HomeMy WebLinkAbout201 OAK AVE; ; 84-327; Permit~ O I hereby attlrm that I am licensed under
provisions of Chapter 9 (commencing with
~/[ Section 7000) of Division 3 of the Business MI and Professions Code, and my license 1s In
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I hereby afhrm that I am exempt from !he Con1rac-
1or"s LtCense Law for the loUowing reason (Sec 7031.5
Business ancs Professions Code· Any c,1y or counly which re qu,res a permit to cons1ruct, airer improve. demolish, or
repair any structure. prior to its issuance aiso requires !heap· phcanl tor such perm,1 to hie a siqnecl statement thal he 1s
11censed pursuanl to the prov,s1ons of the Contractor s License Law (Chapter 9 commencing with Sect,on 7000 ot
O,v,s,on 3 ol the Business and Professions COcle) or that 1s ex· empt lheretrom and the basis tor the allegeo exemption Any v1olahon of Section 703 t . 5 by an appkcanl tor a perm,t sub·
Jetls the applicant to a civil penalty at not more than hve hun-dred dollars ($500)
r I as owner of lhe property. or my employees wtth wages as thetr ~e compensa11on wdl do the wDfk and lhe slruc-
ture 1s no1 intended 0< offered tor sale {Sec 7044 _ Business
and Profession~ Cade The Contractor's License Law does
not ap~y to an owner of property who builds Of improves thereon and who does such work himself or through his own
employees. provided lhat such improvements are not intend-
ed or offered for sa~ II, however, the bu1ld1ng or 1mprove-
men1 1s sold within one year of complellon. the owner-bu1kter will have the burden of prov,ng thal he dtd not build or im-
prove lor lhe purpose ol sale)
D I, as owner of the property, am exclusively conlractmg w11h l1Censed contractors to construct the protect {Sec. 7044,
Business and Professions Code. The Con1ractor's L1Cense
Law does not apply to an owner of pr~rty who builds Of im-proves thereon, and who contracts for each protects with a contractor(s) license pursuanl to the Contrac1or·s Ltcense Law)
0 As a homeowner I am ,mprovmg my home. and lhe lollow mg conchhons exist
1 The work 1s being per1ormed pnor to sale 2 I have lived in my home lor twelve months pnor to complet10t1 ot this work
3 I have not claimed this exemption during the last three years
0 I am exempt under Sec • 8 & PC tor this reason ____________ _
D I hereby affirm that I ha"'e a cert,t,cate of consent
to self insure or a cer11t1cate of Workers Compensation Insurance. or a cer11f1ed copy thereof
(Sec 3800. Labor Code)
POLICY NO
COMPANY
O Copy IS hied with the Ctly
0 Gert1f1ed copy ,s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section neec1 not be completed 11 the perm11
,s tor one hundred OOllars ($100) or less)
0 f cert1tv that 1n the per1ormance ot the work tor
which 1h1s perm1t ,s issued I shall not employ any
person ,n any manner so as to become sub1ect lo the Wot11;ers· Compensation Laws ol Calltornia
NOTICE TO APPLICANT If after makm"1 th1s Cet11
hcate of E11emp11on you should become sub1ec1 I'>
the Wor1(ers Compensation prov,s,ons of the Labor COde you must forthwith comply with such
provisions or U11s permit shall be deemed revoked
0 I hereby affirm lhal !here 1s a con~1tuc11on
ending agency tor !he perlormance ot the wO°'-to,
which 1h15 permit 15 issued tSec 3097 C1v11 Code1
LenoersName ____________ _
Lende, s Ac:Jdress ------------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RO. NEAREST CROSS ST
1Di;1;:1,;;z1
tlUStNESS LICENSE # VALUATION t.f ERMIT NUMBER :J_o/ -CJH-K 57'" C/9-/?L.S/3~/;) .. ~J'/h --i..-7 00 IS ,..
LOT BLOCK I sueo1 v1s,0N I ASSESSOWRCEL NO. oi:> CONTRACTOR ~I ~ ' CONTRACTORS PHONE • ZONE ~'2-7 ~ -z .... sv -o t:, IA>~ C../5 c.S' vff I? 1-OWNER'S NAIVIE
I ~ "O;N:;;;;, CB-.NL o -CC..A/T'F ~ CONTRACTOR'S ADDRESS • LICENSE NO. PLAN 1.0. # BLOG USE CODE
1",! / S--/~ t.? L-L=-.A./ Rr /:;//;).. ~ OWNER"S IVIAILtNG ADDRESS r •
~b / -l'"JJ.::Z.. u C' ..,..-C,'7-1~1 <; A».r, ~l/LL-/3,/?e>oK; LICENSE IY STANDARD PLAN# BUILDING SO. FOOTAGE
DESCR1et10 N OF WUKK • -,-, -I ---.,
.P./"2 "7 j~ ~ ~,r·J ~'? OESIGNER"S ADDRESS DESIGNER"$ PHONE
rJ -, . ,, r
-r::J--L3 t-o _J.</ '-~ R.. --~-44 j#< V--)2>"_ --F/P FLA ELEV NO DCC GP EDU /r-lR STORIES 6/2,..J ~. ,;,/ •. --vO NO • --Out.lb/.:: l,/:C, I ~1-[ PARK ING SPACE I RES UNITS I ,-CENSUS TRACT GP LAND USE GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR • AREA CONST
YO N 0 vO NO vO NO Not Valid Unlt!Ss Machine Certd1ed
QTY. PLUMBING PERMIT · ISSUE 7}:! QTY. MECHANICAL PERMIT · ISSUE .3-SUMMARY/ACCOUNT NUMBER ---EACH FIXTURE TRAP . INSTALL FURN DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 01-00·00·8220 "'::JI\.' \ 0 EACH BUILDING 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 -z-~ o·;;-
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSO R 3 15 HP TOTAL PLUMBING 01 ·00-00·8222 -----EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00·00·8223
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) SOLAR n1-oo-oo-000~ TOTI.L ME CHANICAL STRONG MOTION 80·92·33·0519 I ---. --TOT AL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 -5-BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE -OISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encinilas 80·92· 22·0519
I PH 3 PH PUMP San Diegu1to 80·92·23·0519
REMOOE L Al HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS ._,
OVER 200 AMPS Jl)/1'.. ./ >-LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI y,'l',, rJV,, _n/ A??F-tp· C)U" CREDIT DEPOSIT
TOTAL ELECTRICAL I ttiTAL SOLAR TOTAL FEES PAYABLE I ~ . .r...f
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT" AND DO HEREBY E•piralion. Every permtt 1uued by Ille Buitdtng Ott1c1a1 under ttw1 prov,a,ons of this * AN OSHA PERMIT IS REQUIA£0 FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Coda shall expire by hmlUltion end become null and vo,d It the bu,td,ng or wor, 5' O"' DEEP ANO 0£MOLITION QA CONSTRUCTION OF authorized by such permit is not commenced within t80 days trom the date ot such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or 1f the bu11d1J or work authorized by such permit ,s suspended or STRUCT\JAES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any tune a er the work ,s commenced for • oeriod of 180 d••• ,I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . APPRC VEO BY ~~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND yp~ S SIGNATURE • ~ CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE --~ T-BY PHONE 0 !\ .-~ ,. -~
..I. GRANTING OF THIS PERMIT -~ -.,...--_
----~~~ -; I DATE I INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL !
MASONRY I
l
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHE~R
FRAME l
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
' PLUMBING I
SEWER AND BUCO DIP UCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST l
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D l!JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ·' I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPR..::O....:.V=E=--D·=-----
FINAL T
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
xl/1-<:).1 -' --;
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
~
INSPECTION REO IF INSPECTORS 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
PILES CAISSONS
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