HomeMy WebLinkAbout2042 MAR AZUL WAY; MULTI-PERMIT FILE; 87-1011; Permit.. z 0 ;:: .. .. .. ~ u l'j
\....~"'"'? ~ *' he<ot>y attl<m tho! I am llcoaood ,od" -proviaiona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus!ness
and Profeaslons Code. and my license is in
full force and effect
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I hereby a111rm tMI I am exempt from lhe Contrac
ior·s License Law •or 1he 1ollowrng reason !Sec 7031 s
Business and Protessrons COC!e Any c11y or county whru, re
quires o perrn,t 10 construct alter. improve demolrsh. or
'epa,r any slruclure pr,or 10 ,1s issuance also requires !heap
pl1can! to, such permit to flle a s,aned s1a1ement lhol he ,s
1,censed pursuan1 to the prov,s1ons ot the contracrnr s
L,conse Law (Chapter 9 commenc,ng w,th Se(tron 7000 o'
Ow,soon 3 of The Business and Proless,ons Code, or That ,sex empl lherefror11 and the bas,s tor the allegea e,ernp1,on Any
v101a1mn al Section ?031 S by an appl,canl for a perrn,t sub ,ec:s \he appl,cant to a c1v,1 pena•1y of no! rno•e !har five hun
dred dollars (S500)
1 as owner of the property or my employees with wages
as !heir sole compensahon w111 do the work and the struc
lure ,s nol 1n\ended o, oflered lo, sale /Sec 7044 Business
ard Proles,1on, COde The Contractors License Law does not apply to an owner ol property who bu,lds or improves
thereon and who does such work himself or through his own ersoloyees prav,ded that such 1mprovemenls are not intend ed or ottered for sale 11, however the building or ,mprove men1 1s sold w11h1n one year ot complet,on. the owner-builder
will have the burden of proving that he did nol buold or ,m 1 prove for !he purpose of sale)
I as owner of the p,operly am e,ciusively contraclrng with licensed contractors to construe! the pro1ect (Sec 7044
Business and Pro!ess1ons Code The Contractor's License Law does nol apply to an owne, of property who builds or 1m proves thereon and who contracts 1or each pro1ec1s w,1h a conlrac1or(sJ l,cense pursuant to the Conlraclor's License Law)
As a homeowner I am 1mprov1ng my home. and the tallow
mg cond,t1ons exist 1 The work 1s being perfo,med pr,or 10 sale
2 1 have 1,ved ,n my home lor twelve months prior 10 comple1ton o1 this work I have not cla,med this exemption during the
last three years
1 am exempt under Sec B&PC for this ,easoo ____________ _
_ I hereby aff,rm tha1 I hase a cer1,tocate o1 consent to
sell-1nsu1e. or a cert,licate of Workers Compensation In-j
s~rance or a ce0t,l1ed copy thereof 1Sec 3800 Labor Code I
POLICY NO
COMPANY
COP)' IS filed w<th the c,ty
Cert,t,eo copy ,s hereby \urn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th,s section need not be completed d the permit ,s for one hundred dollars 1$100) or l<css) = I cert,ty Iha! 1n !he performance of the work for wh,ch
ih1s perm,t ,s ,ssued I shall not employ any person 1n any I
manner so as lo t>ecome sub1ect to the Workers· Com pen
sa11on Laws of Cal1fo,n,a
NOTICE TO APPLICANT 11 after mak,ng this Cert,t,cate !
of ExemDt1on. you should become sub1ec1 to the Workers I
ComD{'nsat,on provos,ons o! the Labor Code. you must 1
lorthw11M comply w1!h such prov1s1ons or lh1s permit shall
be deemed ,evoked
I _ I ~ereby affirm that there ,s a construct,on lending I
:~7;~;;:~:e1;:~fo;~ga;c;,~,111~:;~r~ !o• which th•s per t
I Le~Cler s Name
Le~der s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
APPLICATION & PERMIT
JOB ADDRESS /)J,11,<:J ,4-.-,, f :.. ST RD
THOMAS BROS NO. D:;k%h1N BUSINESS LICENSE # VALUATION 8' /PERMIT NUMBER
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COT BLO'CK I sueo1_~1s10N ASSESSOR PARCEL NO. CONTRACTOR J'},.,,,l .I,,
CONTRACTORS PHONE # ZONE (
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QWNj;:~:-ME' &~ I OWNER'S PHONE
CONTAACTOR"S AOOT.1 ·-. -$TATE.LICENSE NO. BUILDING SO. FOOTAGE
,uc,. . (}?",le ,lf/0,,Yf' '"\J. .2'18" ,;2-9'0 ·ow.Ne R'~MAtl.iN"G AOOffES:S .. . .. . .. -~L4? <:'_ -
;: • --~-... J1i.•C ..41. -. DESIGNER DESIGNER'S PKONE
\?-., :.. ..... t:iv.e. . " ' . . . . . .
b'Esj;~i!-Ft'-(NiOf ~ :':-h:? f-:_!. ~; ,,• ./._L.,1 •. /',---:~. ,· . > • j" lt..'111. ~ DESIGNER'S AOJ'.?R;ESS_ STATE LICENSE NO.
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' . . . . .. -e e FLR ELEV NO OCC GP EDU ... .. -·r . • STORIES .,· ; . . •"' . . ,□ --□ I CENSUS TRACT PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAO FIRE SPA
AREA CONST
,□ ' □ ,O -...□ YO NO _ ., ..., Nor Va_lid_ Unf!r_s Milchine Cerrtf,ed
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QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100 000 BTU DUl~Ull~'-.l n:rlMI I UU1-() 1 U-00-00-ot,:0
EACH !JUILOING SEWER OVER 100.000 BTU SIGN PERMIT DD 1 -81D-00-00-8221
EACH WATER HEATER AND OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 D-00-D0-8891
EACH GAS SYSTEM 1 TO 4 OUTLETS 7 1> -BOILER,COMPRESSOR 3 15 HP TOTAL PLUMBING 00 '. -810-00-00-8222 /"
EACH GAS SYS! t:M ~ OR MORE ME!Al F1REPLACt ELECTRICAL on1 -H 1 o-oo-oo-8223
EACHINSTAL AL TE:.R. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-8 1 0 ·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOB I LEHO ME 001-810-00-00-8225
WATER SOFTNER RELOCATION Of EA FURNACE-HEATER SOLAR 001 -810-00-00-8226
F.i\C:H RUOF rm,~ ',J , '",JS1m, DRYER VENT STRONG MOTION 880-519-92-33
-,_ fOU,L MECHANICAL FIRE SPRINXLERS 001-810-00-00-8227
TOI Al PlUM!llNL I /U .... PUBLIC FACILITIES FEE 320-810-00-00-8740
--Q.D..-BRIDGE FEE 360-810-00-00-8 7 40
QTY ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP --> PARK·IN·LIEU (AREA I
NEW CONST EA AMP SWl ~KR CAR PORT Tlf 312-810-00-00-8835
I PH I PH AWNING LA COSTA TIF 311-81 0-00-00-8835
Ex1sr HLDG EA AMP swr 8KR GARAGE FMF . --
I PH 1PH .. LICENSE TAX I I • tf)jl 1.l311-Q-K0·,_1 d I
REMO□El Al Tt:R Pf R CIRCUIT 11m .,. Mff 880-519-92-57
TEMP POI E !UU AMPS ~·, JI ~,r,-,, 1 A A_,.._
uL._·_, l. '± l>Jv,
OVER 100 AMPS
TEMP OCCUPANCY '30 DAYSI -·-. .. -----
CREDIT DEPO~ .. .,. -•
l(llAL ElftTHILAl I TOT Al TOTAL"F'EES PAYA~Lic I ..... i C) --
E,q,iration: Every permit 1htJ8(1 t,y·ttie-Butldi ng Official undef the Pro11isiOflS ol lh•s
.
I HAVE cAREFULL Y EXAMiNED THf COMPLETED ··APPLICATION ANO PERMIT" ANO 00 HEREBY * AN OSHA.PENl.'T: IS~ FOR EXCAVA~ OVE.A
CEflTI.FY UNDER PENALTY OF PERJURY THAT ALL TNFORMATION HEREON INCLUDING" THE Code shafl e11pi,e-by ttm_,tatioo a"d become nutt and void If the trwldmg or work 5· O" DEEP ANO DEMOUTIOH OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CEATtFY ANO AGREE IF A PERMIT If:,
authonze-d by such permit is "ot commer?Ce_d w,thm tao days trom the date of such STRUCl\JflES OYER 3 STOAIES 1H HEIGHT permit, or if the-buttdi~ or work authonzad by such perm,t ,s s~~nded or
tSSjJEO: TO COMPLY WITH ALL CITY, COUN1Y AND STATE LAWS GOVERNING BUILDING CON-abandoned It anv lime-a 8f the-wortt 1s commenced for 8 ""'nod ol 1 da•.:.
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY ANO ··az;G•-,; &-OWNER □ ~
.. 0•✓1 i°i2/u/n KEEP HARMLESS THE CITY OF CARLSB,ft.D AGAINST ALL UABIUTIES. JUDGMENTS. COSTS AND CONTRACTOR 'Y
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAfNST SA!O CITY IN CONSEQUENCE OF THE BY PHONE fJ
GRANTING. OF THIS PERMIT , -/ .
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TYPE ' DATE INSPECTOR
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BUILDING I
FOUNDATION l FIELD INSPECTION RECORD
REINFORCED STEEL I
' MASONRY l
GUNITE OR GROUT l
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL -
SUB FRAME □ FLOOR □ CEII...ING SOILS COMPUANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME I
FOUNDATION tNSP
--
EXTERIOR LATH l
'
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO LJ f'lL/CO
UNDERGROUND D WASTE □'WATER
~----
HIGH STRENGTri
BOL Ts
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I . /)
GAS TEST l~h1/J7 -PILES CAISSONS
□ WATER HEATER D SOLAR WATER I , ,
. -.-----------
' • I --
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER -
J!tOUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMP¢)RARY -~ r----
□ BONDING □ POOL l -
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPE~i.oN WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL l
PLUMBING .
I
ELECTRICAL l
l
MECHANICAL I /} .
GAS I iz.11;/h 7
BUILDING I / ' SPECIAL CONDITIONS I
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PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant-to complete numbered spaces only. ·--
JO& AODR E:55 ' '
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LOT NO, I OLK
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LtG..C I 1 ocsc•.
OWHEJI' l l.J1 I (tl!b < MA! L. ADO!ltE.9S -~I. PHON[
2 -. r ... ,,
COl!li'RAC TOR , /(1 t'IJJ11 _ MAIL ADOJll[S5 PHONt L IC(N.SE HO. STATE CITY
3 / ,.:,u, 41;.JJ -0) :;I, ..I r.,.u
ARCHITECT OR Ot5IGN£R J--V MAIL A.OCR ESS PHONE LICENSt. NO.
4 ,
--.... ! .. .-----''· ~ -' ~ ,. ·---·-""'-·---~ :i•~
ENGIN(ER .. ~--· ·-· MAIL A00RE5S ~-"J":-'-r" ... ~~"'i"' PHONt. ''\ -,,.• ,._._ L ICCHSE ~O. •'ii-~ -~ .
5 .,;;e,-
COMPENSATION fNS. CARRIER MAtL ADOIIESS B"'-ANCH
6 .. J;, ' , --,
use OF BUILOIHC -~· -V 7 -.,__ -
8 Class of work: □NEW 0 ADDITION D ALhRATION r:J REPAIR
q Describe work: <t... r.:. ;)/ I} t •,t f-;,-tJ'S ~1,i,--E.
r
PERMIT FEES
\ No, Type of Fixture or Item Fee
SPECIAL CONDITIONS WATER CLOSET (TOILET) $
BATHTUB
~-LAVATORY (WASH BASIN)
'" SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED ev PLANS CHECKED av APPROVED FOR ISSUANCE BY LAUNDRY TRAY ~
CLOTHES WASHER
CATE WATER HEATER l,
NOTICE URINAL I ' I().
THIS PERMIT BECOMES NULL AND VOID IF WORK O R CONSTRLiC• ~RINKING FOUNTAIN -7' -. . . 1 it
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FLOOR SINK OR DRAIN .
CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM SLOP SINK
MENCED GASSVSTEMS:NO.OUTLETS I 15D I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, WATER PIPING & TREATING EQUIP.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE V ACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OA LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
Ir SEWER
'-11iil r-~ l CESSPOOL
t7n 'tr ,t.l /c,2-'/~1 SEPTIC TANK & PIT
ROOF DRAIN S
SICNATUAE. OF' CONT,tACTO .. 0 .. AUTtiO .. l?t:0 AGE.NT (D .. Ttl .
s -; PERMIT • i s / 1)£.I
r> t, J::. t.JI iv IJU7 f;: L TOTAL FEE ~
$ ""
I'.~
SIC.NATUJlt[ OP' OWNl[II fl,. OWN(:" BUILD£,t) OATt.l
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ;, CK. M.0, CASH
INSPECTOR
' 77 ' )D 6'-/,: 'J
INSPECTION REPORTS '.,
DATE ITEM REMARKS INSPECTOR
I d
n_,,(i I' ' .,~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.