HomeMy WebLinkAbout2077 WESTWOOD DR; ; 83-526; PermitCl) z 0 ;: "' CIC "' .J 0 ... 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
full force and effect.
Lie No -----Clm
I hereby affirm thal I am exempt lrom the Con1rac·
I0,'s Locense Uw tor the tollow,ng reason (Sec 7031 5
Business and Professions Code Any clly Of county whteh re· Quires a permI1 10 cons1ruct, alter, 1mprove, demolish, or repair any structure, puor to ,ts issuance also requires !heap•
plttanl tor such permit 10 Me a sIQned statement that he 1s licensed pursuant to the prov1s10ns ot the coouactor's license Law (Chapter 9 commencing with Section 7000 ot
l)v1s1on 3 01 the Business aoci Pro1ess,ons Code) or thit ,sex· empl therelrom and the ~sis '°' lhe allegeo exemp11on Any Vlolal,on ol Secl,on 7031.5 by an apphcanl to, a perm,r sub· }IC:ts the applicant to a c1vli penalty of no1 more thiin five riun-
Ored dollars ($500)
0 I, as owner of !he property, or my employees wIlh wages
as 1he1r sote compensatlOf'I, will do the work. and !he struc·
ture Is no1In1enoed or ottered for sale (Sec 7044, Busmess and ProtesslOfls Code The Contractor's Lttense Law does nol apply 10 an owner ol property who builds or 1mpuwes
thereon and who does such work h,msell 0t lhrough his own employees. provided that such improvements are not ,mend-
ed or ottered fDf sale. 11, however. the building Of ,mprove--
ment is sok:I w1lhm one year of complet10n. the owner-builder W1II have the burden of provmg that he did not build Of Im-
prove tor Ille purpose ot sale).
□ I, as owner of the property. am exclusrvely con1rx11ng
w11~ licensed contractors to conslrucl the pro,ect (Set 7044, Busmess and Professions Code. The Contractor's License
Law does not appty to an owner ol property who btulds or Im• proves thereon, and who contracts for each projects with a contractorls) hcense pursuant lo the Conlractor's L.cense Law).
D As a _ne, I am ,mp,ov,ng my home, and !he follow· log conchlll)l'IS ex,st 1. The work is bemg performed p11or 10 sale. 2. I have lived In my ho,ne to, twelve months
pnor to comptehon ol Hus wock 3. I have not claimed this e.xemphon during lhe l.asl lhree years.
D lamexemptundefSec ______ ,B&P.C. for this reason ___________ _
D I hereby affirm INI I ha..-e a cen,ticate ot consent
to self-insure. or a cer11t1cate of Workers
Compensation Insurance. or a centfied t oPy thereol !Sec 3800. ubo< Godel
POLICY NO
COMPANY
O Copy ,s flied with the c,ty
0 Certified c<>py 1s hereby furnished
CERTIFIC,Hl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sec11on nee<:I not be completed ,, the perm,1
,s tor one hun<Jre<J OC>llars 1s1001 Of less)
O I cen11y t~t in the performance or 1iw work fOf
which this penmt 1s issued. I shall not employ any
person 1n any manner so as to beeome sub1ec1 lo the Wof11.e1s· Compensa11on Laws ot Callfo,n,a
NOTICE TO APPLICANT II, afle1 mahm~ this Cer1,
hcate ol Eaemphon you shoukl t>ecome sub1ec1 1?
the WQf'kers' Compensation prov1s,ons of the Labor
Code. you must lorth..,..1th comply w11h such
prov,s,ons or this permit shall t>e deemed ,eve>'\eo
O I hereby altum ma, !here ,s a cons1ruc11on
ten<Ju'O agency 10, ,~ per1o,mance ol the w~ lor
wh,ch lh1s permit ,s issued (Sec J097 C,vll Code1
Lenders Name __________ _
Leooer s Address _________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING D~PA-~MENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST. RO. NEAREST CROSS ST
'1..077 ~1WOOD ~,
CONTRACTOR
OWNER'S NAME . . I OW~ER'SP ONE I.J.-A
I I .I I ..,
CONTRACTOR'S ADDRESS
OWNEA"S MAIL1NG ADDRESS
DESIGNER
OESCRIP,tON Of WORK .--_ •-,-,,,.....
.,_ ________ .Jlv:.,_.__..,.__~!.l-'U~-~K...JU,,!::....7_....,l~~--=:..1._.l).\~Ul,IC..a.:;;;;.:i~·-~--------1 DESIGNER'S ADDRESS
. -'-• D ~ 5!'.xu,' -F/P F LR ELEV.
CENSUS TRACT I GP LANO USE I PARKING SPACE
QTY. PLUMBING PERMIT • ISSUE
// EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VE NT
EACH GAS SYSTEM l TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
r .
TUl AL PL1UMBING I
QTY. ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP/SWT1BKR
l PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
I PH 3 PH
I REMODEL 'AL HR PER CIRCUIT . TEl,\PPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELEClRICAL I
RES UNITS I
r::.. nt'.
~--
/0 --
GRADING PERMIT ISSUED I REDEVELOPMENT
AREA
QTY.
QTY.
YO ND vO NO
MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS i.JP TO 100,000 BTU
OVE R 100,000 BTU
801LER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOO/OUCTS
RELOCATION OF EA FURNACE/HEATER
TQTJ;L MECHANICAL
SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE I
PUMP
PLAN CHECK FEE
TOTAL SOLAR
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
BUSINESS LICENSE " VALUATION PERMIT NUMBER
7/GO
CONTRACTORS PHONE • ZONE 83-52-b
LICENSE NO. PLAN 1.0. # BLOG USE CODE
~.M:[),
LICENSE ~ STANDARD PLAN#
7;r:$-~TAGE
DESIGNER'S PHONE
NO OCC GP EDU
STORIES
TYPE OCC LOAD FIRE SPR
CONST
Not Valid Un~s Machine Cert//i«J
SUMMARY/ACCOUNT NUMBER /f _ _
BUILDING PERMIT 01·00·00·8220 ( 4 CJ 1 ~LJ
SIGN PERMIT 01·00·00·8221
PLAN CHEC~ r;;,c; 12.9i"'.01 ~~
TOTAL PLUMBING -01 ·00·00·8222
ELECTRICAL 01·00·00·8223 1 (). no
MECHANICAL 01 ·00·00· 8224
MOBILEHOME 01 ·00·0Q·B225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION 80·92·33·0519
FIRE SPRINKLERS 01 ·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 80·92·21·0519
Encinitas 80-92-22·0519
San Oieguito 80·92· 23·0519
San Marcos 80·92· 24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE I er, ,so
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rahon Everyperm,t 1Uuecll,ytlleBut1c1tngOffocrefundertheprovis1onsoflh,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shell exp,re by lomrtetoon end become null end •0td If the bu.rd,ng or work * AN OSHA PERMIT IS REOUIAED FOfl EXCAVATIONS OVER
5' O" DEEP AND DEMOLITION 0A CONSTRUCTION Of
STAUCruR£S OYER J STOAIES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhorlled by such _m,t II not commenced •'th'n 180 days from the dale ol such
ISSUED 'ro COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON =;;;.r:i'~t':~v tr,'~!'~-~~c:~:~t:~~~ ~,:.,•~1•r:r,::.~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO L..:~~!.::::~..!!!L!!~.!!!~~~~!..£!!!!!~~~~!!!...!~~~~~~=-L..---,~A~-P--vE·o-s·y--------------------11
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES JUDGMENTS, COSTS ANO X,PPLl.t.1.,,,.ANT-( ss j)IGNPAiT . .l'UR,pE ./. &e,ko·jWNER '..1 CONBYTRPHACOTNOER OD OATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE I lA ,, * ~
GRANTING OF THIS PERMIT '/-' / '-J;:}
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TYPE ' DATE INSPECTOR I
BUILDING I ~~~.;lfa ~J
,. .._ _,
FOUNDATION I .~,8-f ~ FIELD INSPECTION RECORD
REINFORCED STEEL ' . -~, I
MASONRY I
_j
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE . CHECKED APPROVAL
FLOOR & CEILING SUB FRAME ' I
SHEATHING D ROOF D SH~R
FRAME I ?~q,[;4 ('JJ-
EXTERIOR LA TH ' "" I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I ?.•IO·B± Cd~
INTERIOR LATH & DRYWALL I !'/,/,4,Af M ,,_.
PRESTRESSED
CONCRETE
POST TENSIONED I ' _j CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
UNDERGROUND D WASTE D j'{ATER
TOP OUT 19-WASTE l).CW~TER l.£·~·84 ['. I-
BOLTS ....
SPECIAL MASONR~,
TUB AND SHOWER PAN I 'I/,,,,,, "'" -flTPrTT _8 :1.
GAS TEST ' --
I PILES CAISSONS
D WATER HEATER D SOLAR W~TER .
I . --
ELECTRICAL ' •
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I l~~'l,M f!Jr
--'l
~hf . j ~ ... <; ...
D ELECTRIC SERVICE D TEMPO~ARY .,
-
~ ~· -• !,.,.. t:
D BONDING D POOL I
I
MECHANICAL I
J
D DUCT & PLEM., D REF. PIPING J ',.. -~
HEAT -AIR COND. SYSTEMS I --
I ~ -VENTILATING SYSTEMS
I
-~.
'
CALL FOR FINAL INSPECT!fN WHEN ALL APPROPRIATE ITEMS ABOVE HA V 81:'EN APPROVED.
FINAL I
PLUMBING , I ,, l , . -I "...._'" ' ELECTRICAL ' I
MECHANICAL I ,I()
. ~--~
'\;)'-' "-'(
GAS ~v -\ A.\ , ..
BUILDING ~\"~-A>,u·m \1'\ -•-.
SPECIAL CONDITIONS ' I \I
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