HomeMy WebLinkAbout2302 Kimberly Ct; ; 87-132-B; PermitI ... a: C ~ (J ..,
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IC . __/. e [~ ,1_ !'-"eby affirm that I am licensed under
U provlalona of Chapter 9 (commencing with
: Section 7000) of Division 3 of the Business
.,_ and Profeaalona Code, and my license is In ~ full force and affect.
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I hereby aflirm that I am exempt from the Conuac-tor's L,cense Law lor the lollowmg reason (Sec 7031 5 Business and Protessions Code· Any city or county whict. re-quires a permit 10 construct. alter, improve. demolish, or
repair any structure, ptlOf to 11s issuance also requires !heap·
pl1cant fOf such permit to hie a s.gned statement that he 1s licensed pursuant to the provts1ons of lhe conuac101·s
License Law (Chapter 9 commencing w11h Section 7000 ol Otv1st0n 3 of the Business and Professions COde) or !hat ,sex-
empt therefrom and the basis tor the allegea exempt10n Any V!Olatton of Sectk>n 7031.5 by an apphcant tor a pefm1t sub•
Jects the applicant to a civil penatty of not more lhan five hun·
dred dollars (S500).
1 I I, as owner of the property. or my employees w,th wages
as theu sole compe:nsalton, wdl do lhe work. and lhe strut·
lure is not mtended or ollered !or saJe (See 7044. Business and Professions Gode: The ContractDJ's Ucense law does
not apply to an owner of property who builds or imprOYes
!hereon and who does such work himself or lhrough his own
emphlyees, provided that such improvements are not intend-ed or offered tor sale. II, however, the bu11d1ng or improve-
ment is sold w1th1n one year of complel.On, !he owner-builder
will have the burden ol proving that he did not build or im-
prove for the purpose 01 saJe)
n I. as owner of lhe property. am exclusively contracting
with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's license
law does not appty to an owner of property who builds or im• proves thereon. and who contracts tor each prqects witn a contractor(s} license pursuan1 to the Contractor's Ucense Law).
0 As a homeowner I am improving my home, and lhe follow-ing condihons exisl:
1. The work is being performed prior to sale. 2 I have hved in my home for twelve months
prior 10 complehon or this work
3. I have not clahned this e.xempliOn dunng the lasl three years.
0 I am exempt un<lef Sec. ______ . B & P C
for lhis reason -------------
I hereby affirm that I have a certificate of consen1 10
sell-insure. or a certificate of Workers' Compensation In-
surance. or a certihed copy thereof (Sec. 3800. Labor Code)
POLICY No.-.P-3 {p 7 / 0
COMPANY -Z..~ l"TT-t ~I
0 Copy is filed wi1h the city i, ~~tified copy is hereby furnished
"' ~ :Ii 0 (J .,, a: ..,
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CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need not be completed if the permit
is for one hundred dollars ($100) or less)
0 I certify that in the performance of the work for which
ttus permit ,s issued. I shall not employ any person in any
manner so as to become subject to the Workers· Com pen•
salion Laws of California.
NOTICE TO APPLICANT: If. after making this ceriificate
of Exemption, you shOulcJ become subject to the Workers·
compensation p,ovisions of the Labor Code. you must
fordlwith comply with such provisions or this permit shall
be deemed revoked.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . ... -·-····· ·-. ·--··· .... -·········-··
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB AODRESS A V. ST.RD. NEAREST CROSS ST. I DATE OF APPLICATION! BUSIN ESS LICENSE ,t vz~ PERMIT NUMBER
2302 Kimberly Court PATIO COVER ONLY ?l?f.lR7 1 f.O'V, ?'l-1.1,,,~ LOT V'1l57 ~ s'l8f' 'SSJ<lf o I ASSESSOR PARCEf:f1~ -5 3 l-; 40D CONTRACTOR CONTRACTORS PHONE • ZONE
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OWNER0S NAME 1 OWNER'S PHONE McMillin Construction Inc. 474-8!.71
McMillin Financial Inc. 477-4117 CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
OWNER'S MA, LING ADDRESS 2727 Hoover Ave., N. c. 9205( B 271768
c/o 2727 Hoover Ave. , National City, CA 92050 DESIGNER DESIGNER'S PHONE
OESCR 1PT1QN OF WORK McMillin Design 4 74-84 71
14' X 91 ... v_ •• ., PATIO COVER 126 Sq. Ft. DESIGNER•s ADDRESS STATE LICENSE NO.
.S~JeC/f-~ ,t::ie/c/. ....:Z-_.,v1/dc--:/7d;U 2727 Hoover Ave. , N.C. 9205(
F/P FLRELEV. NO DCC GP EDU
STORIES
vO NO --
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD F<RESPR 21-~ ~ AREA CONST 0026 03/18 0101 02BldPllt
YO N □ vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7 5"() QTY. MECHANICAL PERMIT· ISSUE 31-DO SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220 /""(-
EACH BUILDING SEWER OVER 100,000 BTU . SIGN PERMIT 001 ·810·00·00·8221
EACH WATER HEATER ANO/OR VENT BOILER/CO MPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8821 9-
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222 -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 ---EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880·519·92·33 ,s-v
TOTJ;L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TOT AL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·87 40
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BRIDGE FEE 360-810·00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP'SWT !!KR CAR PORT TIF 134·810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 133·810·00·00·8835
EXIST BLOG EA AMPISWT'BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162
REMODEL ALTtR PER CIRCUIT MFF 880·519·92·5 7
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I ~( ~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT ANO 00 HEREBY E,pirahon Every permit ossued by the Buotdong Otf,coal under the provos,ons ol thos * AN OSHA PERM:T IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,pire by lomitaloon 8nd become null and vood If the bulldong or wor• S o·· DEEP AND D£MOllTION Ofl CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ aulhorozed by ~mot ,snot commenced wofh,n l80 days from the dale vi such STRUCTURES OVER 3 STORIES IN HEIGHT permit. or 1f th d1~g. or work au1hortZed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at me a r the work 1• •~menced..tor a nenod of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~1 ~ // ,d;, 1~ APPROVED BY £ ~JA,7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND A LIC~ZRE WNER CONTRACTOR Q
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ -~/ ./,. B Q-:.,,
GRANTING OF THIS PERMIT ~ -~)" / A -· L _-y PHONE -
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TYPE I DATE INSPECTOR . • --
BUILDING I
' FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
' GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl1LING
SHEATHING D ROOF D StiEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH '
STRUCTURAi CONCRETE
OVER 2000 PSI
INSULATION ' PRESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED ' I CONCRETE
PLUMBING ! FIEL.D WELDING
D SEWER AND BL/CO G RL/CO HIC-i!-i STRENGTH !
UNDERGROUND D WASTE [ WATER BOL.TS
TOP OUT □ WASTE □ NATER SPECIAL MASONRY
.
TUB AND SHOWER PAN I
GAS TEST : ~
PILES CAISSOr-..t·
□ WATER HEATER □ SOLAR WATER ·------
!
ELECTRICAL !
!
7 ELECTRIC UNDERGROUND Cl UFFER -·-
)UGH ELECTRIC ' .
:LECTRIC SERVICE □ TEMPbRARY
BONDING □ POOL !
.
!
MECHANICAL ! --11/l~I' .'\?\TA llrOT ,;,:.,Tn .>Ii+ r_-_•;~''.
. DUCT & PLEM., □ REF. PIP!iNG
.iEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I .
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA!{_E BEEN APPROVED
FINAL I :
PLUMBING I .I
ELECTRICAL I "Q' •
MECHANICAL ' J-. .\I
GAS I " BUILDING I rv
SPECIAL CONDITIONS !
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