HomeMy WebLinkAbout2783 VISTA DEL ORO; ; 83-33-11; Permit/91 S/1[
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D I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull lore■ and effect.
Loe No ______ Class
I heleby alhrm that I am exempt tram lhe Contra<:· 1or·s License Law tor the lollow1ng reason (Sec. 7031 5 Business and Professions Code Any city or county whteh re-
quires a permit to construct, alter. improve. demolish, or repair a~ structure, pnor to its issuance also requires !heap-
plicant !or such permit to file a signed stalement that he is licensed pursuant to lhe prCMSiotts ol the con1racIor's
License Law (Chapter 9 commencing with Section 7000 ol OMSion 3 ot the BuS1ness and ProtesSiOns Code) or that is ex-
empt therefrom and the basis for the allege(! exempt.on Any
violation 01 Secl101t 7031.5 by an applocant tor a permit sub-Iects the applicant to a civil penally ol not more than live hun-
dred dollars ($500)
□ I, as owner 01 the property, or my employees with wages
as their SOie compensation. wm do Ille work, and the struc· lure is not intended or olfered tor sale (Sec. 7044, Business
and Protes.s,ons Gode: The Contractor·s Ltcense Law does
not apply 10 an owner of property who buikts o, improves !hereon and who does such work hImseI1 or through his own
employees, provided that such improvemenls are not intend· ed or ottered lor sale. If, however. the building or improve· menl ls sold within one year DI completion. the owner-builder
will have the burden 01 proving lhat he did nol build or im-prove tor the purposo 01 sale).
D I, as owner of the property, am exclusively contract mg with licensed contractors lo construct the project (Sec. 7044, Business and Protesst0ns Gode: The Contractor's license law does not apply to an owner of property who builds or im•
proves thereon, and who contracts for each protects With a
contractor(s) license pursuant to lhe Contractor's License Law).
D As a homeowner I am improving my home. and the lollow· ing condiUons exist:
1. The work Is being pe~ormed prior to sale.
2. I nave lived in my home tor twelve months prior to completion 01 this work. 3. I have not claimed this exemption during the last three years.
D lamexemptunoersec. _______ B&P.C.
tor this reason -------------
O I heteby affirm that I ha..-e ai ce,i1flcate of consenl
to self-insure. Of' a cert,f,c-ate or Workers·
Compensation lnsur-ance. o, a cert,hed copy thereol
(Sec 3800. Labo< Code)
POLICY NO
COMPANY
□ Copy IS hied with the city
0 Cert1hed copy Is hereby lum1shed
CERTIFIC~T OF EXEMPTION FROM WORKERS" CO SA TION INSURANCE
(This s,ec:hon n completed 1I lhe pe,m,I
1s tOf one h ed csouars (S 1001 °' ~ss)
0 I certify that in the performance of lhe woni. tor
whteh this perm,t ,s issued, I shall not employ any
person in any manne, so a.s to become subIect to the Wot1o.e,s· Compensation Laws ot Calllornta
NOTICE TO APPUCANT If. after makm<J lhtS Cert,
he.ale of Exemphon. you sl"IOuld beeome subIecI t".>
the WOfkers· Compen~t,on pt0\'IsIons ol lhe Laoor
Code. )'OU musl forthwith comply Wllh such
proY,s,ons or this permit shall be deemed revoked
D I he1eby attum lhal there Is a construc1,on
Iend,ng ~ency fo, lhe perto,mance ol the work 10,
which 1h15 permit tS 1ssuecJ t5ec Jl)97 C1v1I Ccx>e!
Lenders Name ___________ _
lender·, Address __________ _
USE BALL POINT PEN ON_L Y & 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
~1~ d~:1-"" .!'Jill/~ aJD· NEAREST CROSS ST.
r,E_o, s~ast1 BUSINESS LICENSE # VALUATION PERMIT NUMBER
b ,MJJ. .A ... -I. J¥c. /IS) 2 26 s,3-33-// ·.1r~--
,11 BLOCK
ls~J.?.!.¾
ASSESSOR PARCE~O.;t)
{J~;_ri;~"'LlAJb4.
CONTRACTORS PHONE • ZONE ~ );)-~ IIJo l \. ~h/;~7'f
i);k;E P.4~#.fl~~o I OWNER'S PHONE ~-
Jg;;;js:._r;e;,1 //oM'-~~ LICENSE NO. PLAN I.D. # BLDG USE CODE
3(dN'r7
~~Jf NG 7J4d#..4tlM & I J f ~.,.tA ~. DESIGNER LICENSE•' STANOARO PLAN# BUILDING SO. FOOTAGE
;;lC>CJ/ DESCRIPTION 0~ WORK , (I~ A rJ, tJ DESIGNER"S ADDRESS DESIGNER'S PHONE
S.~ ~-----W/ 41-11~# ~~~~~-6/lo/C:4::i24ti r9D7,-.1 --F/P fLR ELEV. NO OCC GP EDU
L-42r-.// ~ ~ /P-STORIES /2-3 I vO NO ,;)_ -I --
i CENSUS TRACT I GP LAND USE I PAR:;N5S5CE I RES TTS I 'JRAOING PERMIT ISSUED I
REOEVELOPMENT TYPE OCC LOAD Fl RE SPR
I AREA CONST
I YO N □ y O NJ;!! Vl'I Y0 NI!{ Nor Valid Unkss Machine Certifi~
I
I QTY. PLUMBING PERMIT -ISSUE 7,s-0 QTY. MECHANICAL PERMIT -ISSUE 3. t>O SUMMARY/ACCOUNT NUMBER
I
I /:3 EACH FIXTURE TRAP 3:2..S'O I INSTALL FURN. DUCTS uP TO 100.000 BTU Lf.-BUILDING PERMIT 01-00-00-8220 47:J-
I I EACH BUILDING SEWER G,,-50 OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I .:i 5J '1. "-0 I I EACH WATER HEATER ANO/OR VENT :i...so BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806
I I EACH GAS SYSTEM I TO 4 OUTLETS ,:;..50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 S/. 50
I .:2.. I,.. . -ELECTRICAL 36. -I EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE 01-00-00-8223
I EACH lNSTA~. ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT .:i.. -MECHANICAL 01-00-00-8224 l 5. -
I EACH VAC,UUM BREAKER MECH EXHAUST -HOOD/DUCTS MOB I LEHO ME 01·00-0Q-8225 I
I WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I EACH ROOF DRAIN (INSIDE) SOLAR 01.nn.nn.oooc I TOTAL MECHANICAL ~-of, I STRONG MOTION 80·92-33-0519
I TOT AL PLUMBING I 5/-So /S.-FIRE SPRINKLERS 01-00-00-8227 I :l3o4-5, 00 QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
NEW CONST EA AMPISWT BKA /CJD .:2. 5. 00 COLLECTORS SCHOOL FEE • DISTRICT
l PH 3 PH STORAGE TANKS " Carlsbad 80-92-21-0519
EXIST BLO'G EA AMP/SWT/BKA ROCK STORAGE )} ,., Encinitas 80-92-22-0519
I PH 3 PH PUMP ,JI y \ < San Dieguito 80-92-23-0519
-REMODEL 'AL TfR PER CIRCUIT PLAN CHECK FEE I\ ,JJ Mel( -, .< ✓tr San Marcos 80-92-24-0519
TEMP POLE 200 AMPS (r. ~ V' 1-' \ ,' -
OVER 200 AMPS \ I Y\ LICENSE TAX 01-00-00-8162
r TEMP OCCUPANCY (30 DAYSI mFF .
CREDIT DEPOSIT < :Lio L/. /:L ~
TOTAL ELECTRICAL I 3o-TOTAL SOLAR TOTAL FEES PAYABLE I ,.2., 90 7.07'
'"I ... . I Elll)tration Every permtt _. t,ylfteBuddingOllicial under lfte prov1s,onsof th1s * t1'N 0SHt1' flEif«, -FOR EXCt1'Vt1'TIONS OVER I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMlr ANO 00 HEREBY
CERTIFY UNDER PENALlY OF PERJURY THAT ALL INFORMATION HEREON INCLUOJNG THE CoCle ahall exp1re t,y IImttati0n and beeome null aftCI V01CI II Ille building or work ~-o·· DEEP ~ION OR CONS1llUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm,t ta not commenced w1tllrn ,., days from the dale ol suet, STIIUC'I\IIIES 3 ST0"9ES IN HEIGHT permit, or rt Ille buUdt~Of -eulllOftZed t,y IUCh permit ta suspended or ISSUED, TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON--doned a1 any -ltle worlt II comn.lCed tor a ,_....., of uli> "-• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
?Pl~A~S SIP.UTJ~ A J do CMftE~
CONTRACTOR 0 APPROVED BY ~ DATE 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 BYPHONE 0 I fc/15/tfr;-GRANTING Of THIS PERMIT.
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION ""-' A
REINFORCED STEEL :" L/21/,J,~ ~
I , I MASONRY
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I ~
SHEATHING D ROOF D SHE!AR a,. ,,_ ~1. -116,#11
FRAME I .,,.;,,.~,~ r-r
EXTERIOR LA TH I • I "'I. A
INSULATION I \ ,,,/.,,/#~ 1-9"
INTERIOR LATH & DRYWALL ,I \. //hl'/M /(
I , .
I
PLUMBING ! ' ,,,
SEWER AND BUCO DIPUCO I 6//f/J.f Y°'A
UNDERGROUND D WASTE D WATER &/A/1'4 ~
TOP OUT D WASTE D WATER illu-l.r4 ir/:1
TUB AND SHOWER PAN ~,
I ...
GAS TEST I ~ ~-I Ill~
' ......
D WATER HEATER D SOLAR WA'TER
.,, #
I
ELECTRICAL I
' D ELECTRIC UNDERGROUND DUFFER ,,,
ROUGH ELECTRIC I .. L,./, .. -f"
D ELECTRIC SERVICE D TEMPOftARY
D BONDING D POOL I
I
MECHANICAL I /)
D DUCT & PLEM., D REF. PIPING ,,_A ... /--r'
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I · -'\
I
CALL FOR FINAL INSPECTl'.iJN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED. • : •
FINAL
PLUMBING "' ELECTRICAL "' MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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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
CONCRETE .
.
FIELD WELDING i
HIGH STRENGTH ...... --;,. ( .: .. BOLTS .... -..... ~ . ·-
SPECIAL MASONRY ' . C ..
PILES CAISSONS
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