HomeMy WebLinkAbout2756 VICTORIA AVE; ; 87-385; Permit<II z 0 ;:
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O I hereby affirm that I am licensed under
provlelona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeealona Code, and my license is In
full force and effect.
I hereby aft11m lhat I am exempt trom the Con1rac 1or's Ucense law lo, Irle following reason (Sec 7031 ~ Business and Professions Code Any city or county wh1tr. re-
quires a perm11 to construct. auer. improve, demolish or repair any structure, pnor to ,ts issuance also requires !heap-
phcanl tor such perrrnl to hie a signed s1atemen1 !hat he 1s licensed pursuant to the prov,slOl'ls or !he t:on1rac1or s
License Law (Chapter 9 commencing w11h SecllOn 7000 of Division 3 of the Busmess and ProfessiOns Code) oc !hat 1s ex· empt 1heretrom and the basis for the allegeo exempl1on Any
viola hon of Sec hon 7031 . 5 by an appltcant for a per mu sub·
1ects the applicant to a civil penalty of no1 mOfe than hve hun·
dred dollars (S500)
f I, as owner ot tl'le propeny. or my employees with wages
as lhe1r sole compensalton. will do tl'le work. ano !he slruc-ture 1s no1 ,mended or olfered !Of sale (Sec 7044 Bus,ness
and Professions. Code The Contraclofs lttense Law aoes
no! apply to an owner of property who bu1fds cw improves !hereon and who does such work tumsell or through his own
employees, provided that such improvements are not mtenct-ed or o11ered tor sale II. however. lhe bu1id1ng or ,mprove-
ment 1s sold within one year o1 completion, the owner-builder will have the burden of proving Iha! ne dtd no! build or im-
prove for the purpose ol sale)
] I. as owner of lhe property. am exclusrvety contractmg w11h hcensed con1rac1ors 10 cons1ruct the pro1ect (Sec 7044, Business and Proless1ons Code The Conuactor's License Law does not apply to an owner ot property who builds or im-proves !hereon. and who contracts tor each pro,ects w11h a
contractor(s) hcense pursuan1 lo the Conlractor's license Law)
l1 As a homeowner I am 1mprov1ng my home. and the follow mg cond1t10ns e,usl 1. The wock 1s being perlormed pnoc lo sale
2 I have lr\led m my home for twelve months
prior 10 completion of lhts wot11 3 1 have not claimed this exemplton during lhe last three years
~ /h~~ r~~:,i't under Sec ______ , B & P C
-------------
:J I hereby allirm thal I have a certificate of consenl to self-msure. or a certificate of Workers· Compensation In-
surance. or a certified copy thereof (Sec 3800. Labor Code)
POLICY NO
COMPANY
::J Copy IS tiled w1lh lhe city
D Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no! be completed if lhe permit
1s !or one hundred dollars ($100) or less)
I certity that in the performance of !he work for which
~rm,t ,s issued. I shall not employ any person many
man~ to become subJect to the WOt"kers· Compen-
sation Laws of California
NOTICE TO APPLICANT: It, after making trus Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of lhe Labof Code you must
forthwith comply with such provisions or this permit shall
t>e deemed revoked.
D I hereby affirm that !here 1s a construct1on lending
agency fOJ !he performance of the work tor which 1h1s per-
mit Is Issued {Sec. 3097. Ctvd Code)
Lender's Name
Lender's Address, ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1 161 APPLICATION & PERMIT
JOB ADDRESS AV.ST.RD. NEAREST CROSS ST
l°~TE,; T;Lt;ATIONI
BUSINESS LICENSE If }/~)4 PERMIT NUMBER
?..15(o l'1 C 10 fll'H i~ Vtr4hC ~386 LOT'-+ Btr4o I SUBDIVISION I ASS7ESOSOA PAR4CEL NO ~ CONTRACTOR CONTRACTORS PHONE • ZONE /
:.i.1 q;z.. N · , 1-qo--:i -•
0\11/NEffS NAME
L ... He. Tft'J c1c 14?, {t:;; ~t7NE K~"4£ Tf/ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
0\11/NE R'S MA LING ADDRESS SJELF
2.l5f..o (/ I C..~l fl In.. ,4.v~"J-: V €" DESIGNER DESIGNER'S PHONE
DESCRtP•~~ON OF WORI( _ ~ 0022 05/01 0101 02BldP11t 64-5 ,1c (011~ DESIGNER'S ADDRESS STATE LICENSE NO. (_ rry ~c:_>
~ --F, p F LR ELEV NO OCC GP EDU
STORIES
vO NO
I I PARKING SPACE I RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CONST
y D ND vO NO vO NO Not Valid Un/,:ss Machine Certdied
QTY. PLUMBING PERMIT · ISSUE 7¢----QTY. MECHANICAL PERMIT· ISSUE
/.5 . C'?-
SUMMARY/ACCOUNT NUMBER ~
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU BUILDING PERMIT 001 ·8 I 0·00·00-8220 ,A'-1 -
EACH BUI LUING SEWER OVER 100_000 BTU SIGN PERMIT 001-810-00-00-8221 -------,,.:'j ,:;;--EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8821
EACH GAS SYSTEM 1 TO 4 OUTLETS . j BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222 -----
EACH GAS SYSTEM 5 OR MORF I METAL FIREPLACE ELECTRICAL 001-810·00·00·8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 -810·00·00-8224 --------
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS M08ILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810-00·00·8226
EACH ROOF DRAIN (INSIDEI DRYER VENT STRONG MOTION 880-519·92-33 <D
TOTt.L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TOT AL PLUMBING I -PUBLIC FACILITIES FEE 320·810·00·00-87 40
.K~
BRIDGE FEE 360·810-00·00-87 40
QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA I
NEW CONST EA AMP SWT BKR CAR PORT TIF 134·810-00·00·8835 -
1 PH 3 PH AWNING LA COSTA TIF 133·810·00·00-8835
EXIST BLDG EA AMP!SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00·00·8162
REMODEL ALHR PER CIRCUIT MFF 880·519·92·57
TEMP PD LE 100 AMPS
OVER 100 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I (,, 4 .. So
' Expiration Every perm11 issued by the Bu1ld1ng Otftcial under the pro·muons ot this I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERM:T IS REQUIRED FOR EXCAI/ATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm11ahon and become null and void If the building or work. ~· 0 .. DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE iF A PERMIT I!> authorized by such permit 1s not commenced w1th1n 180 days trom the date of such STRUCTURES OVER 3 STORIES IN HEIGHT permit. or 1f the buitdInP. or work •'"}I' onzed by such permit 1s suspended or
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned 11 anv time a te, the work ommenced tor a nfllflOd of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT5:lS SI (~ OWNER pl..__ CONTRACTOR 0 APP;; y 1?1 '/rq KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND it.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE n GRANTING OF THIS PERMIT n _ , j
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TYPE I DATE INSPECTOR
BUILDING ! &>,..., 6~~
FOUNDATION i FIELD INSPECT ION RECORD
REINFORCED STEEL l
MASONRY l REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I ' INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEIUNG
SHEATHING D ROOF
SOILS COMPLIANCE
D SHEAR PRIOR TO
FRAME : FOUNDATION INSP
EXTERIOR LATH !
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ! PRESTRESSED
INTERIOR LATH & DRYWALL i CONCRETE
POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ PiUCO
UNDERGROUND D WASTE c:J WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN l
GAS TEST I
□ WATER HEATER D SOLAR WATER
PILES CAISSONS
l
ELECTRICAL J .
□ ELECTRIC UNDERGROUND ill UFFER
ROUGH ELECTRIC :
D ELECTRIC SERVICE □ TEMPbRARY .
D BONDING □ POOL I : . C . ,,. • C
MECHANICAL I
□ DUCT & PLEM., □ REF. PIRING
HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS I .
' I
~ CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE
_ . ITEMS ABOVE HAYE BEEN APPROVED.
tiv..).) Vc!\V~ v~ v~ V.lt>J '10-T '(\ c.V
FINAL l
PLUMBING I . I l .J
. ,,
ELECTRICAL I '"\ V ~ J. -' ' MECHANICAL l Yo ~
GAS i ~ 1 ' \\ . '
BUILDING t ~' _I
SPECIAL CONDITIONS !
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I
1987
I ;
City CARLSBAD
BUILDI~~ n~~7.
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