HomeMy WebLinkAbout1090 LAGUNA DR; ; 85-623-D; Permit"' z 0 ~ a: < ~ u ... 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 lhe Business
and Profeaalons Code, and my license is in
full force and effect.
Ltc No ______ Class
t llereby altirm !hat I am exempt from !he Conirac·
ror·s License Law lor tne IOllw,,og. reason ,Sec 7031 5 Business and Pfofess,ons Code• Any city or counly which re
qutres a permit 10 construct. allet improve c1emo1,sn. or repair any structure. prior to 11s issuance aiso requires !heap-
p:ican1 tor such perrrul 10 tile a s19ned s1atemen1 that he is 11censed pursuant to lhe, provist00s of lhe conua,1oc·s
License Law l Chapter 9 commenang w11h Ser.ti0n 7000 of
0i ... 1s1on 3 of me Business and Professions Code, or 1ha11s ex·
empt therefrom and the basis for the allegea exemption Any
~::i;i~ ~~:~~t1:~3c~ ~~,:~r:~; lar:nr,:~ ~~~~
dred dollars ($500).
t, as owner of the property. or my emptoyees with wages
as their SO!e compensation. will do the work, and lhe slruc-
lure 1s not ,mended or offered !Of sale (Sec 7044, Business
and Professions Code The Conlractor's License Law does f:~r:t:n:io :~o ~~rs~~t:ri11:1 ~•~~h~r::~
employees. provided thal such tmprovemenls are not intend-ed or 01!ered for sa1e It, however, the bu1klm9 Of improve-
ment 1s sold w11hm one year 01 completion. the owner-bu,1der
w,11 have the burden of proving that he d,d not bu1kj or im· prove lor the purpos, of sale}
I •. as owner ol the property am exclus1vety contraclmg wllh tw;ensed contractors lo construct the prO)ect (Sec 704◄.
BuSiness and Protess1ons COde The Contractor's license
Law does not apply to an owner ot properly who bwtds or 1m• proves thereon. and who contracts for each pro,ects w+lh a
contractor(s) hcense pursuant to lhe Contractor·s license Law).
O As a homeowner I am improving my home. and the follow
ing cond1hons exist. 1 The work ,s being perlormed prior lo sale.
2. I have lived ,n my home for twelve months pnor to comp~lion ol lh1s work.
3 I have not claimed this exemphon during the
last three years
D I am exempt under Sec ______ . B & P C
lor this reason -------------
0 I hereby affirm that I have a certificale of consent 10
self,uisure. or a certifiCate of Workers Compensation In·
&urcmce. or a certified copy lhereol {Sec. 3800. Labor COde)
POLICY NO
COMPANY
:J Copy IS Med with the city
0 Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need 001 be compfeted if the permit
1s for one hundred dollars (S100) or less)
D I certify thal In the performance of the w0<k for which
1h15 penmt 1s issued. I shall not employ any person ln any
manner so as to become sut>1ect lo the W0<kers· Compen-
salton Laws of Calilornia
NOTICE TO APPLICANT: It. alter making this Certificate
ol Exemption. you should become sub1ec1 to the W01kers'
Compensation provisions of 1he Labor Code. you must
lorttiwith comply with such provisions or th,s permit shall
be deemed revoked
C I r,e,eby alhrm that there is a consuuclion 1endmg
agency tor the performance of the wont for which this per•
m11 is issued 1Sec. 3097 C,v,I Code)
Lender's Name. __ ..._ _ _ __ . __
Lender· s Address
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT ' ~
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION &.PERMIT
lo Dq;s I A _,. ,J ~ )(--
A.V ST RO. ll.JJ:,,"'lc-------s· I DATE, OF APPLICATION I BUSI NESS LICE"ISE # VALUATION PERMIT NUMBER ~ ~.,::;F-f5-/LS D j 711 l i {-&11-,,, ;y 1..C,T Jt!..OCK -1. s,.1eQ1 V S10N I ASSESSOR PA, tCEI 1110 0 ;; coN-RA.CTOR CONT~ACTOAS PHONE • ZONE
/ !>'S.,) 7::,. I q H~~v U,k'$r1.-;..dfc'1 rwl't-A '4.tl ...,.E · •
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OWNER'S PHONE / n , , :z.~ -4"7:,/~ CONTRACTOR'S• DD RESS LICENSE NO PLAN l.D-# 'flu1LO~;()()TAGE ~ , . .-,-:,,,.., yrr:vp Lerra l lee~ f2d C'WN A' .,,._ NG ADORES~
IO~ e,+&1 Aut,tv~ •~ ">D C'~ G'2.,IO I DESIGN '7/i h V OESIGNE ffS PHONE
DESCRY _/Of WORK --5; ~ •1}_ • --~ 45~·~20
DESIGNER'S A.ODAitSS V ~ LICENSE NO. ,e~epa~enrn , n1q;5; -A~~~-1. • I Dn? J ~I~ s+h,..,,.. ,~~ q□q!B?6~ < !Ye)/ B!2~~os,-;3E F p FLA ELEV. • NO • OCC GP EDU
vO NO --STORr S M I
CENSUS TRACT I GP LA.NO USE I PARKING SPACE ,~ I GRADING PERMIT ISSUED I REDEVELOPMENT ffxl OCC LOA.0 FIRE SPA
AREA ¥
y D ND YQ N vO ,.,'r:J... Not Valid Unless Machine Certdied .,.,
qTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE -~-SUMMARY/ACCOUNT NUMBER ,.,,, ' ~
LP EACH FIXTURE TRAP -/.J .-INSTALL FURN OUCTS i.JP TO 100 000 BTU BUILDING PERMIT 001-810·00·00-8220 ~l) I ..JV
I EACH BUlLOING SEWER /_, ,., OVER 100.000 BTJI, SIGN PERMIT 001·810-00-00·8221 iL,.J7.. EACH WA TEA HEATER AN010R VENT BOILER/COMPRESSOR UPTO 3 HP _/ PLAN CHECK 001·810-00-00-8806 i..--
EACH GAS SYSTEM 1 TO 4 OUTL~TS ___ 4---BOI LER/COMPRESSOR 3 15 H_,V TOTAL PLUMBINr, l) 001 ·810·00-00-8222 z..• --
EACH GAS SYSTEM 5 0 R MO RE I METAL FIREPLACE / "f'!l..~1r\\l.)..:J-001 ·810·00-00-8223 -1,., -
EACH INSTAl. ALTER. REPAIR WATER PIPE -+ VENT FAN SING.J,.l,1JUCl , ( I u ~CHANICAL 001 ·810·00·00-8224 -MOAIL Et(JMl:f\ 9, f EACH VACUUM BREAKER MECH EX~ST -HOOD DUCTS 001-810-00-00-8225
WATER SOFTt.lER . .fi". RE ~ATION OF EA FURNACE/HEATER T1ws'lL~OME PARK INSP • -.
EACH ROOF DRAIN !INSIDE I "\ SOLAR ~I-S'O~i~.-oo-oo-8226
~ j;-~ TOTl:.L MECHANICAL C l\tT.~~1t::~~U~6 .. 880·519-92-33 o _ ¢ : .
TOl Al PLUMBING ' I -z,,q . .,,,,-~ill s 001-810-00-00-8221 "-I l)tl1 l.V PUBLIC FACILITIES FEE /U-v-
QTY. ELECTRICAL PERMIT -ISSUE -QTY. SOLAR -ISSUE 332-810-00-00·8930
~ -
NEW CONST EA AMP SWT BK R COLLECTORS /7)~ ~ SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKl Carlsbad
EXIST BLOG EA AMP SWT S.KA -ROCK STORAGE /D<ffY~ Encinitas
1 PH 3 PH PUMP I San D1egu1to
REMODEL ALTfR PER CIRCUIT ~ ... r-PLAN CHECK FE ,frw ~ San Marcos
TEMP POLE 200 AMPS -~ ~ ,__
LICENSE TAX OVER 200 AMPS 001-810-00-00·8162 -· ,
TEMP OCCUPANCY 130 DAYS! I J,..)~ MFF / V ~'1Jf5D 880-519·92·57 Jf X P __;::::: -CREDIT DEPOSIT A?
TOTAL ELELTRICAL I /0 -TOTA[ SOLAR 1 · -TOTAL FEES PAYABLE I I I 7 J_, ....f-7.._
· ""' c'"'"" • "'"'"' me '°"""'"' "'"'" v• '"° . , M,• "" oo """' ''i~ ,~,, ~••'"""" "'"""'"'"' '"''"' """""" ••=.,~• • '"" l * /IN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
"""' o.~,, ""''" o•.' ""'""' 1"• LN> ""'"·' "" "'"°' '"'""'" rn, ""'" ,,, "•"'"~ '"' ""=• ""l '"' "''' " '"' '""'"' ", •"• S' O" DEEP /IND DEMOt.JTION ~ CONSTRUCTION OF
ECLARAT ONS ARE' TRUf.'l(rJO-CORRECT A~D I FURTHER CER1IFY AND AG'i!EE. FA PERM TIS aut~o y sue perm,t IS no! commenceo wll.,1~ 180days 1,0,,, tne oa1e., such STRUCTURES OVER 3 ST~IES IN HEIGHT J • .... -· · . •. ... • . , , t'· • perm1 ~ tf th n,1ldmfl or ·work a\lthorued bv sue-ti pe1m,1 iS suspended or <;SUED 10 COM Pl Y·WfTH ALL CHY COUN Y AND STATE LAWS GO✓EANING BL; .DING CON abar. d 11 1"19 a ter lhe work ,s commenud for a nerrod c,! 180 davs -
STPUCTION WHETHt1> SPEC.•IED HEREtN OR NOT I ALSO AGREE: TO SAVE INDEMNIFY A"O -----;;' 1 -ff. T --APPRO D BY
1~/tb · """""" rnecn, 0' c,ae,s,o '"''"'"" '"""'"' cO<>GM£",S. com ,,o J ' ''""'"" • OW"" (I CONm,c•o• L ,}
EXPENSES WRICH MAY IN AN f WAY ACCFlUE AGAiNST SAID CITV 1•1 CONSEOUE•JCE o~ -1-1e '/ ~lfi"' BY p ON' [ 1
u;lA>ITING OF Tl-1IS PE"111 T , ~ H • • .... /.] J. • n • l. ✓• ,_:..._ , '
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;---.. ,,--.. {" ,,r -~ . I _., TYPE I DATE INSPECTOR --q, 6, (, ';)'., --v .. ;
1, BUILDING I
FOUNDATION IC. 1t7 1 r // -, FIELD INSPECTION RECORD I -REINFORCED STEEL I 1 ,, V .., -1~-A'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
INSPECTORS .. ~ . ... INSPECTION REO IF DATE ~ GUNITE OR GROUT ' CHECKED APPROVAL I
SUB FRAME D FLOOR D CEIL!.ING :"· SOILS COMPLIANCE ·-",, . SHEATHING D ROOF D SHEAR PRIOR TO ot .... .... -. FOUNDATION INSP . ,. -. 1//.,.:..l JP, ___ FRAME I ,----STRUCTURAL CONCRETE EXTERIOR LATH I "'· { ~VER 2000 PSI ,, -
INSULATION I tJ PRESTRESSEO -
CONCRETE INTERIOR LATH & DRYWALL I ~-POST TENSIONED I J CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO/ D Pt-JCO /. HIGH STRENGTH ----BOLTS . -•-UNDERGROUND _,, ~ASTE □'WATER [7..-/Q ~4 , /lt.-<£ y
~ASTE ~ATER ./6,. -:z..t.5i ~ Qr£ /J -SPECIAL MASONRY
'• -' TOP OUT -·-cl .. ' . TUB AND SHOWER PAN -. .., •~-I
GAS TEST I J(-l'f-; ' JG,_ PILES CAISSONS -
D WATER HEATER D SOLAR WATER " I --.. !-''. l, .. . ·-'. ,;r II ; ',,~ ~:., ELECTRICAL I
~ -I -~ I •
□, UFFER . ~
~ ,--. D ELECTRIC UNDERGROUND
J' ·-I ' ROUGH ELECTRIC I .
' . -, ,, D ELECTRIC SERVICE D TEMP0RARY ,-.
D BONDING D POOL ~ I ~, ...... ~ I
I ... . ' ' . -: -~ I J ,, /, MECHANICAL I •;.-;..._. • ' .. f D DUCT & PLEM., D REF. PIPl{'JG .
;,., HEAT -AIR COND. SYSTEMS I -. I
VENTILATING SYSTEMS I ' -.. . ... . ,· ~ \. t • o:-~•~\(lt' ll I L1tYm'1 •, t.,•·--. ~ \' ; L. . ' .. ~ '. I. . .. . . ·---·-• I,_ •• I ' 1,__. '-· l i:_. I _, L' .... I,_, -'-. CALL FOR FINAL JNSPEC
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~ON WHEN ALL APPROPRIATE ,, ' . ~ ,._ ' ~ I ._\ -• ITEMS ABOVE HA E BEEN AF?PR,OVED. • . • .... ~ r • • ; .. I ' \ FINAL . -...... ~ " I
" ' ·-I I--' r, . --~-ii -PLUMBING j_.-• ·-~ . 1 ,t .-', I r. ; . • ' ....
I 64 ',,~ . . ELECTRICAL
: -~1 ~ . I . . ' ,,g__1 1r II)/'/ I . MECHANICAL I ~ ,. .. -. . "\ ~· ... I t, V' '\ ...,
\ .. --. .. .: . GAS I ' I .. . ~----l ...;.,,-· ' ~ BUILDING I • ----t
SPECIAL CONDITIONS I
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