HomeMy WebLinkAbout2609 VIA VERA; ; 84-582-465; PermitCl) z 0 ~ a: <( ~ (,) w 0
C
I[
8
ac w 0 ~ 5 ~ w z ~
z 0 ;::
<( Cl) z w ... :I
0 (,)
Cl) a:: w "' ac 0 3
if
O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code. and my license Is in
full force and effect.
lie No ______ Cim
I hereby alfirm that I am e.xemp1 lrom !he Contrac·
tor's License Law tor the fotlowmg reason (Sec 7031 5 Business and ProfesstOfls Code Any city or county which re·
quires a permit to construct. alter improve. demohsh, or
repair any structure. pn01 to 11s issuance also requires !heap· phcant lor such perm11 to hie a s19ned s1atemen1 that he ,s hcen.secl pursuant 10 the prOVtslOOs ol the Conuactor s
Ucense Law (Chapter 9 commencing with Sect,on 7000 ol DIVtSKln 3 ol the eusrness and Professions Code) or !hat ,sex•
empt lherelrom and !he ba~s for lhe allegeo exempt10n Any
v,ola11on of Sec.11011 7031.5 by an applicant !or a permit sub· 1ects the applicant to a c1vtJ penalty of not more than hve hun·
dred dollars ($500)
l, as owner at the property, or my employees w1lh wages
as their sole compensa1ion will do the work and !he struc-ture 1s not ml ended or olfered lor sale ( Sec 7044 Business and Proless1ons Code The Contractor's Ltcense Law does
not apply to an owne, of property who builds or improves thereon and who does such work htmsell OJ lhrough his own
employees. provided thal such improvements are not mtend·
ed or ottered tor sale II, however fhe bu1ld1ng or Improve-men1 1s SO(d w11hln one ~ear of comptehon. lhe owner·bu1lder
will have 1he burden of proving lhat he did nol build or 1m• prove lor lhe purpose of sale)
D I. as owner of the propeny, am e,cc/usivety contracting with hcensed contractors to construct lhe prOject (Sec 7044 Business .and Protesswns Code· The COntrac1or·s LJCense
Law does nol apply to an owner of propeny who builds or 1m·
proves !hereon, and who contracts tor each proiects with a contractor(s) l1tense pursuant to lhe Conlractor·s Ucense Law)
D As a homeowner I am improving my home. and lhe lotlow
ing cond1hons exist. 1. The work is bemg performed PltOf to sale 2 I have ltYed m my home for l~ve months
pr.of to compleoon or this work 3 I have not claimed ttHS e.11empllon durmg the last lhree years
□ I am e,empt under Set ______ . B & P C
tor lhIs reason -------------
0 I ne,eby affirm that I ha-1e a cer11t1cate ol consent
to self.insure or a cer11t1cate ot Workers
Compensation Insurance, or a cen1hed copy the,eot
(Sec 3800 Labol Codel
POLICY NO
COMPANY
□ Copy IS Med wllh lhe c,ly
0 Cert111ed copy ,s hereoy turn,shed
CERTIFICATL OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE {This section need no! be comp\ele<J 11 1he perm11
1s IOf one hundred OOHars (S 1()01 or less)
D I certify that in the performance ol tne woni 1or
•h•cn 11·us pemu1 ,s issued I shall not employ any
person ,n an)' manner so as 10 become sub1ect 10
!he Workers· Compensation Laws ot Ca11torn1a
NOTICE TO APPLICANT It, after makm~ tt11s Ce!'l1
hc,1te ol Exemption_ you snould oecome sub1ec.1 10
the WQf1\ers· Compensation provisions of the LabOt
Code you must lorth.,..,th compty w11h such
prov1s1ons or this perm,1 shall be deemed re1,1oke<l
0 I hereby alt.rm lhal thete ,s a com11ruc11on
1end1no agency lor ine perlormance 01 the wor,.. tor
...,,,,ch th,s permit 1s 1ssue<i 1Sec J/Y.J7 c,..,,1 Cooe1
Lenders Name ___________ _
Lenders Address __________ _
\,;AHL~tsAU tsUILUINli Ut:.t"AR I Mt:.N I
1200 Elm, Carlsbad, California 92008-1989 J.619) 438-5525
At't'Lll;A I IUN & t'tHMI I
JOB ADOAESS AV ST.AO. NEAREST CROSS ST. BUSINESS LICENSE It VALUATION PERMIT NUMBER
c::2609 ~=;--:..,-~~-=----=~~--:------c-c----,----------_____JL__...£-------~5~ ~e o ~ B 55 ~ tB~-s a 2 -ZONE 4 J-!-=-=?:-,,:-:-,--::---.,__~.__Cll....l!ll~-.1,.__.!..!1:~----=.~~....!......!....o!..w~P==-E-A'-S-PH-O-N-E-I <'-_ _._ 94. ~ 6
~~=:..L.-Li-::J!-~=~........,....___,,..e.;=..~-----'-L~~L--_4,...!....!5'~'9L..!-!-_, ~~c;_oi~h~d (! ;::J ~407 PLAN I D.~ BLDG usE cooE
DESIGNER BUILDING 50. FOOTAGE
"='=-==~~~~:li,,LL...L-L..L..!e,,,~~!......l,,,,..J!ii/l,,LJ!.....b,~~;;;z__---1 .G, 11,. ronm <!!:/1fc::,. I 'De.s/ n C! I /J /4-9 <b
t£--L---~~:J.JL..1L1,,,i:.-.a..!lo~---'L-.Cl~L..I~-~=-~---------., OES IGNE A'S AOOA ESS OESIGNE A'S PHONE
Gru2;r,;,f-c:)s , CA '14:J.~~t:,
~ -• F/P FLA ELEV.I I EDU
vO "O /1.Q,!}_ / I ' 'I U/ I tl~i:L,~/ 2~
CENSUS TRACT GP LANO USE PARKING SPACE AES UNITS
4-4-o I
QTY. PLUMBING PERMIT -ISSUE
GRADING PERMIT ISSUED
y D N □ I REDEVELOPMENT
AREA ,._/
vO "~
MECHANICAL PERMIT -ISSUE
TYPE
CONST VN
3-
occ LOAO I FIRE SPA
v□ N"'-Not Valid Unlers Machine Cerrtlied
SUMMARY/ACCOUNT NUMBE R
.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU 4-~ BUILDING PERMIT 01-00-00-8220 ....._q4-,/)-
EACH BUI LO ING SEWER
EACH WATER HEATER ANO OR VENT
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
SIGN PERMIT 01-00-00·8221 • I ,_vmv "'""" I W .... v I I I I PLAN CHECK 01•00•00-8806 I a.:2~ / -
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTE M 5 OR MORE
___ ., I ,v,_,.,,w ,.., .,,uvv" •,. "' I I TOTAL PLUMBING 01-QQ-Q0-8222 I 4 ~ . ..5_a
ELECTRICAL 01-00-00-8223 ~ ~ rJ -
BOILER/COMPRESSOR 1-1~ HP
I METAL FIREPLACE
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT I',.. --MECHANICAL 01-00-00-8224 I / .P,._ ..--
EACH VACUUM BREAKER MECH EXHAUST HO OD DUCTS MOBILEHOME 01·00·00-8225
WATER SOFTNE R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (l"JSIOEI
1
TOT J;L MECHANICAL . 2)1 4,(p .5C, /~-:-
SOLAR
STRONG MOTION
o,-oo-oo-8226 I ~
80-92-33-051_9 +. 8 0
TOI AL PLUMBING FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICA L PERMIT -ISSUE 5-QTY . SOLAR • ISSUE
PUBLIC FACILITIES FEE 32·00·00-89ll
BRIDGE FEE
NEW CONST EA AMP SWT BKR /OOA .-::J<-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad /_-TJQ. / 80-92-21-0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 80-92-22-0519
l PH 3 PH PUMP San Die1u1to 80-92-23-0519
REMODEL Al Tt:R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 100 AMPS
OVER 100 AMPS LICENSE TAX 01-00-00-8162 / Jl -, I ___.j.
TEMP OCCUPANCY 130 OAYSI MFF 80-92-57-0519 / ~ BB 0 8~n-
CREDIT DEPOSIT
TOTAL ElEllRICAL T
I ~o-TOTAL SOLAR TOTAL FEES PAYABLE T c:iqo~ . .3o
I HAVE CAREFULLY EXAMINED THE COMPLETED" APPUCA TION AND PERMIT" AND DO HEREBY EKptrat1on Every permit tSsued by the Bu1Jd1ng Off1c1ol under the prov15,ons ot this
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1mtt1t1on and become null and vo,d II the bu•ld1ng o, work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit II not commenced w1th1n t80days from the date ol such
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5 ~ ~ OEMOUTION OR CONSTRUCTION OF sr ...... / OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON permit. or ,t the bu1ldtnn or work authonzed by such perm,t ,s suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandon«t at an ltme a er the work ,s commenced for I rtod ot 180 da
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT S SIGNATURE • OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE--~./ Z::: _,,-:;:, ,,,0 _.,~,, _ GRANTING OF THIS PERMIT c;.,--/ / ~ ~ BY PHONE 0
APPROVE~~
~ u:::
>-:;;
0 a.
E (I) t-
i
-0 0 ~
C m .S!
a. a.
<{
I
-"' C
ii.
0 (/)
(/) (I)
(/)
(/)
<{
I
3: 0
Q) >-
cli (/)
(I)
(.) 0 ct
m '° 0
~
(I) (.)
C m
C
u.
:::.
C (I)
~ ~
0 u (I) a. f/l C
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
i
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING i
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WA)"ER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I ---------
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ ITEMS ABOVE HA VB BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
,,,.., ... -
~LI -S~ d-4CoS : -
' ' -
FIELD INSPECTION RECORD
' .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S 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
a
-. . . .
-
'
-.
.
'
.. . .
,/ ,/ ' ' . / ' . /
J:,'.l/JJ\J HJ:~ C:I.IUJFJCAI HN
·J11js js to ce;rt ify tk~t jn~11JaUon lws hr.·e:n j11 sta])cd in confornnncc wjth the
curi<.:nt c11crgy rct:uJ;i t jon , Ca ]jfo1nja J\cl111inistn1tivc Cocle, 'fjtJc 25 , St.itc o f
Cci l jfornja, j n 1l1c bujJd1ng Jocatcd at :
SITE /\llDRtSS . ~la09 Via Vera,__Carlsbad , CA
CEJLJNGS 01,•cn s/Cornjng
Cc rt;~ i nTccd
;''J;,nvi 1 l_e _
BJ o,,.n : Type
EXTERIOR \'.'ALLS
J.i;rnufoctUJ er
'I') pc f ibc r gJ c!..;~S_ M 1nufactu1 er
Type _____ M;mufact urer
O,·:cns/r.orn i 11g-
Ce 1 t ;i i n'fccd
Hmvi lle
6a-;.
6 "
_6~ II
'J11i cl,ncss
Ljcense #
R-Va]ue
R-\'a l ue
R Va l ue
R-Va ]uc
I.•
\
19
11
' i