HomeMy WebLinkAbout2413 JACARANDA AVE; ; 83-35; Permit"' z 0 ;::: : ::l
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D I he<eby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No Class
t hereby affirm that I am exempt from the Contrac·
tor's License Law for the following _reason (Sec 7031.5 B~srness and Protess,ons Code: Any city or county which re-
quires a perrnrt to const<ucl. alter. improve_ demolish. or repair any slructure. prior torts issuance also requires the ap-
p,icanl 'or sucn permit to file a signed statement that he 1s I,censect pu"suant lo the provisions of the Contractor's
L,cense Law 1Chapler 9 cornmencrng w,111 Section 7000 of 0,v,s,on 3 or t~e Business and Professions Code) or that is ex-
empt lherefrom and the basis tor the alleged exemption Any violation o'. Sect10~ 7031.5 by an applicant for a permit sub-
1ects the applicant to a c1v1I penalty o' not more than five hun-
dred dollars /$500'.
_ I, as owner of me property_ or my employees with wages
as their sole compensation, will do the work. and the struc-
ture 1s not intended or offered for sale (Sec. 7044, Business arid Professions Code: The Contrac1or's License Law does
not apply to an owner of property who builds or imprO'/es
thereon and who di:,es such work himself or through t11s own employees. provided that such improvemen1s are not intend-
ed or _of!ered for _sale 11, however. the building or improve-
ment 1s sold w1th1n one year 01 completion, the owner-builder
will have the burden of prO'lIng that he did not build or 1m-
prO'le for the purpose of sale)
□ I, as owner of the property, am exclusively contracting
with licensed contractors to construct the pro1ect (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 !or each pro1ects with a contractor(s) license pursuant to the Contractor's License Law)
□ As a homeowner I am improving my home, and the follow-ing conditions exist
1. The work_ Is being performM prior to sale
2 I have lived in my home for twelve months
prior to completion of this work
3. I have not claimed this exemption during tile las! three years.
□ I am exempt under Sec ______ . B & P C
!or this reason ____________ _
D I hereby affirm 1hat I have a cer11!1cate of consent
lo sel!-1nsure. or a cer11f1cate of Workers
Compensation Insurance, or a cer11f1ed copy thereof
ISec 3!!00. ca~c.oo/ /'/
POUC'NO <:..,,X .-3<../I ~
'{}MPAN'~/011?(;,. ' I J\.. Copy 1s tiled w,!h the city /)1 t,<.,:jl,t.LA
D Cer11!ied copy ,s hereby lurnished
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s sect,on need not be completed d the perrnIt
,s tor one hundred dollars ($1001 or less)
0 I cen,fy that ,n the per1ormance of the wor1<. to, wh,ch th,s permit ,s ,ssued, I shaI1 "01 efT'ploy any
person In any manner so as lo become sub1ec1 to
the Worl<ers· Compensation Laws ot Cal,forn,a
NOTICE TO APPLICANT It. alter mak1r1;i this Cen,
f1cate ol Exemp1,on. you should become sub1ect t'J the Worl<ers· Compensa11on prov,s,ons of the Labor
Code. you must lor1hw,th comply with such provIs,ons or 1h15 perm,t stiall be deerned ,e,oked
0 I hereby affirm tnat there •S a cons1ruc1,on
Ier,d,ng agency lor lhE' per1orrnance of the wori<. ior wh,ch th,s perm,1 ,s ,ssued 1Ser J,097 c,,,I Code,
Lericter s Name ___________ _
Len~r's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB ADDRESS
:511c:. ftR IJNCIIJ-lhlr-. AV.ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER Zl/13 RO. /-J.t-13 2 <../(qO, ':,~-j 3-s 3'; ~· bRA-v e/Gm l),r 1 1 '13/Dw:e~p(/if 1, Su°JT"s;;~ {b;~l'I CONTRACTORS PHONE# ZONE Z<l~-.., .,.,.,
OWNER'S MAILING AOQRESS J~~·'h·s ·;c v ~ek_ IP LICENSE NO. PLAN 1.0. # BLDG use CODE .S/hr1e:.. ,39 (.,(,,,, 2 .3 LOT BLOCK .. j SUBOI VISION I ASSESSOR PARCEL NO • OESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
0ff7a.:;:rl "JJ'K H? l"r / c « ,.. ~ -· JI(},.. "' DESIGNER'S .AOOR ESS DESIGNER'S PHONE ,.,
. /'Iv ,
' e;e FLA ELEV. NO ace GP EDU
STORIES
vO NO
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING f".ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAO Fl RE SPA AREA CONST
r □ ~ □ vO NO vO NO Not Valid Unleu Machine Certified
QTY. PLUMBING PERMIT· ISSUE "1>~ QTY. MECHANICAL PERMIT· ISSUE 3~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -t . -----,_J EACH WATER HEATER ANO/OR VENT --_J__ 2.. .SZ. 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 /t:)' 00 ,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ------------L --
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224
EACH VACUUM BREAKER ·' MECH EXHAUST -HOOOtOUCTS MOBILEHOME 01-00-00-81_2q
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBJLEHOME PARK INSP ---------·------
i EACH ROOF DRAIN (INSIDE) ----snu1, 01·0D nr,_----__ J TOT/..L MECHANICAL STRONG MOTION 80-92·3~ ------I -1 -·ov --TOTAL PLUMBING ----C}. FIRE SPRINKLERS 01-00·00-8227 --------
QTY. ELECTRICAL PERMIT· ISSUE ..5~ QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00·00-8923
.\.. ---~ BRIDGE FEE
NEW CONST EA AMP'SWT:BKR COLLECTORS SCHOOL FEE -DISTRICT --
IPH J PH STORAGE TANKS Carlsbaq 80-92-21-0519 -----
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 -
lPH J PH PUMP San Dieguito 80-92·23-0519 .__ ____ ----------------------REMODEL·ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 1------------. ------. ----------------TEMP POLE 200 AMPS ~.-----------------. ---' ·--· ---------------OVER 200 AMPS ----------· -------------------TEMP OCCUPANCY {30 DAYSI -----------j__ -------------------· --· -
l -. ------·----. ----. -· -·--
TOTAL ELHTRICAL TOT Al SOl AR TOTAL FEES PAYABLE I 10 .1:10
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' AND DO HEREBY Expiration. E'llftry permit ihued by the Building Official um:terthe provisions of this * AN OSHA. PERMIT ts REQUIRED FOR EXCAV_ATION$ OVER CERTIFY UNDER PENALTY OF PERJURY tHAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by fim_iialion arid become nufl and void. tfthe bulldlng or wOfl< 5· O" DEEP~ DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is no\.;<:oounen~ within 180 days from the date of such STRUCTUR£S ER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUlLDlNG CON-=.i;;::o~ 1
~t ~~" ~~
1
~e~~h=~i:tcom~le~~~ r~~~ 6,s~da~ Of STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND
APP./T'S S,:GN~ _: OWNER □ CONTRACT~ APPROVE,~ r/ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE --· ----·--.... J I ' ,
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT -TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING lviN ""·Vl J ~-'l,,"lnl, IJ.fl"
ELECTRICAL .. . Vl
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
. • 'i?3-3S-
FIELD INSPECTION RECORD ~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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