HomeMy WebLinkAbout2350 PIO PICO DR; ; 85-924; Permit"' z
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O \ hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing w,th
Section 7CX>O) of Division 3 of the Business
and Professions Code. and my license 1s 1'1
full force and effect
Lie No ______ (la,
I hweoy 1.1:,rm ·nar I an c,empt '·r.
10r s , ,ce1se ~a·,1 :,;r lhe '.r, lo·;,1~r. re1so"
B_s,1ess ana Pro•ess1G0,s Cod~ An'/~ ·y C' cucnr,,, 1l', re ·iures a pe'rn.t to co"s .. JC a1:er "'r;ro.,e cernc
'P.Jair ary structure. ;Jr or to ,ts ,ssua1ce ;i sJ ;it,cant for sucn ;ie·m t I'. li'e s s1~red
,cersed ~,rs.ant lo the ;ro·11s ors C ,:e~se Law ·ChaJ:w 9 comrnenc,ng
[>,,s,on 3 ol ·ne B~s,ness a~d Dro!ess,cns /
emp rre-etr:r and rre ~os1s fer r'1e a,','~qea e,emoi,or An1 ,,;; -11,on of Sec,on 7031 S by a<1 1.p;i ,cart t,cr d percT11' oub
t1e appl·can1 to a c,v,1 ~enal:Y ol 001 mwe ·iar,' ·,e run
de' ars 1$500',
.is JNne· 01 rre i;rJi;e·t1·. c· my en,a :;·1ess ,,·1-Nages
~s '"eir sJ1e CJ,-pensa:1or1 wi:I dJ the wo·k a,c ot· J•.
•u·e ,5 nol nlenGe~ o-011e·ea tor sa,e ,:sec 7C44 necs
end Profession~ :oae Tre Cort·ac\O' s License""°"' Goes 11c1 a~ply to an cwner cl acoper·i •1,",0 c,,.:cs ur ,m~ro,c:;
t',ereon and w"o does sue~ w8rk h,'llsell or thrvJqh ·1:0 own
employees oro·,iaea that s"c". ,moro·1emeets a~e iw1 ,nte1d-
ec or ottered lor soie I' however the bL1ld1~g or ,mprove-
r,en! is sold w,:h,n one yeJr oi corr.p,enon the owner-builder .,,.,1· have ·~e Durden o' prov1r,g lhat he did nor bu11d or .m-
8"CYe for t'1e e,roase 01 sJ'ei
dS ow~er o' tre ~ro~erty a·Y1 enl•Jsi;eli con'rarnn;i
w tr licensed ;:ontr;Jctors to construe! t~e pro1ect ,sec 104~
8us,nes, ilnd Professions Gode !tie Contrdcfor's L:cense
Law does nc! ;ioply :o an cw~er of propecty who bu,'ds o· ,rr o·oves thereo•. 2.r.d who contracls lor eJch pro1ects with a
co1i·actor1sl 1cer,se a_rs,,ant to tre Contractors License LdWI
As a •,omecwner I arn rmprov,,s rny home am1 the hPow
inc cond1t1ons ex1s! , 1 The wor'• ,s tie,n;i performed pr,~· to s:i1e
2 I have lived 1°. nl\' home for twelve rrontr,s
pr.~r :o comp'et,on oi tr1s work
I ,ave nGI claimed tn,s exe-rpt,or cw,n~ the last th,ee yea·s
I am exemot under Sec B & PC
for this reason-------------
I r,weoy atl,•rr, that I have a cert1t1cale of consent to
se' insure. or a cert,f1cate of Wcr>ers Compensation la
SJ'3"CE O' J :e·t1• ed cor., thereof 1Sec 3800. Labor Code\
POLICY l'.0
COMPA~Y
Cop·, 1s ·,led ;,,t~ \he city
Cert1'1eJ copy 1s hereby !umished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1T~1s section neeo not be Gompleted If the perm,!
1s for one hundred dollars 1S100) or less)
I certlly that ,n the performance of the work for whch
lh1s pe•m1t 1s issued. I shall not employ any person <n any
manner so as to become sub1ect to the Workers Com pen
sa11on Laws of Cal1fom1a
NOTICE TO APPLICANT. 11. after making lh•S Certofocate
ol Exemption you should become sub1ect to the Workers
Compensation provisions of the Labor Code. you must
lorthw1th comply with sue ti prov1s1ons or this perm,t s~all
be deemed re,oked
I hereby affirm that there 1s a construction l€'1diog
agency for the performance of the work for which this per
m,t ,s ,ssued 1sec 3097 c,v,I Code1
Lendw s Name
Lenders Address_
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008·1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS <?10 NEAREST CROSS ST PERMIT NUMBER
I L../1-S 155 I q~ 2=<,50
COT I sueo1v1s10N I I ASSESSOR PARCEL NO BLOCK
CONTRACTOR'S ADDRESS
..,Ze::wc...·~.,' Ac.,.S~M_.:,A~="u-NG~A-D-DA.,_P__:sls__:O=---_~.,__l:_:C....=:O::::__µ~-K_--------t
DESCRIPllON OF WORK
DESIGNER
CE:N'.ot)S TRACl ! CiP LAND USE: I PA8K<NG SPACE: RFS uN,TS I
OTY PLUMBING PERMIT· ISSUE ' _,t> /-
DESIGNER'S ADDRESS
FIR ELEV
GRADING PERMIT ISSUED
I
REDEVELOPMENT
AREA
, :::i "'o
QTY. MECHANICAL PERMIT -ISSUE
NO
STORiES
TYPE
CONST
=s-
LICENSE NO.
DESIGNER'S PHONE
LICENSE NO .
ace GP EDU
ace LOAD FIRE $PP
PLAN 1.0. tt
12/16/656025
0[>:)18085 12/16/ 85
Not Valid Unless Machine Cer/Jfied
SUMMARY/ACCOUNT NUMBER --
EACH FIXTURE TRAP
E.ACH BUILDING SE.WER
_ +'-----~----lf---+1-' N_S_T_A_L_L_F_U.cR_N_o_u_C_T_cS_J.cP_T_o_,.coocc __ oo_o-'B_T_u ___ -+---~--1---~'~" '~'-_o,_N_G_Prnc_M_I_T __
OVER 100.000 BTU SIGN PERMIT
001 310 oo oo 82:? t __ 1"2-, ""!. 0 _
001 810 OQ 00 8221 ----------
--~EA~H ',"IA-TER _HEAT~R AN11 u~ vfNT_ --=~-=~--------G_s~~-(R c-OMPl'lE_?S_OR UP rg~ PLAN CHECK ___:__001 810 _DO 00 8806 ,_-__ 7../ I j,L'
oo 1-a 1 o-00-00-s~ 22 EACH GAS SYSTEM l TU 4 iJUTLflS 'BOILER COMPRESSOR 3 1'.J HP TOTAL PLUMBING f---+-------------+ -------- - -----r--
EACH GAS SYS TE~ ':i OR 1/0Rf I \l[TA.L r iltr'~A.CE: Fl ECTRICAL 001 ·8 i 0-00·00-8223 -----------------------~
MECHANICAL -~ -------001·810-00-00-82 24 ----------1
~ -=f' -·---------~--!t--~M=OBI_L_E_H_O_M_E _____ O.c01_8~1_0·00-00-8225
-'NATE.R s_o_r_r_,_E_R ----__ -__ -_--_~_L_?CATl?N _O_F EA FU~NACE HEA_TE_R ____ -__ ,_ ____ ---~ __ M_O_B_I_LE_H_O_M_E_PA_R_K_!r~_S_P____ ----
__ §tr1~~HH1::J~~\::~TRE~::~::AIR-,-,A-TfR PIPE ---1--=1=4 t ~::: ::::~:~LE :ii: DUClS
I : ~,\(;,! HO(iF ''il.1.\ '.' \;-; 1[ F SOLAR 001-810-00-0Q-8226 :-t: ------------TOTi.l MECHANICAL------~~-~-------<-STRONG MOTIO~ 880-519·92-33
: ----10·1-A,-ru,,,mr, -------, ~,~-----~-~~---~~~~~----....,-------1i--_£.'.~ES~R_IN_K_L_ER_s _001·810-oo-o_o-s~2~2_7-+----------1
1
1 QTY -·1 ,~_PO_B_LIC FACILITIES FEE _ 332-.filQ:_Q0-00-~2JO r--__ __ _ ELECTRICAL PERMIT -ISSUE _5 -i OTY. SOLAR ISSUE "
\ NEW CONST EA AMP_s_~_,,_o_KR _ -------!---___ -+-__ · I cc, , cc·ocs -_-_-_-_-_-_-_-:_-------+---___ _
I I PH \ PH I + STQ::lAGC_ -A,~-<S I t----t-------------------------------------------f-----
1 ~--1----t_XIST tlL[JG EA AMP S~','T lJKR ----;.'--------il-----.~t-!R_J1_{;_F __ _
I 1 PH 1 PH P,J',1P
I 1---+--------------
SCHOOL FEE -OISTRICT ------------~----
----e-----Carlsbad
----r--
--------------!----------lt-~D1eg~
San Marcos
--------l------------
I REMODEL Al Tt:R PER CIRCUIT -------------------
1 TE'<i1P POLE ?OU A'viPS ,l---+-o-v-,-R-10-'0-A-M-PS______ ~-'L'IC~E"N"S"E~T~A~x~----o~o~,~-,~170~070~070-~8-16~,-1--------'I---+--------------------,-----~_,_ _ _, ___________________ +--------,f-~
I TEMP OCCUPAri.cv i)O OAYS1 i MFF ' ---,----------------~----------~ -_C_R_E_D_I_T_D_E_P_O_S_IT ____ ---------------I ___ I _____________ _
-+----~ PLAf, Cl-'Fr:• F~t -------------
1
-----1----
-----+----~-I----+-----
880-519-92-57
:,1~~~~~-1_,_,T_A_L_f __ ,_F_L_T_R_II_._A_'~~~---'~~~~~--~ .... '~~~::~~-,~~-11-_)T-M~sn __ ,_,_'~~~~~~...1.l~~~~~...Jl,~~-T-O_T_A_L~F~E_E_S~P-A_Y_A_B_L_E~~...1.l~~~~~~.:..~::S;...'~L.~~J~·..-~~-i
I I HAVE CAREFULL y EXAMINED THE COMPLETED ·APPLICATION AND PERMIT"' AND DO HEREBY Expiration. Every per.m1t issued bythe8uildmg Ottic1el under the pro111s1onsofth1s
I CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expire by ltmitetion and become null and 1101d II the buildmg or work * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP ANO DEMOLfHON OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND ! FURTHER CERTIFY AND AGREE IF A PERMIT !S autnorized by such permit is not commenced w1th1n 180 days from the date of such
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· ~~~';;~n~
1
~t1:~v ~~~,~~e~;h:~~r:~ti~~~e:6e~~~~ .f~~id,~ls~~~~~d or ""
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPROVE e, ~
STRUCTIJRE:S OVER 3 STORIES IN HEIGHT
j KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. cosTs AND ~~PPUCANT.),-5IG;;r'j', ,, .,;1,. /. , v'OWNE~') CONTRACTOR o
1
r•11 , '!.l-
1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE /_~ BY PHONE O _.. J ~ • • / 1 fd' ,..-
:L.~G~R~A~N:T~l~N~G:..::O:F~T~H:l~S~P:E:R:.'.'.M~IT:-~~~~~~~~~~~~~~~~~~~~~~~~~~~..:;~~::::!~~~a::::::'.~:.t'.~~~~~::!~~S::l,_.~~~.:::.:::::::::.:::.J ___ ~~::'.~~==~::::'.:::::::::::::::'..J~..:.--~~~~_J
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT ' I
SUB FRAME D FLOOR D CEIL.!ING
SHEATHING D ROOF D SHEAR
FRAME ' EXTERIOR LATH '
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BUCO LJ P~/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN ' ' GAS TEST I
D WATER HEATER D SOLAR WATER
' ELECTRICAL I
D ELECTRIC UNDERGROUND D, UFFER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMPC'JRARY
D BONDING D POOL I
I
'
MECHANICAL I
D DUCT & PLEM ., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I . .
I
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'vE BEEN APPROVED.
FINAL I
PLUMBING ' t.'-& ' ' ' ELECTRICAL I ~ l~ '
MECHANICAL I l . r......."',
GAS I ~ _J '\,. ., ' -",l
BUILDING I J' ~ ' SPECIAL CONDITIONS ' ---'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
POST TEN:C:.!ONED
ccr..CRETE
REO IF INSPECTORS
CHECKED APPROVAL
-------------------------. . --------._ --
INSPECTORS NOTES
.
DATE
----
,__ ______ ------1-----+--------~-------, >--------------------------------,
J:if!...D WEL::-J1r-.;C:;
Hl(]i--j 2;TRE".iG-r•
BOL rs
':;PECIAI .VAS'.)N>lY
~---------
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Pl. ES CAISSCV +-----
=---------~~--------+= -F------=--------~
+------------r-·------+-------+------
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f-------------+ _,, ___________ ----1---·---
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.___________ --------~--------L-----____J