HomeMy WebLinkAbout221 NORMANDY LN; ; 84-365; Permit~
cr:: O I hereby affirm that I am license<! under
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provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business ~ and Professions Code, and my license is in
~ lull force and effect. z lie No ______ Clm
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I hereby alf1rm Iha! I am exempt lrom the Contrac·
tOf's Lteense Law tor the totlowmg reason (Sec 7031 5 Business ano Proless1ons Code Any city or county which re-
quires a permit to construcl, alter. improve. demolish, o, repair any structure, prior to ,ts issuance also requires !heap•
phcant for such permn to tile a Sl(Jned stalemenl !hat he 1s licensed pursuanl lo the prov,SJOns of the tonuactor"s
License law {Chapier 9 commencing with Section 7000 ol OtV1s1on 3 of the Business and Pr0fess1ons Code) or Iha! 1s ex-
empt therelrom and the basis for the allegeo exempt,on Any V10lalion of Section 7031.5 by an apphcanl tor a permit sub-
1ects the applicant to a c1v1t penally ot not more than five hun-
dred dollars ($500)
J I. as owner of the property, Of my employees wnh wages
as their sole compensation, w,11 do !he work. and the struc·
ture 1s not intended or offered tor sale {Sec. 7044. Business and ProfesSfonS Code The Contrac1or·s License Law does
~;,:ggizn:i0
:~ ~O:rs~~:=t:~, ~1:~~~~~~~=~ employees, provided that such 1mprlM!ments are not m1end·
ed or offered for sale If. however. the bu1kS1ng or 1mpr0'1e-
menl 1s sofd within one year al completion, the owner·buikjer wlll have the burden of proving Iha! he did not build or 1m·
prove for the purpose of sale}
D I. as owner of the proPerty, am exclusively contracr.ng with ltcense<J contractors to construct the prOjecl (Sec 7044, Business and Professions Code The Conllaclor's license Law does not appty to an owner ol property who builds or im-
proves thereon, and who contracts tor each projects with a contractor(s} license pursuant to lhe Contractor's License Law)
O As a homeowner I am mproving my home, and the follow mg COndlllOOS exist:
t The work 1s bemg per1ormed pnor to sale
2 I have hved 1n my home tor twelve months
3 r'~!v~ =Pc'f-11::I 11:1~ :;~pt10n during lhe tast three years
O I am exempl unaer Sec ______ . B & P C
!or this reason
0 I hereby all.rm that I ha ... e a cert1t,ca1e of consen1
to sell insure. or a cen1r,cate ol Workers
Compensation Insurance. o, a cer1t11ec:i copy tne,eot CSec 3800. Lat>or COde)
POLICY NO
COMPANY
0 Copy IS t,1eo w ith the C1ly
0 Cen,hed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need nol be completeo ,t me perm11
•s fOf one hundred dOllars ($100) or less)
0 I cert,ty !hat 1n the pertormance ol 1he work tor which ltus permit 1s issued I shall not employ .any
person in any manner so as to become sub1ec1 to
lhe Worl\ers· Compensation Laws ot Ca11torn1a
NOTICE TO APPLICANT II. alter makmJ lh1s Cen,
ltcate ot hemptton you should become sub1ec1 10
the Wonl.ers· Compensation prov1s1ons ot the Labor
Cooe you mus! f0'1h>4tlh comply with sucn
p,o...,,s,ons or th,s permn shall be deemed re .. -01i1.ea
0 I hereby affirm that !here •S a cons1ruc11on
lena,ng agency tor the perto,mance ot me wo~ 101 • wtuch !h,s perm,! ,s ,ssuec 1Sec .3097 C,v,1 Cooe1
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ------------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -
CARLSBAD BUILDING DEPARTMENT t APPLICATION & PERMIT I --. 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST RO. NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE ,. VALUATION PERMIT NUMBER
'] I) I Nl:12 IM,,VJ u..J 111~, .J 7-1-e'-f -er-glf 3b5 lt,,~ Y)--\~" .ifR-JA i
LOT BLOCK I SUBOIV•SIOl'I I ASSESSOR PARCEL NO coo7CB CONTRACTORS PHONE • ZONE Jo~ o ,.3 l,., oo
OWNERS NAME. 1-, / '-/:;:;;.di~ scH1rP CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLDG USE CODE ~I -
OWNER"S MAIL•NG ADDRESS
~ VY) A-e_'/ 14 \.l.l?Sr CL .ltfl~m-o'fV1, Ci±_ DESIGNER LICENSE " STANDARD PLAN # BUILDING SO. FOOTAGE
, D~tsi$t OF WORK I f;l~:x fl 711 -/ -P"'·~ , . -Aclll-h /:;,, <r 1-,.-DESIGNER'S ADDRESS DESIGNER'S PHONE o□tn 1 .;1/ BL! ?,·,1 .
000,1 ~t.~, -1 ~· F/P FLA ELEV. NO OCC GP EDU STORIES
vO NO --
CENSUSTRACT I GP LANO USE I PARKING SPACE j RES UNITS j GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPA AREA CONST
YO N □ vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE !LSD QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
I EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00-00-8220
I EACH BUILDING SEWER OVER 100',000 BTU SJGN PERMIT 01-00-00·8221
I EACH WATER HEATER AND10R VENT BOILER/COMPRESSOR UP TO 3 HP -PLAN CHECK 01·00-00-8806
' EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 -----.-:i. ;i.. 50 EACH GAS SYSTE M !, OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00-00-8223
EACH fNSTA~. ALTER. REPA IR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST · HOOD'DUCTS MOBILEHOME 01 ·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN f l'ISIDE I SOLAR 01-00-00-R??I:
I TOTJ;L ME CHANICAL STRONG MOTION 80·92-33-0519 I TO I AL PLUMBING I FIRE SPRINKLERS ~ I 01-00-00-8227
I PUBLIC FACILITIES FEE 32-00·00·893'.l
1 QTY. ELECTRICAL PERMIT· ISSUE s-QTY. SOLAR · ISSUE
BRIDGE FEE I NEW CONST EA AMP SWT BKR COLLECTORS I --------......... SCHOOL FEE · DISTRICT
I I PH 3 PH STORAGE TANKS / "' Carlsbad ~ 80·92·21-0519
I EXIST BLOG EA AMPISWT 8 KR ROCK STORAGY \ \ En~ 80·92-22-0519 I\ I I PH 3 PH PUMP / i \JI __.........,.San DieguIto I 80-92-23-0519
I REMODEL ALTER PER CIRCUIT fl ·5"l PLAN ¥1ECK FEE ,v y ,_,............ San Marcos 80-92-24-0519
I TEMP POLE 200 AMPS I /1 /)" /JI /'I / u __............
! OVER 200 AMPS I I \/\/,/ I I V LICENSE TAX 01-00-00-8162 I TEMP OCCUPANCY fJO DAYSI \/ /)/~ / MFF 80-92-57-0519 I
I I l ./ CREDIT DEPOSIT
I TOTAL ELECTRICAL I 50 ~ TO~ TOTAL FEES PAYABLE l :i:i.. 56 I ;i:;...
I I
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by the Building Otttc,el under the prov,s,ons of th,s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmltat,oo and become null aod vo,d If the ~9 or work 5' 0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auttlomed by suet, perm,t:E f ~~c•11~2, 180 d~~~ th te ot such STRUCTURES OVER 3 STORIES IN HEIGHT I permit. or 1f the buildinft o k authonze such m1t ts s~ ~ or •SSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• abandoned at anv hm• a ter the com ced tor O s I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SI JURE Jf. fJ "l .,o ~ 'l~CTOR □ APPROVED BY ~ DATE I KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND . ..
I 7-9-?tf I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE PHONE 0
I GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
_I
MASONRY I
GUNITE OR GROUT ' i
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHE;AR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL ' I
I
PLUMBING ' _J
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ \3/ATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ' I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL '
_J
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC ' I
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
I
MECHANICAL ' I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I I ' VENTILATING SYSTEMS t
' j -CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED.,
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
.
.~---~---~ .. ' ' . ~ -~ .. ~· \ . . . -. . . ·, \'
,t_ ' -"•~~\'" \ \ ;,~· . ' \. \, \\ FIELD INSPECTION RECORD ; ,. '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
-
INBPECTiON-REQ IF INSPECTORS DATE .,
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
"c FOUNDATION INSP • f .
STRUCTURAL CONCRETE
' OVER 2000 PSI' .
PRESTRESSED
CONCRETE .
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY ;
.
..
PILES CAISSONS
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