HomeMy WebLinkAbout2702 VIA PLATO; ; 84-582-448; Permit.,, z
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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 ------Cla!.S
I hereby alhrm that I am exempl from the Contrac-
Ior's lteense Law for the fotlow1ng reason {Sec 7031 5 Business and Profess10ns Code Any city or counly which re-QU1res a permll to construc1. alter improve. demohsh. or repair any structure. prtOI' to its issuance also requlfes !heap-
P'K:ant tor such perrmt 10 Ille a s,~ned statement that he Is l.censed purSll.ant lo the pr<Ms1ons of the COnlractor s
L1eense Law (Chapler 9 commencing w1lh Sectt00 7000 ol Dtv,sion 3 ol the Business and Professions Code) or that ,sex-
empt lherelrom and the basis tor the allegea exemption Any Vlolahon ol Sect10n 7031.~ bv an apphcanl lor a perm11 suD·
Iec1s ttle applicant to a civil penally of not more than five hun·
drod dollars (S500).
I, as owner of lhe property, or my employees w1lh wages
as th.eff sole compensation. win do !he work. and lhe struc-
lure Is not intended or Offered for sate (Sec 7044. Busmess and Professions Code The Con1racto.-'s license Law does
not apply to an owner of property who builds or improves
thereon ano who does such work himself or through his D"Nn employees. provided !hat such ampr011emen1s are not Inlend•
ed or ollered !or sate If, however, the Dudding Of improve-ment 1s sold within one year of complehon, the owner·bullder
will have the burden ot provmg that he did nol bmld or im-prove fo, the purpose of sate)
O I, as owner of the properiy. am exclusively contracung wnh licensed contractors to construct the proIec1 (Sec. 7044,
Busmess and Protess10ns Code The Contractor's Ltcense Law does not apply to an awner ot property who builds Of im-proves thereon. and who contracts lor each proiec1s with a contractor(s) hcense pursuant to the Con1rac1or's Lteense Law)
□ As a homeowner I am 1mprovmg my home. and lhe loUow·
ing cond1t1ons exIs1: t The work Is bemg performed pnor to .Yle 2. , have live<! in my home !or twelve months
prior to completion of th,s work
3 I have not claimed lh1s e)(emplton during the las! three years
D I am exempt under Sec ______ . B & P C
for this reason -------------
D I hereby athrm that I ha"e a cert1t1cate ol consent to self.insure or a cer11t,ca1e of Workers
Compensation Insurance. or a cen1f,ea copy thereot ISec 3800 LabOr Cooe1
POLICY NO
COMPANY
0 Copy IS !tied with lfle Clly
0 Cen1t1ed COl)y 1s hereby tu1n1shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe perm,1
•s lo, one hundred dollars f$100l or less)
0 I certify that in the performance ol me ....,ork tor
whIct1 this permit 1s issued I shall not employ anv
person in any manne, so as 10 become suo1ec1 10 lhe Wor1ters Compensalton Ulws ot Cahtorn,a
NOTICE TO .4PPLICANT If. afler makm~ this Ceni llcale ot Exemption. you should beeome suo1ec1 I">
the WMers Compensa1,on prov,s,ons or the Labar
Code you mus1 lonh'Atth comply wIlh such
prov1s,ons 0t 1h1s perm11 shall be dee-me-o re\/Oke-cJ
0 I hereby attum lt'lal !here ,s a cons1ruc1,on
lending agency tor trie pertormance 01 ine wor"II to,
which ttus perm,t 1s issued 1Sec 3097 CMI Cooe1
Lenoe, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I -
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 .L ;os ADORESS
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AV. ST.RO. NEAREST CROSS ST I 04-:;qL~BTSN I BUSINESS LICENSE a VALUATION PERMIT NUM:~
o,<70~ Pl..:Jfo ~SIi> SIS84-~4--~'Y t;.,JBLOCK I SUB0I VISION l ASSESSOR PAR'aL ~ OU CONTRACTOR CONTRACTORS PliONE • ZONE 74--.:J..5 Ii, 7 I uO /he J-/; q A l .. :u-, d Go 4d4-4594-OWNER'S NAME ~3~s94 ;J,-e HJ ah 1->n d Co. CONTRACTOR"S ADDRESS LICENSE NO PLAN 1.0. # 'tfLDG USE CODE
t'l .... 1,-/~h -..--1 (J4 ..:31-~4-o7 OWNER'S MA LING ADDRESS
JO IS /lJ,~+nL1.J.4v~4...R~ fi-:ir-Lsba."ld DESIGNER • LICENSE ii STANDARD PLAN# BUILDING SO. FOOTAGE
G, v; ronrn~rrf-.J /~, ~ Cl ✓5'8 /0 9..Q. DESCRIPTION OF WORK ih p Q / '7o.,, .Jr, t"'u ,_ 'f:'. -'L_~_L"')_ c::) 0 A DESIGNER"S ADDRESS DESIGNER'S PHONE
I G,c.;,,; -f~✓ C'A 9~.~ ,.:i. I -~ -NO EDU r F p F LR ELEV. DCC GP I
vO NO /]Q.!i STORIES £?:3 I ex' I ll/cii.l/r1.JJL.l I :l117G .CJE I CENSUS TRACT I GP LANO USE I p AZ S~ E I RES;NITS I GRADING PERMIT ISSUED
I
RE0EVELOPMEN. T TYPE OCC LOAD FIRE SPR ,J I AREA
CVN I y D N □ ,□ N'f;/ vO 111l{ !et Vdlid Unlns M~chine Certified
I
-;1z?-SUMMAF\)~A~\T NUMBER I QTY. PLUMBING PERMIT • ISSUE QTY. MECHANICAL PERMIT -ISSUE -:r-I
I ~ EACH FIXTURE TRAP '-.:J-:J ._<, 1/ INSTALL FURN DUCTS UP TO 100.000 BTU &-BUILDING PERMl1'\_ 1 II ,..\Ot-OO·OO·B220 ~BC-I-
I I EACH BUILDING SEWER £.:.6c. OVER 100.000 BTU SIGN PERMIT I\ ~ \J j ·01-00·00-8221
I I EACH WATER HEATER ANO OR VENT -2.S(. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK _ ~ l-' [V 01·00·00-8806 /8'?.85 I I I ~-.."Y: BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING\ J \l .d..L~ I EACH GAS SYSTEM I TO 4 OUTLETS 01-00-00-8222
I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00·B223 ~~CJ---
k, --I EACH INSTAl . ALTER . REPAIR WATER PIPE -~ VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 /..i:5-I -----
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEH0ME 01 ·00·0Q-8225 I
I WATER S0FTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
I EACH ROOF DRAIN I ,NSIDEl SOLAR 01.:00.:.00:Jl??n I TOT t;L MECHANICAL ~ STRONG MOTION 80·92·33·0519 -:3'.~I I /~-:--I TOT AL PLUMBING I ~/St" FIRE SPRINKLERS 01-00-00·8227
I ~ PUBLIC FACILITIES FEE 32·00-00·B9ll I QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR -ISSUE
BRIDGE FEE
I
I NEW CONST EA AMP SWT BKR /nn c-:J5-COLLECTORS SCHOOL FEE • DISTRICT
I 1 PH 3 PH STORAGE TANKS Carlsbad t/ L7"R 80-92-21-0519
' EXIST 8 LOG EA AMP1SWT BK R ROCK STORAGE Encinitas 80-92· 22·0519
1 PH 3 PH PUMP San D1egu1to 80-92-23-0519
REMO OE L AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /I?-~?-
TEMP OCCUPANCY 130 DAYSI MFF B0-92-57-0519 I ~880 880-
CREDIT DEPOSIT
TOTAL £LECTRICAL I ~o-TOTAL SOLAR TOTAL FEES PAYABLE I c:::24-76-9 (, -
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT .. AND DO HEREBY E,cp1ration Every permit issued by the 8u1ld1n9 Ott1c1al under the prov1s1onsof 1h1s * ~AMIT IS REOUIRED FOR E)(CA\/ATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1tat1on and become null and void H the building or work. 0" D AND DEMOUTION OR CONSTRUCTION 0~ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit Is not commenced w1thIn 180 days from the date of such S RES O\/ER 3 STORIES IN HEIGHT .,/ ISSUED TO COMPLY WITH .ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~~On~'!, 1:~v ~~~'~Pte~~h=~~,:~!hco~~~e~le~~~~ r~~~·~,sr:8~a~~ or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT t ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE ,!__.. OWNER□ CONTRACTO~ /PPR(°! ~-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
~~.::":"' 7 ~ ~L~·YPHONE o GRANTING OF THIS PERMIT .,,,,,,,---~ ~--~ ., ~ ...._,
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME i
EXTERIOR LA TH I
i
INSULATION i
INTERIOR LATH & DRYWALL I
i
PLUMBING I
l
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D \'YATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., 0 REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE 1-1~ VB BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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General Contractor License# ------------------------
By Title Date --------------------------------
Schmid Insulation Contractors, Inc. License# 221517 C-2 -------==-==-'----'=--=:...._-
Title Vice President Date ------------------
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