HomeMy WebLinkAbout2431 IMPALA DR; ; CB880603; Permit.,
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O I heteby affirm that I am licensed under
p<0¥1alona ot Chapter 9 (commencing with
Section 7000) ot Division 3 ot the Business
and Profffalona Code, and my license is In
lull tore• and effect.
I hereby afhrm lhal I am exempt trom !he Conirac-
tor·s License Law for the lollowing reason (Sec 7031 5 Business a.nd Professions Code Any city or county wh1c.r. re-
quires a permit 10 construct. atler. improve, demol1sh, or repa,r any slruclure, prior 10 its issuance also requires :heap-
phcan1 tor such permit to Me a StQned statement lhat he 1s
lr<:enseo pursuant to the prOV1sions 01 lhe ton1rac1or s
license Law (Cl'lapter 9 commer.cing with Sechon 7000 ol Dtv1st0n 3 ol tne Business and Professions Code) 0< that 1s ex·
empl therefrom and lhe basis tor lhe allegeo e,emphon Any vK>latton o1 SectlOO 7031 .~ by an apphcant tor a perm,1 sub
1ects the applicant 10 a c1v1I penally ot nor more than five hun-dred dOllars 1$5001
I, as owner ol ll'le property. Of my employees w11h wages
as their SOle compens.allOfl will do lhe WOfk and lhe slruc· lure 1s no! intended or ollered fOf sate (Sec 7044, Business
and Proless10n!. Code The Contrac1or·s license Law does no1 apply 10 an owner ot property who bu1kfs OJ improves
!hereon and who does such work himself or through his own
emptoyees. rxovlded that such 1mpf0¥ements are not intend· ed or offered tor sale It, however. me building or improve·
ment rs sold w11h1n one year ol completion. !he owner-builder
w1U have lhe burden of prov,ng th.al he did no! build Of tm· prove fOf lhe purpose of saleJ
! I, as owner of !he property. am exck1s1vely con1rac11ng
w1lh licensed con1rac1ors to construct the pr0jec1 (sec 7044, Busmess and Professions Code The Contractor's license
Law does 001 apply to an owner ol property who builds or 1m•
proves thereon. and who conlracts fOf' each prOjecls wnh a
contractor(s) IK:ense pursuanl to the Contractor's Ucense Law)
fl As a homeowner I am improving my home. and !he lotk>w mg cond1IK>ns exist
1 The work 1s bemg performed pnor 10 sale
2 I have hved m my home for twelve monlhs prror 10 completion oi 1h1s work
3 I have not claimed lh1s exemption dunng lhe lasl three years
D I am exempt under Sec ______ . 8 & P C
tor lhls reason
C I hereby affirm thal I have a cert1f1ca1e of consenl to
sell•msure or a cert1licate ot Workers· Compensation In-
surance or a cer11f1ed copy thereof lSec 3800. Labor Code)
POUCY NO
COMPANY = Copy IS filed with the city
D Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sectton need not be completed 1f ttle permit
1s lor one hundred dollars (S 1()01 Of lt>ss)
0 I cer11fy lhat 1n the pedOfmance of the wOf"k IOf wtuch
lh1s permit ,s issued. I shall not employ any person 1n any
manner so as to become sub1ect 10 the WOfkers· Com pen.
sation Laws of Cahforn,a.
NOTICE TO APPLICANT. If. alter making this Certificate
of Exemption. you should become subject to tl'le Workers'
Compensahon prov,s,ons of the Labor Code. you must
lorthw11h comply with such prov1s1ons or this permit shall
be deemed revoked
0 I hereby affirm thal there is a construct,on lendmg
agency for !he performance of the work 104' wh,ch lh1s per-
mit is issued (Sec 3097. Civil Code)
Lende(s Name ___________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARO
JOB ADDRESS
Z4 3/
LOT J BLOCK
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
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THOMAS BROS NO.
I SUSDI VISION -l ASSESSOR PARCEL NO
_ ..20~ 04 1 0'2 en CONTRACTOR
OWN£ A'S NAME /I / 0 ./ ow NE R·s PHONE
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
I
DATE OF APPL;ATIONI
5"-/0-~[3 J
VALUATION
1 CONTRACTORS PHONE. I ZONj OO I cf cf t tJ 6 0~
BUSINESS LICENSE # PERMIT NUMBER
STATE LICENSE NO. BUILDING SO. FOOTAGE Ai,+ r..;,,c,,.e.,t$,P+;> rA-,e~~ 9L./ 2.-7.S-7.S-CONTRACTOR'S AOORESS
OWNER'SMAILINGAOORESS '~0 ~,,-..J&,e_ 6-,..; ~ ·"", ~ 49 Iv b #2tYI E-e.,,.,., 'h+ s .----------------+-o-E-s,-G-NE_R __ s_P_H_o_N_E _~ _______ ..__ ______ ----1
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.t'\ .....,... --===::-:-::-==-=----------+-,=~=,...,..,.,,-----1 0026 05/10 0101 0?f'ldF· t 1-~-,41....A..01:1!(.1~~!!!,.,~ _ ___J:::.!,~~~W,..~:..._~ I -~_L,J~l!,,L--~:.____J OESIGNE R'S ADDRESS STATE LICENSE NO. '-' if!
0 "\,: qo C. L.~•• E -/.uu1 _J ".,.,, ~LA._}_Jr.Lt 'S.L~ IL~u
15~~ ~-n,' §Iii.~..,.,,. ,.~.g F /P FLR ELEV.
vO NO
NO
STORIES
TYPE
CONST
occ GP I EDU
CCC LOAD I FIRE SPR
&<).., ~ \ (e.J) I CENSuS"'ff!AcT l PARKING SPACE ~ES~~ ~~7~R:IT:SUEO l REDEVELOPMENT
AREA
vO NO vO NO Not Valid Un~r Machine Cutified
QTY. PLUMBING PERMIT · ISSUE 2~TY MECHANICAL PERMIT · ISSUE
EACH FIXT URE TRAP INSTALL FURN. DUCTS uP TO 100.000 BTU/\
EACH BUil ING SEWER OVER 100.000 BTU
EACH T ~R A~~~r.JI
EACH iJA\JY~ 1 TO ~Ui'LE~...--
t:!___. tl II .t, ...N~R w~OR u(i)i ~rt, C
EACH GAS SYSTEM 5 OR MORE
EACH l~~fALT f£, REf_AIR\\:WR PIPE
EACH~u~'l'iEfl-~
WAT~TNER
EACH ROOF DRAIN I INSIDE I
..... ~~
J 'I~-
BOILER/COMPR-ESSOR 3 15 HP
M~ I AL FIREPLA~
. ~ -11. .. F,_.()LE f O~t F j~
MECH EXHAUST H000'0UCTs"
RELOCATION OF EA FURNACE/HEATER
DRYER VENT
TQT/;L MECHANICAL
_LS~ SUMMARY/ACCOUNT NUMBER . BUILDING PERMIT 001-B 1 O·OO·OO·!!Z2lr /;,.
SIGN PERMIT 001 ·810-00·00·8221
PLAN CHECK 001-810·00·00·889' /0
TOTAL PLUMBING 00 i ·810·00·00·8222
ELECTRICAL 001 ·810·00·00·822"
MECHANICAL 001 ·810-00·00·8224
MOBILEHOME 001-810·00·00·8225
SOLAR 001-810-00-00·8226
STRONG MOTION 880·519-92-33 _L
FIRE SPRIN~LERS 001-810·00·00-8221
TO I AL PLUMBING l
'QTY. ELECTRICAL PERMIT · ISSUE S'~IIQTY.
NEW CONST EA AMP SWl HKR CAR PORT
~o~
MOBILE HOME SE~" ij ,-, MAlf 1n11 .. cf
PUBLIC FACILITIES FEE 320·810·00-00-8740
BRIDGE FEE 360-810·00·00-8740
PARK·IN·LIEU (AREA )
TIF 312-810·00-00-8835
'q~lo~~~;=~~==t===~ +
1 PH 3 PH AWNING
EXIS T BLOG EA AMPtSWT BKR GARAGE
I PH 3 PH
REMODEL AlltR PER CIRCUIT
TEMPPOLE 700AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSI
lnTAL ELELTRICAI
---. ... -vv ~ , r!i!!,Y,. tklM11,-;JI
"' ci~lf£!lia40 .,; ,~ =--... "" ·GI
'\:6 _..,.<J,7
~ ~EC,~-
LA COSTA TIF 311-810·00-00-8835
FMF
LICENSE TAX 001 ·810·00·00·8162
MFF 880-519·92·57
CREDIT DEPOSIT
I TOTAi TOTAL FEES PAYABLE __, l
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT AND DO HEREBY Expiration Every permit issued by U>e Bu,ldrng Olflc,11 under the prov15,ons oflh15
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by limitation and become null and vo,d II the buold1ng or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I'> aulnor,zed by such permit 15 not commenced w•th1n t80days from lhe date ol such
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permit or •f e build• or work autho11zed bV such pe,mI1 1s suspended or
ISSUED TO COMPLY WITH ALL CITY COUN1Y ANO ST A TE LAWS GOVERNING BUILDING CON L.!•~b~•n:;:do~n,::ed7'~~n!Z....!t~1 ;ll!J.!l!!t!;er~t!_;.h!!!e~w~o:!!r:!k..!1!.5 ,l:C~o:,m~m~en~c:!ed!:!_!.lo2;rc..!l~l/,¥~o~l ..!.t!!!80,!..!!d!:IU.._-:--1~~~~~~--------------,--~-"!""....,
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND AP ,..,_P'Af"")~7"--:-:;r9-_:--_£~ 0 ~ ·r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND / CONTRACTOR ~~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'f'l,'f,;'W."I £./41r-----', / /~ '(/,
GRANTING OF THIS PERMIT ,. ~ -~ _<f /I., I ~
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
,. .....
. ; ' )' . . ' \
FIELD INSPECTION RECORD "' Ct ~ ....
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY
GUNITE OR GROUT INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
SOILS COMPLIANCE # ; ,.,..,.. -.........
PRIOR TO --· ~~ FOUNDATION INSP ·-STRUCTURAL CONCRETE (:",, ,,Mi ~\ OVER 2000 PSI ::, . ~ ,f1 I
INSULATION
INTERIOR LATH & DRYWALL
PRESTRESSED ,:J ,,:..jt~~ ~ -CONCRETE ,, \ -~ ..,
POST TENSIONED . \ v:il 1r1~i cu
CONCRETE ,,;.'"'
PLUMBING ,· ~ FIELD WELDING ,. --of-.~ ' '
' I I
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN
GAS TEST f.
' :
D WATER HEATER D SOLAR WATER -,., ,., .. -i,:
'
HIGH STRENGTH ~ ~ BOLTS I) &~ • .._,\I., ,_ ----SPECIAL MASONRY
'
PILES CAISSONS . ·, . . I ...... ,. -~
ELECTRICAL < (~ ~ e: -~ .,~-=-. .... , I
□ ELECTRIC UNDERGROUND D UFFER V ' -. -. -
ROUGH ELECTRIC t
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
,--.
' \ 1 ,. -i .... -·
~ ...... ~ , .. '
MECHANICAL . -
D DUCT & PLEM., D REF. PIPING '. . --=· -· ~7 ~.c.; • t . -'
HEAT -AIR COND. SYSTEMS ,· .. • I ,.~ r r I It ~~-T {. ~i' '( ! t --. . ' . VENTILATING SYSTEMS r
; . ... ,-~-\~ ' i' ' ' --
CALL FOR FINAL INSPECTION, WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEENA_pPROVED
:--"' \ '•. ~
' . . ~
I -~ ' .... ·,, . . . FINAL
PLUMBING
-i .
' ~ ELECTRICAL
. ,..._·,~ -.. ' ...... 1 -: ' '
MECHANICAL '
GAS •.· ' .. '
BUILDING
SPECIAL CONDITIONS