HomeMy WebLinkAbout1125 Harbor View; ; 82-447; Permit"' z 0 :;:
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D I hereby aff11. .nat I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L1c No_ Class
I heret>y affirm that I am exempt 1rom the Contrac-
tor's License Law for the following reason 1Sec 7031 5
Bus•ness and p,ofess1ons Code Any c,ly or cou~ty which re-
au1res a perm,t to cons\'uCT. alter. 1rr'.prove. demolish, or
repair any structure. p0,or to its issuance also rsquIres the ap-
~l·cart 10, such permit to file a ,igned statement that he 1s
Hce~sec pursuant to the provrs1ons of the Contractor's
L cen,e ~~w : Ghao!er 9 commencing mth Section 7000 ol
D1v1s•on 3 of t~e Business and Profess,ors Code) or that is ex-empt tr,erefrom and the basis tor the alleged exemption Any
v,olat,on Gf Sec'.,on 7031.5 by an aopl,cant for a permit sub-Iects t~e applicant to a civil pena'ty of not more than five hun-
dred dollars IS500J
-:-I. as owner of Hie property. or my employees with wages as the,r sole compensation, will do the work. and the struc-
ture 1s no! 1nteMed or o1fered for sale {Sec 7044, Business and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or ImproVBS thereon and who does such work himself or through his own
employees. provided that such improvements are not intend-ed or altered for sale. I!. however. the building or improve·
ment ,s sold within one year of completion, the owner-builder will have the burden ol proving that he did no1 build or ,m-
prove for the purpose of sale)
n I,. as owner of the property, am e~clusively contracting
w,th licensed contractors to construc1 the pro1ec\ (Sec 7044, Business and Professions Code: The Contractor's License
L.iw does not apply to an owner of property who builds or im-proves thereon. and who contracts 1or each pro1ects with a contractor(s) license pursuant to the Contractor's license law)
• As a homeowner I am improving my home. and the follow-
1ng cond1t1ons exist 1 The work 1s being p-eriormed pnor to sale 2 I _have lived in my home for twelve months prmr lo completion ol th1s work
I have not claimed this exempt,on during the last three years
:::J I am exempt under Sec ______ . B & P C
for this reason ____________ _
)a";" hereby affirm that I ha~e a cert,!,cate of consent ~elf-insure, or a cert,f,cate of Workers
Compensa11on Insurance. or a cen,!1ed copy thereof
(Sec 3800, Labor Code)
POUCY NO ;:i::i(,OI ·-~-:l. U \CC))
coMeANY '> ,:&~P01~,'5
·~PY ,s filed with the c,ty
0 Cert,t,ed copy ,s hereby tum,shed
CERTIFICATE:. OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed 1! the perm,i ,s for one hundred dollars iS100) or less)
0 I cendy that ,n the performance of the worl< for
wh,ch th,s perm,t ,s ,ssued. I shall no1 employ any
person ,n any manner so as to beeome sub1ec1 to the Worl<.ers Compensat,on Laws of California
NOTICE TO APPLICANT If. after maktn;i this Cen,
locate of Exemption. you snould become sub1ect t0 the Worl<.ers Compensat,on provIsIons of the Labor
Code. you mus1 fortnw,lh comply with such
prov,s,ons or lh<s perm,1 shall be deemed <evoked
0 I hereby a!t1rm that 1nere ,s a constfuctIon Iend,ng agency tor the performance(_) lhe won< to,
which lh,s oermil ,s ,ssued 1sec 3097. c,,,I Code,
Lenders Name•------------
Lendefs Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANI:'. DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION &JERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS Hfu-tnr \l \tt,__; A~;.T.
1
0~ajtPtL~10N BUSINESS LIC~~ -i7/'J-✓ PERMIT NUMBER
ll2'.S .;2.0(/J -1'-fO -o !!> "00 .;;;~30 v----
OWNER'S NAME .
lu~,\~ONE
CONTRACTOR CONTRACTORS PHONE# ZONE L/4-7 ::r~ ~ALL /.(CC-t+ld2. 8,(,Q2S. ·,..;.4 ; ( 3 'l.
OWNER'S MAILING ADDRESS c\8Rl~TORCbctof'u.~ LICENSE NO. PLAN 1.0. # BLDG USE CODE
~E W· 3,"SS0:22..
COT BLOCK SUBDIVISION I ~~~~Alto~ ao DES!GNER LICENSE# STANDARD PLAN tt BUILDING SQ FOOTAGE
~t¼,'t\S' -· OESCR_.~ .. ~ OFf\~t\O / A It-.. ' l U I T"\. .-• ' -, ..\HI) DESIGNER'S ADDRESS DESIGNER'S PHONE
I 11-•v I t.L 't; :__, D /"'.. ·-L -r I '2,,-.;._ I 'I-.b ~t:.J1
,--
'"' FLA ELEV. NO ace GP EDU
~ \'.'To. 'F"',[C.. ...... 1,1,' , .... -. c::::.
STORIES
YO NO
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING ~EAMIT ISSUED l REDEVELOPMENT TYPE ace LOAD Fl RE SPA
AREA CONST
YO N • YO NO YO NO Not Valid Unless Mllchine Certified
QTY. PLUMBING PERMIT -ISSUE 7!!--QTY. MECHANICAL PERMIT· ISSUE 3~-" SUMMARY/ACCOUNT NUMBER -. -
EACH FIXTURE TRAP
, INSTALL FURN. OUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 • :) \C,. • '\IL: ____ · ____ --
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 :v..£:a:J -
EACH WATER HEATER AN•.:gR VEN~-c ____ -_ ---------------
BOILER/COMPRESSOR UP TO 3 HP ,,,. PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP /') / I TOTAL PLUMBING 01·00·00·8222
--------\--METAL FIREPLACE £,,.,,. L ~.,., ,, --+-=-EACH GAS SYSTEM 5 OR MORE . ELECTRICAL 01-00·00·8223
~ -----------------I---=---------------
EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sljl_GlE O)JCT / /'f/ ,-MECHANICAL 01·00·00·8224
~--
EACH VACUUM BREAKER / MECH EXHAUS~OOO-'OliCy! 'V ~ MOBILEHOME 01·00·00·8225
-----------------I V a EA FURNifEiHEATER -WATER SOFTNER MOBILEHOME PARK INSP
-----II .,,... / ---.A'. /) 00' AR EACH ROOF DRAIN \iNSIDE1 01·00·00·8226
-----------fl_._ TOTkLMECH~ JJ.AY I ------( r), . STR_Qrll_G MOTION 80·92-33-0519 ------
TOTAL PLUMBING i--FIRE SPRINKLERS 01·00·00-8227 __ ------c=;= -
QTY. ELECTRICAL PERMIT· ISSUE "' .A(J_ QTY. ftAR . 1ss,ti ,1 · vv~ ~@_LIC FACILITIES FEE 32·00·00-8923 -----
-----
, __
1,.COLLECTORS A ffe BRIDG~.E.s.L__ -
NEW CONST EA AMP.'SWT·BKR ' I SCHOOL FEE • DISTRICT -----
----
: 1 PH 3 PH STORAGE TANKS /_I/ .,,,A/V , . -~~s!Jad 80·92·21·0519
-----~-~ ~--1----a.. ;,, ;,. ----
EXIST BLOG EA AMP/SWT:BKR ROCK STORAGE / /}<./'// Encinitas 80·92·22·0519
-------~ -II -v
1 PH J PH PUMP I .,r A San Dieguito 80-92·23·0519
--------------------~-------------
REMODEL 'Al TER PER CIRCUIT PLAN CHECK FEE y V /./. San Marcos 80·92·24·0519 ------------------------------------
TEMP POLE 200 AMPS ~-1/ ---------------------------
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C m ~ ,& -------✓,_-y?t OVER 200 AMPS -----------------~-i---------------------------------------
TEMP OCCUPANCY 130 DA VS) --~
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,;,,,-. =-·-/'( ) --
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TOTAL ELECTRICAL -;_
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATlON A'D PERMIT" ANO.[)() HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATiot,1$ ARE TRUE AND CORRECT AND! FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN QR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
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
GRANTING OF THIS PERMIT.
., = ---. --------
TOT Al SOLAR TOTAL FEES PAYABLE I ,~
E:otpkation. Every permit issued by the Building Official under the proviScions o(this * AN OSHA PERMIT IS RE0UIFIED FOR EXCAVATIONS OYER Code ~haft e:otpint by lim_ltation ancfbecome nuH and voi<t:·tf the building or work · 5' O" DEEP AND DEMOUTION 0A COHSTRUCTION OF authonzed by such perrmt is not commenced withm 180 days lrom the date of such ,sTRUCl\JRtS OVER 3 STORIES IN HEtGHT permit. or if the building or work authorized by such permit is suspended or
abandoned at anv time a • the work is commenced for ii --rice of 180 d . -
·Dr~1f\.~ OV{,NER• CONTRACTO~ APPROI 0 BY ,1°:¼A~~ .
BY PHONE 0 -. ~ •' ... ~ -
0 0 m 0. 00
C
~ .c :;:
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME f(),14.9(/ r-1+
EXTERIOR LATH lNSULATION l I
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC fl) • ?,'!,. fl,1, l'J.I
ELECTRIC SERVICE p
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 HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF occupr•r:y ISSUED
,-~ ... . .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE ~ .. , ..... ,,. Li 1-..,11... -..EPf _,. •--••AY .a. 1-·.-CHECKED APPROVAL -·•
SOILS COMPLIANCE A.. · ·-· · --,1,0,.t11'1'.', ~½) ' ,'IA,••-""'•~~ • PRIOR TO
FOUNDATION INSP tr. ,..
STRUCTURAL CONCRETE . 11 OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
Pl LES CAISSONS
.
·-·
---·
' .
.
·------
---------
.
.
CORRECTION NOT.lCE ~
INSPECTOR
CITY OF CARLSBAD
BUILDING INSPECTION DEPARTMENT
PHONE -438-5525
BUILDING
o FOUNDATION
D REINFORCING STEEL
o MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
o EXTERIOR LATH
D INSULATION
o INTERIOR LATH OR DRYWALL
PLUMBING
o UNDERGROUND PLUMBING
o UNDERGROUND WATER
• ROUGHT PLUMBING
o TOP OUT PLUMBING
o SEWER AND PL/CO
• TUB OR SHOWER PAN
• GAS TEST
o WATER HEATER
ELECTRICAL
• TEMPORARY SERVICE
o ELECTRIC UNDERGROUND
• ROUGH ELECTRIC
o POOL BONDING
o ELECTRIC SERVICE
o UPPER GROUND
o G.F.I.
o SMOKE DETECTOR
MISCELLANEOUS
D PLENUM AND DUCTS
o COMBUSTION AIR
o CONDITIONED AIR SYSTEMS
D SOLAR
D GRADING
D POOL
D PATIO
D SIGN
• OTHER
Note: Final Inspection Required
TIME: _______ _
DATE, 1:z,s -Bz
DEVFl.CFMENT/-'1.L
SU \1/iCF~~
l""I i · ,: .t:1,11 Gily l,lan;·1q:,1
(I,, :1 /,'.(1-:;:;r;t3
/ r. / 1 ; :;,,;:l'i:-,q D,,;,3rtm:rnt
(:, '; ,;:;,.-r)sD
U t n::i:1c:1r!ng DepMtmt:::~1t
(1 : ,~) ,~?.<l•'.1SJ. 1
[J ~htr~lri!:J t-.. fl'}c1ev&:oprr:,:,r,t D•"!;.urt1ttt"r1t
f/111} 4'.13-5611
Cl 1·'101,nlnn Departnisn~
(iH) -1315-5591
l)?DY Sir:
-i~oo ELM /\\/[NU::
C/\i :LSU/\DJ C/\Uru;-fri),i\ 9;'(:{)~~
Sec:: 1979 Un:~ fo1·m Building~ Cod(~ Section :-;o?. (cl):. Expirc1tJ_crr1 of nu) 1d:i.nt
PCTiitit. ''Ev1..;ry perm·!t issued 1_1y the I511ilcling O:ffici::1:l un(1er the provi·
s 'lo~i~; 0£ this Code sh::.i·11 cxpI.: e by l:i.·!":1i"'c:.at:icJn and bei:0J·:1e r;uJJ ,1.nd voicl,
:: f the b1..1iJd i.ng or Hu.ck au i-.lioI j zed by s1.:ch pcT1Jj "L j s not co;rnncnccd 1-/j t.h
in 180 days fToJ:t the ,t1te o[ ~:-,uclr pe~tni:i.·t'..:> or if t}·ic Lu.i.]d:ir1g or worl.
aut]1orized liy sucli rexm.it is ::;u:-;pcnclcd GT abandon~d a'L c1ny t:i.1Hc <t:f•i c-r L.11
work is cornrnc~nced :for ,·J period of 180 de:.;-:>, f.c-Eorc such Hork cc!n be
:rccom1w~nced a ne:-E pc:.c.r.1.l.t !-,J-1:c~ .. :; he fi·r~~t cil:'d.ainec.1 so to ch,:-and thr.; fc:~
t.hc1-0for sJ1;:1J.:t be (H1':'.--h<'.J.Jf t1:-'~ D::·.1ou_o.·i:-_ 1.~~_,•:!P-irccl :foy a_ l':(·'h' pc:rrni·i fo:"!_~ s1,,::J)
\1or}:, prov.icl,~'d no cli: ,1;1,~;, i1~,' , l_!.,_:c::n H:. J,-, (Jr l.'il:L be nc-:dc :i.n ·U·11~: (\}'ir .. i:i-1:!:i
p1i1ns and spcc:i [icat:ion~ Ior ~;ucl: Hvrk; ;:nl"-1 provj dcd, fuf·thcr ;;-tl:;Jt ::.t1.c.}i
:;·uspension en· alH1n.dorune11.t }!:is HP·l·. excec~r_l2cl OJIC yc(rrtt.
Ir you havP, :?ny ques Lions please cont,ict t~he CaYlsho_c1 t,uiJdiHg nc1J1Trtment
iJt ~38-5525.
Very truly yo11rs,
l l R. <t-· . /l '\.:_''-'-..J _u,. -~", 1----.
Martin Orcnya](-~
Bui Jding OJf i ,.· i al -.
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