HomeMy WebLinkAbout2121 Palomar Airport Rd; ; 87-34; PermitOf I hereby affirm that I am flcansed under
proVlsiona of Chapter 9 (commencInQ with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is in
full force and effect.
I ne'e&y alfirm tnai i am exempt irom ine Contrac
tor's License law tor me toiiowing reason (Sec 7031
Business arvd Professions Code Any oiy or county whicnjQuires a permit to construct, alter improve. Oemoii^repair any structure, prior to its issuance also reuuires>fe ap-
piicani lor sucn permit to iiie a sioneil statement uftt rit; isiicensetl pursuant to me provisions ol the y^uacior sLicense Law iCIiapter 9 commencing with Seyfnr 7000 ofDivision 3 of the Business and Profession'., Ccyfj ur trial is ex-empT merelrorn and me Basis tor me aiiegenyxempiion Any
voialion of Section 7031.5 Oy an appucaainoi a permit suP-
lecls the applicant to a civl penally ol nownore man tive riun-
dred dollars (S500)
I I. as owner ol me property, or employees wiih wages
as their sole compensation will o/ihe work and me struc
ture IS nol intended or ollered ivsaie (Sec 7044. Businessand Prolessions Code The (^tractor s License Law does
not apply to an owner ol pwerly who Ouilds or improvesthereon and who ifoes suchynork himseil or through his own
employees, provided that acn improvements are not inland-
ed or oitereti for sale i/however. the building or improvement IS sold within onej^r ol completion, the owner-builder
will have the burden or proving thai he did nol build or im
prove lor the purpotwoi saiei
n I, as owner o^he propeity. am exclusively coniiaclingwith licensed cojifaciors to construci the proiKt (Sec 7044,
Business and Bfoiessions Code. The Contractor's License
Law does not npiy to an owner of property who builds or improves ther^. and who contracts for each orojecis with a
coniractor(9i) license pursuant to the Contractor's License
Law).
U As affiomeowner i am improving my home, and the follow
ing cofraitlons exisi
The work IS being performed prior to sate.
I nave lived in my. home tor twelve months
prior to compieilon ot this work.
I have nol ciaimerl this exempliu rMrlng the
last three years.
□ I am exempt under Sec.
tor this reason .8&P.C.
I hereby ailirm that i have a certiiicate of consent to
seil-irsure Di a cerlilir.ale ol Workers Comperrsalion In
surance. oi a ceiMiea cop. ineieot (Sec ,«jDO. Labor Code)POLlCV HO Pax.COMPANY CjOlV
f^<opy IS tiled with the city
G Ceilified copy IS hereby furnlstyed
CERTIFICATE OF EXEMPTION FROMWORKERS' COMPENSATION INSUMNCE(This section need not be corrpietejtePlne permitis tor one hundred dollarj.i*fCO) or less)
G ) cerlily ttral in ihe oe(>dffnance of the work for whichthis permit IS lssued,>df!all not employ any person m anymanner so as l^dSome subject to tt>e Workers Compen.
saticn Lawb^TDalifornla.
NOTig?^ APPLICANT. II. alter making this CerlllioateHSmpuon. you Should become subject to the Workers'
ompensation provisions Ol the Labor Code, you mustforthwlin comply with such provisions or Ihis permit shall
be tleemed revoked
Q I hereby alDrm that there is a coh^lMCfion lending
agency lor Ihe perfomiance ol for which this permlt is issued (Sec. 30g7^,BfdlTCode)
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
c'lWNE R'S NAME '
K>.' < -er ^
OWNER'S PHONE
"fSS'm \
(OWNER'S MAILING ADDRESS
- *5 ^ —
t
CARLSBAD BUILDING DEPARTMENT
Carlsdad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOS ADDRESS AV. ST.RD. NEAREST CROSS ST.
7_.\"L.V V c\\o i^vfpc?rt (2^W-UDA - SURO'VlSiON ASSESSOR PARCEL NO
DESCRIPTION OF WOBk
r r\c^L.\
:^ro*w --"VfSw "{ox<a.*\<xXv->
CLN JUt; T RAu I
QTY.
LAND -jSE HARN INL. jPaCL
PLUMBING PERMIT • ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACHWATER HEATER AND'OR VENT
EACH GASSYSTEfW 1 10 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL . ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (iNSiDFi
DATE OF APPLICATION BUSINESS LICENSE a
CONTRACTOR
CONTRACTOR'S ADDBfcSS
155
DESIGNER'S ADDRESS
F p F Lfl Euev.
vD nQ
fl f.i UN TS GRADING PEHfvllT ISSUED
f □ N □
TOIAL PLUMBING
QTY.
QTY.ELECTRICAL PERMIT • ISSUE
NEW CONST EA AMP.SWT BKR
PH 3 PH
EXIST BLOG EA AMP/SWT'8KR
1 PH 3 PH
ypC)
REMODEL ALTER PER CIRCUIT
TEMPPOLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
js:^
REDEVELOPMENT
AREA
rO nD
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
METAL FIREPLACE
VENT FAN SINGLE OUCT
MECH EXHAUST HOGO'OUCTS
RELOCATION OF EA FURNACE/HEATER
NO
STORIES
TYPE
CONST
CONTRACTORS PHONE
7M3-a6o5
LICENSE NO.
JZfclbC?
DESIGNER'S PHONE
LICENSE NO-
OCC LOAD
EOU
FIRE SPR
vQ nG
VALUATION
ZONE
PLAN t.D. «
PERMIT NUMBER/
BUILDING SO. FOOTAGE
Not Valid Unless Machine
3-SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-00-00-82^
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 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
TOTAL MECHANICAL STRONG MOTION
FIRE SPRINKLERS
QTY.SOLAR • ISSUE
COLLECTORS
STORAGE TANKS
BOCK STORAGE
PUMP
PLAN CHECK FEE
TDTAI SOLAR
I H.AVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERfvlfT" AND 00 HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY, C0UN1 Y AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE
GRANTING OF THIS PERMIT
SOLAR
69 .^isbad
i?Encmifas
MOBILEHOME PARK INSP
001-810-00-00-8226
880-519-92-33
001-810-00-00-8227
PUBLIC FACILITIES FEE 332-810-00-00-8930
FEE - DISTRICT
^ San Dieguito
San Marcos
LICENSE TAX 001-810-00-00-8152
3-519-92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE
Expiration Every permit issued by Ihie Building Official under the provisions of thisCode shall expire by limitation and become null and void if the buiidmg or woriiauthorized by such permit is not commenced within 160 days from the dale of suchpermit, or if the building or work authorized by such permit is suspended 01abandoned at arxy time after the work is commenced for a period ol tW davs
APPLICANT'S SIGNATURE » OWNER D CONTRACTOR ft-
BY PHONE n
* AN 05HA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' 0' DEEP AND DEMOLfTlON OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEtGHT
APPROVED BY DA'
rypE 'DATE INSPECTOR
BUILDING t
FOUNDATION [
REINFORCED STEEL I
MASONRY 1
GUNITE OR GROUT 1
SUB FRAME □ FLOOR □ CEIl^ING
SHEATHING □ ROOF □ SHCARFRAME 1
EXTERIOR LATH |
INSULATION 1
INTERIOR LATH & DRYWALL 1
1
PLUMBING i
□ SEWER AND BUCO □ P{./CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN |
GAS TEST '
□ WATER HEATER □ SOLAR WATER
•
/ ELECTRICAL '^ -1I^LECTRIC UNDERGROUND OiUFFER
ROUGH ELECTRIC |
□ ELECTRIC SERVICE □ TEMPORARY C- /
□ BONDING □ POOL i
1
1
MECHANICAL ■
□ DUCT & PLEM., □ REF. PIPING
HEAT — AIR COND. SYSTEMS |
VENTILATING SYSTEMS '
1
CALL FOR FINAL INSPECITEMS ABOVE HA3ON WHEN ALL APPROPRIATE
E BEEN APPROVED.
FINAL
PLUMBING '/ /ELECTRICAL
MECHANICAL c
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
INSPECTION REG IF
CHECKED
INSPECTOR S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
structural CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
. r''■ I.
• 1 -•
•
* ' •