HomeMy WebLinkAbout2765 VISTA DEL ORO; ; 83-33-3; Permit"' z 0 ;:: C IIC C ..J u ..,
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O I hereby affirm 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
full force and effect
Lie No ______ Clas
1 hereb)' athrm that I am exempt lrom 1he Contt.ac· lo(s license Law tor the lotkh.,.,og reason (Sec 703\.Si
Bus,ness and ProfessfOOS Code Any city or county ~n,c.11 re quires a permit 10 construct. aiter mipfove demohsh. Of'
repair any structure_ pool' 10 11s •SSUJnte aiso requires !heap-p!tc3nt tDf such oerm1t 10 1,te a s,cinP.d sra1emen1 !hat ne 1s
ticensed • pufsuant to lhe provIs,ons of lhe c;on1rac1or s
Lic.ense Law {Chao!er 9 commenc111g N1th Sec.lK>n 7000 01 oiv,s,on 3 ol the Bus1'less and Pro!esSlOfls Code,. or that ,s ex
empt lherelrom ,iOd lhe DilSIS fO< 1ne dlt8geQ exe"'1phon Any vi~ahOn ol Section 7031 5 b)' an appt1cant IOI' a ~rrn,1 sob--·
iec1s tile appl1can1 to a civil penally ot not more th.an ltve nun·
dred dollars 1$5001
~ I, as O'Nner o! !he property or my employees Wlltt wages
as theu sole compensaI10n will do lhe work. and rhe struc-ture Is not intended or o!lerecl for saie (Sec 7044, Bus,ness
and Protession~ Code Trie Contr4ctor·s License Uw does
not apply to an owner o1 property who buJlds or improves
!hereon and who does such work h1mselt or through his own employees .. orovlded I hat such tmpnwemenls are not intend·
ed or offered tor sa:.e; tt, however !he budding or improve· mern Is sold w1th1n one year 01 comple!1on, the o,mer-bu11der
wtU have the burden ot prO'l,ng u,a1 ne did not build or im· prov, for Ille purpose of sale)
1. as owner ol the propeny. am exclusively contracting
w11h licensed conuactors 10 construct the pro1ect (Sec 7044,
Business and Protess!<lns Code The COnlractor's License Law does not appty lo an owner o1 property who builds or im-proves thereon. and who contracts for each pr01ects w11h a
conlrac!Of(S) license pursuant to the Contractor s License Law)
[ As a homeowner I am Imp<oving my home, and the loUo--N
mg conch1Ions exist 1 The work 1s being performed poor to sale
2 I have hved m my home lor 1welve months prior to complellon ot th,s work
3 I have not claimed lhtS exemption durmg rhe last lhf'ee years
t. I am exempt under Sec _____ _ B&PC for this reason ____________ _
D I hereby affirm !hat I ha-1e a cef11f1cate at consenl to self insure. or a cer11t1cate of Work.ers
Compensation Insurance. or a cer11t,eo copy thereat
!Sec 3800 Laoo, Godel
POLICY NO
COMPANY
D Copy 1s hied w11h me c,ty
0 Cemhed CO()y 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section neec, no1 be compfe1ed 1f tne perm11
,s tor one hundre<l dollars (S 1001 or Iess1
0 I cer11ty that 1n the perlormaoce al the -Nor,. la.
which 111,s oemi,1 1s issued I snail not emptoy an-r
person ,n any manner w as 10 t>ecome su01ec, to
!he W()O(ers Comoens.a11on Laft'S ol ca11tom1a
NOTICE TO APPLICANT II alter makmJ this Cer1i hcale ot Exemption yOo should oecome sub1ect ,..,
the Wol'1'.ers· Compensation prov,s,ons ol !he LabOr
Cooe you mus1 f0t1hW1o 1th ,:ompl'r w,,,, sue h
prov1s1ons or lh1s permit shall oe attmeo re"okeo
0 hereby aft1r1T"t lhal !here ,s J :or-s1rui:f· 1n ,ending aQency 101 l"e-pertormc1-i<e c,I 1ne -N ,r1o t,.,t
wtuctt lf'IIS r,errT"tl ,s 1SSoe<l ,Se-: 3097 c, ... , Coc:Jt>
Lenoe, s Name ___________ _
Lenders Aoaress __________ _
'
USE BALL POINT PEN ONLY & PRESS HARD ---------. . ----·----·---. ·-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ~ ....
I 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 ,
10b ,>OORESS .,,,.,, 'it~~ . A;; ST R°/)~ARESTCr ~}C.0~( t IOq E~t T~ONI
BUSINESS LICENSE ,r VALUATION ',I PERMIT NUMBER
'-1 lo~ 1 n-v h ~_(
?~ .... '3 ~~ 81 OCK 1 s~~ 'Ir/ s,¾ I AS: ;Ess, 1R PARCEL NO 8,
a;N~;_CTOR &~)~ ~~::z/J.
,...O,.,,,..~ACTOFIS P< 'NF ,, 2:0NE
> • .:}.l '5 350 lo?-0 ~f,-y79~ ~~--
d;s;.;ME pc!~~~£,(> t) I ~F-NE;;,7?9 ~7~7/~,;j~vu-T,,;j ~
'
q,LICENSE NO PLAN 1.0. # SLOG USE CODE
V-"-.S-¥-1 QW~E.R MA Ne ADORE ,S
~~/r,I~ ~7<,pf ,Al-"~d~r~. t:,t. DES GN£1' Cf NS· STANDARD PLAN I' BUILDING SO FOOTAGE /9,,:; OlSC.: P .... ON Of Wr
.I'} ... \..hr, OES•GNER'S AOORESS DESIGNER'S PHONE. e.~.1/~ I ~,_ :a I l,, • ·:, ~ F ~ l,1.)--P ,-..1 , .!r.~ e /\-,t'J-(..&,,'-F P F LR ELEV, NO Or.GP EDU -l • ..-~ --LA-0 13 vO '-0
~ES -?-I --
CENSUS TAACl I GP LANO USE I P~G1 PACE I RE5/NITS I GRADING PERMIT ISSUED I REDEVELOPMENT ~N OCC LOAD FIRE SPA
AREA ~
YO Nb{ y O N 0 TO" Nor VJ/td Unless MJchine Cerrd,ed
I
7~-~ QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE 3-;-SUMMARY/ACCOUNT NUMBER .
J-2 EACH FIXTURE TRAP ·~,,.-\, I INSTA LL FURN DUCTS u P TO 100.000 BTU <r.--BUILDING PERMIT 01-00-00·8220 ~O,..\n
' EACH B.UILDING SEWER -/,_. rJ OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
-uA ,i.J
,,,.
i EACH WATER HEATER ANU OR VENl I 4?-rr. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806
"/ EACH GAS SYSTEM I TO 4 OUTLETS ___ I_ ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00·8222 -,/,~G -. EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE J =--
ELECTRICAL 01 ·00·00-8223 ~~ -EACH INSTAl . ALTER. REPAIR WATER PIPE I VENT FAN SINGLE OUCT MECHANICAL 01·00-00·8224 ,-._ ------
EACH VACUUM BREAKER MECH EXHAUST HOOD OUCTS MOBILEHOME 01-00-00·8225
WAT~ R SOF'tNE A RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN l"iSIOEi SOLAR 01-00-nn.oooo
-TOT.t.L MECHANICAL STRONG MOTION 80·92-33-0519 71 lq_ . ~·
TOTAL PLUMBING I ""n _ rr.. ,,..,--FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT • ISSUE 5-QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·8933 7Jo..JV--
NEW CONST EA AMP SWT BKR /M -U..{ -COLLECTORS ~ .......... -::--... SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS / fl_,, \ ' ) Carlsbad 80·92·21·0519
EXIST BLOG EA AMP SWT SKA ROCK STORAGE / ,,._ n .. ~.f, r, d .; Enc1mlas 80·92· 22·0519
I ( y 0 I ./ -
1 PH 3 PH PUMP n,... San D1egu1to 80-92· 23·0519 ,, REMODEL ALHR PER CIRCUIT PLM CHECK FEE I 1 / /. A an Marcos I 80·92· 24·0519 -TEMP POLE 200 AMPS I Lf / fL.nv I ._,.) l , ,::: t_l -r~I'\ -
ovER'200 AMPS l V LICENSE TAX 01-00-00-8162 -
TEMP OCCUPANC.Y 130 DAYSI "------.
i C REDIT DEPOSIT L -;, ~ • , . J,; )
TOTAL ELEtlRICAL I
~--TOTAL SOL AR I ~, in I 1-:. ! TOTAL FEES PAYABLE v
, HAVE 3Aa£•Ul,J.:;)' E)(AM,INEO ,><E COMPLETED APPLICATION ANC Pt:RMIT ANO DO HEREBY Exp,rat1on Every permit ,ssuea by ,.,e Bu,td,ng Off1c1a1 under 1he provIs,oris ofth,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER COde shalJ e.lP4re by limitation anc become oull and void If tne buifd1ng or work CERTIF'l-'UN1'EP PENALT'( OF PERJURY THAT Acl ,NFORMATION HEREON INCLUDING THE authorized by such permit •snot commenced w1th1n 180 days lrom tne date of sue~ 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ~.:;-J CORRECT AND, FI.JRTHEi'l CER~IFY ANO AGREE IF A PERMIT IS ~~~~~n~ '!t l=~\( b~u~:·~Pr.?ru,:~~-·~!hc0~~:1e~le~~~~ :8~'::~1~,s1:ge:a~f or
STRUCTVRES OVER 3 STORIES IN HEIGHT
1<;SUED: TO COtv'PLY WIT!-' ALL CITY COUNlY AND STATE LAWS GO'!ERNING BUILDING CON
STRUCTION WHETHER SPEC'IFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APZ};jLIC N~'S SIGNP.E ~ OWNE1o CONTRACTOR[' APPROV D BY 11--w-/4~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF 'HE , A '1. BY PHONE 0 ,~~ ..... G'1MHING OF THIS PERMIT .. . ~-
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TYPE ! DATE INSPECTOR
BUILDING ;
.
83--33[3 .
\
c,, -~r-, ... , ,_. •-•• \ ~ ..l.
FOUNDATION ' A FIELD INSPECTION RECORD
REINFORCED STEEL " 9-.,,_,, .,,
MASONRY I/
GUNITE OR GROUT
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' ~-.
INSPECTION -REO IF INSPECTOR S DATE CHECKED APPROVAL -·· ---
FLOOR & CEILING SUB FRAME /J
SHEATHING □ ROOF □ SHEAR l/.1,h/.Y$ 1'A
FRAME /4/'f.~/jlj rr
EXTERIOR LA TH I I V
'\. . II
' ;
SOILS COMPLIANCE ',
PRIOR TO
FOUNDATION INSP
_ _..., .. a, .., ' ... -
STRUCTURAL CONCRETE -I . . . ' . ..
OVER 2000 PSI .
INSULATION '\. 1/1~/II/ 1'/J
INTERIOR LATH & DRYWALL \.. ~Ar1/J.1 ,.,.,
PRESTRESSED
CONCRETE
POST TENSIONED , I I CONCRETE
PLUMBING /I F'iElD WELDING;·
.
SEWER AND BUCO □IPUCO /()/9/r_,4 f/ A
UNDERGROUND ~ WASTE □ WATER tt-,-n ~
TOP OUT D WASTE □ WATER //-2.'l•l'J '
HIGH STRENGTH ' ~ -;-....... BOLTS .. _ •-!,
SPECIAL MASt5NAY .•, I ' . , t . . ' TUB AND SHOWER PAN I'
" GAS TEST l//-!19.J,J l'r PILES CAISSONS
□ WATER HEATER □ SOLAR WATER I
~----. .
~-.
~
ELECTRICAL ..., ... -,-"t-... ,. ·~, -□ ELECTRIC UNDERGROUND □ UFFER /J
ROUGH ELECTRIC /~1,1,/1'$ i
□ ELECTRIC SERVICE □TEMPORARY · .
. ' -. ' .. -·· . .. . :• ... ,( . ' . . .
□ BONDING □ POOL
l
MECHANICAL JI
. \._ ' I ~ ~ ,· -.
} • V •
.,,
□ DUCT & PLEM., □ REF. PIPING J'.1/~-,;r., "// ' ..
HEAT -AIR COND. SYSTEMS I /" . .
'T
• •· I l . : ' ' VENTILATING SYSTEMS ' i-~ '• .. ~ ·r-=.. • . .. j ••• ' r-, -. . -~-. . ( ... ~ '• ~ .
' ,. . ; -... -'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ' ·,
ITEMS ABOVE HA VE BEEN APPROVED. , •
FINAL
\.
' --. ' PLUMBING ... . (
.... ' '• . ., .. -..... . -.,. ELECTRICAL " I} .
~-" ", ,,__ ... •· , .. ,,,. .. ' -.. ~-. \ V
-
MECHANICAL "' I ~ T •. -~
GAS "" -~/,t6/' I t _·
BUILDING " .,,
SPECIAL CONDITIONS ' -.... -... ---