HomeMy WebLinkAbout2761 VISTA DEL ORO; ; 83-33-1; PermitCl) z
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O I hereby affirm that I am llcens-4 under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license ,s in
full force and effect.
Lie No ____ _ Cl.t\
I tiereby att,,m !hat I am exe.mp1 from the tontrJC tor;s License Law tor lhe ID41DN!"9 reason (Sfi: _7031 !> Business and Protess10f\S Code Ant oty or c.oi.,"1y wl'Uet, re qv1res a perm1l 10 cons1ruc1. ,11ter, 1T1prc:111e. demoJts!'I, or
repair any structure. pr.or 10 11s isswnc.e atso requ,r~ •neap• p:,cant !or such oermit to hie a s1Qr~ slatement that ~ 1s ,,censed pursuan1 to the prov,~s ol rne ';.ontractor"s
License Law 1Chaoter 9 cominencmg w:th Set.:ion 7000 of Otv1s1on 3 ot lhe BuSJness ind ProtesslOOs Codel Of 1na1 JS ax empt lherefrom and lhe baSi$ tor lhe ,11/egeo e.-.emphon A.111
v1~al10n o1 Se(hon 7031.~ by 4n apphcanl for a ptrmit &utl· JeCIS 1ne apphcant 10 a c1v1I pena11y ot no! rr:ore rhan lrtt h-wn-
dte<I dollars ($5001
I, as owne, of lhe properly, or my employees v-'th wages
as lhe1r sole compens.atlOfl. w,11 do the work, and ltlt struc•
rure ,snot mltmded or offered 1or sale (Sec 7044 Business
and ProftsslOnS Code-The Contraetor·s License law does no1 apply to an owner ot p,aper1y who builds or imprlli'es
lhefeon and whO does such worlf himself or through his own
employees. provided lhal such improvements are not mtertO-ed Of ottered lor sale If, however, 1he building or 1mprove-
,,,,..,t ,s W4d within one year of complet,on. 11'-e ow11er-builder wm ~a\le the burden of provmg thal he dtd not build or 1m•
p,0\1~ for the purpose ot .s.a.le)
I, as owner of the property, am exclus1ve.1y conlracMg w1th hcenSed con1rac10rs 10 coostrucl lhe pro:ect (Sec 70-14.
Busmess and Pfotess10ns COde T~ Con1ractor·s license law does not apply to an owner of property who builds or im-
proves thereon, and who contracts for each prOjetts with a contractor(sl ltCense pursuan1 to the Contractor's License Law)
1.1 As a homeowner I am improving my home. and lhe lollow mg cond1t1ons ex,sl
1 The work 1s l>emg performed prK>f lo sale 2 I have lived in rr,t tiome ror lwelve months pnor to comoret,on 01 this work I have not claimed this exempliOn aunng !he last three years
• I am exempt under Sec _____ _
for lh1s reason B&PC
-------------
D I hereby alt.rm lhal I have a cer11tica1e ot consen1
10 sell insure or a cen1t1ca1e of Worli.e,s
Compensauon Insurance. o, a cer11fted copy !hereof
1s.,c Jl!OO Lab<>• Code)
POLICY NO
COMPANY
0 Copy 1s hied wItti !he city
D Certified copy ,s hereoy h.,rn,shea
CERTIFICATl Of EXlMPTION FROM I WORKERS' COMPENSATION INSURANCE
(This section nee<J no! be completed ,t lhe perm,!
,s tor one hundred 001\ars 1s1001 or iessl
0 I cen1ly that ,n 1he per1orma.nce or 1rie w~ 10, .. , wh1Ch 1tus perm,1 Is ,ssued I shall no1 employ an-,
person ,n any manner so as 10 oecome o;ut>1ec1 lu 1
the Wo111ers Compensation La""s ol Cahto,nia
NOTICE TO APPLICANT If atter makin'J lntS Cen,
ticale ol E2;empt10n you shOulO oecome sub1ec1 '"'
the Workers Compeosat1on pro"Is,ons ol Ihe L.aOOf
Cooe you musl tor1h--.1th comply -N11r-._uc.:t1 provisions o, 1h1s perm,1 shall be aeemed rp-., ,keO
□ 1 hereby atlirm lhal lhetf> s a (.Of>Sllt.J(!:On
ienO,nQ agency to, !hf> PE"r1<Jt1T'df\Ct c.,t 1np .,,_,on,. 'or wri1ch th,s perm,, ·s ,-.sueo 1Sec: )097 (;,,,t COOi'"
tenOer·s Name ___________ _
Lf'ncle, s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD V 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 r
~7R~/ l/2s~ ~~/ AV {)~r\ NEAREST70;
ST 1 I OAT 'Ji;PLl'i:;NI
BUSINESS LiCENSE It
J !)v:;:;1:,s t" °<>~;-;;;, , ) 1'r. nil>.. 11 /J
J II OC• 1 SL'6 r~~ 1o -r ;:,SES,RWAR~"EL NO
a;;;;CTO~~~~
CONT I/IC TORS P-'ONE • ZONE
IS" 5'0<a2 €)1 l~--YJ?5
J;;;NAP. aVl,¢fU0 I ~o:~z P9N9
;OR;;};~_,;j; U/ GJ~ .~i2z:s-~r PLAN 1.0. # BLDG USE CODE
)1<;Mf Nµ;()~ .w//1 ~7 c1.uu-,d.#~ a;, DES GNER LICENSt tt STANOAAO PLAN It
:UILDi ~;;,GE -
!-tCRiP-O"-or WORK f/~o ~ck)O
n..,., I 1--•
DESIGNER'S ADDRESS DESIGNER'S PHONE ~..,. ----'""/-J I " I;; • ... ', -_ ... -----
C;t.F=° ~ 1 Art (a;, t:::;,~ A-t:, C -Fl P fLRELEV. NO ol:; EDU
.lort -Pt A.._.\ '93.-vO '-0 ~s I
CENSUS TRACT I GP LANO USE I pif.t 1 SPACE R ES r TS 1 GRAOING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA VKI y D ND ,□~ vO r)J6 Nor Valid Unlesr Machine Ceruhed
I f
QTY. PLUMBING PERMIT · ISSUE r-;£:... QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER . I I ~
EACH FIXTURE TRAP 7 INSTALL FURN DUCTS UP TD 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 • !; .J •-:-1, '1l,
EACH BUJ LO~NG SEWER □VER 100,000 BTU SIGN PERMIT 01·00·00·8221 ..,,,,. ----,.,ldq, 7..I EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS ¼-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 ~,~ --· °3l> -EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01·00·00·8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
,,,_
----
EACH VACUUM BREAKER MECH EXHAUST HOOO 'OUCTS MOBILEHOME 01 ·00·00·8225
WA TE'll SOFiNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN W-iSIDEl SOLAR 01-no-nn-•oo~ .. " ., TDT t.L MECHANICAL STRONG MOTION 80·92-33-0519 ?J o/_ .__ -'-·.,. •ro·1 AL PLUMBING I FIRE SPRINKLERS 01-00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933 7.-L"J_Cu--
QTY. ELECTRICAL PERMIT · ISSUE ~-QTY. SOLAR • ISSUE
BRIDGE FEE
NEW CONST EA AMP SWT BKA COLLECTORS ......---' ' SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS // Carlsbad 80·92·21·0519
EXIST BLDG EA AMP SWT BKR ' ROCK STORAGE / ~ Encinitas 80-92·22·0519
,Y I ( I -,I PH 3 PH PUMP / " San 01egu1to 80·92· 23·0519
Rh10□EL ALTtR PER CIRCUIT PLAN CHECK FEE I I' 1/..Y A ./ () I / /7San Marcos . . 80·92-24-0519 -·
TEMP POLE ]00 AMPS I V /}./ ,, fLr, V ·• a, L I e , '\ -! Kn~ /
OVER 200 AMPS J, (' , ./ LICENSE TAX 01-00-00-8162
'TEMP OCCUPANCY <30 DAYSI \
I / . .
i "-.. .,/' CREDIT DEPOSIT ~ti-• /"'1,, I
TOTAL FLEURICAL I TOTAL SOLAR I ?I s<n, ~-,_ I TOTAL FEES PAYABLE v
• HAVE"r._l\_Re,;:;lJLL'I EXA(,1 "'ED THE COMPLEl:D APPLiCA110N ANO PEP.M.T AND DO HEREBY Expiration Evety permit issued by f1'8 Bu,td,ng Off1c,aI under the prov,sIons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
'Cf•H fY~_UNO°iR' 1'€NALh OF PERJURY THAT ALL INFORMATION HEREON NCLUOING THE COde shall expire by 11m1tat1on .and become null and vo•d If tfle ou,I0,ng o, work 5 O" DEEP AND DEMOLITION OR CONSTRUCTION OF
( ~C:LARATIQNS ARE TAIJE AND CORRECT AND• FURTHER CERTIFY At<D AGRE': IF A PERMIT ll, autnorrz~d by such permit ,snot commenced w•th1n 180 days from the date ot such STAUCT\JRES OVER 3 STORIES IN HEIGHT
IS~(.EO. TO COMPLY W'TH AL, CITY C0l.lN1YANO STATE LAWS GOVERNING BUILDING CON =~~~tOn°:d
1
!t ':~y ~~~~'~ffe?~h=~~J:~!~~~~e~le~~~7 :'~~~
1~,s~:rd:~~ or
STRlJCTION WHETHER SPECIFlED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APP/lb1Gp~□ CONTRACTOR C APi~OVE.O BY Wf... I K•:~P HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES V/HICH MAY IN ANY V/AV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 17'1/!3 C.RANTING OF THIS PERMIT. _..., " J J l .
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION "'-.. /J
REINFORCED STEEL " 10-A-,..1 1'
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME .,,
SHEATHING D ROOF D SHEAR /:zj//Yt //)
FRAME Al.id~ T
EXTERIOR LATH 4..
, I .,,
INSULATION ·~ ///tJ/2.f i"l'I
INTERIOR LATH & DRYWALL \.. 1/,h,I~ r,r
/ { I
PLUMBING -,,
SEWER AND BUCO DIPUCO /~/11/1'1 -f A
UNDERGROUND }( WASTE o w ~TEA 'l-/-1'3 //J
TOP OUT D WASTE □WA TEA /~ • ., •• ;,$ :"
TUB AND SHOWER PAN I
I\
GAS TEST // . .'J'l~Y1 1-r
D WATER HEATER D SOLAR WATER I
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER JI
ROUGH ELECTRIC /'Jlu/yJ I~
D ELECTRIC SERVICE D TEMPORARY I I
D BONDING D POOL
I •
MECHANICAL .,,
D DUCT & PLEM ., D REF. PIPING /uwn 11"
HEAT -AIR COND. SYSTEMS ,, , l .
VENTILATING SYSTEMS --,;: 1-,,;;:.., ~ ~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL .
PLUMBING "' \ . . .
ELECTRICAL " " MECHANICAL ' I ~ ,{/-,
"-.1/.1011~ I .... . GAS
" 7r --BUILDING ,
SPECIAL CONDITIONS
.
~
--. -.<.---~ r--' \
' s~--33--\ -5
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
• . REQ IF INSPECTOR S ·-INSPECTION DATE .._
CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP -. . -. -I ·-. . STRUCTURAL CONCRETE • ., • . -OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH \°: r· ·-,. BOLTS
SPECIAL MASONRY ' • ; ' '
PILES CAISSONS . .
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