HomeMy WebLinkAbout2607 VIA MASADA; ; 84-582-411; Permit.,, z 0 ;::
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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.
Uc No ______ Class
I hereby amrm lhal I am exempl lrom lhe Contrac· tor's Lteense Law tor !he lollowmg reason (Sec 7031 5 Business and Prolessions Code Any city or county wh~h re-quires a perm,1 to conslrucl. alter improve. demohsh, or
repair any struclure. prlOf 10 its Issuance also requires !heap· plteant lor such permit 10 f11e a signed sIaIement th.at he 1s
hcense<I pursuanI to lhe provIsK)ns ol the Gontractor s Ucense Law (Chapter 9 commencing with Sectt0n 7000 ol
01vIs1on 3 ot Ihe Business and Professions Code} or that Is ex· empt therefrom and Ille bas,s !or the allegea exemp11on Any
v,otaI10n ot Section 7031.5 bv an applicanl !Of a permrt sub·
1ects the applicant to a civil penalty of not more u,an hve hun-
dre<l dollars ($500).
J I. as owner ol the property. or my employees with wages
as 1he1r sole compensat,on. will do lhe w0<k. and rhe struc· 1ure Is not intended 01 ollered for sale (Sec 7044 Business
and Professions Code The ContractOf's Licenst Law does
not apply 10 an owner ol p<operty who bu1kfs or improves !hereon and who doe.s such work himself or through his own
employees, provided !hat such improvemenls are not 1n1end· ed or ouered !or sale If. nowever. the building oc improve•
menl 1s so4d w1Ih1n one year of comple!Jon. lhe owner·bu1kler will have lhe burden of provmg that he did not build or 1m·
prove tor tne purpose ol sale)
D I. as owner al !he property. am exclus1vety con1ractmg with licensed contractors to construct the protect (Sec 7044,
Business and Professions Code. The Conlractor's license Law does not apply to an owner of propeny who builds o, im·
proves thereon, and who contracts lor each pro,ects with a cootractor(s) hcense pursuant to the Contractor's Ucense Law)
D As a homeowner I am improving my home. and the lol'low ing cond1t10ns exist: 1 The work 1s being performed pnor to sale
2 I have lived m my home !or twelve months
pnor to completion of this woik 3 I have not ctaimed lhIs exempllOO during the last three years
0 I am e>rempl under Sec ______ . B & P C
tor lh1s reason ____________ _
D I hereby alf,rm lhal 1 have a cer11ticate ol consen1
10 sell insure_ or a cer11t,cate ot Worll.ers
Compensa11on Insurance. or a cer11t1ed copy 1nereot
(Sec 3800 LabOr Code)
POLICY NO
COMPANY
0 Copy Is hied with ll'le CII)'
D Cer11fted copy ,s hereby turn,srieo
CERTIFICA Tl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need nol be completed 11 the perm11
1s tor one hundred <Jollars IS.1001 or less)
D I cen1fy thal 1n the per1ormance ot the work tor
wtuch ttus perrmt 1s ,ssued. I shall not emplO't any
person in any manner so as 10 become suo1ec1 10
!he Wor11.ers Compensa11on Laws ot Cahlom,a
NOTICE TO APPLICANT ti. al1er malo.m~ 1tus Cer11
t,cate of Exemption you should Oecome suo1ect ,,, the Wor11.ers Compensation prov,s,ons of the LabOr
COde. you mus! tonh .... ,th comply ..,_,,th such
p,o..,,s,ons or 1h1s oermI1 shall be deemed ,e..,oh.ed
O I heteby affirm thal there ,s a consuuc11on
1end1ng agency 101 !he pertormance ol the ""'a"' tor
wh,cn 1tus permit ,s issued 1Sec .)()97 C1v1I Coaei
Lenoer s Name ___________ _
Lenoer s Address __________ _
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USE BALL POINT PEN ONLY & PRE~S HARD 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. ,4~~9~aTsl BUSINESS LICENSE u VALUATION PERMIT NUMBE~l
o<~07 Vi~ JVl~.sa:>dc:J 88So ~85'..<;,? ~ gLJ,--~..,,-i$;T, JI BLOCK I SUBDIVISION I ASSESSOR P~CEL NO. Z) CONTRACTOR CONTRACTORS PHONE • ZONE 74--..:J.:S I t,7 I~ .>'60 , 77-ie J-/2~), 1-:>ri d r1 _... d,~I, ;/ ~ti.
;;,:N7-ta),J.rid eo. 14.3;459;_ CONTRACTOR'S ~RESS LICENSE NO. PLAN I.D. # BLDG USE CODE
(Q1-/.:s~d. {J-q L~4-.:J407 OWNER'S MA LING ADDRESS
/0/.S ~hes-I-nu+ 4v<:!. B~~r-lsfucl DESIGNER . LICENSE" STANDARD PLAN# BUILDING SO FOOTAGE
l:nvi rorvne/1../-..;>/ 7). . /"17q~ /49L DESCRIPTION OF WOR~ p~.,... . .e::.-n.A£>, I ~,-,.,~J,-,Arv,~-DESIGNER'S ADDRESS "-..../ DESIGNER'S PHONE JY ~) 6-Jc/n;f~ C!A 94.:J~.:J.~
~ -F p FLRELEV. NO OCC GP EDU
v□ N□/7~ STORIES
R-3 I ..? t.;/1~ '-/1:..:i/,O:-; I ~r, ,,.,.J
CENSUS TRACT I GP LAND USE I p4-4;ACE I RES /ITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPP
AREA CONST
y D ND vO NK.. vi'/ vQ N~ Not Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT· ISSUE -7.:rf!-QTY. MECHANICAL PERMIT • ISSUE 3-SUMMARY/\CCOUNT NUMBER
II EACH FIXTURE TRAP ~ .,-, <,., I INSTALL FURN DUCTS UP TD 100.000 BTU 4-. BUILDING PERMIT J 01-00-00-8220 ~ q...J,r, _
I EACH BUILDING SEWER /_ .,<',;-OVER 100.000 BTU SIGN PERMIT ·" oil()o-00-8221
I EACH WATER HEATER AND•OR VENT ..... <, BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK o\\ltloo-8806 _:;;_'J/--
I EACH GAS SYSTEM I TO 4 OUTLETS +--02../<,. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING t-, , ~
~
-~00·8222 ,_ ..A/_ <n,
EACH GAS SYSTEMS OR MORE METAL FIREPLACE ELECTRICAL \ \ \ ,.0 00·00-8223 .. _:;I/') -
EACH INSTAl . ALTER. REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT ~-MECHANICAL ~r I ~-00-00-8224 /~~--('\ I" EACH VACUUM BREAKER MECH EXHAUSl HOOD 'DUCTS M0BILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK\N\P Iv.I
EACH ROOF DRAIN (INSIDE) \ . .
SOLAR 01·00-nn-Rni;
T0Tl:.L MECHANICAL -..d...._0o_ ,_2.TRONG MOTION 80·92·33-0519
f0TAL PLUMBING I 4.../... <r /3~ FIRE SPRINKLERS 01 ·00·00·8227
QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 32-00-00·893)
QTY. ELECTRICAL PERMIT • ISSUE 5'-BRIDGE FEE
NEW CONST EA AMP SWl BKR /.(')r>;t:j <:::>ZS-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad /_-ntf!!!.v 80·92·21·0519
EXISf BLOG EA AMP SWT BKR I ROCK STORAGE Encinitas 80·92· 22·0519
1 PH 3 PH PUMP San D1egu110 80·92· 23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMP POLE 700 AMPS
OVER 700 AMPS LICENSE TAX 01-00-00-8162 /~-,./-
TEMP OCCUPANCY !30 DAYS) MFF 80-92-57-0519 / (eJ ~S2,. r'l -A.Q,-,-
CREDIT DEPOSIT
l0TAL ELELTRICAl I '-.So-TOTAL SOLAR TOTAL FEES PAYABLE I -29CX, .. ....:3o
I HAVE CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND PERMlr AND DO HEREBY Expiration Eve,y permit 1ssu&d by the Bulld1ng Ofhc,al under 1he provisions of th•s * ANi:l!;H~PERM' IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eic:ptre by ltm1taflon and become null and void If Che bu1ld,ng or work • 5 o· DEEP A DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRLIE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the dale of such STRUCl\J OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY W!TH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~~n°.d
1
~1 t=~y ~~~·~rie~;h:~~r:~!h:~:1e!leJ~~~ :80:';:~1
~,5r:rcra~~ or ~
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT t ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE lf-OWNER O CONTRACTO~ APPROVE~~ v¼,r-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY <N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-~~~BY PHONE 0 GRANTING OF THIS PERM IT
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY i
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHE;AR
FRAME I
EXTERIOR LA TH I
i
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
I
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ '/{ATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WArER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPOfilARY
□ BONDING □ POOL I
I
MECHANICAL j
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT/GN WHEN ALL APPROPRIATE
ITEMS ABOVE HA V5 BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR S
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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This is to certify that insulation has been installed in confonnance with the
current energy r egulation, California Administrative Code , Title 25, State of
California, in the building located at:
SITE ADDRESS --~~~~O~1..!..-_V~i~a~M~a~s~a~d~a::.i.__~C~a~r~l~s~b~a~d:J_~C~A:__ _ ___,. ______ _
Owens/Corning 61 11 CEILINGS Certain Teed 6 ''
Batts: Type Fiberglass Manufacturer Manville Thiclmess 6l 11 R-Value 19
Blown: Type Manufacturer Thiclmess R-Value ------------------Owens/Coming EXTERIOR WALLS Certain Teed
Type Fiberglass Manufacturer Manville
3 II
3 II
Thickness 4 11 R-Value 11
FLOORS Type Manufacturer Thiclmess R-Value ----------------
General Contractor License# ------------------------
By Title Date --------------------------------
Schmid Insulation Contractors, Inc. License# 221517 C-2 -----====-'----!"--='-----