HomeMy WebLinkAbout1400 LAS FLORES DR; ; 82-183; PermitIll z 0 ;:::
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O I 116 ,!.lflrm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profesalons Code, and my license Is In
full force and effect. L,c No _____ Class _____ _
I hereby affirm that I am exempt from the. Con-
~;•f ~~= ~~1:::1~c!t~~
county wtuch requires a pennit to construct alte<, 1mpt0Ye, demohsh, °' repair any stNCtlKe,
priof to its issuance also requires the applteant '°' such permit to hie a signed statement that he is hcensed pursuant to the p,ov1s10ns of the Con·
tractor's Ltcen.se Law (Chapter 9 commencing wrth
Section 7000 of O.v1SK:W'I 3 of the Business and Pro-
fessions Code} or that ,s exempt therefrom and the
basis tor the alteged exempt.on Any vto&ahon ot Section 7031 5 by an ac,plicant fo, a pennit subfects
tne applicant to a civil penalty of not more than ftve
hundred dollars ($500).
"Iii..,. as owner or the property, °' my employe1t5 ;Jrih wages ~ their sate compensation, win do the
WOfk, and the structure 1s not intended°' offered for
sale (Se<:. 70", Business and Professiohs Code The Contractor·• License Law does not apply to an owner of property who builds o, 1mpr"""5 thefeon and who does such WOfk. himself or through h,s own
employe!tS. p,ovkled that such ,mproyemeats are
not intende1 Of ottered for sale If, however, the
building or improvement 1s sold w1tt11n one year of
comptehon. the owner-builder will have the burden
of p<OYing that he did not build or imprOl/e tor the
purpose or wef.
□ I, as owner ot the property. am exclusrvely
contracting with lteensed cont~tors to construct lhe pro,ect (Sec. 70", Bus;ness and Profess,ons
Code: The Contractor's license Law does not apply
to an owner of property who builds or improves
~~;:;.~ 7.~C:~!~ ~~~~~~;::-:
License Law).
0 lomexemptu,,_Sec _____ .B &P.C.
fo, this reason ___________ _
□ I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Wooters·
CompensattOn Insurance, or a cert1f1ed copy thereof
(Se<: 38l0. Labor Code)
POLICY NO _____ • ____ _
COMPANY
□ Copy IS hied w,th the city
□ Cer11fted CoPY ,s hereby furnished
CERT I FICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit ,. to, one hundfed dollars ($100) or less)
'-.JI certify that in the performance of the work for
.eft1ch this pemut ,s issued. I shall not employ any
person m any manner so as to become subJect to the wooers· Compensation Laws at cahtorma
NOTICE TO APPt..tCANT If. after maktnd this Cert,~
hcate of Exemphon, you shouki become sut>tect t-:>
the WOf'kers· Compensation provisions ot the Labo,
Code. you must forthwith ~ly with such provih:>ns or !his permit shall deeme1 revoked ~--W,
0 I heretfv afhrm thal there 1s ~sfruct1on 1end1no agency fQf tt\e perfOfmance of the wQt'k lo,
which 1h15 permll tS issued (Sec 3097. C1v1I Code)
lenders Name, ___________ _
Lender·, Address __________ _
I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAr4' ;UILDING DEPARTMENT
1200 Elm, carlsbaa, ,.;allfornla 92008 (714) 438-5525 Al ~ICATION & PERMIT
JOB ADDRESS
A~:T-,~N:i'°"I
BUSINESS LICENSE # VALUATION(/1(!!__ PERMIT NUMBER
ll./oc5 LAs r::J"P,::c;;. A~. r Li~I .s ALl/!, ,-::, v v 8)-/ 63 OWNER'S NAME OWNER'S PHONE PRIME COIIITIIACTOfl CONTRACTORS PHONE • ZONE
(JU,Jctl . 0.P 'l'UJ:: .AJD-" LI--.:~ m .... m~, nut,41J:;" -1,,,, I A I::!~
OWNER'S MAILING ADDRESS CONTIIACTOll'S ADDRESS UCENSENO. PLAN 1.0. # BLOG USE CODE
l4Qf> L11s. J5i~~I:~ Jtaa.. CAfLS Jllib 5/0718243, ~'6N 17,01 • n~,., , . ..,___ -
LOT BLOCK r SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD ~i:~ ., illL~SQ. FOOT¥lfl11
' DESCRIPTION OF WORr u 1, Ac-L1 SIGN DESIGNER'S· ADDRESS OESIGNER"S PHONE
_'l~ 1,.:i
J:i. -,.:1J; ~ ---------~ F/P FLR ELEV. NO OCCGP EDU
~( STORIES
vO NO
CENSUS TRACT GP LAND us1 PARKING SPACE RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Un~ Machine Certifi«J
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3.00 SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01 ·000-4220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-000·4221 7n,no
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806 rA ~ /')
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000·4222
EACH GAS SYSTEM 5 OR MORE MET AL Fl REPlACE ELECTRICAL 01-000-4223
EACH INSTA~ .• ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 -000·4226
TOT.1.L MECHANICAL STRUNG MOTION 65-640-0519 .~n
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·000-4227
2.00 PUBLIC FACILITIES FEE 25-000-4933
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH PUMP San Oieguito 65·625·0519
RE MOOE UAL TEA PER CIRCUIT Pl.AN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY {30 DAYSI
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I l1 ,oo
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" ANO DO HEREBY &,111a110n.e-ypar1111t__,11¥_BuldlngOlficlal---prowlalOn9ol'thia * AN 0l5HA P£RMIT IS AEOUtllED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFOflMATION HEREON INCLUDING THE Cod98'1111 ....,.11¥ .,._,,, and .__,..andwald,lf lhe ~orworti. .5• o--DEEP ANO OEMOUTION Oft COHS~TION OF aalllortnd~IIUCllperlllltlanal-•ad ... 110claysllom.,_ ollUCII DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT lS ...,.._,,, •=:x.,or---11¥-".,.,-la or STRUClURES OVER 3 STOAIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY.COUNTY AND STATE LAWS GOVERNING BUILDING CON-aballdlN•a&-IIMe .. _.... lor■.;._-,"'1llll..__,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO 4GREE TO SAVE INOEMNIFV AND •-•M!10 .. ~:--□ CONTRACTOR 0 A:n;BY J;~ DATE KEEP HARMLESS THE CITY OF CARLS8AO AGAINST All UABILITIES. JUDGMENTS.~ AND · .. I 5 ,1-fiZ. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 1HE BY~□ 11\11 GRANTING OF THIS PERMIT. -··-
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INSPECTION TYPE DATE INSPECTOR -·
BUILDING R-:>.,fi'3
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
REQ. IF INSPECTORS MASONRY INSPECTION DATE CHECKED APPROVAL --
,.QUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING
·-STRUCTURAL CONCRETE ---
FRAME OVER 2000 PSI -PRESTRESSED EXTERIOR LATH lNSULAT10N CONCRETE ----~
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING ---FIELD WELDING
SEWER AND BL/CO HIGH STRENGTH ----------
PLUMBING UNDERGROUND BOLTS ---~---·----··-··
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN ' ;
I
GAS TEST : PILES CAISSONS
ELECTRICAL I I
TEMPORARY POWER -
ELECTRIC UNDERGROUND I
I -------
ROUGH ELECTRIC i
I ELECTRIC SERVICE
-
! ' BONDING .'j i --·---------
'
G. F. I. -SMOKE DETECTOR
MECHANICAL ---·----~-~---~----.--&
DUCT & PLEM., REF. PIPING ---------
HEAT -AIR COND. -SOLAR SYSTEMS
VENHLATING SYSTEMS ...
--------
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED. --
JOB SITE FINAL -
PLUMBING :::/l./"___........
ELECTRICAL A. ....l. ~L
MECHANICAL ...:. ., "'..,. -. ;,ffl..J -~-----------~&. -. ,. GAS -"' -. ; -·•z. ,..., -{~) ¥1 rJ.'V BUILDING -·-~----------
' ----
SPECIAL CONDITIONS 7 u --. -~-~--
CERT OF OCC1JPANCY ISSUED -
..