HomeMy WebLinkAbout1970 El Camino Real; ; CB890576; PermitIll z 0 j:: • a: • ....
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ereby affirm that I am licensed under
rovlalona of Chapter 9 (commencing with
lion 7000) of Division 3 of the Business
and Proleaalona Code, and my license Is In
lull force and effect.
I hereby alhrm that I am exempl from the Contrac-lor's license Law tor the following reason (Sec 7031 5 Business and Proless1ons Code Any city or counly wh1ct. re·
qmres a permit to construc1. alter. improve. demolish. or
repair any structure, prtor to its issuance also requires !heap· phcant tor such permit 10 file a s1Qned statement that he 1s
licensed pursuant to !he provisions of lhe <.:omrac1ofs License Law {Chapter 9 commencing w1lh Section 7000 of
D1v1s1on 3 al the Business and Proless,ons COdeJ or thal ,sex-ernpl therelrom and the basis for the allegeo exempl1on Any
v101a11on ol Sec11on 7031 .5 by an apphcant !or a perm11 sub 1ects the apphcanl lo a c1v1I penally of nol more than llve hun-
dred dollars ($500)
I as owner of the property. or my employees with wages
as their sole compensa11on will do the work and the struc-
1ure 1s nol intended or offered tor sale (Sec 7044, Business
and Prolessmns Cooe The Contractor's License Law does not apply 10 an owner of property who builds or improves
thereon and who does such work h1msell or through his own
employees. provided thal such improvements are not mtend· ed or ollered for sale II however. the building or improve·
men! 1s sold w1th1n one year ol comptehon. the owner-bullder will have the burden of provmg lhat he did not bmld or 1m·
prove for the purpose of saleJ
I I,. as owner ol the property. am exclusively contracting
with licensed contractors to construct the project (Sec. 7044,
Business and Professions Code The Contractor's License
Law does not apply to an owner of property who builds or 1m· proves thereon, and who conlracls tor each pro1ects with a con1ractor(s) license pursuant to lhe Contractor's License Law)
! As a homeowner I am improving my home. and the follow
mg cand1t1ons ex1sl 1 The work 1s bemg perlormed pnor to sale
2 I have hved m my home tor 1welve months
prior to completion of lh1s work
I have not cla1med lh1s exemp11on during the last three years
'] I am exempt under Sec ------. B & P C !or lhis mason ___________ _
C I hereby affirm that t ha"e a certificate of consent to
self-insure or a certificate of Workers· Compensation In-:~:~~: :~~1!8 ?/:;'}£u00,Labor Code)
COMPANY Ptr-('""et,.. f Pv 1t &
Copy ,s hied with the city
C Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the perml1
ts lor one hundred dollars ($100) or less)
C I certify that 1n the performance of !he work for which
this permit 1s issued. I shall not employ any person many
manner so as to become subject to the Workers' Compen-
sation Laws ol California.
NOTICE TO APPLICANT· If. after making this Certificate
of Exemption. you should become sub1ect to the Workers·
Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall
be deemed revoked
D I hereby affirm that there 1s a construction lending
agency for the performance of the work for which this per-
mit is Issued (Sec. 3097. Civil Code)
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
JOB AOORESS AV ST.RO. THOMAS BROS NO.
1DAiE1;;11r1
BUSINESS LICENSE ti VALUATION PERMIT NUMBER
f;7o ~I ('aM~NO l<e,-(_ s-00..00 iq,67(,. LOT I BLOCK I SUBDIVISION I ~rr,o ~P1rt-LZO -"Li{ CONTRACTOR CONTRACTORS PHONE• ZONE
1"1tslw-rhrrno-l S ,r;Jn~-1. IM . it/-7tf f~t/,~
5iN;ls),JE ~" ~ It;\~/ :WiiE9~HONE l./4. CONTRACTOR'S ADDRESS { STATE LICENSE NO. BUILDING s;J!}'AGE rz3 w -~3~S~. -nR'l ~sv //3 lll~ 1i~~ist:r;;;A::; /nf M 1~ l f(;Ktr,J 9~ 1J/if J;.f,~ fr~ //ZC .
DESIGNER'S PHONE ( J£7v-r2~, OESCRIPTION OF WORK ' ftr;;s. !jEtd.Ji.AJAJ'L
STATE LICENSE NO. 6243 04/18/89 0001 01 02
/A5H// f/lJQo rJe/1 lt 11/J _r l~ ~~ 7'.;,,51> BldPmt 41.oc
I_. ., ' F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO ---I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO N D ,O "'D vO NO Nor Vahd Unless M~chine Certified
QTY. PLUMBING PERMIT -ISSUE ?Sl-QTY. MECHANICAL PERMIT -ISSUE /..)~ SUMMARY/ACCOUNT NUMBER --~ ....
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TD 100,000 BTU BUILOING PERMI I uu 1-ij 1 u-uu-uu·o,,u :../\_J ~
EACH BUI LO ING SEWER OVER 100.000 BTU SIGN PERMIT 001·810-00-00-8221 ~ ..
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 ~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 METAL FIREPLACE ELECTRICAL 001 ·810-00-00·8223
EACH INSTAL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00·00-8224
EACH VACUUM BREAKER ME CH EXHAUST HOOO OUCTS MOBILEHOME 001-810·00·00-8225
WATER SOFTNER RELOCATION OF EA FURN ACE1HEATER SOLAR 001·810·00·00-8226
EACH ROOF DRAIN 1INSIDE1 DRYER VENT STRONG MOTION 880·519·92·33 1
TOTt;L ME CHANICAL FIRE SPRIN~LERS 001-810-00-00-8227 I,
TO l AL PLUMBING I PUBLIC FACILITIES FEE 320·810-00-00·8740
.::i-uy, BRIDGE FEE 360-810-00-00·8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl HKR CAR PORT TIF 312-810-00-00-8835
l PH 3 PH AWNING LA COSTA TlF 311-810-00-00-8835
EXIST BLDG EA AMP1SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810·00-00·8162
REMODEL ALHR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT I
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I -LIi ,-
-,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY E11tp1rahon Every permit issued by the Bu tiding Oft1c,al under the provisions of this • AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by 1tm1tat1on and become null and void If the budding or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~
authonzed by such permit 1s not commenced within 180 days from the date uf such STRUCT\JR£S OVER 3 STORIES IN HEIGHT permit. or ,f the buHdinff or work authorized by such permit 1s suspended or I ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv ttme a te, the work 1s commenced lor a oenod ol 180 davs -STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE lf, n CON TRAC TO,'( APPROVED~~ 1°tfli/r~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS A~~ ~ (;, )WNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ (i; BY PHONE 0
GRANTING OF THIS PERMIT /I dWc;._
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TYPE
BUILDING
OUNDATION F
R EINFORCED STEEL .
M ASONRY
GUNITE OR GROUT
.
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
F RAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PL/CO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
0 WATER HEATER 0 SOLAR WATER
ELECTRICAL
0 ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
0 ELECTRIC SERVICE 0 TEMPORARY
0 BONDING 0 POOL
MECHANICAL
0 DUCT & PLEM., 0 REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS ( /" /1
BUILDING ..JU)µ , 't1" /~ , '(//12 _;;( ~-
SPECIAL CONDITIONS IV I / I
(
';q -"71-I
r
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS . ,-
SPECIAL MASONRY ~-
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PILES CAISSONS ;;..,
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