HomeMy WebLinkAbout2716 VIA PLATO; ; 84-582-441; PermitU) 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.
Lie No ______ Class
1 hereby alflrm that I am exempt from the Contrac·
to, s License Law tor lht lollow1ng reason (Sec 7031 5
Business and Professions Code Any city or county whK:h re·
quires a permI1 10 construe!, alter ,mpr!M!_ demo~sh. or
repair any structure_ prior to ,ts issuance also requires :heap·
plicant IOf such permI1 10 Me a s1Qned slafement that he ,s licensed pursuanl to !he prov1st0ns of the con1rac10f s License Law (Chapter 9 commencing with Secllon 7000 of Ow1s,on 3 of the Business and Professions Code) Of !hat ,sex•
empt lherefrom and !he basis lot the allegeo exemp11on. Any
vIota11on ol Section 7031.5 bv an appbcant !Of a permit sub· Jects the appI1cant to a c1v11 penatsy o1 not more than hve hun·
dred dollars ($500)
I, as owner ol ltte property. Of my employees with wages as tne1r sore compensa1,on. will do the work. and the slrut·
lure ,s not intended or otlered for sale (Sec 70._.. Business
and Prolessions Code The Conlraclor's lteense law dOes
001 apply 10 an owner of property who builds or improves
!hereon ano who does such WOfk himselt or through h,s own
employees. prnvided thal such ITTlprovemenls are not mtend•
ed or offered for sale. II, however lhe bulldll'lg or 1mprove-
men1 1s sold w1th1n one year ol completion. the owner-builder
wilt have !he burden of provmg Iha! he did nol budd or ,m. prove !or the purpose ol sale)
D I, as owner ol the prOJ)eny am exclusively contracttng w1lh h<:ensed contractors to construct lhe prOject (Sec. 7044,
Business and Professions Code The Contractor· s Ltcense Law does not apply to an owner of property who builds or Im--proves thereon, and who conlracts tor each proiects with a
con1ractor(s) hc:ense pursuant to the Contraclor's lteense Law)
D As a homeowner I am improving my home, and the foltow
Ing cond11ions exist t. The work ,s bemg perfo,-med prcor to sale 2. I have hved in my home for twelve months pnor to completion of this WOfk
3 I have nol cla1med lhls ~empuon during the
last three ~rs
D I am exempl under Sec _____ _ B&PC !or this reason ____________ _
0 I hereby affirm that I na-1e a cer11t1cate or consent
10 self.insure, or a cert1!1cate or Workers
Compensation Insurance. or a cemfied copy !hereof
!Sec 3800, ubor Code)
POLICY NO
COMPANY
0 Copy Is hied with the c11y
0 Cer11he<1 copy Is hereby furnished
CERTIFICA Tl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed II me permI1 Is tor one hundred OOllars ll 100) or tess1
O t cert,ly that 1n the per1ormance ot the .... oa to,
which lh1s permit is issued. I shall riot employ an-,,
person m any manner so as to bec.ome subIecI to the Workers· Compensa11on Laws of CaI1lorn,a
NOTICE TO APPLICANT If, at1er makin"J nus Cert1
fie-ate ot Exemp11on. you should oe<:ome sunIecI I?
the Workers' Compens.a11on pro\fISIons ol the laOOr COde you must IOrth'A•lh comply with such
provIsIons or ll'us permit shall be deemed revoi..ea
0 I hereby alt1rm lhal there Is a consIruc11on
lend•OQ agency tor lhe per1ormance of the woa tor
which ltus permll IS tSSVed !Sec 3097 C1v1I Cooe,
Lenders Name ___________ _
lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS 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 A V ST.RD. NEAREST CROSS ST I 4~:i9~;~NI
BUSINESS LICENSE # VALUATION PERMIT NUM;E¥
c:271/o v;o.) 'Pl-.:Jf-o 88So ..S/$84-
~,,BLD~>\ I SUB0I VISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE ~lf"fbV 74--...J~ lt...741-:?:. '5:,00 7nt:! M c;>/2 LJnd d,. 4"144694-OWNER"S NAME 14-.:340:;;;s;;;_E 1Ae l-iiohl~nd c!..o. CONTRACTOR"S ADDRESS LICENSE NO PLAN 1.0. # B LOG USE CODE
(k,/.:sb.;;Jc::i C!A l3~4-07 OWNE R"S MA LING AOORESS
/0/S CAe:s-fnul-?'tv~ 83 <l.....:)r-/.:sbwd DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
.::;-.,ii ro,v,•?c:nf...:>I ~(9;'"'\ C!.1~98 /09c:) DESCRIPTION OF WORK A PL,r, ...;>QA / "7"°nh.Jr, r1<...f,5 e DESIGNER'S ADDRESS OESIGNER"S PHONE
£,,-,cJ/1✓-f-~.:s, ~A c; ~~~.;:;_
--Fi P F LR ELEV. NO OCC GP EOU P/dll/b.J.:iL,d P'-176'.9
vO NO /?.sJ!}_
STORIES /2.S I -o.2
CENSUS T RA Cl 1 GP LANO USE 1 •;;;.~ACE RES;NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA COVAi I y D ND ~□ Nh( v□ N~ Nor Valid Unless Machine Cerrrlied
I
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1 QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERM IT -ISSUE '3-SUMM~RY/ACCOUNT NUMBER
I <./ EACH FIXTURE TRAP -, -:l...J .<t: / INSTALL FURN DUCTS UP TO 100.000 BTU ..d -BUILDING PERMIT '\. \ \ (\01·00·00·8220 -'JAQ -
I I EACH BUILDING SEWER ~ .$1'1 OVER 100.000 BTU SIGN PERMIT ~ K 01-oo-oo-a221
I -~ .<.r. I '\. \ "01 ·00·00-8806 I ,/1,/J-.BZ I I EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK "
I I EACH GAS SYSTEM 1 TO 4 OUTLETS ~<l""l BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBlil\. \.' I ~' 01-00·00·8222 .A I .</")
I EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL ' ,,
01 ·00·00·8223 ... .:1r"i-
I ~d VENT FAN SINGLE DUCT /4-MECHANICALC\ \ I /~-I EACH INST Al ALTER, REPAIR WAT ER PIPE 01 ·00·00·8224 ----M0BILEH0ME '\. ('i( I EACH VACUUM BREAKER MECH EXHAUST H00010UCTS 01 ·00·00-8225
I RELOCATION OF EA FURNACEIHEATER " WATER S0FTNER MOBILEHOME PARK INSP
I EACH ROOF DRAIN (INSIDE I 01-00.00-•oo• I SOLAR
I TOT l<L MECHANICAL ~TR0NG MOTION 80-92·33·0519 . ::l~~_L_
I TOT AL PLUMBING I 4../ .<, /.;3-:--FIRE SPRINKLERS 01-00-00-8227
I PUBLIC FACILITIES FEE 32-00·00·893)
QTY. ELECTRICAL PERMIT -ISSUE <--QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP SWl BK R / Q I') -:l<-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad ,./ / ,,::;, 80·92·21·0519
EXIST BLOG EA AMPrSWT BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San D1eguIto 80·92·23-0519
REMODEL ALTl:R PER CIRCUIT PLAN CHECK FEE •.
San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /n..,;;,-i-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 I (fi) t3 8 (") A$<.r,-
CREDIT DEPOSIT
TOTAL ELECTRICAL I V.o-TOTAL SOLAR TOTAL FEES PAYABLE I =<4-76. 9L
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMlr AND DO HEREBY ExpHaflon Every permit issued by the Butlding Off1c1el under the p,o..,1sIons ot this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by llmttahon and become null and void If the bu1fd,ng or work 5 O"' D\~EP ANDI ITION OR CONSTRUCTION OF
DECLARATIONS ARE TRLIE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit ,snot commenced within 180 days ftom the date .:,f sucti STRUC VE STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON• :~~~n°~ 1
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1
:~y ~~~:·~He~~h=~~,:~!hi~~~eile~~~~ :e~~~·~,sr:bd.~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE Jf. 0 ~-,.. APPROVED BY l,L 1°!/-v/1.r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN~ _ ~OWNER JCONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ --~y PHONE 0
GRANTING OF THIS PERMIT ~ { _ _ / ., --c; -v 7
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TYPE I DATE INSPECTOR i
BUILDING I
FOUNDATION I
I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHE!AR SOILS COMPLIANCE
PRIOR TO
FRAME I
I
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION i
INTERIOR LATH & DRYWALL i .
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOL TS
TOP OUT D WASTE D W~TER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WA'fER . .
j
ELECTRICAL I -
D ELECTRIC UNDERGROUND D liJFFER -
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOf)IARY -
D BONDING D POOL I .
I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPIN~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
l
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
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s
FINAL I ~-
PLUMBING I I ~~ I . ·~ ;
ELECTRICAL I n,,1,9 rr
MECHANICAL I \ V,r i,----I
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GAS I ~r
BUILDING I
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SPECIAL CONDITIONS I
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INSPECTOR'S NOTES
DATE
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l(\~'{ . ~;;~ •~',·~.:.-,e-:::s,-,P ~ ,?-•~-· ;vt~, ~~· ~~. ~ .~-~-~v-t, .. :,;-.t ·-:. y ' ~-.. y-•~. -.0il. ,>.., "\,.,._'.}, -~-~ -'--.1...::-=-=-L-'.1"':-·-•···---------!--~·->-... --_,. ___ ':;.}_i_~_,,.. --~-~,J~-i_J . ~~ \ ~f , . INSULATION CERTIFICATION , 1r'
• This is to certify that insulation has been installed in conformance with the i
current energy regulation, California Administrative Code, Title 25, State of ~ ~'~~ California, in th~b~i\~~ing located at: r.
~ SITE ADDRESS ex. 1 I..P Vi a Plato, Carlsbad, CA • ', / J CEILINGS __ _::__-'-'__,_ __ __._._.,_,,.__..,___._..<J....J<Ow'-'-'-f,en_s..,_./=Cu.o....1rn~in=gu.<.-t-'--'-l.0...---6-a,-'-' -------~ '·
I
; >~~-"/. CertainTeed 6 11
"~'.,
({tf Batts: Type Fiberglass Manufacturer Manville Thickness 6½11 R-Value 19 • ff!:t
I ~· \
·oe~~ Blown: Type Manufacturer Thiclmess R-Value ------------~----Owens/Corning EXTERIOR WALLS Ce rtainTeed
Type Fiberglass Manufacturer Manville
3 II
3 II
Thiclmess 4 11 R-Value 11
FLOORS Type Manufacturer Thickness R-Value -----------------
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' :n_e_r_a_l _C_o_n_t_r_a_c_t_o_r::_-_-_-_-_-_-_-_-~_T_i_t_l _e_ -~--~------~--~------~_L_i_c_•n;:t: ---------;;
~--' ~, Schmid Insulation Contractors, Inc. License# 221517 C-2 __ __;;=..=;cc...=..="'---=--cc...--
By<.,),'o~ i.). ?Qtr...c...u Title Vice President Date_________ , n ~ ,
s ·-
• • • • ··•·~~i ~.-,:;_\ .,.,.:~~~··V,''•. ~~~~~~~~~~ L:i,~~~~~~~~ ,-
~itp of ~arl5'bab
REQUEST FOR INSPECTION RECORD
BUILDING
0 REINFORCING STEEL
□ MASONRY
0 GROUT· GUNITE
0 FLOOR AND CEILING SUB FRAME
D SHEATHING D ROOF D SHEA
D FRAME
D EXTERIOR LATH
0 INSULATION
D INTERIOR LATH OR DRYW
D FINAL
PLUMBING
□ UNDERGROUND PLUMBIN/\J
0 SEWER AND PUCO -r"f t 0
□ TOP OUT PLUMBING
0 TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D SOLAR WATER
D FINAL
Ready For Inspection: □ Monday
□ A.M. □ P.M.
~esday
TIME:~/() /
________ DATE:,:;;?.-/:f:-J'~ ~
ELECTRICAL
0 TEMPORARY SERVICE
ll UFFER GROUND
LJ ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
\ 0 SOLAR HEAT
□ Wednesday □ Thursday □ Friday