HomeMy WebLinkAbout2410 Majano Pl; ; 84-93; Permit., z 0
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reby affirm that I am llcensed under
na of Chapter 9 (commencing with
7000) of Division 3 of the Business
and Professions Code, and m'S_ense is in
full force •~~ta /
l,c N~ ~ ~7fl,/ Cl.m _
I hereby affirm that I am exemD1 lrom the Contrac-
tor·s License Law for the following reason (Sec 7031 5
Business and Proless1ons Code Any c1ly or county which re-
Quires a perm,t to construct, alter. improve, demolish, or
repair any structure prior to its issuance also requires !heap-
pl,cant !or such permit to file a signed slatement that he Is
licensed pursuant lo the prov,sIons of lhe C.:ontracior's license Law (Chapler 9 commenc,ng w,th Section 7000 ol
01V1s1on 3 o1 the Business and Pro1ess,ons Code) or that rs ex-
empt therefrom and the basis for the allegeo exernp1,on Any
v1olat1on ol Sectmn 7031 .5 by an applicant lor a permI1 sub
Iects the applicant to a c1v1I penally ol not more than five hun-
dred dollars ($500)
I I. as owner of 1ne property, or my employees with wages
as their sole compensation. will do the work. and the struc lure 1s nol inlended or offered for sale (Sec 7044. Business
and Protess1ons COile" The Contractor's License Law does
not apply lo an owner of property who buolds or improves
thereon and who does such work himself or through his own
employees. prov,ded that such ImprovemMts are not intend-ed or ottered for sale. 11, however. lhe building or improve-
ment Is sold wIthIn one year 01 completion. lhe owner-bu,lder
will have the burden of proving that he did no! build or I1T'-
prove !or the purpose of sale)
LJ I. as owner o1 the property. am exclusively contracting
with licensed conlractors to construct the project (Sec 7044
Business and Professions Code· The Contractor·s License
Law does not apply to an owner of property who builds or Im proves thereon. and who contracts lor each proIects w1lh a
contractor(s] license pursuant to the Con1ractor's License Law)
D As a homeowner I am Impr011Ing my home. and the follow 1ng cond1t1ons exist
1 The work Is being performed prior to sale 2 I have lived m my home tor twelve months
pnor to completion of this work
I have not claimed this exemption durrng the
last three years.
□ I am exempt under Sec ______ , B & P C
lor this reason ____________ _
~reby aft,rm 111at I 11a~e a cer1,f,ca1eof consent
~;ll,1nsure. or a cen1!1cate at Workers
Compensation Insurance. or a ceM,hed copy 111e,eof
(Sec JlOJ. Labor Code)
o>OUCYNO 70::2./-;;l_?,-7/
coM""' cft.,_b b; f>.,_c
~y ,s flled .... ,111 111e city j 'v
□ Cert1l1ed copy Is 11ereby !urn1shedr I
CERTIFICATl OF EXE:MPTION FROM
WOR1<;ERS' COMPENSATION INSUAANCF.
(Th,s sechon need no1 be completed ,I tl1e oerm,t
,s for one 11undred dollars /$1001 or less)
0 I cen1fy !hat In the performance of tl1e wori< to,
wl11cl1 th,s perm,1 ,s ,ssued. I shall not employ ,any
person ,n any manner so as 10 become subiecI lo
!11e Worl<ers· Compensa11on Laws of Cal,1orn,a
NOTICE TO APPLICANT I! alter mak,n] th,s Cen,
!icate of Exemption, you s11ould tiecome subIect 1,,
!11e Worl<ers· Compensat,on provisions o1I11e Labor
Code you must fon11..,,·1111 comply with sue"
prov,s,ons or 111,s pe,mI1 s11a11 De deemed re,okeo
0 I hereby affirm ttial thew ,s ,a consIruct,or
Iend,ng agency lor tl1e performance u' Ir,e wur~ ,,,,
wt>,ch 111,s perm,! ,s ·ssued 1Sec )097 C•v" Cooe,
lende< s Name ___________ _
Lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 E!m. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADOAESS AV. ST. RO. NEAREST CROSS ST. 0•1~~ I. 'fJON BUSINESS Llet:NSE # VALUATI~ #':,;AMIT NUMBER ~f/lJ /J?q. / di, 1'1(') p I, "" ,·-;,', S-1/87 I . . ' . ,, ,rJI / c:)-'V 93 LOT 01;:oci,:;; 1 s~e~,v,s,o~ ---1 A,ssEs~-2~ ~o ~, ~-o/ , . CONTRA~R ' .,~,r,, ""~:~#,:.";' CONTRACTORS PHONE # zo~el --<;~'it"l,;;Jr,· . ~~. '_ " .. ,jf7 . .3?~ OWNEA"S,NA~E , ' '-~ , ~ l 75°j:-;;;0's' Cr· 1 La.u_er CONTRACTQA'Sf'OOAESS • •:J,t;• · ' :,' .... / .. ..J UCE'NSENO. PLAN 1.0. # BLDG USE CODE . <9!"• /;'1 -~ C(SZ-c1242 OWNER'S MAILING ADDRESS , ' Pl. ..... ~~(K) l)a: r!Ali .
;(2 tf,/()} ,~ ';:. I t:t...i 0 -·~l)• E' _ LICENSE#' STANDARD PLAN# BUILDING SQ. FOOTAGE ' ,. ;, . ' ',"' ", • . I f
QE,s:e,-RiPTt'?ti -~":; ?J.::~ -·~ ii'/~ ;vt),,,_~,, ~ 7 , ;, '' ,, \ ,, ·,, '+" ,' "" ¢' ; &# ".,''~ , .,
' 0£$.tG'!~ ~!" , j >---4, , t)ESlGN~ P,.t,(ONE ' . . .. · ·-, " • I : ' ' . '' :,
" ' ' ~ < < I' 4 ; ; , ::1•,.-.. ,, ~--' . ~., ' . . . ' . ' ' ~ ' ., ,,, : . .. , ' , :r' , . ' . . F,'P FLA ELEV. NO ace GP EDU 1, . -, ..:_ ••·: I STORIES . . . ,, ,_ ' "y ,,-y ,', ' . " YO NO
CENSUS TRACT I GP LANO USE ! PARKING SPACE RES UNITS l GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD FIRE SPA AREA CONST
vO ND ,□ NO YO NO Not Valid Unless Machine Certified 7
QTY. PLUMBING PERMIT· ISSUE ' --1£!-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER i
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING 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 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222
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EACH GAS SYSTEM 5 OR MO RE MFTAI FIREPIAC:F ELECTRICAL 01-00-00-8223
EACH INSTAI.. ALTER. REPAIR WATER PIPE . ' --·
VENT FAN SINGLE DUCT MECHANICAL 01-00-00· 8224
EACH VACUUM BREAKER MECH EXHAUST -HOODIOUCTS M0BILEHOME 01-00-00-8225
WATER SOFTNER RELOCATtON Of EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN 1:NSIDEl SOLAR "1-0□-nn.n,v,r /-': :;..;--
TOT kl MECHANICAL I STRONG MOTION 80-92-33-0519 T ---TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 ,,---QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 QTY. ELECTRICAL PERMIT· ISSUE
BRIDGE FEE
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH J PH STORAGE TANKS ~ -l Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT 'BKR ROCK STORAGE ..r Encinitas 80-92-22-0519
I PH J PH PUMP V San Dieguito 80-92-23-0519
/ REMODEL 'ALTl:R PER CIRCUIT p' ---PLAN CHECK FEE . l I • Ii' San Marcos 80-92-24-0519
TEMP POLE 700 AMPS " "---.,.
OVER 200 AMPS V L--, I LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) ,M~;t'-
V ,.,(} 1--CREDIT DEPOSIT
TnTAL ELELTRICAl r /4.~ L.. TOTAL SOLAR ~1/ I ,.,2.s--TOTAL FEES PAYABLE
1 HAvE ~AEFlJl.L'f' EX~lNeo TH~ c~~PLETEO "J\PPLICATLON ANt~,P~Mtt~--~~D'j)() HeREay_ ~~~~,,.,:"'~ •. ·1 ib.i~}~~o(tti1s ,, * ~~~~~~=-~ -OERTIFY1rUNDER, -PENAL , , ,QF -PERJURY, THAT ALL tNFORMATION JiEREON 1.NCLUOiNG THE , ~~ .. the,fifflltffl'fl)'Of work'
DECLA~ TJONS ARE TAU& ANO,CORAECT AliD I FURTHER Cei:tr1FV0AND .a:G11te lF'A 'PERMIT IS ~,. ~ ~!';~ 1r°"1 the da ... of such S,,..,.,_ ota, 3 STOfOES "' HEKIHT ,, 1SSUEO: ,TO·COMPL,'f'WfMl't Au..~t'fY,"&0UNTYAND STATE·LAWS·SOIIERNIMG BUlt.OiNGCON.-' :at , ' '.~I is SUSD&I)~-~.: . y -, -, ~
STRUCTION. w~~:'~ "" NOT •. • ALSO AruaEE 'TO SAVI! l~OEMNIFY ~ND . :}. ~, ~c'z.'" • l;()NfflA<;T~ ROVEOBY ~-DAo ;KEE~H#fM~ ' ~;fiiAl.Ll-lABIL!TIES,,1UDGM&,rrS,COST$ANO ~Aj:,--J;;; ,; , EXPmsqs·w~::.t,tA'(:J , ~t·~, ,, USJ'$l\tO:C:tt:'IMOON~ooewceoFn-tE ,,. , A-"" .. ,1
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL ,
MASONRY :
GUNITE OR GROUT '
FLOOR & CEILING SUB FRAME ,
SHEATHING □ ROOF □ SHEAR
FMME I
EXTERIOR LATH 1
INSULATION I
INTERIOR LATH & DRYWALL I
' I
PLUMBING I
SEWER AND BUCO □IPUCO 1
UNDERGROUND □ WASTE □ NATER
TOP OUT □ WASTE □ V ATER
TUB AND SHOWER PAN 1
GAS TEST :
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL ,
□ ELECTRIC UNDERGROUND □1 UFFER
ROUGH ELECTRIC 1
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL 1
I
MECHANICAL ;
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS :
I
CALL FOR FINAL INSPECTiON WHEN ALL APPROPRIATE
ITEMS ABOVE HA \lE BEEN APPROVED
FINAL I ,,
PLUMBING -<"",c., ,,,. I .., ,_,c.,. T
ELECTRICAL I I I I
MECHANICAL I
I
GAS !
BUILDING I
SPECIAL CONDITIONS I
' I
'E-Lf-q3 -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPI_IANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE:
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL Ts
SPECIAL MASONRY
PILES CAISSONS
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