HomeMy WebLinkAbout1795 MCCAULEY LN; ; CB881317; Permit., z 0 ;:::
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" ' ~ [ .Li_ I hereby aHlrm that I am l!cen99d under
0 1~vtalons ol Chapt.er 9 (commencing_ with = Section 7000) ol Division 3 ol the Business
~ and Profeaaiona Code. and my license 1s in ~ lull force and elf&c:1
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1 Mreby alf,rm That I am exemo1 trom 1ne Contrac
rn, s License Law tor the to11ow1ng ·eason (Sec 703' S
Bus,ness and Protess,ons Code An'/ c,ty or county wh,cr, ,e
quires a perm,1 lo conslrucl a11er ,mprove. demol,sh or
repair any structure. pr.or to ,ts issuance also requires !heap
p'rcant for such perm,t 10 1,1e a s,oned s1a1emenr rt,at ~e rs
1,censed pursuant to lhe provosrons ot lhe Contracior s L,cense Law (Chapter 9 commenc,ng w,rn Secllon 7000 01
Di,1s1on 3 01 the Busmess and Pro1ess,ons Code, or that ,sex empt 1herehom ana 1ne basis for the a1legeo e,empt>on A.ny
,1Glat1on of Sectron :'031 5 by an appl,can: fDr a per-n,i suD
1ecis The applicant to a c,v,1 penalty of nol mo,e than lrve run
Cred do'lars 1$100'
1. as owner ol The properly or my employees w,•~ wages
JS lhe,r sole compensatton w1I' do !he work and the struc
ture ,s no: ,n1eMed or ottered for sJle !Sec 7044 Bus,ness
anc Protess,on~ Gode The Con1rac10,·s License Low does nor apply to an owner o1 properly who builds or ,mpr~ves
•~ereon aM who does such work h,msell or 1nrough h1s ovm employees. prov,ded that such improvements are not rntelld-
ed or offered lor sale II however the bu<ld,ng or ,mpr~va 11ent ,s so•d w1th1n one year 01 comolel,on. lhe owner-builder
w,11 have lhe burden of prov,ng that he did no1 hu,ld or ,m-
8rove for lhe purpose ol sale1
I as owner ol lhe property am enlus1ve1y rnotractong with licensed contractors to construe! lhe pro1ecl {Sec 7044
Business and Prolessmns Code The Contracror s License law does not app·y roan owner of p,operTy who Du1lds or ,m
oroves !hereon and who contracts 1or each pro1ects with a contractor(s) 11cense pursuanl to The Contractor s License Law)
As a homeowner I am 1mprov1ng my home. and Thi tallow ,ng cond,t,ons ex,st
I The work ,s being performed prior ta sale
2 I have loved ,n my home for lwelve mon1hs prior to compleMn ol th1s work
I have not cia,med 1n,s exemption dur,ng the lasl three years
I am exempt under Sec _____ _ B & P C •or 1h1s reason ____________ _
t. I hereby af'rrr'1 thal 1., rsure o, a cert,trcate ~:'~/ cert,f,cate of consent 1~
PO:~~: :~ ce?'O c;;,Y ;:;.~;2~, ;;J:~•~~~:;
COMPANY <' ~ ~ LJ O /7 ·c. Ccp) ,s t,.e~t~ CrsvA-cJ -...
Certrf,ed copy ,s ~ereby turn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
,T.,,s sect,on need not be completed ,f the permn
•s for one hundred dollars 1$1001 or IE"SSI
_: I certify that ,n lhe performance of 1ne work for which
·h,s permit ,s ,ssued I shall not employ any persoo ,n any
manner so as lo become sub1ec1 to the Workers· Compeo
sa1,on Laws ol Cal1lorn1a
NOTICE TO APPLICANT If after making th,s Certo11cate
of Exemption you stiould become sub1ect to the wo,kers
Compe~sa1,on prov,s,ons of ttie Labor Code. you must , forlhwrlh comply with suet, p,o,.s,ons or thos perm rt shall L be deemed ,evoked
11
I ~ereby affirm that mere ,s a construc1,on lending
agency to, the performance of the work tor wh1c~ this per
m,t ,s ,ssued 1Sec 3097. Civil Code!
Lenders Name __
Lenders 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 ADDRESS It. CA (//'ii:_¥' THOM"l7:Jz I 9::'z ,:J]0"I BUSINES~ VALUATION PERMIT NUMBER
l??s 9'ft:,OO
LOT BLOCK I SUBDIVISION I Assrri h"£!''t-0-1-o --7 (_, ;l:e":;;1tl",/\_ ,f focX.J CONTRACTORS PHONE • ZONE (f,it1~ 11/ Ll'tf' G'"" II C/1 ow?~M~ (? LJ 111,,..,.,1-(../rl--(' I ~:J'v:;:i·:::.·~ -
C079CORS rt:""1 ( ¼1~,/ ds <
STATE LICENSE NO. ~ BUILDING SQ. FOOTAGE
_ti/)( z3u< I
OWNER'S MAILING AOORE::15
~~ DESIGNER DESIGNER'S PHONE
-. . 2352 10/06/88 0001 01 DESCRIPTION OF WORK J/'o' ( ~ \1/..,.,&-l.ltJo ~ 02
DESIGNER'S ADDRESS STATE LICENSE NO. Bldf'at 148.( ) , -
' ' FLA ELEV NO OCC GP EDU
STORIES
--□ "'□ I CENSUS TRACT l PAPK1NG SPAC~ I RES uN,TS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPP
AREA CONST
,□ 'D 'CJ .... o vD ND Not Valid Un/en MJchme Certd1ed
QTY PLUMBING PERMIT -ISSUE 7 '>,.9-QTY MECHANICAL PERMIT· ISSUE 1£~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU tlUl~u""' ~'tRMI I uu 1-b 1u-u0-UU·ou'J 0 -I
EACH BUILlJING SEWER OVER 100,000 BTU SIGN PERMIT 00 1-810-00-00-82 21
I EACH WATER HEATER Afl.LI OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 "7.~ V ,_
I EACHGASSYSTEMl IU~l)U1LE1S BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBING oo·-s 1 0 :io ::io-s222 ,~
EACH GAS SYSTEMS OR MORE META.L FIREPLACE ELECTRICAL 00 • -8 1 0-D0-00-82 23 16
EACH INST AL ALTER, REPAIR 1\'ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
f EACH VACUUM BREAKER MECH fXHAUST HOOD DUCTS MOBILEHOME 001·81 ::l-00-00-8225
'/\'ATER SOFTNER RELOCATION OF EA ~URNACE HEATER SOLAR CO 1-8. 0-00-D0·8226
F,\CY RU'.;,1 DR,\·'J \sir:,r, DRYER VENT STRONG MUTiOr-.J 380-519-92-33 I
TOH.L MECHANICAL FIRE SPRl~Jt\LERS 001 -810-00-00-8227
TlllAl PllJ\,ifllNL I PUBLIC FACILITIES FEE 32()-8 1 0-D0-00-87-10
s~ BRIDGE FEE 360-810-00-00-87 40
QTY ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP PARK·IN-L·EU ,:,\,REA '
NEW CONST t:.A AMP SWT HKR CAR PORT Tlf 312·81 0-00-00-8835
I PH I PH AWNING LA COSTA TIF 3 ·11-81 0-00-00-8835
rx1s1 !HOG EA AMP SW! BKR GARAGE FMF
I PH .1 PH LICENSE TAX 0:-1 ~1,J,C,0-:0-3162 ..., REMOOFl Al llR P[R C:HCUIT Mff 880-519-92-57
H"1PPOlE !UO A',1P~
OVt:.H llJU AMPS
TEMP UCCUPAN(Y 30 [JAYSI
CREDIT DEPOSIT / ?.:J ,u 7
l1JTAL llll.TRIUII I TO' A, TOTAL FEES PAYABLE I l#ov
! HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every perm,t ,ssued by tP!e Buildmg Ofl1c,al unde• the pro,..,s,ons ofth,s * AN OSHA PENilUT IS REOUtflEO FOA EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e11p1re by limitation and become nun and void JI the buoldmg or work s· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE !FA PERMIT IS
authorized by such perm,t is nol commenced w1lhtn 180 days trom the date 0! such STRUCT\Jftf:S OVER 3 STOfUES IN HEKiHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUlLOlNG CON-~';::On°.'.ci 1~11:~11 ~r:1:ffe~~h=~~,:~!°ii~~e~!~~~ :~~~
1
~,s~:ge~de<I or
STRUCTJON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANrs SIGNATURE • /IV' APM: f• n DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUT!ES, JUDGMENTS. COSTS AND ·~:z EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~7' /_/Y BYPH E rJ -1-~ei· ~,, GRANTING OF THIS PERMIT __ /_, ___.., l-" r _J -
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION ,-1
REINFORCED STEEL .• ~ "t/
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BL/CO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST . -,/
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER 1((-'f/ ~/----
ROUGH ELECTRIC '\
D ELEjlTRIC SERVICEJ □ TEMPORARY /
□ BONDING G"POOL ,fee,'
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL rb
MECHANICAL ~
GAS .. f'\ I,
BUILDING J\., \ .. " ' ' SPECIAL CONDITIONS \ V 'l" ,,. '
/I '2-. 8.8 I ~ 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
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-~ HIGrl STRENGTH
BOL Ts
SPECIAL r,.,lASUNRY
PILES CAISSOM~
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And FIii In Shaded Area Only
CITY·
White -FIie Yellow -Applicant
2181 09/29/88 0001 01 05
Kite 76-00
VALIDATION AREA
q (o o o
PLAN CHECK FEE 001-810-00-00-8821
IF THE APPLICANT TAKES NO ACTION
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED.
CHECK IF SUBMITTED:
□ 2 ENERGY CALCS
2 1987 ENERGY CALCS □ FOR NON RESIDENTIAL BLDGS
□ 2 STRUCTURAL CALCS
□ 2 SOILS REPORTS
□ 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
LA COSTA LETTER
SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
Pink -Finance Gold -Assessor
1100 ELM AVENUE
· .,, • iil,,O, CAL.IFORNIA 91008
TELEPfl•C,:c:,
(7141 7,•: I l~I
Thls document will certify that I am aware of the pi:ovisions ot 1.1,.
California Administrative Code, Title 24, Section '1'20-1406 (c),
"Swimming Pool Heating", as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fuelce·l
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
c:<ecuted.
For the swimming pool located at / 7 1 C ./!fc Cu l-fi'"-/l
(site address) I certify that all of the following requirements f,:n·
fossil-fueled (or electric) swimming pool heaters will be met:
l. Outdoor pools shall be equipped with a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot li·1ht.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January l, 1982, new heaters installed must have 75%
thermal efficiency.
S. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
,.
Print Owners Name:
Owners Signature: Date:
Print Contractors
Contractors Signature:
Address:
Gv c, -'ti c<T'4_j (7('1-CJ L<) ') /1/
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