HomeMy WebLinkAbout2603 VIA VERA; ; 84-582-462; Permit.,,
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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 ,n
full force and effect.
Lie No-----Closs
1 hereby affirm Iha! I am exempt trom lhe Contrac-
ror's license law 101 rhe tollow1ng reason (Sec 7031 5 Business and Proless1ons Code Any city Of county whicli re· qur1es a permit to conslruct, a11er. improve, demohsh, or repair any structure. poDf 10 its issuance a1so requires !heap-
pheant for such perffilt to hie a s.qned statement thal he 1s
hcenSed pursuanl lo the prOVJSKlflS ol the tontraclor s License Law (Chapter 9 coovnenc,ng with Section 7000 of
Dtv1s1on 3 ol lhe Busmess and Prolesswns Code} or thal 1s ex-empl thererrom and the basis lor the al!egeo exemp110n. Any
Vlolation of Sect,on 7031.5 by an apphcaflt tcx a perm,1 sub-1ects lhe applicant to a ctvtl penally of r,ot fllOfe than hve hun•
dred dollars 1$500).
........ I, as owner ol the property. or my employees with wages
as 1he1r sote compensallOn wilt do the wOf'k, and the struc•
ture 1s not intended oc ollered lor sale (Sec 7044. Business and Professions. Code The Contrac!Of' s Lttense Law does
not apply to an owner of property who builds or improves 1hereon and who does such work himself°' through his own employees. pr0Y1ded Iha! such impcovements are not Intend•
eel or olleced tor sale If. however. the buHd1ng or improve-ment ,s s~d w1th1n one year of completion, lhe owner-bu,kler
wlll have the burden ol proving thal he did not build or 1m· prove lor 1he purpose ol sale)
D I, as owner of the property. am exclusively con1ract1ng
with lteensed conlractors to construe! the prOject (Sec. 7044.
Business and Proless,ons Code The Contractor's Lteense Law does not apply to an owner of property who builds or 1m·
proves thereon. and who contracts lac each prOJecls w1tn a coo1ractor(s) license pursuant to lhe Contract°''s License Law)
.., As a homeowner I am ltTlprov,ng my home, and the loClow mg conditions exist. t. The work 1s be.mg per10C'med poor to sale
2 I have lived in my home !or twelve months prior 10 comptet10n of this work
3 I have not ctamted this e11empt1on dunnt;1 the last lhree years
D I am exemp1 under Sec ______ , B & P C
for 1h1s reason ____________ _
0 I hereby alf,rm that I hate a cert1t1ca1e of consent to self insure. or a cert1!1cate ol Workers
Compensation Insurance, or a cen,l1ed copy thereof
(Sec 3800. Laoor Cod•I
POLICY NO
COMPANY
0 Copy 1s hied with lhe city
O Cert1t1ed cooy ,s hereoy turmsheO
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be comptete<l 11 me oerm,1 1s !or one l'lun<Jreo dOllars IS HX)) Of less)
0 1 cert,ty thal in the pertotmance ot !tie work t0t which this perrml ,s issued. I shall not employ any
person in any manner so as to become sub1ec1 10 the Workers Compensation Laws of Ca1,torn,a
NOTICE TO APPLICANT If_ alter makinJ this Gem
he.ale of Eiemphon. you shOuld oecome sut>1ec1 l'l
lhe Workers Compensation prov1s1ons ot lhe Laoor
Cooe, you must lorth¥1o1lh comply w11h such prov,s,ons or 1h,s permit shall oe deeme<l revoi...eo
0 I hereby altum that tnere 1s a consuuc11on
1end,ng agency to, the performance ol 1ne worti 10,
wn1ct1 tt11s perm11 1s issued tSec XIJ7 Cr111I CocJe
Lenee, s Name ___________ _
Lenc:ter s Address __________ _
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADORES~ AV ST. RO. NEAREST CROSS ST
1;;.:~~6IONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
; o?~o.B \/4a> Ver~ --.5804-1 9~40 84--582.J I
I ';/J.T'/ BLOCK "'I SUBDIVISION I ASSESSOR PARCEL NO. :""I • CONTRACTOR CONTRACTORS PHONE • ZONE 4-(:;Z I ~ . 7d..-_:1S If,, t 1.4-I "'l l U-,0 (. T~ #/ah L 1r1-I t? o 4"34-4-69~ I OWNER"S NAME OWNE R"S PHONE
: -n, e 1-l/] A L, n,,..; <J n ~.344-59.d.. CONTRACTOR'S AODRESS LICENSE NO. PLAN 1.0. Ji BLDG USE CODE
~ ,-/ .:s b.;l .di ~A 34.:24-0 7 OWNER'S MA• L N1'-,,t'ooRESS
/0/..S ~ht!'!stn1..1-l-4v~4/=J:?~ fl 1,-./-h.::,_/ DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
G-,v/ronn1e.rrfJ/[b;n, ~l~9B /160 O~SCRIPTION OF wo~;; .--T")~ C.nA j ~,,,,Jr, 1rl/ /o<P , ,-•/'I DESIGNER'S ADDRESS -DESIGNER'S PHONE
€.ne; /l ;+ ..;;J s C!A 9~/p,;,.~
~ -. F/P FLA ELEV. NO OCC GP EDU
v□ r.0 /70.q STORIES ~-:3 I f tUl /bbi::UI::/ 31B..i~J. 2... -• .J ,,.
CENSUS TRACT I GP LAND USE I p#oCE I RES u7 s I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA ~ CVSA/ YO ND v □ N vO ~ Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7.f!!-QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
,
I I EACH FIXTURE TRAP ~'7 _,<,... / INSTALL FURN. DUCTS uP TO 100,000 BTU ,LL.....-BUILDING PERMIT 01-00·00·8220 -~73-
J EACH BUILDING SEWER /,,,...<fl OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221
7 EACH WATER HEATER ANO OR VENT ..::J.c::.o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00-8806 o'<-4-.:)-4-<,
I EACH GAS SYSTEM 1 TO 4 OUTLETS I ~~q BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01-00·00-8222 ~--5o
EACH GAS SYSTE M 5 0 R MO RE METAL FIREPLACE ELECTRICAL 01·00·00-8223 -.;;ri -
EACH INSTAl . ALTER, REPA IR WATER PIPE ~ VENT FAN SINGLE DUCT G::>-MECHANICAL 01·00-00-8224 /.~--
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01·00·00·8225
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE! SOLAR ---Ol·OO.:.OQ-A??~
TOTt;L MECHANICAL /.3-STRONG MOTION 80-92-33-0519 ~"...5._'1_
TOTAL PLUMBING I 4-fh~fSCJ FIRE SPRIN~LERS 01-00-00·8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00·89ll
QTY. ELECTRICAL PERMIT • ISSUE <---BRIDGE FEE
NEWCONSTEAAMPSWT BKR /l""'J;"')LJ .:7:J<-COLLECTORS SCHOOL FEE • OISTRICT
l PH 3 PH STORAGE TANKS Carlsbad • I ~ 80·92·21·0519 t
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92· 22·0519 ~-
1 PH 3 PH PUMP San Dlegu1to 80·92-23-0519
REMODEL Al TtR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 / . ...,-Cl.-< -
TEMP OCCUPANCY (30 DAYSI MFF 80-92-57-0519 / /'<,/ 8~ r, P-~o--
CREDIT DEPOSIT
TOTAL ELE(;lRICAL I ~o-TOTAL SOLAR TOTAL FEES PAYABLE I ~/8.E,_5;,G
I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expir1r1on E\lery permit issued by the Building Ofhcu11 under lhe prov1s1ons of ttus * AN OSHA PERllm IS REQUIRED FOR EXCAVATIONS 01/ER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and voao If the bu1fd1ng or work 5 o·:~!_4D 0£MOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE 'IF A PERMIT IS authorized by such permit ,s not commenced within 180 days from the date 01 such ST"" / OVER J STORIES IN HEIGHT
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ISSUED. TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ::~no:O '~t t:~v ~~:•~x.~;~~~,:~!h:~~:'e~l~~~~ :8~7i~'~fsr~"a~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . APPROVE y ,3/7 / rr-" KEEP HARMLESS THE CITY or CARLSBAD ,\GAINST ALL UIIBIUTIES. JUDGMENTS. COSTS AND APPLIC~T :_SIGNATURE . If-OWNER O CONTRACTOR jK. 'C~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THH~~~ ~~~ BY p O E 0
GRANTING OF THIS PERMIT ~ iil'"J' H N
u
-c;;;c ..... 7
TYPE I
BUILDING I
OUNDATION I
EINFORCED STEEL I
IASONRY I
;UNITE OR GROUT I
LOOR & CEILING SUB FRAME I
F
R
M
G
F
s
F
HEATHING D ROOF D SHEAR
RAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
.I
ELECTRICAL I
D ELECTRIC UNDERGROUND D l)FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA V~ BEEN APPROVED.
FINAL I ~
PLUMBING I ,.,,
ELECTRICAL I A ~TY ------MECHANICAL I '17 I/Ar
GAS I A "V ~.,
BUILDING I ,_ l -
SPECIAL CONDITIONS I
I
,-
• I . -< .
FIELD INSPECTION RECORD •.
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED . CONCRETE
POST TENSIONED ... ,
r • CONCRETE
FIELD WELDING
HIGH STRENGTH •
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
.
.
. ---
~
-
CITY OF CARLSBAD
INSPECTIO~ RECORD , .
BUILDING.
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR () CEILING
SHEATHING ( ) ROOF ( ) SHEAR
INSULATION = =--
EXTERIOR LATH ~ ~~I\,,,
INTERIOR LATH & DRYWAL{f'(Oi!' <
FINAL -------------
PLUMBING
~EWER & BL/CO ( ) ~/CO
UNDERGROUND ( LY ~ WATER
TUB & SHOWER PAN
GAS TEST ;,/;j; f<S:~
( ) WATER HEATER ( ) SOLAR WATER
FINAL ------------
ELECTRICAL
W,:LECTRIC UNDERGROUND ( ) UFFER
( ) BONDING ( ) POOL
FINAL ------------
MECHANICAL
() DUCT & PI.EM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS~
VENTILATING SYSTEMS
FINAL ___________ _
COMPLETE BUILDING FINAL ~
DATE :72-), (£
CLEARED WITH GAS ANO ELECTRIC
DATE : _______ _
NOTES ON REVERSE SIDE ..... .
.,
,./ ,/
'J11js js to cc.;rUfy th:1t jnsuJaUon )1,is l)(c:n jnst:iJJ ed in confo1 1nnce ,d1h the
cu11 <"n t energy 1q;ulc1Uon, C.ilifornja Aclrn inis traUvc Cocle, THlc 25 , St:ite of
C;ilifornia, in 1he bujJding l ocated c-1t:
S]TE ADDIU;SS --;;;l_~o:;, Vi~ Vera, Ca:i;::lsb?<i.t CA
CEJ LlNGS Owcn s/Con1j ng
Cert;1 inTeed
l•h lluf aL 1 urcr
0h·ens/Corn i ng
Ce 1 1. ;1 i nTccd
Type Fihc rg J .iss_ l,bnufocturer ~bnvi J l c
Type ___ J\hnufacturer
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