HomeMy WebLinkAbout2286 Janis Way; ; CB890030; Permit., z 0 ;:
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O I hereby affirm that I am licensed under
provlslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolesaions Code, and my license 1s in
full force and effect
I hereby affirm lhal I am exempt tram the Coo••ac
tor's License Law lor lhe 10110'/jmg reason 1Sec /031 'l
Busmess aM Protess,ons Code Any c,ty or counly wh,c~ re
qu,res a perm,1 to construct aller ,mprove de,r,01,sn or
reoa,r any srructure pr,o, to ,ts issuance aiso requires 'he ao
p,icant for such permit to hie a s19ned statement mai ~e 1s
1,censed p~rsuan1 to the prov,s1ons ot the (,ontrac•or s
L cense Law : C~apter 9 commenc,ng with Seu,on 7000 or Drv,s,on 3 of the Business and Pro1ess,ons Code, or Iha: 1s ex empl lherelrom and the basis tor the allegea e,empt1on Any
viola11on ol Section 7031 5 by an app11cant 'or a pew11• sub
1ects me appl,cant to a nv1I penaltv ol not more than i.,e tiun dred dollars 1$5001
I as owner ol the prooeny 0' mv emo1oyees w,1,-, wages as Their sole compensahon will do the work anc ttie struc
lure 1s not intended or olfe,ea fnr sale :Sec 7044. Business
and Proless1ons Code The Contractors L,cense Law do-es not apply lo an owner of properry who builds or 1mpcoves
1nereon and who ao-es such wor~ h•msell or through his own employees prov,ded that such improvements are not 1nlend-
ed or o11ered for sale 11, however. lhe budding or improve
ment ,s sold w,1h1n one year ot compler1on the owner builder will have The burden 01 prmr1ng that he d•d not build or 1m prove !or lhe purpose of saleJ
I, as owner of the property_ am exclusively· contrad1ng
with licensed contractors !O conslruc1 the pro1ecr !Sec 7044
Business and Pro1ess1ons Gode The Contractor's L 1cense Law Mes not apply to an owner of properly who builds or 1m proves !hereon and who contracts for each prorects with a
contractor(s) 1,cense pursuant to the Contractor's License Law)
I As a homeowner I am ,mprov,ng my home. ano The lollow
1ng cond1t1ons exist
1 TM work ,s be,ng performed prior To sa1e
2 I have 1,ved ,n my home for twelve months prior to completion ot this work I have nol cia,med this exemption dur1nq the
las1 three years
t·r /h~: r~~~;~1 under Sec ~-----B&PC
I'
I hereby allirm !hat I ha,e a cer1,ticate ol consent lo
sed insure or a cert1t1ca1e of Workers Compensation In
surance. or a certil,ed copy tt,ereol,J.Sec 3800 Labor Code) ,
eoun so ';JilJ..2J. //9
COMPANY .S.VarL-t(,(..M..d
~Copy 1s hied w,th \he city
Cer11hed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
!Th,s section need not be completed 1! the permit
1s •or one hundred dollars ($7001 or less\
___; I cert,ry that 1n the performance of the wmk for wh,ch
This permit 1s issued. I shall no1 employ any person 1n any
manner so as to become subJect to the Workers Cornpen
sat1on Laws of Cal1forn,a
NOTICE TO APPLICANT· If. af1er mak,ng this Certif1cate
' (
ot Exemption. you should become subJect to the Workers
Compensation prov,s,ons of the Labor Code you must
forlhw1th comply with such prov1s1ons or this perm,t shall I
be deemed revoked
I hereby a/firm that them ,s a construct,on 1end1ng
agency for the performance of the work fo• which this per
m1t 1s issued 1sec 3097. Civ,I Code\
Lenders Name_
Lenders Address _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
J08 ADOfESS .
_,./;,~'// '~-1
AV. ST·.RO, THOMAS BOOS NO. , o:;, Gf½rON 8_USIN~~ ~ VALUATION PERMIT NUMBER
. 1-,2~ -/9<:/ 6 . . , .. 1-0~ oo~o l~T1 B~OCK i:, w,su~r:/rfi ,q " /l;t7-'4:f'o 'f'ii' (}LJ I ~ CON"fFtA7R IZ. -~ C~TRACTOAS PHONE• ' ZONE --~--A,, ;?,f//,. -• • L ' --0\1\1!',IEA'S NAME,,11 , . t OWNER'S PHONE
l'r.:-,tJ:· ·. ~-. ~. I qt)N"fRACTOR'S ADDRESS ,(.~&~ STATE UCENSE NO. BUILDING SQ FOOTAGE
. --/) ,,I~ --·-· -~~ . I ,t/)_"Z'J .1 '\, ••. · ,.A • ., J,. J .. ~ 1 ~ OWNER'S ~AILlfl.lC. AOOR-ESS """·•·J✓..,,7
··;:5;. --. DESIGNER ::-u bi;SJGNEA'S PHONE . " JLr-//~ ", . _C) -Qi;SCRIPT;f o, WOA"<f . • ,:,J, "? y ~ . Al'Jh --z;~,; _.,..,.. __ • .~ .. --.... rl.,. r,.. OESIGNU~'$ ADO,flESS......,, S,'°',c L,ICEl'IQE NO. 4022 01/09 /89 0001 01 02
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, f:ldPmt 75 .. 0 , -,;; o L," A,erP" . . . . . .. . ..
' ' FLA ELEV NO OCC GP EDU [I (" It~ ;(.;.50 ~ ~ . •.W STORIES ,ii ·~ -. ",..;i"\ ,c ,□
I CENSUS TRACT • PA.PKll\i~ SPACI; RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
1 0 N 0 ':J .... o vO .... 0 Not Valid Unlers fhchme Certified
QTY. PLUMBING PERMIT· ISSUE 75Z> QTY. MECHANICAL PERMIT· ISSUE /'J.,,..,,., SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU t'llJII_ '"1ll, u1i,,I I 'JU 1-o 1 u-uu·UVuL LV ,,.,,,
EACH BUILlJING SEWER OVER 100 000 BTU SIGN PERMIT 00 1-810-00-00-8221
EACH WATER HEATER ANlJ UR VENT BOILER,COMPRESSOH UP TO 3 HP PLAN CHECK 001-810-00-00-8891 ...Z.9
EACH GAS SYSTEM I TO 4 OUTLETS BOILER,COMPRESSOR 3 15 HP TOTAL PLUMBING 00 · -81D-00-00-8222
EACH GAS SYSTEM J OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223
EACH INST AL ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-81 0-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS MOBILEHOME 001-81 0-00-00·82 25
WA TEA SOFTNER RELOCATION OF EA FURNACE·HEATER SOLAR 001-810 -00-00-8226
FAC~ R()()f llRA!~, 1 ;~JS :ff, DRYER VENT STRONG MUTION 880-519-92-33 I
TOT/.l MECHANICAL FIRE SPRINt\LERS 001-810·00-00-82 27
1 U I AL Pl UMHINL, I PUBLIC FACILITIES FEE 320·810-00-00·8 7 40
BRIDGE FEE 360-810·00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE 5-CC QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA
NEW CONST EA AMP SW! llKR CAR PORT Tlf 312·810-00-00-8835
I PH .\ PH AWNING . LA COSTA TIF 311 ·810·00-00-8835
fXIST BLDG f.A AMP.SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001-810-C,0-00·8' 62
REMODEL Al TtR PER CIRCUIT Mff 880-519-92-57
TEMP PQl E JOU A MPS
OVE A 200 AMPS
TEMP OCCUPANCY •JO DAYSI
CREDIT DEPOSIT
TOTAL ElELTRll,Ai I TOTAL TOTAL FEES PAYABLE I 7~""
1 HAVE c~~ifULUY EXAMiNtD,l'l¾E,COMPLETED ··APPUCAT!Of't AN[) ·PeRMtT·:' ANO 00 HEREBY EipiretiOfl E~rypet_~•uuedbytkiwtfdtng-Off,aat-tm<ledhe.p;ov•~olthB ~ •·• AN O$HA PE.Rllfrf IS AEClUIRED FOR EXCAVATIONS OVEft' ·
' CERTIFY UNOERJ;p,EN)iTY ,W fl'tRJU.A'( THAT AlL INFORMAJiON HEAEO.N tNCUJ.PING THE ~~-•11p,re by Jun~t~IOn and become null and vatd If the bulld,ng °' WOfk 5· O" DEEP.1'NO DEMOLITION ORCONSTRUCTIOfll OF • . . . • , '\:It., author ~ such·penrut 1sno1 commenced witttm 180daysfrom the date of such p~ClARATIOftS ARE Tf:"IUE ~NO,CO~Rf:C:,T AND,! FURTHER-~~RT!f'Y ~t,JO AG.A~E~ ~ Pl:: ~T,~ permi or f Jhe .OU~ oi.....work eutnonzad.,,by SOCh~it ~~~~ ; ST~ QVER 3 S,TORIES IN HEIG~T w
.!$SUED: ,;to COM PL y w(tl4 AU. (;!TY. C.01.)NTY AND ST ATE t..AWS Ciov!RNJNG BUH.OING CON· • at llfl-·Uifie er ttla Work ti com~-:: tor a --·oo of l • . ¼ ' "' •
S~UCTION !'H€_THER S!lECIFIEO -l«l't I ALSO A<l"EE TO i\AVf im>~>lll'Y ANO . •f'-'C S SIGl4ATURE 'f .pwm. 0 -COl!!W4!i~ APPR0VEO BY ~ OA TE • ~ff~ess~mw,.1lr;,..i, 1WNSTA1.,t1ABt1.1r1E$.J=ts,:coso-s:•""·'. • • · · • , • ''-· · "· c {9 / ) "'"•"' l'.#$'~1!j·AN· vfltt• · · All,,..,.,s.,b,c,rv-"' """"""""•·OF•~J 'A,,' :·., •..• : •' '· ·· .,...,.;...·1;:r ,,. .: I 1 9 67 ,""'q'AA!l(i (f'O .. Rill't,-•''"*-ttqrif. , ""t .,, "-0,s. ,,, ,, ,. . .. , .. t A , t ' . ' ~ • .-
'/, '· ,, 1 •",/,' ,+?,t,•;&f"',,,+J'0~,,I::} .<~;,,,,:::.,':"',;,,:!~ .. "'·'ft:• '<J,.,: ,·.,, }''%,ffffe."''""'' J--
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' TYPE DATE INSPECTOR
BUILDING '
FOUNDATION I -., ... /J ✓
REINFORCED STEEL ' , • ., J VI r ,, .... ,
MASONRY I
GUNITE OR GROUT
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D St,jEAR
FRAME I
EXTERIOR LATH
INSULATION '
INTERIOR LATH & DRYWALL '
I
PLUMBING I
□ SEWER AND BUCO □ PUCO
UNDERGROUND D WASTE □,WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN '
GAS TEST ' D WATER HEATER □ SOLAR W:,XTER
ELECTRICAL ' □ ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL
' MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' '
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
' PLUMBING i __'b,
ELECTRICAL '"t)'
' . MECHANICAL r l "-.
GAS I '-'\ f'\ l '\.
BUILDING ' I \J \ I'\.
SPECIAL CONDITIONS ' \"' . " '\ -
.
ce,8'\,.0030
FIELD INSPECTION RECORD
REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
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0 I hereby affirm that I am Ucensed under
prOYlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect
I hereoy alhrm thal I am exempt from 1he Con1,ac
tors L,cense Law to, lhe 1ollow,ng reason !Sec 703' '.: Bus,ness and Proless,ons GOOe Any c,ty or county wh,cr, re
quores a perm,I to construct. alter ,mprove. demol,sh or repa,r any structure pr.or 10 ,1s ,ssuance also requires !heap
pl,cant to, such oerm,t to file a s,qned statement thaT he ,s
I,censed ;iursuant to lhe prov,s,ons ol lhe loniraoor s
License Law :Chapter 9 commenc,ng with Secl•on 7000 ~f
011",,10n 3 of the Business and Profess,ons CIXle; or that ,s e,
erept lherelrom and the basis ior the allegeo exemption Any
v10Ia11on ot Sewon 7031.5 by an app1Icant lor a perm,• sutJ
1ects the applicant 10 a c1v,I penalty ot not more than l1w hun
dred dollars ,:SS00!
I, as owner o! the properly. or my employees ·N'111 wages
as 1he,r sole compensat,on will do l~e wor. and 'he struc
ture Is not mtended o, offered for sale !Sec 7044 Busmess
and Professions Code TM Conl!acw s License law does
not apply 10 an owner 01 properly who builds 01 ,mproves
!hereon and wM doos such work h1mse11 or through his own
employees. provided that such Improvemen1s are no1 intend
ed or one,ed lor sale If, however. The bu•ldIng or ,mprove
menl Is sold wIth,n one yea, ol compleT1on. the owner-bu,lder
w,II have the burden of proving \hal he d,d not build or ,m
orove tor the purpose of sale1
1. as owner of the propertv, am exclusively contraclmg
with licensed con1r.ic1ors 10 construct the pro1ect (Sec 7044
Business and Protess1ons COile The Contracroi s License
Law doos not apply to an owner of property wno bmlds or Im•
proves thereon. ana who coniracts for each oro1ects w11h a
contractor(s) l,cense pursuant to The Contractor"s L,cense Law)
As a homeowner I am Improvmg my home. and lhe lollow
mg condmons ex1s1 1 The work Is 1JeIng perlormed prior to s.i,e
2 I have 1Ive-cl In my home for !welve months
prior to comple11on ol Th•s work
I have no1 claimed this exemp1,on durin~ the
last three years
~: 11h~: r~~~~it under Sec _____ _ B&PC
I
_ I hereby a11irm thal I nave a cert1l1cate of consent to i'
se•1-,nsure or a cer11hcate of Wor~ers· Compensation In '
surance o, a cert1tied copy thereof (Sec 3800 labor Code I
POLICY NO
COMPANY X Copy ,s filed w,th the c1ty = Cert<f,ecl copy ,s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(Th,s section need not be completed ,t 1he perm,t
,s for one hundred dollars ($1001 or less)
_ I certify mat In the performance of the work for wh,ch
this permit ,s rssued. I shall not employ any person"' any
manner so as to become suti1ect to the Workers· Com pen
sat.on Laws of Cal1fom1a. ~
NOTICE TO APPLICANT. If. after making 111,s Cert,f1cate •
of Exempt,on. you should become subJeCt to the Workers I
Compensat,on provisions ol the Labo, Code. you must
torthw,th comply w,th such prov1s1ons or this perm1t shall
be deemed resoked
C I hereby aft.rm that there Is a construct,on lendrng
agency !or the performance of the work for which th>s per
m,t Is issued (Sec 3097. C,v1I Code!
Lendei's Name
Lender s Address
USE BALL POINT PEN ONLY & PRE~S HARD
QTY.
QTY
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
· ·f=.· -s, A~.st:ao "'·' .. AA .. r ~ ... 'f>l<iit,!AS a -~~ 'A,Y:>;.:
CENSUS TRACT
PLUMBING PERMIT· ISSUE 7-5c, QTY
EACH FIXTURE TRAP
EACH BUI LUING SEWER
EACH WATER HEATER AND OR VENT
EACH GAS SYSTEM 1 TO 4 OUT LETS
EACH GAS SYSTEM 5 OR MORE
EACH INST AL ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WAHR SOFTNER
E.ACH ROOF [)R,,'"J ,..,,.s,nr1
l U 1 Al Pi UMBINL
ELECTRICAL PERMIT ISSUE S 00 QTY.
NEW CONST EA AMP SWl !:!KR
lPH 3 PH
EXIST BLOG EA AMP·SWT 8KR
1 PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMPPOLE ?OOAMPS
OVE:R 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELELTRILAl
YON D
' '
,O -..□
REDEVELOPMENT
AREA
•C "'□
MECHANICAL PERMIT· ISSUE
INSTALL FURN DUCTS i.JP TO 100 000 BTU
0 VER 100 .000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT ~AN SINGLE DUCT
MECH EXHAUST HOOU·□UCTS
RELOCATION OF EA FURNACE,HEATER
DRYER VENT
TQH:.L MECHANICAL
MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOT Al
APPLIGANI IU r-lLL IN INt"UHMAI 1Uf'4 VYII n1n .;,nru,,i-u """'-"' ,..,,..., ..,~..,~,.. .. ,...,,...,,,, ....
APPLICATION & PERMIT
.. '
NO
STORIES
TYPE
CONST
15.ac,
Blisf~_EIS,i.JCE:~SE #
111",
0CC GP
0CC LOAD FIRE SPf'
YO NO
VALUATION
F3fo
ZONE
PERMIT NUMBER
troo.30
/iev
BUILDING SQ. FOOTAGE
4188 01/17/89 0001 01
E:ldf'mt
02
72-0
Nor Valid Unkn lbchine Cerrd,ed
SUMMARY/ACCOUNT NUMBER
PLAN CHECK 001-81 0-00-00-8891
TOTAL PLUMBING 00; -81 0-00-00-82 22
ELECTRICAL 001 -81 0-00-00-8223
MECHANICAL 001-81 0-00-00-8224
MOBILEHOME 001-810-00-00·8225
SOLAR 001-810·00-00-8226
STRONG MOTION 880-519-92-33
FIRE SPRINr\LERS 001-810·00-00-8227
PUBLIC FACILITIES FEE 320·810-00-00-8 7 40
BRIDGE FEE 360-810·00·00-8740
PARK-IN·LIEU (AREA '
TIF 312·810-00-00-B835
LA COSTA TIF 311-810-00-00-8835 --FMF
LICENSE TAX 00 I -810-0J-00· 8162
MFF 880-519-92-57
CREDIT DEPOSIT
12-
APPRO~ DATE
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TYPE ' DATE INSPECTOR
BUILDING ' FOUNDATION • ' FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY '
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEll!-ING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME ' I
EXTERIOR LATH
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL ' I
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING i FIELD WELOtNG
D SEWER AND BUCO D PL/CO HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOL Ts
TOP OUT D WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN ' ' GAS TEST ' ' PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
'
ELECTRICAL i
' □ ELECTRIC UNDERGROUND □, UFFER
ROUGH ELECTRIC ' -' □ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL I
I
'
MECHANICAL I
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
' --.·
VENTILATING SYSTEMS I :it·. .-. r-.
' ' ' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
_ JTEMS ABQVE HAV.E B~EN APPROVED.
FINAL
PLUMBING
ELECTRICAL ''
MECHANICAL .
GAS
BUILDING
SPECIAL CONDITIONS
FOUR SEASON'S CONSTRUCTION COMPANY
Contractor'• LNnN #317033
l 037 BUSHARD DR., ESCONDIDO, CA. 92025 • 7 46-3346
D
CUSTOMER'S ORDER
SALE AN
TERMS
F. 0. B.
,IJl.N 9 1989
City of CARLSBAD
8UILDINC DEPT