HomeMy WebLinkAbout2012 PINTORESCO CT; ; 87-9; Permit"' I[ 0 I h«eby affirm that I am llcensad under
provlalona of Chapter 9 (commencing with
S.Cllon 7000) of Division 3 of the Business
and Profnalona Code, and my license is In
lull force and effect. ur I hereby allirm tnat I am exempt from the Contrac-lor's License Law 10< lho lollowing reason (Sec. 7031.S Business and Professions Code: Any city or county which re-quires a perm,t to construct. alter. wnprove, demohsh. or
repair any structure. prior to its issuance also requires !heap·
plant for such pe<mit to file a signed statement lhat he 1s
licensed pursuant to the provis,ons ot lhe Cootrac1or·s L,cense Law (Chapler 9 commencing wtth S.Clloo 7000 ol
OivisK>n 3 of the Business and ProfesStOns Code) or I hat 1s ex-empl lherelrom and Ille basis for Ille allege<I exemption Any violalion 01 Seclion 7031 .S by an applicanl 10< a perm,1 sub· jecls lhe applicanl 10 a civil penatry of not more lhan trve hun·
dred dollars ($500).
IC 11 I, as owner of the property. or my employees with wages
Ill as lheir sole compensation, will do the work. and the $1ruc·
0 ture is not intended 0< oflered for sate {Sec. 70«, Business _, and Protessk>ns Code: The ContractOJ'S lttense law dOes 3 not appfy lo an owner of property who budds o, improves I !hereon and who does such WOfk himself or through his own employees, PfOYKied that such improvements are not intend•
Ill ed or ottered t« sale. II, however, the butkbng or Ifflpfow-z ment is SOid w1thm one year OI compJetion, the owner•buildef ~ will have the burden 01 proving lhal he did not build 0< im· 0 prove tor lhe purpose of sale)
0 I, as owner of lhe property. am exclusively contracting with licensed contractors to consuuct the l){oject (Sec. 7044.
Business and Professions Code. The Contractor's LJcense
Law does not apply to an owner ot property who buHds or im·
"' proves thereon. and who contracts t« each projects wilh a
conlfactor(s) license pursuanl to the Con1rac1or·s License z Law). 0 .:: 0 As a homeowner I am improving my home. and the follow· C Ing conditions exist: a: I. The work is being pertormed pr,or 10 sale. C _, 2. I have lived in my home t0< IWelve months u 3. r:v~ ::'~~of 11~,i: :'!ption during the Ill 0 last three years.
0 I am exempt under Sec.
ror !his reason
. B&P.C.
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D I hereby affirm that I have a certificaIe ot consenl to
self-insure. or a certificate of Workers· Compensation In--
surance. or a certilied copy thereof (Sec. 3800. Labor Code) I
POLICY NO. 1 z COMPANY I 0 .:: 0 Copy is hied with the city I C l "' 0 Certified copy is hereby furnished z I Ill
G. I ~ I 0 CERTIFICATE OF EXEMPTION FROM u WORKERS' COMPENSATION INSURANCE I "' (This section need not be completed if ttle permit I a: is for one hundred dollars (S1<)0) or less) ... 0 I certify that in the performance of the work fo, wt11ch I "' I IC this pe,mit ls l$SUed, I shall not employ any person in any 0 manner so as to become subject to the Workers· Compen--I 3 sation Laws of California. I
NOTICE TO APPLICANT: If, after making this Cerlificate I ol EJiemptlon. you should become subjecl to the Wo.-kers· I Compensation ptovlsions or ttle Labor Cooe. you must
forthwlttl comply with such provisions or this permit shall I
be deemed revoked. I
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I 0 1 hereby ,rnrm that there is a constructton lending t
ag8flcy for the performance of the work for wtllch this pet· I
mit Is issued (Sec. 3097. Civil Code) I
Lender's Name 1
Lender"s Address I
I
I
I
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ~0 ( 2-2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
J;;~O~E~ #~r-rci:::, ? .. ST.RO. NEARk;,;~.7'c I DATE OF APPLICATION I BUSINESS LICENSE.. VALUATION ti
1
:ERMIT NUMBER
,o, "'=• 1 •u•o•.-"o• I """°"'"''"o co•m crns =mm~•-" '°"' U f
r\l&H .. £:iD•C, ... AME ,,, I OWNER'S PHONE
~N/119,S'" ,(_ ,{-r(fA.1,rk"l/~ 7S' ~-/S-18 CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILl~O~.:.-..zv:o /lf'r, ,;}o~:J_ ,,,_,,,,,,,,~ 1,,r:... . -DESIGNER DESIGNER'S PHONE ~.llltlLc...s .. A,.,. ~ ~.;loo~
OE!ilo!i,IPTION OF WORI( .n.~ /J .,H/1",L OS°I"~ ......---, .N r,1_ DESIGNER'S ADDRESS STATE LICENSE NO.
/I.,._ .-lb~ -., ,J J../2 ..,., { J,J~ .. ....,.-~~r ,, -1 _h.., r F/P FLR ELEV. No occGP Eou ~ . V / ~ . STORIES .2o tA ,Al!!!l../ ~ ·~~ v□ NO
I) -PAIIK•NG SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR 0016 001 01/0 7 /87PRMi 30 AREA CONST •
( y O ~ 0 v O "'0 y O "'O Not Valid Unlt!ss Machine C~rtifird
QTY. PLUMBIN G PERMIT. ISSUE -J, ~0 QTY. MECHANICAL PERMIT· ISSUE .:/, ~t:) SUMMARY/ACCOUNT NUMBER ,-rt:;
EACH FIXTURE TRAP INSTALL FURN . DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-81 0·00·00·8220 -.,s,;7 ~
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00-00-8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP 10 3 HP PLAN CHECK 001·810·00·00·8821
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 --
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO IOUCTS MOBILEHOME 001·810·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810-00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880·519·92·33 -----+----------! TOTJ.L MECHANICAL FIRE SPRINKLERS 001·810·00·00-8227
TOT AL PLUMBING I . PUBLIC FACILITIES FEE 320·810·00·00·8740
BRIDGE FEE 360-810·00·00·8740
QTY. ELECTRICAL PERMIT. ISSUE t:"':_ /11') QTY. MOBILE HOME SETUP PARK·lN·LIEU (AREA )
NEW CONST EA AMP/SW! BKR CAR PORT TIF 134·810·00·00·8835
1 PH 3 PH AWNING LA COSTA TIF 133·810·00·00·8835
EXIST BLOG EA AMP/SWT/BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00·00·8162
REMOOEL'ALHR PER CIRCUIT MFF 880-519·92·57
TE MP PO LE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 OAYSI
CREDIT DEPOSIT
TOTAL ELEClRICAL I TOTAL TOTAL FEES PAYABLE I 3/J~ -
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT'" ANO DO HERESY Expiratron Every permit tssued bylhe Building Ott,c,at under !he provis,onsof lh,s * AN OSHA PERMIT IS REWIRED FOR EXCAVA~S OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tOJ,on and become null 8nd void If !he build•ng or work 5' 0" DEEP ANO 0£MOLITION OR COHSTRUCTION Of , authorized by such permit Is not commenced w,thm 180 days from the dale ot such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,I. or if !he bulldong or work authorized by such permit ,s suspended 0, STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-abandoned al any tom" a"'f1e::r-:::l~he!!..w!::o~r:;;ki51s~c~o;i,millllmaa:=,e~d..!:fo~r..!a:;loe~n~od,!_o~fcclc!!80~d•!!JivCL..•--:::i~~~~~---~,------,---------IJ
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND C , ~ .. .-.-.tRr O APPROVED BY ff ~ilfT KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO APPU ANT _ r ~'--""7 OWNEn '-"-CONTRACTOR / A
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r BY PHONE O f /7
GRANTING OF THIS PERMIT l /J,K,,. '---V./ /
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TYPE :
BUILDING , I I
F :ouNDATION l
EINFORCED STEEL i
IASONRY l
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ruNITE OR GROUT j
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s UB FRAME D FLOOR D CEIJ-ING
s HEATHING D ROOF D Stl!EAR
F RAME l
E XTERIOR LA TH l
INSULATION J
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INTERIOR LATH & DRYWALL l
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PLUMBING I
D SEWER AND BUCO D FlUCO
UNDERGROUND u D WASTE d WATER
TOP OUT D WASTE D t/ATER
TUB AND SHOWER PAN J
GAS TEST :
D WATER HEATER D SOLAR ~ATER
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ELECTRICAL l
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D ELECTRIC UNDERGROUND qJ UFFER
ROUGH ELECTRIC l
D ELECTRIC SERVICE D TEMPPRARY
D BONDING D POOL I I
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MECHANICAL :
D DUCT & PLEM., D REF. PIP'ING _ . -. -~
HEAT -AIR COND. SYSTEMS .
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l VENTILATING SYSTEMS '
DATE INSPECTOR
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CALL FOR FINAL INSPEC"f!ON ·wHEN ALL. ARPQOPRIA TE
ITEMS ABOVE HAVE BEEN '4PPROVED.
FINAL \ " .
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTOR'S INSPECTION REQ IF DATE CHECKED APPROVAL
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REPLY O N THIS SHEET FROM .. . WILMER ""$EA\'1Ct" U.,.E 'TANDAAO INTER DEPT. MEMO FORM 11-24 PD
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