HomeMy WebLinkAbout2701 VIA ROBERTO; ; 82-477; PermitVI z 0 ~ a: ~ 0 Ill a
It O I hei,_, affirm that I am licensed under o "'4'0Ylslons o1 Chapter 9 (commencing with t, [~ Section 7000) o1 Division 3 of the Business c and Professions Code, and my license Is In :!: full force and effect. z Uc No _______ Class
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I hereby affirm lhat I am exempt lnim tlle Contrac· 1or·s Ucense Law lor the following reason (S.C. 7031 5 Business and Professions Code: Any city or county which re-quires a permit to conslruct, alter. improve, demolish, or
repair any s1ructure, plior to its issuance also requires the ap-plicant for such permit lo me a signed statement that he is licensed pursuant to the provisions of the Contractor·, Ucense Law (Chaple, 9 comrnencinq with Sec:11011 7000 ot
Dwision 3 of the Business and Profess,ons Code) or that Is ex-e,npt therefrom ano the basis for the alleged exemption. Any
violation of s«:11on 7031.5 by an applicant for a permit sub-jects the applicant to a civil penally of not more than t,ve hun·
dred dollars ($500).
D I. as°"'""' of the property, or my employees with wages as their sole compensation. will do the work, and the struc·
ture Is not Intended or ottered for sale (Sec. 7044, Business and Professions Code: The contractor's Ucense Law does not apply to an .,.ner of property who builds or Improves
!hereon and who does such work himself or thrnugh his own employees. provided that such improvements are not intend-
ed or of1ered for sale. If. however, the building or improve-ment is sold within one year of completion, the .,.ner-builder w,11 have the burden of proving that he did not build or Im-prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting w'rth licensed contractors to construct the project (Sec. 7044.
Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im· proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law).
D As a horn..,.ner I am improving my home, and the follow·
ing conditions exist 1. The work is being performed prior to sale. 2. I have lived in my home tor twelve months
3. r:: ;p~:i:aof 11:: :W~ption during the last three years.
D I am exempt under Sec. ______ . B & P.C. for this reason ____________ _
□ I hereby affirm that I ha.-e a cert1f1cate of consent to sell-insure, or a cert1f1ca1e of Workers·
Compensa11on Insurance, o, a certified copy thereof
(Sec 3800. Labor Godel,
POUCYNO ___ _ _______ _
COMPANY
□ Copy IS hied with tn.e city
0 Cert1fted co,py 1s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORI\ERS' COMPENSATION INSURANCE
(This section need not be completed 1f the perm,1
ts tor one hundred OOllars ($100) °' ~ss)
D I cert1ly that ,n the performance ol the work tor which this permit is issued, I shall not employ any
person 1n any manner so as to become subJect 10
the Workers· Compensation Laws ot California
NOTfCE TO APPLICANT It, after makin~ rrus Cent
f1cate of Exe_mphon, y-ou shouki become subJecl l'J
the Workers· Compensation prov,s1ons of lhe Labor
Code, you must forthw11h comply w1th such
prov1s1ons or this permit shall be oeemed ,evoke<J
0 I hereby affirm tnal !here 1s a cons11uct1on
lend,no aoency tor !he perl0<mance or lhe work tor
wtuch this perm,t ,s ,ssued (Sec 3097. C1v11 Code>
Lenders Name ___________ _
lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT T_Q_FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~-
CARLSBAD )ILDING DEPARTMENT At-. LICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS A V. ST. I DATE OF APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
,.::17~/ /.-) JA. /f' ~ 6 ~ A 'ft:::>
RO. .tn :'?;-c/-77
;;E:;_;~ ~ A Al~s~7J",117!2;;:~H;~
CONTRACTOR CONTRACTORS PHONE• ZONE
/")~-»,Al ~ fii!!.
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
~ ~;:2..¥ 9,_~ c:::::,...c,!!.,~.s;-r-D-'< CA-:~~ ~ -
LOT I BLOCK I SUBDIVISION ~SISESSOR PARCEL NO. 7A ./..I .e:::: ~ ~ &> G) /")
DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK ~ ,
OESIGNER'S ADDRESS DESIGNER'S PHONE
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--F/P F LR ELEV. NO OCC GP EDU Cl~'. : , .,s I • / .. • STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARI\ING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y □ ND vO NO v O NO Nor Valid Unlffs Machine Certifitd
QTY. PLUMBING PERMIT -ISSUE 7e-QTY. MECHANICAL PERMIT· ISSUE _Z~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 Ill -
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 -
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 0 UTLETS 801LER/C0MPRESS0R 3-15 HP TOTAL PLUM BING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223
EACH INSTAl., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -H000/0UCTS M0BILEH0ME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M081LEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) c,n, AD n1.M.nn.aooo
TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 ~ I TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT • ISSUE .d~-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-D0-8923
BRIDGE FEE -NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TAN KS Carlsbad 80·92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieauito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI -
TOTAL ELECTRICAL ,--. TOTAL SOLAR I TOTAL FEES PAYABLE /0 ---. >•
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT'" AND DO HEREBY Exp,rahon Every permit issued by the Building Ott,c,at under the prov,soons of th11 * AN OSHA PERMIT IS REOUIR£D FOi! EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by flm1tat1on and become null and void ff the building or worl< 5' O" DEEP 4ND DEMOUTION OR CONSTittJCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author12ed by such permit 1s not commenced w1th1n 180 days from the date ot such STRUCTURES OVER 3 STORIES IN HEIGHT permtt or 1f the budd1~ or work authorized by such permit 1s suspended or ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned at anv hme • er the worl< IS commenced for • oenod of 180 dav•
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If-0 CONTRACTOR 0 A,lOVEDBY
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KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A~D OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .J'" '")~~ .'-:i../BY PHONE 0 'C' ,l t le _. GRANTING OF THIS PERMIT. ----~ , -.
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INSPECTION TYPE DATE INSPECTOR
BUILDING I
''
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
SHEATHING ' '
FRAME ', [J I ,~_gi_ ~,CtZ.))
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL !
PLUMBING I
'. -
SEWER AND BL/CO
PLUMBING UNDERGROUND '
PLUMBING TOP OUT
TUB AND ~HOWER PAN I
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC I
ELECTRIC SERVICE '
BONDING
G. F. I. -SMOKE DETECTOR
": MECHANICAL
-
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS ,
VENTI LA Tl NG SYSTEMS -
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED." . h1 /
JOB SITE FINAL . ... I tJ:Y .,-
PLUMBIN"G --' V'/"'"~
ELECTRICAL _,_ ~JV ~ty~
MECHANICAL .,,_ 1/./ ./'G,, 'r'
GAS {IJ rYtL i..7" . . ..
.... BUILDING / ('I .,,
SPE(;IAL CONDITIONS -
CERT OF Qf "UPANCY ISSUED
....
,
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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DATE
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INSPECTOR'S NOTES
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