HomeMy WebLinkAbout138 JUNIPER AVE; ; 82-215; Permit"' z 0 ~ CIC C ..,
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~ I hereby a, ihat I am licensed under
provl&1ons 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. lic No _______ Class
I hereby affirm that I am exempt from the Con-~:ol~~,:'~ ~• ~.~~~l~~~~~i~
county which requires a permit to construct
alter, improve, demohsh, or repair any structure, prior to 11.s issuance also requires the applicant tor
such permit lo tile a signed statement that he is
licensed pursuant 10 1he provist0ns of the Con-tractOf'S LJcense Uw (CNC)ter 9 commencing with
Section 70X) of 01v1s100 3 of the Business and Pro-fessions Code) or that is exempt therefrom and the
basis for the alleged exemption. Any violation of
Section 7031.5 by an applicant for a permit subjects tne appticallt to a civil penalty of not more than five
hundred dollar$ ($500).
O I, as owner ol lne ptOPer1y, or my employees
'#llith wages as their sole compensahon, will do the
work. and the structure is nol intended or ottered tor
sale (Sec. 7044. Business and Professiohs Code:
The Contraclor's lk:ense Llw does not apply to an
owner of property who builds or improves thereon
and wtto dOes such w<>tk himself Of through his own
employees. provtded thal such improvements ate not mtende1 or offered for sale If, however, the
building or improvement 1s sold within one year of
completion. the owner-builder will have the burden
of proving that he did not build Of improve IOf the
purpose of sale)
□ I. as owner of the prOf)erty, am exclusively
contracting with licensed contr~tors to con.struct the pro1ect (Sec. 70U. Business and Professions
Code The Contractor's License Law does not apply to an owner of prQPerty who builds or improves
thereon. and whO conuacts tor each prOJects with a
contract011S) license pursuant to the Contractor's
License Law).
□ lamexemptunderSec. _____ .8 &PC
forth1s reason ___________ _
D I hereby affirm that I ha·-,e a cert1h~te of consent
to sell-insure. or a certit1cate of Workers·
~
11on Insurance, or a cer11hed copy lhereol
OK-~~ POL Y NO.___ _ ____ _
C PANY
Copy 15 filed with lhe city
D Certit1ed cOl)y 1s hereby lum1shed
CERTIFICAH OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 lhe perm,1 1s tor one hundred dollars (S 100) or less)
0 I een1ty that 1n the perlormance of the wM !Of
wh1cn this penn1t •s issued, I shall not employ any
person in any manner so a.s to become sub1ect 10 the Workers· Compensation Laws of Ca11forn1a
NOTICE TO APPLICANT· If. after mak1nd ttus Cen,-
ficate of Exemplton. you should become sub1ect ,.,
the W~ers· Compen~tron prov,sions of the Labof Code, you must forthwith comply with such
prov1st0ns or tr·us permit shall be deemed ,evoked
O I hereby affirm lhat there 1s a cons1rucoon lend1no aoency tor lhe performance ot the work '°'
which this permit 1s issued !Sec 3097, C1¥1I Code)
Lenders Name ___________ _
lender's Address __________ _
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AtJ,... l"lECLARATION-,.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
PERMIT NUMBER
A~;_T., 0&~3~0~0N
, 1 , w """, ✓~, 10/7.zJc=-
'. ZONE D'-"' V
y'
PLAN I.O. # BLDG USE CODE
DESIGNER'S ADDRESS
F/P F LR ELEV.
CO\."-1.)o \a'V\l \J\ ( vO NO
CENSUS TRACT GP LANO USE PARKING SPACE GRADING f'.ERMIT ISSUED
YO ND
REDEVELOPMENT
AREA
vO NO
QTY. PLUMBING PERMIT · ISSUE MECHANICAL PERMIT· ISSUE
EACH FIXTURE TRAP I b,'7 ~~,.i?; ! INSTALL FURN. DUCTS iJP TO 100,000 BTU
EACH BUILDING SEWER I Ii, I~ ' I OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT --1 -, .. t:J BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS I • -I I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE I £,:-~ ~ I METAL FIREPLACE
EACH INSTAl-, ALTER, REPAIR WATER PIPE • VENT FAN SINGLE DUCT I I EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOT.l,L MECHANICAL
TOTAL PLUMBING
QTY. I ELECTRICAL PERMIT · ISSUE QTY. I SOLAR· ISSU E
COLLECTORS
3 PH STORAGE TANKS
ROCK STORAGE
1 PH 3 PH PUMP
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL TOTAL SOLAR
TY rq_;s
.,oo
STANDARD PLAN#
DESIGNER"S PHONE
C
EDU ·1
FIRE SPA
vO NO Not Valid Unless Machine Certifi~
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MDBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
8RIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
01-000·4806
01 ·000-4222
01 ·000-4223
01-000-4224
0HJ00-4225
01 ·000·4226
65-623-0519
65-624-0519
65-625-0519
65·626-0519
TOTAL FEES PAYABLE
Ir
Jr. ;
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit Issued by the Building Olhclal under the provisions oflhis
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by limllation and become null and void. If the building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor1zed by such permil is not commenced wllhin 180 days from lhe date of sue!\
ISSUED· TO COMPLY WITH All CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-permit. or II the ooildinft or work aulhonzed by such permit 1s suspended or
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS 0V
·5' O" DEEP AHO DEMOUTION QA CONSn.UCTION OF
STRIJCTIJRES OVER 3 STOAtES IN HEIGHT
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND abandoned at an time a ter lhe work Is commenced for a riod of 180 da .
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND APPLICANT'S S7'GNA~URE~ OWNER O CONTRACTORJY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ---,....,_,. L. .. -··-" rn_,,_ 2% ..,..,..,,_J.11' --BY PHONED
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,.-JSPECTION TYPE
BUJLDING
FOUNDATION
REINFORCED STEEL
MASONRY
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
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
ELECTRIC SERVICE
BONDING A
G. F. I. -SMOKE DET ECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING RI ·
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
-.
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN. APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION R ECORD
REQUIRED SPECIAL INSPECTIONS
INSPEC.TION REO. IF INSPEC-TOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ~ .. --
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
-
PILES•CAISSONS
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INSPECTOR'S NOTES i
DATE ~•12 -~ \)~ Lf2reK#-? ... b) ~\ \~ .. ~ '" -I ' I . ' '
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SEE
136 JUNIPER AVE
FOR MORE
INFO ON
82-215
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