HomeMy WebLinkAbout2431 IMPALA DR; ; 86-278; Permit (2)u, z 0 ~ C ac C ~ u 161 0
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O I hereby affirm that I am licensed under
l)(O'llalona of Chapter 9 (commencing with
Section 7000) of Ofvlalon 3 of the Business
and Profeulona Code, and my license Is In
full force and effect.
I hereby •lfirm that I am exempt tram the Cor11rac-1or· s LIUl\se uw tor lhe tollow1ng ruson (Sec 703 t 5 Bus,noss anct Proless,ons Code Any c,ty or county whoen re-
quires a petl'l"MI to construct, alter ifflprove. dem0f1sh or re~,r any structure. p,,or to its rssuince also requirn !heap-p1,can1 tor such oenn1t IO hie a Sljlned sutement that he ts
bcensed pursuant to the prOYtSIOOS of the Coruractor s Locense uw (Chapter 9 commencing ""h Sect,on 7000 ol 0iv1sJon 3 of lhe Business and Professions Code} or lhal 1s ex· empl lllerefrom anct the baSIS for the anegeo exen,ot,on Any .,...i,on ot SectlO<I 7031.5 by an apptant tor a perm,1 S1Jb-
iec1s the apphcam to a crv,t penalty of not more lhan live hun·
dred dollars ($500)
I •s owner ol lhe property or my .,,,p,oyees ••th "3ges
as lhtt1r sole compensahon. will dO 1he work. Ind the suuc-
ture 1s noc intended or ottered tor sate (5ec 704◄. Busmess and Prolessoon> Code The Conlroclor s Locense L.,. does
not appty to an owner ot properly who bu•kls Of 1mprove-s thereon and who does such work twnsetf o, through h•s own
employees. provtded that such ,mprovtmenls a,e not intend·
ed or offered t« sate II. hOwever the bu•kt1ng « NTIPfOYt· menl 1s sold w1thm one vear ot completton. the owner-bu•lder win have lhe burden ot proy,ng that he did nol build or ,m-
P<OYt to, the purpose ot s.ale)
'l I. as owner ol tne property am exdus,yety con1ract1ng
v.1th hcensed con1rac1ors 10 construct the pr01«1 (Sec 704•. Bus,noss •net ProlessoOns COde The Conlractor's Locense Law does not apply to an owner of p,openy whO builds or un-pl'CMS thereon, and who contracts for each prqec.ts with a contractOf(S) hcense pursuant to the Contractor's License Law).
□ As • homeowner I am 11nprov1ng my home. and Ille follow ing conditM>OS IXISI
1. The work ,s being per1ormed pno, lo .. 1e
2 I have hved In my home tor IWelve monlhs poor to completion ol lh1s work
3. I have nol cta1med 1t11s exernpuon during Ille last three years
g /h~,'':::'uncterSec _____ _ B&PC
0 1 hereby alhrm tha1 I have a certificate ol consent 10
self-insure. or a cert1hca1e ol Workers Compensat,on In-
surance. or a cert,hed copy thereot (Sec 3800 Labor Code)
POLICY NO
COMPANY
C Copy ,_, filed v..ith the city
0 Cett,he<I c<>py is hereby fum•Sf.'ed
CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be compteted 1r lhe permit
ts for one hundred dollars (SlOO) or less)
0 I cen,ty that in tl'le performance of the work for wh1ci'I
lh1s permit Is issued I shall not employ any person In any
manner so as to become sub1ect to the Workers Compen-
sahon Laws of Cahforma
NOTICE TO APPLICANT· If. afler ma.king this Certihcate
ol Exemption. you should become sub1ect to the Workers
Compensation provisions of the L.a.bCM' COde. you must
forthwith comply with such PfO'l1sions Of this permit shall
be deemed revoked
0 I het'eby 11hrm lhat there tS I construct.on lending
agency for the performance or the work to, which this pet·
mit II Issued {Sec, 3097. C1v1I COde)
Lenders Name ____________ _
Lenoer·s Addr••~------------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INr-vnm,. .,..,, •••....... _. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859
JOB ,/,ORESS AV ST RO NEAREST CROSS ST ~ Uf'M,_INV ~rAT:f<FJ;LICATION
1
BUSINESS LICENSE • t/-7(:r:t li~::1r ..-\ I ~, I ~a;;;a.b-LA--Dr-·-1 I e,,.~ I ~:r ~~~tt~ i <3 i>(p --, -• 7 O' '
LA1 tBLOf ,~.~ueo,~ 6tf~ESSOR PA~l;L NO --1 ,, CONTRACTOR I CONTl!ACTORS PHONE • ZONE .l O' P CL, l I ,. · , <--.. 2 J.LfoN0 toN<'.'.JOZ.L(ufJON • /Jdt-S'b1~· OWNER "S "AME I <i>lif;;;j:~;47 G;#~ t~Bf2N ~C~l/\1~ CONTRACTOR"$ ADDRESS STATE LICENSE NO. •eutLDING SO. FOOTAGE
~'JL\\ 83,vc.&-lD ID O ~'& B--~q 144:7~ .
OWNE R"S MA LINC, ADDRESS cr~ol C()tt~lN f\Llt3" " fO-e--O'f. l Dl 0 DESIGNER VtYrA-1 C:t c..i DESIGNER'S PHONE
~10N G-3'-\-c}(a-; .
O?,R•PT•O,-. 0~ ...,ORI( NOLZ<f l1\2--\ l)l-:6' I CA .. 1l?J (DUlh
I O[SIGNER"S ADDRESS STATE LICENSE NO.
~E.~,E, ,~1 D~IC£-~ 0-{d-\-0 tWf?KlDA UIL("\' • -1 . D ---F/P FLA ELEV NO OCC GP EDU • 1 ... UU~~u•1~0,nn1 ,,,uu . 1-u>~ ,f/ ---1..NA.1Jc1,, ;.iAG I tJ ~~' 1 STORIES
vO NO
I I PARl(ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPA AREA CONST ., <f"'f, ~~ o Un~s Jbchin~ C~rtditd YO H □ vO ,,,.Q vO NO
QTY. PLUMBING PERMIT· ISSUE z~~ arr. MECHANICAL PERMIT· ISSUE ~--s~~c"'"co~ :~tl~·BER _ ·--r:; EACH FIXTURE TRAP -~" Lf-INSTALL FURN DUCTS iJP TO 100.000 BTU II-._.. BUILDING PERMIT ~~10-~lf!O-B220 .&9'Y l-:-ltr7 -
-l EACH BUILDING SEWER f -.. I~ r OVER 100,000 BTU .. SIGN PERMIT '81JT-810·0~ .:.,,. C,."t.~---, ---~ -XOtt:J -j EACH WATER HEATER ANO OR VENT ~ .t":r'l 'r" BOILER /COMPRESSOR UP TO 3 HP /ll'J. .-PLAN CHECK 001·!\IAOd'!l!l:_~~
EACH GAS SYSTEM I TO 4 OUTLETS -BOILER1COMPRESSOR 3 15 HP TOT AL PLUM BING C\Vl~~-1'32"22 ---ilffr EACH GAS SYSTEM~ OR MORE I METAL FIREPLACE ELECTRICAL ... ,t.\.Ql-0·00·00·8223 -
EACH INSTAl, ALTER, REPAIR WATER PIPE "'r VENT FAN SINGLE OUCT ,~-MECHANICAL vi•-v~-001·810·00·00-8224 --f,f _ _, EACH VACUUM BREAKER ~ MECH EXHAUST ~CQQ B~eTS MOBILEHOME 001 ·810·00·00-8225
WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER I SOLAR 001·810·00·00·8226
EACH ROOF DRAIN 1,NS1DEl DRYER VENT STRONG MOTION 880·519·92·33 ~.i,,£{ -, ,
c/4.~ TOT,t;L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TOTAL PLUMBIN(j I JZ.-PUBLIC FACILITIES FEE 320-810·00·00·87 40 -s -BRIDGE FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AR~ ) -,
NEW CONST EA AMP swi 8Kl:k::::::,,,,, , CAR PORT TIF ~~I./-001·810·00·00·8835 ~~.rr I l PH , -J,,C;C) ,r-~-Pli.../ ln n/l -AWNING LICENSE T.A,)(1,--1 j° 001 ·810·00·00·8162 /0 I I II
7 -EXIST BLOG EA AMP•SWT BKR GARAGE MFF ~ ~J.1-/.. /75/,dJ 880·519·92·57 /~?1?-
l PH 3 PH , , -
REMODEL ALHR PER CIRCUIT
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI . , I " CREDIT DEPOSIT L t..,O,b -✓
TOTAL ELECTRICAL I fn{T) ( _,,.. TOTAL TOTAL FEES PAYABLE I 1~--:it; ,-I II ) •
I HAVE CAREFUU.Y EXAMINED THE COMl>U:TED • APPLICAi DN AND PERMIT' ANO DO HEREBY E•ptrat•on Every permit issued by tne Building Off,c111 unc:Jer the PfOV!!tOO'-oT m_,s * AN OSHA PERMIT IS REQUIRED F~ EXCAVATIONS 6VER
CERTIFY UNDER PENALTY OF P[RJURY THAT ALL iNFORMATlON HEREON INCLUD1NG THE Code shill e1Cptre by hm,tai,on arid become null and vo,d If the building or '-'Ork s· 0 · DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ ,au1nonzed by 1uc:h permit ,snot commenced w,thin 180 davs rrom the date bf SI/Ct\ STI IJCT\JR£S OVER l STORIES IN HEIGHT permit. or 1f the bu1tdin~ or wor-. 1uthon2ed by such oe,m1t 1~ suspenc)ed or ISSUED: 10 COMPLY WITH AL.:. CITY COUN1Y AND $TATE LAWS GOVERN'NG BUILDING C0'1 ab~ned 11 anv t,me a er the w01k 1s commenced for a P8fl0d or 180 da't'S ,
STRUCTION WHEH<ER S?ECIF>E:l HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~ . -,. · _ 0 CONTRACTO,yt APPAOV_, BY ',f i/s1o KEEP HARMLESS THE C:TY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND P ~~•lzE 1~~~ ·;q l'XPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C,TY N CONSEQUENCE 01' ,-~E ~ • 1 t,'\.., BY PHONE G -~ ..a. • ... a
GRANTING OF H11S PERMIT · / V c../---· , ..
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TYPE
BWLDING
F FOUNDATION
REINFORCED STEEL
M MASONRY
GUNITE OR GROUT
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UB FRAME D FLOOR
HEATHING D ROOF
RAME
EXTERIOR LATH
INSULATION
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D CEIIJ.ING
D SHEAR
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INTERIOR LATH & DRYWALL I
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PLUMBING I
' D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D 1WATER
TOP OUT D WASTE D \NATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
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ELECTRICAL I
D ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I .....,
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MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I -t'
VENTILATING SYSTEMS ' I
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DATE ltl IS
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HANE BEEN APPROVED.
FINAL I
PLUMBING I J A Al'
ELECTRICAL I f lQT 0
MECHANICAL I ,1, ' \J I
GAS I . -,\ \ .
BUILDING I --'\ :..--V\ I 'J V \ I
SPECIAL CONDITIONS I \
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FIELD INSPECTION RECORD -~ ~(p-)-,~ ) ' > \
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REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTORS INSPE610N REQ IF DATE . ·, ----.. \ CHECKED APPROVAL
SO LS COMPL,ANCE \....J~ ~-· ·-~-~
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PRIOR TO \ ,, ..... ~,,,, --;-
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCR~JE ..... \\~, .. ~~ ~-:~~.., \.'" \ ·-) ~
FIELD vJEL.~1~·G' -' ·~ . \ '. C • • s-•• '.(_ 'I ._ 'M'\,• -
HIGH STRENGTH -, •••t~ 'r\. .) ;j . ·-----~
BOLTS
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SPECIAL MASO"JQv ,~ .. ~ ...... ~-~-.. ~ . \ ') ' ' --·--PILES CAISSONS . -.,. \' .h.\. --~ x ---,_ ....... . \i ...
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