HomeMy WebLinkAbout1550 Jeanne Pl; ; 84-390; Permit"' z 0 !i ~ u w 0
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0 I hereby atftrm that I am licensed under
provtsions 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.
Lie No __ Class
I hereby affirm that I am exempt from 1he Contrac·
tor's License Law for the following reason {Sec 7031 5
Business and Proless1ons Code: Any city or county which re-quires a permit to construct. _alter. improve demolrsh, or repair any structure. p_nor to its 1ss_uance also requires the ap-
plicant for such permit to file a s,gned s!atement that he 1s
licensed pursuant lo the provisions of the Contractor's License LJw {Chapter 9 c□mmencrng with Sec1ion 7000 of
o,vIsmn 3 ol lhe Business and Pro1ess1ons Code) or that Is ex-
empt therelrom and the basis for the alleged exemption Any
violation of Section 7031-5 by an applicant for a permit sub-
Iects the appl,cant to a civil penalty of not more than five hun-
dred dollars ($500\
C I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-
ture ,snot intended or otfered 1or sale {Sec 7044, Business
and ProlessIon& Code: The Contractor's License Law does
no! apply to an owner o! property who builds or imprO'les
thereon and who does such work himself or through his own employees, provided that such improvements are not intend-
ed or ottered 1or _sale. If. however, the building or improve-
ment Is sold within one year of completion, the owner-builder
will have the burden of proving that he did not build or im-
prove for the purpose of sale)
□ I, as owner of the property, am exclusively contracting
wi1h licensed contr~ctors to construct the project (Sec. 7044,
Business and Professions Code: The Contractor's License
Law does no1 apply to an owner of property who builds or im-
proves thereon, and who contracts !or each proIects with a
contractor{s) license pursuant to the Contractor's License Law)
□ As a homeowner I am impr011Ing my home, and the follow-
ing conditions exist
1 The work is being performed prior to sale
2 I have lived in my home !or twelve months prior to completion o! this work. I have not claimed this exemption during the
last three years
□ I am exempt under Sec ______ , B & PC
!Of this reason
0 I hereby affirm !hat I ha•e a cert1f1cate ot consen! to self-insure, or a cer1,t,cate ot Workers
Col'l"lpensat1on Insurance, or a cert,t1ed copy thereof :,c".':oa_fcr~ci5ci3_b3i·f »
COMPANY f~--f flCt .C~cJLf
D Copy ,s foled w,th the c,ty
D Certified copy ,s hereby fum,she<I
CEFITIFICATE. OF EXEMPTION FROM
WOFIKERS' COMPENSATION INSURANCE
(This section need not be completed ,f the perm,1
Is !or one hundred dollars ($100) or less)
D t cert,ty that In the pertormance of the wor1< tor
which this perm,t Is ,ssue<l, I shall not employ any
person ,n any manner so as to become subIect !O
the Won<ers· Compensation Laws ot CaI,torn1a
NOTICE TO APPLICANT If. after makin;i this Cert,
hcate of Exemp11on. you should become subJect l'J
the Won<ers· Compensa1,on pmvIs,ons of the Labor
Code. you mus! torihw,th comply with such
prov,s,ons or th,s permII shall be deemed re,oked
D I hereby affirm That the,e ,s a consIruct,on
,ending agency lor the per1ormance of he wor1< for
which this perm,t Is ,ssued I c 7 c;:,u.,Coctel
Lenders Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND iip.,NS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AO,oR1;sS ---··-----;: AV. ST. DATE F' AP'f" !CATION
I -ectitie . "Y'·' 1 \'I :i4
Ci'PRLANO, Rc;Nftl() '7.l9':f;o'q'~ ~;;8A1" can:c·
OWNER'S M'°AI UNG ADDRESS
[550 . 'Ieanoe pL . ____ r;;~;·c;;~ll) Jtp ~:Pn1 LICENSE NO.
3qo64..5
PLAN I.O. # BLDG use CODE
LOT I BLOCK Tsueo,v,s,oN I ASS~O~:f!'.: Nr, 0-l 9 DESIGNER LICENSE# STANDARD PLAN# BUil.DiNG SQ. FOOTAGE
IOESCA!PT!;~n, L.JoJ~ t\ecJ ...-{ l·OESJGNEA'S AOOFttSS
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UN,TS f GRADING f'.ERMIT ISSUED
r □ N 0
'" FLA ELEV .
YO NO
r
REDEVELOPMENT
AREA
YO NO
NO
STORIES
TYPE
CONST
· DESIGNER'S PHONE
ace GP EOU
OCC LOAD FIRE SPR
YO NO
f I
Not Valid Unless Mlchine Certified
QTY. PLUMBING PERMIT· ISSUE 7 ..50 _IIOTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO '1 OUTLETS
EACH GAS SYSTEM 5 OR MORE
,
--r----___ --
1
INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT
OVER 100,000 BTU SIGN PERMIT
--,!----+-----------
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ---------------------+------lt------------
IU IAL PLUMBING 80ILER/COMPRESSOR 3-15 HP ---·
METAL FIREPLACE ELECTRICAL ----· EACH INSTA~ .. ALTER. REPAIR WATER PIPE --+---
EACH VACUUM BREAKER
WATER SOFTNER
j EACH ROOF DRAIN (INSIDE)
VENT FAN SINGLE DUCT MH':HANlr.AI -------t-----+--------M EC H EXHAUST -HOOD/DUCTS MOBILEHOME
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
SOLAR
TOT.l.l MECHANICAL STRONG MOTION ~_J --=--c----------
TOTAL PLUMBING FIRE SPRINKLERS
QTY. ELECTRICAL PERMIT· ISSUE _;-=-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP:'SWT BK R COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
____ ROCK STORAGE f---·
--+--R_E_M_O_OE_L_'."LTE_R PER CIRCUIT t -±1~~:_CHECK~E_E__________ I I ----,-· ~ TEMP PO LE 200 AMPS
EXIST BLDG EA AMP/SWT/BKR
IPH 3 PH
OVE A 200 AMPS
-+
---~-----!--+-------------+--------¼------
f--
i::ncinitas
S;:in ni11ni1itn
San Marcos
TEMP OCCUPANCY 130 DAYSI ------,-----t--
_____L --------it -------t--
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
01-00-00-B220
01-00-00-B221
01-00·00-8806
01-00-00-8222
01-00-00-8223
01-00-00-8224
01-00-00-8225
01 OO,Q0-8226:t_·_-_/.., ,( ./
80-92-33-0519
01-00-00-8227
32-00-00-8923
80-92-21-0519
80-92· 22-0519 -,--. -
80-92-23-0519
80-92-24-0519
I /S, -
-
...
I HAVE CAAl:ftJLL-¥',,EXAMiNEO THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HERESY :,Ex~-~E~ptr_mlt!SNMf.byJheBufk;!ingOfficijtt~nde(th.ep,-~i~ionsQfthfs * .MlaM, P£NilfT 1$REQUIREO.FOA,EXCAVATI0NS OVER
CERTlFY UNDER "PENALTY OF PERJURY THAT ALL INFORMATION HEREON lNCLUDING THE ~ ~aft expif"e: by tim_l~ion and become ~ll ~nd VOid. If the t,ulldmg or work .5.· 0''. DEEP ANDoaitoLf110N OR CONSTAUCTI0N OF
OECLAMTI0NS A1lE TIWE· AND CORRECT AND I FURTHER CERTIFY ANO AGREE ff A PERMIT IS authotized ~ such ~i_nit 18 not commence_d within 180 dayafrom the dale.of SUCh STftUClUBtS OVEft 3 STIRES IN HEIGHT permit, ot ,t th& building or work authotiud qy ,such permit iS sus ded Of
lSSl,JED: TO 'COMP\.Y WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON· L~-~!!;"!!"°'~19d~at~'"'!!J. [!tiin!!!""!!!•~afm!!!!!.J!""'~W!£°"'~1!!.•.£tom£!!!_!!!!!_ !fced!!.!!.J!kK!!.!•~•e,·od~o~I.J1!!1.,wL-;;:.P'!'!i:::~o::,:~~---~,:-~---~~------1 STRUCTION. MiETHE~ SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~
KEEP HARMLE$S_ THE.ciTY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGMENiS, COSTS AND ~-ICA.NT'S SIGNATURE Jf. • OWNER□ CONtRACT0. · DATE
EXPENSES WHICH MAY tN ANY WAY ACCRUE AGAltiIBT SAID CITY lN CONSEQUENCE OF THE " , l' , . ·~ BY'PHO O 7 )'j
GRANTINGOFTHISPERMlT. C'\-Stvi,l...~!I NE , I -)~--
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INSPECTION TYPE DATE
BUILDING.
INSPECTOR ~ ~</-'3'£.)
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION AEQ IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL ··--
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
F-OUNOATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
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 j PILES CAISSONS
ELECTRICAL I ' TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE I -----BONDING
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 HA VE BEEN APPROVED. --~----~-
JOB SITE FINAL ,,
PLUMBING _/ ,-.../
ELECTRICAL / -:--;r-t::-
MECHANICAL 'I V . .
GAS •
BUILDING ,.. r7 -~ /? \ -C
SPECIAL CONDITIONS (/ /,/ /_/ I
CERT OF OCCUPANCY ISSUED -/ IA ---,