HomeMy WebLinkAbout2745 VICTORIA AVE; ; 83-103-202; Permiten z 0 ~ C a: ~ 0 ..,
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~ I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full f::le?a?~~fRI. lie N -Class -~R~---
1 J.7.L {U1 $. exempt froo, the Contrac-tor's License Law for the following reason (Sec. 7031.S
8uS1ness and Professions Code. Any crty or county which re-quires a permit to construct, alter. improve, demolish, or
repair any structure. prior to 11s issuance also requires !heap-plicant for such permij 10 file a !ipned statement that he is
la nsed pursuant to the pr0Y1s1ons of the Contractor's License Law (Chapter 9 coo,mencing With Sec!IOfl 7000 of
Otv1slon 3 of the Business and Prolessions Gode) or that is ex·
~J.\,:;~1~,: ;~;,~~f~n ~¢~,::~:, s~~
jects the applicant to a civil penalty of not more than five hun-
droo dollars (SSOO).
D I, as owner ol lhe property, or my employees with wages
as their sole compensation, will do the work. and the struc-
ture is not lntendoo or otteroo for sale (Sec. 7044, Business and Professions Code: The Contract0<'s License Law does :r:!plyan!io .::., :.n:rs!t:.ti;;~ ~I~~~~=~
employees. providoo that such improvements are not Intend-ed or ottered tor sale. 11, however, the building or Improve-ment is sold within one year of completion, the owner-builder
will have the buroen of prOV1ng that he did not build or Im-prove !0< the purpose of sale).
✓i. as owner 01 the property, am exclusively con~acting
with licensed contractors to construct the project (Sec. 7044, Business and ProtesstOns Code: The ContractOf''s License
Law does not apply 10 an owner of property who builds 0< Im-proves thereon, and who contracts IOf' each projects with a
contracior(s} license pursuant to the Contractor's License Law).
□ As a haneowner I am Improving my home. and the follow· ing conditions exist:
1. The w0<k is being per!O<moo prior to sale. 2. I have lived in my home 10< twelve months
3. rr~.:,o :;1Pi=.,of 11~;~ =~ption during the
last three years.
g ihf.'r"::tunder Sec. ______ . 8& P.C.
rJ'i hereby affirm that I ha:,e a cert,t,cate of consent
to self-insure, or a cert11tcate of Workers·
Compensation Insurance. o, a certified copy thereof
(Sec 3800. Labor Godel
POLICY NO 5"8IIIBDA'111'7'1 £ _
coMPANi i/t,rtford Ls 4
0 Copy IS flled with lhe c,ty U i j 3
□ Cert1f1ed cc,py IS hereby lurn1Shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1I lhe permit 1s tor one hundred dollars ($100) or less)
D I ce111ty thal in the performance ot the-wM to, wh,ch this permit ,s issued, I shall not employ any
person ,n any manner so as to become sut>Iect to
the Workers· Compensation Laws ot Gahforn,a
NOTICE TO APPLICANT ff. after mak1n1 th,s Cert,
ftcate of U:empuon, you should become sub1ec1 t-:> the WMers· Compensa1ton prov1sIons ol the Labor
Code. you l"f'lust tonhw1th comply with such
provIst0ns or 1h1s permI1 shall be deemed re\!Okeo
J I hereby affirm thal !here ,s a cons1ruc1Ion
lend1no .1gency lor lhe perfOt'mance ot me wM tor
which lhts perm,, ,s issued tSec 3097. C,v,1 Code)
Lendef's Nam• Hcfte Federal
Lender·, Address S ! an o ego
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS f I Auenu.e__ AV.ST. DA TE OF Al'l'l.lCA Tl ON BUSINESS LICENSE # VALUATION PERMIT NUMBER;':)./ ~7~5 V, c:::1-c r 1 4.. RO. ~ffl.::i.O 3/17/83 _,,,,;,D
OWNER'S NAME I OWNER'S PHONE 7 ZONE 't;~Jo3 M:Mi.llin Devel R • t, Inc. 477-4117 M,MILLIM CONSTRUCTION CO., INC.
OWNER"$ MA•LING ADORES$ 2727 Hoover Avenue Ph. #477 -4117 I PLAN 1.0. # BLOG USE COOE
2727 Hoover Ave. , National City, Ca. 92050 Rctloncl City, Cc. 92050 Lie. #271768
I
LOT ~~:LOCK 1;;:u:e~o1v11s10N I ASSESSOR PARCEL2i N~O {) ~ 0V DESIGNER -LICENSE• STANDARD PLAN# BUILDING SO. FOOTAGE :.:2(22 1rli::Mn 7d-1.1ll /~ 7--~ ~ Rebert dti.lcote 1112 /'72~ DESCRIPTION OF WORK
~; nrr l,::, F.-::tmi 1 v T'La::> 1 1 i nN -/ •~ OESIGNER'S ADDRESS OESIGNER"S PHONE 6/J:i/8~6fS... un.~q -!'/4n-#:. ---2727 Hoover Ave. National Citv 474-8471 ' . -... ~, Y..2 p 000.1.~!~ ~l-_t.~I E3 3'78·1-49 1 ----• F/P FLR ELEV. NO OCC GP EDU
vO NO --~IES /f-3 I I
CENSUS TRACT I GP LAND USE I PARKING SPACE I RE/ITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR AREA cviv vO~ YO~ vO NO Not Valid Unless Machine '4rtifi6d
QTY. PLUMBING PERMIT -ISSUE "-7~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
/1 EACH FIXTURE TRAP /_.2-7 .~r I INSTALL FURN. DUCTS UP TO 100,000 BTU L/.-BUILDING PERMIT 01-00-00-8220 L//j(J-, ./ EACH BUILDING SEWER ,(A._~? . OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO/DR VENT ? ~-S.., BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 2//J/1-
I EACH GAS SYSTEM 1 TO 4 OUTLETS :;. .Sf BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 L/~ .. q
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 -00-00-8223 ~-
EACH INSTAl .. ALTER. REPAIR WATER PIPE -1 VENT FAN SINGLE DUCT q --MECHANICAL 01-00-00-8224 /1/ -EACH VACUUM BREAKER I MECH EXHAUST -HOOO/OUCTS ,"?. -MOBILEHOME 01 ·00-00-8225
WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF ORAIN (INSIDE) SOLAR 01 ·00-0Q-A?9~
TOTI.L MECHANICAL
11 .-STRONG MOTION 80·92-33-0519 (,1 ~() -
TOTAL PLUMBING I 4/4 -50 FIRE SPRINKLERS 01-00-00-8227 -QTY. ELECTRICAL PERMIT -ISSUE 5-QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00-8923
BRIDGE FEE
NEW CONST EA AMP/SWT /BK R /11() _?..~-COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Garlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE y _,, San Marcos 80-92-24-0519 ,
TEMP POLE 200 AMPS f\ ✓ v' (/_k' IA-, /?~9'_ 3/'>
OVER 200 AMPS ... \}y,'" t\ r ~ --.. /
TEMP OCCUPANCY (30 DAYSI V .
XL7 -. \ TOTAL ELECTRICAL I 30 TOTAL SOLAR I ¥7?.3</ -TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Exp,rallon Every permit -bytllelluilcling Offlalal under Ille prOV1SlonS ofltlts * AN OSHA PEIWIT IS AEOUIREO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tat,on -becolM null and void II the bulkMg or worll 5· o·· DEEP 4NO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm,t IS not com,-,ced willlin 180day1 from Ille date of suet, STRUCTUR£S OYER 3 STORIES IN HE!Gt-lT perm;~•· ,1 the bulldl~ or work aulho<iad by such permit IS 'f~ded or ISSUED TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-aban • • any time a er Ille -ii tor a nanod of 1 .tawo J
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO .-.;,,,,cJJ. o/~~ I
AP~I07'$/43
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN,~ S SmGN ~UR //. .~OWNER'7 CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r ~, _,,, --BY PHC>Ni'10
GRANTING OF THIS PERMIT ----~ _ • _ --■, • .
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BUILDING / ..... '-..:, I . ~
FOU~DATION '-1'7 .. ("a": ...... x,.A FIELD INSPECTION RECORD
REINFORCED STEEL ) f·V • 'r ~-REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES J
W!SOIIIRY~i~~ • •• ~,IL.~ -'1>1,r REQ IF INSPECTOR'S INSPECTION DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
SHEATHINGf?.111£ f\ V _(.7,I .~~ FOUNDATION INSP ' ' -'-... .
STRUCTURAL CONCRETE ~ ' . ,~ ·-
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED r
CONCRETE
INTERIOR LATH & DRYWALL ,, POST TENSIONED
CONCRETE
. ,' '
PLUMBIM'ie ...... ~.;... ... -
FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND I --r1. ,11_-PD_ ·-/'?N BOLTS -
PLUMBING TOP OUT 0 .R--<;2?; nl\ SPECIAL MASONRY ~ .. ~ . . "'" . -TUB AND $HOWER PAN
GAS TEST I i PILES CAISSONS . ,, ..
ELECTRICAL I
TEMPORARY POWER I ..
ELECTRIC UNDERGROUND I
.
I
ROUGH ELECTRIC !
ELECTRIC SERVICE \ ' 11 I
'. '
BONDING . , " . ◄
G. F. I. -SMOKE DETECTOR • -. ':) ,
MECHANICAL r
. -' DUCT & PLEM., REF. PIPING . . ..
HEAT -AIR COND. -SOLAR SYSTEMS " ' • ..... • \_ ll' •' . -, . .. '., --. ---
VENTILATING SYSTEMS \.o; ..,.Jt=I~,' 'C ·\ 'i,J .. ,... •• ::_ -;.·4 '._j
F\ l., ,_,;:.~c,1J;r r1
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-.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ' . "
ITEMS ABOVE HAVE BEEN APPROVED. r-t\/ " .-. • .. ~
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JOB SITE FINAL , "'J NV__.,,---. -~-r-~:,
PLUMBING /f) "'/I..
ELECTRICAL 1/ ., Ir_,.... \.41/"J
MECHANICAL -r /<::/) . -
GAS 1/fh~...,, • . . .. ....._ --. . -.... .,. '
BUILDING ,/ .'V . ..,, ' \ ,..__ .. ,, .
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SPECIAL CONDITIONS •
CERT OF OCCUPANCY ISSUED '
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