HomeMy WebLinkAbout2787 VISTA DEL ORO; ; 85-173-2; PermitCl) z 0 ~ a: ,c ... 0 w 0
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0 I hereby attlrm 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
lull force and effect.
lie No ______ Class
I ~ affirm Iha! I am exempl lrom lhe Conlrac·
10< • s Llriiie Law 10< !he lo/lowing reason (Sec 7031 5 Bus,~s and Prolesstons COde Any city Of county wt11ct. re-quires a permit to construct, alter, improve, demohsh. Of reoair any s1ructure, prior 10 11s issuance also requires ?heap-
plicant for such perrrnt to hie a signed statement lhat he 1s hcensed pursuant to lhe prov1st00s ol lhe Co111rac1or s
license law (Chapter g commencing wuh Seclion 7000 of 01vis1on 3 of the Business and Professions Code) or that 1s ex-
empt lhecetrom and the basis tor the allegeO exemption. Any violation of Seclton 7031.5 by an appllcan1 for a permil sub-
jects lhe applicant to a Cfv11 penally ol not more lhan r,ve hun· dred dollars (SSOO)
J I. as owner ol the property, or my employees with wages
as their sole compensation. wiU do lhe work. and the struc· lure is no! intended or offered fOt sale {Sec 7044. Business
and Professions Code The Conlractor's License Law does
nol apply lo an 0'-Nner of property who builds or 1mpioves !hereon and who does such work himself or lhrough hts 0'-Nn employees, provided thal such Improvements are not intend·
ed or offered lor sale. If, however, lhe building or improve-
ment 1s sold wilt11n one year ol completion. lhe owner-builder
will have the burden ol proving lhat he did not build or im-prove for the purpose ot sate)
D I. as owner ol !he property, am exclusively contractmg
w1lh licensed contractors lo construe! lhe pr01ect {Sec 7044. Business and Pro1ess,ons Code The Contractor's License
Law does not apply toan owner ol property who builds or im· proves thereon, and who contracts lor each protects with a
contractor(s) lrcense pursuant to the Contractor's License Law)
D As a homeow-ner I am improving my home, and the lollow
ing cond11ions exist 1 The work is being performed pnor to sate
2. I have lived m my home for twelve monlhs
3. r~!v~ ::1Pc11i':t 11~1i: ::~pt1on durmg lhe
last three years.
0 I am exempl under Sec ______ , B & P C
for this reasof\ ____________ _
0 I hereby atf,rm thal I ha"e a cen1t1cate ol consent
to self-insure. or a cer11hcate of Workers
Compensa11on Insurance. o, a cenrlted cooy triereof
!Sec 3800. Labor Code!
POLICY NO
COMPANY
□ COpy IS hied wrlh trie city
D Cer11!1ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s section need not be compleled 1t Ihe perm,1
Is tor one hundreo dOllars ($100) or lessJ
0 I certify that 1n lhe performance ot the wo'1l lor
wh1cn th,s permit Is issued I shall not employ any
person ,n any manner so as to become suo1ec1 to
the Wo111.ers· Compensa11on Laws ol Cahtornia
NOTICE TO APPLICANT If. after mak1ni th,s Cen,
t,cate ol E11.emp11on. you should oecome subjec1 t'> me Workers Compensation provIsIons of me Lat>of COde, you mus! tonh~11h comply w1lh such
pro¥isIons or this permII shall be deemed rev06'.e<l
0 I hereby affirm inat there is a construction
Ien<21nQ agency ior tne perlormance 01 me won-. tor wt11ch th,s permII ,s 1ssueo (Sec )097 C1v1I Cooei
Lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT i AOe S l d 0.... AV ST. AO. N;REST CROSS ST. BUSINESS LICENSE ., ~LC:TiOB
LOT BLOCK TRACTORS PHONE• ZONE
PERMIT NUMBER
~5~ 11-;;,-;)...
0
BLOG USE CODE
OWNER'S MAILING AOO~SS .
~ (9l,,~ /~ STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRIPTION Of' WORK I 7 S-
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L-or IL/ v□ NO ~ES
CENSUS TRACT I G.P LAND USE PA5;{ SP~ RES \UNITS GRADING PERMIT ISSUED
YO N')(
REDEVELOPMENT
AREA ~
YQ NJO,.,
QTY.
'
PLUMBING PERMIT -ISSUE I rJ f!l-j QTY.I MECHANICAL PERMIT -ISSUE
11 I EA CH FIXTURE TRAP(D :; -~ I ,!:J,_7 .s,:'I ' I INSTALL FURN. DUCTS UP TO 100,000 BTU
f I EACH BUI LUING SEWER ! -~Sl>I I OVER 100,000 BTU
, , I EACH WATER HEATER ANO OR VENT I ~ -~1 I BOILER/COMPRESSOR UP TO 3 HP
TYPE v:XJ
3r--
.Lf -
occ~ I FI RE SPA
vO N)(
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Nor Valid Unlns Machine Certified
SUMMARYIA.CCOUNT NUMBER
BUILOING PERMIT 01·00-00-8220 f /43.~ ~
SIGN PERMIT 01·00-00-8221
PLAN CHECK 01 ·00-00-8806 I t I EACHGASSYSTEM l T0 40UTLETS ! c:1 .SZ>l i:i 801LER/COMPRESSOR 3·15HP ,_.,,_, __ ,.,_,. __
EACHGASSYSTEM~OR MORE 1 . \,METAL FIREPLACE _ -
EACH INSTA~. ALTER, REPAIR WATER PIPE _J_ ~~.ll-I VENTFAN SINGLE OUCT (,)_~ I p, . -
TOTAL Pl llMRINr, 01 ·00·00-8222
ELECTRICAL 01·00-00-8223
I I I • EACH VACUUM BREAKER .....1 .50 -,
MECH EXHAUST HOOD/DUCTS
MECHANICAL 01-00-00·8224
MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDEI u-~ ..1 -SOLAR
TO r AL PLU MBING ] ~:1 ... -
TOTJ;L MEt:!Y'NICAL
d.0 .-
STRONG MOTION --80·92-33-0519
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 (01)~ COLLECTORS
1 PH 3 PH '3" ,;is -
STORAGE TAN KS
SCHOOL FEE • DISTRICT
Carlsbad 80·92-21-0519
EXIS.T SLUG EAAMPISWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE
San D1egu1to _ K 80·92-23-0519
San Marcos L.: I 80-92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPAN CY 130 DAYS) MFF 80-92-57-0519S_ tv\ lu n ' CREDIT DEPOSIT J;i_.ero~-)
TOTAL ELECTRICAL I
I fkJ.-TOTAL SOLAR TOTAL FEES PAYABLE I A.ltl3.98
I HAVE CAREFULLY EXAMINED THE COMPLETED • APPLICATION AND PERMIT' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUGTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
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
GRANTING OF THIS PERMIT
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' 0' DEEP AND D£MOlfTION OR CONSTRUCTION OF
STRUCT\/R£S OVER 3 STORIES IN HEIGHT
Exp,rat,on. Every peirmIt issued by the Bu1tdIng Oft1c1al under the provisions of this
Code shall expire by hm1tahon and become null and void If the building or work
authonzed by such permit Is not commenced w1th1n 180 days from the date of such
perm,1_ or ,f the building or work authouzed by such permit 1s suspended or
abanQ<)ned at any time after the work ,s commence,a for a period of 180 days
APP;J;P;•r::t;;~;:;!f:;J□ CONTRACTOR -~--~\j~ J
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TYPE I DATE INSPECTOR ,\ 1·,-", _{
BUILDING I
{ ~S---/73 ~;;). ' , ' -' FOUNDATION ~ L) J. FIELD INSPECTION RECORD
REINFORCED STEEL I ~ [2/:U,,/it lL -11;
MASONRY I I , .
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECT ION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I /)
SHEATHING D ROOF D SHEiAR 14/WJ-I. I/
FRAME I I .
I
EXTERIOR LATH "I
INSULATION ~ /I
INTERIOR LATH & DRYWALL ,, ~//~/J'L ,,..,
I , ,,
-
SOILS COMPLIANCE .. • 11 r , PRIOR TO --
FOUNDATION INSP
STR UCTURAL CONCRETE
► OVER 2000 PSI I i
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE -
PLUMBING I ; FIELD WELDING
SEWER AND BUCO D IPUCO I
I /')
UNDERGROUND D WASTE 0 WATER iz./J,y/r, r
TOP OUT D WASTE D W},\TER . .
HIGH STRENGTH ,, ' . -· ' j BOLTS ' . ~ . SPECIAL MASONRY J .... .
• I -.
TUB AND SHOWER PAN I
GAS TEST I
I
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PILES CAISSONS
D WATER HEATER D SOLAR WAIJ"ER ..
I \-:~ I~' .. I
ELECTRICAL I
D ELECTRIC UNDERGROUND D OFFER
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ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY .. ,•. ...
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D BONDING D POOL I
I
MECHANICAL I I ,. \ ! • .
D DUCT & PLEM., D REF. PIPIN1G ., .._ '· ~ ...
HEAT -AIR COND. SYSTEMS I '
VENTILATING SYSTEMS I •
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,.,.,. \' .. ' '.. ~-~ -,· '\ __ ,~ ·. -· • ' -II ~ ~, 1"" ....... i u.,...,_,.. --. -b~·,· • r1· . :-'"' . ~,. ~ ' .,, .. \-.. ' , ..... _\:--f,-:.~ ~" ... . IL,D.\~., ,. ; ' ' ·-' -... •.__ ~ ..... . '-. "
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN AP,PROVE[}. -.,1 , 1
FINAL .
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PLUMBING I ' . ~ . . ...... ', .... ~r , ... -(: -r., ., . , ...... -\ I '\ '"' . ., '· ,. ' ........ \ •, ~ . " . . -__ ..... ,_ .... '· --ELECTRICAL I -" 11 JL~
MECHA~..,AL I
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GAS i ,..../b .
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BUILDING I I • \'-'
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SPECIAL CONDITIONS I
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