IS hied w•lh the Ctly
D Cert1t1ed copy Is hereby furnished
CERTIFICA H OF EX~MPTION FROM WORKERS COMPENSATION INSURANCE
(This secuon need not De completed ,1 lhe permit
1s tor one hundred CIOHars CS 1001 or IessI
0 I cer11ly that In lf'le performance of lhe wot')( tor
which this perm11 Is issued, I shall not employ any
person ,n .iny manner so as 10 become subIecI 10 lhe Wor\.ers Compensation Laws ol Cahlorn•a
NOTICE TO APPLICANT It. after makmJ 1h15 Cen,
hcate of Exemp11on. you shouI0 oecome sub1ec1 I?
the woni.ers • Compensa1,on pro..,,s,ons of lhe LabOr
Code. you must forth ..... 1th comply w11h such prov,s,ons or lh1s permit shall be deemed re-v-011.eo
0 I hereby alhrm tha1 !here Is a cons1rucl1on
Iend1no aoency tor lhe performance cl lhe wOf1o. 10, which !his permit •s issued 1Sec 3097 C1v1I COde1
Lender 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
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
;QB ADDRESS AV ST. RO
\/ / .::> /'v1 ..:,.:Sci,;) dc,i;)
NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION .. ~:;:~ -26 / .::3 4--2q-8'5 BB~o ~8SS~
CONTRACTOR IL T AssEsi't;~~t~10 oo 1=;,,-,d Co .
I OWNE R'S PHONE 'i];; "/:fc· 9 ), /..::in d Co _4.34-4-5 9 4-'(f_;;;~/;;;,;~ CIJ ., .. .,. .. .... ·--_
CONTRACTORS PHONE• ZONE
434459 ~
LICENSE NO. PLAN 1.0. #
i~7s1UNG ADDRESS ;;,G;;~rvne,,fcJ Jil:::s~
.34-.:i4--07
l.l\.,t:N~t:. 11 I "' ANUAt<U ~LAN # BUILDING SO FOOTAGE
(2/79 B /4-9C:,
DESIGNER'S ADDRESS ....:Z~J.il.1.£1°'-BS.J.~c........J.~~~~-~l/\11 E:r,c; ni-f ..:J.:S c:!.;::J OESIGNE R"S PHONE
9~~f>.:J.. h /cHUCL.:i1.1..i1 C,li.,Ue
F,P FLR ELEV.
v□ NO /7.Q!i_
NO
STORIES
OCC GP EDU
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CENSUS TRACT l GP LANO use l p#oACE RES /NITS GRADING PERMIT ISSUED
'D ND l REOEVELOPMENT AREA
vO NV
e,,,2 R.:3
TYPE OCC LOAD FIRE SPP v~ I I v□ N}(, I\ Not Valid Unft!Sr M•chtne Certified
QTY. PLUMBING PERMIT· ISSUE
II EACH FIXTURE TRAP
,--z ,!!:-~ QTY., MECHANICAL PERMIT. ISSUE I 5-I SUM~Y~cfCOUNT NUMBER
b:?.Sd / j INSTALL FURN. DUCTS iJP TO 100,000 BTU j 4-,~ I BUILDING PEWIT . &-'"' ~ 01-00·00·8220 f ~q4..n_
I EACH BUILDING SEWER __ _ _ _ _ OVER 100.000 BTU SIGN PERMIT 01-00-00·8221
I EACH WATER HEATER ANO,OR VENT 1
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 c.<.;;J I--
I
'QTY.
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
BOILER/COMPRESSOR3-15HP TOTALPLU 'BING -01·00·00·82221 ~-~
METAL FIREPLACE ELECTRICA {h 01·00-00·8223 ....._,40
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
VENT FAN-SINGLE DUCT -MECHANICAL -• r 01-00-00-8224 -_____ _:__+--~.:.....:_ __ ..:__....::....::..:_....:....: ________ +--.ll:2...=._+--=-=--..c..c.:.....:.c..c.._ _____ ..::...c.....::..::...=-=-'--t----~,_~_---1
MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00·8225
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
--TOT AL PLUMBING
ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWl BKR /OOA
1 PH 3 PH
EXIST BLOG EA AMPISWT BKR
1 PH 3 PH
REMODEL ALTtR PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELELTRICAL I
4-l'n SD
:r--~::, _;.
'-:ib~
RELOCATION OF EA FURNACE1HEATER I II MOBILEHOME PARK INSP
TOH,L MECHANICAL
,13_11-
QTY. I SOLAR • ISSUE
COLLECTORS
STORAGE TAN KS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
SOLAR
STRONG MOTION
FIRE SPRIN~LERS
--0J·00·.Q0:BZ.26 I I
so-92-33-0519 I 4-. . ...E o_
01 ·00·00-8227
PUBLIC FACILITIES FEE 32·00·00-893:J
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad LTJe i/" 80-92-21-0519
Encinitas 80·92-22·0519
San Diegu1I0 80-92· 23·0519
San Marcos 80·92-24-0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519 / (E 8 8 Q -L~-371-8Bo-
CREDIT DEPOSIT
TOTAL FEES PAYABLE ] ~906.'3o
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPL!CA TION AND PERMIT' ANO 00 HEREBY Exporallon Every perm,t ossued by the Bu,ldong Ofhc1al under the p,ov,s,onsol th,s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l,m,tat,on and b&eome null and vo,d II the building o, work * IT IS REQUIRED FOR EXCAVATIONS OVER
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DECLARATIONS ARE TRLIE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT tS aulho"zed by such permit OS not commenced wothin 180 days lrom the date ol such OEMOUTION Ofl CONSTRUCTION OF
ISSUED TO COMPLY WITH ALL_CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~rm::o or ii the buoldin~ or work aulhorozed by such permit IS suspended or OVER 3 STOfltES IN HEIGHT 2!
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND an ned at an tome a er the work is commenced for a nod ol 180 da s :C
KEEP HARMLESS THE CITY OF CARLSBAD .a.GAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE If. OWNER O CONTRACTOR S:
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE \ ~~
GRANTING OF THIS PERMIT ~~~~~ ~"!-------BY PHONE 0
I ~ I
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEiAR
FRAME I
EXTERIOR LATH I
INSULATION I
f
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □I PUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WAirER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □ l'.JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPl"'(G
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
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 )j)
~~ This is to certify that insulation has been installed in confonnance with the ~~~
current energy regulation, California Administrative Code, Title 25, State of iJ~
California, in the building located at: :~'i .~ SITE ADDRESS --~Q.=lo=-=-\'o-=-_~V~i~a::..,__,::,,M=a=s=a=d=a~,--=-C~a=r=l=s~b~a=d~,-'-C~A _________ _
6¼" CEILINGS Owens/Coming
Certain Teed
Type Fiberglass Manufacturer Manville Batts:
6 II
Thickness 61 " R-Value ~z __ 19
Blown: Type Manufacturer Thickness R-Value ------------~-----3 II
3 "
Thickness 4 ''
EXTERIOR WALLS Owens/Corning
Certain Teed
Type Fibergl ass Manufacturer Manville R-Value
FLOORS Type Manufacturer Thickness R-Val ---------------
General Contractor License# ----------------
By Title -------------------
Schmid Insulation Contract License# 221517 C-2
11
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By{.J:o~ b. 'isCVr-.A..u Title Vice President Date ---------~·:
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