HomeMy WebLinkAbout2011 Palomar Airport Rd; 236; 86-643; PermitQ I h«r«t>y affirm that I am llcartaad urtdar
provlalona of Chaptar 9 (commancing iwlth
Sactlon 7000) of Division 3 of the Buslrtess
artd Professions Coda, and my llcansa is in
tull force and effect
I HsfeOy alfirm lhai i am exsmpl Irom tne Conirac
tor's License Law tor the (oiiowmf reason (Sec 703' 5
Business and Professions Code Any cily or county wtncn re-
quires a permn lo consifuci alter, imorove. demoiisn. or
repair any siruciure. prior is its issuance aiss requires tne ao-piicam lor such permit to tne a signed siatemeni itut tie is
licensed pursuant to the provisions oi tne contractor sLicense Law (Chapter 9 commencing witri S^iion 7000 ot
Oiviston 3 ot rne Business and Professions Code) or thai <s ei-
empt tfierelrom and trie oasis tor the alleged e<emp(ion Any
viotation (Ft Section 703t.S tty an apptfcani tor a perrnii sub
lecis theappiicant loacivii penalty ot not rnore than five hun
tired iloilars ($500)
I i t, as owner ot tie property, or my employees with wages
as their sole compensation, win do the worn and the struc
ture IS not intended or ottered tor sate tSec 7044. Business
and Professions Code The Contiador's license Law does
not apply to an owner ot properly who Ouilds O' improvesthereon and who does such worii himseit or through tiis own
employees, provided thai sucn improvements are not intend
ed or offered tor sate it. however, the building or improve
ment IS sold within one year ol completion, ine owner-builder
wilt have the burden ol proving that he did not build or Im
prove tor Itie purpose ol sale)
II I. as Owner of tne property am exclusively contracting
with licensed comractoisioconstrucnheproiecttSec. 7044,
Business arul Protessions Code The Contractor's LicenseLaw noes not apply to an owner at property who iMiids or improves thereon, artd who contracts tor each prr^ecis with a
coniraclor(s) license pursuant lo the Contractor's licenseLaw)
□ As a tiomeowner I arrt improving my home, and the loHowtng conditions existt The worn IS being performed prior to sale2 I have lived in my home for twelve montrtsprior to completion ot this woht.3. I have not claimed this exemption during thelast three years
□ I am exempt under Sac.for (his reason . B&P.C
LJ I hereby alllrm that I nave a cartificaie of consent toseit-insure. ot a certificate ot Wortiers' Compen&etion In
surance. or acertilied copy thereol (Sec. 3800. Letxx Codel
POUCV NO.
C0li4PANY
i i Copy IS tiled with the city
O CeriKied copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed it the permit
Is tor one hundred dollars iStOO) Ot less)
□ t certily that in the perlormance ot the worti for which
this pemiK IS issued. I shall not employ any person in any
manner so as lo become SuDiecl to the Workers Compen
sation Laws ot California.
NOTICE TO APPLICANT: II. alter making this CeNlfrcate
ot Exemption, you should t>ecome subteci lo the Workers'
Compensslion provisions ol the Labor Code, you must
lorthwilh comply with such provisions or this permit shall
be ileemed revolted.
□ I neret>v affinn that tttere Is a construction lending
agency for the performance ol the woik for which this oer-
mit IS issued (Sec. 30B7. C(vil Coda)
Lender's N»me
Lender's Address.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr.. Carlsbad. OA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV. ST.RD. NEAREST C80SS ST, DATE OF APPLICATION
LOT BLOCK I SDBD'VSir.N I ASSf-SSQI^ PARCEL NO / I .x-TttPr T R ACT OB TnilOW>rf H'S NAtiiXE ,yk / V OWNER'S PHONf
nwNtRT. \AAii j fur, Anrjfl <;«L / V # —' _ ^VIA i 1. I ALJL7Mt::>> " —
3ESr.RlPTVjN bf WORK f f ' / I -
PARKING bPALt HtSuNiTb GRjUnG.
BUSINESS LICENSE t
(0C1C2.
CONTRACTOR'S ADDRESS
DFSIGNEH'S ADDRESS
f '' F LR ELEV.
vD nD
PERMIT ISSUED
t □ N □
REDEVELOPMENTAREA
vD nD
NO
STORIES
TYPE
CONST
CONTRACTORS PHONE ■
STATE LICENSE NO.
DESIGNER'S PHONE
STATE LICENSE NO.
EDU
FIRE SPR
vD nQ
VALUATION
ZONE
PERMIT NUMBER
ik UP?
BUILDING SO I^OOTAGE
uuov «ox iit/Odi/bbrKni
Hoi Valid UnlBS Machine Certified
QTY.PLUMBING PERMIT - ISSUE ^.6-^QTY.MECHANICAL PERMIT • ISSUE (-3 1^ aa SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP 1 INSTALL FURN OUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWER 1 OVER 100,000 BTU SIGN PERMIT 00l-8t0-00-00-8221 p—'—
EACH WATER HEATER AND-OR VENT 1 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 -
EACH GAS SYSTEM i TO 4 OUTLETS BOILER/COMPRESSOR 3 16 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM b OR MORE j METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER 1 MECH EXHAUST HOOD'DUCTS MOBILEHOME 001-810-00-00-8225
WATERSOFTNEB 1 RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSlDE)1 DRYER VENT STRONG MOTION 880-519-92-33
TOTAL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227TOIAI. PLUMBING |PUBLIC FACILITIES FEE 320-810-00-00-8740
QTY.ELECTRICAL PERMIT - ISSUE QTY.MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740
PARK-IN-LIEU (AREA )
NEW CONST EAAMP SWI BKR CAR PORT TIF 134-810-00-00-8835
1 PH 3PH AWNING LA COSTA TIF 133-810-00-00-8835
EXIST BLDCEAAMP/SWT'BKfl GARAGE FMF
1 Ph 3 ph LICENSE TAX 001-810-00-00-3152
REMODEL ALTER PER CIRCUIT MFF 880-519-92-57
TEMPPOLE 200 AMPS D
OVER ZOO AMPS
TEMP OCCUPANCY 13Q DAYSl
CREDIT DEPOSIT
TOTAL EIELTRICAL TOTAL TOTAL FEES PA^Aecf
1 HAVE CAREFULLY EXAtVINED THE COIVPLETED • APPLICATION AND PERMIT AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
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
GRANTING QF THIS PERMIT
Expiration Every permit issued by the BuiidingOf'iciat under theptovisions ol thisCode shall expire by limitation and become null and void il me buiidmg or woiLauihorned by such permit is no! commenced within teo days irom the dale ot suchpermii. or if the building or work auihonzed by such permit is suspended orabandoned at any lime after me work is commenced tor a period ol 180 davs
APPLICANT S SIGNAT OWNER n CONTRACTOR □
BY PHONE
* AN OSHA IS BEOUIRED FOR EXCAVATIONS OVER
5 0' OEaP'ANO DEMOCITION OR CONSTRUCTION OFSTRUpl^RCS OVER 3 STORIES IN HEIGHT
TYPE !DATE INSPECTOR
BUILDING {
FOUNDATION |
REINFORCED STEEL 1
MASONRY 1
GIJNITE OR GROUT 1
SUB FRAME □ FLOOR □ CEILINGSHEATHING □ ROOF □ S^EAR
FRAME !
EXTERIOR LATH »
INSULATION 1
INTERIOR LATH & DRYWALL '
\
PLUMBING 1
□ SEWER AND BUCO □ PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN '
GAS TEST 1
□ WATER HEATER □ SOLAR V/ATER
1
ELECTRICAL i
□ ELECTRIC UNDERGROUND ^ UFFERROUGH ELECTRIC |
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL i
i
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIFING % ^ *
HEAT — AIR COND. SYSTEMS !
VENTILATING SYSTEMS !
!
1
"v \ ,• \
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE^
FINAL 1 ■ XI \ ^ V - -
PLUMBING 1 ■ "/7ELECTRICAL j /' yMECHANICAL 1 . //<AGAS 1 ~/■BUILDING 1 (I 'J '
SPECIAL CONDITIONS 1 /
♦
1
FIELD INSPECTiON RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
INSPECTION REQ IF
CHECKED
INSPECTORS
APPROVAL DATE
iiOlLS COMi'UANCe
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRfSTRESSED
CONCRETE
POST te;- fioned
CONCREIE
FIELD WELDING
HIGH strength
BOLTS
SPECIAL MASONRY
PILES CAISSONS
t
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MCh 6 ASSOaATES
LAND PLANNING • ARCHITECTURE • ENGINEERING • SURVEYING
4877 Viewridge Avenue, San Diego, CA 92123-1667 # (619) 278-5750
LETTER of TRANSMITTAL:
TO: DATE:
ATTN: JOB#
SUBJECT: /^/d/?7^y-
THE FOLLOWING ITEMS ARE HEREWITH TRANSMITTED VIA: /
NO. DESCRIPTION:
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