HomeMy WebLinkAbout240 Pacific Ave; ; 85-539; PermitCl) z 0 ;::: < a: < ...
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect. lie No ______ Class
I hereby alhrm that I am exempl from the Contrac· 101·, li<:ense Law lor Ille following reason (Sec 7031 5
Business and Proless1ons COde Any c11y °' county which re• quires a perm!! lo construct, alter. improve. demolish. or
repair any structure, puor to I1s issuance also requires the ap-
phcant for such permit to file a signed statement that he 1s
licensed pursuinl 10 the prov1s1ons ol the ConlraclOf s Ucense Law (Chapter 9 commencing with Section 7000 01 Oiv1s1on 3 of the Business and Protess,ons Code) CK lhat 1s ex-
empt therefrom and the baSls tor the anegeo e1templ+on Any
v1olaUon ot Section 7031.5 by an applicant foe a permit sub-jects the applicant to a c1vtl penalty or not more than five hun-
dred dOl~rs ($500)
0 I, as owner of the property. or my employees v..ilh wages
as their sole compensauon. w,u do the work, and the struc·
ture ,s not ,ntended or offered lor sale (Sec 7044, BuSjness and Protess,ons Code: The Conlractot's l.Jcense law does
no1 apply to an owner ol property who builds °' improves
thereon and who does such w0<k himself or through t11s own employees. provided that such impr0'w'emen1s are not ,ntend·
e<l or ol1ered tor sale II, however. the bu1k:hng ot improve-ment IS sold Wllhin one year~ complellOfl, lhe 0Wnef·bu11def
wlll have the burden 01 provmg that he did not build ot 1m•
prove f0t the purpose OI sale)
D I, as owner of the property. am exclusively contracting with l1Censed contract0<s 10 construct the pr01ect {Sec. 7044,
Business and Protess1ons Code: The Con1ract0f's license Law does not apply to an owner of propeny who builds or im-proves thereon, and who conlracts for each pro,ects with a
contractor(s) license pursuant to lhe Contractor's license Law)
0 As a homeowner I am improving my home. and lhe lollow
ing conditions exist 1 . The work is being performed pnor 10 sale
2. I have hved in my home for lwelve monlhs pr,or 10 complet10n of this wOfk I have not claimed this exempl!on dunng the
last three years
D lamexemplunderSec ______ ,B&PC
for this reason -------------
O I hereby atfum tha11 ha.,e a cen1t,ca1e ot consen1
10 self.insure. or a cer11hcate ot Workers
Compensation Insurance. or a cen1f1ed copy !hereof
(~ 3800. L.at>o< Code)
POLICY NO
COMPANY
Q Copy IS hied Wf1h tne city
□ Cerhf1ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section neecJ not be completed 11 1he permI1
Is tor one hundred dollars ($1001 or less)
0 I cen1ty thal in tne perTormance 01 me wor,,. 10,
which lh1s permit Is issued, I shall nol employ any
person 1n any manner so as 10 become sub1ec1 10
the Workers Compensa1ton Laws ol Cahforn,a
NOTICE TO APPLICANT It. alter mak1n~ n·us Cert1
hcate ot Exemption. you should become sub1ect I?
the WMers · Compensation prov1s1ons ot lhe Laoor
Code you must tof1h'A1!h comply w11h such
provIs,ons or 1h1s perm11 shall be oeemecJ revokeo
D I hereby aft.rm tnal rhere •s a construc11on
ten<l1ng agency to, lhe performance ol lhe wortil. IOr
wtuch this pe,m,1 ,s ,ssued ,sec 3097 C1v1I COdel
Lenee, s Name ___________ _
Lenoe(s AOOress __________ _
USE BALL POINT PEN ONLY & PRESS HARO 1,---------------------------------------------------------------------------------, APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
: CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 lr-".""""".....,~~---~--------~~------------------..,.,....------"""!"-------""!"'--------~---------------.----:-:---..,,,..,"C:"'."'.-:--::-::-::""---1 : 2 AO.;::.:J ;;; /. / 'j:_ /;.. Ab RO. NEAREST CROSS ST. I0.;~~;L~m BUSINESS LICENSE# VALUATION ~;,E;MIT NUMBER
: LOT BLOCK ~ SUBDIVISION I ASS~SOR PARCEL NO CONTRACTOR ' CONTRACTORS PHONE . ZONE 5" 31
1 OWNER'SNAME; I OWNER'SPHONE l~.,~~Lt&,'Pf)_~ ~Mb.,,Af~ ?-?1?-.S-$/I : flA A J ..._ T. LJ/", ~ ~·,? A.J ;-.,/!!J,s,t -3 C, 7J_ CONT""CTOR'S Ac,\)RESS , , LICENSE NO. PLAN 1.0 . # BLOG usE cooE
1 l:JWNER'SMAIL!NGAOORESS 5/o-~c>////e ~i,t.,/,:2.<,,t? : ~ £. tJ /U 0 ;e,.A1 11 Ald ti LJ A-µ e... DESIGNER LICENSE i. STANOARO PLAN # BUILDING so. FOOTAGE
, OES~T•O,!i OF wow,--r '/ .L _ h ,.,., ~,,,. :c:;· / e c; -/:,,.. .6-1r::.S. DESIGNER'S ADDRESS oesIGNER's PHONE
'
--~-F/P FLRELEV. NO OCCGP EDU
STORIES naJtfi1J74f:ib lO~oc vO NO --·-_ .. -
CENSUS TRACT I GP LANO USE IPARKINGSPACE I RESUNITS I GRAOINGPERMITISSUEO 'REDEVELOPMENT TYPE OCCLOAO FIRESPR (;:·"·' ,,.rL "/~-" -~! TO~Q( AREA CONST
y D N O v O ND v D NO Nor Valid Un/Ms Machine Cert died 1---,-----'---------'------.,...__ ____ .....,,__--,~__;__.:.._ __ _,__ __ __; __ __,,__......, _ __,,_ ___ ...,,... ___ _,.___ ___ _..__ ______________ -r------i
QTY. PLUMBING PERMIT -ISSUE ~,.Sf) QTY. M ECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01·00·00-8220 / (!),(.) 0
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806 -
EACH GAS SYSTEM J TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·0..:.0·..:.8.c..22..:.2-+---------1
EACH GAS SYSTEM~ OR MORE :::J 5"0 METAL FIREPLACE ELECTRICAL 01·00-00-8223
EACH INSTAl. ALTER, REPAIR WATER PIPE __ VENT FAN SINGLE OUCT MECHANICAL 01·00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01·00·0Q·B225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (l"JSIDEl SOLAR n,.nn-no.ooos
TOTJ;L MECHANICAL STRONG MOTION 8::..:0c..:·9:..::2--=·3:..::3--=·0c.::.5:..::19~---------i
TOIAL PLUMBINC, I /0, -D D FIRE SPRINKLERS 01·00-00-8227
PUBLIC FACILITIES FEE 32·00·00·89ll
QTY. ELECTRICAL PERMIT -ISSUE '.-_ QTY. SOLAR · ISSUE ~ BRIDGE FEE
NEW CONST EA AMP SWT BKR '-COLLECTORS SCHOOL FEE. DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP1SWT BKR ROCK STORAGE Encinitas 80-92-22-0519
l PH 3 PH PUMP San D1eguilo 80·92-23-0519
REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY !JO DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELEURICAL I TOTAL SOLAR TOTAL FEES PAYABLE j f [),() o
I HAVE CAREFULLY EXAM1NED THE COMPLETED ·APPUCA TION AND PERMIT .• AND DO HEREBY Exp,rat,on Every permit ,ssued by the Budding Ofhc,al underthe prov,sions of this * AN OSHA PERMIT IS REQUIRED FOR EXCAIIATIONS OIIER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm,talton and become null and void If th8 building or work 5· 0" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auth0"'ed by such permit ,snot commenced wilh'" 180 days lrom the date of such STRUCT\JRlS 01/ER 3 STORIES IN HEIGHT permit, or tf the building or work auat,w.,zed by such pe,mIt 1s suspended or ISSUED TO COMPLY WITH A LL CITY. COUN1Y AND ST ATE LAWS GOVERNING BUILDING CON 1...!!ab~•~n~do~n!!ed!!_!at!_ja!!:n!l.!!•h_!!;m!!e.!a!);fle!!r..!_th~e!_;w~o~rJ(il!'.:!!1ss~ cc,$mi~1m!!en~c,!e~d~fo~r_!ac..loe!!!!:'"od~o,!!IJ1!80!Ll!Jda~1v~s __ ...,.....,....,__, ____________ """.'."'~~-----,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . ~ O APPROVED BY DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS 7)1ND APPLICA:;zT s SI NATURE 1f, OWNER D CONTRACTOR &Ma Id
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT BY PHONE O ,A/ I /I 2 _fJt'
GRANTINGOFTHISPERMIT 'AA ... ',4 h -:. A ___ 1/1 N-//{A -J,,,..d-7'1')
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TYPE I DATE INSPECTOR
' --..... __ .., -
BUILDING I gb-539
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY i
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
PILES CAISSONS
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPOliARY
□ BONDING □ POOL I -
' I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
-.... \,' ; ....
ITEMS ABOVE HA VE, BEEN APPR~VED. ,,_.
FINAL
~ ,•, ~~I t " ' ' .
PLUMBING ' ..., -' -. ' '• ~-
ELECTRICAL
MECHANICAL ' '\ ~ 'u, \. : ..... \; -
GAS ' -~ .. ' . ---~ ...
BUILDING ) -. '·
SPECIAL CONDITIONS