HomeMy WebLinkAbout1175 HARBOR VIEW LN; ; CB890937; Permit"' z 0
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O I hereby affirm that I am licensed under
prOYlslons of Chapter 9 (commencing with
S.Ctlon 7000) ol Division 3 of the Business
and Proleaalons Code. and my license 1s in
full force and effect
I hereby at1Irm !hat I am e.<empt 1rom the Contrac
tors License Law tor the lollow,ng reason !Sec 7031 5
Business and P•otessrons Code Any city or county wh,u, re
quires a perm,, 10 construct alter improve. demol,sh or
repa,r any structure pnor 10 ,1s issuance also requires 'heap
p1Icant 1or such permit to 1,1e .i s1qned statement that he ,s
I,censed pursuant to the prov1sIons of :he Loniractor s
License Law :Chapter 9 commenc,ng wrlh Sert,on 7000 of
Ow,s,on 3 of the Busmess and Pra1ess1ons Co<1ei or that ,s e,
empt lherelrom and me basis !or the a'legea exemp1Ion Any
,iolatIon ot Section 7031 5 Oy an appl,cant tor a perm,r >ub
Iecls the applicant to a civI, penalty of nol more 1han five hu~
ored dollars ($5001
1 as owner of lhe property, or my emptoyees w11h wages
as !heir sole compensation. w1I1 do the work. a~d the struc-
ture Is not 1nlended or oflerea for sale 1sec ?044 Business
and Proless1ons Code The Contraclor's License Law does
not apply lo an owner ol property who builds or ,mproves
thereon and who does such work himself or through his own
employees. provided !hat such Improvemen1s are nol intend-
ed or ottered lor sale If however me buildmq or ,mprove-
menl Is sold wIlhIn one year of completion the owner-builder
wII1 have the burden at proving that he did not build or Im
prove lor the purpose of sale)
I I, as owner ot the property, am exclus,vely contracting
w11h licensed contractors to construct the pro1ecl (Sec 7044
Bus,ness and Professions Code The Contractor s License
law does not applv to an owner 01 properly who builds or Im proves thereon. and who conlracrs for each proIects with a
contractor(s) license pursuant 10 the Contractor's License
law\
As a homeowner I am ,mprovIng my home. and the follow
Ing condItIons exIs1 1 The work ,s being per1ormed pnor 10 sale
2 I have loved ,n my home 1or twelve months
prior to complehOn of lhrs work
I have not claimed this exemp11on during lhe
lasl three years
ior 11h~:r~~~;t under Sec _____ _ B & PG
=:J I hereby aff1<m that I have a cer\1f1cate o! consent to
self-,nsure. or a cert1hcate ol Workers Compensation In-
surance or a cert,he{J copy thereot 1Sec 3800. Labor Code I
POLICY NO
COMPANY
Copy ,s !lied w,th the c,ty
Cert,f,ecJ copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
{This section need not be completed 11 lhe perm,t
,s tor one hundred dollars 1$100) or lf'SS)
=:J I certily that ,n the performance of !he work for wh,ch
th,s permit Is issued. I shall not employ any person ,n any
manner so as to become sub1ecl to the Workers Com pen
satIon Laws of Cal,forn1a
NOTICE TO APPLICANT. It, af1er making lh1s Cert1hcate
of Exemption you should become sub1ect to the Workers
Compensation prov,s1ons of me Labor Code you must
forthwith comply w,th such prov,s,ons or this permit shall
be deemed revoked
=-' I hereby affirm that there ,s a construct,on lendrng
agency tor lhe pe,tormance of the work forwh1ch lh,s per
m1t IS issued (Sec 309? c,v,1 Code)
Lender's Name __ _
Lender's Address
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
BUSINESS LICENSE # VALUATION
CONTRACTORS PHONE # ZONE
OWNER'S PHONE
I 7 ~ -5.5""'f CJ CONTRACTOR'S ADDRESS
I .
STATE I.JCENSE No.
l OWNER'S MAILING ADDRESS • / : -~-'.'rf-EO VE-DESIGNER DESIGNER'S PHONE
: DES7/lftf tr e:-e?v<J.517111(2; 6 +.s 121 s G'~ ~ESIGNER'SAOOAESS STAIE LICENSE.NO~ "'•_:,7 ~-. '...j•-··-·..c·-'! ~
: 3 FT : 7oa/ ,4tQ..l> :s712~
I ' ' FP FLRELEV NO
I STORIES
I YO ..... o ---
1 CENSUS TRACT PAF>K•NGSPAO-AESuN•TS GRADING PERMIT ISSUED REDEVELOPMENT TYPE
AREA CONST
1 • ,-, • , 0 -....•
PERMIT NUMBER
f/~37
BUILDING SQ FOOTAGE
1 QTY PLUMBING PERMIT. ISSUE --=i--Sb QTY MECHANICAL PERMIT -ISSUE
1f--+----------------+-----'----,lf--+--=-,-,-,-,-=,---,,==="""'===c---+----'-'""--\i::,-,.i1~---,,m.==di",~'-=====,,,...,----------i EACH 1-IXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU 001 810-00-00-8UU --·-·-·-· ------EACH BUILlJING SEWER OVER 100.000 BTU .. ··---· 001-810-00-00-82? 1
I •., ~"r""'"-'-""
1 EACH WATER HEATER ANU OR VENT BOILER/COMPRESSOR UP lO 3 HP 001-810-00-00-8891
EACH GAS SYSTEM 1104 OUTLETS SOILERiCOMPRESSOR 315 HP 001-810-00-00-8222 j /0 -
: ( EACHGASSYSTEMJORMORE Mt.lALFIREPLACE I 1r--:
• EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT l 11 · ..... .,~u,,~,.,v~~
: EACH VACUUM BREAKER MECH EXHAUST HOO •·DUCTS i 7. ·.:::::,_: ::: .. _
1 WATER SOFTr.JER RELOCATION OF EA f-URNACE,HEATER : :: UU~"
001-81 0-00-00-8223
801-810-00-00·8224
Mllf-111 ~HllM~ 001 ·81 0 ·00·00 ·8225
,rn t,R 001-810-00-00-8226
I FA.CH ROOF []RAIN ' ~s,m I DRYER VENT : II
1 TOTI.L MECHANICAL I ~-.~'~"~~u~::·~,:·:~~
'
C:TRnw~ MnT,nN 880-519·92·33
t-lHt ::,t-'HINr\LtH::i 001-810-00-00-82 27
I TOI Al PllJMBINl. l _1r:-, , PUBLIC FACILITIES FEE 320-810-00-00-8 7 40
I
1fQTY I ELECTRICAL PERMIT· ISSUE 500 QTY. f MOBILE HOME SETUP
BRIDGE FEE 360-810-00·00·8740
PARK-IN-LIEU \AREA
NEW CONST f.A AMP SWT t!KR CAR PORT TIF 312-810-00·00·8835
'
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'
I PH IPH AWNING -
EXIST BLOG EA AMP.SW! BKR GARAGE
1 PH :l PH
LA COSTA TIF 311-810-00-00-8835
FMF
"Ci'c'E"Ns E TAX 001-8 T 0-00-00-8152
REMODEL Al ltR PER [IRCUII MFF 880-519-92-57
I TEMPP(]LE 200AMPS
OVER ?UU AMPS
TEMP (]CCLJPANCY '30 DAYSI
CREDIT DEPOSIT
T1JIAL flfLlRI( Al l Hl!Al TOTAL FEES PAYABLE l /C)
I HAVE CAREFULL y EXAMINED THE COMPLETED ··APPUCAT!ON AN~ PEA,.uT'·. ANO DO HEREE!Y 'E,iptratiOn Every per_mittnuedbytrnt8utlfflngrOfflcial~nderlhepr0viSi0Molttiis * .ft.N O$H.ft. PERMIT IS REOUlftEO F0A EXCAVATIONS OVER
' R ~•AT ALL INFORMATION HEREON 1·NCLUDING THE Code shat! expire by hmrtatn,n an<! becomenuttand'-'void tt the buridmg or work • 5•0•• -•p ........ -.--na CONST-~~ CERTIFY UNDER PEN""l TY OF PERJU y 'n authori.ntd by such perrnil IS not commenced wrthm 180daysfrom e date of such ~ ......., ,_,__,._ .. ...,.....,., nv-.,, ....... .., ..
DECLARATIONS ARE TRUE ANO CORRECT AND 1 FUATKEr:I CERTlfY ANO AGREE !F A PERMIT I& permrt. or if the-buikling or wort. authorized by such permi s suspended or STFIUCTIJAES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY wtTH Ali.·QtTY_,GQUNlY AND STATE LAWS GOVERNING 81..ULOING CON· L~-~~do~ne6!!!!"L!!~•~"""!!!.!•11e,!!!!Jt~he-tWD~~•k~4~<20ffl!!!!!""""'!!!!28d!2_;'°'!!!!.!•~~-!!l!_~l~-~t l!l.Jda!!,L--:::-r':~~~~~----,,-,:,-----~~~-,,',;_-":"~ STRUCTJON. WHETHER SPECIFIED HEREIN OA NOT. I ALSO AGREE TO SAVE INDEMNIFY AND O D~E ~
KEEP HARMLESS THE _CITY OF OARLSB-AD AGAINST All UABIUTIES, JUDGMENTS. COSTS AND __;.°"'='-'---CONTRACTOR ,'--..a.._, ~
EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH 1,'\J-'!~~ ..... c.;~ .. l_f.'1-..Je-,jj~n_ ;' -J /; ~
GRANTING-OF THIS PEfUv11T {..,--jC,,t,:..,:~::;.il"(: L ----I ,'-P/ L_
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TYPE : DATE INSPECTOR
BUILDING I
FOUNDATION ' REINFORCED STEEL ' I
MASONRY '
GUNITE OR GROUT '
SUB FRAME • FLOOR D CEILING
SHEATHING • ROOF • SHEAl'I
FRAME '
EXTERIOR LATH ' '
INSULATION '
INTERIOR LATH & DRYWALL '
' PLUMBING ' • SEWER AND BUCO D PUCO
UNDERGROUND • WASTE • WI\TER
TOP OUT • WASTE • WAl'ER
TUB AND SHOWER PAN I
GAS TEST ' ' • WATER HEATER D SOLAR WATER
'
ELECTRICAL ' ' • ELECTRIC UNDERGROUND • UFFER
ROUGH ELECTRIC ' • ELECTRIC SERVICE • TEMPORfiRY
• BONDING • POOL '
I
MECHANICAL ' ' • DUCT & PLEM., • REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
'
I
CALL FOR FINAL INSPECTIO~ WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE 8EEN APPROVED
FINAL I
PLUMBING ' -
ELECTRICAL ' 1"11
MECHANICAL ' ~ I (\ I •
GAS ' \ . / r 'I v
BUILDING ' ,. \\ t ~
SPECIAL CONDITIONS ' . \ \ ' .
'
81 ~ '137
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS 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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