HomeMy WebLinkAbout2001 Ladera Ct; ; CB881661; Permit., z 0 ;:: .. a: .. .,
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.. e [ IA I hereby affirm that I am licensed under
U ""f;iisvlslons ol Chapter_ 9 (commencing wit.h
: 8-=tlon 7000) of Division 3 of the Business
~ and Protnalona Code, and my license 1s m ~ lull force and ellect
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I hereby affirm 1hat I am exempt from lhe Contrac 1or"s License Law lor the follow,ng ,eason (Sec 7031 ~
Business ;inO Pro1ess,ons Code Any city o, county wh1c~. re
quires a perm,t to LOnslrucT aller ,mprove. oemol,sh or
repa,r any structure. pflor to its issuance also requires the ap
p1,can1 lor such perm,t to 111e a s,qne!I s1ate"len1 Thar he ,s 11censed pursuant 10 IM prov1s1ons ot lhe Coniractor s
L,cense Law ,:Chapler g commencing w,th Section 7000 of
□,v,s,on 3 ol The Business and Pro1ess,ons Code, or Thar ,s e,
empt theret,om and the basis tor the allegea exemo11on Any
v,olat,on of Sect,on 7031.5 oy an applicant tor a perm,t suo
1ects the appl1can110 a c,v,I penalty of not more than five hun
dred dollars 1$500!
I as owner at the property. or my employees w11h wages
as their sole compensation. wrll do the war~. and lhe slruc-
1ure .s n□I intended or onereo for sale iSec 7044 Business
and Protess,ons Code The Contractors License I aw oaes
not apply to an owner of property who builds o, ,mproves
thereon and whO does such work himself or through h,s own
employees. prov,ded that such improvements are not ,n1end
ed or offered for sale 11, howevei the ou1ldmg or ,mprove
ment ,s said w,thIn one year ot complet,on the owner-builder
will have lhe burden of proving that he did not build or ,m
orove tor the purpose of sale!
I I, as owner 01 the property, om exclus,vety contracting
with 1,censed contractors to construct the pra1ec1 (Sec 7044
Busmess and Proless,ons Code The Conlractor s License
Law does not apply to an owner of property who tlu1lds or ,m
□roves thereon and who con1racrs lor each proiects w1lh a
controctor{s) license pursuant 10 the Contractors L•cen~e
Law)
I As a homeowner I am improving my home and the follow ,ng condIt,ons ex,st 1 The work ,s oe,ng perlormed pr,or 10 sale 2 I have I,ved 1n my home for twelve monlhs
prior to complel1on of lhIs work
I have not claimed This e,emp1Ion dunng lhe
las1 three years
! I am exempt under Sec _____ _ B & PC
for 1h,s reason ____________ _
. XI he,etly allirm that I have a cert1f1cate of consenl to
seIf-1nsure or a certificate of Wor~ers Compensation In
surance o, a cert,~~ c.11,p,:,:: t_p.eµi:'.'... ~f,.,, 3800. labor Cede)
POLICY NO lU.l..l:>t>l:s ijij
~oMPANY State Fund
Xcopy Is 'lied with the city
Certified copy Is heret>y furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section need no1 t>e completed ll the permit
Is for one hundred dollars 1S100) or lessl
_ I cemfy that ,n the perlormance of the work for which
this permit ,s issued. I snail not employ any person In any
manner so as lo become sutlJect 1o the Workers Com pen
sa1Ion laws o! Cal1/orn1a
NOTICE TO APPLICANT If_ after making this Cethficate
of bempt,on you should become subJect to the Workers
Compensation provisions of 1he Latlor Code. you must
ro,thwIth comply with such provisions or this permI1 shall
be deemed revoked
r::::: I hereby a11,rm that there Is a construct,on lending
agency tor the performance of the work for which this per
mIt Is ,ssued (Sec 30Q7_ Civil Code)
Lenders Name
Lenders Address
None
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
J08 ADDRESS AV. ST.RO. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
2001 Ladera Ct Levante st I? ~l-l-y-/ 19451
LOT BLOCK I SUBDIVlS!ON I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE # ZONE q 1S-/[.(I
OWNER"S NAME I OWNER'S PHONE Arlen Foster Plumbing 697-4151
Rita Tarnerius 753-3615 CONTRACTOR"S ADDRESS ST ATE LICENSE NO. BUILDING SQ_ FOOTAGE
OWNER'S MAILING ADDRESS 2819 Central Ave. 443348
DESIGNER DESIGNER'S PHONE
?nm , .. _ ,.,~ ,,..~rlsban 92009
DESCRIPTION OF WORK 3664 12/14/88 0001 01 -. OES1GNER'S ADDRESS STATE LICENSE NO. 02 .. BldPmt 10.0,
e e FLR ELEV NO OCC GP EDU STORIES
y[J r-..0 I CENSUS TRACT l PARK•NG SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPF!
AREA CONST
,□ ' □ ·U ,□ YO f\10 Nor Valtd Unlt!rs Machme Cerrd1ed
QTY. PLUMBING PERMIT -ISSUE ;:;q' !$[) QTY MECHANICAL PERMIT -ISSUE , c,, rn SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100000 BTU ' tlUILUIN<.1 -Lni,111 uu' -a 1 u-uu-uo-sao
EACH BUILUING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
' EACH WATE.R HEAHR AND OR VENT C'"') ~ n BOILER-COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 .
EACH GAS SYSTEM l TO 4 OUTLETS SOILER,COMPRESSOR 3 IS HP TOTAL PLUMBIIIJG DO; -81 0-00-00-82 22 c1n nn
tACH GAS SYS I E:.M ~ OR MOR[ MtlAl FIREPLACE ELECTRICAL 001-61 :J-00-00-8223
EACH INST AL ALTER, REPAIR \,'iATER PIPE VENT fAN SINGLE DUCT MECHANICAL OD 1-81 0-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO ·ouCTS / MOBILEHOME 001-81 0-00 · 00-82 25
WATER SOF fNER RELOCATION OF EA FURNAC£:HEATER SOLAR 001 · 8' 0 -::10-00-8226
[ACY RCJ~;F 1"1RA;'1: \S nF: DRYER VENT STRONG MOTION 880-519·92·33
TOTi:..L MECHANICAL FIRE SPRl~Jr\LERS 001-810-00-0:)-8227
IOI Al PllJMHINL I '" n rin PUBLIC FACILITIES FEE 320-810-00-00-8740
,<;-"cf>
BRIDGE FEE 360-810·00-00-8740
QTY ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME SETUP PARK-IN-LIEU 1AREA I
NEW CONST EAAMPSWI bKR I/ CAR PORT / Tl F 312-810-00-00-8835
I PH 3 PH / AWNING / LA COSTA TIF 311-81 0-00-00-8835
EXIST !:!LUG EA AMP·SWl BKR .,, GARAGE / FMF
I PH vs / LICENSE TAX oo -310-c,o-oo-s,52
REMODEL AL ltR PE_pf.lR[UIT / . MFF 880-519-92-57
TEMPPOlE JUfl.n"PS / .
UVER2UUA.111"15"S /
TEM~CUPANCY :JO DAYSI /
/ ,, CREDIT DEPOSIT
TflTAI EltLTRIUd I I l()T Al TOTAL FEES PAYABLE I cm nn
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPUCATION AND PERMIT"" AND DO HEREBY Expiration Every permit issued by the Build1l19 Ofhc1al under the pro..-1s10ns ofth1s * AN OSHA PERM:T lS REQUIRED FOA EXCAYATK>NS 01/EFI
CERTIFY UNDER PENALl'Y OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and ~01d ll the bu1ld111g or work s· o·· DEEP ANO DEMOUTK>H 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND! FURTHER CERTtFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1thm 180 days from the dale ol such STRUCTURES OVER J.STORIES tN HEGHT permit. or 1f !he bu1tdmft or work authorized by such permit is suspencted or ISSUED: TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned ■I anv time a ter the work 1s commenced for i( .:..anod ol 180 da·-~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND OWNER □ CONTRACTOR))( APPROVED ~y 11 ! KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND 2?ANTi17."' ¥
DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ----1--/_ BY PHONE [] 11..-t. 1rz-ry~✓ GRANTING OF THIS PERMIT J/VY1 -rv1~ I ,,, -(J ' ' '
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TYPE DATE INSPECTOR . v-.
BUILDING
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRESTRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
□ SEWER AND BUCO D PL/CO HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS --
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABO~ HAVE BEEN APPROVED
FINAL "' PLUMBING Jl. '/ J/ V
ELECTRICAL ."1 / I I V
MECHANICAL ,V '
GAS V
BUILDING
SPECIAL CONDITIONS