HomeMy WebLinkAbout2502 VIA ROJO; ; 85-273; Permitw~[
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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 Profeaa!ons Code, and my license Is In
full force and effect.
Lie No ______ Class
I hereby affirm that I am e:xempt lrom the Con1rac-1or's UCense Law lor !he lollowmg reason {Sec 7031.5
Business and Profess,oos Code Any city or coun1y which re• quires a permit to cooslrucl. aller. improve demohsh. or
repa,r any structure. prror 1011s issuance also requires !heap·
phcan1 1or such permit to Me a s1Qned statemen1 that he Is hcensed pursuan1 10 lhe provisions ol lhe conuactor s Locense Law (Chapter 9 convrencmg with Sect,on 7000 of °'"tStOn 3 of the Business and Protess,ons Code) Of that ,sex· empt tlleretrom and the basis lor the allegea exempllon Any
viotat,on of Sec110n 7031.5: by an apphcant lor a permit sub· 1ects the ippllcant to a c1v11 penalty ot no1 more fhan ,,,..e hun·
area dollars ($500)
I, as owner of the property. or my employees w11h wages
as their sate compensation. w,11 do !he work. and the slruc-ture 1s not intended or o1fered for safe (Sec 7044 Business
and Professions Code The Contrac1or's license law does nol apply to an owner of property who builds or improves
thereon and who does such work himsell or through his own emplOyees. provided that such 1mprwements are no1 mlend-
ed or offered fOf sale If, however. the bu1ldmg or improve-ment 1s SOid w1lh1n one year of complettOn. the owner-builder
will have the burden of provmg lhal he did no1 build or .m-prove for the purpose ot sale)
□ I, as owner of the propeny. am exclusively conlrachng
with ltcensed C(lnlractors 10 construct !he protect (Sec 7044,
Business and Professions Code The Contrac1or's License Law does not apply to an owner of proper1y who builds or im-proves thereon. and who contracts for each pro,ects w1lh a contractor(s) license pursuanl lo lh.e Contractor's license Law)
D As a homeowner I am ,mprO\l,ng my home. and the follow ing cond,llons e,cIs1
t The work Is being performed prior lo sale. 2. I have hved In my J'lome for twetve months prlOI 10 completion ot this work
I have not claimed th,s exemption during the last three years
□ I am exempt under Sec ______ B &P C
lor this reason -------------
0 I hereby afl,,m that I ha.,e a cer11t1cate ol consent
10 sett msure, or a cert1t1cate of workers Compensation Insurance. Of a cen,lled copy thereof
(Sec 3800. Labol COdel
POLlCY NO
COMPANY
O Cooy IS filed with the city
D een,hed copy 1s hereby furnished
CERTlFICATl OF EXEMPTlON FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed 11 It1e perm,1
,s tor one hunored dOllars tS 100I or tessl
O I cen1ty Iha! In the pertormance of !he -NOril 10,
wtuch ttus permit ,s issued. I shall not employ any
oerson in a.ny manner so as to becOmt' subIec1 Ill
!he Workers Compensation Laws of Cahlornia
NOTICE TO APPLICANT It. after maktnJ ttus Cert1 hcate of E,.:emp1ton. you should become sub1ect I'> ll'le Workers· Compensahon prov,s1ons ot the Latx>I
COde you must ror1n .... 11h comply with such provisions or this perm,! shatl be deemed revoked
O I hereby attum that lhere ,s a cons1ruc11on
1er"<l1no aoency 10, ll'lf" performance ot The wot1o. 10,
whtCh lh•S perrmt •S tSSue<l (5eC 3097 C1v11 COOel
Lenders Name ___________ _
Lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARD -----------· --·--·--· -. -----··-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND [)ECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS \.) :-) ...._AV.ST.RD. NEAREST CfO~S ST. G·c:. ?o.. 2 I
OATE OF. APPLICATION} BUSINESS LICENSE d ll fltlo PERMIT NUMBER
2Sc-:2 ~ \ "' \,c:; ' C, \J ._ c_ ((-re a' s 8l1!> ~BLOCK I SUBOIVISlON I ASSESS'OR PARCEL NO. CONTRACTOR
\-So:\~-er
CONTRACTORS PHONE • ZONt
Cl.0\""=..-OWNER'S NAME Ii 'J f,.,,, ~ 'Do .... a. f l ' OWNER'S PHONE
,~ e;-:~c."' Ne:"' coNTS~s~o~s LICENSE NO. PLAN 1.0. If BLDG USE CODE "'<.
OWNER'S MAlLING A0DRESS
'2 5 0 '-\_;\. c... Ro~o DESlGNER LlCENSE " STAN DARO PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS 0ESIGNER'S PHONE
So~ 8rAOc: J{p I )c:;/0~ F,P FLR ELEV. NO OCC GP
.
EDU
STORIES I.I/ I d/,J.,i ~Eli:, 1' ... ,
vO '10 0-.il.il j !-.lr! lJ / 11", ,.,,. I RES UNlTS-1
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CENSUS TRACT I GP LANO USE I PARKING SPACE GRA0lNG PERMIT ISSUE0 I RE0EVEL0PMENT TYPE OCC LOAD FIRESPR . •
AREA CONST foil·
y D ND v O NO vO NO Not Valid Unless Machine Certdied
QTY. PLUMBING PERMIT -ISSUE 7? QTY. MECHANICAL PERMIT· ISSUE y SUMMARY/ACCOUNT NUMBER
·-""""'
EACH FIXTURE TRAP .,./ INSfALL FURN DUCTS iJP TD 100.000 BTU / BUILDING PERMIT 01 ·00-00-8220 'l '.{'J CJ
EACH BUILDING SEWER / OVER 100.000 BTU/ SIGN PERMIT 01-00·00·8221
EACH WATER HEATER AND ORV~ BOILER/COMPRESSOR UP TO 3 HP __,,,,,, PLAN CHECK 01·00-00-8806 1l,,' ~L~
EACH GAS SYSTEM 1 TO 4.,.ll11'TLETS BOILER/COMPRESSOR 3 15 ~ TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM.,!,-OR MO RE METAL FIREPLACE .,/ ELECTRICAL 01-00-00·8223
EACH INSTAy:-ALTER, REPAIR WATER PIPE VENT F~N SIN DUCT MECHANICAL 01-00-00·8224
EACH )U(CUUM BREAKER --MECHE AUST HOOD DUCTS MOBILEHOME 01-00-00-8225
WATfR SOFTNER REJ,ef'CATI0N OF EA FURNACE,HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE I 7 SOLAR 01-00-nn.oooo
rQTI.L MECHANICAL STRONG MOTION 80-92·33-0519 -.. -
TOTAL PLUMBING I FIRE SPRINi<LERS 01 ·00·00·8227
52 QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00-893)
QTY. ELECTRICAL PERMIT· ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BK R / COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH ./ STORAGE TANKS Carlsbad 80-92-21-0519
EXISI BLDG EA AMP SWT BKR / ' ROCK STORAGE Encinitas 80·92-22-0519
I PH ~ PUMP San D1egu1to 80-92-23·0519
REMODEL ALltR P_yKIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 20~PS -
OVER 200fiPS LICENSE TAX 01-00-00-8162
HM.Jl,(!'cCUPANCY 130 DAYS) MFF 80-92-57-0519
/ CREDIT DEPOSIT
TOfAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I L/-/ I:;;. c;
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND 00 HEREBY Expiratton Everyperm,t ossued by the Bu1ld1ngOtf1c11I under the provos1onsof lh,s * AN OSHA PERM:T IS REQUIRED F0A EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by i<mttat,on Ind become null and vot<I II the Duolding or work 5 O" DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by such permit ts not commenced w-Ith1n 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit or 1t the buildinr, or work authonze<I by such perm,t 15 suspended or
ISSUED TO COMPLY WITH P.LL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandOned at anv llme a ter the work ,s commenc.-for a oenod of 180 davs
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STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO :o:PR J~• CONTRACTOR 0 KEEP HARMLESS THE ClTY OF CARLSBAD A.GAINST ALL LIABILITIES .. JUDGMENTS, COSTS AND NATURE ~R 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT •
·-oBY ~ --v;,~. -......
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i:--OAr;;,_;f ~f ~
.• --TYPE DATE INSPECTOR . ,,
s,,s-\,:)., i ~ .,, .... ;... • '1 \ ; -, -I ~ . -~ ~-1·-I... BUILDING r ;.... ---., ' -,_
FOUNDATION I FIELD INSPECTION RECORD
,,-:::--..... ~' , -. ._,, ... ~ •l ' ·'· 0
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE -r -FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE SHEATHING D ROOF D SHl!AR PRIOR TO
FOUNDATION INSP FRAME I
I STRUCTURAL CONCRETE EXTERIOR LATH OVER 2000 PSI
INSULATION i PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH_ STREN~'f.H •
BOLTS --UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I .,
GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D IJJFFER .. \t' ~ ' , .~ .... • ~ ·--= ROUGH ELECTRIC '
~ .
-« (. ::: -D ELECTRIC SERVICE D TEMPO~ARY -D BONDING D POOL I . .... ., -i ...
' MECHANICAL I
D DUCT & PLEM., 0 REF. PIPINtG
HEAT -AIR COND. SYSTEMS I . VENTILATING SYSTEMS ,~ ' ... I' I -\ '"• 1e I '·
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. ,,
FINAL I ~ , ~;c,,,, r PLUMBING I ' ' ' ,
ELECTRICAL I \l J •':..L)' • . . . MECHANICAL I _,,. v• ~ .. ' ,! I
\ I l '-~ ' ~ . ' v .. GAS . f • \ • ''i -.. . BUILDING I I l)
SPECIAL CONDITIONS I
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