HomeMy WebLinkAbout2399 JEFFERSON ST; 25; CB890987; Permit"' z 0 ~ CIC C ..J 0 w 0
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O I h•reby affirm that I am llc•nalld under
provl11ona of Cllapter 9 1comm•nc1ng with
Section 7000) of Division 3 of the Business
and Prof .. alona Code, and my license IS In
full fore• and effect
l'lerd)y affirm ttut I .&m e•emol lrom UM! Contrac ror s Lunse Law tor tile tottow·ng ,reason (Sec 7031 ~
Susme1s ano ProfesslOfls Code Any c,ly or county \tllhicr. te· qu,,es a perm,t to con-struct , a11er ,mprove demotrsn, or repair .any structure puor 10 its issuance also requnes ~heap·
p1an1 IOf such perm11 to •,1e .a s,goed ~tatemen1 lt\at tte tS
b:enseo purs~r,1 _to .lhe Pf''"•$JOnS ot the tornrKtor s Locens< Uw rt11apttr 9 tommenc,ng wdh SettlOn 7000 ot
Oov,wn 3 Ol tl!e Bu,,,,.., and P!ot.ssoons c..,., or 1ha1 is.,
empt ttierehom and t~ ba~s for lt'!e al!egeo tJ1ernption Any ,..,oiauon of SetltOn 7031 ~ by an apphcant tor a perm1, &ub·
1ects 1t1e 1p, ilQnl to a c1"·11 penattv ol not more ltian t.ve ilun ired :S'>OO
\/' ~. e.r ot Tt':1 ptOOtffy or my employes with v.ages as , · ,, ·· compe11sa.hOt1 w~ do tnei t¥Ork and the \true
ture , 11ende<l Cf c.t1eret1 fOf sate (Sec 700, Business
.11nd P~.::il~$Sron~ Code. T~ Contratlor's bcense. La'l'II doe\ not appty to an_ awivr c! prQPeftv wtlO bUttds.· o, ,mp,oves
lh!feon and wno OOes sud'I work htmset1 or thraugn .+trs own ~s. prcwleO 11\al suc:n ,mprovtmtnlS 1te not ,nlencl
e<l or onrreo lor salt ti. hewe""'· me burla,ng or lmprovt ment 1s sold w1lh,n one yfl'.V Of complettOn tne owner·bu1tder
wiO r,ave IM burden ol proving lhat ~e did ,not build or 1m
prOYe IOf' lhe purPQSP of sale,
as owoer ot lhe pro;,erty am e,ctusmty conrracbnQ w•lh 1ocerised contra:tafs lo construe I tlte p,oiect (Set 70U.
Busmen ,nc:t Pro1essGnS Code fhe Con1r.ctor s Lanse Law does not appry 10 ao owoer ot prO!)env .. ~o builds or if11·
prO\tes 1hereon. ,md who contratrs tor each p,01ec.ts w1ttl a
conrrartor(S) ticense purSUllll lo 1ne Conlracto<"S Locense ~aw)
As a hQmeo-"ne< t ,m •mp,ov,ng my IIOme anct Ille lollow 1ng cond1Uons e,usl 1 the >110<k is t>ttng pertormt<t prlOf to sate
2 I have lived In my home tor twelve mon1ns puor to completiOn ot llm w.o,k_
I have not clalfflld trus ~lfemglon OUrnlQ ll'le last tnree years
~ lti~:r~~~:1 under Ste -------B&PC
• he1eby affirm that I "'•"e a cert1fteate of consen1 lo
se1f.,n,ure or a cert,t1ca1e .or workers Compensation In
5ural'\Ct o, a cer11t,ed copy thereot 1Sec.. 3800. LabOf Code)
POLICY NO
COMPANY
COc>y ,s hied w,th 1he c,1y
Certil•ed copy Is heret>y tllrn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
Hus section need not t>e completed ,1 lhe permit
tor one hundred dollars 1S\OO, Of less,
..V :er1,ly that ,n the ~formaf'lte ot 1ne work for whtcn
11,, r, 11 1s lssUed I sh,1U not employ any person 1n •ny
,nann,rt io as to become sub1ect to 1he WOfkers Compen-
satton Laws ol ca1110,n1a
NOTICE TO APPLICANT It. atter ma~•ng lh1:S: CertfltCAtt
ot E:remp1,on. you should beC6me subJect to theWOrkers·
Compensal,on Pf'Ovisiona of. the Ut>or Code_ )'OU mu&I
lorthN lh comply 'tNllh s.uch pr0'11Sion1 or this perm,1 sha
be tteemed revoked
I hereby affirm thal there ,s a constrLJction Jending
agef'\C'r lor lhft performance of !he inork tor which ttua per
mtt 1s i11ued 1sec. 3097 Ctvu Code)
Lender I Name .
(ender I Address
USE BALL POINT PEN ONLY & PRESS HARD 1 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 ~~3'99 :r~ Ff(: RS~N-~~c:J.? BROPlO I07E-OF ;;p~~r ~,f I 8US1NlSSL CENSE. WolON PERMIT NU>'~ER
'," H, .. c• l '""'' \/SION I A',',[' ~PA'lr. CONTRACTQR /_ CONTRACTORSPHONE.• ZONE cB 84a i''b1
w•,, ""'"' I o••rn·se•o•, 0 VJ ,U € R JAL{./ Ll", ,::-0 K A-rfl L f=E:N I\,{. ~ ~ J< '/3</_-~(/ / 7 CONTRACTORS AOOR'lss STATELICENSE NO BUILDING so FOOTAGE
·,n•., I-< •.•.-, '• AOOR['i', ~ __ .E_o 1g_o__ __ S!J:r rg: ~ TR s:c:r cA R..L.S AA ~EW,NeR DESIGNER'S PHONE
0 ···7;.Ysi-it'"LLA-nOAI OF-I -~. OESC.NERSAOORE',S STATELICENSENO 8086 07/07/89 0001 01 02 -- ---· 'V---·-· -~ --· --~-BldPmt 36-00
3 0001<-."1. f' P F LR ELEV NO OCC GP EDU
STORIES
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CENSUS TRACT I PAPKINC.',PACE 1 RES u"'rT'i l GRADING PERMrT tSSufD I REDEVELOPMENT TYPE occ LOAD FIRE SP" A Rf A CONST
v O " O , O "-0 vO "'O Nor Valid Unl~s Machine Cerrd,ttd
QTY. PLUMBING PERMIT -ISSUE -=,..so QTY MECHANICAL PERMIT· ISSUE { 'F) OO SUMMARY/ACCOUNT NUMBER _
1
EACH flXTURE TRAP T INSTALL FURN OUCTSiJPTO IOOOOOBTU tlUILu1NuPtRM1l UUl HIU-UU-OOb.!20 .!.//
[ACH BUI LUING SEWlR OVER 100.000 BTU SIGN PERMIT 001-810 00·00,8221
EACH WATER HE A If R MU OR VE Nl HOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891 )4
EACH GAS SYS HM I ID 4 OUTLETS BOILER•COMPRESSOR 3 15 HP TOTALPLUMB,NG oo· 810·00 00·8222
EACH GAS SYSTE M ~ 0 H MO Al Mr: IALf,REPLACE ELECTR•CAL 001•810-00-00·8223
EACH tNSTAL. ALHR. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 810-00·00·8224
EACH VACUUM BREAKER MfCH fXHAUSI HOO!J oucrs MOBILEHOME 001·810·00·00·8225
WATERSOfTNER HELDCATIONOF EAfURNACE HEATER SOLAR 001·810-00-00·8226
EAGH ROOF ORA'°' I•,<; DE, DRYER VE'IT STRO'JG MOTION 880·519·92·33 f
IO!t;t ME CHAN1(;AL FIRE SPRIN~LERS 001·810-00·00·8227
'--_ IO 1 Al Pl lJMt!INC. J • PUBLIC FAC'LITlES FEE 320-810-00·00·8740
0 8RIOGE FEE 360-810-00·00 8740
QTY ELECTRICAL PERMIT • ISSUE ~ 0 QTY MOBILE HOME SETUP _ tJ PARK IN LIEU (AREA )
NEW CONST EA AMP SW] HKR CAR PORT Tlf 312·810-00-00·8835
I PH J PH AW!J1r,;·, LA COSTA TiF 311·810·00·00-8835
EXISTtllOGEAAMPSWTl!KR GARAGE. FMF
1 PH 1 PH LICENSE TAX 001·810·00·00·8162
REMOOELALltR PEACRCUIT MFF 880-5199257
rf MP POLE 100 AMPS
OVfR JUU AMPS
HMP OC.C.UPAt,CY 1JO DAYSI •
CREDIT DEPOSIT
fflTAlfltLIRIAl l A I -;, 1,> · TOTAL FEES PAYABLE '5 (,.. --:
hA',F • 'AH: t'., l VI XN.11NE LJ •t-'E ' ,M -, p. ' Afl'c ~A' Vlo At1u I ti " ' ,, ' . r, • • . <. )Y E ,p,,.;-·,o F•e•y ;.,ern11 " ed bythe8uotdo~Ott,c1a1 underthe p•o•151onsolt~os * AH 06HA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
• l'HTtF-Y JNJER t'j·",AL Tl' JF PFAJl ,ff hAT Al INH P•IIT N < , ·N' ,D:", .• TH[ c '>de shat, e•pooe by I, •ot& : .. , and become null and void 11 the bu1tdong N wor, 5· O" DEEP 4ND DEMOLITION OR CONSTRUCTION OF
V l LA"IA C", Aqf r,:;· -AND. t )H ff ( T ANC• n .!'/S.E R c' ~ ... , 'i=f ... r." Rn=,< • V ,.-,.,.,; -81 '""' n,J ~y SUC" i,er-. I.. "C )'"1menced "llhrf' 180 <lays trom lhe dalP\)I such ST''·,,.ru-s OV'R J ST°?f "' HEIGHT
i. 1.r, ., . J .~-r: • . . . ,-. r-'I<-• ',.. " •tt~ .: !" r ~rr I H f the b: fdl-"'t"°;· .)f WI. rk 1Ulh0,IZ8d by such Pf!rm1t 15 suspended nr ""'"' n~ c: I
t.:·D· T'){(JMPL'r'W, HA.(• n.JN•YM .. TA t_lA,.,, ,H<", • 6 .. rt,. "-, · · a<Jalen·r.· meal.er •"·"" s1.ommence<lfora~ft809ayt
'RL'Tf;N\'l>lTHEH_'_'E"CE('i[~F'NJ:1",J' IA,':·A'P"E•'',A."',".<N>YA' .. --~-_--~~ --· c -APPROVEDY ~ r--~v •ff"HA>lM_•,S••H·l ,•)F(.AHl'.[A')A AIN' l'L ir T l ·fs\1t,T l 1:,• 4-,11,Arur 0Y."f" lONTRAC'.JR(I B 1 I
r-~~EN[_,Nt'':><MAY',",Ny./vA''l'':i:·fA,:IN:T,A.L .. ,, ",l,JlN(~ rJi'7J"7J __ '-1A~ /'1/J-/'J 8 0 < 1 (,,0
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TYPE I DATE INSPECTOR I
BUILDING I ' . •
FOUNDATION I FIELD INSPECTION RECORD ..>
REINFORCED STEEL I
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . ir-...,
GUNITE OR GROUT I INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAMED FLOOR D CEILIN~ , . SOILS COMPLIANCE
SHEATHING D ROOF OSH~R
FRAME I
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED I
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D WATER
HIGH STRENGTH _
BOLTS •
TOP OUT D WASTE D WATER SPECIAL MASONRY .
TUB AND SHOWER PAN I \
GAS TEST I
I PILES CAISSONS
D WATER HEATER 0 SOLAR WATER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND DUFFER '.-.
' . "" ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
,
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D BONDING D POOL ' .-
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I
MECHANICAL I
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D DUCT & PLEM., D REF. PIPING
I q ~,. .. V ' l
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HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . ,. ' 1
I
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CALL FOR FINAL INSPECT/Oi WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE EEN APPROVED.
FINAL I
PLUMBING . ' . . ~ .
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MECHANICAL I
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