HomeMy WebLinkAbout2124 PALOMAR AIRPORT RD; ; 87-377; Permits
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Q] I cfflrm that 1 am llcanaed urxtar-
provlalona of Chapter 9 (commancing with
8aotk)n 7000) of DIvLalon 3 of the Buslrwaa
and Profaastona Coda, and my llcenae Is In
full foroa and affect
l-h«sby tffrm thit I tm ixempt from the Contnc-
tor't Ijcsftte Lew lor the toOovirig reason (Sec. 7D31 5
Business and Profesetons 0)dr Any cKy or county wtech re-
ctulres a permit to construct, attar, imprmre, demolah. or
repair any structure, pnor to its issuance also requires the ap-pAcant tor such peniit to file a signed statement that he Is
ftcensad pursuant to the promnns' of the Contractor s
Ucanse Law (Chapter 9 corrrmerang with Section 7000 of
Dtvoion 3 of the Business and Professions Code) or that is ex-'empi therefrom and the tjssis for the alleged exemption. Any '
woobon of Section 7031.5 by an applicant for a permit sub
jects the appAcarit to i ctvd penalty of not more tttan bve hun
dred doftars ($500).
1 1 I, as owner of the property, or my employees with wages
as their sole compensaticn, will do the work, and the struc
ture IS not intended or offered tor sale (Sec 7044, Busaisss
and Professions Code The Contractor's License Law does
not apply to an'owner of property who buids or mproves
Ihereon'and who does such work hartseh or through his own
employees. provKled that such mprovements are nof intend-
'ed or offered for sale. It.-howevef. the buBdmg or inprove-
ment is sold within one year of comptetjon. the owner-buldef
wdl have the burden of provmg that be did not budd w Im-
prwe for the purpose of sale).
□ I. as owner of the property, am exclusively contractingwith licensed contract to construct the prefect (Sec 7044,Bueness and Profeaslont Code. The Contractor's UcerueLaw does nof apply to an owner of property who builds or an-'provt^ thereon, and wtw contracts for each projects wdh a^rac1or(t} iKcnse pursuant to'ttie Contractor's Ltoonse
.□ As a homeowner I am vnprovihg my home,'and the fofldw-Ing conditions exlit.1. The work it being performed prior to sale.' 2 I have iMd In my home for twelve monthspnor to completion of tha work'3 I have not claimed this exemption dirrmg thelast three years
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□> I am exempt under Sec..lor thn reason . B4P.C
D 1 hereby affirm that I have a certificate oCteneent toeeif-ineure. or a certificate of Workers' Con^enaation Insurance or a certified cc^ thereof (Seo 3^pD luborCode)
POUCY NO
COMPANY.
CD Copy ta filed with tha
D Certified copy la hereby
dty
CERTIRCATE OF EXEMPTION FBOM
WORKERS' COMPEHSATION INSURANCE
(This aeotion need not be completed If the ptrmit'Is for one hundred doilara ($100) or tea^
Q 1 certify that In the performance of the work tor wtrichthw permit la issued. I ahall not employ any person m any
mannar to aa to become aubject to the Workers' Compen
sation. Lawa of .California
NOTKE TO APPUCANT. If. after mstong this Certiftcate
of Exemption, you should tMOome sui^leot to the Workers'Compenaation provisions of the (.abor Code, you mutt
torttwith comply with such provraionaorthia permit shaJI
be deemed revoked.
ED 1 hereby affirm that there le a oonatructlon lending
agency for the performance of the work for which this per
mit Is l^ed (Sec. 3007. Civil Cods)
Lender's Name^
Lender's Addreaa_
USE BALL POINT PEN ONLY-t PRESS HARD APPLICANT TO FILL IN INFORMATION WTTTHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT2075 Las Paimas Dr., Carlsbad, OA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS A V. ST. RD. ,. NEAREST CROSS ST.
SUBDlVlSlOht ASSESSOR PARCEL NO.
OWNER'S NAME
O^. SkvJ
OWNER'S PHONE
OWNER'S MAILING ADDRESS
DESCRIPTION OF WORK
^ACiPARKING S/ACE RES UNITS GRADING PERMf
DATE OF APPLICATION
CONTRACTOR
d
CONTRACTOR'S ADDRESS1ESS V
TAr>cvco-g
DESIGNER'S ADDRESS .
F/P FLR ELEV.
yd nQ
T ISSUED REDEVELOPMENT
AREA
□ nD
NO
STORIES
TYPE
CONST
I HAVE CAREFULLY EXAf^INED THE COMPLETED "APPLICATION AND PERMir* AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION, HEREON INCLUDING THE'bECLARATIOfviS ARE TRUE AND (X)RRECT AND I FURTHER CERTIFY AND AGREE IF a'PERMIT'IS
ISSUED:- TO'(X)MPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECfFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS'ANDEXPENSES WHICH MAY IN ANY WAY ACCBUE AGAINST SAID CITY IN CONSEQUENCE OF THE^
GRANTING OF THIS PERMIT.
CONTRACTOfiS PHONE #
STATE UCENSE NO.
DESIGNEfrS PHONE
STATE UCENSE NO.
EDU
VALUATION
ZONE
215
PERMIT NUMBER
77
BUtLDINQ SO. FOOTAGE
' VM t Mtchint Ctrvfi§d
"7^
—wwT vT/j/ Qioi oaidhDt 30-
QTY.PLUMBING PERMIT - ISSUE QTY.MECHANICAL PERMIT - ISSUE 3^^SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU •BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWER ' -v ■,OVER 100,000 BTU SIGN PERMIT "001-810-00-00-8221
•EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK Opi-810-00-00-8821
EACH GAS'SYSTEM i'TO'a'OUTLETS .■BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM.5 OR MORE METAL FIREPLACE ELECTRICAL--001-810-00-00-8223 .^42
EACH INSTAE.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST - HOOO/DUCTS MOBILEHOME 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
TOTAL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227
TOTAL PLUMBING PUBLIC FACILITIES FEE 320-810-00-00-8740
QTY.QTY.MQBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740
' ELECTRICAL PERMIT - ISSUE PARK-IN-LIEU (AREA )
NEW CONST EA AMP/SWT'BKR ,CAR PORT TIF 134-810-00-00-8835
1 PH 3 PH AWNING LA COSTA TIF 133-810-00-00-8835
EXIST BLOC EA AMP/SWT/BKR GARAGE ■ ._• FMF /1 V
1 PH 3 PH ■ I-LICENSE TAX . 001-S10-00-00-8162
REMODEL/ALTER PER CIRCUIT MFF 880-519-92-57,
TEMP POLE 200 AMPS ., ■■ ... ■- 1 -
OVER 200 AMPS ■■
TEMP OCCOPANCY 130 DAYS). ■ ,
//£> 0 CREDIT DEPOSIT
tgtaV'electrical ■ TOTAL
-
TOTAL FEES PAYABLE 36 —
Expiration. Every permft Issued by the Building Officiai under the provisioruof4hi8Code shall expire by limitation and become null and void. If the building or workauthorized by such permit is not cqmmenced within 180 daya from the date of suchpiermiL or if the building or work authorized by such permit is sutpendedjabandoned atany tifT>e after the worfi is commenced for a penod of 160 davs
APPLICANTS Si TURE OWNER □CONTRACTS
BY PHONE
* AN OSHA PCRMtT IS REOLNREO FOR EXCAVATIONS OVER
S' 0" DEEP AND DEMOUTION OR CONSTRICTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
APPROVED BY
.X
TYPE 11 DATE INSPECTOR
BUILDING 1
FOUNDATION j
REINFORCED STEEL }
MASONRY 1
GUNITE OR GROUT | ,
SUB FRAME □ FLOOR □ CEI|_ING ^. \y ^
SHEATHING □ ROOF □ SWEAR
FRAME }EXTERIOR LATH }
INSULATION 1
INTERIOR LATH &^DRYWALL }
\ 1
PLUMBING i
□ SEWER AND BUCO □ FfUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN {
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
1
[ELECTRICAL {
jS^ELECTRIC UNDERGROUND CD UFFER
ROUGH ELECTRIC |□ ELECTRIC SERVICE □ TEMF^RARY
□ BONDING □ POOL 1
1
1MECHANICAL {
□ DUCT & PLEM., □ REF. FIRING
HEAT — AIR COND. SYSTEMS {
VENTILATING SYSTEMS !1
1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL i .
PLUMBING r r' /^'''
ELECTRICAL j
MECHANICAL 1 JTGAS i '•.J ■ ">BUILDING j
SPECIAL CONDITIONS 11
1
r— ^
/\
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
J
INSPECTOR'S NOTES
INSPECflOTJ REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE X / f
FIELD WELDING '
HIGH STRENGTH
BOLTS
special masonry
PILES caissons
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