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Home My WebLink About2514 VIA SORBETE; ; 81-293; Permit"' z 0 ~ a: ~ 0 Ill 0 IC I[ 8 IC Ill 0 .... 5 I Ill z ~ z 0 .:: c( "' z Ill IL ~ 0 0 "' ic Ill "' a: 0 3 ir &-,?hereby affirm that I am licensed under '~islona of Chapter 9 (commencing with Section 7000) of Dlvlalon 3 of the Business and ProfHalons Code, and my license Is In full f~t. /1 _? / _ lie N flt) Cim ~ I hereby affirm that I am exempt lrom 11,e Con- ~~~:'~~~;:SS: ~ ~t~'::~c!l.. ~.~ county which requires a pemut to construct allef. irnpmve, demolish, o, repair any structure, poor to 111 issuance also requires the apphcant tor such penmt to file a signed statement that he rs hcensed pursuant to lhe prov1sl0f'ls of the Con- tracto,'s Ltcense Law (Chapter 9 commencing with Sectt<>n 7000 or Dtv1stcJo 3 of the Business and Pro-fesStOns Code) e< that ,s exempt therefrom and the bu•S tor the alleged exemptlOf'I Any veolataon of Sect,on 7031 5 by an apphcant lo, a perm,t subtecis tne ac:>9hcant to a civil penajty of not more than ftve hundred dollars ($500) O I, as ow-or the property, e< my ~ '1111th wages as thetr S<M compensation, w,11 do the wont. and the structure ,snot intended Of ottered for sale (Sec 70U, Business and ProtesstOl\s Code; The Con1tactor·s License Law dOe.s not appty to an owner of property who budds or 1mptOYeS thereon and who does such wOt1t himself or through his own employees. proYtded that such 1mp,0Yemei1ts are not intendtt1 or offered for sa~. If, howe\'er, the building or 1mpr0Yement ,s sold w1th1n one yeM of completion, lhe owner-bu1kier ••II have the burden of proving that he dfd not bu,k! °' improve tor the purpose of sale). □ I. as ownef of the property, am e•clus1vely contract109 ••th hcensed conlractors to construct lhe p,o,ect (Sec 70«. Busmess and Profess!Ofls Code· The Contractor's Lteense Law does not apply to an owner of property who builds or improves thereon. and who contracts for each pro,ects with a contractorts) hcense pursuant to the Contractor's License Law). □ lamexemptunder5ec ___ .s &PC for this reason ___________ _ □ I hereby affirm that Iha.ea cen1hcate of consent to self-insure. or a certificate of W()f't(ers· Compensation Insurance. or a certtfted copy thereof (Sec 3800. LabO< Code) POLICY NO COMPANY ~ Copy Is hied with the city (::/. • □ Cen 1fted copy 1s hereby furnished CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed tf the permit ,s tor one hundred dollars (StOO) or fess) D I cer11ty that in the performance ot the WOl'k for which this pem,1t ,s issued. I shall not employ any person In any manner so as to become sub1ec1 10 the Work.ers • Compensaoon Uws of Calltorn.a NOTICE TO APPLICANT If. atte, malun~ 1n,s Cert1- f1cate of Exempt.on. you should become subtecl ,., the Workers· Compensation prov1st0ns of the ubor Code. you musl forthw11h compty wtlh such prov,s1ons or th,s per1ni1 Shall be deemed revoked 0 I hereby aflirm lhal !here ,s a consuuctlOf"I lend•OQ agency t()f lhe perlo,mance ot the work fOf which 1hIs permit ,s issued ISec 3097. C1v1I Code) Lencer·s Name ___________ _ Lender'!I Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFQRMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 JOB ADORESS So't'/oc tte. A~i.T-1 DAl :F ;~B"t'ONI BUSINESS LICENSE # VALUATION PERMIT NUMBER :J.s-I 'I \ .,:i,, so, < fSI '" ll I "I OWNER"S NAME . ' I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE , ZONE t,C(3 !<t.h I!,.,. tit h ,, ,'c. k ?a'!-42.111 /J,-H. .. , A,/!,rl)W')' P/,,,,,,1,,",,; c... ?~-,-'111'-/ OW"IER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE :JS'/4 1//41 S oY-loc. "!fr:.. :J.1, ~'I 5/.-,le Si: /'tttlS L,. o/ .:I.I.I ,,. Q. • 0 LOT I BLOCK I sueD1v,s,oN I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE;, STANDARD PLAN# BUILDING SO. FOOTAGE DESCfHPTION OF WORIC DESIGNER'S AODRESS DESIGNER'S PHONE J.>v J.-Lttk ~A\f2. 9/06/813175 10.:.i .--F/P F LR ELEV. NO OCC GP EDU -~ ··--00613175 9J06/91 10,0u vO NO ---annf3 !'75 04 9/06/-CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f".ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AO~ CON::., ,u ND I v □ NO v □ NO Not Valid Un~s ~chine Certified QTY. PLUMBING PERMIT -ISSUE -z,~O QTY. M~ANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN., DUCTS UP TO 100,000 BTU BUILDING PERMIT EACH BUILDING SEWER \ OVER 100,000 BTU SIGN PERMIT EACH WATER HEATER AND/OR VENT BOILER/COMPRES~R UP TO 3 HP PLAN CHECK I EACH GAS SYSTEM 1 TO 4 OUTLETS /'/ _. Z::.1 BOILER/COMPRESS0°\3-15 HP TOTAL PLUMBING tO,oo r EACH GAS SYSTEM 5 OR MORE --MET AL FIREPLACE \. ELECTRICAL EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT\_ MECHANICAL EACH VACUUM BREAKER MECH EXHAUST -HOOD/OU~S MOBILEH0ME WATER SOFTNER RELOCATION OF EA FURNACE/~ATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) "-SOLAR TOTl.l MECHANICAL STRONG MOTION TOT Al PLUMBING I /[} 110{ \ FIRE SPRINKLERS SOLAf\_lSSUE PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE QTY. BRIDGE FEE 'tEW CONST EA AMP/SWT /BKR COLLECTORS \. SCHOOL FEE • DISTRICT I~ 3 PH STORAGE TANKS "'-Carlsbad EXIST'!!..L.DG EA AMP/SWT/BKR ROCK STORAGE '\.,. Encinitas 1 PH "-3 PH PUMP '\ San Oiegu,10 REMOOEL/ALThll PER CIRCUIT PLAN CHECK FEE \ San Marcos TEMP POLE 200~ OVER 200 AMPS "'- TEMP OCCUPANCY (30 OAYS1'...._ ~ - TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /0, Oo I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' AND DO HEREBY Exporal!on. Every permit oaaued by the Bu!ld,ng Offoc,at under the prov,s,ons of th,s * AN OSHA PEMIIT IS AE0U1AED FOR EXCAVATIONS OVEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by lim,tat,on and become null and vo,d It the building or work 5' O" DEE:P ANO OEMOUTION OR COtlSTI!UCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by auch permit II not commenced w,th,n 180 days from the date ol such STRUCT'UflES OVER 3 STORIES IN HEIGNT permit. or of the bulld•~ or work authorized by such permit ,s suspended or / ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abendoned at anv llme a er the work II commenced for a oenod of 11!0 """" , STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , OWNER□ CONTRACTOR~ APJ~tw1alk DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND: ~APPLICANTS SIGNATURE • ,0-q-8\ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , Bu GRANTING OF THIS PERMIT LA"" ..,..!,. ".. 1. BY PHONE 0 . ~ u:: >, (0 0 0. E Q) I- I ,::, 0 C, c co .2 @: T~ -"" C a: 0 <fl <fl Q) <fl <fl < I :!: _Q ai >- <n <fl Q) 0 0 a: co iii 0 € Q) 0 C co C u::: !:- C Q) Q) C, 2 0 Q) 0. <fl C ~ ~ 3 INSPECTION TYPE DATE INSPECTOR -- BUILDING FOUNDATION - REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND - ROUGH ELECTRIC ELECTRIC SERVICE L BONDING G. F. I. -SMOKE DETECTOR' MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS ,_,,, ,\'." VENTILATING SYSTEMS ) - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL . PLUMBING L 1 ELECTRICAL lU7 I\. l ~ MECHANICAL • 1 '1. \,,[ AW/1 GAS I 0' • IV l BUILDING ' SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED / .. -,, / , ~,,~~ - FIELD INS,PECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES - REO IF INSPECTOR'S \ ' INSPECTION CHECKED APPROVAL DATE = -I ----, ~ IL COMPLIANCE PRI R TO F NDATION INSP 1, I------------'------------------------; STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING 1--------------'-------------------------- HIGH STRENGTH BOLTS -----------i SPECIAL MASONRY PILES CAISSONS s . ~ I 1t 1------------::-----------------:------; . ~ ' • C ~ 1-----------:------------------------1 ' ~ . -- ti'--.,.. I ..., '\ . i-. .. , I. f \ ~ I . .--• ~,,.-, Z i.,. ,,..,, I ,.., f-----... =--------t----+----:: ... :----1--:----1 .. ~ ..... --~ ~-. • .... "".: C-'. , •,. ' ' • , \ I• ~~ I ( ;a:'l.. "\,. -~ .,. ~. ~ . 1' t'I . -.. ... _, ... . . .,,,, 1----------------------------.. ~----:-... • &_ r_ -~ .. .. \ ,,,,,..-.:,. \ ·~ -.. (. -~·-••--------, • -I•:, • --• -' '