HomeMy WebLinkAbout2611 VIA VERA; ; 84-582-466; PermitIll z 0 .:: < a: < ~ u ... 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my lfcense Is in
full force and effect.
Lie No ______ Cfm
I hereby at11rm Iha! I am exempt from the Conlrac-lof s License Law tor !he following reason (Sec 7031.5
Bustness and Professions Code Any c11y or county wh1cn re-
quires a perm11 to cons1ruc1. alter, improve, demohsh. or repair any structure. pnDf 10 11s issuance also reqUJres !he ap-
phcanl tor such permit to hie a s1qned statement lhat he ,s l1Censed pursuanl to the prov,s,ons of the Con1rac1or s License Law I Chapter 9 comrnencm9 w1lh Sec11on 7000 of Div1s10n 3 of lhe Business and Professions COde) or !hat ,sex·
empr therefrom and rhe llasis for the aflegeo e""rnphon Any v1otation of Secllon 7031 5 by an apphcan1 fOf a permit sut>-
Jecls the applicant to a c1v1l penalty of not fllOfe that1 hve hun·
dred dollars IS~).
1. as owner ot the property, or my employ~s with wages
as their sole compensation will do the work. and the strut·
ture 1s not inlended or offered tor sale (Sec 7044 Business and Professions. Code The Contrac1or·s Lecense Law does
no1 apply to an owner ol property who builds or improves thereon and who does such work himself or through his own
employees, provided that such improvements are not mrend• ed or offered tor sale II, hawever. !he bwk1ing or improve·
ment 1s sold w11h1n one year of complet!Ofl, the owner·bu1lt1er
will have the burden of proving that he did not bUild Of tm· prove tor lhe purpose of sale)
D I, as owner ot the property, am exclusM!ly contracting
with hcensed contractors to construct the prOject (Sec 7044.
Business and Protess,ons Code The Contractor's License Law does not apply to an owner of property who builds Of 1m• proves thereon. and who contracts for each prOjecls with a
conuac1or{s} hcense pursuan1 to lhe Contractor's License Law)
D As a homeowner 1 am rnproving my hOme, and the follow 1ng conchtions exist 1 The work IS being performed prior lo sale 2 I have hved in my home lor twelve months pnor 10 complellOn 01 this work I have not cla•med this exempMn during the
last lhree years
□ I am exempt under Sec ______ . B & P C
lor this reason ____________ _
D I hereby affirm thal I na ... e a cen11tcate of consent
10 self insure. or a cen1hca1e ot Workers
Compensation Insurance or a cenifted cooy !hereof
{Sec 3800. L.abO< Code)
POLICY NO
COMPANY
0 Copy Is filed wItn lhe c,1y
O Cert1f1ed copy ,s nereoy lum1sheCI
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This seclton need not be comoiete<J ,1 lhe perm11
•~ fOf' one nundred oollars fS 1001 or less)
0 I cert,ly !hat 1n the per1ormance 01 the woni. tor
which this oemi11 ,s ,ssue-d I sll.lll no! emoloy .lny
person 1n any manner so as to beco~ suo,ect 10
lhe Workers· Compensation Laws of Ca1,10,nia
NOTICE TO APPUCAN T II atte, maktnJ !his Cert,
flcate ot Eicempt1on you should become sub1ec1 t"J
!he Wor..ers Compensauon pro>J1s1ons 01 the LabOr
Cooe you musr lont1111,,1th comply w,th such prov,s1ons or this oerm11 shall oe deemeo revoi,,eo
0 I nereby alf11m lhat lhe,e ,s a cons1ruc11on
lending agency for lhe pertormance ot !he w0I'\. lor wruch irus perm,1 ,s issued 1Sec m1 C1v,1 Cooe,
Lenders Name ___________ _
Lenders Ad0ress __________ _
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 ~19) 438-5525 __
JOB ADDRESS AV ST.RO. NEAREST CROSS ST DATE Of APPLICATION BUSINESS LICENSE tt VALUATION PERMIT N UMBER
o?~// r=-~~-,-----..--=-----------,----------------'--'--l-----'4-'--~-=8=---=6___, t8 5 5 z B 4--s 82.-
BLOCK ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE
OWNER'S NAME I 41 \ <;r,. o'?...ER'S PHONE 7J>e 4-6~
/he. 1-1,· /2/.:J/'Jd ~0-4-34--4S94-PLAN l.0./t BLDG USE CODE
OWNER'S MA,L NG ADDRESS 4-07
/0/S C!h ..sfhLifllve. ~ ~r/:$fud LICENSE• eu1LorNGso.FoorAGE
e ~~~L.U;;L~~~~~~£.._L.1,'L__--1----\---.\-I ~9 ~
CENSUS TRACl GP LAND use PARKING SPACE RES UNITS
E
-6->_~-,,,,. ~-1.S 94,:J.-6.:2~
F/P FLA EL EV.
v□ NO /20-9
GRADING PERMIT ISSUED
--,;m
STORIES ~
TYPE
OR:S I ED/
4-4-o I y D ND IREDEVELOPMENT
AREA
v0 N1.!( v"rJ
occ LOAD I FIRE SPA
vO ~ Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT · ISSUE i.[!_~OTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
77_ I EACH FIXTURE TRAP I ,;::,__-, _ ... ' 2 .s 2
~:So
-.S? 4-:?
d... -~T EACH BUILDING SEWER I -~ I -. -.. ·-------. ---------.
EACH WATER HEATER ANO OR VENT -2_
/ I EACH GAS SYSTEM 1 TO 4 OUTLETS I ,..:) _
EACH GAS SYSTE M 5 OR MORE ---r
EACH INSTAl . ALTER, REPA IR WAT ER PIPE I I _ ~ • -----·---z;_
BUILDING PERMIT 01-00-00-8220 -SIGN PERMIT 01-00-00-8221 -
PLAN CHECK 01·00-00-8806 -TOTAL PLUMBING 01·00-00-8222
ELECTRICAL 01·00·00·8223 -MECHANICAL 01·00·00·8224 --. EACH VACUUM BREAKER MECH EXHAUST HO OD DUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DR,\IN I ,NSIOE 1
TOTAL PLUMBING T 4-t,.<f,
TOT t;L MECHANICAL
/~.-
SOLAR J!l:l)O.:.OQ-8226 I
t-STRONG MOTION -80·92-33-0519 4,-_ Rn
FIRE SPRINi<LERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE _"")_ QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SWT BKR / OOA 24<-COLLECTORS SCHOOL FEE • DISTRICT
l PH J PH STORAGE TANKS Carlsbad L77<✓ 80·92·21·0519
EXIST BLOG 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
TE MP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-51-0519 / € B 8 n /..:E?I---
88:2-
CREDIT DEPOSIT
TOTAL ELECTRICAL T c:10-:---__ TOTAL SOLAR TOTAL FEES PAYABLE r c:i..qoh.~o
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT" AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON
STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expuat,on Every permit issued by the Building OUtc,al under 1he prov,s,ons of th,s
Code shall eJtptre by ltm,tatton and become null and void If the bu1ld1ng or work authorized by such permit ,snot commenced within 180 days t,om the date or such
permit. or 1t the bu1fd1ng or work authorized by such permit ,s suspended or
_a_bandc?_~ed at any lime aher the ~ark 1s commenced tor a period of 180 days
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5 ~ 0£MOUTION OR CONSTRUCTION OF
sr...,_,o/;, OVER 3 STORIES IN HEIGHT •
~~RE :c-, ~,;;::_□ co::Rp:c;:E~ APPROVE°C ~ ort,j/ I /7/fJJ
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
'BLf -5 'i5 ~ -lµ,o Jo . ~ .. ; ; .,
FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~AR
SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LA TH ' i
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION i PRESTRESSED
INTERIOR LATH & DRYWALL i
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □!PUCO I HIGH STRENGTH
UNDERGROUND □ WASTE □ VyATER BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WA7ER
PILES CAISSONS
.
I
<
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC ' I
□ ELECTRIC SERVICE □ TEMPOPIARY
□ BONDING □ POOL I
I -
MECHANICAL ' I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' l
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ ITEM_S ABOVE HAVB BEEN APPROVED.
' ' --
I FINAL I
1
PLUMBING I . -
ELECTRICAL I
-c~ I
MECHANICAL I • ~~ li' --GAS I -.a~",\ I ~~ I
BUILDING I .. l -o·
SPECIAL CONDITIONS I
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'l11js js to c<;rtify tli:-1t jnst1J.iUon Ji;1s bc:<;n j11staJJcd jn conf"on.n ncc ,,;jth the
cun<;nt c-ncrgy rq_~u ]:1tion , Ca)ifornfa Acl111inist.Tativc Cocle, THJc 25 , St;itc of
CaUfornia, i n the LujJc]jng Jocatcd c1t :
SITE ADDRESS _ ~la\\ Via Vera,_Carlsbad, C_A:;__ ___ _
CEJ LINGS Owens/Corning -----Cert ;1 i nTccd
Rat ts : Type Fihm~ns~ Vinnufacturcr /\l;-mvil Jc __
BJ oh·n : Type
EXTER lOR l','A LLS
H:mufocturer
Type Fiberglass_ M,mufacturcr
0h•cn s/Corn i ng
Cc rt a j nTccd
. /\l;rnv j l Jc
Type _____ Manufacturer ___ _
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Date --------
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