HomeMy WebLinkAbout2121 VUELTA CT; ; 82-282; PermitU) z 0 .: "' CIC
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0 I he . firm 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. 12.
L,c No -&-?>3--'-!!ll-\f Class -~-
I hereby affirm that I am exempt from the Con-J ~~~-~~~~::: ~: ~f~~l~~~~~e:~~~(
county which requires a pemut to construct alter, 1mp,ove, demohsh. or repair any structure,
prior 10 tis issuance also requires the apphcant for such permit to hie a signed statement that he 1s
licensed pursuant to the prov1s1ons of the Con-
tractor's License Law (Chapter 9 commencing with SecttOf'l 70X> of 01v1s1011 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the
basts for the alleged exemption. Any v1olahon of Section 7031.5, by an apphcant for a permit sub1ects
1ne applicant to a c1v1I penalty of not more lhan five hundred doll•~ (S50()).
D I, as owner of the property, or my employees -.11h w,tges as their sole compensahon, will do the
won(. and the structure 1s not intended or offered for
sale (Sec 700. Business and Professions Code The Contractor's License Law does not apply to an
owner of property who builds or improves thereon and who does such woril himself or through his own
employees, provided that such 1mprovemeilts are
not intende1 or ottered tor sale. If. however, the building Of improvement Is sold w1th1n one year of
completion, the owner-builder will have the burden
of p,ovIng that he did not build or improve for the purpose or sale)
D I, as owner of the property, am exclusively
contracting with licensed conlr~tors 10 construct
the pro1ect (Sec 7().tA, Business and Protess,ons Cooe. The Contractor's License Law does not apply
to an owner ol property who builds Of improves ~':=i~~ 7.~nc:'~~!~!~; ~~c~h~'~\~a~;~~-:
License Law)
D I am exempt under Sec
for this reason
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D I hereby atlirm tha1 I have a certificate of consent
to self-insure. or a cen1t1ca1e of Workers' Compensahon Insurance, or a cen,t1ed copy thereof
(Sec 3800. LabO< Code)
POLICY NO __
COMP,-NY _______ _
D Copy ,s hied with the city
D Cet11lled copy Is hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(Th,s section need not be comp1eled 11 the permit
Is !or one hundred dOllars (S 100> or less>
~ t certify Iha! 1n the pertormance of the won,. tor
~ch this permit Is issued. I shall not employ any
person m any manner so as to t>ecome subJec1 10 the Wor1iters· Compensation Laws of C,ahtom1a
NOTICE TO APPLICANT If. afler makm~ this Cer11
1ica1e of Exemption, you should beeome sub1ect I?
the Wor1iters· Compensation provIsIons ot the Labor Code. you must tonhw1th comply with such
provisions or this permit shall be deemed re\loked
O I hereby athrm that 1here Is a construction
Iend1ng agency tor the performance ol the won. lor which lh,s perm,! 15 issued lSec 3097 C1v1I COOe)
Lenders Name __________ _
Lender s Address _________ _
USE BALL POIJl.l·n11_vtiLY & PRESS HARO APPLICANT r _.,LIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -:er~ CARLSBA[ JILDING DEPARTMENT Al .... CATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB A00RtS'S
A~i.T-I OSE l it?;A;:NI
BUSINESS LICENSE u i;;;r i EAMIT NUM? A
2. \ 2-\ VUE'L-1"11\-Coc..>rt-:r" Ol-81-to v --Y ,.__...
OWNER'S NAME I OWNER'S PHONE PRIME CONTRACTOR CONTRIICTORS PHONE • ZONE t ~e.e«-r c. ~,JAJc'( &<...-e..ul"\Pf"~~ '7~~ 4,2. "J<f AL.A->J "'rfclSr-434,3S--/~
OWNER'S MAILING ADDRESS CONTRACTOR'S AO0RESS LICENSE NO.
pf {;·:'1, '\---BLOG USE CODE
"'2..l '--\ VlJ~ CocJ~ f,o, SO)(. r,s~ CA{LJ)rFF .e,339:,,4
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO -19-oo OESIGNER STATE LICENSE" STANDARD PLAN# BUILDING SO. FOOTAGE uc..-~"Z--A~ "i'Ct.l.S--OESCRIPTION OF WORK
~~Peov~ 'ro ~ I O 9J eJ ~ t.tJ-S~ SPA. DESIGNER'S ADDRESS DESIGNER'S PHONE ,,, p .. ,o. Bo-,c. '7 Q ~ e~,r::-c::: l..£3~ ss-14,
L:>--• t J~ ~ (l>,J~ p,.,,,., O .J-1 A-no CD vt!tt-;J-F/P FLA ELEV. NO OCC GP EDU
t. STORIES
w-lJOJ) l)~ vO NO 8/0 /8 71'
CENSUS TRACT I GP LANO USE l PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
~o ;!! vZd Gn~sflt£~t t,rfied
1 I ,.on
AREA CONST I I 1.0 v □ N D vO NO vO NO
QTY. PLUMBING PERMIT -ISSUE 7 t; () QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER . -
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT 01-oon.422n /4-, ..J CJ
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-000-4221 .
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806 C/-! tJ-.1"
EACH GAS SYSTEM 1 TO 4 OUTLETS V.\I' BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·000-4222 lb -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·000-4223 --
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 I
EACH VACUUM BREAKER MECH EXHAUST -HOOD/OUCTS MOBILEHOME 01-000-4225 -~ MOBILEHOME PARK INSP WATER SOFTNER RELOCATION OF EA FURNACE /HEATER -SOLAR EACH ROOF DRAIN (INSIDE) 01-000-4226
LJ JOT.c.L ME CHANICAL STRONG MOTION 65-640-0519
----r -TOTAL PLUMBING //() .,.. FIRE SPRINKLERS 01 ·000-4227
QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 25·000-4933
QTY. ELECTRICAL PERMIT -ISSUE 2.00 BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH ./ PUMP San Dieguito 65·625-0519
REMODEL/ALTER PEA CIRCUIT .... \ --PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS /"' /"\ -/) A ~ '-
OVER 200 AMPS ( 0 t""'( ~F:_T'\\ z I/ "' ' a' )
---~ ' I I
TEMP OCCUPANCY (30 DAYS) --------
---
TOTAL ELECTRICAL I 1 TOTAL SOLAR TOTAL FEES PAYABLE I I I I --~ ---
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every permit issued by the Building Official under the provIs1ons ofth,s * AN OSHA PEFMIT IS REQUIRED FOR EXCAVATIONS OVEFI
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1t1hon and become null and void If the building or work s· o·· DEEP AND DEM<ll.lTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT /IND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit Is not commenced within 180 days from the date of such STAUCT\JR£S OVEFI 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• :~~:lon~ 1~t t=~" ~~~·:Pte~~h:'?;~r:~!h~~~e~le~~~~ ;'~':!~1~tr:r:.~~ or I
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY /IND APPLICANT"S SIGNATURE Jf-OWNER □ CONTRACTOAli:t APPFI JVED BY
,Yll-/1-v 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 0 ~__.._ -.
GRANTING OF THIS PERMIT -" .1 '-LI~ ,
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION -Ox<~ ~. 11·@1, Ck
REINFORCE D STEEL ' I\
MASONRY
I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME I
I
EXTERIOR LATH lNSULATION I
I
INTERIOR LATH & DRYWALL
PLUMBING I --
SEWER AND BL/CO I
PLUMBING UNDERGROUND I
PLUMBING TOP OUT
TUB AND $HOWER PAN I
GAS TEST
ELECTRICAL . TEMPORARY POWER I
ELECTRIC UNDERGROUND
ROUGH ELECTRIC '
ELECTRIC SERVICE I
I
BONDING ' G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING . l
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
I TEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF oc-· ·-,Nev ISSUED ----------~---------
J
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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