HomeMy WebLinkAbout2310 Hosp Way; ; 82-504; Permit., z 0 ;: : :'l " .. C
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0 J hereuy affirm that I am licensed under
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.
L,c No Class
I hereby affirm that I am exempt !rorn the Contrac-
tor's License Law tor the tollow,ng mason (Sec. 7031 5
Bus,~ess and Professions Code Any city or county which re-
qu,res a permit to construct. alter. improve_ demolish. or reparr any structu;e, pr,or to its issuance also requires the ap-
plicant for such permit to file a signed statement that he 1s licensed pursuant to tne pro~isIons of the Contractor's
License La·.,, 1 Chapter 9 commencing w1lh Section 7000 ot
D1v1s1on 3 ol l~B Business and Professions Code I O' that Is ex·
empt theretrom and the basis lor the alleged exemption Any v1olat1on of Section 7031.5 by an applicant for a oerm1t sub·
1ects the applicant to a civil penalty of not more man live hun-
dred dollars ($500)
L I, as owner of !he property, or my employees with wages
as !heir sole compensation. wrll do the work, and the struc· ture Is not intended or altered 1or sale !Sec 7044 Business
and Professions CDde The Contractor's License Law does not apply lo an owner of property wM builds or improves
thereon and who does such work t11msell or t/lrough his own
employees. provided that such improvements are not intend· ed or offered for sale If, however, the building or improve·
ment 1s sold within one year of completion, the owner-builder will have the burden of proving that he dtd not build or im-
prove !or the purpose of sale)
C I, as owner o1 the property, am exclusively contracting
with licensed contractors to construct the project (Sec 7044, Business and Professions Code· The Contractor's License
law does not apply to an owner o1 property who builds or im-proves thereon, and who l:Ontracts for each proiects with a contraclor{s) license pursuant to the Contractor's License Law)
C As a homeowner I am improving my home, and the follow-ing cond1!1ons exist
1. The work 1s being performed prior 10 sale 2 I _have lived in my home !or twelve months prior to cornple\1on of this work
3. I have not claimed this exemption during the last three years
□ lamexemptunderSec ______ .B&P.C for this reason
D I hereby atl1rm that Iha.ea cer111,cate of consen1
to sell-insure, o, a cert,f,cate of Workers
~~•~.:.•i;;:,~\' o~, • '.'rt'''"' we, '""~'
eQUCYNO _ _ _ ~
COMPA.NY
□ Copy 15 filed w,th the C
0 Cer11hed copy ,s hereb furnished
CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec1Ion need not be completed if the permit ,s to, one hundred dollars 1S1001 or less)
0 1 cer11ty that In the performance of the wor1<. tor which this permit ,s issued, I shall not employ any
person ,n any manner so as to become sub1ec1 lo the Workers· Compensation Laws of California
NOTICE TO APPLICANT If. af!er maktn] Jrus Cert,
hcate ot Exemption_ you should become sub1ect l'J
the Worl<.ers· Compensation provIs,ons of the L..abor
Code you mus! !orthw11h comply with su~h provIs,ons or this pe,mIt shall t>e deemed re,oked
0 I hereby atf,rm thal there ,s a conslruclron lend,ng agency for the performance ot the wort< lor
wh,ch th,s perlT'<1 ,s •ssued 1Sec )097 Civil Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO ~ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD JILDING DEPARTMENT At--.-LICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 {714) 438-5525
JOB ADDRESS
A~·;.T· 1 Oi2 :;:L;;N BUS~ENS:# VALUATION PERMIT NUMBER
-?,3,/0 /-/e}.so J.,V A-t:A" . 'i?--~
OWNER"S NAME ,, , lu7~s:;ro J4,;::AC/kJ
CONTRACTORS PHONE # ZONE SC1'/ -r.c.. S /1£Lt:JoAJ L!!:7JT /,.vo g,.JC
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
-'ti.ti' c/ /1..,,1(7~· ,t:-/ S{) .-~(;) ~Or-1976
LOT BLOCK I-~UBDlVlS!ON I ASSESSOR PARCEL NO. DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
OES~ION OF WORK/ -~ ----~ .,,..., ,.-,_,, b /r;;d A DESIGNER'S ADDRESS DESIGNER'S PHONE
~
. . -,1, FLA ELEV. NO OCC GP EDU
STORIES
. ... vO NO --
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS l GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y D N □ vO NO vO NO Nor Valid Unless Mdchine Certified
QTY. PLUMBING PERMIT -ISSUE 7 ?5!--QTY. MECHANICAL PERMIT· ISSUE ~~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP / INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 ---
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
·-L ----__,.,--EACH WATER HEATER ANO/OR VENT
··-~
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS -j --;;2. :....-BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 /C}-
. -·
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -----------------------
EACH !NSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHDME 01-00-00-8225 ---------------~-
i WATER SOFTNER RELOCATJON OF EA FURNACE/HEATER MOBILEHOME PARK INSP -----------------·---------~+E-~C: ~~~-~R~IN (lNSIDE1 -cn,AR 01-0o.nn.C'l'lC
/~~ TOT.l.l MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ,dfE-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923
--------------· BRIDGE FEE -----------
NEW CONST EA AMP'SWT Bl<R COLLECTORS SCHOOL FEE • DISTRICT . --
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519 ·-----------
EXIST BLOG EA AMP/SWT.'BKR
'
ROCK STORAGE Encinitas 80-92-22-0519 -------
I PH 3 PH PUMP San_D(e_g_uito 80-92-23-0519 --------------
____ _j. _REMODEL 'AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519 -----------~· ------~------------
'TEMPPOLE 200 AMPS
HOVER200AMPS ------------------~ ------· -
---------------------------------------
TEMP OCCUPANCY 130 DA YSJ -----+--···--·-----------·----· ---··-----
-l ----j -----------
TOTAL ELECTRICAL -1 TOTAL SOLAR TOTAL FEES PAYABLE I /0 £:!i -!
l HAVE CAAEFULL y EXAM!NED THE COMPLETED ··APPLICATION AND PERMIT .. AND DO HEREBY I -Expiration. Every per_mit iS?Ued by the Building Officiall!nderthej)rC?vf~ionsofthis * AN OSHA PERMIT IS REOUtRED FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ~ ~hall expire by hm_tlatmn and become n~I and void. If the bu1khng Of'Work 5~1)" DEEP 4ND DEM0UTI0N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGRl:E lF A PERMIT !S sut ~1zed ~y such ~r'.mt is not commenc~ within 1~the date otsuch , STRUClURtS OVER 3 STORtES IN HEIGHT permit, or 1f the build,~ or work authonzed by su 1s suspended Oj ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at any time a e< th ···Qtk is commenced for of 180 ... . ,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO $AVE INDEMNIFY ANO , APPROVED BY .:,t D/Y/. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND rv,.,NT S S ~ OWN~ CONTRACTOR~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE PHONE) I 1/,?; GRANTING OF THIS PERMIT. --~ -~, L---_,,;:;,,--' I -::>
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL 1 ·Y a. •
GAS I , r , /J,(I~ I . BUILDING
SPECIAL CONDITIONS
CERT OF QCr.UPANCY ISSUED
. -..
~-!::.--vy ,,--·--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION lNSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
·-·
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