HomeMy WebLinkAbout1050-1060 CHINQUAPIN AVE; ; 82-520; Permiten z 0 ~ a: j
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'I',(_ I h-affirm that I am licensed under
~~ons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code and my license Is In
full for<;11,1111H~'i.L-u /> L ,.
Lie No ~-1.JL.1 Class --"~-~-,_,y..,__
I hereby al!irm that I am exempt from the Contrac tor s License Law for the following reason (Sec 7031 5 Business and Professions Code Any city or county which re quires a permit to construct alter improve demolish or repair any structure prior to its issuance also requires the ap
plIcant tor such permit to file a signed statement that he Is
licensed pursuant to the prov1s10ns of the Contractor s license Law (Chapter 9 commencing with Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that 1s ex empt therefrom and the basis for the alleged exemption Any
vIolat1on of Section 7031 5 by an applicant for a permit sub Jects the applicant to a c1v1I penalty of not more than five hun
dred dollars ($500)
D I as owner of the property or my employees with wages
as their sole compensation will do the work and the struc ture 1s not intended or offered for sale (Sec 7044 Business
and Proless10ns Code The Contractor s License Law does
not apply to an owner of property who builds or improves thereon and who does such work hrmself or through his own
employees provided that such improvements are not intend ed or offered for sale If however the building or improve
ment 1s sold w1thrn one year of completion the owner builder will have the burden of proving that he did not build or 1m prove for the purpose of sale)
D I as owner of the property am exclusively contractrng
with licensed contr2ctors to construct the proiect (Sec 7044 Business and Professions Code The Contractor s License
Law does not apply to an owner of property who builds or 1m proves thereon and who contracts for each projects with a
contractor(s) license pursuant to the Contractor s License Law)
D As a homeowner l am improvmg my home and the 1ol!ow mg conditions exist 1 The work 1s berng performed prior to sale 2 I have hved m my home for twelve months pnor to completJOn of this work 3 I have not claimed this exemption dunng the last three years
D I am exempt under Sec _____ _ B&PC for this reason ___________ _
□ I hereby affirm that I ha,;-e a certificate of consent to self insure or a cert1f1cate of Workers
Compensation Insurance or a cen1hed copy thereof
(Sec 3800 Labo• Code)
POLICY NO w__cj,~8]_ 11_ __
COMPANY ScLE.C\ ~
~PY IS hied with the city
0 Cert1hed copy 1s hereby furnished
CERTIFICATt OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 1f the permit
1s for one hundred dollars ($100) or less)
0 I certify that m the pertormance of the work lor
which this perrmt 1s issued I shall not employ any person n any manner so as to become sub1ecl to
the Workers Compensation Laws ot Cal1torn1a
NOTICE TO APPLICANT If alter makinJ this Cert,
f1cate of Exemption you should become sub1ect l'J
the Workers Compensation provisions of the LabOr
Code you must forthwith comply with such
prov1s1ons or this permit shall be deemed revoked
D t hereby aff1 m that there 1s a construct on
lending agency tor the performance of tbe work for
wh ch this perm I s ssued (Sec 3097 C v t Code)
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSB BUILDING DEPARTMENT Ii. LICATION & PERMIT
1200 Elm Carlsbad Cal1forn1a 92008 1989 (619) 438 5525
JOB ADDRESS
A~gT Io;?ol);~c;;1 BUSl"NSE# VALUATION PERMIT NUMBER
/0,~I) -/l>L/'J C./IIA/ LJ"lU/9/J//✓ ~~ OWNERS NAME OWNERS PHONE CONTRACTOR CONTt~~~lHONE# ZONE
°hG,,,e.P It' /t" /AJ.4-t<:..€ I-J-4,,,,,,,,.,., '}c-; f"J -3?39 C:r1BScN J>,,)< G, A/5. r12 i.le::;i-. '2"t1'7 -S-tJ,. l.
OWNERS MAILING ADDRES~S ~~ CONTRACTORS ADDRESS 9.,,2, 'f7 LICENSE NO PLAN ID # BLDG USE CODE
/t>6tJ CHM/ Vt'fPu;/ '3 7 9 q ."5'"</ n-""-"",, .s:: tz.. .4--t\ c Jll4-.LA &-_ /t.{.PJ ~,1./Pv,1: ffe,vr /!t:,H
LOT I BLOCK I susofv1s10N I ASSESSOR PARCEL NO DESIGNER ,, LICENSE# STANDARD PLAN# BUILDING SO FOOT AGE
--DESCRIPTION OF WORK
/ et:JA .-J-_IJ_ ~ai DESIGNERS AODRESS DESIGNERS PHONE -U ~ ', r A(;),"-C ~ : :✓ ~ . v-VJ "0 ~ ~ c:_ I _5
F/P F LR ELEV NO OCC GP EDU ,~ !DO ~(i) STORIES /<'-I
vO NO ---Wl -I ' CENSUS TRACT GP LAND USE I PARKl'(:JG SPACE I RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST
YO N 0 vO NO vO NO Not Valid Unless Machme Certified
QTY PLUMBING PERMIT ISSUE 7:!f-, QTY MECHANICAL PERMIT ISSUE ~~~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP r INSTALL FURN DUCTS uP TO 100 000 BTU BUILDING PERMIT 01 00 00 8220
EACH BUILDING SEWER OVER 100 000 BTU SIGN PERMIT 01 00 00 8221
EACH WATER HEATER ANO/DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 00 00 8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 00 00 8222 ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 00 00 8223 _'5''77~
EACH INSTA~ ALTER REPAIR \\ATER PIPE VENT FAN SINGLE DUCT MECHANICAL
, ,
01 00 00 8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 00 00 8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 00 00 8226
TOT.l.L MECHANICAL STRONG MOTION 80 92 33 0519
TOTAL PLUMBING I FIRE SPRINKLERS 01 00 00 8227
ISS~ )/~ QTY SOLAR ISSUE PUBLIC FACILITIES FEE 32 00 00 8923 QTY ELECTRICAL PERMIT -BRIDGE FEE ,~ NEW CONST EA AMP/SWT/BKR ../4\ //YJJ i...37~~ COLLECTORS SCHOOL FEE DISTRICT ,
1 PH 3 PH STORAGE TANKS Carlsbad 80 92 21 0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80 92 22 0519
1 PH 3 PH PUMP San D1eguito 80 92 23 0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80 92 24 0519
TEMP PO LE 200 AMPS
□VER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
-
TOTAL ELELTRICAL I 317,::9-TOTAL SOLAR TOTAL FEES PAYABLE I 317~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the Bu1ld11190ff1c1al under the prov1s1ons ofthls * AN OSHA PERMIT IS REQUIR£0 FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltm1tat1on and become null and void If the building or work 5 0 DEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT perm,, or ,f the build•~ oc wo,~ au\honz&d b~ wch 1><1<m1\ 1s susl)<l<\ded o, ISSUED TO COMPLY WITH All CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandacled at any time a ter the work 1s commenced for a oenod of 180 davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A1DiGlUi.}J j
OWNER □ CONTRACTO~ APPROVED ~y ~ {,ft7/1v 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 BY PHONE 0 GRANTING OF THIS PERMIT ---f/ ~ .
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INSPECTION TYPE DATE INSPECTOR -•_,
BUILDING
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
MASONRY INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
-I TUB AND SHOWER PAN
GAS TEST PILES1CAISSONS
ELECTRICAL
TEMPORARY POWER I
ELECTRIC UNDERGROUND
ROUGH ELECTRIC I 1•1·811 QI, I -,
ELECTRIC SERVICE
-BONDING I
G F I -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM REF PIPING
HEAT -AIR COND -SOLAR SYSTEMS
VENTILATING SYSTEMS I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
I ITEMS ABOVE HA VE BEEN APPROVED ---
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS -----BUILDING
SPECIAL CONDITIONS
CERT OF PANCY ISSUED