HomeMy WebLinkAbout1840 OUTRIGGER LN; MP; 86-266; Permit1h z 0 ~ C a: C _,
0 ... 0
re
I[
0 u
re ... 0 _,
5 ~ ... z ~
z 0 ~ 1h z ... ~ :I 0 u
1h
ic ... " a:
0 3:
1[
I hereby affirm that am exempt from the Contrac
tor s license Law !or the following reason 1sec 7031 5 Business and Professt00s Code Any city oc cotmly whic.h re-
qurfes a perrnir to construct aller. Imprnve demolish. Of
repair any structure, priOr to its issuance also requires !l'le ap-pl,cant tot such t)ermn 10 Me a s1qned statement that he Is
hcensed pursuant to lhe provisions of lhe COntracto.-s
License Law (Ch.apter 9 coovnencmg with Sechon 7000 of
0l'J•s1on 3 of the Business and Professions COde, or that 1s ex-•
empt lherelrom and lhe baslS for !he allegea exemption Any 1n01a11on at Section 7031. 5 by an apphcant IOf a per(llft sub➔
iec1s the applicant to a c1v11 penalty of not more lhan h-,e hun·
dreo dollars 1$500).
I. as owner of lhe property, or my employees w11h wages
as lt\elr so1e compensation, will do the work ano the struc-ture 1s not intended or ot1eret1 for saie (Sec· 7044, Busmess
and PfotesS)()Os Code The Contractor's license Law does
not apply to an owner of property who butlds or improves thereon and who does such work tumsell or lhrough tus <Mn
employees, provided that such improvements are not mlend-
ed or ottered tor sa!e If. however. the bu1klmg or improve-ment is smd wIU'un one year of complebon. lhe owner-builder
will have the burden of provmg that he did no! build or im-prove lor !he purpose of sale)
D I. as owner of the property, am exclusively contrachng w11h hcensed conuactors to conslfuct lhe pr01ec1 (Sec. 7044, Business and Proless10ns Code The ContractOf's License Law does not apply to an owner of property who builds or ,m-
proves thereon. and who contracts for each prOjects wilh a
conuactor(s) hcense pursuant to lhe Contractor's l1tense Law).
O As a homeowner I am improving my home. and lhe follow
ing cond111ons exist 1 The work 1s being per1onned prlOf to sale
2. l hav-e lived in my home lor twelve months pr,or 10 completion ol th,s work. 3 I have not claimed lh1s exempt10n durmg the
las! three years
D I am e,empl undtr See. ______ . B & P C tor this reason ____________ _
t)t. I hereby i:fltrm that I have a cert,hcate ot nsent to
sell-insure. or a cemflcate ol Workers Cqn\_pe sallon In•
surance. or a cer!lfted copy thereof tSec. 3fiOC\ abor Code)
POLICY NO
COMPANY
~ Copy IS lded with the City
D Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit
is for one hundred dollars ($100} Of less)
0 I certify that In the performance of the work fOf which
this perm,1 is issued. I shall not employ any person in any
manner so as 10 become subJect 10 the Workers· Compen•
sa!lon Laws of Cahfornia.
NOTICE TO APPLICANT: If, after making this Gert1flcale
ol Exemptton. you should become sub1ect to !he Workers·
Compensation provisions of the LabOf Code. you must
lorlhwith comply w1lh such provisions or this permit shall
be deemed revoked.
D I hereby alllrm that there Is a conslruction lending
agency fOI' !he performance of the work for which lhlS pe<·
m1t Is issued (Sec. 3097 Civil Code)
Lender's Name
Lenders Address
USE BAU POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
/F'/_O
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APP~l~ON & PERMIT
l'oe ADDRESS AV ST RD. NEAREST CROSS ST VALUATION PERMIT NUMBER
I <1-7 <J.
L 'JT BLOCK
cu7P.J0)F-"
I sueo,v,s ON {,, ~ 7_-
I .A Alf::' f'\,f A~~ I ASSESSOR PARCE. NO
0-
C0NTRACTOR fU~J.L..:::__!;._u;2__J-Z-O_N_E _______ ...jU : / t
JJ&nu~ So# LJE7./, <!c"'J. ~ ~ '1W..,_ ER'S NA~E
J. IA77/J f: _<., JA) .£)£1/-. ~/. 1 o/ t/ 7~i1 ~-;__
·owNE. A'S ,.,A NG ADDRESS
CONT RAC-OR'S ADDRESS
~A t1l1=.
/JI) f:__<..(C'N/)Jj)t) A l'E. q /CJ."< t.l/SrA. f7A DESIGNER
AJA. 0ESCR P'1QN OF WORK
t------------jl-,h~~~:__---------~ DESIGNERS ADDRESS
:~TA-LL ICC {Z)tllt-t 6
LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
DESIGNER'S PHONE
LICENSE NO
~ u:::
?:-c,:J
0 ci
E a.,
I-
I
'O 0 0
c co (.)
ci ci
H")~ IIYlF:TF/2-
PARK ING SPACE I RES UNITS
~t/l (. ElE<.".' I I I F p FLA ELEV.I I NO OCCGP I EDU • -r/2/2/ {al4. //£JI,_) ~{:>I..$ vO NO STORIES 3/T8/B6fl 169 a-_._._..
<l'. 30tod 1ap
CENSUS TRACT GP LANO USE GRADING PERMIT ISSUED REDEVELOPMENT
AREA
TYPE
CONST
OCC LOAD FIRESPR
YO ND vO NO vO NO Nor Valid Unless Machine Certihed
QTY.I PLUMBING PERMIT -ISSUE 7-!2 QTY.I MECHANICAL PERMIT -ISSUE 3_, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS iJP TO 100,000 BTU I I BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWER I j I OVER 100,000 BTU I I SIGN PERMIT 001-810-00-00-8221
EACH WA TEA HEA TEA ANO OR VENT I j I BOILER/COMPRESSOR UP TO 3 HP I I PLAN CHECK 001-810-00-00-8806
I I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM 5 OR MORE 1 . METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 ~o~
QTY.
EACH INSTAl . ALTER, REPAIR WATER PIPE -+ ~ I VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER I H I RELOCATION OF EA FURNACE/HEATER I U MOBILEHOME PARK INSP
EACH ROOF ORAIN (INSIOEI I II I I ( SOLAR
TOIAL PLUMBING T
TOTt;L MECHANICAL ~TRONG MOTION
Q sPRINKLERS
001-810-00·00-8226 I I
880·519-=·9=-2·-=-33=--t·-----------l•
001-810-00-00-8227
332-810-00-00-8930
ELECTRICAL PERMIT -ISSUE ..:J _,._ QTY. SOLAR · ISSUE
1~--l------------------+-------ll---+-----------------+-.,..----➔----""'--,.-1,_-----------+-----------l
I NEW CONST EA AMP SWl BKR .,2. $'"' --COLLECTORS
I 1 PH 3 PH STORAGE TANKS lf---+-.:..;.:.--------------+---_:_-+---l---------------+----'"El...-"'C...-.;J!---+,i/"'---~~~-------+---------1
I EXIST BLOG EA AMP SWT BKR ROCK STORAGE
I 1 PH 3 PH PUMP
I RE MOOE L AL Tt A PER CIRCUIT PLAN CHECK FEE r ..... ~« • <".l'A :11_.6, TEMP PO LE 200 AMPS · . LI~
1 1 OVER 200 AMPS . • MFF ~~ --------I I
TEMP OCCUPANCY 130 DAYSI . CREDIT ~SIT
001-810·00-00-8162
880-519-92·57
TOTAL ELELTRICAL 7 3t:? ..-TOT AL SOLAR TOTAL FEES PAYABLE l °3d~
I
E)lp1rat1on Every permtt 1s!lued by the Bu,ld,ng Offic11,1 under the prov1sIons ot thrs
Code stiaU exp,re by 11m1tatton anc, become nutl and vo10 If tne bu11oin9 or wor!I
authorized by such permit ,s not commenced wnhin 180 days from !he aate or sucti
I HAVE CAREFULL v E.XAMINE0 THE COMPLETED APPL!CA-,NAN ?FRMIT ANO i)O HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON SNCLU0JNG THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED fO COMPLY WITH All CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON ~rr;;i;:.,n~ ·~ '.:~ ~~~:;ri r J .,~~,:ulhc"~~~....:'le~~~~ .""'r;:;;,,-~i'~:r.;~d':'1 O
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STJlUCTVRES OVER 3 STORIES IN HEIGHT
STRUCTI0N. Wi-<ETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE_ INDEMNIFY ANO O NE CONTAAC >R ~ APPROVED 8"' -
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS. COSTS AN W · DATE
,5-;-v--fh EXPEl\iSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BV PHONE Q
GRANTING OF THIS PERMF ;.I--'
r
.:.::
C a:
0 rn rn a., rn rn <l'.
I
;;:
.Q
Qi >-
rn rn a.,
(.)
0 a:
co
<U 0
~
a.,
(.)
C co C
u:::
::::.
C a., ~ 0
0 u a.,
ci rn C
~
L:. ~
-TYPE t DATE INSPECTOR I --
BUILDING I ~~-~~
FOUNDATION t FIELD INSPECTION RECORD
REINFORCED STEEL ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEl~ING <I., SOILS COMPLIANCE ,. SHEATHING □ ROOF D SHEAR PRIOR TO -. Q FOUNDATION INSP : ,i ~.. • --,· FRAME I . •; ,,. .. ~
.·11' I STRUCTURAL CONCRETE . EXTERIOR LATH I OVER 2000 PSI ' . . ' INSULATION I PRES TRESSED .. • .,• 1'
CONCRETE " '~· .. ,,., ---. ' INTERIOR LATH & DRYWALL I POST TENSIONED ... ,,, .. ,... : ,.
i ◄-.. ~•, s" I CONCRETE ~ I • .. ' . ;. '+-j PLUMBING I FIELD WELDING ·"' ... .:\ □ SEWER AND BUCO □ Pt./CO HIGH STRENGTH ,:•\I BOLTS UNDERGROUND D WASTE D WATER
\. t SPECIAL MASONRY TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
~ D BONDING D POOL ! -. \ I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING ' -· 1. .-· .. ,... -... , --,;'"l•1t"': ' ' HEAT -AIR COND. SYSTEMS I ':.,._. ,_ :.,._ ._, -" "".,_ _ _,
VENTILATING SYSTEMS I '
I
CALL FOR FINAL INSPEC,~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I II
PLUMBING I I J ,/
ELECTRICAL I -=3,,,-10·0/ Ii-/lw.£ ~l) I : MECHANICAL I I ----GAS -. I .
BUILDING I > I
SPEC!AL CQNDITIONS I
,
I