HomeMy WebLinkAbout2708 VIA PLATO; ; 84-582-445; PermitII) z 0 ~ a: C ..J 0
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0 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.
L,c No ______ Clm
I hereby affum lhat I am exempt lrom the Contrac-
lor's License Law tor lhe lollowmg reason (Sec 7031 5 Business and Proless,ons Code Any city or county which re-quires a permI1 to construct a\ler. improve. demohsh, or
repair any structure, prior 1011s issuance also reqwres !heap· phcant for such permI1 10 hie a s1Qned statemenl lhat he is hcensec1 pursuant 10 lhe prov,~s ol lhe Conuacto(s
License Law (Chapter 9 commencing w1lh Sechon 7000 of D1v1st0n 3 of the Business and Professions Code) 04' that 1s ex-empl therefrom and the basis for lhe anegeo exemption Any
v1olahon ol Section 7031.S bv an apphcant lo, a permII sub· 1ec1s !he apphcant to a CtVII penalty of not more than five hun-
dred dollars ($500)
r I. as owner of the property. or my employees with wages
as their sole compensation win do the WOfk. and the struc-
ture 1s not ,ntenclee or ollered for sale (Sec 70441. Business and ProtessJOn& Code The Contraclor's ltcense Law does
not apply 10 an owner of property who builds OJ lffiproves thereon anCI who does such work himself or lhrough his own employees, provided that such improvements are not mtend-
ea or ollered tor sale 11, however, !he bu1khng or Improve-men1 Is sold wI1hin one year of completion. !he owner-builder
will have lhe burden of proV1n9 Iha! he did not butld or im-prove tor lhe purpose ol sale)
0 I. as owner of !he property, am exclusively conlractmg
with licensed coniractors 10 construct the proiect (Sec 70441,
Business and Proless10ns Code The Contractor's Ucense Law does not apply to an owner of property who builds or im-proves lllereon. and who contracls lor each pro1ec1s with a
contractor(s) license pursuanl lo the Contraclor's license Law)
D As a homeowner I am Improvmg my home, and lhe follow
mg cond1t1ons exist 1 The work 1s being performed prIDr to sale
2 I have ltved in my home tor twelve monlhs pnor lo compte110n of this WOfk
3 I have not claimed th,s exemption durmg lhe last lhree years
g :h~: ,:~:• under Sec. ______ . B & pc -------------
O I hereby alhrm that I ha..-e a cen1t,caIe ot consent to self insure, or a cemt,cate of Workers
Compensation Insurance, or a cen,t1eo cooy lhereol
(Sec 3800. Laoo, COdel
POLICY NO
COMPANY
□ Copy IS Med With the city
0 Cerhlied copy 1s hereby lurn,shed
CERTIFICAH OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be complelecl 11 lhe perm,I Is tor one hundred dollars tS l(X)) o, lessJ
D I cen,ly Iha! m the pertormance ot the wo~ Ior
which lhtS perrmt ,s issued. I shall nol emoIoy any
person m any manner so as to beeome subIecI 10 the Workers CompensaI1on Laws at Cal1lorn1a
NOTICE TO APPLICANT II. aller makmJ !his Cen1 hcate ot Exemption you should become subIec1 I?
the W~ers CompensaI1on prov,s,ons ol Ihe Lat>o,
Code you must tonn..-. ,th comply w•lh such
provIs,ons or this perm,I sr-all be deemed ,evoke<l
O I nereby affirm mat ttie,e 1s a consirucrion
iendmg aoency tor me perto,mance al 11'\e woni. !or wtHCrt m,s pe,m,I •S 1ssueo iSec 3097 C11111 Cooe,
Lenders Name ___________ _
Lender .s Address __________ _
I USE BALL POINT P~N 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 AV ST.AD. NEAREST CROSS ST. ,□2;~;/4 1~, BUSINESS LICENSE # VALUATION PERMIT NUMBER
c:::2708 V;~ PJ...-:,-1-o 8860 ,flv,,+fd
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/,,,ASS 2.
~BLOCIC 174.'.:.,'.3 5 I ASSE\:~ARij\ ~· s -i OD CONTRACTOR CONTRACTORS PHONE • ZONE llh-1! )-/lqh/~nd do. 4-34-45'94 ~~ OWNER'S NAME
j 4j44;c;;,_ Th~ ;-/j 4A le::Jnd c!. o . CONTAACToR·s ADDRESS LICENSE NO. PLAN 1.0. i, BLDG USE CODE
~rL:shc::Jd ...34-24-07 OW"<ER'S MA NG ADDRESS
/0/.:5 C.ht!!..s+nuf-Ave 13.:3 C,:;;;r-1:sboJa DESIGNER LICENSE zz STANDARD PLAN# BUILDING SO. FOOTAGE En i1; r-on ~c!/1~1 D~✓-~ {! /7 98 /49~ I DESCR PTION OF WORK
I / -r-,, J,-,A ,...,~ J ~-P~n.So.B~ DESIGNER•s ADDRESS DESIGNER'S PHONE
I -Enc; /'l; r-::JS,. <::JA ltl4-?~~~ ; ,~· F/P FLA ELEV. NO OCC GP EDU
v□ NO /--ia,J ST~S ~.3 I t,/,.ll:lhu1U I :J9!ffJ • ◄ CENSUS TRACT I GP LAND use I PA4,4-QE I RES /ors I GRADING PERMIT ISSUED I
RE DEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA v 5/-/ YO ND v□ N~ vO NK Not Valid Unlers Machine Certtfied
QTY. PLUMBING PERMIT • ISSUE -7~ QTY. MECHANICAL PERMIT· ISSUE 3-SUMMArY/ACCOUNT NUMBER
/I EACH FIXTURE TRAP F --27 . .Se:. I INSTALL FURN DUCTS UP TO 100,000 BTU ,4--,--BUILDING PERMIT r 01 ·00·00·8220 --.i34-0 -I EACH BUILDING SEWER ~-Sc OVER 100.000 BTU SIGN PERMIT _'/ I 01·00·00·8221
L EACH WATER HEATER ANO OR VENT -J c-S-/"' BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK . . " ~ ,~1-00·00·8806 ..::Jr-0 /~
I EACH GAS SYSTEM 1 ro 4 OUTLETS ~c:2 -S-e. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING \ \J \ / ~ 01·00·00-8222 _,,, L.... Sc ~
ELECTRICAL ~ ~ r\ ..$0-EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE 01-00-00-8223
EACH INSTA~. ALTER. REPAIR WATER PIPE ...:3 VENT FAN SINGLE DUCT t::-.-MECHANICAL \ ] .,
01 ·00·00·8224 /~~--~-
EACH VACUUM BREAKER ME CHE XHAUST HOOD DUCTS MOBILEHOME -~ 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSI\
EACH ROOF DRAIN f'JSIDEI SOLAR 0l:_00·00•R??R
rQTJ;L MECHANICAL STRONG MOTION 80·92·33·0519 </..~o /j -:-----TOI Al PLUMBING I 4-11. .. <;-: FIRE SPRINKLERS 01 ·00·00·8227 -QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·893) QTY. ELECTRICAL PERMIT -ISSUE ~-BRlOGE FEE
NEW CONST EA AMP SW I BK R /l"Jr>A ea-2.:::;'.-COLLECTORS SCHOOL FEE • DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad L712 ✓ 80·92·21-0519
ExIsr BLDG EA AMP,SWT BKR
' ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San D1egu1to 80·92· 23·0519
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92· 24·0519
rEMP POLE 200 AMPS
OVER ZOO AMPS LICENSE TAX 01-00-00-8162 J_~ 7 /-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 / (V BBQ 880-
CREDIT DEPOSIT
'J fOTAL £LEURICAL I 00 .-', TOTAL SOLAR TOTAL FEES PAYABLE I -=-<qo~ . ..:3o
I HAVE CAREFULLY EXAMINED THE COMPLETED ''APPLICATION AND PERMIT" ANO 00 HEREBY Expiration Every permit is.sued by the Bu1ld1ng Ottic1aI under the prov,sIons of th,s * AN OSHA efal,l:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall exp1re by hmuatton and become null and \/'Old If the bulld,ng or work 5-r~·• ;gN, DEMOU TION OR CONSTRUCTION OF DECLARATIONS ARE TRllE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such permit Is not commenced within 180 days from the date ot such ST TUR£ VEA 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY0 COUNlY ANO STATE LAWS GOVERNING BUILDING CON-:~r::::On°.:c,
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~ffei~h::~,:~~h:;~~e:t~~~~ :8~'::~I~1sr~:~~ or ~ STAUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLICANT"$ SIGNATUR\ Jf. OWNER□ CONTAACTO~ APPROVED 811-\
l
0~/4r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO '""\../
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-~ z-::-~~ BYPHONE0 GRANTING OF THIS PERMIT
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' .~. .. . TYPE I DATE INSPECTOR ~ . ' ' ~,E,3~-lf~ ' BUILDING I \ \
FOUNDATION I FIELD INSPECTION RECORD •-.
REIN FORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I REO IF INSPECTORS
GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE ' -' •o -~
SHEATHING □ ROOF □ SH~AR PRIOR TO ' . ' FOUNOA TION INSP FRAME I
I STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION i PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL ~ POST TENSIONED
CONCRETE .. -
I
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO I HIGH STRENGTH •
BOLTS UNDERGROUND □ WASTE □ '!i__ATER
TOP OUT D WASTE □ WATER SPECIAL MASONRY
.;: -
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS \ □ SOLAR WATER ' . □ WATER HEATER •, . ·, . ' ,
I ' ELECTRICAL I l,. .• . -. 1 t' .. ~? , ' ,
□ ELECTRIC UNDERGROUND □ WFFER ~'· ;f ~ -
' .I I . ROUGH ELECTRIC -_.,. 4 i~ , r □ ELECTRIC SERVICE □ TEMPORARY \ ., ~ ,,
I ~ .,. ---e I □ BONDING □ POOL l -\ " . '
I ' ' ' ' . I " .. ' MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING -; ~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . .... ' -. ' I . . -· I.,\._
~ ~ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . ~ '" ITEMS ABOVE HAV5 BEEN APPROVED. ' ' . -' r -FINAL I .,, . . '
PLUMBING -£ ' ' ' I • >
ELECTRICAL I '1(.\.£,/ -~
t~ rt ..... ; ' . ,. -• ;£'· •
MECHANICAL ~" ..... ,,,, /) ....----. .
i..<'"' I ,. n·.
I i I'! 'V / ~ -GAS I . --...... ,j ' BUILDING I ,
SPECIAL CONDITIONS r -
I
I -
CEILINGS Owens/Corning 6 ¼"
CertainTeed 6 "
1
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11 Batts: Type Fiberglass Manufacturer Manville Thickness 62" R-Val ue 19 • ff~
Blown : Type _____ Manufacturer _______ Thickness~--R-Val ue ___ ~
EXTERIOR WALLS Owens/Corning 33 :: ri,)J_J i CertainTeed ,.-,. ~
Type Fiberglass Manufacturer Manville Thickness 4 " R-Value 11 -~~~ •.
FLOORS Type Manufact urer Thickness R-Value ------------------
General Contractor License# --------------------------
By Ti tle Date -------------------------------
Schmid Insulation Contractors , Inc . License# 221517 C-2 ------'=-==-=-='-'----=-=--
Titl e Vice Presiden t Date ---------------
~~fi~~~'!# .. ,J ~t .. ~ ··~-:. -~·••'-•'"'"'"""""''..._"_ :,\;,-~;.;.:_,f:<j~~=~~~~~~~~~~ ~ "~~--V.
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