HomeMy WebLinkAbout1903 Estrella De Mar Ct; ; 82-219; PermitCl) z 0 ~ cc < ...J u w 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, ana my license Is In
full force and effect.
Lie. No-----Class _____ _
I hereby affirm that I am exempt from the Con-~~~·~~!i~:: ~ ~,:;.:1~c!l.~~i~
county which requires a pe,mit to construct
alter, improve, demoHsh, or repair any structure, prior to its issuance also requires the applicant tor
such permit to file a signed statement that he is
ltcensed pursuant to Ille provisions ol the Con-tractor's License Law (Chapter 9 commencing with
Section 7000 of o,v,sion 3 of the Business and Pro,-
tessions Code) or that is exempt therefrom and the
basis lor the alleged exemption. Any violation of
Section 7031.5 by an applicant lor a permit subjects tne applic.Ntt to a civil penalty of not more than f1Ye
hundred dollars ($500).
0 I. as owner of the property, or my employees
.. ith waoes as their sole compensation. will do the
work, and the structure ,snot intended or offered for
sale (Sec. J'O,M, Business and Professio/ls Code:
The Contractor's License Law does not apply to an owner of property who builds or improves thereon
and who does such work himself or through his own employees. provided that such 1mproveme;its are
not intende-1 Of' offered for sale. If. however, the
building or improvement 1s sold within one year of completion, the owner-builder will have the burden
of proving that he did not build °' improve tor the purpose of sale).
D I, as owner of the property, am exclusively
contracting with licensed contr~tors to construct
the l)(Oject (Sec. 7°"4. Business and Professions Code: The Contractor's License Law does not apply
to an owner of property who builds °' improves ~~~1~:, ~~ncs~n~~!~: ~~~~~~~;::.:
License law).
D I am exempt under Sec ____ , 8. & P.C.
tor this reason -----------
CJ I hereby affirm that I ha·~ a certihcate of consent
to self.insure, or a certificate of Workers' Compensatton Insurance. or a certified copy thereof
(Sec. ~. Labor Code).
POLICY NO. ----~r-'l---+-\1-\r-J---
COMPANY
D Copy ,s hied with t~ city "
0 Certified copy 1s hereby turn,1hed
CERTIFICATt OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f lhe perm11 1s for one hundred dollars ($100) or less)
0 I certify that in the performance of the worii; tor
which this pemut ts issued, I shall not employ any
person m any manner so as to become sub1ect to the Workers' Compensatton Laws of California
NOTICE TO APPLICANT If. after makon1 thos Cen,-
hcate of Exemption, you should become sut>Ject f')
the Workers' Compensation prov1s1ons of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked
O I hereby aff1rm that there 1s a construc11on
1en<11n'J 30ency tor !he pertormance ot !he work IOJ wtuch this permit 1s issued (Sec 'J{S7. C1v1I Code)
Lender's Name __________ _
Lender·s Address ----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADDRESS
1 .:1 ~
OWNER'S NAMEC .
'·"
OWNER'S MAILING ADDRESS
-
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
f'RIME CONTRACTOR f
CONTRACTOR'S ADDRESS -,_ A.J. ~-1 ...
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER
,..... ____ _
F/P f F LR ELEV.
.. !.,-.,J ;, -vO NO
GRADING J'.ERMIT ISSUED AREA
APPLICATION & PERMIT
8USIN6J),:J,NSE # VALUATION PERMIT NUMBER
ZONE
UCENSENO. PLAN LO.# BLOG USE CODE
J// Oi..L
STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE
,.
,rt) NO OCCGP EDU
STORIES
,-TYPE OCC LOAD FIRE SPR I REDEVELOPMENT CONST
vO NO vO NO Not Valid Un1#!ss Machine ~rtified
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I
YO ND
QTY. PLUMBING PERMIT· ISSUE 1. 5( QTY. MECHANICAL PERMIT· ISSUE a .• o::-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·000-4222 ---EACH GAS SYSTEM 5 0 R MORE METAL FIREPLACE ELECTRICAL 01-000-4223 ~7=----1----+--------------------4------------+-EACH INSTAl.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01·000·4224
MOBILEHOME 01-000-4225
MOBILEHOME PARK INSP
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS ._--+----------~·---------+------'-----i---4--~-RELOCATION OF EA FURNACE/HEATER WATER SOFTNER
EACH ROOF DRAIN {INSIDE) SOLAR 01-000·4226
TOHil MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-000-4227
QTY. ELECTRICAL PERMIT -ISSUE "I ,..,..
PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE QTY. SOLAR· ISSUE
-· V V" NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS earls bad 65-623·0519
EX 1ST BLOG EA AMP/SWT /BK R ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT ;D A.K.:J 'J <;" + c1l,) PLAN CHECK FEE San Marcos 65-626-0519
TEMP PO LE 200 AMPS -
OVER 200 AMPS I
; . ,, -TEMP OCCUPANCY (30 DAYSI n . . ,~--+-------~-----~--
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PEAMfr lfMd.8 JOd&F.15111811'._tf&atsQDOfllclllluncllr=--* Ml .. WT. RECIUIAED fOft EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEAtoff ~ ... Ollillillll .......... -~--MCtwaicln.. orwadl t"rD&EPANDDblOlfflONORCXINSfflUCTIOHOF ~~~~~~oo~~i~R~~~~ •tj•i*i~iii~-ii•i~~~-~'i'i•!=~~i~~~~1;·~~~~~i~-~iidE~i~i-~~~!~~~~~~3~ff~~~~~-~~~~~==:_J ISSUED: TO OOMPLY WITH All CITY, COUfffNIIIIO STATE LAWS GOVERNING .... a,N. ....... Gr It I o,---~ •1'1d ~ -e ~"...-.-.. : -
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO=-VE /IIHD .--.---~ PAO ED B KEEP HARMLESS THE CITY OF CARLSBAD AGMl8T All UABIUTIES. JUDGMfN'flt ~ ..._ .. __ ~ -l OWNER0 CONftilACJ AP V y Jff:
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN llf 1J1E i"=• • -,-;: ~,:'. ~ ... .> ~ 'JI' ,/ •
GRANTINGOFTHISPERMIT. 7.7'Jf.l~ ",ii ~~, JIil (:7' lA--a A £ 8'I Q '-"'" V. ~
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DATE INSPECTOR INSPECTION TYPE I
BUILDING ~
-y:,... " '
• FIELD INSPECTION RECORD
FOUNDATION •
REINFORCED STEEL f REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
\,
MASONRY ! .
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING I . •
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL --
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP .
STRUCTURAL CONCRETE
FRAME I OVER 2000 PSI
EXTERIOR LATH lNSULATION ' •
PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL ! ,,
POST TENSIONED
CONCRETE
PLUMBING ' SEWER AND BL/CO I
-
FIELD WELDING
HIGH STRENGTH -
PLUMBING UNDERGROUND I • BOLTS --
PLUMBING TOP OUT t SPECIAL MASONRY
---
TUB AND ~HOWER PAN • GAS TEST ' • PILES CAISSONS
ELECTRICAL I -
TEMPORARY POWER I
I
ELECTRIC UNDERGROUND I
I
-~~
~~·~
ROUGH ELECTRIC ! . ELECTRIC SERVICE it
BONDING A I
I li
G. F. I. -SMOKE DETECTOR I .
MECHANICAL i -----·-
DUCT & PLEM ., REF. PIPING f . ,,, .. I.' ~ • ~ _,, -\=....._
,"-" .
HEAT -AIR COND. -SOLAR SYSTEMS -"'~
VENTILATING SYSTEMS I ~-
t
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE:BEEN APPROVED.
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---
JOB SITE FINAL ~ -~ --, -... ' .. ,-,. ' -I )
PLUMBING I ,· \.J,
ELECTRICAL :I 'T'l": \ '~
MECHANICAL ' GAS I --
BUILDING I 'J
SPECIAL CONDITIONS • .
.... 1 ~~i\-\ \ ~-..--"" ..... ;, 1,, :..: ~ \ I ,\;\, \. \.a..6 -----· ....,
~ ' I I
' '-\ \"""'-\ \ -·~ -
CERT O.F OCCUPANCY ISSUED .
I ·•
el:itp of el:artsbab
REQUEST FOR INSPECTION RECORD
0 FOUNDATION
[I REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING SUB FRAME
D SHEATHING D ROOF D SHEAR
0 FRAME
D EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 SEWER AND PUCO
0 TOP OUT PLUMBING
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D SOLAR WATER
D FINAL
D TEMPORARY SERVICE
D UFFER GROUND
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
~ECTRIC SERVICE
~INAL ) yvfA-1 t-, 1-s
MISCELLANEOUS
D CONDITIONED AIR SYSTEMS
0 SOLAR HEAT
[J PATIO
0 POOL D SPA
Cl SIGN
D GRADING
D DRIVEWAY
D FINAL
SPECIAL INSTRUCTIONS ___________________________ _
------------------------------------
Ready For Inspection: D Monday
D A.M. D P.M.
D Tuesday o Wednesday D Thursday
------------------·-···-· -·
[I Friday
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• ESTRELLA . DEL MAR RD
D C B
1907