HomeMy WebLinkAbout2601 VIA VERA; ; 84-582-461; Permit.,,
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provlsl.;.,;-~,-Chapter 9 (com,;,~n~l~g-wlth
Section 7000) of Division 3 ot the Business
and Professions Code, and my license is in
full force and effect.
L,c No ______ Clas1
I hereby affirm that I am exempl from lhe Contrac· IOf s Loceose Law lor lhe lollowrog reason (Sec 7031 5
Bustness and Protesst0ns Code Any city or county which re-quires a permit to construct. aller, improve. demolish. or
repa!f any s1ruc1ure. puor to 11s issuance also requires !heap-plicant !or such perrrnl 10 Ille a si~ned stalernent that he ,s
hcensed pursuant lo lhe provisions of the Conuac1or" s Ucense Law (Chapter 9 coovnencmg w•lh Sechon 7000 ol Olvrs1on 3 of the Busmess and Protess,ons Code) or thal ,sex-
empt therefrom and !he basis tor the al:egea exemptoo Any viOlation ot Sec110n 7031.!t by an applicant tor a permit sub--
iects the applicant to a civil penalty of not more than flYe hun-
dred dOllars (S500).
I, as owner of !he property or my employees w11h wages
as their sole COO'lpensat.on. win do the work. and lhe struc· ture iS not intended or offtred !or sale (Sec 7044, Business
and Professions Cocse· The Contraclor's Ltcense law does
no1 apply to an owner of property who builds or improves
thereon and whO does such WOf'k tumseH or through tus own employees. provided th.at such improvements are not mtend·
ed or ofleted tor sate II, however the bu11dmg or improve· ment 1s sold w11hin one year of comptetion, !he owner-bwlder
w,11 hive the burden ol provmg lhal he did not build or im-prove for lhe pufpose ol sale)
□ I, as owner of lhe property. am excius1vely conlracting
with licensed contractors to construct the pr01ect (Sec. 7044 Busmess and Prolesswns Code lhe Contractor·s Ucense Law does nol apply to an owner ol property who builds or 1m-p1oves lhe<eon, and who contracts tor each proiects with a
contraclor(s) lteense pur.suant to lhe ContractOf"s license Law)
□ As a homeowner I am KTiprovmg my home, and lhe IOllow
ing cond111ons exist I . The work 1s bemg per1ormed pnor to sate
2 I have hved in my home for twelve months pnor 10 complelton of this work I have not claimed this exemption during the
lasl lhree years
~ /h~:,::f1 uJ\der Sec ______ . B & p C ----------
D I hereby alt.rm that I l'\a.,e a certificate ol consent to self insure or a cert1t1cate al Workers
Compensation Insurance or a cenihed copy thereol
!Sec 3800 L.at>or Code!
POLICY NO
COMPANY
0 Cop'y IS hied w1lh the C1ly
O Certified cooy ,s hereby lum1shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec110n neeo nol be completed ,, the perni,t
,s lor one hun<!reo dollars (S H))I or less)
D I certify thal 1n rhe performance ot the wor1( tor
.-,h1ch this permit 1s issued I snall n01 employ an) person m any manner so as 10 become sub1ec1 10
lhe Workers· Compensation Laws ol Caltlornia
NOTICE TO APPLICANT It. alter mak,nJ 1n1s Cert,
ticate ol E,empt,on you should beeome suoiec1 I?
lhe WO"'-ers Compensation prov,s,ons ot the Labor
Code. you mus! tonh~,tn comply w11n sucn
prov,s,ons or 1h1s permit shall be oeemed revokeo
0 I heteby aftum that there ,s a cons1ruct1on
1enc11ng agency to, lhe oertormance ot the wo"'-ror
wruch lh!S oerm11 1$ ISSuec! lSeC 3097 C1,1d Coae1
lenders Name ___________ _
Lenders A<!dress __________ _
--··---·----·---·--· -------····-··· r,■ I ~■ "'r, ■ I"' I '9 ._ I ~I • ■•■ • • ''¾"~ 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 .. ' JOB ADDRESS AV. ST.RO, NEAREST CROSS ST
1 DA; ~4:8Tsl
BUSINESS LICENSE 11 .s7sB~~ PERMIT NUMBER
-<~01 1/; o) v~r-) .:5804 84-58Z--LOT BLOC!< ·1 s7:;_v~:3~ I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE '\J l,d.L..J -ri-1 '-I, "'.l. ISOU -r~ r/; <.1/2 kY>d ~o. 4d4--4S9~ 4-61 OWNER.S NAME
j 434-;R~;;_;;_ TAe J-i-ah Linrl ~o . CONTRACTOR's ADDRESS LICENSE NO PLAN 1.0. # BLDG use CODE
~rl,<~d cJ,:J .:E~4-07 OWNER'S MAL NG ADDRESS
/01-< /1J,e:s-l-ru1./-./4~ ~-~ tl:irL-< i:,..:,d DESIGNER /!IA LICENSE,, STANDARD PLAN# BUILDING SO. FOOTAGE
lnvi ro/>l??e/1-f-->I Des; Qn 01"198 /09~
o?C7?JR•PT•ON OF w1°J.,KKO£ ~/-A . ..0 '/~J/'\ le:..-.,/'\ ...:)I'} DESIGNER'S ADDRESS DESIGNER'S PHONE
G-w:!.,ni~,t:3.~ t:;4.;)6.:J~ -F/P FLR ELEV. NO OCC GP EDU
vO NO /70.. CJ STORIES RB I !/lJ//1.ibcl.lb/ 2£.71.;~9~ 2
CENSUS TRACT I GP LANO USE I P4K;/~ACE l RES;NITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA I~ fJ:}ST
y D ND •□ v□ N'rL Not Valid Unlt!Ss M;,chine Certtfied
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE 5'-SUMMARY/ACCOUNT NUMBER
'i EACH FIXTURE TRAP 22 ~ I INSTALL FURN. DUCTS UP TO 100 000 BTU LL -:-BUILDING PERMIT .., 01·00-00-8220 7f:/"'1'-
I EACH BUILDING SEWER h 5D OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO OR VENT 2-:So BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 IB-? ~3
I EACH GAS SYSTEM l TO 4 OUTLETS ,;::,_ ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 4J.:SO -
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00-8223 ,_;:;>C) -
EACH INSTAl. ALTER, REPAIR WATER PIPE r,,.,3 VENT FAN SINGLE DUCT ;t.,_ MECHANICAL 01-00-00-8224 1..a--
EACH VACUUM BREAKER MECH EXHAUSl H000'0UCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RE LOCATION OF EA FU RNACE1HEA TE R MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR 01·00·00-A??~
TOTJ;L MECHANICAL STRONG MOTION 80-92-33-0519 ..3. ~L 13.-~ -101 Al PLUMBING I 4-_j_ -~"'y' FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE 5"-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·89ll
NEW CONST EA AMP SWl BKR IOOA 2~-COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TA'oJKS Carlsbad ,/ L 77< 80·92·21-0519
EXIST BLOG EA AMP-SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San D1egu110 80-92-23-0519
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /032-
rEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 /~ t:;j,PjQ BBO-
CREDIT DEPOSIT
TOTAL ElEt.;lRICAL ! ..::k;-TOTAL SOLAR TOTAL FEES PAYABLE I ~2'/-7d..9d::>
I HAVE CAREFULLY E~AM1NED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp1rat1on Every permit issued by the Bu1ld1ng Off1c111 under the provisions ot th,s * AN OSHA PEAM:T IS REQUIRED~ EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1tatmn and become null and votd H the butld,ng or work 5' O~D D£MOt.lTION OR CONSTRUCTION OF authorized by such permit ,snot commenced w1th1n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
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S __ 7 ._S OVER 3 STORIES IN HEIGHT • ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . 0
CONTRACTOR}( APPRO\ll.'8Y1 1V!br KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT s S~IGNATURE ~·. OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T~E ~ ' _-BY PHONE 0 GRANTING OF THIS PERMIT . ':r,.,.-,: · CT
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TYPE I DATE INSPECTOR
BUILDING ' i
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH 1
INSULATION I .
INTERIOR LATH & DRYWALL j
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
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER
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
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVI; HAVe BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
ftf-S'lf).--<./,v)( ; . .
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
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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'J11js js to <..e;rtjfy th:it jnst1J ;itjon li,is h L('ll jn!>1;1Jkd jn confo1iw1ncc ,,:j1 h tlic
curicnt cnc1gy 1ceul;ition , Ci1Jjf01nja Atlmini~tr;Hivc Cotle, TjtJc 25 , St11 tc of
California , jn 1hc bujJcJjng Jocc.1tcd ;-it :
SITE ADDRESS _ ~U)O_\ _Vi~ Verc!-1 C~rlsb~d_, CA
CEJ LJNGS Owen s /Coming
-----CcrtainTced
61 11
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nc1tts: Type !.:._i hcr_ebss_ J,,aJJufacturc r ~_i;mv i l !_e _ 'DiicJ...ncss !>1 " R-Value 19
Blown : Type H,nuf ,Jctu1 er
1:XTJJ{JOR \•.'i\LJ,S O,·:cns/Co rn i ng
(c1 t :1inTccd
Type fibc i gl a:;~_ !,i:lnufacturcr rbnvi l]e
FLOORS Type ___ Manufacturer
General Contractor -----
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Date By Title ----------------------------------
Sch.mid Insulation Contractors , Inc. License#