HomeMy WebLinkAbout2605 VIA VERA; ; 84-582-463; Permit.,,
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeealons Code, and my license Is In
full force and effect.
LJC No ______ Clm
I hereby alhrm that I am exempt from tne Contrac-1or·s Locens, Law lor lhe 1o11ow,ng reason (Sec 7031.5
Business and Professions Code Afly c11y 01' county which re• quires a perm,1 to construe!, alter. improve. demolish or
repa1r any structure pn<H to I1s issuance also requues the ap· pbcant IOf such permI1 ro Me a s1j:lned statemenl 1ha1 he Is licensed pursuant 10 lhe prov,s1ons of rhe con1rac10( s
License Law {Chapter 9 commencmg wllh Sechon 7000 ol Otv1s1on 3 of the Business and Prolesst00s Code) or lhal 1s ex·
emp1 therefrom and the basis for lhe allegea exemption Any
violation ot Sectton 7031.5 by an applrtanl lor a permn sub-,ects the applicant to a civil penalty of not more than hve hun-
dred dO,lars ($500)
0 I. as owner ot lhe property, or my employees w,1h wages
as lhe1r sole compensat10n. will do lhe work. and the struc-
1ure Is nor intended or ol1erect tor ~le (Sec 7044 Business
and ProfesSKlns Coce The Conuac10t' s License Law does
nol apply 10 an owner of properly who builds or improves
thereon and who does such work t11mself or through tus own
employees, provided that such Improvemen1s are not intend·
ed or oltereil lor sale II. however. the bu11<Jmg or improve--ment is sotd w1lh1n one year of completion, the owner·buitdef
WIii have the burden ot provmg thal he did ROI bu1ld Of Hll· pro,e !Of lhe purpose of sale)
D I, as owner of the property, am exclusrvely conlractmg
with l1censed contractors to construct the proiect (Sec. 7044.
Busmess and ProlesS1ons COde· The Contrac1or·s Ltcense
Law does not apply to an owner ol property who burlds o, im-
proves thereon. and who contracts for each proiec:1s with a
conlractor(s) license pursuant to the Conlraclor's Ucense Law)
D As a homeowner I am Impr0\ling my home, and the follow·
Ing condn.ons exist. 1. The work 1s berng per1orn,ed prior to sale 2 I have hved in my home for twetve months
prlO< 10 complehOn ol trns work
I have not claimed Hus e:xemphon during the last three years
D lame:xemplunderSec ------· B&P.C IOI' this reason -------------
D I hereby atl,rm I hat I ha ... e a cen.hca1e of consent
10 self.insure. or a cen1f1ca1e ol Workers
Compensatton Insurance or a cenif1eo copy !hereof (Sec 3800. LabOr Code)
POLICY NO
COMPANY
□ Copy IS hied With the city
□ Cen1hed CoPy 1$ hereby lutn1She<l
CERTIFICATl OF' EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section neec not be compteteo ,t the perm11
15 lo, one hunCrea dollars (S 1001 or less)
0 I cer11fy !hat ,n lhe performance ot the *O"' 1or
wh,cn this pe,m,t ,s ,ssueo. I shall no1 employ any
person 1n any manner so as to beeome sub1ec1 10 lhe Workers Compensation Laws ol Cahtorn,a
NOTICE TO APPLICANT II. alter mak1n;i 1h15 Cert1
Ilea.le ol E•emp11on )'OU ShOUICI become sub1ect I')
!he Wo,1,..ers Compensation pro111s1ons ol 1he Labor
Code you must tonh~11h comply w11h such
pro111s1ons or lhtS permit shall be deemeCI revo"ed
D I hereby altum Inat there Is a consuuct,on
lend•~ agency to, lhe performance ot the won-. tor
which this perm•I 1s 1!>sued 1Sec. 3097 C1v1I Cooe,
Lenders Name ___________ _
Lenders Address __________ _
' t;AKL:SBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS
Vio:i
AV. ST RD. NEAREST CROSS ST. l01~4~a5l BUSINESS LICENSE tt VALUATION PERMIT NUMBER
' Ver~ _s-804. &>8.5.SZ 84--SBZ-I c:;~os
: ~~ BLOCK· I 7r:Jl!::!J5 I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 4-t:,£$ \ l,.-,"7 U I -::l / <,rf'i 77,tG J.I. nA /.:>/1rl (!o 4-~A,4:594 I OWNER'S NAME 14dZd'SH94 ' 7?->e d ·~A !o:Jn..-1 C'o CONT RACTOR's',i,do RESS LICENSE NO PLAN 1.0. # BLDG USE CODE
I ~rl~hcJd. 11.A ~4,..:2407 I OWNER'S MAILING"'"ADDRESS I
I /O/S r'k<:./nn..) /}v,.-#R._~ l1...1r/4-.::b..;Jd DESIGNER LICENSE a STANDARD PLAZJ \ BUILDING 50. FOOTAGE
I G-, v; ron mt0./lf.J/_1)e.slari Cl?91? /4-9~ I
/
9U,J.ON OF ,;
1
K .-P~SOA I/~)/") 1/J~l."'<'P DESIGNER'S AODRESS -DESIGNER'S PHONE .\ ~ \
~Cini-f~, CA 94.:J'1~~ ~' -F/P FLRELEV. NO OCC GP EDU
vO NO /?a.!}_ STZ S R3 J ,f ui'lr:cudl :JQ(ltf. JJ
CENSUS TRACT I GP LAND USE I p# s;;CE I AES /ITS I GRADING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA * CONST
vO ~ YO ND v□ N vN Not Valid Unless M~chine Certtfied
~
QTY. PLUMBING PERMIT -ISSUE 7$)_ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
// EACH FIXTURE TRAP -~"1 <"n / INSTALL FURN. DUCTS UP TO 100.000 BTU ....,d_._,-BUILDING PERMIT 01·00-00-8220 "-.i:J<f-Q-
I EACH BUILDING SEWER / en OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO OR VENT _.., <n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00· 00-8806 r,,?....") ,~
I EACH GAS SYSTEM 1 TO 4 0 UTLETS I .., <ri BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00-00-8222 ~-:5c.
EACH GAS SYSTEM 5 OR MORE I MET AL FIREPLACE ELECTRICAL 01-00·00·8223 --.:/I')-
EACH INSTAl . ALTER. REPAIR WATER PIPE -4 ..... ..If VENT FAN SINGLE DUCT 6.-MECHANICAL 01-00·00·B224 /.~
EACH VACUUM BREAKER MECH E XHAUST HOOD DUCTS MOBILEHOME 01-00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I •NSIDE) SOLAR 01-00-00-~??~
TOTAL MECHANICAL STRONG MOTION 80·92-33·0519 4-_ P. r-, /:3 ~ ----.
TOT AL PLUMBING I 4-/-._"'v': FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE .s=-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00·00-89ll
BRIDGE FEE
NEW CONST EA AMP SWT BKR /onA .::i-s-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad / --;-0 i/ 80-92-21-0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Enc1nt1as 80-92· 22·0519
1 PH 3 PH PUMP San Otegu1to 80-92-23-0519
RE MOOE L ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24·0519
TE'IIP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /..~7/-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 J (;} R 8 0 P.~n--
CREDIT DEPOSIT
TOTAL ELELTRICAL I ~o-TOTAL SOLAR TOTAL FEES PAYABLE I c:;906 .. so
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expnation Every permit issued by the Bu1ld1ng Ofhc1a1 under the prov1s1ons ot this * AN OSHA PERM:1 IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eJtpire by hm1t1t1on and become null and YOICl H the bu1k11ng o, work s· -~" D DEMOLITION Of! CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permit ,snot commenced w1th1n 180 days from the date of such ST S OVER 3 STOfltES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON :~:~n~ '!, •=~v ~~!':Pt.~;h:~~:~!h~~~~e:!~~~~ :8~7.~'~,s~~~d or I
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE 1f. OWNER 0 CONTRACTO~ APPROVED(Y ..l -1°flt>r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~<~ BY PHONE 0 GRANTING OF THIS PERMIT -,--,7
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TYPE I DATE INSPECTOR
' \ \ \ . '
,,~
BUILDING I
_j '8d--5~d--4b3 -' ..
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT ' INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP .
EXTERIOR LATH ' i
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL i
I
CONCRETE
POST TENSIONED ,,
CONCRETE .
PLUMBING I
I FIELD WELDING
SEWER AND BUCO DlPUCO I
UNDERGROUND D WASTE D V\,'ATER
TOP OUT D WASTE D WATER
HIGH STRENGTH BOLTS • C
SPECIAL MASONRY -
TUB AND SHOWER PAN ' _l
GAS TEST I PILES CAISSOI\,~
D WATER HEATER D SOLAR WA7ER
I
ELECTRICAL ' I
, -D ELECTRIC UNDERGROUND D l!JFFER ' ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY --
D BONDING D POOL I . -' ' I
MECHANICAL _j
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS i a .
I
' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . .
ITEMS ABOVE HAVB BEEN APPROVED.
FINAL I
PLUMBING
ELECTRICAL -'.
MECHANICAL
GAS '· '•· -BUILDING
SPECIAL CONDITIONS
.
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'J11j s js to ce:rUfy th:1t j11~u J,1Uc.,n l 1as bc·c.n jnstRJJ cd jn confornn ncc ,,;jth the
cunent e:nc1gy r e:gu bUon, California Adiilinistrativc Cock•, THlc 25, State of
California, jn the Luj]cJjng Jocci t ed ci t:
Carl sb~d ,_ CA_
Ohcn s/Corning
Cc.:rtainTccd
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J,bnufoc tm er
'f)•pc Fi):>c 1 gl ass_ 1.; mufacturcr
O,,·ens/1.orn i ng
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Type ___ Manufacturer ______ _
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