HomeMy WebLinkAbout2011 Ladera Ct; ; CB881661; Permit.. z 0 ;: .. "' .. .,
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" ~ e I hefeby affirm that I am licensed under
O [ lslons of Chapt.er 9 (commencing wit.h
: Section 7000) of Division 3 of the Business
._ and Proteaslone Code, and my l!cense 1s 1n ~ lull force and effect
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I here~y afhrm 1ha1 I am exempt lrom lhe Contrac
!or's License Law lor the 1ollow,ng reason (Sec 7031 S
Business and Profess,ons Cooe /\ny c11y or coun!y wh1cr, re
quores a permll 10 construct. alter. ,mprove demo11sh or
repau any stiucture pno, to its ,ssuance also reou,res !heap
pl,cant tor such permit to hie a s,9ned sta1emen1 That he ,s
licensed pu,suant to !he prov1s,ons ol the Connactor ,
License Law (Chapter 9 commencing with Ser.t,on 7000 ol
Oiv1s10n 3 ot the Business and Profess,ons COde, o, Iha! 15 e,
empl therelrom and the basis for the allegea e,empt,on Any
v,o,atlon of Section 7031 5 by an applicant lor a perrmr sub
1ec1s 1ne applicant 10 a c1v1I penally of not 'nore than five h'J"
dred dollars 1$500'
I, as owner ol the property or my employees w•lh .vages
as lheu sole compensation. will do lhe work and the Slruc
ture ,s nol intended or oHered for sale 1sec 7:144. Business
anc Profess,ons Code The Conlraclor s L,cense Law does
not apply 10 an owner of property who ou,lds or ,mpro·,es
!~e,eon and wno does such work h1mse11 or through h,s own
employees. provide!! that such ,mprovements are not intend-
ed or o1fered for sale If, however. the bwld1ng or unprove
ment rs sold w,m,n one year of comple11on the owner-bu1,der
will have the burden of proving That he did not build or ,m
prove Jot Jhe purpose of sale1
I as owner ol the property, am exclusNely contrac1,ng
with licensed contractors to construct the oro1ec1 (Sec 7044
Business and Pro!ess,ons Code The Contraclor's License
Law does not apply to an owner of property who builds or ,m proves thereon and who contracts tor each pro1ec1s with a
contracror(s) 1,cense pursuant to the Contractor's License
Law)
/\s a homeowner I am ,mprovong my home and lhe lollow
mg cond11lons ex,st
1 The work ,s being performed pr.or to sale
2 I have lived ,n my hOl'1e for twelve months
pnor to comple11on of 1h1s work
3 I have not claimed lh1s exempt,on during lhe
last three years
lor t'h~:r~~~~t under Sec _____ _ B & PC
XI hereby aft.rm I hat I have a cert,t,cate at consenl to
sel' ,nsure or a cert,t,cate of Workers· Compensation In :~:~i:· :~a c!1bij~tfJ'.::§eg 3800 Labor Code1
coMPANY State Fund
.Xcoo; ,s filed w,th me city
_ Ce<t,f,ed copy ,s hereby turn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th1s section need not be completed 1f the permit
1s for one hundred dollars ,,$1001 or lf'SSI
_ I certify that ,n the performance o• the work lor v,h,ch
Th,s permit ,s issued. I shall not employ any person ,n any
manner so as to become sub1ect to the Workers Campen
sat,on Laws of Cal1forn,a
NOTICE TO APPLICANT 11. after making th,s Cert1f1cate
of E,empt,on. you should become sub1ect to lhe Wor~ers
Compensation prov1s1ons of the Labor Code. ¥OU must
forthwith comply w11h such prov,s,ons or 1h,s permit shall
be deemed ,evoked
I he,eby affirm that !here 1s a construct,on lend·,ng
agency for the per!ormance of the v,ork for v,h1cr this per
m,t 1s ,ssued (Sec 3097 C1v1I Code!
lenders Name_ None__
Lender s Address
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT q ~ ✓ ( lt l(__ 2075 Las Palmas Dr .• Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE # VALUATION VPERMIT NUMBER
2011 Ladera ct El Camino Real 19451 ____--:-
' . .,,~, LOT BLOCK I SUB01VISl~N I •5'81,": :·ni 1;0_ 'l~ CONTRACTOR CONTRACTORS PHONE # ZONE '
OWNfR'S NAME OWNER'S PHONE Arlen Foster Plumbi~ 697 4151
Ed vander 436-4798 CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDI_NG SQ! F~
2819 Central Ave. 443348 j r/V· w
OWNE A'S MAI UNG AOOAESS u._
DESIGNER DESIGNER'S PHONE no >-?nl l 1· --. a rt r,,,., ~'"-~" q2009 ~
DESCR!PT!ON OF WORK . , 0
. -. . DESIGNER'S ADDRESS STAlE LICENSE NO. 0.
E w >-
' ' FLA ELEV NO OCC GP EDU 3664 12/14/88 0001 01 02 I
STORIES lllc!Pmt 10.0 D
ye -..o 0 -~ CJ I CENSUS TRACT I PAF'KINGSPACE AES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPF! AREA CONST
YO ND ,C "-JO vO NO Not Vii/id Unlen Machine Certified ;= rn
QTY PLUMBING PERMIT· ISSUE "':;-, 6n QTY MECHANICAL PERMIT· ISSUE I c:;/ rv-SUMMARY/ACCOUNT NUMBER u
0.
INSTALL FURN DUCTS UP TO 100 000 BTU / tlUI'-'-'"' u c c:n,vd I uu1-t 1u-uu-D0-8a0 0.
EA[H flXTURE TRAP <!
EACH BUILDING SEWER OVER 100.000 BTU 7 SIGN PERMIT 001-8 1 0-00-00-8?2' I
' EACH WATER HEATER ANU OR VENT ,...., ,...,.,_ BOILERiCOMPRESSOR UP TO 3 HP PLAN CHECK 001 ·81 0-00-00-8891 ~
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EACH GAS SYSTEM 1 TO 4 0 UT LETS . BOILER,COMPRESSOR 3 15 HP / TOTAL PLUMBING DO :-81 D-00-00-8222 .... ,,., nn 0:
EACH GAS SYST f:M !JO R MO RE METAL ~!REPLACE / Fl FCTRICAL OG 1-81 G-00-00-8223
EACH INST AL ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT I MECHANICAL OD 1-81 0·00-00-8224 0 w
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS I MOBILEHOME 001-81 Q-00-00-8225 w w ~
WATER SOFTNER RELOCATION OF EA FURNACE HE.9t'fER SOLAR DO 1-8' 0-00-00·8226 w <!
fAU1 R:J:lF [)RA~, 'JS 1Il\, DRYER VENT I STRONG MUTI0'.11 880-519-92-33 I
TQT,,:;,L MECHANICA/ FIRE SPRl~J-<LERS 001-81 0-00-00-8227 •
I 0
IOI Al PlUMBINL ,.. 7 r, ,,_,.., PJBLIC FACILITIES FEE 320-810-00-00-87 40 " IArr MOBILE ~ME SETUP
BRIDGE FEE 360-810-00-00-87 40 >-
QTY ELECTRICAL PERMIT· ISSUE QTY. PARK-IN-LIEU (AREA '
NEW CONST EA AMP SW! bKR ./ CAR PORT I 312-810-00-00-8835 w
TIF u C
I PH l PH _/ AWNING I LA COSTA TIF 311-81 0-00-00-8835 rn
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EXIST HLDG EA AMP swr BKl3/ GARAGE I FMF u._
I PH ./ 3 PH / LICENSE TAX 001-810-00-C0-51 E2 -
REMODEL AL TtRAEH CIRCUIT / MFF 880-519-92-57 I
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TE\·1PPOLE A1'1□AMPS / w ~
OVER JUf'l"'"AMPS I CJ
lf....M'P OCCUPANCY ·JO OAYSI /
,✓ ) . CREDIT DEPOSIT .§
I/ HJlAl tltl,TRILAl I I ]OT A'. TOTAL FEES PAYABLE I i
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l HAVE CAAEFULL Y EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT"' AND 00 HEREBY Expiration Every perm,! issued by the Bulldmg Qfflc1aI under the provIsIons of this * AN OSHA PEIWIT IS REQUIRED FOR EXCAVATONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void II the bu1ldmg or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF' I DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE lF A PERMIT I~ authonzed by such permit Is not commenced w1ttun 180 days from the date of such _,?j"ll!JC~ OVER. 3 S"",✓,," HEIGHT permit. or if the boitdi~ or work authorized by such permit Is suspended or ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned at anu 1Ime a er the work is commenced tor a =nod ot 180 d-·
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATU if • OWNER O CONTRACTOR/So )'7..::'7"1 1 I w DA.TE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO J1",:,,, n , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _.I-~ BY PHONE 0 . -ft.L / 1< r-i/. GRANTING OF THIS PERMIT ·-L-· , ' _,.. '~ -,,; ',_,, . ;.-,
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL ,
PLUMBING ~ • ELECTRICAL r. ',j
MECHANICAL I\J
GAS • I ,l'.
BUILDING ·-' ~
SPECIAL CONDITIONS ....
u~ Ill~ l
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED. 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 CAISSON:::"=
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