HomeMy WebLinkAbout236 OLIVE AVE; ; CB881042; Permit.,,
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O I hereby affirm that I am llcenaed under
p<0¥1alona of Chapter 9 (commencing with
Section 7000) of Dfvlslon 3 of the Business
and Prolffalons Coda, and my license Is In
lull force and effect.
I hereby ~firm lhat I ~ ex.empl trom the Contrac· tor, Locen,e L•w tor the totlow,ng , .. son (Sec 7031 5 Business and Professions Code Any city 0< county whicr. re
quires a perm1r to construct. alter. ttnprove, demohsh. or repair any structure pr,or to 11s 1ssuince also requues ~he iP·
plan! !or such oent'\lt to fde a St9ned statemen1 thal he ,s tttenseo pursuant 10 lhe P,O'llsions ot Int ton1rac1cr s
Locen,e L•w (Ctlipter 9 commencing w,tn S.Ctoo 7000 ot 01v1s10n 3 of the Business ancs Protess10ns COdt) °" !hat ,sex
empt 1heretrom and lhe basis lor lhe atlegeo e.xemptton Any Ylol.ltion ot Sect,on 7031 5 by •n appt,ean1 tor • perm,, sub ,eels lhe apphc.ant to a CMI PtNUy of no1 mo,e than lrve hun-
drO<l Oollars 1$500)
I. as owner ol lhe property, o, my employees with wages
.JS lhtlf sote compensat,on, WIii do !be WOfk. and the SlfUC·
lure 1s not mlended or ottered tor sale (Sec 7().t.C. Business w Pfoless,ons Code The Conux.1or·s Lacense Law aoes
not appty 10 an owner of property who builds oc 1ml)(0"tes
!hereon and who does such work h1msett or through his own employee$, prov+ded lf\Jt such 1mPJCHemen1s are ~ 1nlend·
eel or ottered tor sale II. however lhe bu1khng Of improve men1 ,s sold w11n,n one year ot compteuon lhe owner-bu,ldtr
will ~ve ll'le burden of l)(DVlng thal he dtd not build 01 ,~ p<ove lor the purpose ol sale/
, ' I. as owner ot the properly am exclusively conuact1ng wi1h hcensed contractors to construct lhe prOfeCI (Sec 70U,
Busmess and Protess,ons Code The Conuact«·s lcense
Uw does not apply 10 an ow-nef 01 pr~ty •hO builds Of 1m• proves thereon, and who con1rac1s tor each pn:1tec1s w1lh a contractor(s) hcense pursuant 10 !he Con1rac1or's License Law)
A, a homeowner I am lffll)IOV1ng my ..,,,. ano the lotlow
Ing cond1lt00S b:1$1
t The work 1s being perlormed pnor to sale
2 I have lived in my home fo, 1welve monl hs pnor 10 complehon ot this work
3 I have not clauned this exemption durmg the last three yurs
0 I •m exempt uno.r Sec _____ _
lor this reason B&P C
::J I hereby atlum that I h1..,e a cert1hc1te of consent to
sell•tnsure Of I cerhhcate ol Workers Compensation lr)-
surance Of a Gef11f1ed copy thereof tSec 38tX) labof Code)
POLICY NO
COMPANY
Cooy 1s hied with the city
0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed ii the permit
1s lor one hundred dollars (S100, or less)
2 I certify lhat 1n the pert01mance of the work for whictl
lh1S permit 11 issued. I shall not employ any person 1n any
manner so as 10 become subJecl lo the Workers Compen-
sation Laws ot Cahforma
NOTICE TO APPLICANT If. after making lh•s Cert1f1cat1
ol Eaemption you should become subtec:t to lhe Worke,s
Compensation PfOv,s,ons of the Labof Code. you must
forthwith comply with such prov,s,ons or this permit shall
be deemed re-.,oked
:J I hereby alf"irm that there is a construct.on lending
agency tor lhe performance of the wor1t fof wh~h 1h11 per
m11 1s issued (Sec 3097, C1v1I COde)
Lender·s Name ____________ _
lender s Address
USE BALL POINT PEN ONLY & PRESS HARO ---. ·--... -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 RD. THOMAS BROS NO
,D~/,MONI
BUSINESS LICENSE • v?Yf J M ITNUMBER
Z~-ct...\vE 5-Avs.
LOT BLOCK I sueD1v•s10N I ASI~ :~L~I -OS< CONTRACTOR , CONTRACTORS PHONE • ZONr Cl. >'62/042 OWNER'S NAME . b:Li:w~·~ ~-u 1-., P4vt.s. CONTRACTOR'S ADDRESS STATE LICENSE NO BUILgOOTAGE
OW"'E R'S MA "l!JG ADDRESS ->C :2!,(_ rJLI V.£' DESIGNER DESIGNER'S PHONE ,
DESCR•PT ON OF WORK
DESIGNER'S ADDRESS STATE LICENSE NO
c;'Jk. l'O>Afk. 1150 08/09/88 0001 01 02
Bld?mt 10,1 F p F LR ELEV NO ace GP EDU
STORIES A~-9 vO NO --I CENSUS TRACT I PARKING SPACE RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCCL~ ~RESPR AREA CONST
y D ND ,o ... o ~ b,..' v(h~ -~01 Valid Un/ffs Machmt Ctrtifitd
QTY. PLUMBING PERMIT . ISSUE /~ QTY. MECHANICAL PERMIT • ISSUE 15!!!} ~,. , ~ ~~~~r~,;UNTNUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU . "-" tlUl._~~y 'tHMJ.!..,t.T .Q~Ul·~lU·UU·UU·o«u
EACH BUI LO ING SEWER OVER 100,000 BTU S{GN'PERMIT~Y ,.._(_'(;' 001·810-00·00-8221
EACH WATER HEATER AND DR VENT ·-BDILER1CDMPRESSOR UP TO 3 HP PLAN CfP~ ,"'" 001·810·00·00-8891
I EACH GAS SYSTEM l 10 4 OUTLETS 7-,.SU BOILER/COMPRESSOR 3 15 HP T.Qil?S>l,_~G 001 ·810·00·00-8222 f U ,,,.-
' EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE "fi_dYcAL 001 ·810·00·00·8223
EACH INSTAL . ALTER, REPAIR WAT ER PIPE VENT FAN SINGLE DUCT _Ci!CHANICAL 001-810-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS T MOBILEHOME 001-810-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001·810·00·00·8226
EACH ROOF DRAIN IINSIOf1 DRYER VENT STRONG MOTION 880-519-92·33
~/I . .-TOTI.L MECHANICAL FIRE SPRINi<LERS 001·810·00·00·8227
TOTAL PLUMBINl, I ✓ --. ?UBLIC FACILITIES FEE 320·8 r 0·00·00·87 40 s~ BRIDGE FEE 360·810·00·00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-lN·LIEU (AREA I
NEW CONST EA AMP SW l BK R CAR PORT TIF 312·810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF 311-810·00·00·8835
EXIST BLDG EA AMP SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00·00·8162
REMODEL Al TtR PER CIRCUIT MFF 880·519·92-57
rEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY IJO OAYSl
CREDIT DEPOSIT
lOTAl £LH1RILAL I TOTAi TOTAL FEES PAYABLE I /o----
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Expiration Every permit issued by the Bu1ld1ng Otf,c,al under the p,ov1s1ons ol 1h1s * AN OSHA PERliit:T IS AEOUtAEO ~ EXCAVATIOMS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON 1NCLUOING THE Code shaH expire by llm1taJ1on and become null and 'II01d It the budding o, work S o· DEEP ANO OElltlOl.lTION OR CQIIISTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such perm11 ,snot commence<:! w1th1r, 180days from the elate .:,t such STRUCTVAlS OVER 3 STORIES IN HEIGHT perm11. or 1f the bu1td1~ or work authorized by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON• abandoned at any time a ler the work ~ommenced for a oeri~ ot 180 d■vs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP71/.i,jTZn :. OWNE~ONTRACTOR 0 APPROVED BY /?'1 1Df 1/;,;-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT ·,v., ...-BY PHONE fJ
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TYPE
BUILDING
OUNDATION
EINFORCED STEEL
F
R
M
G
IASONRY
iUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING s
F
□ ROOF □ SHEAR
FRAME
EXTERIOR LATH .
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
□ BONDING D POOL
MECHANICAL
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
·-. I.,\ DATE INSPECTOR • I,._
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY-·
PILES CAISSONS
--t' 'I'". .. " ~ ~-\
'------.; '\ C
) "
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~
ITEMS ABOVE HAVE BEEN APPROVED. • -.
FINAL ' , . ·-' PLUMBING ' " , I)/,~ i
ELECTRICAL r"\ I ,_ i2LJ/1 i ,~ ~/
MECHANICAL . J I -~/, ---... ,, ,.-
~/ I I · J/. GAS ' 'C'r/}""~ 1/4-. I-;;,
,n,_.......
BUILDING ~
SPECIAL CONDITIONS V I ~ r
. "· · . .,... ,--~ / (I P... <)( a l O LI :l.-.,.. -\ -. c.., . \. . . ' ,
\
-_ _,.,
-
INSPECTOR'S NOTES
.
DATE
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1911,,. ·..,.t _ -.... ~, -_,~ ... . ,-
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