HomeMy WebLinkAbout160 WINDROSE CR; MP; 87-838; Permit,... -
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full force and effect.
I hereby affirm tha1 I am exempl lrom the Contrac· tor's Li<ense Law 10< the lollowmg reason !Sec. 7031 5
Business and Pro1ess1ons Code Any c,ty or county wh,cli re· quires a perm,t to construct. aller. improve. demolish, o, repair any s1ruc1ure, poor to ,ts ,ss~nee also requires !heap• phcanl fOf such pern111 to hie a sii:,ned statemenl thal he ,s
licensed pursuant to lhe prov,st0ns of the Contract°' s License Law (Chapter 9 commenc,no with Section 7000 ol
Olv1s10n 3 of the Business and Protess,ons COde) or that 1s ex· empt therefrom and the bisls lor lhe allegeo t.lCemphon Any VIOlat10n ot Sec110n 7031.S by an applicant fOf a perm11 sub· ,ec1s the apphcant 10 a crv,1 penalty of not more than hve hun-
dre<I dollars 1$5001
I I I, as owner ol the property, or my employees w1th wages
as their sole compensation. w,11 do lhe work. and lhe slruc·
ture Is not intended « offered tor Sile (Sec 7044. Business
and Protess,ons COde The Conlr,ctor·s License Law does not apply 10 an owner ol property who builds or ,mprovts
!hereon and who does such WOfk himself or through his own
employees, provided that such emprovements are not intend· ed or otlered tor Sile It, however, the bu11dmg or Improvt·
ment Is sold within one yeair o1 completion. lhe owner-builder will have lhe burden ol proving lhal he did ROI build or Im· prove 10< lhe purpose o1 sale).
n I. as owner ot lhe property, am exclusively contracting with lteensed contractors 10 conslrucl the proiect (Sec 7044.
Business and Proless10ns Code The Contractor's License Law does not apply to an owner ol property who bwlds « im-
proves thereon, and who contracls tor each proiec1s w11h a conlractor(s} hcense pursuant to ltle Contractor's license Lawl
□ As a homeowner I am tmproving my home, and the follow mg condIhons e:,ust: l, The WOfk IS being pertormed prior 10 sale.
2. I have hved in my home tor twelve months prlOf to completlOfl ot this work
3. I have not claimed this exemptlOO dunng the Last three ye.ars
0 I hereby affirm that I have a certificate of consen1 to
sell-insure. or a cer!lfica1e or Workers· Compensation In+
surance. or a certified copy thereol tSec 3800. Labor Code)
POLICY NO
COMPANY
0 Copy 1s liled with !he city
D Certified copy 1s hereby turm1hed f
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wg~:;:~c~6~~:N~:T~~1?NNS~=~~CE 1
(This section need nol be completed ii the permit 1
1s '°' one hundred dollars IS 100) or less) I
D I certify Iha! in the perlormance of the work for which I
this permit 1s Issued. I sNII not employ any person In any .
manner so as to become subJect to the WOfkers· Com pen-I
sat1on Laws of Cahforn1a I
NOTICE TO APPLICANT, If, alter milking this Certif1c,te I
of Exemption. you should become subject to the Workers· I
~;:~:~~npl~:~;~i::h
0
~r~:~si~~~r ~~e~~t ;hu:i~ I
be deemed revoked. I
I
0 I hereby a111rm that there 1s a construction lending I
agency for the performance ol lhework tor which this pet"-1
mlt Is issued (Sec. 3097. Civil Code) I
Lender·s Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
lffe53DI CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB AOOAESS AV. ST AO. NEAREST CROSS ST. I D~T~; ;;~l;ATIONI
BUSINESS LICENSE II VALUATION PERM IT NUMBER
160 WINDROSE CIRCLE Mf> 15940 <27"
LOT BLOCK I suBD1 v1s,'0N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE g~<t
OWNER'S NAME I OWNER'S PHONE FOS HAY ELECTRIC co .. I NC 277-7676
CONTRACTOR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE SAMMIS CONSTRUCTION 574-1041
OWNER'S MAILING ADDRESS 7676 Engineer Road 175565
2650 Camino Del Rio N. #100 DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK San Diego, CA 9"J..L0H 0022 09/25 0101 02BldPmt 30-01
DESIGNER'S ADDRESS STATE LICENSE NO.
l00A Permanent Irrigation Pedestal c--F/P F LR ELEV. NO CCC GP EDU STORIES
vO NO ---.
I I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE CCC LOAD FIRE SPA
AREA CONST
YO N 0 vO NO vO NO Nor Valid Unless M~chine Cerrifi«J
QTY. PLUMBING PERMIT -ISSUE 799--QTY. MECHANICAL PERMIT· ISSUE \ 5gg.. SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 ·810·00-00-8220
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00-00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00·00·8222 ~ o--0 -------EACH GAS SYSTEM ~ OR MORF METAL FIREPLACE ELECTRICAL 001-810·00·00·8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT -r-· MECHANICAL 001·810·00-00-8224
EACH VACUUM BREAKER ME CH EX HAUST HOOOIOUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00-8226
E'}CH ROOF DRAIN I INSIDE)_ DAYER VENT STRONG MOTIQ!!._ ___ 880-519·92·33
6 -· II " I/ TOTi;L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00-8227 . -.
TOM L PLUMBING I -
PUBLIC FACILITIES FEE 320·810·00·00-8740
5Q9-BRIDGE FEE 360-810-00-00-87 40 QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 134-810·00-00-8835
1 PH 3 PH AWNING LA COSTA TIF 133-810-00·00·8835
EXIST BLOG EA AMP/SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00-00-8162
REMODEL ALHR PER CIRCUIT MFF 880-519-92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
T~MP OCCUPANCY 130 DAYSI
~-v_. (\" .. lhr lj ~5 .Cfb CREDIT DEPOSIT
' TOTAL ELECTRICAL I I 7/j.(JO TOT Al TOTAL FEES PAYABLE ~l) ~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPUCATION ANO PERMIT AND DO HEREBY Expiration Every permit issued by the Building Ottic,11 under the provisions of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1~tat1on: and become null and void II the building or work 5'0" DEEP AND DOIOLITION OR CONSTRUCTION 0~ DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authouzed by such permit 1s t commenced w,ttun 180 days from lhe dale of such
STRUCTVRES OVER J STORIES IN HEIGHT perm,t,,o.r 11 the bu1td1n~ work authorized by such pe,m11 ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON aband ed at any time a r the work 1s commenced to, a period ol 180 davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND AP'; ~:<P OWNER □ CONTRACTOR 0 ~~ IDA}~,/4
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 [] GRANTING OF THIS PERMIT ~
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
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SUB FRAME D FLOOR D CEIILING
SHEATHING D ROOF D SHEAR
FRAME I
I
EXTERIOR LA TH J
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INSULATION I
INTERIOR LATH & DRYWALL ' i
I
PLUMBING J
D SEWER AND BUCO D ~LICO
UNDERGROUND D WASTE d WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
l
ELECTRICAL I
D ELECTRIC UNDERGROUND QI UFFER
ROUGH ELECTRIC :
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. Pl~ING
HEAT - AIR COND. SYSTEMS :
VENTILATING SYSTEMS l .
I
DATE INSPECTOR
,
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,
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CALL FOR FINAL INSPEC~tON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL !
PLUMBING ' I"\ I /')
ELECTRICAL l "J I Vr/ I I
MECHANICAL I .). \.
GAS I / _\'i~
BUILDING I y ,
I
SPECIAL CONDITIONS I '
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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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
~ -SPECIAL MASONRY
PILES CAISSONS
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