HomeMy WebLinkAbout2313 Kimberly Ct; ; CB880572; Permit., z 0 ;;
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D I hereby ■lllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Profuslont1 Code, and my license is in
full force and ellect
I hereby a1hrrn thal I am exempt 1rom The Cantrac tors License Law lor the follow,ng reason !Sec 7031 5
Business ano Profess,ons Code Any c,ty or coumy wh,u, re quires a permit to construct alter. improve. demolish or
repa,r any struclure pr,or to ,ts ,ssuance also requires !heap
p,icant to, sucn pe,m,1 ro hie a s,Qneo sratement that he ,s
I,censed ou•suant to lhe provIsIons of The t..on1rac10r s L,cense Law [Ghopler g commencing w,lh Ser.I,on 7000 of o,v,s,on 3 ol lhe Business aM Protess,ons Code; or l~at ,sex
e<npl lheretrom and The bas,s for the allegeo e,empt,on Any
v,olal>on of Section 7031 5 by an appl,can1 for a perm,t ,ub 1ects lhe app11cant 10 a c1v,1 penally of nol mo,e !han 1,ve hun
dred dollars ($5001
1. as owner ol the properly. or my employees with wages
as their sole compensation w,11 do the work and me struc ivre ,snot intended or olfered for sale (Sec 704~ Business
and Professions COde The Contraclor·s license Law aoes
~ot apply IO ,in owner of property who builds or improves
I hereon and wM does such work himself or through hrs own employees. provided that such ,mp,o,emenls are not 1n1end ed or offered tor sale If. however the burldmg or ,mprove ment ,s sold w,tn1n one year ot completion. the owner-builder
will have the burden o! proving lhal he d1d no1 bu,td m ,m prove for the purpose ot sale1
as owner o! the property am exclusively contracl,ng wrth licensed con1raclors to cons!ruct the pro1ect (Sec 7044
Business and Protessrons Code The Contractor's License Law does not apply ta an owner of property who builds or rm proves thereon and who contrac1s lor each pro1ects w,th a
contractor(sl 1,cense pursuant ta the Co~1,ac1m s License Law)
As a homeowner I am rmprov,ng my home and the 10110w ing cond,t1ons e~1st ·
1 The work ,s being performed pr,or to sale
2 I have l•ved ,n my home for twelve monlhs pr,or !o complehOn ol this work I have nol claimed !hrs exemption rlur,ng tnP. last three yea,s
I am exempt under Sec _____ _ B&PC Jar 1h1s •eason ____________ _
I hereby affirm \ha! I ~ave a cer1'f,cate of consent lo
self ,nsure. or a certrl,cate of Workers Compensation In
surance or a certrl,ed copy thereat (Sec 3800. Labor Code\
POLICY NO
COMPANY
Copy ,s ftled w,tn the c,ty
Cert,f,eO copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s sect,on need nol be completed ,f the perm,t
,s for one hundred dol•ars ,s1001 o, less!
_ I certify Iha! ,n the performance of the work lo• wh,ch
th,s permit ,s ,ssued I shall not employ any person ,n any
manner so as to become sub1ect 10 the Workers· Com pen
sat,on Laws of Ca1,torn,a
NOTICE TO APPLICANT I! after making this Ceri,i.cate
of bemptlon you should become subJeCt lo the Workers
Compensation prov1s1ons of the Labor Code you must
lortnw,tn comply with such provos,ons or tnrs permr1 shall
b€ deemeo ,evoked
I
I hereby affOfm 1hat there ,s a cons1ruct,on lending I
agency lor 1ne performance Df the work for wh,ch \hrs per 1
m,t ,s issued <Sec 3097 Ci.ii Code1
Lende' s Name
Lenders Address
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
JOB ADDRESS AV. ST. RO. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LIC 'ttE # VALUATION PERMIT NUMBER
'2.31 ~ Kl IMDQ,,..-l V CT __ , ., "is'B ..:Jo~ 2> , I <f-1 .,_. ,-
LOT BtOCI< . I SUBDIVISION 1 I ASSES/i PARCEL,;40. CONTFIACTOR . CONTRACTORS Pl-iOtilf 11 ZONE (_~ ~r:f":i1~ . ·---. . '-ii-. ., ,_ .. ., 'L4vw. H...JAAJ ?,'!>-77,1... 7 OWNER"S NAME ,t?> CA-(:,k OWNEfl'S PHONE "P;/(l 4-34 3qs-z. CONTRACTOR'S .IDORESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
" E.l I) nl /\I 6...:: OVIINER'S MAILINh ADDRESS ·2.:2:23 C•""''"'~ ~ Z..o'L4-5Z.
:k:3/"J .. ,, , J,(_ {.,,. fu_i-(.j c;::t-C~bh~ cJC"~,w..,~ t u~ OEStGNER'S PHONE
1u\!'ScAlflHOt,,pOJ::·WOAK • -·· c. -I . . -"': -. : . . . . DESIGNER'S ADOAESS STATE LICENSE NO. .
-· 'DA_t-_o C,..v""',--~s;.~ ~ t)C~ i ·::;. .. -. -. u· . ,:,_,,_
---
: '-;r' I ' ' FLA ELEV NO OCC GP EDU
I. -~-J. ,..., -::ii" -STORIES
'I , y~ ..,,~
CENSUS TRACT PAP!<'.ING S~CE: RE:S UNITS I GRADING PERMIT ISSUE:J l REDEVELOPMENT TYPE OCC LOAD FIRESPP AREA CONST
,□ 'D ,□ .... o vO NO Not Valid Un/en Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7-~ QTY. MECHANICAL PERMIT -ISSUE 1sE:S--SUMMARY/ACCOUNT NUMBER
EACH ~IXTUR~ TRAP INSTALL FURN DUCTSiJPTOlOOOOOBTU RIii'_ uru,,.,1 vv:-d 1 v-uL-Ov-8220 4.,
EACH BUI LUING SEWER . OVER 100.000 BTU SIGN PERMIT 001-81 0-00-00-8221
EACH WA I ER HEAH.R Ar",;U OR VENT BOILER,LOMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0-00-00-8891 ~~
EACH GAS SYSTEM 1 TO 4 OUTl ETS . BOILER.COMPRESSOR 3 l'i HP TOTAL PLUMBING oo; -s ! a -oo-oo-82 22
EACH GAS SYSTEM 'J OR MOR!: ME" AL FIREPI ACE ELECTRICAL oo· s 10-oo-oo-8223
EACH INST AL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 00 1-8' G-00-00-82 24
EACH VACUUM BREAKER . MECH EXHAUST HOOU UUCTS MOBILEHOME 001-81 !J -00-00-8225
WATER SOFTNER . RELOCATION OF E:A FURNACE HEATER SOLAR 001-810-00-00·8226
'..ACH ;:;ou nRi11'J , :'Js11::, . DRYER VENT STRONG MOTION 880-]19·92·33 I
TOT~L MECHANICAL /4;:\-~345~ FIRE SPRIN,(LERS GO 1·810 · 00· 00 ·8227
TOI A! Pi lJMBINl, I . PUBLIC FACILITIES FEE 320-810-00-00-8 7 40
-,a9,, ---~-l HOM~TUP 'Z' -'O~ BRIDGE FEE 360-810-00-00-87 40
QTY ELECTRICAL PERMIT -ISSUE QTY. _::> -·~,Y-~ PARK-IN·LIEU iAREA '
NEW CONST b'I. AMP SWl llKR CAR fWR~,. '"'! riA I Jj ,n .., TIF 312-81 0-00-00-8835
I PH l PH AN)~.,. ~O..~ ~ r _ ,• :J-i/{) w LA COSTA TIF 311-810-00-00-8835
f X IS T H l O G EA AMP SV>' T 6 K R _'\ ,~AGE e_ '\'"'.l-, .. ..,~'>'.' • -. . . ;::7 ,A FMF
I PH 1 PH . \, > '~ -... #'7· "17 LICENSE TAX oo· -s1 ::i-0::i-oc-s 1 s~
REMODEL AlTtR PER [IRCUil \_ 't"-. -ti.,"1· _._.,,. >' -·'-"'/-MFF 880-519-92·57 .
TEMPPnlE )00 AMPS .. ~ov -~~ ":-• . -,. -·• ,;,"_>
OVf.R 100 AMPS •. J --.... ,"'\. ~ '
TEMP OCCUPANCY '30 lJAYSI iu· -<)Y,-'
. ..-lV CREDIT DEPOSIT
lilTAI EIH.lRl!.Al I ~OT Al TOTAL FEES PAYABLE I ~ to
> . EJlpirat,o!' Every perm rt 1asued by the Bu_itding Of!ic,al under the provisions ol 1h1s f HAVE CAREFULLY EXAMfNEO THE COMPLETED ··APPLICATION, AND PERMIT'.' AND DO HEREBY * AN OSHA PEJWIT IS ftEQOIRED FOFI EXCAVATIONS OYE.A
CERTIFY -IJNDER PENAL TY OF" PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sh.all exp!re by Jimi1atton and become null and void If the building or work 5· o·· DEEP ANO 0£MOllTION 0A CONSTRUCTION Of authorized by such permit iS: not commenced w1thm 180days from the dateo! such DECLARATIONS ARE TAUi: AND CORRECT AND. I FURTHER CERTIFY AND AGREE IF A PERMIT l~ permit. or ,f the bulld1l or WOfk au1honzed by such permit 1s suspended or STRUCTURES OVER 3 STOAtES IN HEIGHT
ISSUED: ·TO COMPlY WITH ALL CITY. GOUN1Y AND STATE LAWS GOVERNING BUILDING cm•• lbandontct al anu time a er the work 1s commenced 1o·r a --nod of t80 -: .
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT;u:~i • I< OWNER.[] CONTRACTOR 0 APPR~ ~ ID?JLf)e( KEEP HAflMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .... BY PHONE [1 GRANTING OF THIS PER.MIT . . '
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TYPE I DATE INSPECTOR
BUILDING I
' (IP,~57;;:l.
FOUNDATION I c._, , ~~ / FIELD INSPECTION RECORD
REINFORCED STEEL I £.. l .. ,,
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHIEAR
FRAME I
. ,,
SOILS COMPL<ANCE
PRIOR TO ' ,_
FOUNDATION INSP (
EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
'
STRUCTURAL CONCRETE . • ... · OVER 2000 PSI ' ' ',,
PRES TRESSED .,, --'I-~'-:_; ·., CONCRETE < ;. ' , "
POST TENSIONED ·. . '
I CONCRETE . '
PLUMBING I
'
C SEWER AND BUCO L FIL/CO
UNDERGROUND D WASTE □;WATER
TOP OUT D WASTE D WATER
''. ~> FIELD WELDING ;.. ~--i.:-. ..... '
HIC1H STRENGTH r-.·f . ' ,-;>1/ sm rs ·,
SPECIAL MASONRY . ·.\· . ~ '~'-•:-~ ~:-.)/ -. TUB AND SHOWER PAN I
GAS TEST ' I PILES CAISSON~
D WATER HEATER D SOLAR WATER -
I --
ELECTRICAL ' I
D ELECTRIC UNDERGROUND r1 UFFER -
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
' --·-----~ I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
'
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECTilON WHEN ALL APPROPRIATE
ITEMS AB()V~ HA VE BEEN APPROVED
FINAL I
' I
PLUMBING I I \I' -i, I
' ELECTRICAL -·1 I • . ... . '
MECHANICAL ' I', " I ·'
GAS I ' ..::,. -
--BUILDING I ' " SPECIAL CONDITIONS I
I
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