HomeMy WebLinkAbout2015 WESTWOOD DR; ; 84-527; Permiten z 0 ;: < II:
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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
lull force and effect.
lie No _____ Class _____ _
I hereby affirm that I am exempt from the Contrac·
tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-
quires a permit to construct, alter, improve, demolish, or repair any structure, p_nor to its issuance also requires the ap--
ri:~or ~~~a/::"~'t 1ti0til~~r.e:' ~ta\:"'/!.~~~J!!:
license Law (Chapter 9 commencmg with Section 7000 of Oivisk>n 3 of the Business and Professions Code) or that is ex·
empt lherefrom and the basis for the alleged exemption. Any violahon of Sect10n 7031.5 by an applicant for a permit sul>-jects the applicant to a clvI/ penalty of not more than five hun·
dred dollars ($500).
0 I, as owner of the property, or my employees wilh wages
as their sole compensation, wlll do the work. and the struc·
ture is not intended or offered for sale (Sec. 7044, Business and Prolessions COde: The ContractCK's license Law does not ap~ to an owner of property who builds or improves
thereon and wh~ does such work himself or through his own employees. prOVlded that such improvements are not Intend·
ed or ottered 1or sale. If. however, the building or improve--ment is so5d within one year of completion, the owner-builder
will have the burden of prOYing lhat he did not build or im· prove lor the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contr,ctors to construct the projecl (Sec. 7044,
Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or im· proves thereon. and who contracts IOf each projects with a contractor(s) license pursuant lo the contractor's Lk:ense Law).
0 As a hooleowner I am improving my home, and the follow· Ing conditions exist: 1. The work is being performed prior lo sale. 2. I have lived in my home for twetve months
prior to completion or this -k. 3. I have not claimed this exemption during the last three years.
□ I hereby affirm that I ha·,.e a cer11hca1e of consent
to self.insure, or a cer11hcate of Workers·
Compensation Insurance, or a cer11fled copy thereof
f5ec 3800, Labor Code).
POLICY NO _____ _
COMPANY
O Copy ,s hied with the city
D Cer11hed copy ,s hereoy furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th•s section need not be completed 1f the permit
,s !Of one hundred dollars l$ 1()0) or less)
0 I cen1fy that In the perlormance of the work tor
which th,s permit Is issued. I shall not employ any
person ,n ctny manner so as 10 become sub1ect to
the Wor',i;,ers· Compensation Laws ot Calll()(ma
NOTICE TO APPLICANT 11. after makm1 this Cer11-
ficate ol Exemption. you should become sub1ec1 t? tne Workers· Compensation prov,sIons of the Labor
Code, you mus! forthwith comply with such
prov,s,ons or this permI1 shall be deemed ,e..,Oked
D I heteby affirm 1hal there Is a cons1ruc1,on Ieno1ng agency tor the performance ol the wO<k for
wh,ch trus permit ,s ,ssued (Sec x,:)7. c ,..,,1 Code)
Lenders Name _______ ~---
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SljAOE~A AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT (~!f )
JOB ADDRESS UJ_p_J 11'lriorl
AV.ST.IDATE OF ip,Tb;J BUSINESS LICENSE# VA~ i:f '::IT NUMBER
ZOI 5 Or RD. I 0 ~ 0,7 0
OWTR'~A;
~(~_\ \ OWNER'S PHONE I\ r:+lA~;j Ls ~ l l-1 Wl b I h ,
CONTRACTORS PHONE • ZONE S;.J 7..J/_?eoo
OWNER'S MAILING AOORESS Irc:PRACTObODRESS 4-l cJ_
LICENSE NO. PLAN t.O. # BLOG USE CODE SA ('(\P -0 ox ;;2 (f ~q s (c
LOT BLOCK I SU80IVISION I ASSE~OR PARCEL NO.
/VJ/ 1-t,,J /Yau DESIGNER LICENSE# STANOARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK
I DESIGNER'S ADDRESS DESIGNER'S PHONE
( i 1A--te~ ~lecJ-e~ rl . I • H !6 -•--F/P F LR ELEV. NO OCC GP EDU I • STORIES \ I '"'"' 11/fi;.
vO NO •
CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO YO NO Nor Valid Unkss ~chine Ctrtifi«J
QTY. PLUMBING PERMIT· ISSUE 7,,So QTY. MECHANICAL PERMIT -ISSUE ._f,dCI SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO t00,000 BTU BUILDING PERMIT 01·00-00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00-00·8221
I EACH WATER HEATER ANO/OR VENT ~ .<.r > BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 .It/, ---
EACH GAS SYSTEM 5 0 R MORE METAL 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 -HOOD/DUCTS M0BILEH0ME 01 ·00·00·8225 -
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-M.nn.A?2'-
TOTt;L MECHANICAL -STRONG MOTION 80·92·33·0519
TOTAL PLUMBING I /0 .. 0-C,, FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ,/,~Cl QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00-00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS
.
Carlsbad 80·92-21·0519
EXIST BLOG EA AMP/SWT/BKR .. ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80·92·23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS /v,,t, /
TEMP OCCUPANCY (30 DAYSI .
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I /o.,:J-()
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit 111ued by the Buttd1ng Offtc1al under the provIs1ons of this * AN OSHA PERMIT IS REQUIAEO FOR EXCA\IATIOMS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1t1tion and become null and void If the building or work 5' 0" DEEP AND OEMOllTIOtl OR CONSTIIUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of such STAUCT\JR£5 OVER 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· :~~~n°~ 1
~t
1~v ~~:1:ft.~~h:~~,:~!hc°~~:'~le:~~~ !9~~~'~,srwo:~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE ,., OWNER □ CONTRACTOR~ APPROVED~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND I ' Ii A 1//-~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'la ✓~ '(_//7;1~ GRANTING OF THIS PERMIT BY PHONE 0
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION C
REINFORCED STEEL \ .
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
1 SHEATHING I
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO " ' PLUMBING UNDERGROUND
PLUM BING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL "
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
4
~t../-.fASd-'7 -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"$ NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED .
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
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PILES CAISSONS
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PLUMBING PERMIT APPLICATION
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No77'-/Y 37
JOB AOOllt [$5
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LOT NO. I OLK I TUCT ' l. C (.A,L I 1 DCSCO.
OWN CII'
\\
MAIL ADDIIICSS Z,P PMONC
2 Le e::. \\ ,4 (),c;::_ -CON TIU,C TOIII MAIL AOOPICSS PHON C STATE LIC. NO. CITY L IC. NO.
3 ,t,+-..... ,h 1'" ( l'\ t\'-b ~ l ~ ~(J.I'. '-H1 O ~•c.C 7l?w3(A,AJ Z-.Jt... • t'r <..o /7/ .U.. " ' AIIICHI T[CT 0111 OC~ICN[III '-.l MAIL ADDlltE.SS PNON [ LIC CNS£ NO.
4
[NCIN[C'I MAIL AOQ,i [5$ ~ PHONC LICENSE NO.
5 , l-,t,. 0t. J < -. -·; • ' .
COMPENSATION rNS. CARRIER MAIL AOOIIICSS BlltANCH
6
use o, BUILDIN G
7
I .
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR .
9 Describe work : { j ) {Lt-'.,\. -ll: .-, l-:-A,. ~-t~T,.. 7/6 .1:-:;,.;.'-. I , ·-PERMIT FEES
No. T ype of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) $
i· BATHTUB
LAVATORY (WASH BASIN)
I _,.r SHOWER ,, ·;.: ' KITCHEN SINK & Di,iP. . -
DISHWASHER 1
AP"j.JTI0N ACCEPTED BY PLANS CHECKED BY APPAOVE O FOR ISSUANCE 8Y LAUNDRY TRAY ' , t; ... ,~ ... 77 CLOTHES WASHER
t WATER HEATER I DATE ,
NOTICE I URINAL '.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN '-c.. TION AUTHORIZED IS NOT COMMENCED WITHIN 12'J DAYS.OR IF FLOOR-Sl-NK OR DRAIN -:: CONSTRUCTION OA W ORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED. GAS SYSTEMS: N O.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICAT ION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEAN0UTS
~/4;;,, CESSPOOL
,½,.,/ / .,,, SEPTIC TANK & PIT
~,1 _,/_/ L. ROOF DRAINS
SIGNATUIIIC 0,. Cr~IIIACTOIII 0111 A"UTHOIII IZC0 AGENT (,#A TC l I
ti ISSUANCE FEE $
SI GNAT IIIC OP' OWNCIII I I" OWHCIII 8UILOCIII> (OATC) TOTAL FEES $ • (.J, l
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR