HomeMy WebLinkAbout1880 MARRON RD; 100; CB881395; PermitIll z 0 .: C a:: C -' 0 ... 0
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O I he<eby affirm that I am llcenaed under
pro,,lalona ot Chaple, 9 (commencing with
Section 7000) of OIYlalon 3 ot the Business
and ProfeHlona Code, and my license is in
full force and effect
hereby ,thrm fllaf I •m e.,empl lrom !he Coou ac tors Locense La,. lor tile ,_,ng ruson !Sec 7031 5
Busmess ana Professions Code Any c11y or county wh1c.t. re quires a perm11 to construct alter improve demo11sh. °'
repa,r any structure prlOf to its issuance aiso requ,res !he ar.i ·
pl~nl t°' such permit to tfe a S1Qnred statement lhal tie 1s
hcense<t pursuant 10 the Df0't'1s,oos o1 1he ton1ractOC' s LICer'lse Law !Chapter 9 commenong w,tn Section 7000 o1 O.v,s,on 3 01 lhe Business and Proless,ons COCleJ or Iha! 1s ex
empt lheretrom and lhe basis IOf the at1egeo exemp11on Any
v1CMat10n ol Section 7031.!> by an appliunt lor a perm11 sub teels !he 1pp11cant 10 a c,v, penatty ot nol mo,e thaf"I live hun
dred dollars iS5001
1. as owner ot the o,operty or my emp10.,ees w,th wages
as lhe,r sole compensation v,111 do the wOfk ano the slruc·
lure 1s not 1n1enc:1ed or ottered tor sate {Sec 7044, Business
and Professions COde The Contractor s Licenc;~ Law does
not apply 10 an owner ot property who bull<ls or improves
lhefeon ancs who does such w0tk nimse1t o, uirougt\ his own emotoyees. provided 1hat such tmprovef!lerils are not mlend
ed or ollere<l tor saie 111, hOwever, lhe building or Improve
ment 1s sold w1thm one year ol comp1e11on. lhe owner-builder will have the burden ol proving that he did not build 0< 1m
prove tor lhe purpose ol s.are,
I as ftner ot the property. am exclus1ve1y con1ract1ng
with 11tenSed conlraclors lo construct the pro,ect (Sec 704•
Business anc:1 Pl'ofessions cooe The ContractOf·s license
Law does nol apply to an owner ol property who builds or 1m·
proves lherton and who contr~ls tor each proiecls with a
contractor(s) license pursUint lo the Contracrcw·s Lteens! u .. )
I • As a homeowner I arn 1m(Jfov1ng my home and the toilow
mg cond11tons exist • 1 The work 1s being performed pnor 10 sa1e 2 I have hved in my home lor 1we1ve mon1hs
prtOI'" to complehon ot lh1s woo1. · hav·e not c~•med ll'\1S exernptton Ouring lhe .ast three years
I am exempt under Sec -------lor this reason B&PC
thereby atl1rm thal I have t1 cert1hc11e ot consent 10
sell insure or a cerhhca1e of Workers Compensation In
surance_or a cert,f•ed copy thereof (Sec. 3800. LabOr Code!
POLICY '°0
COMP.t.NY
Copy •s !tied with lhe c,ty
D Cert1hed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COM •ENSATION INSURANCE
!This seclK>n need not be comp{eted 11 1ne permit
,s lor one hundred dollars 1s100, Of less)
I cert,ty that ,n 1he pe1formance of 1ne work for which
this perm,1 ,s ,ssuec:L I sna11 no1 employ any person in any
manner so as 10 become sub1ec1 to the Workers Compen satton Laws ot Cahforn1a
NOTICE TO APPLICANT II, after making this Cer11t,c11e
of E11emp1ton )OU shOuk:t become subject to the Wor~ers
Compensation PfOv1s1ons of the lat>ot Code. you musl
to,th.,..tlh comply with such prov1s1ons or ttus perm,t sn•II
t>e deemed revoked
0 I hereby affirm thal there is a construction lendmg
agency tor lhe performance of the ~Ork for ~.t11ch tt11s per
m1t is issued !Sec 3097. C1v11 Code)
L
Lender s 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
JU8 ADDRESS f{)~v~;~ / ;;;;;s NO IOATE ;;,~~
BUSINESS LICENSE • VALUATION PERMIT NUMBER
IS8'0 N/Ji.£/)AJ @fl 31/~ LOT I BLOCK J sueo1 \11S10"4 I ASSESSOR PARCEL NO CONTRACTOR . CONTRACTORS PHONE o ZONE o,~~-e;I. -0 111/Nf R·s NAM£ I OWNER'S PHONE
HO Ztl 1/J. fl hAh19i CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO FOOTAGE
OWJ!lr,ff R"S ~A'l •""1G ADDRESS 111100 2513 11\/17/AQ ~1 ,.. A-
/8~0 Hl9k!.ROA1 R.D f:11LI~ b,41) DESIGNER OESIGNE R·s PHONE --v-BldP11t 1s.c~
OESCR•PT10N Of WORI( --DESIGNfR·s ADDRESS ....;-NSE NO
\.._~ A ~ 1 I It=> p> -f .AA. TJ,,, tW.)ylJI' -------[ Kl,/--'a I A I,. 1 -;.,..-J.. .}J. .. , : • ~ ~-NO ace GP . EDU
~ .. ~. • 't ~ OJ A A~ -' STORIES
~ ~ CEt1SCiS TRACT ,ARK1/lcISPACE ·I RES "/;ITSL GR~RMITIS~ REOEVELO•MENT TYPE DCC LOAD FIRE SPR , ..... ~ AREA CONST ~_-A,, .... ~ .... 1-L -JV () , ... '.L, .,. --., , --TUI .,., ,o .... o vO NO Nor Valid Un~s Machin~ C~rrd1"1
V ~ ....
MECH~ERMIT • ISSUE /# fr QTY PLUMBING PERMIT · ISSUE QTY SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP --...... INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDING ~tHMI I uu 1 ·810·00·00-~au
EACH BUILOING SEWER --OVER 100 000 BTU SIGN PERMIT 001·810·00·00·8221
EACH WATER HEATER ANO ~NT BOILER COMPRESSOR UP TD 3 HP PLAN CHECK 001-810·00·00·8891
EACH GAS SYSTEM 1 r...c,<ouTLETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING OOi 810·00·00·8222
EACH GAS SYSJ..E-t<'~ OR MORE METAL F,REPI ACE ELECTRICAL 001·810·00·00·8223 /.!!i. v--
EACH I~ ALTER REPAIR WATER PIPE VE NT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
~ VACUUM BREAKER ME CH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225 -WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001 810·00·00·8226
FA,'.H ROOF IRA I, '<Sil1E I DRYER VENT STRONG MQT:QN 880·519·92·33
TOTt.L MECHANICAL FIRE SPRINi<LERS 001 810·00·00·8227
TOIAL PL UMBINL I PUBLIC FACILIT'ES FEE 320·810·00·00-8740
fi~ BRIDGE FEE 360·810·00·00·87 40
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
1 PH 1PH AWNING LA COSTA T'F 311·810·00·00·8835
EXIST BLOG EA AMP SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00 10·8162
REMODEL Al Tl R PERC•RCUII MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER ZOU AMPS
!EM~ OCCUPANCY JQ.DAYSI
I -,n, • Lu r-o \LJ),-I~ CREDIT DEPOSIT -Tf,AL flflTRICAl I l l'I'. -TOTAL TOTAL FEES PAYABLE /~(V
I HAVE CAREFULLY EXAMINED THE COMPLETED• APPLICATION ANO PERMIT' ANO DO HEREBY E,cpirat,on Every permtt issued by tt'le Bu1ld1ng Otf1c1al vnder the prov1'51ons of lh•s * AN OSNA PE ... :T IS AEQUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1tm 1t11ton and become null and void If the budding or work S 0 .. DEEP ANO OEMOlfTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I!, authonzed by such perm111s not commenced w,th•n 180 days from the date 01 such STRUCTUMS OVER 3 STONES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON ::'~n~ 1!t 1:~Y ~,:1Je~~h=~~,:~!hi~~:'~{~~~~ :8~'::~1~fs~:gedn1~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~ OIIIINER\?lf CONTRACTOR CJ APP~~ iD1oJJ/rr KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APPLICANT 5 URE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE)( ~I ~~ ..... -
GRANTING OF THIS PEAMt• J .-=--C/ BY PHONE. n .,,,./
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY ,.
GUNITE OR GROUT -..; t) _·,. "' _,:J 1
SUB FRAME D FLOOR D CEILING ' ,
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LA TH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PU CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL "
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
0 BONDING D POOL
MECHANICAL •
D DUCT & PLEM., D REF. PIPING . ,
HEAT -AIR COND. SYSTEMS .--. ( ' -. .
VENTILATING SYSTEMS ·-:....
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA_'!~_E3E;~lj_A_PPR~O~V_E_D_. --~
FINAL .. .
PLUMBING
ELECTRICAL
MECHANICAL . \ ' ' .. ;
GAS .
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR'S
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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DATE
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INSPECTOR'S NOTES
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