HomeMy WebLinkAbout2768 WOODWIND RD; MP; 85-284; Permit(I) z 0 ;::
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O I hereby affirm that I am licensed under
prOYlalona 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 _____ Class
I hereby afhrm that I am e,:empt lrom the Conlrac-
tor's License Law tor the lollowmg reason (Sec 7031 5
Business and Professions Code Any city or county which re-quires a perm1I to construct. alter. 1mprcm. demohsh. °' repair any structure, prtor to IIs issuance also requires !heap-
phcant '°' such permit to hie a signed statement !hat he 1s licensed pursuant to lhe prO"ltS!OflS of the C.:ontractor"s
license law (Chapter 9 commencing with Section 7000 of 0rv1s1on 3 ol the Business and Profess10ns COde) Of that 1s ex-
empl lherelrom and the basis for the atlegea exemption Any
vlOlation of Section 7031.5 by an applicant loc a permit sub· iects lhe apphcanl lo a civil penalty of not more than five hun-
dred dollars ($500).
0 I. as owner ot the property, or my employees w1lh wages
as their sole compensation. will do the work. and lhe struc-ture is not intended or otlered for sale (Sec 7044, Business
and Profess,ons Code· The Contractor's L1tense Law does
not appty 10 an owner of property who builds or improves
thereon and who does such work h1msetf or through his own employees, provided that such improvements are nol intend-
ed Of offered for sale. II, however. the building or improve·
men! is sold within one year ot completion, the owner-builder
will have lhe burden ot prOVlng that he did not build or 1m· prove for the purpose of sale),
D I, as owner of lhe property, am exclusively conlractmg w1lh licensed contractors to construct the project (Sec. 7044, Business and Profess10ns 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 contraclor(s) license pursuant to the ConIractor's License Law).
0 As a homeowner I am improving my home, and the foUow-ing conditlOOs exist:
1. The work is being performed pnor to safe. 2. I have lived in my home tor twelve months prior to completion ol this work. 3. I have not claimed this exempt10n during !he lasl three years.
D I am exempt under Sec. ______ , 8 & P.C. tor this reason ___________ _
D I hereby atrum thal I ha':ie a cen,t1cate ot consent
10 self.insure. or a cert1t1cate of Workers·
Compensa11on Insurance, o, a cen,hed copy !hereol
(Sec 3800. Labor Code)
POLICY NO
COMPANY
□ Copy IS filed With the City
0 Cen,fted copy ,s hereby furnished
CERTIFICATl OF EX~MPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need no1 be compleled ,1 the permit
1s tor one hun<.1re<1 dOllars ($1001 or less)
D I certify that 1n !he performance ot the wortii. IOf
which lh1S permit 1s ,ss.ued, I shall not employ any
person 1n any manner so as 10 beeome sub1ec1 to
the Wor1'.ers· Compensation laws of Cahlorn,a
NOTICE TO APPLICANT It. after mak1n11h1s Cert•
hcale ot Exemption. you should Decome sub1ec1 I?
the Wor1'.ers • Compenyt1on pro ... 1s1ons ot !he Labor
Code. you must forth¥r1-1th comply with such
p,ov1s1ons o, this permit shall be deemed ,e..,Qt\ed
0 I hereby affirm !hat there 1s a COO!lruclron
1end1ng agency lot tne performance ot me work lo,
which this permit •S ,ssue<J tSec 3097 Civil Cooe1
Lenders Name __________ _
Lender's Address _________ _
I
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST.RO. NEAREST CROSS ST,
~~~~Tlrl' BUSID~ K~SE #
VALUATION PERMIT NUMBER
2-:7~/3 ld~/.h"d/L ff\P is----
'COT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO ~k~~~-/~ -
CONTRACTORS PHONE• ZONE #o2cff r..?.r'fi· 2-
OWNf R'S NAME ,~67;1~ ,
---: /" C ½ / f _AA'.,, ',('__Jl µ/-( CONTRACTO~>"4'OOR~SS -LICENSE NO. PLAN 1.0. # BLDG USE CODE
'&¼!27/6 OWNER'S MAILING ADDRESS
~I ._;-/_ J;-~~~ ~ .. S.D_ DESIGNER LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE
DESCRl~TION c;,:F) RK _j ..I'/./ ./ } .., .A .,) l ._J2._/ ~/t7~ £ .J DESIGNER'S ADDRESS DESIGNER'S PHONE
./4 .,/ / A/07~.A ~ F/P F LR ELEV. NO EDU I # --· -~ -OCC GP STORIES
vO NO ---~/0~/B553HI • CENSUS TRACT
I
GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Unkss Machine Certified
QTY. PLUMBING PERMIT • ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 01-00·00-8220
EACH BUILDING SEWER OVER 100,000 8TU SIGN PERMIT 01-00·00·8221
EACH WATER HEATER ANO/OR VENT 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 ~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 3t,-r
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HODO/DUCTS M0BILEH0ME 01-00·0Q-8225
WATER S0FTNEA RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN I INSIDE) SOLAR 01-00-QQ-R??F.
TOTJ.L MECHANICAL STRONG MOTION 80·92·33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227
~ QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT· ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWT BK R COLLECTORS • J SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS n y Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE /) I '/ ,YA ) Encinitas 80-92·22·0519
I PH 3 PH PUMP /I I /' /I ,. San Dieguilo 80-92·23-0519
REM0OE L 'AL Tl: R PER CIRCUIT PLAN CHECK FEE u 01,y X':: San Marcos 80·92-24-0519
TEMP POLE 200 AMPS I
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI fi-?r~
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~-
el-t::)
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT' AND DO HEREBY Expirallon. &ay .,.,..._... .,.Ille Bulldl"90ff1<:1al under tl>e provis,ons of ll>os * AN OSHA PUIIIIIT IS IIEOUIREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code.,,... ..,... Ill' lllllilation encl~ null and vo,d If the building or work 5' 0 .. DEEP -'NO OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~ by IUCh pem,11 • nol _,,,_IC9d woltl,n 180 days from lhe date of sue!> STRUCTURES OYER 3 STORIES IN HEIGHT parmll. Of If • ~Of wort, aulllorozed by oucl> permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· -ICIOI• al -._ .. -• c-for I period ol 180 """• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP9L~·7y~
OWNER□ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
~~~14-3-.i!s EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /L. BY PHONl..0,-GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR ~-~
BUILDING I ¥'~"~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REQ IF INSPECTOR'S GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE I
-FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE -' -SHEATHING D ROOF D SH~R PRIOR TO
FOUNDATION INSP FRAME I STRUCTURAL CONCRETE EXTERIOR LA TH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO D IPUCO I HIGH STRENGTH I BOLTS D WATER UNDERGROUND D WASTE
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WAiJ"ER
I
I
ELECTRICAL I
' -D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I ~--..:,..._ 1 °" I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I ' I
VENTILATING SYSTEMS I ' (.,
I V ~
CALL FOR FINAL /NSPECT!iN WHEN ALL APPRl°l'RIATE:_/ ITEMS ABOVE HAV BEEN APPROVED.
FINAL I '/ //
~ ~ ' ' PLUMBING I l""J,,.,, rv , 1 ll /Ir' I --~
ELECTRICAL I ( J.. L V I -
I r "-'-MECHANICAL I , \ V\ \I f\, r\ f ';
GAS I I J' V ,-I ' -BUILDING I ")
SPECIAL CONDITIONS I l
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