HomeMy WebLinkAbout2617 VIA VERA; MP; 84-582-468-E; Permit.,,
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O I hereby affirm that I am llcensed under
provlelone of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeulona Code, and my license Is In
full force and effect.
I.Jc No ______ Clm
I hereby afflrm that I am exempt lrom the Conlrac·
Ior·s Locense Law lor the loltow,ng reason (Sec 7031 5 Business and Professions Code Any cIIy or county whicn re-quires a perrmt to construct, alter unprove, demohsh, or
repair any suucture. prior to its issuance also requires !Ile ap-phcanl tor such perm11 10 hie a s1~ne<1 statement thal he 1s
hcensed pursuant to the pr°"1s,ons ol ll'le contractor s License Law (Chapter 9 commenc,ng wnh Secoon 7000 ot
D1111s1on 3 of the Business and ProfesslOl'ls COdeJ or lhat ,s ex• empt therelroo, and the basis !Of the al'egeo exemption Any
v1olatl0n of Seclion 7031.S by an apphcani for a permit sub· JeCIS !he applicant ID a C.VII penalty ol not m<Wt than hve hun· dreo dol~rs 1$500)
I, as owner of lhe property, or my em~oyees with wages
as 1he1r sole compensation, Wlll do lhe work and the slruc-
ture is not intended or offered tor sale {Sec 7044 Business
and Profess;om, Code The ContractOl''s lJCense law does
not apply to an owner ol property who builds or improves lt'~ereon and who does such work himsell or lhrough hts own
employees. provided that such improvements are not Intencl· ed or offered for sale u. however. the building or improve-
ment 1s sold within one year ol compte1,on, the owner-builder
will have the burden of prOYlng that he did not build °' im-prove tor lhe purpose ol sale)
l'J I, as owner of the property, am el(clus,ve1y contract mg
wrth hcensed contraclors 10 construe! !he pro,ect (Sec. 7044,
Business and Professions Code· The ConlractOl''s license
Law does not apply to an owner of property who builds Of Im• proves thereon. and who contracts lor each proiecrs w11h a
contractor(s) lttense pursuant 10 the COntrac1or·s license Law)
D As a homeowner tam tmprovmg my home, and the follow mg condIh0ns exist.
1 The work is bemg per1ormed pnor 10 sale
2 I have lived m my home for lwefve months
3 rr~v: =PC~!~t t1
~1
I
: ::~phon durmg the
f.ast three years
□ I am exempt under Sec ______ , 8 & P C
for lhis reason
D I hereby aft11m ttial I ha-1e a cen 1hcate or consent
10 sell-insure. or a cen1f1ca1e ol Wori..ers
Compensa11on Insurance. or a cenihed copy 1hereot !Sec 3800. L.al>Or Godel
POLICY NO
COMPANY
D Copy 1s hied w11t1 the cI1y
0 Cer111ted copy Is hereby fum,sheC
CEATIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This sec11on need no1 be completed 1f the perm,t
1~ IOf one hundred dollars IS 1001 or Iess1
0 I cert,ty 1na1 in 1he pertorma.nce ol lhe woni. ro,
which 1h,s oerm11 ,s issued. I shall nor employ any person In any manner so as to beeome sub1ect 10
lhe Work.ers • Compensation Laws ot Ca11tom1a
NOTICE TO it.PPUCANT II after maktnJ lhtS CE>rt1
t1cate ol E11empt1on. you should become sub1ec1 I') lhe Workers Compensa.1,on provIs1ons ot the Lat>or
Cooe. you musr lorth--.,th comply with svch provIs,ons or ttus permit shall oe deemed re\ookeo
0 I hereby atlum lhat 1here 1s a cons1ruc1t0n
Iending agency •or the pe:rtormance ot !he work lo,
which 1nIs perm,t Is ,ssue<J ISec )097 C1v1t Cooe,
Lenders Name ___________ _
Lenders Address __________ _
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 ,I)"
:~~~s~ 7 Vi-J Vc:-c:L AV ST Mf NEAREv::sMe,de l/7-:t;;~B4-N] :s-a;;•4-SE # VALUATION /'~~ER
L'o,-BLOCK I suB01v 1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE ~,6,l" ., Ii:.
l~R'S NAME TR 7e:1-~I I OWNER'S PHONE ;--r,~ Hi q}, /.:,~d Cb. 4-.34--~94-
The H/ of> /c:,J/") <I CJon,LAJ~Jt. 4,3¢-4594 coNTRAcToR·s AooAEss A u~N~ N~A ""
7
PLAN 1.0. # eLDG u sE cooE
OWNE A'S MA LING AOORESS / 0 I .S C! l,c:..s -rnLJ -I-,1'7-./er}l.)t, c.,;,-r-,,t.-rt-,,, t-'------'-----------------,t---------,--+-----------+-=-::-:-::-::-::::-:::::-:::=;:-;:-;---, /O/S /?h-<-7'-.ri./ 1 -I-Av~ ~r/':SJ..~d oEs•GNER ucENsE,, sTANDAADPLAN # Bu1Lo1NGso.FooTAGE
oEscA,PTION oF wORI( , En11; ronm~f-~ I ~< ·,..,ri C! 1-;q 8
_,&: ,_,,.rr; C Me+~,. :ft:,--~ L':lr~·/'l K_ lff!!f>-DESIGNERS ADOAESS -DESIGNER'S PHONE
+ /14 ~ d ;.-' 1 -Gneini -f-~.:s CA 9~~~
r--aon :rQ e, ~ ',1..:Jr-. '..9/2T/ '?3 • F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PAAl<ING SPACE I AES UN ITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR ; 30~0[ AREA CONST
y O N O v□ NO v□ NO Not Valid Unless M~chine Certified
QTY. PLUMBING PERMIT -ISSUE 7-£°-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00-8221
EACH WATE R HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM l TO 4 OUTLETS 1 801 LEA/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00_·0_0_·8_22_2-+--.,...---
EACH GAS SYSTE M 5 0 R MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 ~:/ 0 -
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 1---1-----------------
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS M0BILEH0ME 01·00·00·8225
WATER SOFTNE R RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN IINSlDEl SOLAR 0l·Q0·00vc·,..__.R??"'-f\+-----------;
TOTt.L MECHANICAL STRONG MOTION 80·92·33-0519
TOT Al PLUMBING I ~RE SPRINKLERS -01·00·00-8227
PUBLIC FACILITIES FEE 32·00-00-893) QTY. ELECTRICAL PERMIT. ISSUE s=-QTY. SOLAR· ISSUE BRlOGE FEE
NEW CONST EA AMP SWT BKR / 00A ~.5' -COLLECTORS SCHOOL FEE. DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Enctnilas 80·92·22·0519
1 PH 3 PH PUMP San 01egu1to 80·92·23·0519
REMODEL 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
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTALELECTRICAL I ~Q-TOTAL SOLAR TOTAL FEES PAYABLE~, ...3JO-
t HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued bylheButldtngOff,c,al under the prov,s,ons of!htS * AN OSHA;~T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde shall expire by ltm,lahon and become null •nd void It lhe butld,ng or work 5 0 .. DEEP A DEMOLITION OR CONSTRUCTION OF authonzed by suet-I perm,t +s not commenced w1th1n 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO l FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,1. or if the butldtng or work auihortzed by such permtl 15 suspended or ..., ~l\J OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH /ILL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• abandoned at any lime after the work ,s commenced for a oertod of 180 days J
STRUCTION, WHETH. ER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND. APPUC. ANTS SIGNATURE ~ 0 ,oX APPROVED BY( \ 007¼ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND "7_,·7:::-• .-,'. -":f' ~ ~ OWNER CONTAACTOn,-,,,, l • _! \ / .--
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE_~ h_ -,it:#-'? _,,.c-<-s:;:7~ BY PHO E O ~ -(7 f
GRANTING OF TH IS PERMIT / // N .,.,..C-/ I O"'d
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TYPE I DATE INSPECTOR
BUILDING I
OUNDATION I
~EINFORCED STEEL ' I
IIASONRY I
.:JUNITE OR GROUT ' I
LOOR & CEILING SUB FRAME I
F
R
M
G
F
s
F
E
HEATHING D ROOF D SHqAR
RAME I
' XTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING ' I
SEWER AND BUCO s
u
D IPUCO I
UNDERGROUND D WASTE D 1/yATER
TOP OUT 0 WASTE D WATER
TUB AND SHOWER PAN ' I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I ],?~ ' I ~ C ~
MECHANICAL I , -
GAS I ' .
I
BUILDING I
SPECIAL CONDITIONS ' I
I
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ltf-'-l~fJ --t::; , .
I
FIELD INSPECTION RECORD
., ......
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS DATE INSPECTION 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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