HomeMy WebLinkAbout2779 VISTA DEL ORO; ; 83-33-9; Permitit 8
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0 I hereby affirm that I am licensed onder
provlalona of Chapter 9 (commencing with
Section 7000) of Olvlslon 3 of the Business
and Profeaalona Code, and my license is In
full force and effect.
llC No ------Class
I hereby alhrm 11\at I am exempt lrom the Con~ac·
ror's Ucense law lor the lotlow,ng reason (Sec 7031 5 Business and ProfesstOns Code Any city or county wh1th re-qurres a permit to construct, alter. unprove, demolish, or rtpair any structure. prior to Its issuance also requires ?heap·
pbcant tCM" such permit to hie a s1Qned stalement !hat he 1s licensed pursuant to the p,11Y1s1ons ot lhe Contrac1o(s License Law (Chapter 9 commencing with Sect10n 7000 ol Or,,s,on 3 of the Business and Proless,ons COde) Of rhat rs ex·
empt therefrom and the basis tor the allegeo exemp110n Any
vlO!aloo of Sect,on 7031.5 by an appltcant 10< a perm,1 sub-1ects the appl~nl to a trvtl penally of nol fflOf'e than live hun·
dred dollars ($500).
0 I, as owner of the property. o, my employees with wages
as their sole compensation. will do the work. and the slruc· lure is not inlended Of ollered IOl sale (Sec 70◄4, Business
and Protess,ons COde. The Conlractof's License Law does not apply lo an owner of property who builds or improves
thereon and who does such work h1mset1 or through his own e~ployees, provided that such 1mprovemen1s are not intend· ed or offered tor sate. If. however, the bulkflng or improve-ment is sokt within one year of comp$et1on, the owner-builder
will have the burden of proving thal he dtd not buItd or Im-prove for the purpose of sate).
D I, as owner ot the property, am exclusively conlracting wijh licensed contractors to construct the project (Sec 7044,
Business and ProfesstOns Code: The Conlractor's License Law does not apply to an owner of property who builds or im-proves thereon. and who contracts for each projects with a conlractor(s) license pursuanl to the Contraclor's License Law).
D As a ho,neowner I am improving my home, and the follow· ing condiUons exist
1. The w0<k is being pertormed prior to sale. 2. I have lived ,n my home for twelve months pnor lo compJettOn of this work.
3. I have not claimed this exemptkm during the last three years.
D lamexemptunderSec. ______ ,e&P.C.
for this reason ____________ _
0 I hereby affirm that I have a cert,hcate of consent to self-insure. or a cert1t1ca1e ol Workers·
Compensation Insurance.°' a cer11f1ed copy thereof
iSec 3800. Labo< Code)
POLICY NO
COMPANY
□ Copy IS hied with the c,ty
0 Cen,hed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1t the perm,t
,s to, one hundred OOllars ($100) or less)
d I cert1ty 1haI ,n the pertormance ol the work lor
which ttus permit Is issued. I shall not employ any
person ,n ~Y manner so as to become subIect 10
the Wo,1o.ers' Compensation Laws ol Cahtom,a
NOTICE TO APPLICANT If. after makmj ttus Cert•
t,ca:le o, Exemption. you should be-Come subJecl l'l
lhe WC>Olers· CompensaI,on provIsIons of lhe Llbor
Code, you musl forthw1lh comply with sucn
p,o..,1s1ons or this oermII shall be deemed revokeo
0 I hereby affirm lhal there 1s a consIrucI,on
tend,nQ agency tor the per10fmance of the wo,.._ tor
which lhtS permit tS issued tSec m1 C1vd Code/
Lenders Name ___________ _
Lenoe,·s Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS
a..s/4
AV.ST.RO. NEAREST CROSS ST. I oz T::F/;:;~1
BUSINESS LICENSE It VALUATION PERMIT NUMBER
e;,<~7'! iJEL CJLO t/ ,u /~,6!l v o I0:2..-0 8'S
8'3-33-9 L~ BLOCK I svA/~a" I ASSEss~l~c lg ~9r) f,P ~ DC,
U,~;_RA?!,-"' ,# A.,(J2:,#-
CONTRACTORS PHONE • ZONE
I.L.L~~ ~7'19 Di]i7-~ P. 1-1-AM •.A 0 I OWNER'S PHONE 1,~-~wi-:?':~~ J/{;AJ7 lb,,
LICENSE NO. PLAN 1.0 . # BLDG use CODE
~,o.r-~9 OWNER'S MAILING ADDRESS
()AUt.r tf1.1J ~ 11/ tlP, n ~~~ /1.U I~ "119~ IO[SIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
/l:23 DESCRIPTION OF WORK ('""'~ 1 J. t) D ESIGNER'S AO.O!'ESS DESIGNER'S PHONE
..S.~b I<)/ ~_ff_lf_~~L-
I
-F/P FLA ELEV. NO EDU DCC GP LtPr9 ~', PhUJ 8 STORIES K-8 I vO NO :2. -, --
CENSUS TRACT I GP LANO USE I PAR:;, S7 CE
1
RES r lTS
1
GRADING PERMIT ISSUED I RE DEVELOPMENT TYPE OCC LOAD FIRE SPA AREA
CV/V y D ND y D Nl8'. v□ Ntw° Not Valid Unkn ~chine Cuti Ii~
QTY. PLUMBING PERMIT • ISSUE 7 ,50 QTY. MECHANICAL PERMIT· ISSUE 3. o lJ SUMMARY/ACCOUNT NUMBER
/3 EACH FI XTURE TRAP 3 :2.. t:;o I INSTALL FURN. DUCTS UP TO 100,000 BTU 4 .-BUILDING PERMIT 01·00·00·8220 l../<../0. 5~
I EACH BUILDING SEWER /_ ·5"0 DVE R 100,000 BTU SIGN PERMIT 01·00·00·8221
I I EACH WATER HEATER ANO/OR VENT :1. . Si': BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 .:2. <=> q, 7 c:; I
t I EACH GAS SYSTEM 1 TO 4 OUTLETS :J...50 BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 51. 5o
EACH GAS SYSTEM 5 OR MORE '"' MET AL FIREPLACE ,.-ELECTRICAL 01 ·00·00·8223 3 o-
EACH INSTA~. ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT ;2.-MECHANICAL 01 ·00·00· 8224 12-
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-nn.ooo~
TOTJ;L MECHANICAL STRONG MOTION 80·92·33·0519 -1. / 9
TOT AL PLUMBING I SI .So 12.-FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE 5 ,0 0 QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 .;2.05'f-~ ) BRIDGE FEE
NEW CONST EA AMP/SWT BKR loo .2s-COLLECTORS an -( ....... SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS J \!,\. ').......J Carlsbad 80·92·21 ·0519
EX IS'r BLOG fA AMP/SWT /BK R ROCK STORAGE \\.hl .... ,.J /\'. Encinitas 80·92·22·0519 I l PH 3 PH ,f"\ \ l 'V ' --..
I I PUMP ~ San Dieguito 80·92· 23·0519
I • REMDDE L'ALTER PER CIRCUIT PLAN CHECK FEE ~ J I r-'° San Marcos 80·92·24·0519 I TEMP POLE 200 AMPS -\ ,,
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DVE R 200 AMPS -LICENSE TAX 01-00-00-8162 I
I TEMP OCCUPANCY (30 DAYS) YYJ Fr-I ( 2 le Lf, I .2.. -, I •. CREDIT DEPOSIT
I TOTAL ELECTRICAL I 3D-TOTAL SOLAR I ;2./ooo . i:L I TOTAL FEES PAYABLE
I
-.
I I HAVE CA~EFULLY ExAMINEO THE COMPLETED •APPLICATION ANO PERMIT" ANO DO HEREBY ~-£-,, pe,mll iaaued bylhe8uifdlng0fficial under the P,0¥11h0nl Of this * AN OSHA~ IS IIEOUIIIED FOR EXCAVATIONS OYER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code tlhall expll8 by ltlllitalion ano beeome null 111d YGld If the ~u1ld1ng or worl< 5· er .,_,. ION OR CONSTRUCTION OF
I DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS -by IUCII permtt • not commenc:ed willlffl 1110 clays from the date of sucll STRUCTURES~ 3 STORIES IN HEIGHT .,...,;t. Of ti Ille bu:::=.:or -■utlloriZed by ltlCh permit ,a •--or I ISSUED TO COMPLY WlfH ALL CITY. COUNl Y ANO STATE LAWS GOVERNING BUILDING CON· alMINIDIIMI al -lime tfle -,a -IC9d tor a ...,.od of tllil ,.__
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPl.7JlSIGNAT1?' ~ OWNER R CONTRACTOR D APPROVED B[-t\.. DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
to/1s/J1'f I EXPENSES WHICl'J MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .L .. . ~ ~J I GRANTING OF THIS PeRlllfT, -~ 8YPHOtol£0 I I ----c::::;;,
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION "-...._ 1 .
REINFORCED STEEL 1 "-~/.JJ/;J I~
MASONRY I ,
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHE!,\R ti l<"/~ IAI.
FRAME ' ~) .~,~ -//
EXTERIOR LATH • I . .
I '\ ,I
INSULATION : \ h/4/,H 1711
INTERIOR LATH & DRYWALL I \. ///A,. I L,,/1 -., '1' .
I
PLUMBING I
A
SEWER AND BUCO DIPUCO I .~//f/H r'/1
UNDERGROUND D WASTE D WATER ~f,uili~ t'
TOP OUT D WASTE D WATER r/2.s-/H ~
TUB AND SHOWER PAN I
GAS TEST l ,/2~-frt 81 I
D WATER HEATER D SOLAR WAITER
I
ELECTRICAL I
' D ELECTRIC UNDERGROUND D IJFFER /J
ROUGH ELECTRIC I : /~/,,.,/ .Ill -r
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I ~
MECHANICAL I
I A
D DUCT & PLEM., D REF. PIPIHG .--~-~J •• i" ... , .. }
HEAT -AIR COND. SYSTEMS . .
I J
VENTILATING SYSTEMS I . '\ ' . I
I ·-
CALL FOR FINAL INSPECTION WffEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. ' •
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
..-, ...__
., ~-~.,,3 3 _q ~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS l======l=N=S=P=E==C==T=O==R='S===N==O=T==E=S========--========;========,
INSPECTION REO IF INSPECTOR'S DATE •. CHECKED APPROVAL · --
SOILS COMPLIANCE
PRIOR TO .
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED '
CONCRETE
POST TENSIONED
CONCRETE
"FrELD WELDING • •
I
.... 'l ..
HIGH_ STRENGTH ~ ><,· r , ; _. _
BOLTS ,. L ' ''
SPECIAL MASONRY • • . ·
PILES CAISSONS
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