HomeMy WebLinkAbout2738 VICTORIA AVE; ; 85-107; PermitCl) z 0 ;:: C a:: C ..J u "' C
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.,,(' I hereby affirm that I am licensed under
~vlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is in
full force and effect. O /
lie No.3Y;:>J; Class ~·~-~---
1 hereby afhrm !hat I am exempt lrom the Contrac· tor's L.cense law for lhe following reason (Sec 7031 5
Business and Professions Code Any city Of' county whJC.l'i re· quires a permit to construct. aller improve. demohst'i. or
repair any structure, poor to 11s issuance also requires !heap· plicant for such permit 10 hie a signed statement thal he 1s
hcenseci pursuanl to the prov1sIons ol !he Contractor· s
license Law (Chapter 9 commencing with Section 7000 of Dlv1s1on 3 ot lhe Business and Professions COde} or Iha! ,sex-
empt !herelrom and the baSis for the allegeo uemphon Any V1olallon ol Sect10n 7031.5 by an apphcant tw a permit sub· Iecls the apphcant to a c1VLI penalty of not more than ltve hun• dred dollars ($500)
I. as owner ol lhe property or my employees wIlh wages
as lhe1r sole compensation. will do the work. and rhe sHuc-ture is not intended or ollered tor sale (Sec 7044 Business
and Professt0ns Code The Contractor's LJcense law does nol apply to an owner of property who builds or improves thereon and who does such work hMT'lself or through h,s own
employees, provided that such improvements are no1 mIend-ed or offered for sale If, however, the bu1khng or improve-
ment Is sold within one year ol compleliOO, lhe owner-builder
will have the burden of provtng that he did not build °' im-prove lor the purpose ol sale)
7 I, as owner ol lhe property, am exclus1vefy conlrachng
with licensed contractors to construct lhe prOJecl (Sec. 7044.
Business and Professt0ns Code The Contraclor's Ucense Law does not apply to an owner of property who builds or im-
proves thereon, and who contracts !Of each prOJects with a
contractor(s) hcense pursuant to the Con1ract01's license Law)
~ As a homeowner I am improving my homt, and the lofk>w
ing cond1t100s exist 1 The wDfk is being performed prtor 10 sa)e 2. I have lived In my hooie for twelve months prtOf lo comp~tion of this work I have not claimed 1hIs exemptron dunng lhe
last three years
D I am exempl under Sec ______ . 8 & P C
tor this reason ____________ _
D I hereby affirm Iha! I ha ... e a cert1hca1e or consent
10 self-insure. or a cen,t1cate ot Workers Compensation Insurance. or a cen1!1ed copy lhereol
!Sec 3800. Lat>or Code!
POLICY NO
COMPANY
~Copy 1s tiled w,tn the c1ry
D Cen1t1ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (This section need 001 be compleled 11 the pe,m1t
1s IOI one hundred dollars cs1001 or less)
D I certify th.al 1n !he performance ol the wont tor
....,h1ch this permit ,s issued. I shall nol employ any
person 1n any manner so as 10 beeome sub1eC1 10 the WoO(ers· Compensation Laws ol Calllorn1a
NOTICE TO APPLICANT II. afler maJun1 1tus Cem hcate ot E-emption. you should t>ecome sut>tecl I?
the WOO.ers· Compensatton prov1s1ons ol 1he Labor
COde you must tonh"' ,tn compl'y with such
prov,s,ons or this perm,t Shall be deemed re..,oked
0 I hereby att,,m that 1nere 1s a cons1ruc11on
1ena1og aoency to, !he pe-rtormance ol lhe wo,.._ lo,
wh1Ch 1h15 permit IS issued ,sec 3097 C1111I COdeJ
Lenders Name ___________ _
Lenoer s Address __________ _
USt IIALL l'UINI PtN ONLY & PRESS HARD -··-· -. ·----. At't'Lll.,;AN I I U I-ILL IN INFORMATION WllHIN SHADED A K t:AANU Ut:1.,;LAKAIIUN.:,,
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I CARLSBAD BUILDING DEPARTMENT APPLICft~ & PERMIT I ~' 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
I JOB AODRESS AV ST.RO. NEAREST CROSS ST
I
OATE Of APPLtCATIONI BUSl~NSEsr VA>"""TION PERMIT NUMBE A
I ·, V ,"c. r.n;1; A-z-6-8's" ~;(o ~6" ... I Z 73~· A-,,.
I LOT I BLOCK 'I SUBDIVISION I ASSESSOR PARCEL NO COIIITRACTOR 7,rACTORS PHONE • ZONE /v7 I Pfie..,-;;:.,c::..... LJ,-i,,r/l,t$L~~ l I OWNER'S NAME I 7Z-9-
0
~;;;NE
?'. v/-900-::,.
I "A U /C,4 ,J./JJ
CONTRACTOR'S ADDRESS
~
ENSENO PLAN 1.0. I< BLOG use CODE
I N--I
I OWNER'S MA,L•NG ADORE~ I/oz, SC.-t-~ '3s-/ .J'J ~
I 2-JSI? V.c..,rDA,'-A-
DESIGNER LICENSE 11 STANDARD PLAN 1¥ BUILDING SO. FOOTAGE
I
I DESCRIPTION OF WORK ./) 5:,,.,, /A.-.---_,.,, _. -;-)-I) r;-,/C,..h .... ,. ,.,.,-DESIGNER'S ADDRESS OESIGNE R'S PHONE I
I
I ,--F/P FLA ELEV. NO OCCGP EDU IYUEi/d51.1U/U 19,C'
I STORIES µUUl'41;;7U ,HuEi/ 85 19.-· I v□ NO --
I CENSUS TRACT I GP LANO USE I PARK ING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAESPR
I AREA CONST
' y D ND vO "-0 vO NO Not Vil/id Unless M~chine Certdied
I 7J:E-I QTY. PLUMBING PERMIT • ISSUE QTY. MECHANICAL PERMIT • ISSUE 3 -SUMMARY/ACCOUNT NUMBER
I , BUILDING PERMIT 01 ·00-00·8220 I I , ....j.n I EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100,000 BTU
I EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221
I EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 -1 ~,:
I EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00·00·8222 I
I ----
I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
I EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
I --EACH VACUUM SR EAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01 ·00·00·8225
'
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I EACH ROOF DRAIN !INSIDE) SOLAR _fil:Ol!:00· An~
I TOTJ;L MECHANICAL STRONG MOTION 80-92·33·0519
I I--
TOT AL PLUMBING I FIRE SPAINi<LERS 01 ·00-00·8227 I
QTY. ELECTRICAL PERMIT· ISSUE s--QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·89ll
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP.SWT BKR ROCK STORAGE Encm1tas 80-92·22·0519
I PH 3 PH PUMP San Diegu,to 80·92· 23·0519
REMODEL AL TEA 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 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I IC/-!
I HAVE CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND PERMIT ANO DO HEREBY Expiration Every permit issued by the Building Off1c,11 unde, lhe provisions of this * AN OSHA PEMil:T IS REOUlftED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1t1t1on and become null and void It the building or work 5 o· DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authortzed by such permit ,snot commenced within 180 days from the date of such STRUCT\JR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON =.r::~n~ 1
~1 t:;v ~~:•~r..~;~~~,:~!h:~:~.:i.:~~~ :'~~~1~1sr~~~ or
STRUCTION WHETHER SPECIFIED HE.REIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLllA T'S SIGNATURE • OWNER □ CONTRACTOA/;,-
APP~11~1~ '
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 i7-BY Pl-fONE 0
I
GRANTING OF THIS PERMIT ~ ~ _j ---_ --_, 77
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED, STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH i
INSULATION I
I
INTERIOR LATH & DRYWALL I
'
PLUMBING I
SEWER AND BUCO D IPUCO I
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST l
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ ITEMS ABOVE HA ve~BEEN APPROVED.
FINAL I I I -
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
j ~ ... ,o; -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNOATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSON~
_ .
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