HomeMy WebLinkAbout2118 PINE CREST WAY; ; CB880655; Permit"' z 0 ;::
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IC e L-b-11...etiy affirm that I am licensed under u ~~a of Chapter 9 (commencing with = Section 7000) of Division 3 of the Business
... and Profnalona Code, and my license is In ~ full force and affect.
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I hereby alfirm lhal I am exempt trcwn the Contrac-Ior·s Liceose Law tor the IOIIOwmg reason (Sec 7031.5
Business and Professions Code Any city or county whicr. re-qulfes a permit to construct, alter, improve, demohsh. or repair any suuclure. prlOf to 11s issuance also requues !heap-
plicanl !or such permit to hie a stpned statemenl lhal he 1s
licensed pursuant 10 the provIsIons ot the con1racIor s License law (Chapter 9 commencing w1Ih Sectoo 7000 of
Olv1s10n 3 of lhe Business and Proless1ons Code} or lhal 1s ex· empt therefrom and tht basis tor Ille allegeo exemplion Any
vt01ahon of Section 7031.5 by an applicant fOC' a permit sub· 1ects the apphcant to a civil penalty of not more than hve hun-
dred dollars ($500)
I I, as owner ot 1ne property. or my employees wilh wages
as !heir sole compensation will do lhe work, and lhe struc·
lure 1s not intended or offered tor sale (Sec 704•. Business and Professions Code The Contractofs License Law does
not apply to an owner ol property who builds or 1mprovts
thereon and who does such work himself OJ through his own employees. provided that such ,mprovements are not intend·
ed or offered lor sale If. how~r. the butkhng Of improve-ment 1s sold w11h1n one year ot completion. the owner-builder
will have the burden of provmg that he did not bu11d or im-prove !or tne purpose ol sale)
f f. I, as owner of the property, am exclusively contractmg
with hcensed contractors to construct the pr()Jec.t (Sec 7044,
Business and Protess.ons Code. The Contractor's Ucense Law does not aopty to an owner ot prc,perty who builds or im-proves thereon. and who contracts fOf each protects with a
contraetor(s) 1;cense pursuant to lhe ConlractOl's License Law)
ll As a homeowner I am 1mpJOvmg my home, and lhe follow·
ing condit+ons e:111s1: 1. The work is being performed pnor to sale 2. I hcr1e lived 1n my home tor 1we1ve monlhs pnor to compleuon o1 this work
3 I have not claimed this exempttOO during the last three years
D I am exempt under Sec ______ , 8 & P C
fOf this reason -------------
POLICY NO
COMPANY
~opy1sf'i1
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed it the permit
is for one hundred dollars (S 100) or less)
0 I certify that in the performance ol the work tor which
this perm ft 1s issued. I Sha.II not employ any person 1n any
manner so as to beeome sub1eet to the Workers· Compen•
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the labor COde. you musl
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a conslrucllon lending
agency for the performance of t~ork for which this per·
m1t is Issued (Sec :r:rl ~~
Lenders Name _ ~=Jf------
Lender's Address "
USE BALL POINT PEN ONLY & PRE$S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
(PAT1 0) CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT A 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOaD)Rr~ Pu:JD./' ~d-,Av sT.i»l/';s;ROsNo. l~~~1r1 BUSINESS LICENSE tt VALUATION
i~'"Y t /,,,o
LOT I BLOCK I SUBDIVISION ASSESSOR PARCEL NO I ~~NT~~ &dr..~ CONTRACTORS PHONE • ZONE Cb
OWNERM~ ~~, I OWNER"$ PHONE
Zl?Z~s7n';,~~,{Y\ ~rn
STATE LICENSE NO. BUILDING SO. FOOT AGE 'l... I u -_,,/ ,~J1'-\~ owNE R'S MAI u NG ADolf'"E.ss I
~I . I ~ESIGNER"S PHONE
'\ DE7eB) 342/ p DESCRIPTION OF WOR>< .. ~ / ./) r lfl)YV'\ &A] DESIGNER"$ ADDRESS STATE LICENSE NO.
If\ Ac') 34itP
~ ~ F/P F LR ELEV. NO OCC GP EDU STORIES
vO NO --I CENSUS TRACT I PARK ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPM ENT TYPE OCC LOAD FIRE SPR 0006 05/20 0101 02BldPa,t 35-0 ) AREA CONST
y D ND vO NO vO NO Nor Valid Unlrn Machine Cerlified
QTY. PLUMBING PERMIT -ISSUE /~ QTY. MECHANICAL PERMIT -ISSUE /S~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FU RN. DUCTS UP TO 100.000 BTU BUILDINb PEHMI I 001 ·810·00·UU·tlUU -,J -
EACH BUILOING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810-00-00·8221
EACH WATER HEATER ANQ ,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00-8891 /'I--
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810·00·00·8222
EACH GAS SYSTE M 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
EACH INSTAL. ALTER, REPA IR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00-8224
EACH VACUUM BREAKER ME CH EXHAUSl HOOOIOUCTS MOBILEHOME 001-810-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00-00-8226
EACH ROOF DRAIN IINSIDEI DRYER VENT STRONG MOTION 880·519-92·33
TOTAL MECHANICAL ~~--EPA-n 'L"OT-\10-oo-oo-a227
TOI AL PLUMBINl, r • .. ,,-~L'7,;~,;'"J(rf11:¼ Ft£' ~M10-oo-oo-a740
~ BRIDGE FEE 360-810-00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK.:JUNu iiift>< 1~00 .......-: ... 1, 1n..,--::--..._
NEW CONST EA AMP SW! HK R CAR PORT /4(;_,,'\'0 ""<i':::-.. TIF 312·810-00-00-8835
1 PH 3 PH AWNING I~ 4 ~~\. 131Ms.f1F.-.-00-00-8835
EXIST BLOG EA AMPISWT BKR GARAGE f.t.t --"' . '!n'I VMPMENT PROCESSING St!RVS.
1 PH 3 PH ~ 'l'I J!f/1/l . LIC ENSE TAX 001·810·00-00-8162 .
REMODEL ALHR PER CIRCUIT ~ r,':.._ITJ, ,;;~ 'D ~ MFF 880-519-92·57
TEMP POLE ?00 AMPS ~ cino/,;~ :;r.:,1f.f..R ..C.
OVER ?00 AMPS \"cP -·-~ {f;"V . A':-'
TEMP OCCUPANCY 130 DAYSI "-d> ... .A:0/
-...:.....1>s-.... .,,.()'i,1/. CREDIT DEPOSIT ---::;
101AL ELECTRICAL I TOTAl -. -TOTAL FEES PA~,% ~s---~
t HAVE CAREFULL y EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expuat,on Every permit issued bylhe Bu,ldmg Olfic,at under lhe prov,s,ons ollh,s .~ A~PERM:T IS RfQUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE COde snail e•p,re by hmilat,on ancl become null and vo,d II the burld,ng or work 5 O"' EPf"ND DEMOLITION OR CONSTRUCTION Of authonzed by such ~rm1t 1s not commenced within t 80 days from the date at such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permit. or ,f the buildi::ft or work aulhor,zed by such permit 15 suspended or ;, OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WrTl-i ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILOING CON _,,donect 11.any time a ter the work ,s commented tor a oenOd of t80 davs ,, -
STRUCTJON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A:y,:;LICAI~~ OWNERn CONTR -f-, 1PP~VED BY .JL
11-ul~fl KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND U ) '-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAiNST SAID CITY IN CONSEQUENCE OF TH 1
GRANTING OF THIS PERMIT j BY PHONE rJ ~ -
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TYPE ' DATE INSPECTOR
BUILDING ' '
FOUNDATION ' I
REINFORCED STEEL I
I
MASONRY ' I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEILING
SHEATHING □ ROOF □ SH.EAR
FRAME
EXTERIOR LATH ;
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER ANO-BUCO D PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST '
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ,,
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL \ \
I
PLUMBING ~-
ELECTRICAL ~
MECHANICAL I \ . . \.~
GAS I . Q ' &"~
BUILDING ' ....... ""~ '
SPECIAL CONDITIONS I '(\ ~
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES .... --DA]j' I-' ' --~1;' -,. ; IF_~-'\"' . ~; -·; .. I r ..., .. -.,,
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City of CARLSBAL>
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