HomeMy WebLinkAbout2712 VIA PLATO; ; 84-582-443; PermitCl) z 0 .:: C ac C ~ u w 0
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O I hereby alflrm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of Ille Business
and Profeaalons Code, and my license Is In
full force and effecl.
lie No ______ CfJss
I hereby atllrm !hat I am exempt from the Coolrac• rors License Law !or lhe lollowing reason (Sec 7031 5
Business and Professions Code Any city or county which re· quires a perm11 to cons1ruc1. alter, improve. demohsh. or repair any slructure. prlOf to its issuance also requires ?heap-plicant tor such oerm,1 to lile a siQned statement lhat he ,s
hcensed pursuant to lhe provisions of the Con11ac1or s License Law (Chapter 9 commencing w,tn Section 7000 of 01v1s1on 3 ot the Busmess and Professions Code) or lhal 1s ex empt therefrom and the ba~s for the al!egec exemplton Any
v1olat10n ot Section 7031 . 5 b'I an appf.canl tor a permit sub· 1ects !he applicant to a tlYII penalty of 001 more than hve hun·
dred dollars (S!iOO)
"J I, as owner of the property. or my employees with wages
as their sole compensahon. will do the work and lhe struc·
lure ,s no1 intended or olfered !or sale (Sec 70.-4 Busmtss
and ProfesStOns C0<1e. The Contractor's license Law dOes not apply to an owner of property who builds or improves
!hereon and who does such work himself or through his own emplOyees. provided thal such improvements are no! intend·
e<S or ottered for sale If. however rhe building or improve· ment Is sold w1thm one year of complelaon. the owner-builder
wIl1 have the burden ol proving that he did not build or im· prove tor lhe purpos, of sale).
0 I. as owner of the property. am exclusively contracting with licensed contractors 10 construct the protect (Sec 7044.
Business and Proless1ons Code The Contractor's Ltcense
Law does nor apply to an owner of property who builds or 1m·
proves thereon. and who contracts lor each proiects wllh a contraclor(s) license pursuant lo lhe Con1ractor's license
Law)
D As a homeowner I am improving my home. and the follow mg cond1t1ons exist l The wOfk 1s being per10fmed pnor to sale
2. 1 have lived m my home lor twelve months pnor to completion o1 this WOfk
I have not claimed lh1s exemphon during !he last three years
D lamexemptunderSec _____ _ B&PC tor lhis reason ____________ _
0 I hereby afhrm mat I ha .. e a cert1hc.ate ol consenl
to self-insure. or a cer11flca1e ol Workers
Compensa11on Insurance, or a cen,t,ed copy lhereol
(Sec 3800. Labor CodeJ
POLICY NO
COMPANY
□ Copy IS f1ted w1lh the city
O Cerhhed copy ,s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section neec, not be completed ,t 1tte oerm11
,s f0t one hundred 0011ars is 100} or Iess1
0 I cer111y !hat in 1ne performance ot me won.: ior
•tHch 1h1s penmt ,s issued I shall not employ any
person 1n any manner so as 10 become sub1ec1 10 the Wor1il.ers' Compensahon Laws of Ca1tlorn1a
NOTICE TO APPLICANT It, alter makIn1 lh1S Cert1
hcate of Exemption. yoo stlOuld 1:>ec:ome sub1ect I'>
lhe WoOl.ers· Compensation prov,sIons ol the Latx>r
COde you mus1 lorth.-..nh comply with such
p,o.,,Is,ons or this perm11 shall be deemed re..,oke<J
0 I hereby athrm that !here 1s a constructton
1end,no agency 10, the pertormance ol 1he wof1o. to,
which lh•S permit ,s 1ssue<11Sec "JIYj7 Civil Code>
Len(ler s Name ___________ _
Lenders Ad0ress __________ _
1 USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I CARLSBAD BUILDING DEPARTMENT l I APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
,OB ADDRESS AV ST.RD. NEAREST CROSS ST BUSINESS LICENSE • VALUATION PERMIT NUMBER
c27J.:) \/; c::,,,\. Pl-:J+o ID4 ;..;p~is~l
~;.,]BLOCK I SUB4-I ISION I AS~E,~s~R 4R1E~ N%-s 00 CONTRACTOR 7 -~-5 71,e ;-/;r;A /.;Jr,d C..o. OWNER·s NAME 14-::34-4~;/94-
8850 ?,~55_.?1
CONTRACTORS PHONE • ZONE
4-34-46?4
~i « ,y--St.,_,., #. 0 a.
E Q) I-
77-,e 1-/;Qhl~nd C!.o. CONTRACToR·s ADDRESS LICENSE NO PLAN I.D. # wBLDG use CODE
~r/s .6,.::,d, C:.4 34..:J+o7 OWNER'S MAILING ADDRESS
I 0/ S CA ~-lr,'-1 f Ave 8..3 Cf-,,-/ .s..b-J cl DESIGNER LICENSE # STANDARD PLAN # BUILDING SO. FOOT AGE
€'rh/; r/>,-;, . -I'\+~ I 7Je.s1'ci,1 C. I 79 8 /4-9~ DESCR PTIDN OF WORK ;:z' /4.:,.1"> . ~ A£) 1 / "'7",). ,,.,. hn,, ,.~-DESIGNER'S ADDRESS -OESIGNER"S PHONE
Crlct'/1ifc:Js, C!.A 'I 4-;;, 6-).t;,.;;.
-. F p FL A ELEV . NO OCC GP EDU
/7.a!l STORIES R.3 I I vO NO 2-"'hfll~li..;I P9C~.:r
I CENSUS TRACT I GP LANO USE I PAR?-o;;;;E
1
RES r ,Ts
1
GRADING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA ~ cr/N ,~, Vaftd Unless M~chine Certtf1ed I y D ND vO" vO N'm.
I
I -;El-~-SUMMARY/AC}b~ ~UMBER I QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT -ISSUE
I // EACH FIXTURE TRAP 'c::27 60 I INSTALL FURN DUCTS UP TD 100.000 BTU .A --BUILDING PERMIT " _ lj 01-00· l-8220 -~ .d... ,,., -
I I EACH BUILDING SEWER / ..... ~p □VER 100,000 BTU SIGN PERMIT \\ \\ r 01 ~!oo-a221
I EACH WATER HEATER AND OR VENT -~ ~n BO I LE R/COMPRESSO R UP TO 3 HP PLAN CHECK ' r ~ oo~o-8806 .....-:JQ/ -
I EACH GAS SYSTEM l TO 4 OUTLETS i---, <r BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING \\ ~ Q1 IJ0-00·8222 _,,.J_/ <~ '-
EACH GAS SYSTEM 5 DR MORE METAL FIREPLACE ELECTRICAL ~ 01·00·00·8223 .... ~,,., -
EACH INSTAl ALTER, REPAIR \\'ATER PIPE _4 VENT FAN SINGLE DUCT ✓--MECHANICAL \ \ 'll!1-00·00·8224 /_-:::/ --~
'd1-00·0Q·8225 EACH VACUUM BREAKER ME CH EXHAUST HOOO OUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN 1-NSIDEl SOLAR 01-00-an.oooo
TOTt;L ME CHANICAL ~TRONG MOTION 80-92-33·0519 -4. .. 8 o
TO l AL PLUMBING I 4-?,~,-/.d~ FIRE SPRINKLERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE s=-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32·00·00·89JJ
BRIDGE FEE
NEW CONST EA AMP SWl BKR / r>I") £> _'J< -COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad LT/<✓ 80·92·21-0519
EXIST BLOG EA AMP'SWT SKR ROCK STORAGE Encinitas 80·92· 22-0519
l PH 3 PH PUMP San D1egu1to 80·92· 23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /.$ 7/-
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519 I ~.A~ n 8Ro-
CREDIT DEPOSIT
TOTAL ELECIRICAL I "3o~ TOTAl SOLAR TOTAL FEES PAYABLE I ~qek,3Q I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND 00 HEREBY Exp,ra!lon. Every permit issued by the Bu1ld1ng Oft1c1al under the prov,s,onsof lh1s * AN~RM IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eJC.pire by hmitation and become null and void It the building or work 5' o· P AN OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO t FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit ,s not commenced w1th1n 180 days from the date of such STRUCT\JM. OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• ~~~~n°~ 1
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STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANrs SIGNATURE ~ OWNER□ CONTRACTO~ APPROVED BY~~ _ ,~1~~-KEEP HARMLESS THE CITY OF CARLSBAD 11.GAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~,z'~~ -~-:, GRANTING OF THIS PERMIT -.. PHONE 0 C7
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7 7
TYPE I DATE INSPECTOR I .. -. --.
BUILDING . I
FOUNDATION I ~-'5~-4~3 ,'I ___ -,
FIELD INSPECTION RECORD
REINFORCED STEEL i
MASONRY I
i
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHBAR
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE -' PRIOR TO
FRAME I
I
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL i
PRES TRESSED
CONCRETE
POST TENSIONED . CONCRETE ' PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I
I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D W,1\TER SPECIAL MASONRY
' .
~ TUB AND SHOWER PAN I ~ -
GAS TEST I
I
D WATER HEATER D SOLAR WAlER
PILES CAISSONS
I
ELECTRICAL I
... l-\ .-
• .' l ~
:.
~ . -' ' = .. D ELECTRIC UNDERGROUND D liJFFER
ROUGH ELECTRIC I
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~ ' ,, ., , '
D ELECTRIC SERVICE D TEMPO~ARY I ! I' ' . ~· -,_ ~
D BONDING D POOL i ' ~ --. ' u . -·i .
I
MECHANICAL I ;: .,
A .
• I
D DUCT & PLEM., D REF. PIPINp
HEAT -AIR COND. SYSTEMS I
I -~ \ .• I
• '
VENTILATING SYSTEMS I •· ~ ;:_"" ~ I ' -
CALL FOR FINAL INSPECT!iN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
.. . " --\ . --...
FINAL I '
PLUMBING I dn --
ELECTRICAL I -r ,LY'
MECHANICAL I .
A ;1~ ~ _,,-
GAS I ~L, -l LY-
BUILDING I -L.--' i
. ' . I ... ~ r ' ._ .. ,
.--< __ , .. •i . , < ..
SPECIAL CONDITIONS I
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