HomeMy WebLinkAbout2051 LEE CT; ; 87-269; Permit.. z 0 :;:
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D I hereby alfirm that I am licensed under
provisions of Chapter 9 {commencmg with
S.Ctlon 7000) of Division 3 of the Business
and Profusions Code, and my license is in
full force and eltect
I hereby afllrm lhat I am exempt from lhe Contrac
tor's License Law for the following reason (Sec 7031 5 1 Business and Professions COde Any city or county wh,ct, re quires a perm,! 10 construe!. alter, ,mprove. demolish or
repa,r any s1ructure. prior to its issuance also requires !heap-
p11can1 for such perm,1 to hie a signed s1a!emenl that he ,s
licensed pursuant to the prov,s,ons of the Con1racrnr s L,cense Law (Chapter 9 commenc,ng with Section 7000 ol
Drv,s,on 3 o! the Business and Pro!ess,ons Code) or thal Is ex
empt therefrom and 1he basis for the allegea exemption Any
v,olat,on o! Sect,on 7031 5 by an applicant !or a permI1 sub
1ects the applicant to a c1v1I penalty o1 not more than live hun
~red dollars (S500)
s owner or 1he property. or my employees with wages
a~e1 le compensation. will do the work and the struc-
.ll'fre Is not nded or oflered lor sale (Sec 7044. Business
and Profess,o ode The Conlraclor's License Law does
not apply to an o r 01 property who builds or ,mproves
thereon and who does h work himself or through his own
employees. provided thats mprovements are no1 intend-
ed or offered for sale. If. however. the bu1ldmg or ,mprove-
menl Is sold withm one year 01 completion, the owner-builder
w,11 have the burden 01 proving that he did no1 buold or im-
prove for the purpose ot saleJ
'I I, as owner ol the properly, am exclusively contracting
w11h licensed contractors to construct the pro1ect (Sec 7044.
Busmess and Protess1ons Code The Conrracto,·s License
Law does not apply to an owner ol property who builds or im-proves thereon, aod who contracts for each pro1ects with a
contractor(s) license pursuant to the Contractor's license Law)
LJ As a homeowner I am ImprovIng my home. and the follow Ing cond1t1ons exist
1 The work ,s being performed prior t□ sale 2 I have loved m m1 home !or Twelv~ monms
prior lo completion o11h1s work I have not claimed 1h1s e,emphon during the last three years
to', ih~: r::~~it under Sec _____ _ B&PC
· __: I hereby alfirm that I ha,e a certificate o1 consent 10
self-insure or a cert,hcate of Workers Compensation In
surance. or a cert1!1ed copy thereof 1Sec '.l800. Labor Code)
POLICY NO
COMPANY
=:J Copy IS (1led with the c,ty
=:J Cert1l1ed copy Is hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
his se,¢on need not be completed 1f the permit
or one hundred dollars ($100) or less!
'certify that In the performance of the work lor which
permit Is issued, I shall not employ any person In any
nner so as to become sub1ect to the Workers· Compen-
t,on Laws of California
OTICE TO APPLICANT: 11, after making this Cert1l1cate
o1 Exemption. you should become sub1ec1 to the Workers
Compensation provIsIons of the Labor Code. you must
forthwith comply with such pro-,s,ons or this perm ti shall
be deemed revoked
l_ I hereby affirm that there ,s a constructIon lending
agency for the performance of the work for whtch this per
m,t ,s ,ssued (Sec 3097. Covil Code)
Lender s Name_
Lender's Address __ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Or., Carlsbad, CA 92009-4859 (619) 438-1161
J(984AOOA1:SS AV. ST.RO. NEAREST CROSS ST. Io;:; :;::~A:;ON
BUSINESS LICENSE # VALUATION ~YJ~RM~cqR :l.o<..,, '~ r' ,,,/j12. { Cffe:TJV Vt ..J..:pwvt.JA »,t'J 1/.c. 17<:10 2. l'K 70
11b BL°!! ~d susof~-.31-I AS~~E~~o-3 7 CONTAACTOA CONTRAfTORS f'HONE # ZONE I ~
OWNER'S NAME OWNER'S PHONE GJ'\r,l(.~l~/'7-•vc:,_ f?//1~-'f~
~ s EE. /''ff -;:r:-r.-• '-L1 -J..J t/3'/-~t CONTRACTOR'S ADORE ~ 4-.JI. 7J.0, iSTATE LICENSE NO. BUILDING SO. FOOTAGE
•. 1.10 OWNER'S MAILING ADDRESS 77:?.~c S ,,.f'E. 14.J,E.
:>,r,, ,:;-I , 1:!:' _.. r AV tt-r-t'..AL '-S(S-4, h clP-CJ..., p,..,P DESIGNEh(JJ / DESIGNER'S PHONE
OESC~IO" OF WOJ~_!. • ..,. • <t--,Q,'I~ Ll,vG OESIGNEn;:, AoruAESS STATE LICENSE NO. 0022 04/01 0101 02Bldl'llt 61-1 • -
---'-------------·----------' e FLA ELEV NO OCC GP EDU STORIES
vC NO
I
I PARKING SPACf RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
1D N 0 yo,□ vO NO Not Valld Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE I -7-so :
1 QTY MECHANICAL PERMIT· ISSUE ?'S <-."rt> SUMMARY/ACCOUNT NUMBER I ' EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-81 0-00-00-8220 __ s3'J .. -----
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 00 l-810-00-00-8221
---+----·· . .. I-------·---
_') i") --EACH WATER HEATER AND-OR VENT BOILER.:COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 ------L--.....-,
EACH GAS SYSTEM 1 TO 4 OUT l E TS '
SOILER,COMPRESSOR 3 15 HP TOTAL PLUMBING 001-81 D-DD-DD-8222 /0 -------·--1------->--------------------
EACH GAS SYSTEM 5 OR MORF I 2~-ME.TAL FIREPLACE ELECTRICAL DD 1-81 O-OD-D0-8223 -----------. --· -
EACH INST Al Al TER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT ~ "Jl,EClllt<IC.L 1' T.'I -."'11 810 00 00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS -. ., ..1.'-.1'11 1-81 G-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE,HEATER SOLAR 001-8 1 0-00-00-8226 ------------sff,~¥MOT16' ]~tj/ .S-0 EACH ROOF r1RAIN 1INSlrJF:, DRYER VENT 880-519-92-33 ----· TDT/..L MECHANICAL FIRE SPRINt\LERS 001-810-00-00-8227
----
I
-/0-ltYJEOfeiOA TOI Al PLUMRINL -10-00-00-8740
-GO 1
1
QTY. oev,_ 0 ... ,_ -0-00-8740 QTY_ ELECTRICAL PERMIT -ISSUE ":I MOBILE HOME SETUP .. ~ -•· PARK-IN-LIEU (AREA I
NE:W CONST EA AMP SWT tlKR CAR PORT Tlf 134-810-00-00-8835 ---~-----
I PH 3 PH ii AWNING LA COSTA TIF 133-810-0D-00-8835
EXIST BLlJG EA AMP:SWT·SKR GARAGE FMF
I PH J PH Ii LICENSE TAX 001-310-00-00-81 62
REMODEL Al HR PFR CIRCUIT MFF 880-519-92-57 ,---------'i ~ ---1 ------
TEMPPOlE 700 AMPS --_ _,__ ___ ----·--
OVE:R 2UU AMPS --
TEMP OCCUPANCY 130 DAYS!
----
CREDIT DEPOSIT --I --.
T[lTAl ELELTRl[Al TOTAL TOTAL FEES PAYABLE I (n/60
I HAVE CAREFULL y EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT'" AND 00 HEREBY Expiration. Every per_m1t issued bythe8uildmg0ttic,al un00ftheprov1s1onsotth1s
~ * AN OSHA PEFWIT IS AEOUIAEO FOfl EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE· Code shall u.pire by llm_1tat1on and become null and vrnd lf the buold,ng or work 5· o·· DfEP AND OEMOlJTK)N 0A CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I& aulhorl.Zecl by such permit '5 not commenced withtn 180days from the date Of such STRUCTURES OVER 3 STORIES IN HEIGHT permit, or 1f the bu1ld1~ or work a1.11hor1zed by such permit ,s suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNlY ANO STATE"LAWS GOVERNING BUILDING CON-abandoned al any lime a er !he work 1s commenced for~ --•iod ol 180 o-·~.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND p~ , APPROVED B'r 09'/-/-J~ KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APP. ICANT S SIG1!TUe< ~ OWNERf\._ CONTRACTOR 0 P7 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CJTY IN CONSEQUENCE OF THE .A I ...-i O
GRANTING OF THIS PERMIT. / y "' ( ~ ;.-. BY PHONE I f: I -' '
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL !
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ ShlEAR
FRAME I
EXTERIOR LATH I
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BL/CO □ ~LICO
UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE □ y,tATER
TUB AND SHOWER PAN /
GAS TEST 1./.-3-";>7 I fA~~
□ WATER HEATER □ SOLAR WATER
.
,-ELECTRICAL i
□ ELECTRIC UNDERGROUND [ii UFFER
ROUGH ELECTRIC !
D ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIP,ING
HEAT -AIR COND. SYSTEMS !
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
--1I.f,MS ABOVE HAIVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION DATE
~
REQ IF I INSPECTOR s
CHECKED APPROVAL ---· •~4~~~
SOILS COlv1Pi__lANCE
PRIOR TO
f-OUNDATION INSF'
f-cS~T~R-,U"'C7T-u"'R~A-L~6j-, C_R_E_TE -+------+-
OVER 200U f-'SI
PRESTf-1ESSED
CONCRETE
POST TENSIONED
CONCRETE
f-lELD ·/1/ELOING ''\;.
1-----------, ,. u~~ STREl\/t3fri I
BOLTS _
:'WECIAL MASONPY I
'
--+-------
r------------+----~------f-----<
r'ILE:; CAISSOr-,.~-
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!---------------+-----i------1
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I I I I
INSPECTOR'S NOTES
.,...;
I c' ·; ·' ' l'
31-;;J09 ,
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