HomeMy WebLinkAbout140 JUNIPER AVE; ; 82-215; PermitCl) z 0 ~ a: C _,
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~ I hereby "' that 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
lull force and effect. Lie No _______ Class
I hereby aflirm that I am exempt from the Con-¥:~~·~~~~:: ;!.w ~f~~:~c:l,~~~i~
county which requires a permit to construct
after, improve, demohsh, or repair MIY strucl'ure.
prK>< to its issuance also requires the applicant for such pe,mit to tile a signed statement that he is
licensed pursuant to tl'te provisions of the Con-
tractors Lteense Law (Chapter 9 commencing w,th
Section 7000 of Oivis10f'l 3 of the Business a.nd Pre>
fessions Code) or that ,s exempt therefrom and the
basis '°' lhe alleged exemption. Any violation of Section 70.31.5 by an applicant for a permit subjects
tne apphCM'lt to a c1v1I penalty of not more than five hundred dollars (S5001.
□ I, as owner of the property, or my employees
.. 1th wages as their sole compensation, will do the
work, and the structure 1s not intended or offered for sale (Sec. 70'4, Business ano Professions Code·
The Contractor's License Law does not apply to an owner of prOj)erty who builds or improves thereon
and who does such wO(k himself or through his own
employees. provided that such improveme.its are
not mtende1 or offered for sale. If, howe.,.er, the
building or 1mpro.,.ement 1s sold within one year or
complehon, the owner•builder will have the burden
of proving that he d.C, not build or improve '°' the
purpose of sate~
0 I, as owner or the property, am exclusively contractinQ with licensed contr~tors to construct
the project (Sec 70U, Business and Professions
Gode. The Contract0t's License Uw does not apply
10 an owner of p,op,erty who bu1kls o, improves
thereon, and who contracts f0t each projects w,th a
contract0t1s) license pursuant to lhe Contr.ctor's
License Law).
D I am exempt under Sec _ ----· 8 & PC fOt this reason ___________ _
0 I hereby alftrm tha.t I ha:,,e a certificate ol consent
to self-insure, or a cer11t,ca1e ot Workers·
~
t1on Insurance, or a certified copy the,eof ·-·~ POL YNO.~-----
PANY ---➔=--------·
Copy IS filed w,th the city
0 Certified copy ,s hereby furnished
CERTIFICAT~ OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed +f the permit ,s tor one hundred dollars (S 1()0) or less I
D I certify 1hat ,n the performance of lhe wM tor
which lh1$ perm,1 IS IS-Sued, I sNH not employ any
person 1n any manner so as 10 become sub1ect lo
the Wori(ers· Compensatt0n Laws of Cahtornia
NOTICE TO APPLICANT If, after makin~ this Cert,-
licate ot Exemption. you should t>ecome subJect I?
the WOf1,c.ers· Compensation prOY1s10ns of the Labor
Code. you must tonnwith comply wtth such
prov1s1ons or th,s permit shall be deemed revoked
0 I hereby atti,m 1na1 there ,s a consiruchon
1end1no agency for the per1ormance ot !he work to,
which 1n1s perm,1 •s issued (Sec :)()97, C1v1I Code)
Lender·s Name ___________ _
Lender·s Address __________ _
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(~ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
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BUSIN~SE# VALUATION PERMIT NUMBER
\~{,~ l~ -4-1-40 .... \UtJ \Yr-~ AVu I &i ft; ./11,-1; £YZ·ZJ5 OWNER'S 14A~ 1 ~ PRIME CONTRACTOR CONTRACTORS PHONE# ZONE
1~J\·"' l, '>c ~ti. ·Re.RC-i-i: 7hp~ ~~ _,fod/1 r:,.~rr_f-?~2-dl,'J-,Y
OWNER"S MAILING ADDRESS Lf 3'--i r-l\ ~, Co CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
~.0 , B('~ s-q, rJ\Rl) :J..f trq Cl ~ttf-qe~ c;;-'J? )).~~ 7 I
LOT BLOCK I SUBOIVISION I ~~~c~~z-oq DESIGNER , STATE LICENSE# STANDARD PLAN# "~NG SQ. FOOTAGs---uv.
DESCRIPTION OF WORIC~ -u...i ,-r ~~e._'-(
~ :, ... ,-·.~~ -
DESIGNER'S AO0RESS t DESIGNER'S PHONE I_. Y" ..
~ ~Jlln\~{; 'J/~1Ji .. :21. :! 1 Ir f .. ·-I t F/P FLA ELEV. NO O~P EDU 8['u_l I_'/: ·;1i;1. C..0\."-bO\.V\l\l\ lt J W\ S S~ES
r.~ ., C' I . , l!I
vO NO --~-,
CENSUS TRACT I GP LANO use I PARKING SPACE I RES uN1Ts I GRADING PERMIT ISSUED I REDEVELOPMENT TYf"t OCC LOAD FIRE SPA AREA v.:JJ YO N 0 vO NO vO NO Not Valid Unl~s M~chine Certified
QTY. PLUMBING PERMIT -ISSUE ~~ QTY. MECHANICAL PERMIT -ISSUE ,3~ SUMMARY/ACCOUNT NUMBER . ?~, EACH FIXTURE TRAP b,I" ,,F,J I~ INSTALL FURN. DUCTS UP TD 100,000 BTU I /'?..J'JL. BUILDING PERMIT 01-000-4??0 {,,..OU_ -,:;;j0
f EACH BUILDING SEWER J.1 ,I e;; ) , OVER 100,000 BTU .
SIGN PERMIT 01-000-4221
;',l,' EACH WATER HEATER AND/OR VENT -,,,.t:;l BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 ,..,~ 70,~~,.
EACH GAS SYSTEM 1 TO 4 OUTLETS , -BOILER /COM PR ESSO R 3-15 HP TOTAL PLUMBING 01-000-4222 'I.I./ J.S-
{.f EACH GAS SYSTEM 5 OR MORE t=; .J,JC., ~ METAL FIREPLACE "'f .A/'. ELECTRICAL 01-000-4223 77~
EACH INSTA~ .. ALTER, REPAIR WATER PIPE --, VENT FAN SINGLE DUCT . MECHANICAL 01-000-4224 .:2~v-o-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEHOME 01-000-4225
,
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226 .
-j ·-
TOTt;L MECHANICAL "7./400
STRONG MOTION 65-640-05 t 9 l I f,,,.r..,
TOTAL PLUMBING I '-1~.1"1':',
. Ld FIRE SPRINKLERS 01-000-4 ??7 .
PU8LIC FACILITIES FEE "f.::).::J(f" ~
:l~ 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE --NEW CONST EA AMP/SWT/8KR COLLECTORS SCHOOL FEE -DISTRICT
D~ '(1 PH J 3 PH ;i;.,oo STORAGE TANKS Carlsbad 65-623-0519
l "ti\ T EXIST BLDG EA AMP/SWT/BKR ,-ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/AL TEA PEA CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
-
TEMP PO LE 200 AMPS --.. , . ~ \
OVER 200 AMPS ru,, ~VS nNJ U6'FlJ-~ ( ...--~, /.~~~}
TEMP OCCUPANCY (30 DAYSI L-1-~M ... . ,, -I ---
TOTAL ELECTRICAL I i1_fJC TOTAL SOLAR TOTAL FEES PAYABLE I ~/S-9 ~~
Expiration. Every permit issued by the Building Official under the provisions oil his . ,,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PE,_.IT IS REQUIRED FOR EXCAVATIOHS OVER,-
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limllat,on and become null and void If the building or worl< ·5" 0" DEEP AND 0£MOUTIOH Ofl CONSIBUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm ii is not commenced within 180 days from the dat·e of such STRUCTURES OVER 3 STOfllES IN HEIGHT I ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• ::'::On~ i~t l~~v i::,~:i~ft.~\h:'?.:~r:~!h:~~~e~ie~~~~ f",!';;;:,i~,•~:r.i~~-:,i or A
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . OWNER□ CONTRACTORJi9. ~ (N/-o/9(;"~ I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANTS S~URE ~
EXPENSES WHICli,MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE~ ... ~ a ~P BY PHONE 0
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.,~SPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING (./,KT)L tl/lA\.W'"\ 0\l,,
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 DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
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 RECORD
REQUIRED SPECIAL INSPECTIONS
INSPEC0T ION 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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R -1-.2-15' -
' . . INSPECTOR'S NOTES
DATE ~•12 ·~-\.)~~•-az.2.~ ' i .\ ~ lM.. ~ ... •AA,,-:. ,. I ' l
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SEE
136 JUNIPER AVE
FOR MORE
INFO ON
82-215
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