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HomeMy WebLinkAbout2303 OCEAN ST; ; 86-363; Permit"' z 0 " <l "' <l ~ u ... 0 11 :.L 0 u "' ... 0 ~ 3 .. ., ... z ~ ... .. ,. 0 u "' ic ... " "' 0 3 !IC ~reby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70CX>) of Dl~lsion 3 of the Business and Professions Code, and my license is in full force and effect. L,c No _____ _ C1a1' _&_-I I hereby a1t1m1 that arn e,ernp1 lrom the Contr;i~ tor's License Law tor \he lollow,nq reason rsec 7031 5 Bus,ness and Proless1ons Code Any c,ty or coun'y wh,ch re au,,es a permit To consliucl ailer irno·ove. demohsh or repa,r afiY structure prim 10 rls issuance also requires 'he ao- pl,cant tor sucn oerrn,110 I,Ie a sruned st1.1ernent That ne 1s 1,censed pursuant to the pro,is1ons of the Conttac10, s License Law rCha~:er 9 comrnenc,ng w,tn Sec:·on 7Q00 01 Orv,s,on 3 af tne Busmess and Proless,ons Code, or That 1sex emo• '.heretrom and the bas,s ~or the alleged exemption Any ,,olat,on ol Section ?031 S tty an appi,cant tor a perm,t s~b ;erts the applicant to a cIv,I penalty of no1 more than t,ve h'Jn Cred dollars ($S001 1 as owner a, the property. oi my emolayees w,to wages as 1ne,r so;e compensation w,11 do the work a~d the struc- ture •s not ,ntenOed or oflered for sale (Sec 7044 8us,ness and Protess,ons Code 1he Contractor's License I aw does no! apply \o an owner of prooerly who bur'ds or ,moroves thereon ard who ooes such work ti,rnselt or thmugh hrs own employees. provided that such ,morovemen\s are nol intend ed or oflered tor sale If, however the bu,ldrng or improve-ment Is sold wI\n,n one year ol completion. lhe owner·tiurlder wI',I have 1ne tiurden of provrng that he drd no1 bwld ~r Im prove for the purpose ot saIe1 I as owner of 1ne property_ am exc',usively contrac\,ng wr1h I,censed contrac\ors to construct the proIect (Sec 7044 Business and Pro1sss1ons Code Tre Contractor·s license Law does not apply 10 an owner ol properly who tlurids or ,m-proves 11,ereon and who conhacls tor each oro1ects w,th a contraclor(s) license oursuant to the Contractors ucense Law\ As a homeowner I am ImprovIng my home. and the t~rlow rng condit,ons exIs1 1 The work is be1nq performed prior 10 sale I I have lived 1n my Mme tor \weive montho prror to romplehon ot tn,s wu,, I have not claimed this exemption durrng ine last three years ~r t'n~~(::~~1 under Sec _____ _ B &PC I hereby alt.rrn ti,at I ha,e a cemf1cate ol consent to oerl rnsve or a cert1•1cate ol Workers Compensation In su•an~e ar a :wt,',ed capy thw~cf ,Sec '.J.600. LaborCodel POLICY NO opy Is f•led "''th the c,ty Cen,1Ied copy rs ne•eby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Th1s section need no1 be completed if the permit rs lor one hundrea dollars ,$1001 o, less) -::_ I certrf, that rn /1,e performance of the work tor which this per<nr\ Is •ssued. I shall not employ any person In any manner so as to became subject to the Worke<s Corn pen sa1,on Laws at Cal1forn1a NOTICE TO APPLICANT If. alter making 11,,s Certoficate ot E,emptron. you 51,0l,ld become subIec110 the Workers Carnpensatron provIs1ons al the labor Code. you mus\ !orthw1\h comply with such prov,s,ons or \hrs permit shall be deemed revoked I hereby atlirm that there rs a const1uc1io~ lend1n<; agency For \he performance otthe work tor whIct,. th1s per mIt rs issued 1Sec 3097. Cior, Coder Lenders Name Lenee, s Adcress USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438·5525 JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. OATE OF APPLICATION BUSINESS UCEN !Y VALUATION PERMIT NUMBER Z.'3:.o.3 t)(:.e~ S.-r CM~~ ~ Y:-'-1-Be-/ 27G,2,... st,-30~ LOT BLOCI( I SUBO\ V1S!ON I ~SESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHO " ZONE , . I> '.2 0/0 J1-~MIIVl_ G:> ..... s.,-~ OWNER'S NAME I? 2-<; ~w;, ~s ;~ONE ::I:N,. 7z,:;-7941 i?B,-s E.,,v-r.R 11 .?11, l ,;.,. < CONTRACTOR'S ADO RESS LICENSE NO. PLAN I.O. # BUILDING SO. FOOTAGE OWNER"$ MAIL1NG ADDRESS ft; .&ox. 11S!: ~A/4-. Po 80')( . C. DESIGNER DESIGNER'S PHONE ll>..S <:_~'-$.&AJO DESCAIPTtON OF WORK 4/04/8658_5 r u • ._, , OESIGNEA"S ADDRESS LICENSE NO, 0'. 'i68' 9 4/04 / R6 j [J ~ -~ 01 -. ,e l?'-1.1 ~-r, ~, --5c~-<A.. . "</d:._<l'.',<._ ---r -' ' F LR ELEV NO OCC GP EDU '-'~ t,v •-rl-l A-P..ew 4> ~-, L./,<..1-<.... STORIES YC "'□ C£.NSUS TRACT I GP LAND USE: I PARKING SPACE Rf:S U"-ITS I GRADING PERM°IT ISSUED I RE:Df:VELDP....,ENT TYPE ace LOAD Fl RE SPF' AREA CONST ,□ ' □ -..c "<□ YO NO Nor Valid Un/en Machine Certified QTY PLUMBING PERMIT· ISSUE I 15..E l1 QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER ' EACH FIXTURE. TRAP INSTALL FURN lJUCTS UP TO 100.000 BTU BUILDING PERMIT DO 1-810-00-00-8220 ----------- EACH BUIL[)ING SEWE.R I OVER 100,000 BTU SIGN PERMIT 00 1-810-00-00-8221 ~-. I-----------------------+-----------T --------1---------r--·------------ 1--E.}\CH WA l ER HEATER ANU OR VENT _____ _J__ __ _ __ 0 □1L£R.:COMPRESSOR UPTO 3 HP PLAN CHETK 001-810-00-00-8805 ~-- EACH GAS SYSlEM \ TU 4 UUl LE.TS I BOtLER,COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 JO, t'V ---~---' -. r-\lETAL ~,riEP1~ACF - --------_____ _:__~ ,--------------- EACH GAS SYSH.M ~ OR MORE ELECTRICAL 001-810-00-00-8223 ------------------_ :---.J. ~,;v ---------------~------r-------- EACH INSTAt. ALTER. REPAIR ·,\'ATER PIPE VE.NT FAN SINGLE DUCT I------·---MECHANICAL 001·810-00-00-8224 ---1-----------------·----------- EACH VACUUM BREAKER I MECH EXHAUST HOOD DUCTS MOBILE.HOME 001-81 0-00·00-8225 WAHR SOfTNER RELOCATION OF EA FURNACE.,HEATER MOBI1LEHOME PARK INSP -------------± L1\CH P,CO\ ;:;;,;;1(j I i'J:°,ll)\= ', -1 __ S_QL~R 001-810·00-00-8225 -----------------------. c-------------- TOHL MECHANICAL I STRONG MOTION 880-519-92-33 ------------1----J IJ 0-01: _ lOIALPl.UMBINl, j FIRE SPRINKLERS 001-810-00-00-8227 --------- ,;-ii QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE _ ]32_-8_10-_00_:_0Q.:_8Jl.30 f-----------QTY. ELECTRICAL PERMIT -ISSUE ,-------- ------------------f----------- NE.WCONST E:.A,:.,,MPSWl llKH 1 UJI L~('.T(;RS SCHCJOL FEE -DISTRiC-:---~-~---i -----------------------I------- l PH :;PH _J____ __ S'ORA.[;I:: Tµ.J,iKS Carlsbad ~ -------------------- ' FXIST!ilOGEAAMPSW1 lJKR I :1 RUCI< SlCiqLl'i:C Encinitas ' ------------_,____ --I--------·-------------------------------. ---- ' I PH J PH I PUMP __ San [l1egu·,to ____________ -----~· !I ------------------ ' HE.MOOE! AL"TtR PrR [lf\(;Ull f------+--P' .. iJ..X C'-<L:-:'i". F~E San Marcos ,----------------------------------------------------------------- I lEMPP(JlE 2ll0AMPS I --------------------------- I OVER }lJU AMPS :1 LICENSE TAX 001-81 0-00-00-8162 1 ~-fEMP OCCUPANCY '30 IJAYSI ·=Ji_ -MFF ------ 880-519-92-57 I-------_-----_--------+---------------------------------------------- I · I CREDIT DEPOSIT -. ----r--~--------____________ ,_ ----- I l1JIAL t.LE:.LIRICAL i I ! T(Oll SCilt.R I TOTAL FEES PAYABLE I Jo, t'l7J I I .. 1 I I I I I I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'-AND DO HEREBY Exp1rat1on. Every per_m1t issued by the Bu1\d;ng Othc1al under the prov1s1ons ofth1s .; A~ OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER I CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATIOI-./ HEREON INCLUDING THE Code shall eKptre by l1m1tat1on and become null and vo,d 11 lhe building or worl< 5· 0 .. DEEP ANO OEMOLITK>N OR CONSTRUCTION Of I DEC ARATIQNS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced w,thm 180dayslrom the date of such STRUCT\JAES OVER 3 STORIES IN HEKiHT L , permit. or 11 ttle building or work authorized by such permit ,s suspended or / I ISSUED. TO COMPLY WITH ALL CITY. COUNl Y AND ST ATE LAWS GOVERNING BUILDING CON abandoned at any time after the work 1s commenced for a oeriod of 180 davs . ' STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ~ANT'S,.SIG * / / OWNER[] CONTRACTOR~ APPROVED BY /J DATE / I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS A ~ I"'~ ij-ff-J v I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF E _/ 7f'" BY PHONE fJ GRANTING OF THIS PERMIT //\ I , I I -9' u: >, ~ 0 0. E © I- I D 0 (') 3::: §-1 t..>'; 0. 0. '" ~ C a: 0 ~ ~ © ~ ~ '" I " S! © >- "" ~ © u 0 6:: " oi D 0. © u C " C LL :::. C © ~ (') 0 0 © n ~ E " -' ,, TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME C! FLOOR □ CEIL,ING SHEATHING □ ROOF □ SH):AR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING '] SEWER AND BL/CO = Pl/CO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ 1/yATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR W,l>-TER ELECTRICAL I D ELECTRIC UNDERGROUND □:UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL ' I I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I ' VENTILATING SYSTEMS I I CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL ' I I PLUMBING I . {' /" ELECTRICAL I I J -' MECHANICAL I • I j GAS I / IJ BUILDING I f I SPECIAL CONDITIONS I n I - ' --------- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION S01LS COMP'. ',ANl-[ PRiOR ";Q REO IF I INSPECTORS CHECKED APPROVAL -·--=i=-= FC!UNC:·A.IION 1",St-" 1 DATE STRUCTuRAIC'c"\NC-RTT~ -----t-·-----i~------[ UVER ::ioo-J r:~, I 1 PRESTRESSED ---------7 r:or-..·cPETE I POST IENS10NE[") :..:ONCRE T[ i F1EUJWELD1N1.=; .. _____ _! _______ I -----· ~ ---+----1 ,1,.,t--J s~.9Er-..·c1;-, T T ---~ ilO; ,s I I I ,cEc."_:'A:~"" ___ i I __ i_ ___ I I . I j P-,~~s_c~-1~-~1~--__ , i L ~·-·· -1----------• I 1 ----------+----+---+ I I --~--L ______ I ----------------------·----------- L-----------------..__ _____ ----I ------- --------I---------------· -----------I-------+-----·---i---- -----------------+---- ! J / / __/( I V,.J I I/ ir I ' •V u ' ' ' I -+ ' I ---__ L ___ l_ _______ l_ ___ J b'& ~ 3 (.,, 3 INSPECTOR'S No•·Es -A"'"'===-======= ' ' I i I ! ' '1 i I