HomeMy WebLinkAbout2749 VICTORIA AVE; ; 84-354; Permit/3-,:
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~ I hereby affirm that I am licensed under
~slona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full for~ effect. ~ -": LIC No7i1}14 Ctm '--~~
I nereby attirm lhal I am exempt lrom ttle Contrac-
tor's L,cense Law lor the Iott ow mg ieason (Sec 7031 5 Business and ProlesslOf'ls Code Any city o, county which re-quires a perm,t 10 construct. aller, improve. demohsh. or
repair any slructure, prtor lo ,ts issuance also requires !heap· pl~nl lor such permit 10 Me a Signed statement that he ,s
licensed pursuant 10 !he provisions of lhe tontrac1or s License Law {Chapter 9 commencing w11h Sect10n 7000 ol
Oiv1s10n 3 of the Business and Professions COde) CN' that ts ex-empt thefefrom and the basis for Ille allege<) e,empl!Ofl Any
v10lat1on of Sec lion 7031. 5 by an app1tcan1 tor a permit sub· 1ec.1s the apphcant to a CIVIi penalty Of not more than live hun-
dred dollars j$500)
O I, as owner ol lhe property. or my employees w11h wages as their SOie compensation. w1M do the work. and lhe struc•
lure IS not intended'" offered for sale (Sec 7044, Bus,ness
and Professions Code The Contractor's L,cense Law d~s no! apply to an owner of property who builds or Improves
!hereon and who does such work h1mset1 or through his own employees, provided that such nnprovements are no! intend·
ed or ottered for sale If, however, the bu1khng or improve-ment is sold withm one year of compteUon, !he owner-builder will have the burden of proving thal he did nol butld or im-
prove lor Ille purpose ol sale).
D I, as owner o1 lhe property, am exclusrvety contracting wilh lteensed con1rac1ors to construci the projecl (Sec. 7044, Business and Profess10ns Code. The Contractor's License
Law dOes not apply to an owner of property who builds or im-proves !hereon, and who contracts 10< each pr()tecls with a contraclor(s) license pursuanl to lhe Conlraclor's lteense-Law)
0 As a homeowner I am improving my home, and the follow-ing condiUons ex1St:
1. The work is being performed prior 10 sale.
2. I have lived In my home for 1wetve months
3. r'~v~ :;'P~:i:;r t1~i~ ::!~ption during the las! three years
~. :h~:::.;:1underS.C. ------· 8& P.C -------------
that I ha-.,e a cen,hcate of consent
or a cert1t.ca1e of Workers·
Isurance, or a cen,tied copy !hereof
,1
:~~:=~ ~:' 1;_;:,-4J1Z,
~Y 1s hle<J w,m the c,ty
b Cen,t,ed copy •s hereby lurnishea
CEATlflCATl OF EX~MPTION FROM WORKERS' COMPENSATION INSURANCE (Tl'us sectton need not be compleled ,f the perm,,
,s tor one hundrec dOllars ($1001 or less!
D I cert,ly thal 1n ttle petformance of the work tor
whteh lhlS perm11 1$ ISSue<J. I shall not employ any person ,n any manner so as to become sub1ec1 to
the Workers· Compensatt0n Laws of Gahlorn,a
NOTICE TO APPLICANT II, after makmJ th,s Cert1
ticate ot Eitemption. you should beCome sub1tt1 I?
lhe Workers· Compensation provIs,ons ol the LabOr
Code. you must forth~1th comply with such
Pf"Ov,s,ons or 1h,s perm11 shall be 11eeme<l r~Okeo
0 I hereby att11m lhal there 1s a con~uuc11on
lending agency tor the performance ot the work to,
which lh1S permit tS ,ssueCI tSec .)097 Civil CodeJ
Lenders Name ___________ _
Lenders AOdress __________ _
USE BALL POINT PEN ONLY & PRE~S 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 AV ST RO. NEAREST CROSS ST
I
DATE OF APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER
2749 l-1~~ A. /tvc .. 7-~-i~ ~)L---ltA4-~.Z-&4--354-LDT BLOCK I SUBDIVISION I A72:ssoR PP~. EL NO./.. CONTRACTOR Ll CONTRACTORS PHONE • ZONE 17-~~-. ..:~ rr:,;,· ./:;"-(; / ---+ /_ y~-~~ °f( R S;.A
1
ME ,Y, /JI-I OWNER'S PHONE ~-.11 4-IT"> --
E~ Cc!INTRACT01t'S AOfFIESS • • LICENSE NO. PLAN 1.0. # BLDG USE CODE
/ / / JJ: w. us.J-,,. ,-Ia ~777 OWNER'S MA•L•= AODRE!;S V J/v~ , -z 7Jc; ,,_ ·l. ... --DESIGNER , LICENSE " STANDARD PLAN# BUILDING SO. FOOTAGE
' OESCRrPTtON Of W01'1K .
DESIGNER'S ADDRESS DESIGNER'S PHON! -
~!,,.~,-(! /_ c~~ --F/P FLR ELEV. NO OCC GP EDU
STORIES
vO NO --7/ i:'..i/tJ4 L~i! /, I 2ltt.37 n 111'.'t·...1/. I • ...
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I
REDEVELOPMENT TYPE DCC LOAD FIRE SPR 21+. ,i AREA CONST
y O N 0 vO NO vO NO Not Valid Unl#:ss Machine Certified \
QTY. PLUMBING PERMIT · ISSUE 7,,so QTY. MECHANICAL PERMIT -ISSUE 3,oa SUMMARY/ACCOUNT NUMBER __ ,... -
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01 ·00·00-8220 /f"J,.cJ LJ
EACH BUILDING 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/~-O'5° tzg_ "'fTIJJ:--~
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 JIJ,. OU
EACH GAS SYSTEMS OR MORE METAL FIREPLACE ELECTRICAL 01-00-00·8223 I&:-. ~ ""'
I EACH INSTAl . ALTER, REPAIR WATER PIPE ,l'J .r;t, VENT FAN SINGLE OUCT MECHANICAL 01 ·00-00· 8224 I -. EACH VACUUM BREAKER -MECH EXHAUST -HO00IOUCTS MOBILEH0ME 01 ·00·00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF ORAIN !INSIDE) SOLAR 01.nn.nn.oooc -T0TJ.L MECHAN ICAL \' STRONG MOTION 80·92-33·0519 ~n I
TOTAL PLUMBING I Ill --\, FIRE SPRINKLERS 01-00-00-8227
' "t (~
PUBLIC FACILITIES FEE 32·00-00-8933 .
QTY. ELECTRICAL PERMIT -ISSUE '-<,oa QTY. SOLAR -ISSUE
BRIDGE FEE
NEW CONST EA AMP'SWTiBKR COLLECTORS \ ...,. ;v SCHOOL FEE • OISTRICT
I PH 3 PH STORAGE TANKS "-\ Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE ~P f"it ~
Encinitas 80-92-22-0519
1 PH 3 PH PUMP \. ,r J San Dieguito 80·92·23-0519 "-REMO0EL'AL TEA PER CIRCUIT /r, . .-PLAN CHECK FEE ~ \I ~ San Marcos 80·92·24-0519 -TEMP POLE 700 AMPS . -Ni" \~
OVER 200 AMPS
7 '
'\) LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI L
CREDIT DEPOSIT
TOTAL ELECTRICAL I J.1, 90 TOTAL SOLAR TOT AL FEES PAYABLE I Jt4;-;,J
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT' AND DO HEREBY E•.,.,_. £..., permit ISSU8d byllle lluilellng Olftcjal under lhepra.1s1ons of lh1s * AN OSHA PERMIT tS AEOUIAEO FOl'I EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by l1mitatton -bee..-null -YOtd If the bu1ld1ng or work s· O" DEEP ANO DEMOUTION 0fl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS autllOriZed by auch permit is not com-.ced willlin IIOdaya from Ille date->! such STIIJCl\JAES OVER 3 STORIES IN HEIGHl perm,I. o, 11 Ille bu~· o, work authortDcl by 9UCh perm1I •• -pended or ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON• abandoned al any -Ille work is _ __, lo, a -•od of 1110 "•~·
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A-,·~~'··ss,oNATUflE f' OWNER□ CONTRACTO~
A~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
:,~-".I k,_~ I 7•~•8f-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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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I '
MASONRY ' GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I
I
EXTERIOR LATH I . .
INSULATION I .... !
INTERIOR LATH & DRYWALL I •
I
I
PLUMBING I
I
SEWER AND BUCO □IPUCO I
I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ W,i.TER
TUB AND SHOWER PAN I
I
GAS TEST I ,PJ-1a.Af ('J,/
□ WATER HEATER □ SOLAR WAtER ~
I
ELECTRICAL I
~ ELECTRIC UNDERGROUND □ l)FFER ~•to·~ ( I ...
ROUGH ELECTRIC I ~.7t,.~-f ~
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINP --·
HEAT -AIR COND. SYSTEMS I . '
VENTILATING SYSTEMS ! I ,,---I 1 --'I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I ,,,-/, I
PLUMBING I I VlV ~ ,_
ELECTRICAL /., ,, bl / V
MECHANICAL I ) J ,.
GAS I / I ·. l -1d
BUILDING V/~ I I \/ '
SPECIAL CONDITIONS L I ' I I
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-qtr:.-cm ~ -\"-\ '"~-..
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ., ' ... , ...
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ,· ' .
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED ' CONCRETE ' POST TENSIONED I
CONCRETE 1
FIELD WELDING : ' . ·' HIGH STRENGTH
BOLTS ~ ,
SPECIAL MASONRY I I .
' :.-:: -l -.,
PILES CAISSONS
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SCHOOL FEES: SAN DIEGUITO --------
CARLSBAD -----,,,-----1----SAN MARCOS --------
FRONT ---+-+--+-+-----,-...:'--
FENCES/WALLS _____ --., ____ _ SIDE ---+---~-----
• TWO CAR GARAGE RE AR ex: 1..1.J 3': 1..1.J
---------------------
;: ~ COMMENTS:
1..1.J < ----------------------------0:: Cl
)@ □ REDEVEL0Pf1ENT APPROVAL REQUIRED: N ft · 6 ~ □ -----+,1-------------__;.---
l i □ LANDSCAPE PLAN COMMENTS: _____ _;.rv_.;..._r ______________ _
~ ENVIRONMENTAL REQUIRED_: _____ .__ __ ,___ ____________ _
ADDITIONAL COMMENTS'-: ______________________ _
K TO FINAL: DATE: ----------
****************** **** *** * * **************************************************
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED? __
P. F .F . _______ PARK IN LIEU _________________ _
R.0.W: IMPROVEMENTS:
________________ E.D.U: _____________ _
SEWER: ____________________________ _
LATERAL: ___________ _ DRIVEWAY: ___________ _
ex: a GRADING PERMIT: _________________________ _
-1..1.J
G'.: ~ DRAINAGE: CX: Cl
~ □ -c::i □ t-1..1.J ucx:
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EASEMENTS: ___ .:::..{f)----1../(....,,__ _____ ADDITIONAL COMMENTS: _______ _
OK TO ISSUE: _ __,_/c_~--'-------
* ENGINEERING INSPECTION REQUIRED: ___________________ _
PUBLIC r!ORKS INSPECTOR: ______________________ _
FINAL OK: ------------DATE: ______________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
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