HomeMy WebLinkAbout2202 PAMPLONA WAY; MP; 81-536; Permit"' z 0 ;:: < a: < ..,
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O I hereby ,.iilrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
fuli lorc-e!f~-~ I C, Lie No;%. ~ Class ~b~~-~--"---
I hereby atfinn that I aim exempt from the Con·
~~0l8t!f!;:: ~; ~~,~~:1:w~~~i\~
coonty which requires a pennit to construct
after, improve, demohsh, ex repair any structure,
prior to ,ts issuance also requires the applicant for
such permit to hie a signed statement lhat he ,s
licensed pursuant to the prQ't'1sions of the Con-tractor's License Law (Chapter 9 commencing with
Section 70CX) of Otv1sk>n 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the basts tor the alleged exemption. Any vK>lahon of Section 7031.5 by an apphcant to, a permit subjects
1ne applicant to a civil penalty ot not more than five
hundred dollars ($500).
0 I. as owner of the prQPerty, Of my employees
,.,th wages as their sole compensation, will do the
wOftc:, and the structure 1s not intended or ottered f0< sale (Sec 7044, Business and Professions Code:
The Contractor's License Law does not apply to an
owner of property who builds or improves thereon
and who does such wotk himself or throuoh his own employees. provided that such improveme;its are not intende1 or offered tor sale. II, however. the
bu1ld1ng Of imp(ovement ,s sold within one year ot
completion, the owner-builder will have lhe burden
of prov•no th.it he did not build or ,mprove for the
purpose of s,ilej.
D I. as owner of the property, am exclusively
contr~t•nil with hcensed contr~tors to construct
the project (Sec. 70«. Business and Professions
Code: The Contractor's License Law does not apply
to an owner of property who builds or improves
thereon, and who contracts lor each proJects with a
contractOf'(s) license pursuant 10 the Contr-.ctor·s
License Law).
0 I am exempt under sec ______ B & P.C
forth,sreason ___________ _
□ I hereby affirm that I ha'te a cert1hcate of consent
to self-insure. or a cert1f1cate of Workers·
Compensation Insurance. or a cert1hed copy thereof
(5ec 3800. u,t,or Code) C r~
z POLICY NO r/-? /7)~~-(!" ___ _
g I CO~PANY ~, I q v..Y'.d.J i ~y IS hied with the city
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D Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Th,s section need not be completed 11 the perm11
1s for one hundred dollars (StOO) or less)
D I certify that ,n the performance of the work for
which this permit ,s issued, I shall not employ any
person m any manner so as to become sub1ect to
the Workers· Compensation Laws of Callforma
NOTICE TO APPLICANT II, at1e, makm~ ttus Cert••
ltcate of Exemption, you shOuld beeome sub1ec1 t'J
the Wotkers· Compensatton prov1s1ons of the Labor
Code, you must forthwith comply with such
prov1s1ons or this perm11 shall be deemed revoked
0 I hereby attum lhat there ,s a cons1ruct1on
lending agency IOf the performance ot the work lor
which lhlS perm,, IS ISSU~ (Sec 3097' c, ... ,1 Code)
Lenders Name ___________ _
Lender's Address __________ _
u:,t D"LL runu rc.n unLT Ot r,u.~~ """u ,0 -----
APPCJATION & PERMIT CARLSBAD ~ JILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-6525
~· ., . ..p..P~,,.w~ <'. .~ '. ·•-:.r-1 .. nr-~"-1 BUSINESS LICENSE # VALUATION PERMIT NUMBER
vr ~ -,_ h~ /2~ .. · -;1 -· -lt">"i 1. e 1 c:J /9e? 7 ~1.s-3(, t_.;<-.,-//(_ LL ,r/~ ,.,, /.,; rr '.. -•· ·<: ' • t, -m ~flt <!.bs/~ 0 //4 $' e.-, I QIPIER'Sf'HONE ~~~OR-. ' ,. CONTRACTORS PHONE • ZONE
Nt1?<A. a~-<-)t ~-4 ..a §~1. · · ",·,C G/.ec h I e-/ 7..-S-5:3(173
ow~/os ':t.~iREsp,~/'e✓/i e .S ~ :z:_ i,c_ . ~ ADD.RESS UCENSENO. PLAN 1.0. # BLOG USE COOE
;_o /d.J El ~.#/)1//U1 ft'H/ A/__)~/ /Jtt,4u;e:...c/~ j~~ S-t1ed°r45, £k~ ,~ S'i~'f ,µ
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. ·"'.'i''.'r' •.. ,., --STATE LICENSE # STANOARO PLAN # BUILDING SO. FOOTAGE
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OESCAIPTION OF WOAK ~~-;;,-y. oa.~ ADDIIUII _ DESIGNER'S PHONE
//~~ I t,--t) r '--ni'7k .--.~:· .. . . ~ ~ . .. -. 12/10/814668 27 ,01 -------·-----~ -. NO -. u • F/P FLR ELEV. OCCGP EDU oao 14s6e"ieii 01 e, STORIES SIJ ,□
vO NO ' .. ·---.
CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS
1
GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRE SPR
A REA CONST
YO N 0 vO NO vO NO Not Valid Unkss ~chine ~rtifilld
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-42?0
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221 -
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000-4223 ~?..,. ___
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHDME 01 ·000·4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOT.kl MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-000-4227
QTY. ELECTRICAL PERMIT -ISSUE 1~ QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 25-000·4933
BRIDGE FEE
NEW CONST EA AMP/SWT /BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad -65-623·0519
✓ EXIST BLOG EA AMP/SWT/BKR /dtJ /;rl::), ,c:--ROCK STORAGE . ~ 1.----fficinitas 65·624·0519
' 1 PH 3 PH I PUMP ~ -----.
San Dieguito 65-625·0519 ,
REMODEL/Al TER PER CIRCUIT PLAN CHECK FEE . ~......------San Marcos 65·626-0519
-n luf'IJ-__..-TEMP POLE 200 AMPS
OVER 200 AMPS It? fl_:.--
TEMP OCCUPANCY (30 DAYSI I~
_,,... ,.,... \l
TOTAL ELECTRICAL I ;l.7 -TOTAL SOLAR TOTAL FEES PAYABLE I ;}.'7~
, . --
I HAVE CAREFUUY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANDDOHEREB't __ MIi •Ollic:ieluncler .. =::oftlll8 * ANOIHII, !'£AMIT IS AEOUIAED FOA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT AU INFORMATION HEREON INCLUl)ING THIE .,._. .... and INllcl. tt 11w · or work 5' er DEEP ANO OElilOUTlON OR CONSTRUCTION OF
DECLAAA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF" PERMIT IS
wlllirl ,.,.,.lrOMlhedaleof MICh STAUC1\IAES OVER 3 STORIES tN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING IIUII.WNGOON-br-=~~ .... J ••• _ 0,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INOl!IIN_IFV ANO IL~□ CONTRACT~"" APPROVED BY (J;A-11i~l11 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENlJ, CIOiSl'8 AND :. '. ,•_.,,.,. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CON~ OF THE ··-...... -,• BYPHONE 0
GRANTING OF THIS PERMIT. . -, I I
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BUILDING r .
INSPECTION TYPE DATE INSPECTOR '\ .... . ' '
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FOUNDATION I
-FIELD INSPECTION RECORD
REINFORCED STEEL I
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I . INSPECTION REQ IF INSPECTOR"S DATE ., CHECKED APPROVAL
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
l
SOILS COMPLIANCE
PRIOR TO
SHEATHING I FOUNDATION INSP
FRAME i STRUCTURAL CONCRETE
OVER 2000 PSI
EXTERIOR LATH lNSULATION ' I PRESTRESSED . CONCRETE
INTERIOR LATH & DRYWALL I I
PLUMBING I -I
POST TENSIONED
CONCRETE
FJELD WELDING
SEWER AND BL/CO I HIGH STRENGTH.
PLUMBING UNDERGROUND I
I BOLTS
PLUMBING TOP OUT I SPECIAL MASONRY
-TUB AND ~HOWER PAN I
GAS TEST •
I PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER I
ELECTRIC UNDERGROUND I
I
~
ROUGH ELECTRIC I .. .
ELECTRIC SERVICE i
BONDING A I
G. F. I. -SMOKE DETECTOR I,
I
MECHANICAL i
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS --,. .... __ ... ·---r
VENTILATING SYSTEMS ? . ~.' ' ' ' .. ..
" -CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED.
JOB SITE FINAL '· ~ \ .. , ....... ~' ' ~ -:-,
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'. .. '-. --..--• ..... ,C-'-"'-'· ~-;.._,;.r\ ~ ' ~ c_ \ ...........
PLUMBING ' \.--.... < ' ' .. \'.:.... ~ ~
ELECTRICAL
MECHANICAL
:, ,..._.,.__, t. ( ~' ' ...__ '-' ··• ~' -"'' ~-~ " --. -•·,,_ ;,-·
GAS
BUILDING
SPECIAL CONDITIONS
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CERT OF OCCUP ~_N_C_Y_IS-'-S'-U'-'E=D'----------'----....J'------(~'! / 1 I.' , " . \