HomeMy WebLinkAbout1400 Flame Tree Ln; ; 81-388; Permit"' z 0 : :"i u w Q
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0 I hereby ahnnl that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division J of the Business
and Professions Code, and my license is in
lull force and effect.
Lie No Class
l hereby atf,rrn that I am exemp1 from the Con
!,ro~'!;'~~~~:;:: ;;; ~!~:,~~~c:J/~~,\~r
county which requires a permit to construct
alter, improve, demolish. or repair any struc!ure, pnor to ,ts issuance also reqwres the applocant for
such perm,! to Ille ;r, s,gned statement that he 1s
licensed pursuant to the provisions of the Con-tractor's License Law (ChilPler 9 commencing w1lh
Section 70CKl of D1v,s1on 3 of the Business and Pro
fess,ons Code) or that ,s exempt therefrom and the
bas1~ !or the alleged exemption Any v,olahon o!
Se,;;hon 7031 5 by an appl,cant !or a permit sub1ects tne apphcant to a c,vil penalty of not more than f,ve
hundred dollars {S500)
D I, as owner of the property, or my employees
,..,th wages as their sole compensation. wdl do the
work, and the structure ,snot intended or offered for
sale (Sec_ 7044, Business and Protess,ons Code
The Contractor's License Law does not apply to an owner ol property who bu,lds or improves thereon
and who does such wOO( himsel! or through his own employees. provided that such ,mproveme;its are
not intende1 Of offered for safe I!, howeve,. the
building Of ,mprovemen1 ,s sold w,thm one year of
completion. the owner-builder w,11 have the buroen
of proving that he did not build or ,mprove for the
purpose of sale)
D I, as owner of the property. am exclusively
contracting with licensed contractors to construct
the pro1ect (Sec 7044. Business and Professions Code. The Contractor·s L,cense Law does no1 apply
to an owner of property who bwlds or improves
thereon. and who contracts tor each pro1ects with a
contractor1s) license pursuant to the Contr,;.ctor·.,
License Law)
0 I am exempt under sec
tor th,s reason
.B &PC
[) I hereby affirm 1hat I ha•e a cert,t,cate of consent
to self-,nsure. or a cert1!1cate ot Workers Cornpensatmn Insurance. or a cert,!,ed copy thereof
(Sec 3800, Labo< Godel
. COMP)"' . ~
,py ,s flied with the c,ty
0 Cert1hed copy ,s hereby f noshed
CERTIFICATE. OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Th,s section need not be completed ,f the perm,t
,s to, one hundred dollars 1$100) or less)
O I certify that ,n !he perlormance of the work to, wh,ch th,s perm,I 1s issued, I shall not employ any
person 1n any manner so as 10 become subiect to
the Workers· Compensation Laws ot Cal1torn1a
NOTICE TO APPLICANT If. alter makin;i !his Cert,
ficate ol Exemption. you should become sub1ect t'J
the Workers· Compensat,on provisions o! the Labor
Code. you mus! forthwith comply w1!h such
provisions or 1h15 perm,t shall be deemed ,evoked
0 I hereby at!1rm that there ,s a cons1ruct1on 1end,ng 3Qency !or the per!orrn<Jnce ol the work lo,
w~1ch 1h,s perm,1 ,s issued ,Sec ].()9/, Ci.ii Code)
lenders Name ___________ _
Lender's Address -----------
USE BALL POINT PEN o•· • \~PR~ES~S~H~A~RD __________________ _ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA M' ECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
~ -AV. ST.
RO •
PRIME CONTRACTOR
I'/# t"tc.
BUSINESS LICENSE #
P~.LONE I
PERMIT NUMBER VALUATION
6/-;;'it? 41 .
CONTRACTOR'S AOOAESS LICENSE NO. PLAN I.D. # BLDG USE COOE
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESt<~NER -----STATE LICENSE# STAN OARD PLAN# BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK
k_ ., ./" 77., -~ ...... ~:.it :d ,ii'
crnsus TR An I GP LAND USE I PARKING SPACE ReS UN>TS l
QTY. PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
OES1GNE~00RES$
F1P FLA ELEV
YO r,..0
GRADING ~ERMIT ISSUED l REDEVELOPMENT
AREA
y D ND vO NO
QTY. MECHANICAL PERMIT· ISSUE
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
DCC GP I EDU
OCC LOAD Fl RE SPA
vD NO
.JI G5TBL''.:.i e,, o·" 19Jfu7 :;1·~•,1
Oc 19:67 ;:;
Not Valid Unless ~chine Certified
SUMMARY/ACCOUNT NUMBER
+~_S_TALL FURN. DUCTS UP TO 100.000 BTU . BUILDING PERMIT _________ 01-000-4220 --
OVER 100,000 BTU . SIGN PERMIT 01-000-4221
BOtLER/COM-PRESS0RuPT03HP---------r----. PLANCHECK________ 01-ooo-4so6 I
~ER/COMPRESSOR 3-15 HP r----. TOTAL PLUMBING 01-000-4222
I--EACH BUILDING SEWER -----
EACH WATER HEATER AND/OR VENT -~ c _____ -1-
·-----
-METAL FIREPLACE ELECTRICAL 01-000-4223 -,; ~ 1----l-~E~A~~ ~~YSTEM ! _T_0_4_9Q!"_Li_T_S -------1--
EACH GAS SYSTEM 5 OR MORE ----+----VENT FAN SINGLE DUCT -------I--• MECHANICAL ----01-ooo-42;--· / -I--EACH INSTA~ .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER 1--+--
---------
MECH EXHAUST -HOOD-'DUCTS MOBILEHOME 01-000-4225 -----
WATER SOFTNER 1--+--I-EACH ROOF ORAi~ _(~~~DE)
·IREL0CAT10N oF EA FURNACE/HEATER · MOBILEHOME PARK 1N-sP-s--t·-I SOLAR 01·000-4226 I I
3 -. TOTAL MECHANICAL I STRONG MOTION 65-640-0519
--
----
I
TOTAL PLUMBING
•4 --;,]-~ I ~~~---·
:s--~
ec-----,
QTY. l,;,_-" ELE~RICAL~E~MIT · ISSUE
;2-/J r·NEW CONST EA AMP/SWT,BKR -----
~ 1> FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
1 PH J PH I uarlsbad
I EXIST BLOG EA AMPISWT'BKR E.n.cinitas
~H 3 PH PUMP San Dieguito
----------PLAN CH-ECK FEE S:-in Marcos
01-000-4227
25-000-4933
65-623-0519
65-624-0519
65-625-0519
---·
---
_ __, _____ _ -
65-626-0519
----_--------+-= r~ I
L ?~ TOTAL SOLAR I . II TOTAL FEES PAYABLE I '7. oQ
~
I
32
0
CJ
c .. .~
0. 0. <(.
I
~ C a:
0 00 00 " 00 00
<(
I
~ 2
<D >-
'" 00 " u 0 0::
"' .;
0
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C "' C u: -
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CJ
0 u " 0. 00 C
11-lAVE CAREFULLY EXAMINED THE C()MPLETED<j<APPUCATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJUffY THAT ALI. iNfORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON·
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I AlSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST.AU LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAfNST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Expiration. Eve,y permit issued by the Building Official undef the provisions oftrna
Code shall expire by limitation and become null and void. If the building or wortt authorized by such permit is not commenced within 1 days fr m the date Of sueh
*' · AN 0SHAa PEAMn' 18.. ~ FOR EXCAVATIONS OVER I ·S'D" .,g,.. AND ~Ol!OONSTRUCTION OF
permit, or it the blfflding or wo,k authorized by su per is suspended or abandoned at ao tiffl9 after the wortt is commenced fo of 180 da
~'SSIGNAT RE CONTRACTORpl
_v~~~!:!!!~~=::::~a~~:!.""':..---L-~-BY PHONE a
STAI.IC1UfB <>YER 3 !' IN HEtGHT ~
.c
rPPROVEO BY ~
'
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
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 /1
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 HAVE BEEN-APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUP'. 'SY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR·s NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL -------
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE ------
OVER 2000 PSI
PRESTRESSED
CONCRETE -POST TENSIONED
.. --
CONCRETE --
FIELD WELDING
-HIGH STRENGTH ----·---------
BOLTS '------------·---·-·-----------I SPECIAL MASONRY
I ' f---·---' i PILES CAISSONS
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