HomeMy WebLinkAbout2206 PALOMAR AIRPORT RD; ; 86-603; Permit□ I h«r*by affirm that I am llcdnsad ur>derprovialona of Chapter 0 (commencing with
Section 7000) of CHvlaion 3 of the Business
and Professions Code, and my license Is In
full force and effect._^No.
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I hereby ifhrm thil I im exempt Irom the Contractor's Licensa for the loUowtng reason (Sec 7031 5Buttness and Professions Code; Any city or county which requires a permtt to construct, after, mprove, demolish, orrepair any structure, prior to its issuance also requres the applicant for such permit to frie i signed stateient that he islicensed pursuant to the provitkins of the Contractor's[jcensa Ijw (Chapter 9 commencing wrth Secton 7000 ofDnmion 3 of the Business and Professions Code) or that a exempt therefrom and the basis for the afleged exemption Anyvuslalion of Section 7031.5 Ijy an apptant for a permit sub-tects the applicant to a cne] penalty of not more tftan five hundred dofbrs ((500) '
□ I, as owner of the property, or my employees with wagesas thiecr sofe compensatnn, wd do the work, and the structure is not mtended or ottered for safe (Sec 704't, Business
and Professions Code The (Contractor's Ijcense Ijw doesnot apply to an owner of property who builds or unprmresthereon and wtw does such woric himseff or through ms ownemployees, provided tfat such mprmements are not intended or ottered for sate. II, however, ttw buUng or mprove-ment ts sold wUhfi one year of completion, the owner-buifderwid have the burden of proving th^ he did not buid or en-prove for the purpose of sale)
□ I, as owner of ttw property, am exclusively contractingwith licensed contractors to construct the project (Sac 704A.Business and Professions Code The Contractor's LicenseLaw does not apply to an owner of property who budds or improves thereon, and who contracts for each projects with ag^ractor(s) bcense pursuant to the Contractor's License
□ As a homeowner I am Improving my home, and the tolkjw-ng c^dkmi exist1. TTie work IS being performed prior to sale2. I have lived n my fiome for twel^ monthspnor to completion of this work3. I have not cfarnwd thts exemption dunng theLast three years
□ I am exempt under Sec ,B&PCtor tins mason
ccUJo
[H I heretiy afhrm thai I hove acerlilicaJe of coneent to
MlfHnsure. or a certificate of Workers' Compenaation In
surance. or a certified copy IhAreof (Sec 3800. Labor Code)
POLICY NO
COMPANY
n Copy M filed vnth the city
Q Certified copy le hereby furnished
CERTIRCATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This seotion need not be completed If the permitte for one hundred dollars ($100) or leas)
n I certify that in ttie performance of the work for wtach
thn permit is Issued. I shall not employ any person In any
manner so as to tiecome subject to the Workers' Compen
sation l-aw8 of California
NOTtCE TO APPUCANT- tf, after maklr>g this Certificate
of Exemptron, you should become tubiect to the Workers'
Compensation provisions of the Labor Cods, you must
forthwith comply with such provtsjonsorthis permit shall
be deemed revoked
n I hereby affirm that there la a construction lending
agency (or the performance of tfie work for which this per
mit Is Issued (Sec 3097, Civil Code)
Lender's Name
Lender's Address.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
OWNER'S NAME
_ /fc) 9££.Tys
OWNE R'S PHONE
OWNER'S MAILING ADDRESS *
DESC^PTIQN OF WPR K t ^
Y— —
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS DATE OF APPLICATlOiAV.ST.RD, NEAREST CROSS ST.
SUBDI VISION ASSESSOR PARCEL NO
CENSUS TRACT
QTY.
GP LAND USE
CONTRACTOR
7^/jy uj/ifJU-i-
iNTRACYoR'S ADDRESS
UJoopuj;AJt> Tip. Bfic.
DESIGNER'S ADDRESS
F/P FLR ELEV
yO nD
PARKING ^ACE
•Y- y
PLUtvlBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILUING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM B OR MORE
EACH INSTAl. , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.
7
. ,-'^GRAQING PERMIT ISSUED
^ ^ Y □ N □
sr>OJTY.
ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT'BKR^-p.
/r1 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL 3^
REDEVELOPMENT
AREA
yD nD
Mechanical permit - issue
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 315 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/OUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
STORIES
TYPE
CONST
QTY.SQLAR - issue
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
BUSINESS LICENSE «
/3 y
CONTRACTORS PHONE •
7gS-ft,?ViS
UCENSE NO.
DESIGNER'S PHONE
LICENSE NO.
OCC LOAD
EDU
FIRE SPR
vD nQ
VALUATION
/ O
ZONE
PLAN I.D. #
PERMIT NUMBER
(o02)
BUILOfNQ SO. FOOTAGE
fi /TE/06 059QOQT 069 6713'/ BS . ilBtilDfi
Hot VtUd Union Machine Certified
BUILDING PERMIT
SUMMARY/ACCXDUNT NUMBER
001-810-00-00-8220
SIGN PERMIT 001-810-00-00-8221
PLAN CHECK 001-810-00-00-8806
TOTAL PLUMBING 001-810-00-00-8222
ELECTRICAL 001-B10-00-00-B223
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
MOBILEHOME PARK INSP
001-810-00-00-8226
STRONG MOTION 880-519-92-33
FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACILITIES FEE 332-810-00-00-8930
SCHOOL FEE - DISTRICT
Carlsbad
Enclnltas
San Dlegullo
San Marcos
UCENSE TAX
MFF
00^810-00-00-8162
880-519-92-57
CREDIT DEPOSIT
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY
CERTIFY 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 COUNTY 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 CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration Every permit itaued by the Building Official under the provisions of thisCode shall expire by limitation and become null and void If the building or workauthorized by such permit is not commenced within 1B0 days from the dale of suchpermit, or if the building or work authorized by such permit is suspended orabandoned at any time aner the work ts commencod for a penod of 160 davs
TOTAL FEES PAYABLE
KHAPertlltT* AN OSHA permit
APPLICANT'S SIGNATURE »OWNER □CONTRACTOR □
BY PHONE n
QUIRED FiDfl EXCAVATIONS OVER
5" 0" DEEP AND Di fTION Oft CONSTRUCTION OF
STRUCTURES Cpn T(3RIES IN HEKjHT
APPROVED BY
1
TYPE 1 DATE INSPECTOR
BUILDING 1
FOUNDATION i
REINFORCED STEEL i
MASONRY 1
GUNITE OR GROUT !
SUB FRAME □ FLOOR □ CEIUNG
SHEATHING □ ROOF □ SH EAR
FRAME !
EXTERIOR LATH i
INSULATION ;
INTERIOR LATH & DRYWALL |
1 <
PLUMBING
□ SEWER AND BUGO □ PIL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ V\j'ATER
TUB AND SHOWER PAN (
GAS TEST 1□ WATER HEATER □ SOLAR WijvTER
!
ELECTRICAL I
□ ELECTRIC UNDERGROUND dIuFFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL 1
!
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPI^IG
HEAT — AIR COND. SYSTEMS l
VENTILATING SYSTEMS i . '
i
1
CALL FOR FINAL INSPECVION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ;PLUMBING 1
ELECTRICAL !
MECHANICAL j /' Ur (
GAS 1
BUILDING i
SPECIAL CONDITIONS |
1
1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
■ r-
INSPECTION REG IF
CHECKED INSPECTOR'SAPPROVAL DATE -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
r .
/ ■■■
structural concrete
OVER 2000 RSI
PRESTRESSED
CONORETE
POST TENSIONED
CONORETE or
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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