HomeMy WebLinkAbout2303 KIMBERLY CT; ; CB880306; Permit"' z 0 ;: .. a: ~ u .. Q
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,(Z1 I hereby affirm that I am licensed under
provlalon, of Chapter 9 (commencmg with
Section 7000) ol Division 3 ol the Business
and Professions Code, and my llcense 1s m
lull force and effect
1 nereby a1hrrn thal I am exempl trom lhe Contra~
to, s L,i:ense Law lor me lollow,ng ·eason (Sec 7031 5
Bus,ness and Pr□1ess,ons Code An\' c,ty or county wn,cr, re
qu,ies a perm,1 to construct aI1er ,mprove. demolish. or
repair any strucrure pr,or to ,1s issuance also requires •neap
pl1cant lor such permit to 1,1e a s,qned s1atement !hat ne ,s
1,censeo pursuan1 to the prov,s1ons ot the Contracw s
License Law (Chapter 9 commenc,ng w11h Sw,on 7000 3• o,v,s,on 3 of The Bus,ness and Proless,ons CMer O' lhal 11 e•
empt lhere1rom and the basis tor the allegea e,emptIon Any
vmIatIon ol Section 7031 :, by an appl,canT lor a pe·rn,T sulJ 1eos The applicant to a cIvII penalty ~f not "'lore than live hun
dred doilars 1$5001
I as owner of lhe properly or my e"1ployees w,th wages
as !heir sole compensat,on w,I, do the work Jnd lhe siruc
lure ,s nol Inlended or altered lor sale 1Sec IOU Business
and Protess,on~ Code The Conlractor's License Law does
~ot apply To an owner of property who bu•lds or ,mpro,es
Thereon and who does such work h,msell or through his own
employees provodea thar such ,mprovements are nol ,~lend ed or ollered 10, sale If. hOwever lhe bu1Idmg o, improve ....,e~t ,s sold w,th,n one year 01 complet,on the owner-builder w,II have !he burden of prov,ng that he did noI bu,ld or I'Tl
~rove 1or the puroose 01 saleJ
I as owner of lhe pro~erty am exclus,vely contrac11ng
w<th l,ce1sed contractors 10 cons1ruct the prnIect I Sec 7044
Bus,ness and Proless1ons COde The Con!ractor's License
Law does not apoly to an owner of property who builds or ,rn
oroves thereon and who contracIs lor each proIects with a contraclor(s) license pursuant to the Conrractor·s License Law)
As a homeowner I am Improvmg my home. and lhe follow
,ng condrt,ons exist
l !he work ,s being performed pnor lo saie
2 1 have loved ,n my home ior Twelve monrhs
prior to compleI,on of lh,s work
I ~ave not claimed lh•s e,emptIon during the
lasl three years
L I ar1> exemot under Sec
lor I11,s reason ____________ _
B&PC
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:;,!-1 ~ereby affirm that I hase a cert,licate ot consent lo
se'f-osure or a cert,!,cate ol Workers Compensat,on In
surance or a cert,!,ed copy I hereof 1sec 3800 Labor Code!
POLIC'r 'JO
COMPANY
.>( Copy ,s f11ed "'™ the c,ty
_ Ce-1,fted coey ,s he•eby fu•n•shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Tll1s secI,on need not be corrpleted ,f the permit
,s for one hundred dclla's 1$1001 or IE'Ssl
_ I cert<ly tha1 ,n !he performance of the work 'or wn,ch
lh,s permit ,s ,ssued I shall not employ any person ·nan;
manner so as To become subIect to \he Workers Com~en
sa1Ion Laws of Calilornra
NOTICE TO APPLICANT If. alter making this Certd1cate
of Exemp!,on you should become subIect to the Wcrkers
Compensat,on prov,sIons of the Labor Code. you must
forThwIth comply w,th such pro"s,ons or this perm,: shal'
be deemed revo~ed
_ I hereby afh•m tha\ there ,s a construction lend ng
agency for tt,e performance of the wor~ to• wh,cr th,s per
m,t ,s ,ssued (Sec 3097 Civil Code)
Lenders Name
Lenders Ac!dress
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 92009-1915 (619) 438-1161
J08 ADDRESS AV. ST.RO. THOMAS BAOS NO. DATE Of APPLICATION BUSIN~NSE# VALUATION PERMIT NUMBER
.:Z 3 e:; _ 1 ~Alf·"-• l,',I <-r :S-IJ-??' (,,/,2 0
~ J 8LOCK l SUBDIVISION I Ao/£7A~ / ---J.. ""-OC-CONTRACTOR CONTRACTORS PHONE It ZONE cs~ o~ ~k, Pe,DL,' Al. C /'A ~IVT7£A 271~22-OWNER"S NAME I OWNER'S PHONE
--4-~,-: ~ F-N~ uet.. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
I /'~tJt.J<..'1)-, AJ1. /P,f70L-OWNER'S MAILING ADDRESS ..... ' , ,,,, c:;,
.z3o~ Jc,1Jt4,r~ '-""' t:!..r, DESIGNER DESIGNER'S PHONE
DESCRIPT1}; r;;.R'°"~'--"LJY"lP DESIGNER'S ADDRESS STATE LICENSE NO.
' ' F LR ELEV NO ace GP EOU
STORIES
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I CENSUS TRACT I PAPt(ING SPACE RES UNITS 1 GRADING PERMIT ISSUfD l REOEVfLOPMENT TYPE ace LOAD FIRE SPF!
ARE A CONST
,□ 'D '~ '\,□ vO ,-.□ -.. <(: .31.No.i"Jt.8tkt._"'.:Un/tJ1J'1chJff!_:9''{fllKI, -
QTY PLUMBING PERMIT -ISSUE 7.~ QTY. MECHANICAL PERMIT -ISSUE IS:C£J SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100 000 BTU tlUIUJl,~G 1-'tRr.'II UU1 i:l1U-uu-u0-8nD ..,,,
EACH BUI LUING SFWE:.R ' OVER lOOOOOBTU SIGN PERMIT OG 1-810-00-00-8221 -, EACH WATER HE:.ATER AND OR VENT ' BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 .S'I
'1 EACH GAS SYSTEM I TO 4 UUT LtTS ' BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBING 00;-5·,:;.oc 00-8222 I~
EACH GAS SYSTEM J UR MO Rt 1-IE~ A.L f-'REP"ACE ELECTRICAL DO 1-8 10-00· 00-8223 , ..
EACH INST AL ALTER. REPAIR WATER PIPE VENT I-AN SINGLE DUCT MECHANICAL OD 1-81 0-00-00-8224 , EACH VACUUM BREAKER MECH EXHAUST HOOU DUCTS MOBILEHOME OD 1-81O-QCJ-,JD-822'.:
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001 81:)-00-00-8225
f,'.\/,'1 RilljF r:,R;i. ', ';S Di I DRYER VENT STRONG MOTION 880-519-92-33 1
TOHL MECHANICAL FIRE SPR',"J:<LERS DO 1-810-DO-00 -8227
TUI Al PtlJ'v1fJINL I IS . .-0 ilUBLIC FACILITIES FEE 320-81J-00-00-87 4C
BRIDGE FEE 360-8 10-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE c:,oO QTY MOBILE HOME SETUP PARK-1'-HIE.Lr 1AREA
NEW CONST t.AAMPSWl fJKR CAR PORT "F 312-81 0-00-00-8835
I PH ; Pf-! AWNING ------·--.,____ ' LA COSTA TIF 311-810-00-00-8835
t XIS T Bl D G [A AMP SW T 8 KR GARAGE /4'\ ...... ..., l;< FMF
I PH '1 PH / .. ~ V. LICENSE TAX 001-SlO-·:D -:O-S!f'
:, REMODEL Al TtR PEµ [IH(Ull /,i,' ,, ....., __ \
to . MFF 880-519-92-57
lEMPPnlt. !Oll AMP<; :: ,,
./.,, " -0\/E:.R 2lJU AMPS ID t '
TEMP OCCUPANCY ,JQ OAYSI ' 1"1" '. '
' \~ :•a I . CREDIT DEPOSIT / 5'1 )
T ()IA I t l t. I, IR 1r:A l I J d, ~ ~ T()TAl
>,; l I .t I .. ,.,.,_ -.:tc(j/ TOTAL FEES PAYABLE
! HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION ANO PERMIT ANO DO HEREBY Exp1rat10;;--by the Building Ollic,al under the prov1s1ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by 1im1tat,on and become null and YO•d II the budding o, work !S' O" DEEP AHO OEMOl.lTION QA CONSTRUCTION OF
DECLARAT!ONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~
authorized by such permit ,snot commenced within 160 days from the date o! such STRUCTURES OYER 3 STORIES IN HEtGHT
ISSUED· TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-~~~~n°~ 1~11:~11 ~~::•~ffe~~h=~~r:~t~i~:'e:6~~~~ ~~~~d1~Ts~:8~na~~ 0
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STRUCTION WHETHER SPECIFIEO HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY ANO ~ OWNERn CONTRACTOf'Oi' APPROVED BY /l DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAB!LITIES. JUDGMENTS. COSTS AND A~T'S $~:;~?~ j
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE -_,_ BY PHONE [J /J I /) rt" I l"'b-CC{~ GRANTING OF THIS PERMIT , _,,,,, -I '
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR D CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ;
GAS TEST ~,f?[I/ •-.. -/
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER lvl~ ~
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
D DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL'APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL .
PLUMBING ' ELECTRICAL 0.-
MECHANICAL \ .. -Ir
GAS \, ,, .
BUILDING I • '\
SPECIAL CONDITIONS
MiW80/4
FIELD INSPECTION RECORO
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' ..
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
-HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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-
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FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 880306 ------------------DATE: 5-12-88
PROJECT NAME: ---------------------------------
ADDRESS: __ l_j_0_3_K_irn_b_e _rl_y_C_t_. ______________________ _
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: __ p_oo_l __________ NUMBER OF UNITS:
CONTACT PERSON: ___ S_u_n_J_u_u_n_P_oo_l_s ______________________ _
CONTACTTELEPHONE: __ 2_7_1_-_8_8_2_2 ________________________ _
en ,I
INSPECTED DATE
BY: N I A INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: __ 5_/_1_2_/ 8_8_-_0_l_d_J_o_b_-_N_o_R_O_W __ o_r _l n_s~p~e_c_t_io_n __ R_e~q~u_i _re_d_-_D_M _____ _
Rev. 1/86 WHITE: Suspense BLUE: Water District ANARY: Utilities PINK: Planning GOLD: Fire