HomeMy WebLinkAbout16 GREENVIEW DR; ; CB891382; Permiten z 0 i= C m: ~ u "' C
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U pr l1lon1 of Chapter 9 (commencing with ~ [ I Mreby affirm that I am licensed under
: Section 7000) of Division 3 of the Business
... end Prol"1lon1 Code, and my license 11 In ~ full force and effect.
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I hereby affirm lhal I am exempt from the Contrac-tor s Lanse Law to, the loHow,ng reason ISec 7031 5
Busmess and ProfesSO'ls Code Any crty or coun1y whacr. re-quires , pe,m,t to construct_ alter. tmpt'Dve demohsh °' rer,,1r any structure. prtOf to its issuance also requires !I'll ap·
p1,can1 tor such permit 10 file: a s19ned statement that ~ ,s
hcenseo pursuant to the p,ov1sions of lhe eon1rac1or s ltc:ense Uw (Chapte1 9 conwnencmg 'llr1lh Section 7000 ol OfvlSfOft J of the Busmess and Professt0ns COde) o, thal rs ex•
empl therelrom and the basis !or lhe allegea e11emphon Any
violation ot Section 7031 5 by an appltcant IOf a perm,1 sub-,ects lhe aPP,ant 10 a ctv,t pe~ty ot not more 11\an IIVf hun·
dred dollars (S500)
I. as owner of the prooerty _ or my employees w,tn wages as their sote compensahon will do the work and the strt.K· lure 1s no! tntended or otterec !Of sa" (5ec 7044 8uS1ness
and Protes.s,ons Cade The Con1ractor·s license Law does
not apply to an owner of property who bu1IOs or 1mprOYeS !hereon and who does sucn wOl'k tumselt or lhrough his own
emoloyees, provided lhit such ,mprnvemen1s are nol intend-ed or ottered for Sile II. however. the bu11d1ng o, improve-
ment ,s solO wIthIn one year ot complehon, lhe owner-bu"der w,11 have ll'le burden of prov,ng that he did not build or 1m•
prove tor the purpose or sa.,1
I, is owner ot tne property am exctusrvety conlrachng
with hcensed contractors to construe! lhe protect ISec 7~4. Business and ProlessH1ns COde The Contractor·s License
Law does not apply to an owner or propefty who builds or tm· proves thereon. and who con1racls for each pro,ecls with a conlr.clOIISl hcense pursuanl lo the Contrac:IOr s license Uw)
l As• homeowner I am ""l>'OY•no my Mme ano the totlow '°9 Cond1hons tXISI
1 The -k IS being pe<lortr<!d P< .. to sale 2 t h.iv, ltVed In my home tor twelve months
pnor to complet10n ot !his woor. 3 I have nol clanned this· exemp110n during lhe
last lhree years
D lamexemptunderSec ______ B&P.C for this reason ____________ _
\-,/ I hereby alf11m that I nave a cert1flca1e of consen1 to
4 1nsure o, a cltft1h~ate ot Workers Compensa11on In-
surance or a certified copy thereot {Sec 3800. Labor Code}
roucv No ""1-CJ 1 -::;-oo-8'i
COMPANY .STt1Tll ;::1,,0Je
~Co~ 1s hied w1tl'I the c,ty
0 Cer11t1ed CODY rS hereby turn,sP\ed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be comptete<I 11 the perm,t
Is for one hundred dOllars tS U)O) or less)
0 I certify that In the performance ol 1ne work tor which
this permit ,s ,ssued. I shall not employ any person in any
manner so as 10 become sub1ect to 1ne Workers Compen-
sation Laws ot California
NOTICE TO APPLICANT. II. alter making th,s Certllicate
of Exemption. you should become sub1ect to the Workers
COmpensat1on provIs1ons or the Labor Code. you must
torthw11h comply with such prov,sIons or this permit !.hall
be deemed revoked
0 I hereby afrirm that lhere Is a construction lend1no
agency IOf the pe,tormance of the work for which this pet·
m1t is Issued (Sec 3097. Cwil Code)
Lenders Name~-----
Lender · s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .... ---···-· . -. ·--··-··-· -·········-·· ----·-··· --·-------------------
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
J08 A7i; AV ST.RO. THOMAS BROS NO . I o;r l1 ;~7;;0NI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
r-e. e.~ "-) v ra-w . 'J'\{l..-:-e.LLJi3~~o-A~ /J:J-=r W tc,.1 ,.,,_i--v-LOT BLOCK ) sueo, v,s,oN I ASSES,, ~c~ ~ 1 g, oc) CONTRACTOR CONTRACTORS PHONE• ZONE
OWNER·s NAME l10Mc! Oi,A,J~~I--S I owNE R·s P~.ffi MAIO PLw.{s l~i<6-i~3~
Gti~C!: fJ V7.&vv ASSO-
C.1:'tJStW ft/11"< • CONT RACToR·s '>00RESS STATE LICENSE NO. BUILDING SO. FOOTAGE
C/12 -r-;;JBO~ q.333 T'1.AD~ Pc... s.0.C,A ~·~ 3'i3~c:t ":1-OWNER"S MA•L•NG ADDRESS {.';rNS~ MAa.JR~C-tvl
t:.,GJ<=t.:) tt"L ~W\~ ~AL sr.$1c,,t;' DESIGNER DESIGNER'S PHONE
DESCR•PTOON OF WOl'tK 1? ~ Pt AG.I: t-.)e--._ t.:::~ c..~"'t DESIGNER"S ADDRESS STATE LICENSE NO.
oF-~~ Ft1:c:1:rvB' rrAS f>1Pr.JJ6-9796 09/13/89 0001 01 02
FIP FLA ELEV NO OCC GP EDU C-PRMT 10-P~
I~ fV Atr-r ~fl.Ott\Nf>
STORIES
YO NO
CENSUS TRACT I PARK ING SP'>CE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FI RE SPA
AREA CONST
y Q N Q vO NO vO NO Not Vil/id Un~s Milchine Cert1/1«J
QTY. PLUMBING PERMIT · ISSUE '}So QTY. MECHANICAL PERMIT · ISSUE JS@ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100000 BTU BUILUINl> l'tRMIT 001 ·810-00·00·~au
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001 ·810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00-8891
EACH GAS SYSTEM I IO 4 OUTLETS 'v \.f BOILER/COMPRESSOR 3 IS HP TOTAL PLUMBING 001·810·00-00·8222 IV,-
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001·810-00·00-8223
EACH INST AL . ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE OUCT MECHANICAL 001 ·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001·810·00·00·8226
EACH ROOF DRAIN I INSIDE 1 DRYER VENT STRONG MOTION 880·519·92·33
TOT/;L MECHANICAL FIRE SPRIN~LERS 001-810·00·00·8227
IOTAl PlUMBINL I /fJ -PUBLIC FACILITIES FEE 320·810·00·00·87 40
S°c) BRIDGE FEE 360-810·00·00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN·LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 312·810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311-810·00·00·8835
EXIST BLOG EA AMP SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00·00·8162
RE MODEL ALTtR PER CIRCUIT MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ElELTRILAl I TOT Al TOTAL FEES PAYABLE L JO -
Experat,on Every permit 111ued by the Bu1ldmg Offlc1e1 under the p,0~1s,on1 of th11 ...... / I HAVE C'>REFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY * ANr~ IS~ FOfl UCAYATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1hall ••Pl•• ~~il and become null an<1 vo,d 11 the bu,1<1,ng or work ~-o·· EP DOIOUTlON 011 CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND .AGREE IF A PERMIT I'> authorized by such perm•t t commenced w,ttun 190 days hom ,~ date ~t suer, STIIUC S OYER 3 STONES IN HEIGHT
1 P9Jm1t. o, ,t the bulldt wotk 1uth0t1.r~ by such pe,m,, 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned et eny 11 the work ,s com~ced tor 1 ,,.,.Od ol 1110 --•~• ~ ,.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
~~E•
OWNER• CONTRACT~ APPROVC-1-~/.~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -, BY PHONE f] I jl gq GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME • FLOOR • CEILIN(S
SHEATHING D ROOF D SHEAR
FRAME I
r
EXTERIOR LATH '
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
I • SEWER AND BUCO • PL/CO
UNDERGROUND D WASTE • WATER
TOP OUT D WASTE D WATrER
TUB AND SHOWER PAN I
GAS TEST ' D WATER HEATER D SOLAR WAT~R
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UfiFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING: .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ' <r . .
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE /BEEN APPROVED.
FINAL I
' PLUMBING I •
ELECTRICAL I
MECHANICAL l /"\
GAS I 9/:U;/k ---;--' (
BUILDING I
,
SPECIAL CONDITIONS I
I
I
I-
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" ' . J I ' . ' FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE 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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