HomeMy WebLinkAbout2072 Mar Azul Way; ; 86-1019; Permit"' z 0 ;:: C C C ..J u Ill C
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O I hereby affirm that I am llcenaad under
provlalona of Chapter 9 (comm9Qclng with
Section 7000) of Division 3 of th• Business
and Profaaalona Code, and my license Is in
full force and effect.
I hereby affirm thal I am exempt r,om the Contrac·
tor's License Law tor lhe following reason (Sec. 7031 5 Business and Profess,ons Code: Any city or county which re-
quires a perm,t to construct, alter, unprove. demohsh, or repair any slruclure. prior to 11s issuance also requires !heap-plteant tor such permit to tile a signed statement that he 1s hcensed pursuant to the provisions ol the (.;On tractor's
Uce~se Law (Chapter 9 CorM'Mlntmg With Section 7000 DI Division 3 of the Business and Profess,ons Code) or that Is ex•
empt therefrom and the basis tor the allegeo exempllOn Any vtOlahon of Section 7031. 5 by an applicant for a permit sub-
iects the apptteant to a civil penalty ol not fflOl'e than hve hun-
dred dollars ($500).
r1 I, as owner of the property, or my employees with wages
as !heir sole compensatt0n, will do lhe w0<k. and u,e struc· ture is 1'101 intended or ottered lor sate ( Sec. 7044, Business
and Professions Code: The Conlractor's lteense Law does 1'101 appty to an owner of property who btulds or improves thereon and who does such WOl'k himself or lhrough his own
employees, provided that such improvements are not intend• ed or offered 10< sale. II, however. the t1u1kltng or improve• ment is sold within one year of complehOn, th_e owner-builder
wdl have the burden ol proving lhal he did not build Of ~
prove for lhe purpose of sale).
0 I, as owner o1 the property. am exclusively contraclmg with lteensed contractors 10 construct the prOfed (Sec 7CM4.
Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or Hll· proves thereon. and who contracls lor each prOiecls with a
contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and the rouavr
ing conditions exist: 1. The wO(k is being performed prior to sale. 2. I have ltved in my home !or twelve months
prtOf to completion of I his work.
3. I have not claimed lhis exemption dunng the Last three years.
D I am exempt under Sec. ______ , B & P.C. tor this reason -------------
0 I hereby affirm that I have a certificate of consent to
sell-insure. or a certificate of Workers' Compensation In•
surance, or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO,
COMPANY
D Copy is filed with the city
D Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be compteted If the permit
is for one hundred dollars ($100) or less)
0 I certify that in the pefformanee of the work for which
lh1s permit is issued. I shall not employ any person in any
manner so as to become subject to the Workers· Compen-
sation Laws of Calilomla.
NOTICE TO APPLICANT; If, after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labof Code. you must
forthwith comply with such provisions OJ this permit shall
be deemed revoked.
D I hereby affirm that there is a construction tending
agency for the performance of the work for which this per-
mit Is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address ____ -'---------
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
NEAREST CROSS ST. --VALUATION PERMIT NUMBER JOB ADDRESS
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LOT BLOCI(
DESCRIPTIOni vr-nv""' I I OESIGNER'S ADDRESS
F/P F LR ELEV.
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BUILDING SO. FOOTAGE
STATE LICENSE NO.
OCCGP EDU
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STORIES
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TYPE CONST occ LOAD I FIRE SPR I . I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
YO ND 1 REDEVELOPMENT
AREA
vO NO vO NO Not Valid Un~s Machine Certifi«t
QTY. PLUMBING PERMIT -ISSUE
,,.
') ~0 II QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP 7 INSTALL FURN . DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810·00-00-8220
EACH BU ILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00·00·8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
PLAN CHECK 001-810·00·00·8806
TOTAL PLUMBING 001-810-00·00·8222 7n ..--
EACH GAS SYSTEM!> OR MORE -~ METAL FIREPLACE ELECTRICAL 001-810·00·00·8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-81 O·OO·Q0-8224
EACH VACUUM BREAKER MECH EXHAUST • HOOD/DUCTS MOBlLEHOME 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
TOTl<L ME-CHANICAL FIRE SPRINKLERS 001-810·00·00·822i
TOTAL PLUMBING l Jn .--PUBLIC FACILITIES FEE 320-810·00·00·87 40
QTY. ELECTRICAL PERMIT· ISSUE QTY. I MOBILE HOME SETUP BRIDGE FEE
~-W-LIEU (AREA
NEW CONST EA AMP/SWT BKR CAR PORT 1i,II ~ h . 001-810-00·00·8835
l PH 3 PH AWNING UCENsh~ b ....,_001-010-oo-oo-a162
EXIST BLOG EA AMPISWT BKR GARAGE ~f-r-. "\.J!.,"/)880·519·92·57
I PH 3 PH -IL ~o . ._,.
REM ODEL Al HR PER CIRCUIT D&L':1'.Jr ,..~ u '::181,
TE MP POLE 200 AMPS
-.. ~~"CA-
OVER 200 AMPS .. ,,, PJJ,.. ~-r'(.Bb.
TEMP OCCUPAN CY (30 DAYSI ~s,~:1110
CREDIT DEPOSIT"Jt,,,,..
TOTAL ELECTRICAL 1 TOTAL
.....
TOTAL FEES PAYABLE l /D--_
I HAVE CAREFULLY EXAMINED THE COMPLETED 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 ANO AGREE IF A PERMIT 15
Bu1ldtng Oft1c1al under the prov1s1ons of th1!
Code shall expire by t1m,tat1O nd ome null and v0td If the building or work * AN OSHA PERMIT IS REQUtAEO FOR EXCAVATIONS OVER
5' o· DEEP ANO OEMOUTION OR CONSTRUCTION OF
STRUCT\JMS OYER 3 STORtES IN HEIGHT authorjUtd by such permit 1s ot co enced within 180days from the date-ot sucti
perrot( or~ ,f the bu1td1 r wo auttiorized b)' such permit ,s suspended or
ISSUED: TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON L!•~~do~n!!.cl!!!._:a!!IJ•!!n~t!!_!lm!l_•~•~e<~t )t:~O•!_!k!_:l!!SjC~o~m'.'!m!!•!!!"'.'!C:!8!!,d!_!f!S/O~• .!•..l!!tr"!!iod~02Jf_1!_!BO!!L!d!!l!ll8--:--l~~~~l'!!"~-----------~~~.,..---,i,--.,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND¼PPLICAN~S . AT l"''. OWNER .. □ CONTRACTOR O APPROV OBY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND • & ~ ~
EXPE.l"SES WHICH MAY IN·ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / ju• , A _. V ,.~ <> S BY PHONE 0 GRANTING oF THIs PERMIT / 1 fl./. r / _ ~Ct!./"-~ o / . } ~JJ...-"-.,._ __ -4 _____ --r-,--
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TYPE
BUILDING I
OUNDATION I
EINFORCED STEEL I
ASONRY I
UNITE OR GROUT I
F_
_R
_M
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s_
S_
F_
UB FRAME □ FLOOR □ CElllNG
HEATHING □ ROOF □ SHEAR
I RAME I
EXTERIOR LATH I
INSULAT10N I
' INTERIOR LATH & DRYWALL I
I
PLUMBING I
□ SEWER AND BUCO □ P~/CO
UNDERGROUND □ WASTE DIWATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
□ WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND q UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPG>RARY
I D BONDING □ POOL I
I
MECHANICAL I
D DUCT & PLEM., □ REF. PIPfNG
HEAT -AIR COND. SYSTEMS I
I VENTILATIN6 SYSTEMS I
I
DATE INSPECTOR
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
JNSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
·---· STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
r--------·----~ HIGH STRENGTH
BOLTS ,·
SPECIAL MASONRY
-
,-..--~-
PILES CAISSONS
--i--------
--
-
-~
\"l..~v CALL FOR FINAL INSPECTION WHEN ALL APPROPRIAT~ ... ._
ITEMS ABOVE HAVE BEEN APPROVED. -• ,r, ,-
FINAL ! I. .ala#-.-n.C:.
PLUMBING I I -1"0' 1c w ... --ELECTRICAL I \ \u· ~"'"· ... -. .-.-I .,._,.,.. ·--. .a..:.JJ.., j '-;-, \1 .-, ___ MECHANICAL .v I ' ' ,.:.,_,,., ~,' :. ~j Jd --~ .,.,.....-,._ -· •• GAS I
'. .. \ .. ~-. BUILDING I \
SPECIAL CONDITIONS I \ I J'
I
..
·'6''4 ... ,o ''
INSPECTOR'S NOTES
DATE ,;:-.. _:.l, ~A.·,;,
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O . I hereby affirm that I am licensed under
pr~lelone ot-Qhepter 9 (commencing with
S.Ctlon 7000) otOlvlslon 3 ot the Business
and Profeeelona Code, and my license Is In
(1111 force and effect. .
t hereby affirm lhat I am exempt lrom the Contrac· 1or·s L,unse Law lo, Ille tallowing reason fSec 7031 5 BusmtSs and Profes5'ons Code. Any city or county wh1ct, re--qu,res a perm,1 10 construct, atter. imprOYe, demohsh, or repair any Sltucture, prK>f 10 ,ts issuance also requires !heap-
phcant tor such permit 10 Ille a signed stalemenl Iha! he 1s hcensed pursuan1 to the p,ov1s10ns of lhe Contrac1o(s L,unse Law (Chapter 9 commencing with Secloon 7000 al O,visoon 3 al Ille Business and ProtesS101ls Code) or 111a1 ,s ex-
emp1 thetefrom and the basis !or the allegeo exemption Any vt01.!1ton of Seclion 7031.5 by an applocanl lor a permit sub· Jects the applicant to a civU •penalty of not more lhan live hun-
dred dollars ($500)
1 I. as owner of the property. or my employees with wages
as their sole compensation. will do lhe work. and lhe slruc-
ture is not mt ended or ollered 10f sale (Sec 7044. Business
and Prolessions Code. The Contractor's License Law does
not apply to an owner ol properly who bu1Jds Of tmproves
!hereon and who does such work himself or through his own
employees, provided that sucn improvements are not intend·
ed or offered for sale If. however. the building or improve· ment 1s sold wittun one year of complehon, lhe owner-bui&der w,11 have the burden 01 proving that he did no1 build or im-
p<ove for lhe purpose at sale)
n I, as owner of !he property. am exctus,vely contracimg with lteensed contractors to constrllC1 the prOjeCI (Sec 7044. Business and Pfoless1ons Code The Conrractor's Lteense Law does not apply to an owner of property who builds or 1m•
proves thereon, and who contracts for each protects with a contractor{s) license pursuant 10 the Con1ractor's License Law),
0 As a homeowner I am omp,ovong my home, and the follow· ing conditions exist: '
I. The work is being pertorij prtor to sale 2. I have lived in my h · tor twelve months prtOf to com~etion of this ork 3. I have nol clauned this xemp1ion durmg !he last three years.
g~~r~X::tunderSec. / .B&P.C.
'
surance. o, a certified CO
POLICY NO.
COMPANY .
0 Copy •s liled with the cit
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be eompteted if the permit
Is for one hundred dollars ($100) or less)
D I certify that in the performance of the work for which
lhls permit Is issued. I shall not employ any person in any
m&nner so as to beeome subject to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: 11. after making this Certificate
of Exemption. you should become subject to the W008fs·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions ofthis permit Shall
be deemed revoked.
D I hereby afllrm that there fs a construction lending
agency for the performance of the work for which this per-
mit 1s fssued (Sec 3097 Ci'iil Code)
Lender's Name _______ ~v-----
Lender·s Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859
/W ST.AD. NEARESTCROSSST.
'l2~scA1IT.10 ~0 F wo,il!'<~7 r ~ -~ 7 ~7 7
DESIGNER'S ADDRESS -----------------------------------1
APPLICANT TO FILL IN INFOjtMATION WITHIN SHADED AREA AND DECLARATIONS.
./J APPLICAP?N & PERMIT
eusloiffl~ L1i:ENSE •
\.
VALUATION
ZONE
8''1 ':!AMIT NUMBER
qr~
BUILDING SQ. FOOTAGE
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STATE LICENSE NO. E Q) I-
I -96 y~ F/P F LR ELEV. NO
STORIES
occ GP I EDU uii35 uiil 0'1/J.(/tlt>rKnl lu.t~ 0
. -
1 PARKtNG SPACE RES UNITS
QTY.I PLUMBING PERMIT -ISSUE I, ~
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND10R VENT
EACH GAS SYSTEM I TO 4 OUTLETS I /. ~ I EACH GAS SYSTEM s OR MOR£ ~ f ~Y~
EACH INSTAL. ALTER, REPAIR WATER PIPE --EACH VACUUM BREAKER
WATER SO FTNE R
EACH ROOF DRAIN (INSIDE!
TO I AL PLUMBING l
,
71 -tJ.--
QTY. ELECTRICAL PERMIT· ISSUE 5-
NEW CONST EA AMP SWT BKR
I PH 3 PH
EXIST BLOG EA AMP/SWT BKR
1 PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
vO NO
GRACING PERMIT ISSUED I REDEVELOPMENT
AREA
y D ND vO NO
QTY.I MECHANICAL PERMIT· ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 IS HP
MET AL FIREPLACE
VEN T FAN SINGLE DUCT
MECH EXHAUSl HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
DRYER VENT
TOU.L MECHANICAL
QTY. MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TYPE
CONST
--::> -1...J
DCC LOAD I FIRE SPA
vO NO Not Valid Un~s Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001 ·810-00-00-8220
SIGN PERMIT 001·810-00-00-8221
PLAN CHECK 001-810·00·00-8806
TOTAL PLUMBING 001-810·00·00-8222
ELECTRICAL 001 ·810·00-00-8223
MECHANICAL 001 ·BI 0·00-00-8224
MOBILEHOME 001-810-00-00-8225 I
SOLAR 001·810·00·00-8226
STRONG MOTION 880-519-92·33
FIRE SPRINKLERS 001-810·00·00·822i
PUBLIC FACILITIES FEE 320·810-00-00-8740
BRIDGE FEE
PARK-IN-LIEU (AREA )
TIF 001-810·00-00-8835
LICENSE TAX 001-B10-00·00·8162
MFF 880-519-92-57
-
CREDIT DEPOSIT -TOTAL ELElTRICAL 1 TOTAL TOTAL FEES PAYABLE
I' r /or~
• pp C TO ANO PERMtr ANO 00 HEREBY Expuatiori Every permit issued by the 8u1ld1ng Olhctal under the provis,onsof th1, I HAVE CAREFULLY EXAMINED THE COMPLETED ·A L! A I N . Code shall e>.ptra by ltm1tar1on and become null and VOid II !he butld,ng or work
CERTIFY UNDER PENALJY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE aulhorozed by such pe,m1t ,snot commenced wt1htn 180days from !he dateuf such
* IIN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5 0 ' DEEP ANO DEMOLITION OR Cot4STRUCTION OF
STRUCT\JR£S OVER 3 STORIES IN HEIGHT DECLARATIONSARE. TRUE AND CORRECT AND I FURTHER CER~.IFY Al'/O AGREE IF A PERMIT I~ perl'Cltf:<)\ 1! the budding or wor a orozed b~ such perm11 ,,s s1m>ent1ao or
SSUEO. TO CO'-IPL. Y WflJi • ALL CITY, _COUN1 Y ANO Sl A TE LAWS GOVERNING BUILDING CON L!•~b!.ln!:!dodo~nn~eie(l!l!_a!!t~a!!n!(_l!J!tr:!!!ne_!a!!!ft!!•!.r ,!!I ;t::!20!!rk~:!C~O!!:m~m:!!!an!!!ceJed!£.:f!!,o~r.!a~!!r!S1od~oe!tc...1!.!80!!l.!d;!!•W---:::-P"!~~~~~~-------:~~-~::":''::'.'~:::~---,
STRUCTION WHETHER SPECIF.IED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO M'PLICANT'?/;SI TURi, l OWNER□ CONTRACTOR□. APPROVED BY p l DAT3/J-j t<EEP HARMLESS THE CITY OF CARLSBAD AGAINST. ALL LIABILITIES. JUDGMENTS, COSTS ANDt I! .,_ ~
EXPENSES Wl11CH MAY IN ANY 'NAY_ ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / / ✓ . . . ~ BY PHONE O I ',/ "7
GRANTING OF THIS PERMIT /" { ~ /J 1/ -: LJ _/r_'/ / _//7j;------r
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TYPE I DATE INSPECTOR
BUILDING ' I
Bto-94d'"'"
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR D CElLING SOILS COMPLIANCE
SHEATHING □ ROOF D SHEAR PRIOR TO
FRAME I FOUNDATION I NSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
CONCRETE I
PLUMBING I FIELD WELDING
□ SEWER AND ,BUCO D !?UCO
UNDERGROUND_ □ WASTE q WATER
TOP OUT □ WASTE □ WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSON'.:'.
D WATER HEATER D SOLAR WATER ---
I -~ ---ELECTRICAL I > -
□ ELECTRIC UNDERGROUND ID UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY -~
□ BONDING D POOL I
I -
I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I :,. :'"1 -.:• a it.-~ ' --, -'",F"", ' : ----· --. ~.,: ::-: .... -----
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECGL~IIL_ALL.APPROPRIATE ITEMS ABOVE HA ·•.,
FINAL . 1 -__ ,
PLUMBING I ~EP 1 81Qta4:
~LECTRICAL ! --.... -
MECHANICAL -1:.------• --GAS ~-• ' ..... I
BUILDING I -
SPECIAL_ CONDITIONS I -. . I . I -I