HomeMy WebLinkAbout1919 OWENS AVE; ; 87-187; PermitIll z 0 j:: C a: ~ <.> w 0
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~ 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, and my license Is In
full for94! t'W affect.
Lie NoZ,rn~ Class L.\O
I hereby amrm that t am exempt trom the Contrac-tor's License Law tor the 1011ow,ng reason (Sec. 7031.5 Business and Prolesslons Code. Any city or county which re-quires a perm1I to construct, alter, Improve. demolish, or
repair any structure. prior to its issuance also requ1res the ap,-phcant tor such permll lo hie a signed statement that he is
hcensed pursuant to the prov1s1ons of the Contractor·s License Law !Chapter 9 commencing with Sect,on 7000 ol Oiv1s1on 3 of the Business and Proless10ns Code) or that is ex· empt therelrom and the basis tor the alleged exemplton Any
v,01att0n ol Seclton 7031.5 by an applicant lor a permit sub· ,ects the apphcant to a ctv1l penalty of nof more than hve hun-dred dollars ($500).
G I, as owner ol the property, or my employees with wages
as thetr sole compensation. will do the work. and the struc-
ture is not Intended or ollered tor sale (Sec. 7044, Business and Proless,ons Code The Contractor's License Law does
not apply to an owner of property who builds or improves thereon and who does such work h1msell or through his own employees. provided that such improvements are not intend· ed or ottered for sale. 11, however. !he building or Improve-
ment 1s sold within one year of completion, the owner-builder will have the burden ol proving that he did not build or Im-prove for the purpose of sale).
O I, as owner of the property, am exclusively contracting
with licensed contractors to construct the pr()Jecl (Sec. 7044. Business and Protess1ons Code The Contractor's License Law does not apply to an owner ot property who builds or Im· l)fOYes thereon, and who contracts for each protects with a
contractor(s) license pursuant to the Contractor's License Law).
0 As a homeowner tam improving my home. and the lotlow·
mg conditions exist t lh~a:1~:le::;ii ~rt:.= rior :.~·months
f'~!v: :;1Pct1~ ot 1t,1: =~pUon during the
last three years
0 lamexemptunderSec. ------· B&P.C.
tor this reason------------
lJ{, hereby affirm that I ha.,e a cert1t1cate of consent
to self-insure, or a cert1t1cate of Workers'
Compensallon Insurance. or a certified copy thereof !Sec 3800. Labo< Code)
POLICY NO 1).W~'(f 1111
COMPANY iWU°fOftP".l>i~
J!{ Copy IS filed With the city
D Cer11hed copy 1s hereby furn•shed
CEATIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE (This section need not be completed ,f the permit
is 104" one hundred dOllars ($1001 or less)
0 I certify that in the performance ol the work. tor
wh,ch this perrmt ,s issued, I shall not employ any
person 1n any manner so as to become sub1ect to
the Wol1(ers· Compensation Laws of Cailtorn,a
NOTICE TO APPLICANT 11. alter mak1n; this Cert,
hcate of Exempt,on. you should t>ecome subJecl t? lhe Woni.ers· Compensation prov,s,ons of the Labor
Code, you musl lorthw1lh comply with such provisions or this pemut shall be deemed revoked
0 I hereby affirm Iha! !here 1s a cons1,uc11on 1enc:imo agency 10, the per1ormance of the won.. to, wn,cl"I ttHs perm11 1s 1ssued 1Sec 3097 C,v,1 cooe1
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 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS A~;;_T·i;:~rr;;;·CATIDNI
BUSINESS LICENSE a VALUATION PERMIT NUMBER
l'\t9 O""l~LIL ~eNl.1£: f\'J~ 'J _.,. .I
OW'llfR'S NAME ''"''I) ;;~·;;; CONTRACTOR CONTRACTORS PHONE • ZONE lf7 t~tl! ~6J1' . .5olif"~to-t<~~ wr,JY /6,q)11JA1lt'Jtt0
OWNEl'l'S MAI UNG ADDRESS
f,O.T&>~
0
~~R~ Mi.~s,lA,,2{b9 LICENSE NO. PLAN t.D. # BLDG use CODE
t2D4-6MijJf t..'(!t,.\~, S/WDltLJO, (J.. 921CY\ Z.1-7./l? 1--
LOT l BLOCK I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER LICENSE# STAN OARD PLAN# BUILDING SO. FOOTAGE
O~~ON OF WORK
Mlh. l ni fAI, .Po~~g_ DESIGNER'S ADDRESS DESIGNER'S PHONE
~~~\lt. .. F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO ---0015 03/12 0101 02BldPllt 30-0)
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND YO NO v O NO Not Valid Un~s Machine Certifi«I
QTY. PLUMBING PERMIT· ISSUE ;?S'o QTY. MECHANICAL PERMIT· ISSUE cf,£h, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220
EACH BUILOING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 -~
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 --~
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 30----_,..
EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 ·00·00·8225 --WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) c-nt6D n1 .nn.nn. •~~c
TOTI.L MECHANICAL STRONG MOTION 80·92:}3·0519
~ -
TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00-8227
QTY. ELECTRICAL PERMIT· ISSUE .i~ QTY. SOLAR · ISSUE PUBLIC FACILITl~EE 32·00·00-8923
BR)DGi"f.Ei!:.'' V
NEW CONST EA AMP/SWT/BKR COLLECTORS Ir. s~~o\..Ft:{. DISTRICT
1 PH 3 PH .') <' STORAGE TANKS ('."\ } Carlsb~ 80·92·21-0519
'-" EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Enci~itas -80·92·22·0519
1 PH 3 PH V PUMP San Dieg~_ . ~·"~ , 4~80·92·23·0519 ---REMODELIAL TEA PER CIRCUIT PLAN CHECK FEE ~0 /lt8,CQS \) (I<;,'-;,' 80·92·24-0519 .
TEMP PO LE 200 AMPS .... r-L,;..,~ .. ~-
--' ---------Ii' '"'" ,~-OVER 200 AMPS _,, .. -... e\1£ v-------
TEMP OCCUPANCY (30 DAYS) .,
--· ____ ._ --....._ -"' --
---·1 ----... _
TOTAL ELECTRICAL 11,0 r TOTAL SOLAR TOT AL FEES PAYABLE I .2/)--Expiration Every permit 1aaued by the Building Off1etal under the prov,s,ons of th11 I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMIT IS IIEQUIAED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmttlltlon and 1:19Come null and void ti the building or worlc s· o·· DEEP ANO OElttOUTlON OR CONSTRUCTION ~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm,t II not commenced within 180 days from the date of sucll STAUCT\IRES OVEA 3 STORIES IN HEIGHT perm,1. or 11 the budding or worlc authorized by such perm,t ,s suspended or
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON 9bandoned at -b-·-wort, ,s commenced for a i,enod ot 1Ail ~-···
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
CANT~ZAT:VA. OWNERD CONTRACTOR E!f" AP9!BY
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KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND~ ¥'Pl _Qu-(~~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (;( A_, • ~ I;{ ., BY PHONE 0 GRANTING OF THIS PERMIT ~ (}'(..{/)
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY t
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING I
FRAME
EXTERIOR LATH lNSULATION I
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND .
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST I
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND I
I
ROUGH ELECTRIC I '
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
YENTi LATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
~7-(g'; ..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR"S 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 .. ~v .
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PILES c€]\Js' -" ~ -~ -CII
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