HomeMy WebLinkAbout2760 VICTORIA AVE; ; 84-618; PermitVA[
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of lhe Business
and Professions Code. and my license is 1n
full force and effect.
L,c No ______ Clas~
I hereby affirm that I am exempt from the Conttac· tors License Law lo, lhe lotlow,ng reason (Sec 7031 5
8us1ness and ProfesslOOs Code Any t.lty or county which re· Qunes a permII 10 construct. alter. improve. demohsh. or repair any slruclure. prior lo 11s issuance atso requues !heap-
pl1canl fOf such perm11 to hie a s19ned statement !hat he 1s licensed pursuant to lhe prov1s1ons ot lhe con1rac1<w s
license Law (Chapter 9 convnencIng w11h Sechon 7000 of 01v1st0n 3 01 lhe Business and PrOfessions Code) or lhat 1s ex· empt therefrom and the basis tor the aHegeo exemption Any
v10lalIon of Sec11on 7031 _5 by ,m appl~nl for a permI1 sub-iec;1s the applicant to a civil penally of OOI mo,e than hve hun·
dre<l dollars ($500)
l, as owner of the prGperty, or my employees with wages
as the,r sole compensauon, wlll do 1he work. and the struc-ture is not mtended or olfered !or sale (Sec 7044 Business and Professions Code. The Conlractor's license Law does
nol apply lo an owner of property who buak:Js or improves thereon and who does such work himself o, through his 0'-Nn
employees. provided lhat such improvements are not intend· ed or offered for sale II, however, the building or improve-
ment Is sold wllhm one year of completion. the owner-builder will have the burden 01 provmg that he dKi nol build ot un•
prove tor the purpose ol sale)
r I, as owner of !he property, am exclusively contracting
with hcensed contractors lo construct lhe prOject (Sec 7044 Business and Professions Code· The contractors license law does not apply to an owner of property who builds Of 1m• proves thereon. and who contracts IOJ each prOjects w11h a
contracto,(s) license pursuant to the Contractor's Lieense Law)
r As a homeowner I am fmproving my hOme. and the follow mg cond11tons exist
1. The work 1s bemg perlOfmed prior to sale 2. I ha-ve lwed in my home !OJ twelve mon1hs
pnor lo completion of lh1s work I ha-ve not claimed lhIs exemption durmg the last three years
0 I am exempt under Sec ______ . B & P C
for this reason -------------
D I hereby affi,m !hat I ha,1e a cert1hca1e or consent
to self insure. or a cer11t1ca1e ot Workers
Conipensauon Insurance, or a cen1fled copy thereof
(Sec 3800. Labor Code1
POLICY NO
COMPANY
D Copy 1s hied with the city
0 Cen1hed copy 1s tlereby lurn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section ne,e,a no1 be compleled 11 the permI1
1s fOf one tlundre<J dollars (S 100) or Iess1
D I cen,ty a1 ,n 1he per1ormance ot the wof1il ror
whICh th1 rmIt is issued I shall not emoloy any
person I any manner so as 10 t>ecome sut>1ecr 10
!he W ers Compensa11on Laws of Catitorn,a
NOTICE TO APPLICANl If al1et ma.kin~ lh1s Gerti
ticate or Exemp11on you should beeome sub1ect ,.,
the Wo~ers· Compensa11on provIs1ons ol the LabOr Code you must lor1.h'l\1lh comply with sucri
provIsIons or tn1s pe,m,t sriall be deemed revoked
O I hereby alhrm iriat triere Is a consIruc1Ion
tending agency tor the per1ormance ol the woOI to,
which !his perm,t ,s ,ssued tSec ~7 C1v1I Cooei
Lenders Name ___________ _
Lenoer s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS ~T.RO NEAREST CROSS ST
'
DATE Of APPLICATIONII • BUSIN_ESS LICENSE ,r VALUATION PERMIT NUMBER
Q'iC,t.i V,cTo rz ,A I(, ltJ <or""" 1:t -3·8"1 t t:il1/o ~ t'l-~I// LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
OWNERS NAME
l,:i ;;;;:ONE
nc.v/\/~
J1,.-~31. H, A(.)~a,...,
CONTRACTOR"S AOORESS LtCENSE NO PLAN I.D. # BLOG USE CODE
OWNER'S MA,LING ADORESS
~ ,~o V,c.,onu, A"~ DES•GNER LICENSE" STANDARD PLAN # BUILDING SO. FOOTAGE
OESCRIPTION Of WORK
DESIGNER'S AOORESS DESIGNER"S PHONE
-PA110 Cc"~ >--
;l '-{ y 1ift FIP FLA ELEV. NO OCC GP EDU 1i:/uj/b4~J:.,!, STORIES Jr,:.3,
vO "'O --□UU(9::Sb~ f c!/0.:,/ All 96 .3 CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REOEVELOPMENT TYPE OCC LOAO FIRE SPA AREA CONST
r D ~ D vO NO vO NO Not Valid Un/~s Machine Certtf1ed
QTY. PLUMBING PERMIT -ISSUE 7.}~ QTY. MECHANICAL PERMIT -ISSUE ~-~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100000 BTU BUILDING PERMIT 01·00·00-B220 .:) J ,.,,.,,,_
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-B221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 /1/~?0-
EACH GAS SYSTEM 1 TO 4 OUTLETS I 80ILER/C0MPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 ---
EACH GAS SYSTE M 5 OR MORE i METAL FIREPLACE ELECTRICAL 01-00-00-8223 --·---
EACH INSTA~ ALTER, REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00·8224 --EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILE HOME 01·00·00-8225
WATER S0FTNER RELOCATION OF EA FURNACE1HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN (l'JSIDEI SOLAR Q1-nn-nn-~??~
TOT J;L MECHANICAL STRONG MOTION 80-92-33·0519 --
TOT AL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ,~-#!, QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00-893)
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21·0519
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San Oiegu,to 80-92-23·0519
REMODEL ALltH PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE ]00 AMPS
OVER 100 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELEClRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I s1 __ 3t:)
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT" AND DO HEREBY Exptrat1on Every permit issued by the Building Offtc1a1 under the prov,s,ons of th,s * AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and vo,d JI the building or work S O" DEEP ANO OEMOUTION OR CONSTRUCTION O•
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced wtlhin 180 days from the date of sucn STRUCT\JRES OVER 3 STORIES IN HEIGHT perm11. or 1f the bv1td1nH or work authorized by such permu 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv ume a ter the work ,s commenced for a Dflrtod of 180 davs .. -STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . CONTRACTOR [)" /"PP~JVE )
l
0;i)/¥''1J KEEP HARMLESS THE cITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. cosTs AND APP'~S SIGNATURE lAQ owNER□
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY (N CONSEQUENCE OF THE'{
J BY PHONE 0) ~ ,i _ ---~ GRANTlNG OF THIS PERMIT A A -LJ 1 _ -T -J 7 I l 1
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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 □ ROOF □ SHEiAR
FRAME I
r l
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINp
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' '
. •, _1
I
CALL FOR FINAL fNSPECT~iN WHEN ALL APPROPRIATE
ITEMS ABOVE HA V BEEN APPROVED.
FINAL I
PLUMBING I . .
ELECTRICAL I
MECHANICAL I
GAS I ,_
BUILDING I /
SPECIAL CONDITIONS_ I /
Qt:..r-, \u (@\}~ I \·Z -~ -¥:Z/1)
-
FIELD INSPECTION RECORD
\ ,
,-1
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH_ STRENGTf-,j_ , .-,
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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DATE
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,_ "'84-0 l i ' ...
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INSPECTOR'S NOTES
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~0:::/~ \-... ... -s... \. -• -' ' , -. . . ~·· ....... --
• PL7i~ CHECK KUMBER t'½--?£iooRESS 2Zt:-a It~ Received
PLANNING : TYPE OF STRUCTURE l ~ ~ ZO NEl3EC 801984
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SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD --------
% COVERAGE ------------
BUILDING HEIGHT ----------
FENCES/WALLS ------------
TWO CAR GARAGE -----------
ENCINITAS CITY OE CARLSBAD
SAN MARCOS --------
REQUIRED SETBAC KS ------
FRONT ----------
SIDE ----------
RE AR ----------
;: ~ COMMENTS: ________________ ~------------
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ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE:pJZ------OATE:\;z.,\~~"-\ OK TO FINAL: DATE: ----------
**********************************************************************************
ENGrNEERING LEGAL DESCRIPTION VERIFIED? tJ tf. A.P .N. CHECKED? D,!::_.
P.F.F. PARK IN LIEU -------------------------
R.O.W : IMPROVEMENTS: -------
E.D.U: ----------------
SE~JER:
LATERAL: DRIVEWAY: ------------,.---
~ GRADING PERMIT : I.J.J
-I.J.J ::> I-~ ;:§ ORA INAGE:
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EASEMENTS: ADDITIONAL COMMENTS: ------------
OK TO ISSUE : DATE : / L_/J / f V ' 7 ;
* ENGINEERING INSPECTION REQUIRED : __________________ _
PUBLIC ~10RKS INSPECTOR: _____________________ _
FINAL OK: ------------DATE: _____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC .)