HomeMy WebLinkAbout2002 Ladera Ct; ; 87-200; Permit.. z
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of UlV!slon 3 of the Business
and Proteaalona Code, and my license is in
tutt force and effect
hereOy afhrrn that I am e,empt from lhe Contrac
tor's L,cense Law lor lhe lollow,ng reason 1sec 7031 5
Business and Professions GDde Any c,ty or county wh1cr, re quires a permd to construct. aller ,morove. demol1s~ or
repair any structure pr,or to 1ls issuance also requires :heap-p1,canr for such permit to 111e a s,~neO statement thar he rs
licensed pursuanl to the prov,s,ons of the ContraclDr s License Law (Chapter 9 commenc,ng w1lh Secl,on 7000 o:
o,v,s,on 3 of the Bus,ness and Pro1ess,ons Code; o, mat Is ex-
empt 1nerefrom and the basis tor the alleged exemption Any
,iolal1on o! Section 7031.S by an applicant 1or a pwr,11 sub
Iec1s !he appl,cant to a civ,I penalty 01 not more Than ILve nun
dred dollars 1$5001
I, as owner of the property. or my employees w,t~ wages
as their sole compensation. will do the work. and lhe struc
ture ,s nol intended or olfered 1or sale (Sec 7044 Busoness
and Profess,ons Gode The Contractor's License Law Ooes
not apply to an owner 01 property who builds or improves
!hereon and who does such work himself or through his own
employees. prov,ded that such Improvemenls are no1 intend-
ed or ollered tor sale 11, however. the building or ,mprove
mMt ,s sold w1thm one year of completion. the owner-builder
w<II have the burden ot proving that he did no1 bu,ld or Im
prove 1or the purpose of sale)
I, as owner 01 the property, am e~clus1vely contracting I with licensed conuactors to construct the pro1ect (Sec 7044
Business and Professions Gode The Contractor's L,cense
Law does na1 apply toan owner ol property who builds or ,m
proves thereon. and who contracts for each pro1ects with a
contractor{s) license pursuant to the Contractor's License Law)
:...C As a homeowner I am ImprovIng my home and the follow
,ng cond,t1ons exost
1 The work ,s being performed prior to saIe
2 1 have l,ved In my home for twelve months
prior to complet>on o! this work
I have no\ claimed this exemp\10n during the
last three years
, I am exempt under Sec ______ , B & PC
lor th,s reason ____________ _
-X I hereby affirm that I have a cert1l,cate ol consent to
sell-insure. or a cert,f1cate of Wor~e,s Compensation In-I
sc.rar,ce. o, a cert1f1ed copy thereof (Sec. 3800 Labor Code) i
eouo so TC721698048
00.M""' Marvland casualty'
l{opy Is filed w,thihe c,ty I
-. I _ ert1r1ed copy Is hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
1Th,s sectoon need not be completed o1 the permit
Is lo, one hundred dollars <$100) or lessl
_ I certlly that ,n the performance ot the work for which
this permit Is issued. I shall not employ any person ,n any
manner so as to become sub1ect to the Workers· Com pen
satIon Laws of Cal,torn1a
NOTICE TO APPLICANT. If. after making this Cert1hcate
of Exemption you should t>ecome sub1ect to the Workers
Compensation provisions of the Lat>or Code. you must
forthwith comply with such prov,s,ons or this permit shal"
be deemed ,evoked
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' I hereby ar•1rm that ~f;16! const,uctIon lending I
age~cy for the performance of the ,,.c,rk torwh1cr t01s per
mIt Is ssued 1Sec 3097. C1v1I Code:
~eader's ~ame
Leoder s Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECt... •.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERM,T 2075 Las Palrnas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 _ •
I "",~;;·;:,,.,. CL .... "" ~~= ~t. I~;~~..;;;--"" ""I ,;~;;"' ..... I ~-') . {) I I CONTRACTORS PHONE# ZONE ./,""\ l)
697-4151 .
cOT BLOCK I SUBDI V!SION I ASSESSOR PARCEL NO CONTRACTOR
Arlen Foster Plumbing
VALUATION PERMIT NUMBER
OWNER'S NAME
Don Blue' I OWNER"S PHONE
942-5510 CONTRACTOR'S ADDRESS
2819 Central Ave. OWNER'S MAILING AOORESS
2002 Ladera Ct. Carlsbad 92009 DESIGNER
DESCRIPTION OF WORK I water Heater Replacement ( □Es,GNER's •ooRess
' e F LR ELEV NO
STORIES
STATE LICENSE NO.
443348
DESIGNER'S PHONE
STATE LICENSE NO.
OCC GP EDU
BUILDING SQ FOOTAGE
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I eARK,Ni,SCACC Re> UNITS I GRADING PERMIT ISSUED
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REDEVELOPMEr-.iT
AREA
TYPE
CONST
OCC LOAD Fl RE SPR 0011 03/13 0101 02BldPtit 10.01 CJ
QTY
1
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILlJING SEWER
--------
EACHWATER HEATER ANO OR VE.NT
EACH GAS SYSTEM I T040UlLETS
~~A __ C_H_G_A_S_S_Y_S_TE ~ S O R ~ O_R_E __ _
EACH INSTA~ ALTER. REPAIR \",'ATER PIPE
y O N 0 ,□ NO
I $7J5,f<) I QTY MECHANICAL PERMIT -ISSUE , 2,.,66 , INSTALL FURN UUCTSUPT0100000BTU I /
OVER 100 000 BTU /
-+---------s-z-:-s-q-BOi~-R-i□MPRESSORUPT□-3 Hr. --Lt
+------
j -
Bl?l_~_E_R,C~~~~E~SOR 3 1'.l HP
--' METAL ~!REPLACE --E ·-•----ii--
YO NO Not Valid Unless Milchine Certified
SUMMARVACCOUNTNUMBER
BUILDING PERMIT 001 310-00-0D-8220 --+---
SIGN PERMIT 001-310-00-00-8221
PLAN CHECK 001-810-00-00-8821 T□TAL PLUMBING 001-s1c-oo--oo-.-s,-,-,-+1--s-1~0~. ~o~o
-
ELECTRICAL
MECHANICAL
MO Bl LEHO ME
001 3;0-00-00-822~3-+----------i
OD 1-810-00-00-8224 ------
001·810-00-00-8225 I I EACH VACUUM BREAKER t 7v,_NT.<:AN-S1NGLE □~cT_~-·
WATER SO~TNER MECH EXHAUST OD DUCTS ---------, -EA FURNACE,HEATER ---'-----'-SOLAR +--------~
TUI Al PlUMHIN\,
fACH R()UF '.1R,'.i. '1 i 'JS![)f I I _ J,l.B.Q_~ M_9T\ON
. 'I FIRE SPRl~Jr\LERS ---~ $10 _bt}-j -------zt-~
. '
-
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP __ __j __ -,,L__-J, __ P __ A::._R __ K-__ I C:C:"'l-Jt;;.c-""'~~
NEW CONST EA AMP SWl BKR -
I PH 3 PH
"'----lc---J--C_A_R_P_O_RT_ ________ TIF
/ AWNING -~,,L'.+-----'----ll LA_c_os_T_A_T_IF ___ _:__~h::~(;ll =--+---------j
FXISI Bl fJG EA AMP·SWI BKR GARAGE ,,-"'---+------~FM=F~=
1 PH 1 PH _____ LICENSE T_A_X ___ _
RE MO DEL AL 1 t R PER Ci r1 CU I l _____ _______ ---l----__ M_F_F ___ _
i--+-'l-'E-''--' P_:P_:ll_:Lc.:f_l_:OccO_A __ M __ P __ S-_,.L--------f------+---t--____ _
OVER 200 AMPS
I EMP UCCUPA¢ 130 DAYSI --t--c> -------+---~If-------------~------
CREDIT DEPOSIT /
/ l[JTAl Elt.URICAl
-., ___ _._ ____ _ ' , LL-:-:_ ____ ::--_ i!~ TJTAL
I
TOTAL FEES PAYABLE I $10.00
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND 00 HEREBY Expiration Every permit issued bythe8u,ldmg Olf1c,al under1he prov1s1om~ofth1s
CERTiFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m,tation and become null and vo,d II the buold,ng or work
:)ECLARATIONS ARE TRUE AND CORRECT AN8 1 FURTHER CERTIFY AND AGREE IF A PERMIT 1,c, aulhor,zed by such permit IS not commenced w1th1n 160 days from the,d.l::OI such,
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5· o·· DEEP ANO OEMOLITK>N OR CONSTRUCTION OF
STRUCTUA£S OVER J STORIES IN HEIGHT . _ permit. or 1! the buitdmg or work authorized by such pe,m,t .. s suspend:1cr or
SSUED TO COMPLY WITH ALL CITY COUNl Y AND ST A TE LAWS GOVERN I NG BUILDING CON-LC'O'C'C'Sdeoeood"'-S'C' S'°Cl'..S"ems•c•~fl"le~,ilh~•~•~o~,k"--""'-'Socm~mse~o£c,•d'!__!!loa,C•'--"<'O'OSd;LJao!_I lf8~0~d••"-----J-----------,-.... -------------~
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
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KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO APPLICANT"$ SIGNATURE ¥ OWNER O CONTRACTOR O A ROVED BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CHY IN CONSEQUENCE OF THE h C Q I-~)
GRANTING OF THIS PERMIT , fl-~ BY PHONE n ~ LDnr\ '..0------"'-
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TYPE I DATE
BUILDING I
'
FOUNDATION I
REINFORCED STEEL I
MASONRY I
'
GUNITE OR GROUT '
SUB FRAME □ FLOOR □ CE LING
SHEATHING □ ROOF □ SHEAR
FRAME !
' EXTERIOR LATH I
INSULATION I . INTERIOR LATH & DRYWALL I
' ' PLUMBING ! = SEWER AND BL/CO □ UCO
UNDERGROUND □ WASTE [ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST :
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL :
' □ ELECTRIC UNDERGROUND m UFFER
ROUGH ELECTRIC ' !
□ ELECTRIC SERVICE □ TEM~ORARY
D BONDING □ POOL !
'
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' ' '
ITEMS ABOVE HA)VE BEEN APPROVED.
FINAL I
PLUMBING I ~-.s-n
ELECTRICAL I
MECHANICAL I
GAS I
BUILDING
,
I
SPECIAL CONDITIONS ' '
'
INSPECTOR
,M.,/.=:::,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
~-I INSPECTION REO IF
CHECKED --
INSPECTORS
APPROVAL
I so LC: Cl/V1t-M~ E l
I Pf~IOR TO I FC:LiNOATIOr--.i INSP I
I --------___ j_
<...:TPUCTlJRI\L C:ONCRE'lE:
DATE
------
0\/f_R lOCC, PS! -----+-· _____ _
f"HE: SHH::.5SEU
CONGHCTE
P0')T TU,'.--!0!\1E.Cl
CO~JCRt::·[ ------t------+ ----
i-'iELO Vif::LOING
• -----j
9._7,:xf)
• • -;i.
INSPECTOR'S NOTES
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HICrl :-'il PENG Tri
BOLTS
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SI-TCI/\L MASONRY ----f--------+-'l0 =--<:: -N" ------:_---x-_ --+--=-: -
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