HomeMy WebLinkAbout2340 VIA SANTOS; MP; 82-200; Permiten z 0 ;:: < a: < .J 0 ..,
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' J I hereby affirm that I am licensed under
/(ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
Lie No _______ Clm _____ _
I ~reby affirm that 1 am ex&mpt from the Con-¥;:~·:~!~:; ~w ~t~~l~l~~r~,\~
county which requires a permit to construc1 alter, improve, demolish, °' repair any structure,
pnor to its issuance also requires the applicant tor
such permit to hie a signed statement that he Is
hcensed pursuant to the provIsIons of the Con-
tractOf''s License Law (C~ter 9 commenc,no with Sectk>n 7000 of 01v1s1or, 3 of the Business and Pro-
fessions Code) or that ,s exempt therefrom and the
basis tor the alleged exemption Any v1olat1on of Section 7031 5 by an applicant for a pemut sub1ects
tne apphcant to a c1v1I penalty ot not more than five hundred oollars ($500) .
C I, as owner of the pr()peny, or my employees ,.,th w.ages as their sole compensation, will do the
wotk. and the s1ructure 1s nol mtended or offered for saje (Sec 70,,U, Business and Professions Code
The Contractor's License Law does not apply to an owner of property who builds or improves thereon
and who does such wOf'k himself or through l"us own
employees. provided that such ,mproveme.its are
not mtende1 Of offered tor sale It, however, the
building or improvement Is sold w,thm one year of
completion, the owner-builder will have the burden of proving that he did not build or improve for the
pul'l)Ose ot sale)
D I, as owner of the prcpeny, am exclusively
contractmg with licensed coniractOf'S to construct
the proJect (Sec 70,U, Bus,ness and Professions
Code: The Contractor's License Law does not apply to an owner of propert·y who builds or improves
!hereon, and who contracts tor each pro1ec1s with a contractorts) license pursuant to the Con1roe10f'·s
License Law)
0 I am exempl under Sec
fo, lh,s reason
.B &PC
D I hereby afhrm that I ha•e a certificate ol consent to sell-insure or a cert1t,cate ot Workers
Compensation Insurance, or a cen1t1ed copy thereof (Sec 3800. Labor Code)
POLICY NO
COMPANY
\l..,Copy Is hied with the c,,1---'1-, 0 Ce.n,t1ed copy ,s hereby :Jlhed
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need nol be compIe1ed 11 1ne perm11
Is tor one l"'lundre<J dollars (S 100) or less)
0 I certify that In !he perlormance of the work tor
whl(:h this permit Is ,ssued, I shall not employ any per$0n in any manner so as 10 become sub1ect lo
lhe Workers' Compensation Laws of Cal1lorn1a
NOTICE TO APPLICANT 11. alter malun~ lhIs Ceni
hcate of Exemption. you should t>ecome sut>Iect I'} the Wor1(,ers· Compensation provisions ol the Ult>or
Code. you must forthwith comply w11n sucn
provisions or 1h1s permit shall t>e oeemed revoke<J
O I hereby athrm 1na1 1nere 1s a cons1ructIon
•end,ng aoency tor !he oe:rlormance ol the woe1,. tor
which ltus permI1 1s issued (Sec 3097 C,v,I COdel
Lenoer s Name, ___________ _
Lenoer s Address __________ _
U.;>C. DftLL r-u 1n1 r 1.n unL1 o r-ftt.~~ n ftKU --~ •••• -·-···-·,i,. ... ·--. -
CARLSBA.., BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 A~ LICATION & PERMIT
JOB ADDRESS AV. ST. I OATE OF APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
2340 y gi, Jl=IS S~tes t')"f RO.
~d-~00 4/20/82 21268 -
OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE 11 ZONE
BJ:O~ Hares San Di ego Division 455-6200 B:roa:iroar Hanes San Diego Div. 455-6200
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
3911 Sorrento Valley Blvd., San Diego 92121 Sane 219975 P1 r~ ,. ~ ., ,
LOT 1 BLOCIC I SUBOIVISION I ,__-.i,.cc,Z,-i"i ~ '-f'-(-0<) DESIGNER STATE LICENSE# STANDAAO PLAN# BUILDING SQ. FOOTAGE
CT 79-27 Fr ank Raanacher 1\Ssociates 1110 OESCAIPTION OF WOAo<
J.ft"lnle-1,r, 01 o,,,+-,...;'"' »• r -__ , DESIGNER'S ADDRESS DESIGNER'S PHONE ..
to in'ig_ation CC111:rOller. 17722 rxvine Blvd •. Tustin 714-832-1774
--· -· -F/P FLA ELEV. NO OCC GP EDU 6/20/625220 27.DO
STORIES
vO NO
CENSUS TRACT I GP LANO USE I PARICING SPACE
I
AES UNITS
1
GRADING f".ERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAO Fl RE SPA
AREA CONST
vO ND vO NO vO NO Nor Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE .7A5o QTY. MECHANICAL PERMIT • ISSUE '5',po SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000-A??n -
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·000-4221
EACH WATER HEATE R ANO/OR VENT -1-BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806 ._ ...__
EACH GAS SYSTEM I TO 4 OUTLETS --+-BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000·4222 ---
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000·4223 '/,[,V(I
:_ -----
EACH INSTAL, ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·000-4224 -
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 01 ·000-4225
---· --
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
-
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·000-4226
---TOTAL MECHANICAL STRONG MOTION 65·640-0519
'--I -
TOTAL PLUMBING FIRE SPRINKLERS 01-000·4227
QTY. ELECTRICAL PERMIT • ISSUE ;J;(!/() QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 25·000-4933
BRIDGE FEE ---
I, f)I') NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
j '::.!!J :{1 PH-:) 3 PH -u ,t)l'J STORAGE TANKS Carlsbad 65·623-0519 ,
EXIST BLOG EA AMPISWTIBKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Oieguilo 65·625-0519
REMOOEL1A LTE R PER CIRCUIT PLAN CHECK FEE San Marcos 65·626·0519
TEMP POLE 200 AMPS ---
OVER 200 AMPS ---
TEMP OCCUPANCY (30 DAYS) -
TOTAL ELECTRICAL 7 ~1.0l TOTAL SOLAR TOTAL FEES PAYABLE I 1.,; 7 .00
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the But1d1ng Ofhc,al under the provisions of this * AN OSHA PEfMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by tim1tat1on and become null and void If the bu1ld1ng or work 5' O" DEEP 4NO OEMOLITIOl'I OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of such STRUCTUR£S OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-:~::On~ i!, t=~v ~~~·~ri.~~h=-'?;~,:~h~~~~l~~~~ r~':!~'~tr:rd:~~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APPLIC7R.i J.~WNER0
CONTR4CTO~ ~~~--DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND 15·~·81-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR ..... ., . '
BUILDING . ~ ~ .. dOO
FIELD INSPECTION RECORD
FOUNDATION '
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING I
I STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED CONCRETE
INTERIOR LATH & DRYWALL \ POST TENSIONED '
' . CONCRETE
PLUMBING --FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN
GAS TEST PILES•CAISSONS
ELECTRICAL
TEMPORARY POWER .. -.
ELECTRIC UNDERGROUND '--,
--
ROUGH ELECTRIC
ELECTRIC SERVICE
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 .. .A"Ot_/.. ~ ,-""' .
PLUMBING /'' l~~J
ELECTRICAL AO~~ ... ~ ~
MECHANICAL ,... 1_,.,,;;r fJ '(1 /
GAS lt I,' ;1 _\ "V .
BUILDING , ' n ., -.
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
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