HomeMy WebLinkAbout1857 WEST POINT DR; ; 86-686; Permit1/l z 0 i= c( a:: c( _, u w C
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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 _____ _ Clm
I hereby affirm that I am exempt lrom the Contrac-
tor's License Law tor the tollowmg reason (Sec. 7031.5
Business and Proless,ons Code: Any city or county which re-quires a permit 10 construcl. alter, ,mp rove. demolish. or
repair any structure, pnor to I1s issuance also requires !heap-phcanl lor such permit to file a si9ned statement that he 1s
licensed pursuant to the provisions of the Contracto( s License Law (Chapter 9 commencing with Section 7000 of
Dlv1s1on 3 of the Business and Professions Code) or that 1s ex-empt therefrom and the basis !or the allegea exemptmn Any
v1olat10n of Section 7031 .5 by an applicant for a permit sub·
1ects the apphcant to a cIv1I penalty of not more than five hun·
dred dollars ($500).
fJ I, as owner ol the property. or my employees with wages
as their sole compensation. will do the work, and the struc·
ture Is not intended or olfered for sale (Sec 7044, Busmess
and Professions Code: The Contractor's License Law does
not apply to an owner ol property who butlds or improves
thereon and who does such work himself or through his own
employees. provided that such improvements are nol mlend· ed or ollered for sale If. however. the buildmg or improve·
ment Is sold within one year ol completion. the owner·buIlder will have the burden of proving that he did not build or im•
prove tor the purpose of sale).
0 I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044,
Business and Professions Code: The Contractor's license
Law does not apply to an owner of property who builds or im·
proves thereon, and who contracts tor each projects with a
contractor(s) hcense pursuant to the Contractor's license law).
0 As a homeowner I am improving my home, and the tallow·
ing conditions exist:
1. The work is being performed prior to sale.
2. I have hved in my home !or twelve months
prior to complet1on of this work.
3. I have not claimed this exempl1on durmg the last three years.
D I am exempt under Sec. _______ , B & P.C
for this reason ____________ _
0 I hereby affirm that I have a certificate of consent to
self-insure, or a certificate of Workers· Compensation In-
surance. or a cert1f1ed copy thereof (Sec. 3800. Labor Code)
POLICY NO.
COMPANY
=:J Copy IS filed with the city
0 Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed ii the permit
Is for one hundred dollars ($100) or less)
0 I certify that in the performance of the work for which
this permit is issued. I shall not employ any person in any
manner so as to become subject to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subject lo the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the performance of the work lorwhich this per•
mil is issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender's Address _____________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST. RO. NEAREST CROSS ST. 'DATE OF APPLICATION' BUSINESS LICENSE # /v7>u?/b W,./f!lfOAIT NUMBER I ./l,.,vl-t.. I¼ /~ 51 /A_/f:_.$ r l),1l/YL 7<; '6~.sev?f & ft, LOT BLOCK SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
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E OWNER0S NAME I OWNER'S PHONE
{P. P. N. E'-v:4-z p~;.::., SL$ Ct? 7 -o 4 t;,;;' CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BUILDING SQ. FOOTAGE
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OWNER'S MAILING ADDRESS .
~ bu /?v.oc °E,,9-1::, j{;,i,;_ {P,4~ DESIGNER DESIGNER'S PHONE
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DES~ION OF WO~ /c ,;I"/, c/<: DESIGNER'S ADDRESS LICENSE NO. C <'1 (.)
,....._ ---F/P FLA ELEV. NO CCC GP EDU Cl. Cl. STORIES 7/01!!/fl62177 9.30 vO NO ---no~1 e~ ,;so CENSUS TRACT
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GP LANO USE I PARKING SPACE
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RES UNITS
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GRADING PERMIT ISSUED
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REDEVELOPMENT TYPE OCC LOAD FIRE SP A 0 DI 177
AREA CONST
YO N D vO NO v O NO Not Valid Unless Machine Certified
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7f!. 3 -QTY PLUMBING PERMIT -ISSUE QTY MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER ---_, 0 (/)
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERM IT 001-810-00-00-8220 /~5::>-~ -u (/)
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EACH BUILDING SEWER OVER 100 ,000 BTU SIGN PERMIT 001·810-00-00-8221
EACH WATER HEATER AND /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 f<... ~e,-
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EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810-00-00-8222 ~
EACH GAS SYSTEM 5 0 R MOR [ METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 .2
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EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 >--
EACH VACUUM BREAKER MECH EXHAUST HOODIOUCTS MOBILEHOME 001-810-00-00-8225
WATER SO FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP (/)
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EACH ROOF DRAIN (INSI DE) SOLAR 001-810·00-00-8226
TOTt;L MECHANICAL STRONG MOTION 880-519-92-33 ,s 0 ------
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TOTAL PLUMBING I FIRE SPRIN~LERS 001 ·810·00-00-8227 <'1 ;;; 5-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 332·810-00-00-8930 QTY. ELECTRICAL PERMIT -ISSUE
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NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
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I PH 3 PH STORAGE TAN KS Carlsbad <'1
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EXIST BLOG EA AMP/SWT 'BKR ROCK STORAGE Encinilas u::
1 PH 3 PH PUMP San Dieguilo
REMODEL 'AL HR PER CI RCU IT PLAN CHECK FEE San Marcos C
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001 -810-00-00·8162
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TEMP OCCUPAN CY (30 DAYSI MFF 880-519-92·5 7
CREDIT DEPOSIT 0
TOTAL EL ECTR ICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 31 .3o u QJ
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I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMlr AND DO HEREBY Exp1rat1on Every permit issued by the Bwlding Offlc1al under the provIsIons of this A,#RM:T IS REQUIRED F91' ~_CAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1tat1on and become null and void If the building or work E ANO DEMOLITrcrilO~~r ~'l/i;T
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RUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit Is not commenced within 180 days from the date of such
S 1 VER J ST J IN' IGHT permit, or 1f the building or work authorized by such permit Is suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any lime after the work 1s commenced for a oeriod of 180 devs
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STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE 1f. OWNER □ CONTRACTOR 0 ~~~ j/fA 1/ 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 BY PHONE □( 17·"?·$ (, GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR I
BUILDING I i(b-()(1)~
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FOUN DATION I FIELD INSPECTION RECORD ,
REINFORCED STEEL I
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MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
'· •· REO IF INSPECTORS . \ INSP ECTION CHECKED APPROVAL DATE
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SUB FRAME D FLOOR D CEIL;ING SOILS COMPLIANCE
SHEATHING D ROOF D SH'EAR -PRIOR TO
FOUNDATION INSP FRAME I
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE I
PLUMBING I FIELD WELDING
D SEWER AND BUCO D Pl/CO
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONS
f'.J WATER HEATER D SOLAR WATER
I . ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1 UFFER ,
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY -. ,:: .
-. -D BONDING D POOL I
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MECHANICAL I
D DUCT & PLEM., D REF. PIPING '
HEAT -AIR COND. SYSTEMS I
I ~ ) .,
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC~~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I / " PLUMBING I l\.. ..)f-
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I ~ . ELECTRICAL I
MECHANICAL I • \~ \..
GAS I '-' \\.¾
BUILDING I ... ~ '-tl_'.) I
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SPECIAL CONDITIONS I ~ ' I
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