HomeMy WebLinkAbout2777 VISTA DEL ORO; ; 83-33-8; Permit)~
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0 I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 ol tha Business
and Profeaelons Code, and my license is In
full force and effect.
lie No ______ Class
I hereby aflkm thal I am exempt lrom the Contrac· tor's license Law to, the to/lowing reason (Sec 7031 5
Business and Professions Code Any c,ty or county wh)d; re-quires a permit lo construct. alter, improve, demolish. or
repair any structure. prior 10 Its issuance also requues !heap· pl1eant for such permit to r,1e a signed statement that he ,s
licensed pursuant to the prOV1sions of the contractor s License law (Chapter 9 commencing with Sect,on 7000 or
Olv1s10n 3 of lhe Busmess and Proless,ons Code) or that 1s ex-empt therefrom and the basis for the allegeo exemphon Any
V>Olahon ot Sect10n 7031.5 by an appl,cant tor a perm~ sub-iects lhe applicant to a c1v11 penalty of no1 more than five nun·
dred dollars ($500).
rJ I, as owner ot the property, or my employees with wages
as then sole compensahon, will do the work. and the struc-ture iS no1 intended or ottered lor sale (Sec. 7044, Business
and Profess10ns Code· The Contractor's Ucense Law does :~r:t:n:io ;;o ~O:rs~~f'w°:~i,,:otf :1:g~~h~;::~
employees, provtded lhal such mprovements are nol intend· ed or offered for sale. If. however. the building 01 improve-
ment is sold within one year ot completion, the owner·boitder will have the burden ot proving tl\at he did no1 build or im· prove !or the purpase ot sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the protect (Sec. 7044,
Business and Profess10ns Code: The Contractor's License Law does nol apply 10 an owner of property who builds 01' im·
proves thereon, and who contracts for each pro;ects with a contractor(s) license pursuant 10 lhe Contractor's License law}.
D As a homeowner I am improving my home, and the lollow· ing cond11lons exist 1, The work is being perlormed prior to sate
2. I have liv<o In my home tor twelve months prior to comptet,on of lhis work.
3. I have not claimed this exemption during the last three years.
D lamexemplunderSec. ______ ,B&P.C. tor this reason
□ I hereby affirm thal Ina~ a cert1hcate ot consent
to seU-1nsure. or a cer111,cate of Workers
Compensation Insurance. Of a cert1t1ed copy thereof
(Sec 3800. Labo< Code)
POLICY NO
COMPANY
□ Copy IS tiled With lhe city
0 Cer11hed copy Is tw!reby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
fTh•s sec11on need not be completed 11 1ne perm,t
,s to, one hundrecl OOllars IS 1()0) Of less)
D I cen1fy that 1n the perf0<mance of lhe wor1i. tor which 1h1s permI1 is issued. I shall no1 employ any
person ,n any manner so as 10 beeome subIec1 10
the. Wof1':ers· Compensahon Laws ot Ca11tom1a
NOTICE TO APPLICANT If, after mak1n1 lh1s Cert,
hcate of Exemption you shOuld beeome sub1ec1 I-? the WOl"kers· Compensallon provisions ol ine LabOr
COde you must l0<1h-.1lh comply with sucn prov1st0ns or this permI1 shall be deemed revoked
O I hereby affirm th.at there ,s a c0Mtruct1on
1end1ng agency to, lhe performance ol the wont '°'
wruch 1h15 pe1m1t 1s issued !Sec 3097 C1v1I COdeJ
Lenders Name ___________ _
Lenoe,s AOOress __________ _
USE BALL POINT PEN ONLY & PRESS 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
JOB AOORESS u✓-1-~ ;j,EL A-;e~
NEAREST CROSS ST.
l°~E :F/;L:;;1
BUSINESS LICENSE ,. VALUATION PERMIT NUMBER
~777 UJJL~,1)1& //52 :J.o f3 -33-s>
L:,r BLOCI< I SUBO)X IO ,.1 ASSESSOR PARCEL NO
lH~;TR??;,:, ~ A., ,l,;1£
CONTRACTORS Pt-iONE • ZONE --3 dl J 5 ~ ::,-n vo 0~ f/.Y-;/791 -
0v;:;;;-pa/,-"'~£A () 1 OWNER'S PHONE
~;,;R'S~::; /4llr~ LICENSE NO. PLAN 1.0 . # BLDG USE CODE
3.~t/f OWNER'S MAI LI NG ADDRESS
C'#U-.r,.04 cw. ,;,. 7 ~I 1J-e~p,t) JJ.1:1 I.,, DESIGNER LICENSE " STANDARD PL AN # BUILDING SO. FOOTAGE
:209 / DESCRIPTION OF WORI< ('/J.~1..,A 0 DESIGNER'S ADDRESS DESIGNER'S PHONE
~£/J,~~ µ) (,r/ldrt__ (/,#~?--~ ' -F/P FLR ELEV. NO OCC GP EDU
Lot-& 'Pl-kl /I. STORIES R.-3 I 6/ loli,;4;.i~i4~ 2.9G"/ .. ...;.i. vO NO --.:2.
CENSUS TRACT I GP LANO USE I PAR:lssE RES TTS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA
CVN y D ND v□ Nti(° YO N(:j( Not V~lid Un~s ~chine Certifi«J
QTY. PLUMBING PERMIT · ISSUE 7 ,s-0 QTY. MECHANICAL PERMIT -ISSUE .3, 00 SUMMARY/ACCOUNT NUMBER
/3 EACH FIXTURE TRAP 3.2 .5c. I INSTALL FURN. DUCTS UP TO 100.000 BTU 4.-BUILDING PERMIT 01-00-00-8220 '-LZ.3.-
I EACH BUILDING SEWER -"·50 OVER 100,000 BTU SIGN PERMIT 01-00·00-8221
I EACH WATER HEATER ANO/OR VENT :i..sc BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ::i 'ii?. (..,.C)
I EACH GAS SYSTEM 1 TO 4 OUTLETS :2, .Sa BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00-00-8222 5/. 5 0
EACH GAS SYSTEM 5 OR MORE 2 METAL FIREPLACE Ir,. -ELECTRICAL 01-00-00·8223 3 o -
EACH INSTA~. ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT ,2. -MECHANICAL 01-00-00-8224 I 5 -
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR 01 ·00·00-R??E,
TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 .Q. O(:;,
' TOT ALPLUMBING I 51 .Sa 15.-FIRE SPRINKLERS 01·00-00-8227
' ~ A
PUBLIC FACILITIES FEE
-;2.,3 0'f -QTY. SOLAR -ISSUE 32·00·00·8933 QTY. ELECTRICAL PERMIT · ISSUE 5, OD C J BRIDGE FEE
NEW CONST EA AMP/SWT BKR loo .2 5 -COLLECTORS y ~ ~\ SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS ,,r " _d4. I
',...., Carlsbad 80-92-21·0519
EXIST BLOG ~A AMPtSWT/BKR ROCK STORAGE ~\/ \) 1\ Encinitas 80·92-22-0519
1 eH -3 PH PUMP ~ 1-1 ' \ )l San Dieguito 80-92-23-0519
REMOOEL'ALTER PER CIRCUIT PLAN CHECK FEE V San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS} r mt= I=
CREDIT DEPOSIT <:.., 2 fo 'f. I :2-")
TOTAL ELECTRICAL I 3o-TOTAL SOLAR TOTAL FEES PAYABLE I ~9D 7, c:>lf
I HAVE CAREFULLY E)(AMINED THE COMPLETED "APPLICATION AND PERMtT·I AND DO HEREBY Exp,r■-. Every permit -t,v ti,. Buol ding Offoc,■I under the prov,s,ons of tllrs * ANr~~ll IS REOI.MED FOfl EXCAVATIONS OVER CERTIFY UNDER PENI\LTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Coda 1"81I up,re by llfflolabon -become null and vo.d If the building or work s· O" EP OEIIIOUTION OR CONSTRUCTION OI
DECLARATIONS ARE TRUE AND CORRECT AND t FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ta not commenced w1th1n 180 days from the date"'' such STAUC OVER 3 STORIES IN HEIGHT _,,,;1, or of the bu1td1J or work authorized t,v such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNTY AND STI\TE LAWS GOVERNING BUILDING CON-abandoned at anv time• er the worll ,a com.....,.._. for 1 """od of 1eo "•M• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
A?1~•GpE(0)> i J ~fr CONTRACTOR 0 APPROVE:r1 DATE KEEP HARMLESS THE CHY 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 I 4,/;s/ tft/-GRAN1:ING OF THIS PEllMIT l J
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION ~
REINFORCED STEEL
I " ~/.J-1/j,/ I'
MASONRY I , . ~-I
--
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH$R , L. _,_
l~lr. • FRAME I /iJJ • ..;/1,J f/
EXTERIOR LATH . .
I "\ A
INSULATION : \ ~/h•/u f"/J
INTERIOR LATH & DRYWALL l \ ///~1}4 -r -, .
I
PLUMBING I i • A
SEWER AND BUCO DIPUCO I ~/Jf/1.f '7/J
UNDERGROUND D WASTE D WATER ~,t-'1#4 i
TOP OUT D WASTE D WATER ~1 .. ',,,t/1,,,1 ~
TUB AND SHOWER PAN I . ,
GAS TEST I a/.,~/N ~
D WATER HEATER D SOLAR WATER . .
I
ELECTRICAL I '
D ELECTRIC UNDERGROUND D (JFFER .,,.
ROUGH ELECTRIC I /.. j be,. t' --.
D ELECTRIC SERVICE D TEMPORARY. I I
D BONDING D POOL I
I
I
MECHANICAL I -
D DUCT & PLEM., D REF. PIPlfl!G /6. ,L ~, •• -~
HEAT -AIR COND. SYSTEMS . . I/ . I '
VENTILATING SYSTEMS I \ . -' I .
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HA Vii BEEN APPROVED.. ••
FINAL I
j
PLUMBING I .. •, . '-t ..... . -
ELECTRICAL I !)
MECHANICAL "' : , , ./ --1 :..
GAS " ' ·1.}V/ /ii ! . . .
BUILDING I ~ , l ,
SPECIAL CONDITIONS I '
I
I
,
-
¥3-38 ,g-' . \. . -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR'S .
INSPECT-ION • CHECKED APPROVAL DATE .. -
' -SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
' i;.1ELD WELDING .
HIGH STRENGTH --BOLTS .
SPECIAL MASONRY \ :.
PILES CAISSONS . -
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