HomeMy WebLinkAbout2440 Impala Dr; ; 87-306; PermitCl) z 0 ;::
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O I hereby aHlrm that I am llcenaed under
provlalona of Chapter 9 (commencing with I
Section 7000) of OIYlalon 3 of the Business
and Profea1lon1 Code, and my llcense Is in 1 full force and affect. i
I hereby allirm lhal I am exempl lrom lhe Ccnlrac-I lor's L,cense Law lo, Ille fellowing reason (Sec 7031 5 I
:~!~71a5 ::i0!~s~::,~~ a1~:l ~~P~~:lm~~: ': 1
repair any structure. p<tOt" to 1ls issuance also r1Quttes 'heap·· I ::~cwp~!~ 11~M;,~f;~ :rt1~~~!c: •: f
License Law (Chapler 9 commenc,ng w,lh Sec1,on 7000 ol I ~;~~·~?,~!' a~s:s~~r: ,Z~~=s~;,a::p!: tS:;; I
v101a11on ol Sechon 7031 .. 5 by an apphcanl tor a perm,1 sub-· l
,ec1s 1no apphunl lo a crvil penally ol nol mor1 lhan '"' hun·· I drod dOO ars ($500). l
c m:•• own« ol lhe prooerly o, my empk>yets w,lh wages I
.., as thN SOie compensaho11. v.111 Oo lhe work, Ind 11,~ slfuc·
o lure 1s nol 1nlended or ottered !Of saie (Sec 70,U, Busmess I
~ and Proless10ns Code The ContrattOf's License Law does I :, :,:f:n~0
:~ ~~s!tf':1~::, :1~~~t~~:=~ I I employees. provided that such improvements are nol intend~ l
I :: .~u;: ~~t\1~!:. ~ea~~~~~~1::'!~e~~:::; I :Ill will haVil the burden ot proving lhal he d,d not bu,ld o, 1m•. I O prove lo, lhe purpose ol sale) I
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I, as owner of the properly. am exclusively contracting with ltcensed contraclors to construct the proiect (Sec 7044
Business and Prolessions C<>de The Ccn1rac10, s LJCtnse Uw does not appry to an OWntf of property who builds cw ,m,
proves ttlereon. and whO conlracts for each protects with a con1r.act0t(sJ hCel"lse pursuant 10 the Contractor's lanse Law)
As a homeowner I .am improving my home, and ttle toUow u,g concht,ons 1.11st 1. The -k tS being performed poor 10 sate
2 I have lived 1n my home !or rweive months pnOf to compl~hon ot this 'l\ork. 3 I htl"e not claimed this e•emphon donng the last three years
a I a'II exempt under Sec -------B&PC for !his reason ____________ _
C I he1eby att1rm lhll I ha ... e a cert1f1cate of consent to
self-insure. or a cerllt1cale ol Workers Compensation In-
surance. 01 a cer11t,ed copy thereof (Sec. 3800. Labor Code}
POLICY NO
COMPANY n Copy IS hied with the c,ty
D C.,1if1ed copy 1s he1eby turr+1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSUAANCE
.•(This section need not be compteted ,t the permit
11 for one hundred dollars tSlCQ or ltss)
0 I certify that 1n the performance of the work !or which
this permit 1s issued. t Shall not employ •ny person in 111y
manner so as to become sub1ect to the Worker,· Compen
HHon Laws ol C•llforni•
NOTICE TO APPLICANT, If, after making this Certificate
ot E•emp!ion. you should become sub1eet to the Workers
Compensation provisions of the Labor Code. you must
tortl'lw1lh comply with such provisions or this permit shall
be deemed revoked
0 I hereby afhrm that there Is a construction lend,og
agency for lhe performance of lhe wo~ tor which this per,
m1t is .issued tS.C~ 3097. Ci-vii Code)
Lender·s N•m•
Lenders Address ___________ ~
USE BALL POINT PEN ONLY & PRE}S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
.( i8 AOORl SS AV.'>TRO NEAREST CROSS ST 1°7 7i7;;C;ON1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2440 Impala Dr. 7,056
( ()T fiL I ·CI( i ')l H[l'" '-> ON 1 "zlfq"~"cilt,-,q CON"TRAC'Tr)A , . CONTRACTORS PHONE • ZONE 87-306
t1J u/ ~ ~ tf<?.._ OW"';f n··~ !'\i4.Mt-I· ow ...... ~·s PHONI:
TA'('1-0R MAO£. 601-r,:' CONTRA\ 1 1P s AQf;f~I ,;,5 • STATE LICENSE NO. BUILDING SO FOOTAGE
I ,-.NJ'\it H ·, MA Ne, A::riRE ·.~.
'Zl/1../0 I Mf?At-A DR CARI.-S.BAJ)~ nr~1 ,l\,f. µ OES•GNER'S PHONE
() f ·~ ( H .... T . ) "'-I If wVO Fl • • V . MA NOR-+ (s(<c}L..IN
, I\'-~ ,,;· ~ f', ,'\,f~ .-, A[>C~f,..,, STATE LICENSE NO. --·----
Create loft • -t:.\ // (...(30.3 WITf-lE:.R.BV SD for a storage only . v ·"' ~-0004 07/01 0101 02BldP•t .... F p FLA ELEV NO OCC GP EDU 244. er.' ~· / STORIES ,.
vO "O B-2 --
I I PARKING SPACE 1 RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND ,o .... o VN vO NO Not Valid Un~s Machin~ C~f/1/1«1
QTY. PLUMBING PERMIT -ISSUE 7.£9. kJTY MECHANICAL PERMIT -ISSUE /5~ -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU -BUILDING PERMIT 001-810-00·00-8220 68.50
EACH 8UILUING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00·00·8221 --f---·---------
EACH WATER HEATER AN010 f\VENT BOILER COMPRESSOR UP TO 1 HP PLAN CHECK 001-810-00-00·8821 llll . "i;
EACHGASS'5HM' TO'O"'W ! . BOILER COMPRESSOR 3 15 Hf ~r TOTAL PLUMBING 001-810-00·00·8222
>---. --·---EACHGASSYSTEM5 0R IE + -:--METAl T,R£~•CE :Nu, ELECTRICAL 001'810·00-00-8223
EACH INSTAl AL TEA REI WAT . R Pi
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VENT FAN SINGLE OUCT ~ MECHANICAL 001-810-00-00-8224 -----17 EACH VACUUM BREAKER ME CH EX HA UST HOO O UCTS MOBILEHOME 001·810-00-00-8225
WATERSOFTNER \ RELOCATION OF EA FURNACE1HEA ER ' • SOLAR 001-810·00-00-8226 ~-
EACH ROOF DRAll'J (INSIDE I DRYER VENT _§T_RONG MOTION_ _ 880-519-92·33 .so __
--·-~---------TOT J.L MECHANICAL I FIRE SPRl'li<LERS 001-810-00·00·8227
1 --_ _:____ f--
TO I Al Pl UMBING PUBLIC FACILITIES FEE 320-810-00·00·8740
,') ~ BRIDGE FEE 360·810-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT llK A CAR PORT TIF 134-810-00-00-8835
1 PH J PH AWNING LA COSTA TIF 133-810-00-00-8835
EXIST BLOG EA AMP.SWT 'B R GARAGE FMF . ----I PH 3 Pi LICENSE TAX 001-810-00-00·8162 176.40 -
REMO~OE_~A~ P~ft) CUI _ ~ MFF 880-519-92-57 --~ ..
TEMP POLE 700 AMP
OVER 100 AMPS I \ ---.
-
TEMP OCCUPANCY (30 DAYSI
I ' CREDIT DEPOSIT (45.00l--
TOTAL ELECTRICAL \ 1 TOT Al I I TOTAL FEES PAYABLE $244.95
Exptratton Every perm,t issued by the B\:1ld1ng Otflcrar under 1he provisions ot th,s ;
1-<AIIE CAREFUL~ V EXAMINE') THE 0~,,t,,:.[TfD APPL ::;AT ::)NANO Pf RM T ANO 00 HEREBY * AN OSHA PEFW:T IS REQUIAEO FOR UCA¥ATIONS OVER
CE:RTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INC. ... UO:NG THE Code Shall ex:pire by llm11ation and become null and void 1• the bu1tdmg or work 5 O" DEEP ANO OEl,Kll.lTION OR CONSTRUCTION OF
OFCLARAT ONS AR:· TRl,[ A'IIO (')RRE(:T ANO I FURTHE'R <":ERTIFY ANO AGREE IF A PERMIT I~ autt'l.or1zed by such permit ;5 not commenced w11hu, 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT perm,1, or ,r the bud~,~_ or work •ut!'louzed by such IJJ.tr,1 1 ,s suspended or l',SUE D TO COMI-' Y WITH Alt C -v t-OJNl Y ANO S' A TE LAWS l;OVERN NG BJILD-NG CON •t?~_ridoned _!.L!!t~r the_*!·'----.---•need for M fl _;.)d of 180 days
STRUCT ON WHHHf>l f,Pf:CIFIED H' >lEIN OR NOT I A~so AG4E L TO 5AVE IN:lEMNIFY A•,-
OWNEJ;'A NTRACTOR[J ;r;~ KEEP HARMLE$S THE C,Ty OF ·~AHL.!:iBAO AGAINST ALL LIABILIT ~S. JUOGM~NTS COSTS ;.· r:!fi:2_',NA' "f ..
./// DATE
EXPE'll:;Es WHICH MAY •N ANY WAY ACCRUE AGA NST SAID CITY IN CONSFOUENCE or .. , e-c,y '"HONE : 1?12·.v~J GRANT IIIG OF THIS f>ERMIT ·-...tY;::. £ ......
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TYPE
BUILDING
FOUNDATION
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DATE INSPECTOR . '· -,., ,..._-·-....,1 ......... ~~·"'-.. ,.
FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS I MASONRY I REO IF INSPECTORS GUNITE OR GROUT !
'
INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEILING i
SOILS COMPLIANCE
SHEATHING D ROOF D StiEAR ' I PRIOR TO
I I fOUl<lDATION INSP FRAME ' ,..
EXTERIOR LATH . ' } i STRUCTURAL CONCRETE
I OVER 2000 PSI
INSULATION ! ' PRESTRESSED I CONCRETE I INTERIOR LATH & DRYWALL I POST TENSIONED
1 CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D PL/CO HIGH STRENGTH
UNDERGROUND D WASTE O,WATER BOLTS
TOP OUT D WASTE D l(JATER SPECIAL MASONRY :
TUB AND SHOWER PAN I I .
GAS TEST I PILES CAISSONS \ I
D WATER HEATER D SOLAR WATER ~
; Tl ' I .
I .J'' I ' 'j '. ' . . I J ELECTRICAL ' I I ' ' .
D ELECTRIC UNDERGROUND 41 UFFER I •
ROUGH ELECTRIC I
-D ELECTRIC SERVICE D TEMPORARY ' -
D BONDING D POOL I \c-> <,c,
I
MECHANICAL l
D DUCT & PLEM., D REF. PIP.ING
HEAT -AIR COND. SYSTEMS I /.'.~ -.· .... _, ,...,. __ ....... .. ~./. .
' VENT.ILATING SYSTEMS • ..-"1o 1 ..
1., /C ~J ··. I
! ~/ r--., N" I
--, ~--.. wP./:-~ /'4f~M~ . ' ' . ' ~~,vi
CALL FOR FINAL INSPECTION W.l:IEN ALL•APF?80rRl~Tfi,. • ...,
ITEMS ABOVE HA'VE BEEN APPROVED. • · · / ~rl I I c-.,, 1' C7{ I FINAL i J f-
PLUMBING ! .... . ./) ,/VW l : -1 \---' t... I I J -, -. -.. --
ELECTRICAL r>P V:I '-" , I 2A . -.._ I~.-. t "'-... ~ ... -.,: .. '· ... '
.j.-/L....-' (1) MECHANICAL I ' I . . \~·· \. GAS I I . /'\ u J< V . I ' BUILDING l I 1 JV/'-"l
SPECIAL CONDITIONS V
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INSPECTOR'S NOTES
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Applicant Please Print And FIii In Shaded Area Only
ASSESSOR'S
PARCEL NO.
OWNER
OWNER'S
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
MAILING
ZIP TEL.
PLAN ID NO.
tJL t-
0001 06/10 0101 OSHisc.
VALIDATION AREA
ESTMATED VALUATION _ __,,)..._..tf1'--L._.&<:.....:=._
PLAN CHECK FEE 001-810-00-00-8821 ADDRESS ----------------------1 IF THE APPLICANT TAKES NO ACTION
CITY ZIP TEL.
STATE BUSINESS
LICENSE NO. LICENSE NO.
SUBDIVISION LOT(S)
LEGAL DESCRIPTION
DESCRIPTION OF WORK
e. Lo
CONTACT PERSON f\r.Jt?R -
ADDRESS L/.
White -FIie Yellow -Applicant
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED.
CHECK IF SUBMITTED:
D 2 ENERGY CALCS
2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
2 STRUCTURAL CALCS
D 2 SOILS REPORTS
D 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT DATE
LA COSTA LETTER
SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
Pink -Finance Gold -Assessor
45.00
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