HomeMy WebLinkAbout2003 PINTORESCO CT; ; 85-692; PermitII:
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D I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and ~ffJ-
Lic No 44 8 Clm C36
I hereby affirm thal I am exempt trom !he Contrac• !Or's lteense Law for the following reason (Sec 7031 5
Business and Professions Code· Any c1ly or county wt11cti re-quires a permit to construcl, alter. improve. demolish or
repair any structure. prior toils issuance also requires the ap-phcant !or such perm11 to file a s,s:ined statemenI lhal he 1s
lttensed pursuanl 10 the prov1s10ns of the t.:ontractofs License Law (Chapter 9 commencing with Section 7000 of
O.v1s1on 3 of the Business and Professions Code) or that ,sex-empt therefrom and the basis for the auegeo exemption Any
v1olat1on of Sectron 7031 .5 by an applicant fOf a perm11 sub· 1ects lhe appttcan1 to a civil penalty of not more than h111t hun-
dred dollars ($500).
n I, as owner ot the properly, or my employees with wages
as their sole compensa11on will do the work and the slruc·
lure 1s not intended Of ollered for sate (Sec 7044, Business
and Proless1ons Code The conuactor's License Law does
ool apply to an owner of property who builds or improves
!hereon and who does such work himself or through h,s own
emplOyees. provided that such improvements are not intend-ed or ollered for sale. II, however, the building or improve-
ment Is sold within one year of complellon, lhe owner-builder will have the burden of provmg lhal he did not build or 1m·
prove for the purpose of sale)
fJ I. as owner ol lhe property, am exclusively contractmg
with hcensed contractors to construe! lhe proJecl (Sec 7044,
Business and Profess10ns Code· The Conlractof's license
Law does not apply to an owner of property who builds or im-proves lhereon. and who contracls for each protects wilh a contractor(s) license pursuant lo the Conlractor·s License Law)
0 As a homeowner tam 1mprov1ng my home, and the !allow mg condit1ons exist
L The work is being perlormed prior to sate 2 I have lived in my home for twelve months
prior 10 completion ot !his work. 3 I have no! claimed lhis exempllon during the
last three years
0 I am exempl under Sec. ______ , 8 & P C.
for this reason -------------
~reby affirm thal I ha,e a cer11f1ca1e o1 consen1
to self-insure. or a cert1!1ca1e ol Workers·
Compensation Insurance. or a cenif,ed copy lhereot
!Sec 3800. Labo< Code)
POLICY NO TC621698048
coMPANv Mary land Casual ty
~y IS Med with lhe Ctly
0 Cer11fled copy 1s hereby lurn1she<J
CERTIFICATl OF EXEMPTION rno M WORKERS' COMPENSATION INSURANCE
(This section need not be compleled ,t me permit
t!> !or one hundred dollars ($100) or less)
0 I cen,ty that 1n the performance ot !he woni. lor
which lhtS De'ITTHI IS +ssued I shall not employ any person in a.ny manner so as lo become sub1ect ro
!he Wor't\ers· Compensa11on Laws ol Ca11torn1a
NOTICE TO APPLICANT It. aller makmJ 1h15 Cer11
hcate of Exemption, you should beeome sut>IecI I?
lhe Workers Compensation provisions ol !he Labor COde. you musl lorth~·,th comply w1lh such
prov,s10ns or !his perm11 shall be cteemed revoked
0 I hereby aflum tnal !here •s a cons1tuct1on 1end1ng agency tor lhe pertormance ot !he wo~ to,
which lh•s perm11 IS •s~n~ ~, C1v1I Cooe,
Lenoe, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
ll
APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 ~ JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. I DA;~::;~L~CATIONI
BUSINESS LICENSE d VALUATION PERMIT NUMBER u:: 13Sl9 ~ >, 2003 Pintoresco Ct. Reoosado Dr. 8177 ;;;
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE 0 a.
E
OWNER'S NAME I OWNER'S PHONE Arlen "'.", -Pl nmhinn f;Cl7 . .41 t:;1 a, t-CONTRACTOR'S ADDRESS -LICENSE NO. PLAN 1.0. # BLOG USE CODE Rudolfo Salud 753-4261 I
2819 Central Ave . 443348 "O OWNER'S MAILING ADORESS 0
2003 Pintoresco Ct. DESIGNER LICENSE q STANDARD PLAN# BUILDING sa. FOOTAGE <.'.)
DESCRIPTION OF WORJ( .. R,::,nl DESIGNER'S ADDRESS DESIGNER'S PHONE c 1111,-1 -...,r -!3/8U/Bt,, WLI
It! IO~u 0
PU-CJ .1~9tl' ·~zaur 85 !:i'1: r i: a. -F/P F LR ELEV. NO OCC GP EDU a.
STORIES <!
vO NO --I
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR .:,,:
C AREA CONST a: YO ND vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE $7 .50 QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER 0 If)
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 If) a,
SIGN PERMIT If)
EACH BUILDING SEWER OVER 100.000 BTU 01-00-00-8221 If) -<! 1 EACH WATER HEATER AND10 R VENT $2.50 BOILER/COMPRESSOR UP TO 3 HP -PLAN CHECK 01-00-00·8806 I
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 315 HP ,.,,,.,,,, TOTAL PLUM BING 01 ·00·00·8222 $l.Q_nn
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~ ELECTRICAL 01 ·00·00-8223
EACH INSTA~. ALTER, REPAIR \\'ATER PIPE VENT FAN SINGLE DUCT ~ MECHANICAL 01 ·00·00· 8224
EACH VACUUM BREAKER ME CH EXHAUST -J:j.01fDiDUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATIO~EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDEI --SOLAR 01-00-00-•??~
TOT/;L ME CHANICAL STRONG MOTION 80-92·33·0519
TOTAL PLUMBING I ~ 19/.0 0 ~ FIRE SPRINKLERS 01 ·00·00·8227
ELECTRICAL PERMIT· ISSUE/ --~ Jd'({. SOLAR • ISSUE
PUBLIC FACILITIES FEE 32·00·00·8930 QTY. -BRIDGE FEE
NEW CONST EA AMP.'SWT .!!J(.8._ '-~ -IC~~s -~ SCHOOL FEE · DISTRICT
I PH 3 PH -STORAGEIANK'S..__ ., Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT 'BK R _;:::::-----ROCK STORAGE ------Encinitas 80-92· 22·0519
I PH 3 PH L..---------PU~ ---San Dieguilo 80·92-23·0519
REMOOE L AL HR PER CIRCUIT ~ PLAN CHECK F~ San Marcos 80-92· 24·0519
TEMP POLE 700 AMPS ~ ~ --.......
OVER 200 AMPS / .,/ ............__ LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY _MOAYS) MFF B0-92-57-0519 ,... , CREDIT DEPOSIT .
TOTAL ELECTRICAL I TOTAL SOLAR ' I TOTAL FEES PAYABLE $10 .00
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Bu1ld1ng O1hc11I under the prov1s1oris of 1h1s ~ OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,cp,re by lim1tat1on and become null and void If the building or work O' DEEP AND DE.MOllTIOH OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced w,thrn 180days from the date of such AUCT\JAES OVER 3 STOR~ IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON ~::~~n°:d 1
~t 1:~y ~~~~1:ffe~~h:~~,:~!hi~:~e:le~~~~ :8~':!~1~,sr:r:.~d or
STRUCTION WHETHER SPECIFIED HERE.IN OR NOT I ALSO AGREE TO SAYE INDEMNIFY AND APPLICANT'S SIGNATURE Jf OWNER□ CONTRACTOR.li:t ~~~J 1/ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE y(_ _ • r a_~~ /I 1 . --,!, BY PHONE 0 ·~ i--~ GRANTING OF THIS PERMIT
,;•
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO D IPUCO
UNDERGROUND D WASTE 0 WATER
TOP OUT D WASTE D WATER
TU B AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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$1 -~ -(A <;:C) I
FIELD INSPECTION RECORD I
I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I
REO IF INSPECTOR'S I INSPECTION CHECKED APPROVAL DATE I
SOILS COMPLIANCE I
PRIOR TO
FOUNDATION INSP I
I
STRUCTURAL CONCRETE I
OVER 2000 PSI 1 •
PRES TRESSED I
CONCRETE I .
' l POST TENSIONED I CONCRETE
FIELD WELDING I
I
HIGH STRENGTH I
BOLTS r --I SPECIAL MASONRY I
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PILES C.AISSO1'.S I r
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