HomeMy WebLinkAbout2460 Impala Dr; ; 87-689; Permit.,, z 0 j:: C a: C ..... u ... 0
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O I hereby alllrm that I am licensed under
p(Ovl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeealons Code, and my license ,s m
full force end effect
I nereby affirm IN! I am exempl lrom ll'te COclrdC
tor s L,cepse Law tor !t'le lonow1rig reason 1sec 7031 ~
Business and Pro1ess1ons COde Any city or county whitr. re qu,re'S a perm,t to construct airer improve demor,sn or
repa:c any SlhiClure prt0t to 1ls issuance ,no requires !heap·
p1,can~ to,· such perm,1 to. h'e a s.gnea s1atemen1 that t\e .1s !Kenseo pursuanl 10 tne oro,..1s10ns of !he u,n1rac1or s
lcanse Law (Chapter 9 commencing w,tn Ser.t,on 7000 or
0tvt,ion 3 ol 1he 9usariess a'1c, Professions Cr,lleJ oc 1na1 is e:r
empt therelrom and lhe basis lor'tl'le attegeo ex_ernptr0n Any
\ltOlaMn ot Secti0n i'OJI -~ by an applteant 1or a ptrm11 sub ,ects ltte aop!1cant to a t1\11I periany ()' not more fhat1 l1ve nun
d•ed dOllars ($5001
.L j l, 11s owner of 1ne p~operty Ot my empioyees with wages
as lheir soie comoensat1on wlll do lhe w0t1c _ and !he struc ture 1s no1 ,n1ende<3 or Olfered f~r saie {5et 7044 Business
,nd Protessiom. Code tne Coqlrac.tor's LTCertse La¥W does no! apply IQ an owner ol property who bu•lds or ,mproves
lhereor, and who does such w')(k h1mse1t or lhrougn hrs own emoioyees. provided 1tia1 ;;uch 1mpr0\lements c1r1 ,:-01 intend. ed Ot olfere<3 tor saie, Jl. howevef~ !he building or ·,mpro"e
ment 1s sold w1lhin one yea• ot compiehon. the ow11er-buuder will have lhe burden ot pro...1rig Iha! tie chd nm bll1ld or 1m
prove tor the purpcse ot sate1
as ownet ot !he property am exclusively contracllng
w,lh .censed contractors 10 construe.I the protect (Sec 7044
Business and Pfotess,ons Code The Contractor·s Ltcense
La.,.. does not apply 10 al'\ owner of property who builds or 1m
proves thereon, and w~ contracts for each pro,ecls w1lh a
contractorjs) license pursuant lo the Conlractoc s Licen,;.e Law)
I } As a homeowner I am 1mprov1ng my home. and the to11ow 1ng cond111ons exist
1 The work 1s betng perlormed prior. to sa1e
2 I have hved 1n my hocne for 1welve months
prior lo compielton ol lh1s '#CKk
t have nol cia,med lh1s exemphon during the last three years
I am exempt under Sec -------B&pC lo, this reason ____________ _
I hereby athrm lhal I have a cert1l1ca1e ol consent 10
se1t insure or a cert1hcate ol Workers Compensation In
Sl.Jrance or a cer11fted copy !hereof l5eC 3800 Labor Cod:el
POLICY NO
COMPANY
Copy 15 ftled with the city
,-, Cert,l1ed copy 1s ttereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need nol be completed ,t the permit
is for one hundrea dollars ,:$100) or IE'SSI
c• .,-. I certify that 1n the performance of the work lor wtuch
lh•S permit 1s issued I shall not employ any person 1n any
manner so as lo become sub1ect to the Workers· Com pen·
sation Laws of Cahfom1a
NOTICE TO APPLICANT. If. after makmg lh1s Cer1Lf1cate
ot Eicempt,on. you should become sub1ect to the Workers
Compensat,on prov1s1ons of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked
0 I hereby affirm that there ,s a const,ucl•On lending
agency tor the performance of the work for which lh•s per
mu ,s issued (Sec 3097 C1vd Code)
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
BUSINESS '-ICENSE tt I ,..it°'ALUATION PERMIT NUMBER
LOT
vO r..0
CENSUS TRACT PAP Ki NG SPACE. RES UN.TS GRADING PERMIT ISSUED REDEVELOPMENT
AREA
FIRE SPP
y D N D •D "O vO '-0
QTY PLUMBING PERMIT · ISSUE MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100 000 BTU
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PER•,,n
EACH WATER HEATER ANO OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM I ro 4 UUl LETS BOILER,COMPRESSOR 3 15 HP TOTAL PLLMBING
EACH GAS SYSTEM~ OR MORE TA~ FIREP• ACE ELECTRCAL
EACH INSTAL ALIER REPAIR WATER PIPE VENT FAN SINGl E OUCT MECHM,ICAL
EACH VACUUM BREAKER HOOD DUCTS MOBILE~OME
WATER SOHNER RELOCATION OF EA FURNACE1HEATER SOLAR
fAf.H RGOF ')RAIN 1,NS,Of DRYER VENT STRONG rlOTION
TOT .£.L MECHANICAL FIRE SPRl~i<LERS
TO l Al Pl UMBIN(, PUBLIC FACILITIES FEE
QTY ELECTRICAL PERMIT· ISSUE
NEW CONST fA AMP SW! HKR CAR PORT
1 PH ] PH AWNING
EXIST BLDG EA AMP SWT 'BKR GARAGE
1 PH 3 PH
REMODEL Al ltR PER CIRCUIT
TE MP PO l E 200 AMPS
OVER 700 AMPS
!EMP OCCUPANCY JO DAYSI
l (JI Al El t LT fl I LA I
HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT At,0 00 HE.REBY
Cf RTIFY UNOfR PENAL TY OF PERJURY THAT ALL 'NFORMATJON HEREON :NCLUOING THE
DECLARATIONS ARE TRUE AN[) CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~
ISSUED TO COl',<PLY WITH All CITY COUNl'I ANO STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
Kff P HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
BRIDGE FEE
MOBILE HOME SETUP PARK-IN-LIEU (AREA
TIF
LA COSTA TIF
FMF
LICENSE TA
MFF
CREDIT DEPOSIT
01AL
Expiration Every pe_rm1t issued by lt'le Building Off,c,a1 under the prov,s,ons of this
Code shall expire by l,m,tat,on and become null and void It the t>udd1n9 or work
authorized by such perm11 ,snot commenced w1th1n 180 days horn thP date .:,f 5uct'I
permit, or 1f the building or work authorized by such permit 1s suspended or
abandoned at any hme 1fter lh4! wqrk .. ~~. ~q'!'_menced for a penod of 180 di
"PPLICANTS SIQNATURE • ., OWNER n
*
00 11-rot1 ZONE
BUILDING SO FOOTAGE
0004 12/18 0101 02BldPmt 293.
Nor Valtd Un~s Machine Cut,hed
001810·00·008221
001-8, .-
320·810·00-00-8740
360·810-00-00·8740
312·810·00-00-8835
311·810·00-00-8835
880-519·92·57
:TIS AEOUIAEO FOA EXCAVATIONS OYER
:No OEMOltTION OR CONSTRUCTION OF
S OYER l STOfllES IN HEIGHT
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION !
REINFORCED STEEL I
MASONRY ' I
GUNITE OR GROUT I
SUB FRAME O FLOOR 0 CEiii.iNG
SHEATHING D ROOF D S~EAR ~,/}
FRAME I rA,,..-,
EXTERIOR LA TH I
INSULATION I I
I I ,,...,
INTERIOR LATH & DRYWALL/ I r~ / _,
' I
PLUMBING !
I
D SEWER AND BUCO [J PUCO
UNDERGROUND D WASTE o:wATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN ' GAS TEST I
D WATER HEATER D SOLAR W~TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND d UFFER -.. . .-.~
ROUGH ELECTRIC I /7'T V
D ELECTRIC SERVICE D TEMPQRARY ~
D BONDING D POOL !
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl'NG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' '-l
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
51 7 ..-&, 'i{<!, ,,.
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
SOILS COMPLIANCE '-. .
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED ~
' CONCRETE ,,,,_ ... . \-\.'-..
POST TENSIONED -
CONCRETE '
FIELD WELDING
HIGH STRENGTH ~ BOLTS -~
SPECIAL MASONRY
.,,, ..... "°1'""'' .-.... ,,,_ .. ~ -· --· -· ... -..
-·~ .;,. .• -v..,".'.;<,••"'-.,..:-:,v, t·c.t ... ~)..: ,:1;:.~t'\•"'·
CUJ. c!'tl ~Vf.llt'!H~~,:.;-.
PILES CAISSONS -·--
..._ '--1.' -. 1 p,. .:. . ';
f~ -rt' "if 1( t/ r,
.....,. ~ 4 -,v -
' I
'. ' ' , ~-~ ...... ,.:. "".'. ~ ...... \" .._
C:TN f~,':LL. l :;-(] C:~:~;:;\::1~ ~-2"~
I .. -·--.. ! . C ~ .
----
.
FINAL BUILDING INSPECTION RECEIVED ~ ~ l
,,_1•
PLAN CHECK NUMBER: DATE: __ 1_---~-----
ADDRESS:
PROJECT NO.: --------UNIT NUMBER: --------PHASE NO.: --------
TYPE OF UNIT: ____ t.:_l_c..:....:...:...:.._ ______ NUMBER OF UNITS:
CONTACTTELEPHONE:. ___ 5_87_-_1_9_0_1 ______________________ ~
INSPECTED ~~/1..-
BY:---~----'--'-=~~--
INSPECTED
BY:
INSPECTED
BY:----------
DATE
INSPECTED:
DATE
INSPECTED: ____ _
DATE
INSPECTED: ____ _
APPROVED ~DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS:----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 87-689 DATE: 1--
ADDRESS: 21160 i di"
PROJECT NO.: --------UNIT NUMBER: PHASE NO.: --------
TYPE OF UNIT: ti CO NUMBER OF UNITS:
CONTACTTELEPHONE:. __ -=-:5=8~7_-~1=9=0~1 _______________________ _
b
INSPECTED BY: _________ ~
~Ny~PECTED ,J -~
INSPECTED BY: _________ ~
DATE
INSPECTED: APPROVED
~iiecrm If ,b d APPROVE~
DATE
INSPECTED: APPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
DISAPPROVED __ _
COMMENTS: ------------------------'---------C..' ___ _
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
"·