HomeMy WebLinkAbout2608 VIA MASADA; ; 84-582-418; Permitell z 0 .:: C a:: C ..,
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O I hereby affirm that I am licensed under
provision■ of Chapter 9 (commencing with
Section 7000) of Division 3 ot the Business
and Profeaalons Code, and my license is in
full force and effect.
lie No ______ Class
I hereby affirm thal I am exempl from the Conlrac·
!or's license Law for !he lonowmg reason (Sec 7031 5 Business an<! Professions Code Any city or county which re-
quires a perm11 10 conslrucl, atter improve. demohsh, or repair any structure, prior to 11s issuance also requires lhe ap·
phcant lor such permit to hie a ~qned stalement Iha! he ,s licensed pursuant to lhe prov1si0ns of the Contrac101 s
Lteense Law (Chapter 9 commencing with Sechon 7000 of 01v1s1on 3 ol lhe Business and Pr0fess1011s Code) Df that IS ex•
empt therefrom and the bas,s for the al!egea exemption Any v101a11on of Section 7031.5 tiv an apphcant for a perm11 sub·
Iects !he apphcant to a c,vIJ penally of no! men lhan five hun-
dred dollars ($500)
D I. as owner of lhe property, o, my emp!oy!es with wages
as their sole compensaMn. w111 do the work. a.nd the strut· lure Is not mlended or altered lor sale (Set 7044, Busmess
and Professions Code The COntrac1or·s Ucense Law does
no! apply 10 an owner ot property who builds o, improves thereon and who does such wOl'k himself or lhrough hrs own
employees, pr<Mded lhat such improvements are not mlend· ed or olfered for sale If, hOWe\fer, Ille bu1ldmg or improve-
ment Is sokl w1thm one year ol complett0n, lhe owner-builder
wlll have the burden of proving thal he did nol build Of ,m-
prove lor the purpose ol sale)
D I. as owner ol the property, am exclusively contracting
with ltcensed contractors to construct the prOfecl {Sec 7044, Business and Professions Code; The Con1ractor' s bcense Law does not appty to an owner ol property who buIkjs or un-proves thereon, and who conlracls for each prOjecls with a
contractor(s) license pursuant to the Contrac1or·s License Law)
[" As a homeowner I am ,mprovmg my hOme, and the lollow ing cond1t10ns exist
l The wDfk is being per1ormed pr10f' to sale 2 I have lived m my home for twelve monll'ls
pr10r 10 complet10n of !his w01k. 3 I l'lave not c~1med lhis exempltOn during the last lhree years
~r /h~~,:~~'",f' under Sec ______ • B & P C ----------
D I hereby affirm 1haI I ha_,e a cen11tca1e of consent
to self msure or a cen1t,ca1e of Workers
Compensation Insurance. or a cen,hed copy 1hereol
(Sec 3800, Lal>of Cooe)
POLICY NO
COMPANY
O Copy IS flied Wl!n me Clly
D Cen1t1ed copy Is hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec1Ion need not be completed ,t lhe oerm11
Is tor one hundred <Jollars ($100) or less)
D f cen1ty tha1 In the performance 01 the work tor
wtuch 1h,s perm11 Is issued. I shalt not employ any
person In an)' manner so as 10 beeome sub1ec1 to
lhe Workers Compensation Laws ol Ca11torn1a
NOTICE TO APPLICANT If alter makinJ lh•S Ceni
hcate of Eaem.01,on you should become subIec1 f')
the Won.;ers' Compensa11on pro"1sIons ot lhe Labor Cooe. you mus! 10r1h't\otlh comply w,tn such
prov,s1ons or this permI1 shalt be deeme<l revokeo
O I hereb)' alt,rm thal there ,s a cons1ruc11on
Iend1n4-agency 10, !he per1ormance ot lhe wor11 !or which lhtS permI1 ,s issued tSec. 3097 CIVIi COOe1
Lenders Name ___________ _
Lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.RO. NEAREST CROSS ST.
I:;~~q~l;T5I
BUSINESS LICENSE # VALUATION PERMIT NUMBER i
c:)~08 v✓,-? Me::J..:s-:>d..:, SB5'o 08£'5Z _(\v"'l" ij::J~ BLOCK J :74-~2.N 5 I ASSESSOR PARq L NO CONTRACTOR CONTRACTORS PHONE• ZONE It~" (rp'1 ,~ SOoD 71, e I-/;,.,/, ~-' c?.r,. .1-:AA.<;94,. OWNER'S NAME
l4d°uR594 7rie J-/,· Qh /..::,n d <lo . CONTRACTOR~DRESS LICENSE NO. PLAN 1.0. # SLOG USE CODE <:l..:>r l.::s fu ~ C!A ....54-2407 OWNE R"S MAIL NG ADDRESS
10 IS CV,e.-<ih11-I-Av~ s~ Lkirl .... ~h.:J-1 DESIGNER LICENSE rt STANDARD PLAN # BUILDING SO FOOTAGE
G->vi ronmen~ I ~.._911 C/798 /¢.9t:, DESCR•Pl·ON OF WORK P~~sn.8 J -rn~ ~.,.. hn, , -.-DESIGNER'S ADDRESS DESIGNER'S PHONE
6nc.; /') i ~.:5"., CA 9 ~ '-2" .:J. ~f ,__ . F P F LR ELEV. NO OCC GP EDU C;/Jt:/6ll3C.i I Q)Ub • .j STORIES .
vO NO f?t:J..5l ~ /<.3 I
CENSUS TRACT I GP LANO use I P41~sC)ce I RES;NITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD Fl RE SPA AREA cyrJ y O N 0 vO ,...li( vO ,,,.b(_ Not Valid Un/err Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7 3}:-QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
II EACH FIXTURE TRAP L2 7-"°\1"' I INSTALL FURN. DUCTS UP TO 100,000 BTU <L--:-BUILDING PERMIT 01-00-00·B220 ... -~~o-
I EACH BUILDING SEWER ~-Sl OVER 100.000 BTU SIGN PERMIT 01 ·00·00-B221
I EACH WATER HEATER ANO OR VENT ,.2.5/_ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ~.,,:]/--
I EACH GAS SYSTEM I TO 4 OUT LETS I -.Q .y BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 <f..~.so -c-
EACH GAS SYSTEM, OR MORE I METAL FIREPLACE ELECTRICAL 01-00-00·8223 ,_;::in -
EACH INSTAl. ALTER. REPAIR WATER PIPE ... ~ VENT FAN SINGLE DUCT ✓-,, -MECHANICAL 01·00-00-8224 I~--r--
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBlLEHOME PARK INSP
EACH ROOF DRA:N !i~SIDE) SOLAR 01·00-00-8226
TOTi;L MECHANICAL ,___2TR0NG MOTION 80-92-33-0519 4-P.n /.d-TOTAL PLUMBING I 4£,,~~ FIRE SPRINKLERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE s---QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00·89ll
BRIDGE FEE
NEW CONST EA AMP SWT BK R /004 c.2s-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad L 7](2 ./ 80·92·21·0519
EXIST BLDG EA AMP•SWT BKR ROCK STORAGE Encinitas 80·92-22-0519 ,
I PH 3 PH PUMP San 0Iegu1to 80·92·23·0519
RE MOOE L ALTt R PER CIRCUll PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
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OVER 200 AMPS LICENSE TAX 01-00-00-8162 /.:3-J/-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 /~eao---~-
CREDIT DEPOSIT
lOTAL ELEURICAL I ~o-TOTAL SOLAR I =290C,.~O TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT"' ANO DO HEREBY Exp,rahon. Every permit is.sued by the Bu1ld1ng Qtt1c1el under the prov1s1onsof this * AN OSHA'~RM IS REQUIRED FOR EXCAIIATIONS OVEFI CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expi,e by lim1tahon and become null and votd -If the building or work 5 o·· DEEP AN MOLITION OR CONSTRUCTION Of DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w ,th,n 180 days from the date of such STFIUCTVII£ Ell 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~~n°.:.,
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~y ~~:·:ri.~~h=~~,:~!hco~~~~leJ~~~ r~~~·~1s~~~~ Qt STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE • OWNER□ CONTRACTO~ APPRO\IEU
l )7~J,_
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~~~_:4-BY PHONE 0 GRANTING OF THIS PERMIT
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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 □ SHE-AR
FRAME I
EXTERIOR LATH I
i
INSULATION l
INTERIOR LATH & DRYWALL I
l
I
PLUMBING I
SEWER AND BUCO D IPUCO I
UNDERGROUND □ WASTE □ \/YATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL ' I
□ ELECTRIC UNDERGROUND □ IIJFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPOfilARY
□ BONDING □ POOL I
I
i
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINIG
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAV6 BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
!, \,
~-Sb--4 l/1'· ' •• , ·.\_
FIELD INSPECTION RECORD ',
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES •
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE • ~
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
;
POST TENSIONED • 1 CONCRETE 1-------------'.;__· __ ~ __________________ 1 FIELD WELDING
HIGH STRENGTH ,
BOLTS
SPECIAL MASONRY '-' .. ~. •
PILES CAISSONS
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SITE ADDRESS ---~~lo~D.;:;;__;:i '----'-V=i=a:..__:_;M=a=s=a=d=a~,--=C=a=r=l=s=b=a=d~,'------=C~A-=------------
Owens/Corning 6¼"
CertainTeed 6 " CEILINGS
Batts : Type Fiberglass Manufacturer Manville Thickness ..::6..,.½_"_ R-Value 19
Blown: Type Manufacturer Thickness R-Value ------------------Owens/Corning 3½"
Certa inTeed 3½" EXTERIOR WALLS
Type Fiberglass Manufacturer Manville Thickness 4 " R-Value 11
FLOORS Type Manufacturer Thickness R-Value ----------------
General Contractor License# ---------------
By Title Date --------------------------------