HomeMy WebLinkAbout2758 VICTORIA AVE; ; 84-94-215; Permit~ $ I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
[
Section 7000) of Division 3 of the Business ~ and Proteaalons Code, and my license is In
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I hereby alllrm that I am exempt from the Contrac-
to<'s License Law tor lhe I011oWIng reason (Sec 7031 5 Business and PfolessIoos Code Any city or county whteh re-
quires a permII lo conslruci. alter, improve, demolish, or repaw any structure. pnor to ,ts issuance also requires the ap-
phcant for $UCh perm1I to file a siqned stalement that he Is
ticensed pursuant lo the prDVISKlnS of the coniractor' s License Law (Chapler 9 commencing with Sect,on 7000 of
DfVIStOO 3 ot the BuStness and Pro1ess,ons COde) Of that 1s ex-
empt therefrom and lhe bas,s tor the al~ exemptlOfl Any
VIOlal,on ol Sect,on 7031.5 by an apphcanl 10< a perm,I sub-;ects 1he applicant to a civil penaRy of not more lhan five hun-
dred dollars (S51JO)
D I. as owner of !be property, Of my employees with wages
as their SOie compensation. wltl do the work. and 1he struc-
ture Is not intended or ot1ered tor sale (Sec 7044. Business and Professions Code The ContrKtor's Lteense Law ooes not apply lo an owner ol p<operty who builds or Improves
thereon and who does such work h,msett or lhrough his own employees, iuov,ded that such impcovements are not intend·
ed or ottered tor sate. If. however, lhe bulldmg or improve-ment is sold within one year of complehon. the owner·builder
will have the burden Of proving that he did not build or m-prOYO for the purpose of sale).
D I. as owner ol the p<operty. am excluSNely contracting with licensed contractors 10 construct lhe pro,ec:t (Sec. 7044.
Business and Professions Code· The Contractor's License Law does not apply 10 an owner of property who builds or im-proves thereon, and who contracts for each proiecls with a contractor(s) license pursuanl to the Contract«'s Ucense Law).
Q As a homeowner I am improving my home, and the IOllow
ing cond.,tions exist: , t r~a~:~~~ '4~ ,:'::' r..i<Jr ~lemonlhs
prio< to completion ol lhls work.
3. I have not claimed !his exemptKWI dunng the last three years.
g M:r".':.":giuooerSec. ______ • B&P.C. -------------
~ hereby affirm thal I tla..e a cert1hca.te ot consent to self-insure. or a cen1ftcate of Workers·
Compensation Insurance, or a cen,hed copy thereol
(Sec :ieoo, LaiMHD2103
POLICY NO
COMPANY Hartford Ins.
'j(' Copy IS hle<l w,th the city 4 / 30 / 84
D Cert1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This sechon need not be completed 1t tne pe1m1t
Is to, one hundred ~lars (S 1001 o, less) -.
0 I certify that in the pertormance of lhe work tor
wh,ch th,s permit ,s issued. I sf\all not employ any
person in any manflef so as 10 bee~ subtee;I 10
the Wof't(ers' Compensahoo Laws ot Cahforn,a
NOT.CE TO APPUCANT If, after malun1 1h15 Cert,
hcate of Exemption. you shouk2 become subject I'> lhe Wortlers· Compensation p,ov1sJOns ol lhe: Labor
Code. you must forthwith comply w1lh such
p1ov1s,ons or this pe:mllt shalt be deemed revOke<J
/ hereby iilf1tm lhat there ,s a construction
m ~1~ ~ency l()f' lhe per10fmance Of tne work IOf
wh,ch '"'' pe,m,t ,s 'H'61i'~ n~:t~·r li"1"
Leo<lersName San 'Diego, CA
lenoe,·s Address __________ _
1 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 ADDRESS AV ST.RD. NEAREST CROSS ST. lJ
'
DATE OF APPLICATION:, BUSINESS LICENSE # VALUATION PERMIT NUMBER
c27'56 _. VLCTORlA AvF,, -1<-l 1-.lu STO 1 March 1984 4690 I /0 '-f_,fo ,
'b44ij--J.I ( ~
T-BL082 l.~UBDIVISIOt~.I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE !, CT -• u . I (o7 yq.o .;l60D McHillin Const. Co ., Inc. 477-4117
owWc'Rfflln Development, Inc. fflt\5J.'I1NE ----CONTRACTOR'S AODRESS naL.&.o \.,.I.LY LICENSE NO. PLAN I.D. # BLDG USE CODE .. 2727 Hoover Ave., CA 92050 D -121116a
ow't1'271!o~"A~nue. National City, CA 92050 DESIGNER LICENSE" STANDARD PLAN# BUILDING SO. FOOTAGE
Robert L. Chilcote 1112 2.L/'2..,
Dess'l.'flj4.~O'Ptfiffly Dwelling with Garage 1"1--, ,.~ -.. J, ·-·-·· D2StGNER"S ADDRESS . oe4tGNER'S PHONE ,. -I 727 Hoover Ave., CA 92050 74-8471
--Plan # 4 -l 4~.-P ~ ----·--F/P FLRELEV. NO OCC GP EDU
MAP NO. 10865 STORIES r2 -<.. I ..
,. ~~ vO NO --
CENSUS TRACT I GP LAND use I PARKING SPACE
1
RErNITS
1
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR -AAEA cvm YO ND vO ~ vO -;6. Nor Valid Unlf!ss ~chine CertdiM
QTY. PLUMBING PERMIT -ISSUE /SO QTY. MECHANICAL PERMIT -ISSUE ~ SUMMARVACCOUNTNUMBER
/7' EACH FIXTURE TRAP ~~ '00 INSTALL FURN. DUCTS UP TO 100,000 BTU Lfr-BUILDING PERMIT 01-00-00-8220 ""f...{), \7:J
I EACH BUILDING SEWER ~ ... ru OVER 100,000 BTU SIGN PERMIT 01-00-00·8221
I EACH WATER HEATER ANO/OR VENT .... S'l5 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 z_q"f .~,
I EACH GAS SYSTEM 1 TO 4 OUTLETS "l... :~.o BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 4a-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ◄ r'\-
EACH INSTA~ .. ALTER, REPAIR WATER PIPE -~ VENT FAN SINGLE OUCT c:..~ MECHANICAL 01-00-00·8224 r~-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOB I LEHO ME 01-00·0Q-8225
WATER SOFTNER RELO CATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??<: I.,-
TOTI.L MECHANICAL f~. ~ STRONG MOTION 80-92-33-0519 7 .,-:1..... ..
TOTAL PLUMBING I 4-&l --FIRE SPRINKLERS -01-00-00-8227
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 'Z'Z.~-QTY. ELECTRICAL PERMIT -ISSUE l _j✓ (I/) I ~ BRIDGE FEE
NEW CONST EA AMP/SWT 1BKR fl)O"f\ ?C--C~ECTORS l \\ SCHOOL FEE • DISTRICT
1 PH 3 PH STORA~NKS l lJ' A v.. \ Carlsbad ,_, L-rl~ 80-92-21-0519
EXIST BLDG EA AMP/SWT /BKR ROCK STORA~ "~. w .M, V
\ Encinitas 80-92-22-0519
1 PH 3 PH PUMP ........._\ l'HI \I\ -l"'\J'l, San Dieguito 80·92-23-0519
REMO OE L 'ALTER PER CIRCUIT PLAN CHECK FEE ~ \ \I" San Marcos 80·92-24-0519
TEMP POLE 100 AMPS ........... \.
OVER 200 AMPS " LICENSE TAX 01-00-00-8162 -
TEMP OCCUPANCY 130 DAYS) ,. \, 1_, • ·-f() ~'F 1 'D' ~01(.) h0"0-,
~ CREDIT DEPOSIT <...1.a .... .-;;
TOTAL ELECTRICAL I 30-TOTAL SOLAR 1$-TOTAL FEES PAYABLE I 3S-33As<t
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION ANO PERMIT ANO 00 HEREBY E•ll'--E~ permit -by-BulldlngOfficialunder theprov,"'°"soltl\lS * AN 05HA P£AMIT IS AEOUIREO FOR EXCAVATlOttS OVER
CERTIFY 'UNDER PENALTY Of PERJURY THAT ALL. INFORMATION HEREON INCLUDING THE Code shall ••pore by lim,tatoon and become nutt -vo,d If the bvtld:t:n Of WOrl< ~~~ DEMOUTlON OR CONSTRUCTION OF authorized by such perm,, ,. not commenced wttllon 180 days from the • of such DECLARATIONS ARE TRUE AND eof!RECT ANO I FU_RTHER CERTIFY AND AGREE IF A PERMIT 1s· perm,t. or of the buoldo~or WOik authorized by such perm,, ,s suspended or S, _7 _0VERlSTORIESfN HEIGHT I
ISSUED-'JO CQMJl'LY IIWTK All err{ COUNlY AND STATE LAWS GOVERNING BUILDING CON aban-al anv 111118 I the wodc II CorMlenCed for a nar1od Of 18() Aaw• J
STRUCTtON. WHETHi:R SPECIFIED HEREIN OR. NOT. I ALSO AGREE TO SAVE INDEMNIFY AND A--· • ..c.1.-.S Sil~G~U ~ 12 □ CONTRACTOR tr /PPROr:l..... 1rtffo/!4-KEEP HARMLESS THE. Cltv OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND ~ OWNER
EXPENSES WHICH MAY IN ANY WAY" ACCFtUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'I ~ BYPHONE (J" GRANT~ OF THIS PERMIT /-C.,, -~-C)-
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Blllf:DfNS::0 • CV ;
OUNDATION ;:. ·•• ~ l:,~-;"'-w .! I
~EINFORCED STEEL I
111ASONRY I
iUNITE OR GROUT !
LOOR & CEILING SUB FR1~ME I
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HEATHING rtOl,lVI".:. "171 SH~AR
RAME -,..,~-I
XTERIOR LATH I
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INSULATION vf • lf.J •'~ .... /.V,,
INTERIOR LATH & DRYWALL I -
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/ PLUMBIN<ihr \ Rtt I
SEWER AND §k.$(i?ot.~lewo I ' UNDERGROUNOJ T EWWSTE □ WATEFY
TOP OUT □ WASTE OW,ATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR W,4TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOAARY
□ BONDING □ POOL ' I
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MECHANICAL I
□ DUCT & PLEM., □ REF. PIPll'i!G
HEAT -AIR COND. SYSTEMS I I,)'
VENTILATING SYSTEMS I
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DATE INSPECTOR
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CALL FOR FINAL INSPECTION WHENJlfLE'7ff!f!'F{O~'fA1E~--1-
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ' :.l, .:, .t100,-.t. ... v·"cum; • ~-·s,1 I
PLUMBING I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO ~
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING •
HIGH STRENGTH
BOLTS
SPECIAL MASONR'I'
PILES CAISSONS
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MECHANICAL I ft: ~~m ~ -I ./
GAS I ~ tc;, 17 .. ' i \ f • ).I t\. • ..
BUILDING t \\
SPECIAL CONDITIONS !
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INSPECTOR'S NOTES .
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