HomeMy WebLinkAbout2615 VIA VERA; ; 84-582-468; PermitII) z 0 ;: < cc < ..J 0 w 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
lull force and effect.
lie No ______ Clm
I hereby affirm Iha! I am exempt lrom the Contrac· tor's Lo<ense Law lor th< loltow,ng reason (Sec 7031 5 Business and Professt0ns Code .o.ny city or county wh1en re, quires a permit to construct. alter improve. demohsh. or
repair any structure, prt0r to ,ts issuance also requires the ap· pltcanl tor such permit to f1te a signed statement tnat he ,s hcensed pursuant 10 lhe pr<N1sions of the ContrattOf s license Law (Chapter 9 commencmg wuh SechOn 7000 of Orv1st0n 3 of !he Busmess and Professions Code) or thal ,sex
empt lherelrom and !he basis for the alfegeo exemp1100. Any
VIOlal!On of Sec1,on 7031.5 by an apphcant IOI' a permit sub• iects !he apphcant to a civil penalty ct not more than hve hun
dred dollars ($500)
I. as owner ol the property or my employees with wages
as lhe1r sole compensation. will do lhe wo<k and the struc·
ture 1s not mIended Of offered ror sale 1sec 7044 Business
and ProteSS10ns Code The Conlractor's License Law does not apply 10 an owner of prt>per1y who builds or improves
!hereon and who doe-s such work h1mseU or through his own employees. pro'l'1ded that such improvements are not intend·
ed or ollered tor sale If, however. the bU1k11ng or improve-
ment 1s sokS w1thm one year or completion. the owner·bu1lder w1l1 have the burden of proving thal he did not bwld or im-prove tor lht purpose ol sale)
....J I, as owner 01 the property. am excluSNe1y conuactmg with licensed contractors 10 construct the proJecl (Sec 7044,
Busmess anel Protesst0ns Code The Contract0<' s Ltcense l aw does not appty to an owner of property who builds I>!" im-
proves thereon. anel who contracts for each prOjecls wtth a conlraclot(s) hcense pursuant 10 lhe Contractor's l.cense Law)
D As a homeowner I am 1mprov1ng my home, and the lollow
ing cond1hons exist
t The work is being perlormed prior to sale
2. I have hved ,n my home f0< twelve months prior to compleLon of this work
3 I have not claimed this exemphon dunng lhe
lasl lhree years
B&PC 0 I am exempt under Sec. _____ _
tor this reason ____________ _
0 I hereby att,rm that I ha"'e a cer11hcate al coosenI
10 self-insure. or a cert1l1cate ol Workers Compensation Insurance. or a cen,t,ees copy thereof
!Sec 3800. Lal>O< CO<lei
POLICY NO
COMPANY
0 Copy IS filed with lhe Cl!)'
D Cert1l1ed copy ,s hereby turnished
CERTtFICA Tl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (This section neeel not t>e completed 11 the oerm11
15, tor one hundred dOllars (S 100) or less)
0 I cer11ty that in the per1ormance of ltle wor11 !or
wh1cn this perm11 1s ,ssued. I shall not employ any
person ,n any manner so as to bec:ome sub1ec1 to lhe Wo°"ers· Compensahon Laws ol Caltlorn,a
NOTICE TO APPLICANT If after maktn1 In1s Cer11
hcale ol ExempI1on. yoo shoulo oecome sub1ec1 ,,,
the Woli\ers CompensaI10n provIsI0ns ot rne Ut>or Code you must lorth'A1lh comply w11n such
prov,s,ons or ttus perm11 shaJI be ~med revokeo
O I hereby affirm lhal !here 1s a cons1ruc11on
Iend1ng agency to, the oer1ormance or Ine woni. 10, wf'ucn ltus permI1 1s 1ssueo iSec 3097 Civil Cooe1
Lenders Name ___________ _
Lenders Aodress __________ _
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
I JOB ADDRESS
\/;c:J Ve::,-..;,
AV ST RO. NEAREST CROSS ST
I /:.4 AP:eSNI
BUSINESS LICENSE u VALUATION PERMIT N UMBER
I o)~/S 6130'/=. 1904-0 84-S8Z-I : t-:al BLOC~ lsyBDI ViS'ON I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 408 ~i 7A ,.5 lC.,'7 '-fl";). .2.'() 00 77,~ ~ah/..-:,nd c!.o. 4-..34.u,q ¢ I OWNERS NAME 1~44-~q; I -/ h~ I-led, /QJn d /'o CONTRACTOR'S ..n>0RESS LICENSE NO PLAN 1.0. # BLDG USE CODE
I Cl~rl..sb~d CA ..3~4-07 I OWNER'S MA,L ~ADDRESS
/0/S l'>he.:!:.-1-nJrl-Ave~~ ()_e,.J,-/..s~d DESIGNER LICENSE u STANDARD PLAN# BUILDING SO. FOOTAGE I Giviro/"\m~n+..;;,I Des;_gn C!.;'}qg /7~0 I
OES-~CRIPT,ON~;.F;:, ORI( P, /!. A~ 1 / ,~ ,n~ i<"e >/Jrt I') DEStGNE R'S ADDRESS DESIGNER'S PHONE
I Gr, c;,., i-f-..:J$ CJ.A 9,f-...:2~~ I
I >---F/P FLA ELEV. NO OCC GP EDU I /Ui /bbdlJf1/ 31 £3.;
vO NO /"JO,'/
STORIES l<-3 I WL.Jf.i:!L::1/ -2.. l/lJ7/ 85TiEr..,9.·
CENSUS TRACT I GP LANO USE
I p4 '4OCE I RES 7TS I
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA AREA cV/Y vO ~ y D ND ... o ,.,,15( Not Valid Unl~s M,1chine Certified
QTY. PLUMBING PERMIT • ISSUE 7£!-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
I
JI EACH FIXTURE TRAP ~-,, 51". I INSTALL FURN DUCTS UP TO 100,000 BTU .d...--:---BUILDING PERMIT 01 ·00·00·8220 .::2-,~ -
I EACH BUILDING SEWER r;,~-5r: OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
I EACH WATER HEATER ANO OR VENT .:J~o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ...24-..2.¥-
I EACH GAS SYSTEM I TO 4 OUTLETS -+-__ ...:2 . 5c. BOILER/COMPRESSOR 3 15 HP TOTAL PLUM BING 01 ·00·00·8222 4--.te> l 5 c
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00·00-8223 ~ .;;,,-, -
EACH INSTAl . ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT ✓--MECHANICAL 01 ·00·00·8224 /d-
-1-·
I EACH VACUUM BREAKER MECH EXHAUST H000 0UCTS M0BILEHOME 01 ·00·00·8225
WATER SDFTNER RELOCATION Of EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DR.\IN (''JSIOE) S0LAJL 01·00·00-A??~
TOTAL MECHANICAL STRONG MOTION 80·92·33·0519 __ ..., .-,::;--"}
TOT AL PLUMBING I 4-t:, 60 ;g~ FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE s--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00·00·89ll
NEW CONST EA AMP SWT BK R IOOA 1~5-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad i../ / 1F<!. 80·92-21 ·0519
EXIST BLOG EA AMP•SWT BKR ROCK STORAGE Enc1ntlas 80-92·22·0519
I 1 PH 3 PH PUMP San D1egu110 80·92·23-0519
I REMODEL AL HR PER CIRCUIT I PLAN CHECK FEE San Marcos 80·92-24-0519
I TEMP POLE 200 AMPS . -
I OVER 200 AMPS LICENSE TAX 01-00-00-8162 /..59 ... ~ -
fEMP OCCUPANCY (30 DAYSJ MFF ao.92.51.0519 ; c.; P. An ABO-
CREDIT DEPOSIT
fOTAL ELECIRICAL I ...Bo-TOTAL SOLAR TOTAL FEES PAYABLE I --3'/ 8.:l 52..
t HAVE CAREFULLY EXAM1NED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY E,cp,,at,on Every permit issued by the Building Oft1c1aI under the provIsIons of this * AN ~RM:T IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall elll:ptre by hm,tahon and become null and void If the building or work 5' 0" I' ND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authortzed by such permit ,snot commenced w1th1n 180days from the date of such STAUC S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON =.'::~n~ l~t t=~y ~~:'~ffe~~~~~r:~:hco~~~~Je!~~~ r~~~ ~lsr~nl~ or .
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . >~
APPROVED~~ ,°'/7/~ KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT s SIGNATURE • OWNER D CONTRACTO
EXPENSES WHICH MAY IN ANY WAY ACCRUE .O.GAINST SAID CITY IN CONSEQUENCE OF THE .-~...,,.z:; ~~ BY PHONE 0
GRANTING OF THIS PERMIT _............ / /~ ~r-,-
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHBAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W,4.TER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D l)FFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
□ DUCT & PLEM., D REF. PIPIN
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE. BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
I
I
!: --...· -~ ',,r
,, i \ ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE r
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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-.
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-.
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This is to certify that insul ation has been ins t al l ed in confonnance with the
current energy regul at ion, Cal ifornia Administrative Code , Title 25 , State of
Californi a , in t he bui l ding l ocated at: 1 --;,~·
' SITE ADDRESS ~ta\5 Via Vera, Carlsbad, CA
f(c_:t'-;-~~~,'~-· CEILINGS __ ...:._c_;c._-=-==-=---'-'==-=:;:.i__::..;=O=w=-e=n=s-=/'-'-C-om~i=-n-g ______ 6_,¼,-'-' -------
'i Certa inTeed 6 11
Batts : Type Fiber gJ ass Manufacturer Manville Thickness 6 1 " R-Value 19 I•~ -..:....::,::.:..:....::'--=..:::~---2
>· Bl own: Type Manufacturer Thickness /11, ---------------
f:t __ , EXTERIOR WALLS Owens/Corning 3 11
•.'i Cert ajnTecd 3 11
R-Value ---
Type Fiber glass Manufacturer Manvj lle Thickness 4 11 R-Value 11
Type _____ Manufacturer _______ Thickness ___ R-Value __ _
General Contr actor License # --------------------------
By Title Date ----------------------------------
Schmid Insulation Contract ors, Inc. License# 221517 C-2
CITY OF CA.RLSBAD LOT#
" . INSPECTION RECORD
BUILDING
FOUNDATION b'
REINFORCED STEE;;,)' 'V
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR ( ) CEILING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
FINAL -------------
PLUMBING
~SEWER & B~ ( l JJYCO Uks~} ( ) WATER
TUB & SHOWER PAN
GAS TEST ~
( ) WATER HEATER ( ) SOLAR WATER
FINAL ------------
ELECTRICAL
~LECTRIC UNDERGROUND ( ) UFFER
( ) BONDING ( ) POOL
FINAL ------------
MECHANICAL
() DUCT & PLEM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL ___________ _
COMPLETE BUILDING FINAL ~
DATE :J,L;>"XS
CLEARED WITH GAS AND ELECTRIC
DATE: --------
NOTES ON REVERSE SIDE ..... .