HomeMy WebLinkAbout2510 VIA ROJO; ; 83-34-362; Permit.,, z
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) of DIYlalon 3 of the Business
and Profeaalona Code, and my license is In
full force and elfact.
LIC No ------Class
I -hereby atftrm that I am exempt trom the Conlrac-
lor' s lw:ense Law for the following reason (Sec 7031.5 Business and Pfofess,oos COde Any c,ty or county which re-
quires a perout 10 construct. alter-Lmprove. demolish, or repair any structure. prtar to 11s issuance also requires !heap-pftc.ant fo, such pe,mit 10 ltte a signed statement thal he 1s
hcensed pursuant to the prov,srons o1 the contracI0( s llcense Law (Chapter 9 ccmmertting with Section 7000 ol 01V1s1on 3 o1 lhe Busmess and Profess10ns Code) or that 1s ex·.
empt lherelrom and the baS's IOI' the allegee exemption Any Vlolation of Sect,on 7031.5 by an apphcanJ tor a perm11 sub·
,ects the apphcant to a civil penalty°' not m°'e than hve hun-dred dOllafs ($500)
□ I. as owner of the properly. or my employees wilh wages as their sole compensallon, will do lhe work, and lhe struc· rure Is not Intended or offered la< sale (Sec 70,U Business
and Profess>ons Code· The Contractor's license Law dOes
not apply to an owner ot property who builds or unproves thereon and who does such wOfk h1msell °' lhrough his own employees. provided that such wnprOYemenls are not intend·
eel or offered f0< sa~ 11, however. the bu1ldmg °' improve·
ment 1s sold within one year of complet10n. the owner-builder will have the burden ot proving thal he did not build or Im-prove for U1e purpose ol sale).
D I, as owner of the propeny, am exclusively contracting
with rteensed contract0ts 10 constr\lct the proiect (Sec 7044. Business and Professions Code. The Contract0<'s lteense Law does not apply to an owner of property who buifds or frn. proves thereon, and who contracts for each proiects with a contractor(s} license pursuant to the Contractor's Lieense law).
D As a homeowner I am lmprov,ng my home, and the follow
ing conditions exist: 1. The work Is being pe~ormed p(,or lo sale. 2. I have hved In my home for twelve months pnor to complet10n ot this WOl'k 3. I have nol claimed this exemption during the last three years.
D lamexemptunoerSec ______ ,B&PC
for this reason -------------
0 I hereby affirm that I ha.,e a cert1hcate of consent
to sell-msure, or a cert1f1cate of Workers
Compensahon Insurance. or a certified copy tnereol
!Sec 3800. Labo< Code)
POLICY NO
COMPANY
a Copy IS hied Wllh t~ city
Q Cen1hed copy IS hereby furn.she<>
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be compleled 1f lhe pe,m,I
,s. for one hundred dOllars (S H)O) or less)
0 I cen,ty lt'la1 in the perto,mance of the wOf11 fOf
which this permit ,s issued, I shall not emp♦oy any
person 1n any manner so as 10 become sut>Jecl 10 lhe Wol'k.ers· Compensahon Laws ot Calllorn,a
NOTICE TO APPLICANT If. airer makmJ lh1s Cert•
hcate ot Exemphon. you should t>ecome sub1e•c1 ,.,
the Wot1lers· Compensahon p,o..,,s,ons 01 lhe LabOr
COde. you must IOf11'\¥t1lh comply w,th such
provIst0t'ls Of lh1S oermII snatl De deemed ,e,..okea
0 r hereby affirm thal !here 1s a con~1ruc1tcm 1en<11no agency to, the pef10fmance ot Ine wo"' to,
which this O(!t'm11 ,s •~sued (Sec YJ97 C11111 COdeJ
Lenders Name ___________ _
Lender's Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ... . ....... . .
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT I . 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I
JOB ADDRESS AV ST RO. NEAREST CROSS ST IOATE OF APPLICATION! BUSINESS LICENSE" 4!S~~ION PERMIT NUMBER
?"1 n u; .. u,-,.;,., 5 6 "".'~-'I-~ 83-34 -LOT BLOCK A ~UBOIV•S•ON I ASSESSOR P~CEL NO oO CONTRACTOR CONTRACTORS PHONE • ZONE :Sb~ I~'-? , 74--"" lf.i!I, > \ 0 \
i . .:WNE R'S NAME 1 OWNER'S PHONE The Hi...i.,, .. ...A '" 942-6262
coN~l:>'V.tT.M~ Park Way #201 LICENSE NO. PLAN I.O. # -BLDG use COOE The u; ,..h 1 .. ~ ,-= -~-942-6262
OWNER'S MAI L1NG ADDRESS ' Encinitas, CA 92024 B-342407 RES .
1991 Villaae Park wav #201. Encinitas. CA 92024
DESIGNER LICENSE11 STANDARD PLAN# BUILDING SO. FOOTAGE
OESCR•PTION OF WORK Enviramental Design C-1798 AIA 1092 s.f .
oEs'j_Wj '1.[ffage Park Way #201 DESIGNER'S PHONE ~l..~_1/~~ I~ .. 3._,e.~t::
New Construction ~.: .... .:~...... l""1l. a?n?A nA"\ :'>t:'>
~ --------------------F/P fLR ELEV. NO OCC GP EDU
20 J?U\N 1092 s .f. STORIES
v.O NIX --R -3 1
CENSUS TRACT I GP LANO USE f PARKING SPACE f AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA . CONST
441 s .f. YO ND v □ N[K V,-N vO Ngr: Not Valid Unless MJchine Certified
QTY. PLUMBING PERMIT · ISSUE 7 .50 QTY. MECHANICAL PERMIT · ISSUE 3 .00
SUMMARY/ACCOUNT NUMBER
q EACH FIXTURE TRAP 2 2 .cm l INSTALL FURN. DUCTS i.JPTD 100.000 BTU 4 .('l(l BUILDING PERMIT 01 ·00·00·8220 265.00
1 EACH BUILDING SEWfR t:;. c;n OVER 100,000 BTU SIGN PERMIT 01·00·00·8221
1 EACH WATER HEATER ANO/DR VENT ?.c;n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 185.90 , EACH GAS SYSTEM 1 TO 4 OUTLETS ., . c;n BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 Lt, c;n
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 ~('\ ('\('\
EACH INSTAl .. ALTER, REPAIR WATER PIPE -:i VENT FAN SINGLE OUCT 6 ,00 MECHANICAL 01 ·00·00· 8224 , ~ ('\('\
-EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS M081LEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -
EACH ROOF DRAIN ( INSIDE) SOLAR n1.M.nn.0ooc
TOTt;L MECHANICAL STRONG MOTION -80·92·33·0519 -:i 1 c;
TOTAL PLUMBING l 4 1.50
13.00
FIRE SPRINKLERS 01 ·00·00·8227
QTY. QTY. SOLAR· ISSUE ~ ~ PUBLIC FACILITIES FEE 32·00·00·8933
ELECTRICAL PERMIT · ISSUE 5 .00 -BRIDGE FEE
1 0 0 NEW CONST EA AMP swr BKR COLLECTORS / \ '\. SCHOOL FEE • DISTRICT
AMP 1 PH 3 PH 25 .00 STORAGE TANKS /1 (v \ Carlsbad 80·92·21·0519
E.XIST BLDG EA AMP/SWT/BKR ROCK STORAGE I I\ ,,/1111 ). Encinitas 80·92·22·0519 ·-
1 PH 3 PH PUMP I ( VII /1) /. San Dieguito 80·92·23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE I -,.,,-IJ /. San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS ·' LP ~ /
OVER 200 AMPS '--' / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 OAYSI \ ./ ~
'-.. CREDIT DEPOSIT (208.29,
lOTAL ELECTRICAL I . TOTAL SOLAR TOT AL FEES PAYABLE I ' 30.00 . 330 -26 ' --
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT .. ANO DO HEREBY Ex:peratton Every permd rssueo by the But1d1ng Off1c,e1 undef the pro\l'is,ons of this * Al~ll IS REQUIRED FOA EXCAVATIONS OYER
CERTIFY UNDER PENALTY. OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall ••Pl•• by lnnttat,on and become nutt and vOtd If the bwtd,ng or -5' 0" DEEP D OEMOl.lllON OR CONSTRUCTION OF
DECLARATIONS ARE Tf'!UE ANO CORRECT AND I FURTHER CERTIFY ,AND AGREE IF A PERMIT IS autttonzed by such permit•• not commenced w1th1n~80 d m the date of such STRUC S OYER 3 STORIES IN HEIGHT / permit. or 1t the bulld•~r work authorlZH by per 11 11 suspended or ISSUED TO COl,'IPLY WITH All CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON-aban--.:1 at anv .,_ the work 11 co or a nod nt _..;, "•~•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY: ~NO~ ~ APPROVrB~-1°3/3' /13 KEEP HARMLESS THE. CITY. OF CARLSBA. D AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPL! S St TURE OW • CONTIIACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH BY PHONE 0
GRANTING OF THIS PERMIT. -__-~ r .;, -.....,. C7 I 7 ( 7
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TYPE I DATE INSPECTOR ..
BUILDING I ~3-"3'°41"' 0bd-\ . -I ·' ,.
FOUNDATION ~-7'7~ / ' FIELD INSPECTION RECORD
REINFORCED STEEL \O• \7--fJ:>'"W
MASONRY I
'.
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT i INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
l
SHEATHING D ROOF D SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I ~-5 • \'.-11 ~"'
EXTERIOR LA TH 4
! "
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION Z.1 t'J~~ . .>~ I \
INTERIOR LATH & DRYWALL l ..,J 4-, /1 ~ w l~
PRESTRESSED
CONCRETE
POST TENSIONED I ·~ I CONCRETE
PLUMBING I / FIELD WELDING
SEWER AND BUCO DIPUCO . ~ !fl;,. <Zl / I ~
UNDERGROUND D WASTE OW.ATER' '.:t'l,(f ..,, , __ -
TOP OUT D WASTE D WNTER i;;.-<. ~ -,A'~ .....
HIGH STRENGTH J! BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN -I
GAS TEST I
l PILES CAISSONS
D WATER HEATER D SOLAR WAl'ER
I '·
ELECTRICAL : ,
D ELECTRIC UNDERGROUND DUFFER ~ -· ROUGH ELECTRIC . ~--5 -~ I n A5' ~I
D ELECTRIC SERVICE D TEMPO~RY
.., " -~ -' D BONDING D POOL I
I
MECHANICAL I ./
D DUCT & PLEM., D REF. PIPING ~--<~~ n.n.AJ
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I ~'
CALL FOR FINAL INSPECT/df'!.. WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE18Ef.N. APPliQVf.D. .
'... .Jo L ~-.:... I , .d
FINAL
PLUMBING
ELECTRICAL
MECHANICAL •r' ,, --~
GAS
BUILDING
SPECIAL CONDITIONS .