HomeMy WebLinkAbout2749 VICTORIA AVE; ; 85-582; PermitC/1 z 0 ;:: < a: < _,
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O I hereby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaa!ons Code. and my license is in
full force and effect.
lie No ------Clm
I hereby a1trrm that I am exempt from the Contrac· 1or·s License Law for !he lollowong reason (Sec 7031 5
Business and ProlessIons Code Any city or county wtucn re· quires a permit 10 construe!, alter rmprove. demolish, or
repa1r any structure. prior 10 I1s issuance also requires !heap· phcanl tor such permit 10 file a s19ned statement that he 1s
l1Censed pursuan1 to the provIs00s ol I.he Contractor·s License Law (Chapter 9 commencing with Section 7000 or Orv1s1on 3 of the Business and Professions Code) or that Is ex· empl therefrom and the basis 10f the auegeo exemp1Ion Any
"''olat1on of Section 7031 . 5 by an apphcan1 lor a permI1 sub· Jects the apphcan1 10 a cIv,I penally of 001 more than five tiun·
dre<I dollars ($500)
..A'. as owner of !he property, Of my employees wllh wages
1r1h.eir sote compensation. will do !he work. and the siruc· lure is not intended or oflered for sale (Sec 7044 Business
and ProfesStons Code The Con1ractor"s License Law does not apply to an owner ol property who builds or Improves
thereon and who does such work h,msell or through his own
employees, provided Iha! such improvements are not inlend· eo or offered !or sale ll, however. !he bu11dm9 or improve•
ment is sold w11h1n one year ol complehon, the owner·bu1toer will have 1he burden of proving that he did not build or Im· prove tor the purpose 01 sale)
D I. as owner at the property, am exclus,vety contrac1mg with hcensed conuac1ors 10 construe! the pro1ect (Sec. 7044,
Business and Proless,ons Code The Conrractor's license Law does not apply to an owner of property who builds or im-
proves thereon. and whO e9ntracls !Of each prqects with a contractor(s) license pursuant to !he Conlractor's License Law).
t,,'As a homeowner I am ImprovIng my home, and lhe folJow mg cond1hons exist
1. The work is being per1ormed pnor lo sale. 2 I ha~e hved 1n my home IOf twe!vt months prior 10 completion ol this work.
I have not da1med lhts exemption during the lasl three years
D 1 am exempt under Sec ______ 8 & PC
for this reason
D I hereby all,rm lhat I na"e a cert,t1cate of consenl
to self ,nsore, or a cer1,hca1e of Workers Compensation Insurance. or a cen,tred copy thereof
(Sec 3800. L.lbO< Cooei
POLICY NO
COMPANY
0 Copy IS hied w,11, lhe city
0 Cen1!1ed copy Is hereby lum1shed
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Th,s section need not be compIeIed 11 the permit
,s !Of one nundred dollars rs HX>1 or Iess1
0 I cen,ty 1ha1 In the performance ot the work 10, which lh1s permit 1s ,ssued I shall not employ any
person m any manner so as 10 beeome subIecI 10
rhe Wor1i1.ers CompensaI,on Laws ot Cahtorn,a
NOTICE TO APPLICANT II after mal,,mJ Irus Cen,
f,cale ot Exemp1ton you ShOul<l t>ecotne subrec1 I'> the W()O(ers Compensat,on p,o.,,.,s,ons ol Ihe Lat>or
COde. you must tOf"lh'#ri ,th comply with such proy151ons or tn,s perm11 shall be deemed revoked
0 I hereby aftum lhal there 1s a construc11on
lend,119 agency tor me per1ormance ol the won,. tor
wruch 1h,s perm11 1s issued 1Sec .3097 Civil COde1
Lenoer s Name ___________ _
Lenders 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 ADDRESS-AV. ST. AD. NEAREST CROSS ST.
ID?E:{P:~A?I
BUSINESS LICENSE d r1:;;i PERMIT NUMBER
~ 71..f 4 V ' c., ...\,-O ·'2.J.A ~ ~ssi~ ' LOT I BLOC!t . I SUBOIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ZONE f
11", 4~ /,? }tOD
~-I>--OWNER'S NAM6· I ~ .;w~ ~Pboj\, :r6 t:a f1.N CONTRACTOR'S ADDRESS LICENSE NO PLAN I.D. # BLDG USE CODE
OWNER'S MA,LING ADDRi:ioll
4-v 97'-14 Y\cA··Q ~\.A DESIGNER LICENSE" STAN DARO PLAN II BUILDIZJV
DESCRIPTION OF WORK Dec.., l< I .. .
OESIGNEA"S ADDRESS DESIGNER'S PHONE '
.----· F p FLA ELEV. NO ace GP EDU 6/LiJ/uw, uL4 ;
STORIES f1.: • '
vO NO --tJ~!.:.1tJ:u1· u/u_t A!~ !.11. CENSUS TRACT I GP LANO USE I PARKING SPACE j RES UNITS j GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND ,o NO vO NO Not Valid Unless Machine Cerrdied
QTY. PLUMBING PERMIT· ISSUE ?!!!-i--QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN_ DUCTS uP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 _C2{L I_.:)_ 0
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 Jq,;,;.o
EACH GAS SYSTEM l TO 4 OUT LETS 4--BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 .
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 -
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RE LOCATION OF EA FU RNACEIHEA TE R MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR Ol ·OO·OO•R??~
TOTt.L MECHANICAL STRONG MOTION 80·92·33·0519 t-----
TO f 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 SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP,SWT BKR ROCK STORAGE Encinitas 80·92·22·0519
l PH 3 PH PUMP San Oieguilo 80·92·23·0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELlRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I t./!, 70
,I
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT ANO 00 HEREBY Exp.ration Every permit issued by the Building 0tf1c1aI unde, 1he prov1s1onsof th,s * AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1,m,tat1on and become null and void If the building or work 5" o·· DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days lrom the date of such STRUCTIJR£S OVER 3 STORIES IN HEIGHT ,.
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~~'::~n°~ 1
~t t=~v ~~:•~ff.~;h:~~,:~!~0~!~e:leJ~~~ :9~~~'~,s~:bcta~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPUC:~!S ~IG TURIE ~If-OWNERf_ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
C' ~dl-BY PHONE 0 ~&~ I ~ls/JS-GRANTING OF THIS PERMIT . Q T I
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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 D ROOF D SHEiAR
FRAME I
~
EXTERIOR LATH I
INSULATION I .
INTERIOR LATH & DRYWALL i
I
PLUMBING ' SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN i
GAS TEST I
0 WATER HEATER D SOLAR WAifER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE 0 TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPIN,~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE!,_BEEN ~PPROYE.D. ,;
FINAL •
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
l_ T
l ..,_ l ~ r ...... <if£',$'~:;)... '
FIELD INSPECTION RECORD ,.
. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTOR S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI ;
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
' . ..
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PLAN CHECK NUMBER j'i°~ ADDRESS ;}.1'ff V~·
PLANNING : TYPE OF STRUCTURE ___ .... ~u..._,,,,,._....,./4-:~--------ZONE: -----
SCHOOL FEES: SAN DIEGUITO --------ENCINITAS --------
CARLSBAD --------SAN MARCOS_....,... ____ _
% COVERAGt ------------REQUIRED SETBACKS ____ _
BUILDING HEIGHT ----------FENCES/WALLS __________ _
FRONT /4~
-THO CAR GARAGE .
SIDE f/:,.
REAR 0:: u.J ::J:: u.J
--------------------
;: ~ COr'iMENTS:
u.J < ---------------------------0:: Q
v,oz □ REDEVELOPttENT A?PROVAL REQUIRED : 6 ~ □ ------------------
1.&.J -g§5.□ 8 ~ LANDSCAPE PLAN C0r-11ENTS: ---------------------
ENV rncr:f,iENTAL REQUIREP: ----------------------
ADDITIONAL COMJ'-1ENTS: '-----------------------
O:< TO ISSUE: ,~ATE: !f!/!_/4K TO FINAL: ___ DATE: ____ _
P.F.F. _______ PARK IN LIEU ________________ _
R.O.W: IMPROVEMENTS: ______________ _
_______________ E.D.U: ___________ _
SEWER: _________________________ _
LATERAL: ------------DRIVEWAY: __________ _
0:: ~ GRADING PERMIT: ________________________ _
-u.J > .... ~ ~ DRAINAGE: __________________________ _
.... u.J uo:: u.J-
EASEMENTS: --~..._ __ • ______ ADDITIONAL C0""1ENTS: ______ _ ~ .□ -c □
~ s □ 2=, -------u o:: OK TO ISSUE : ~ _..,. ________ _ DATE:_---"· >7;'-f-l _f~(.,,_;;.~ ....... ? ___ _
* ENGI NEERING INSPECTION REQUIRED: ________________ _
PUBLIC lo!ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)