HomeMy WebLinkAbout2131 LAS PALMAS DR; ; 81-301-C;; PermitQ I horeby tfftrm thtt I am llcansad under
provisions of Chapter 9 (commencing with
Section 7000) of Olvlaion 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lic No _ Class
I hereloy atlirm tnst l em sismpi from ihe Contractor's L<cens« Law lot tne following reason (Sec
7031 "> Business ana Professions Cooe Any city orcounty whicn requires a permit to construct
alter, improve. Oemoiish. or repair any structure,
prior 10 Its issuance also requires the applicant lor
Such permit (0 life a signed statement that he is
licensed pursuant lo tne provisions of the Con
fraclor s License Law (Chapter 9 commencing with
Section 7000 of Oivision 3 of trie Business and Pro
lessions Code) or thai is exempt therefrom and trie
basis for the alleged eiempiion Any violation of
Section 703t S by an applicant lor a permit subjects
trie appiicani to a civil penalty ol not more than five
hundred dollars (SSOO)
n 1. as owner oi tne property, or my employees
wcih wages as iheir sole compensat'on. wtil do Ifte
worti. and the siruciure is riot intended or offered lor
sale (Sec 7044. Business and Professions Code
The Coniracior s License Law does not apply lo an
owner of property who builds or improves Ihereon
and who does such work himself or through rtis own
employees, provided lhai such improvemenis are
noi intended Or offered for sale il. however, the
building or improvemeni is sold within one year ol
compielion. ifie owner builder will have the burden
of proving that he did not buMd or improve tor ihe
purpose of sale)
Q i. as owner of tne property, am exclusively
contracting with licensed contractors 10 construct
the project (Sec 7044, Business arnJ Prolessions
Code The Contractor s License Law does not apply
to an owner ol properly who builds or improves
Ihereon. and who contracts 'or eacr> projects with aconiraciorts) license pursuant lo the Contractor's
License Law)
□ I am exempt under Sec
lor this reason
.B &PC
O I hereby allirm that I haveacertilicaieolconsentto self insure, or a certificate of Workers'Compensation Insurance, or a certified copy Ihereol
(Sec 3B00. Ubor Code)
POLICY NO _ _ ..
n C^opy IS (lied with Ihe cily
O C^mlied copy is hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCEffhis section need not be completed it me permit
IS lor one hundred dollars (SiOOi or less)
□ I ceriiiy that in the performance of me work lorwhich this perrnit is issued. ■ shad not employ anyperson 'ft any manner so as to become subject tothe Workers Compensation Laws oi (3aiilomia
NOTICE TO APPLICANT It. after making Ihis Certilicaie of Exemption, you should become subjeci mthe Workers Compensation provisions of the LaborCode, you must forthwith comply with suchprovisions or this (jermii shall be deemed 'evoked
Q y hereby affirm Ifiat there IS a construction
lendtfifl agency foi the performance of ttie work io<which this permit is issued iSec 3097. Civii Codei
Lender s Name.
Lender's Address .
USE BALL POINT PEN ONLY & PRESS HARD
rlock
OESCR
CARLSsliftBUILDING DEPARTMENT
12(X) Elm, Carlsbad, Califofnia 92006 (714) 438-5525
APPLICANL^FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
J^\UCATION & PERMIT
JOBADORESS j 7j
OWNER'S NAME
AV. ST.
RO.
OWNf fi'S PHONE 1 PR
. n r*. . V / . e . iL I A C' C 1" . • C . n .* L>/~ C I •.ALs;',iS'.:'H P/.HCf L NO _ _-33
ME CONTRACTOR
DATE OF APPLICATION
/e> /i, h'
.T,C. L(JAei> co/sp.
CONT RACTpR'S ADDRESS _ ^
QTY.
^7£:(£./b CZ-/ I
CENSUSTHACT GP LAND USE PAHKINGSPACE RESUNITS GRADING PERMIT ISSUED HEDEVElAREA
T □ W □
REDEVEL
OAICS .
^ *- -H LLEV
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILOmC SEWER
EACH WATER HEATER AND'OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEMS OR MORE
EACH INSTAL , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOfTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.
OPMENTAREA
rQ nO
7v<d QTY.MECHANICAL PERMIT - ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER lOG.OOO BTU
BOIIER/CQMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 16 HP
METAL FIREPUCE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD/DUCTS
RELOCATION OF £A FURNACE/HEATER
TOTAL MECHANICAL
ELECTRICAL PERMIT • ISSUE
NEW CONST EA AMP'SWT BKR
I PH 3PH
EXIST BLOG EAAMP/SWT/BKR
1 PH 3PH
REMOOEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
\
TOTAL ELECTRICAL
^■00 QTY.
JtBi.NO
STORIES
TYPE
CONST
BUSI ENSE.a
CONTBACTOHS PHONE
9S/
LICENSE NO.
STATfc L iCtNSE «
c
DES^LCNE R'S PHONE
OCC LOAD
EDU
FIRE SPR
vD nQ
VALUATION
ZONE
S^NOARD PLAN #
in/n^/ri
PERMIT NUMBER
SLOG USE COOE
BUILDING SO. FOOTAGEllU.
Not Valid Unless Machine Certified
SiDa
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
M08ILEH0MEPARKINSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS f-% k '■ -
PUBLIC FACILITIES FEE -
BRIDGE FEE
SCHOOL-FEE -.DISTRICT
Carlst>ai]
Enclnltas
San Dieguito
San Marcos
TOTAL FEES PAYABLE
67
w- \
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT ' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL JNFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED' TO COMPLY WITH ALL CITY, COUNT" 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 ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
Expiration Every permit issued by the Building Official under the provisions of thisCode shall expire by limitation and become null and void H Ihe buitdmg or workaulhori2ed by such permtl is not commenced withm 18O days Irom the dale of suchpermit, or it the building or work authorized by such permit is suspended orabandoned at any iime auer the wt^rk is commenced tor a period of tflO davs
ICANT'S S
* AN 06HA PERMn IS REOUIRED FOR EXCAVATtOMS OVER
6 0 " DEEP AND OEMOLrriON OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
' ^ OWNER □CONTRACTOR
BY PHONE n
APPnOVED
INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
DATE INSPECTOR
HEAT — AIR COND. — SOLAR SYSTEMS
VENTILATING SYSTEMS
m
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
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
REG IF
CHECKED
INSPECTOR'S
APPROVAL DATE
INSPECTOR'S NOTES
00 a e: