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Home My WebLink About2476 MOUNTAIN VIEW DR; ; CB890856; Permit-1 a, >- 4 CERTIFICATE OF EXEMPTION FROM -- - U - - WORKERS-COMPENSATION INSURANCE I $" -rlTh5 section need not be Completed if the permit i - is for one hundred dollars ($100) or Inoul - : El i e'rtiy that in the performance of the work for which -C -- this permit is isseed. I shalt not employ any person in any - '' manner onus to become subject to the Workers' Comport. I notion Lows of California. -. - - - - - - '' NOTICE TOAPPLICANT: lf.'aflir making this CertlIlcate , - - Of Euemplion, you should become subject to the Workers' 0Compensation provisions 01 the Labor Code, you meat - - forlhwith comply with such provisionsor this permit shall_ "i 41 be deemed revoked. '•fl 'I lueueby allirm that the,e isa construction landing j !!r ff10 performance Or I he work for which this per. I- rnil is issued (Sec. 3097, Civil Code),,,,, _L 1k L Lender's Address - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. CARLSBAD BUILDING DEPARTMENT' I - -. --- -. - APPLICATION & PERMIT ' 2075 Lai Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 - - .-- - - JOB ADDRESS / AV, ST. Rn. THOMAS BROS NO. . OAT OF PPLI TION BUSINESS LICENSE # VALUATION PERMIT NUMBER zqi'i,x1 /3-if-ft '/' 15818 LOT I BLOCK 1-SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR . . CONTRACTORS PHONE C ZONE ' OWNE R'S NAME:7 OWNER'S PHONE Wm KirchnavyConstruction ,.•,. , - . 744—n21 - - SO FOOTAGE 7 I IINI iv au ii IR i AriflRPS bI Al LIt,N NO.BUILDING CIT& OF CARLSBAD - 13R-111 OWNER'S MAILING ADDRESS - 1010 Linda Vista -Dr San-,Marcos 30805A' ' - - ' , DESIGNER DESIGNER'S PHONE -1200 Elm Avc.Car1bad, CA 92008 -•-----•• , ...... DESCRIPTION OF WORK CARLSBAD BLVD g ELM AVE STREETSCAPE PHASE II DESIGNER'S ADDRESS . .-....•-.- ' ' ..........................- " STATE LICENSE NO. PLMELEV. NO occsi -- STORIES - YO .6 -- - CONST - - 1 CENSUS TRACT PARKING SPACE RES UNITS - GRADING PERMIT ISSUED. REDEVELOPMENT AREA - ' - TYPE 0CC LOAD FIRE SPRM0 - , yD ND YO NO vO ND - niersMacjhfertitied - QTY. PLUMBING 7 OTY. MECHANICAL PERMIT ISSUE \.--. - - SUMMARY NT - PERMIT ISSUE - - ' EACH FIXTURETRAP , - INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT - EACH BUILDING SEWER , -- - - - --- -. - OVER 100,000 BTU . , - -' , . - SIGN PERMIT - 7- 001'810'00'00'8221 EACH WATER HEATER AND/OR VENT , BOILER/COMPRESSOR UP TO 3 His - PLAN CHECK 001-810-00-00-8891 - !EACH GAS SYSTEM) TO 4 OUTLETS , - BOILER/COMPRESSOR 3.15 HP . TOTAL PLUMBING 001'810'00'00'8222 EACH GAS SYSTEMS OR MORE " . - - --- ,-- - - METAL FIREPLACE - - - - ..- ELECTRICAL .,001'810'00-00'8223, :EACH INSTAL-. ALTER, REPAIR WATER PIPE , VENT FAN SINGLE DUCT - . MECHANICAL 001'810-00'00-8224 - - EACH VACUUM BREAKER - MECH EXHAUST HOOD/DUCTS - MOBILEHOME 001-810-00-00-8225 - - WATER SOFTNER - - - . -. RELOCATION OF EA FURNACE/HEATER t - - - SOLAR - -- 001'810-00'00'8226 - ,EACH ROOF DRAIN (INSIDE) • , DRYER VENT . - - STRONG MOTION 880'519'92'33 - - - - •, - - - -TOTAL MECHANICAL - -' ' - - - FIRE SPRINKLERS 001-810-00-00-8227 - - - • - ' - TOT AL PLUMBING - - I • ' PUBLIC FACILITIES FEE 320-810-00-00-8740 - ' . - • ('C? - - BRIDGE FEE 360-810-00-00-8740 TY. ELECTRICAL PERMIT - ISSUE 'J OTY. MOBILE HOME SETUP • . - --- , - -- •-- - . -• ' - - - ' - - - • •- - PARK-IN-LIEU (AREA - )- - - - - • • - NEW.CONST EA AMP:SWI BKA_ _- - - - - - - CAR PORT - , . TIF - - 312-810-00-00-8835 - I PH. - - 3 PH 1 - • - . AWNING ' . LA COSTA TIF - 311-810-00-00-8835 • EXIST BLDG EA AMPISWT:BKR - - - - - GARAGE - -' -- .- - - - - - FMF --.- - - - - , - - I PH 3 PH • - - • , . LICENSE TAX 001-810-00-00-8162 REMODEL -ALTER PER CIRCUIT ' - - - - MFF 880-519-92-57 - - - TEMPPOLE 200 AMPS ' - '• - - - - __________ - - - - - - - 'OVER200AMPS TEMP OCCUPANCY (30 DAYS) ' ' -= • . , -: - - - -: • - - ------ - -- - -' - -• . ' , - - -- . CREDIT DEPOSIT .• - TOTALE1EC1RICA1 I a' •, ,TOTAL -- I , - TOTAL FEES PAYABLE I - • - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * AN OSHA PET IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL'INFOHMA'IlON HEHlaON INCLUDING THE -Cnda shall expire by limitation and become null and void If the building Or work So" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buifdina...oc work authorized by such permit is uun 5uch ded r STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNtY AND STATE LAWS GOVERNING BUILDING CONS abandoned stony time,41er he wor s Commenced for a period 01180 days. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIP-T ANU KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS APPLNT'SA' / OWNER 0 CONTRACTORX APPROVE81 / D7E / / WHICH MAY IN ANY WAY-ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE 'G EXPENSES BY PHON/0 RANTING OF THIS PERMIT. i USE BALL POINT PEN ONLY.& PRESS HARD - I hereby affirm that lam licensed under.- - prOvlaIone of Chapter 0 (commencing with -Section 7000) of Division 3 of the Business - I: and, Professions Code, and my license is in - Z L— full force and effect. -'-- - - - 1-hereby affirm that I am exempt from the Centrac-tars License Law for the following reason (Sec. 7031.5 - Business and Professions Code: Any city or county whitE re quires a permit to construct, alter. improve, demolish. or - 4 "pair any strocture, prior to 119 issuance also requires the ap- .. pl.canf for such permit to tilt a Signed -statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7000 of 0iviiun 3 ol Its: 0usisns ritl Puutessilnus.CuuJn) or that is ox- empt therefrom and the basis for the alleged exemption'Any Violation of Sectisn'7031.5 by an applicant for a permit sub- jeers tue appuicost too civil penally afoot morc than five has - dred dollars ($500). - - I I I, as owner of the property, or my employees with wages ,.L. as their sole eomp000atian. will do the work, and the stros fare is not intended or offered for sale (Sec. 7044. Business .J and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves m * thereon and who does such work himself or through his Owl) employees, provided that such improvements are not intend -.1 Iii .ad or offered for sale. 'If. however. the building or improve' - - Z mont is sold within one year 01 completion. the owner-builder .39 will have the burden of proving that he did not build or im' o prove for the purpose Of sale). - -- -. - It - I, as owner of the property, am exclusively contracting - with licensed contractors to construct the project (Sec. 7044, - _ ,,.Business and Professions Code:' The Contractor's License - Law does not apply loan owner of property who builds or int.•1 proves thereon, and who contracts br each projects with a - contractor(s) license pursuant to the Contractor's License - '.,Law). 5 - - I] Ann homeowner lam improving my home. and the follow' 4 • isg conditions exist: • F" '0 •, ' I rn I ,,.,l. The work is being performed prior to uale............. 2. I have lived in my home for twelve months u prior to completion of this work. - I 3' I have not claimed thisenemptioe daring the to last three years. -0 lamesempt under Sec. - - - .B&P.C1 - - •' for this reason I' Lilt I hereby attirm Ih3l I have a certificate of Consent to .1 5 3lf.inoure or a certificate of Workers' CompensutionIn. - - surance. or a certified copy thereof ISec. 3000. Labor Code) ANY g, COMP, FremontCompensatio - X}' Copy is riled with the city,. - -' 'I - 4 - -- or, Certified copy in hereby furnished - - TYPE :. DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEILIN3 SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO 0 PL/co UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST WATER HEATER 0 SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC ELECTRIC SERVICE 0 TEMPOR4RY BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL I PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS - . LA An - \ :- FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS - INSPECTORS NOTES REQ. IF INSPECTORS - INSPECTION CHECKED APPROVAL DATE ----.• -- SOILS COMPLIANCE PRIOR TO FOUNDATION INSP SIHUCIUHAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTP-I 8OL1S SPECIAL MASONRY PILES CAISSONS all S3 cjc - 3 l•._-'- _________________ " N - ' it.u1 ar1bab REQUEST FOR INSPECTION RECORD INSPECTOR PERMIT NO. OWNER REOUETE7 c 4Z9 PHONE NO. 7 % ' & PERSON TAKING REPORT (iLECTCA[ O TEMPORARY SERVICE UFFER GROUND 0 ELECTRIC UNDERGROUND O ROUGH ELECTRIC O POOL BONDING O ELECTRIC SERVICE 0 FINAL xz" PLUMBING MISCELLANEOUS O UNDERGROUND PLUMBING o CONDITIONED AIR SYSTEMS SEWER AND PLICO O SOLAR HEAT O TOP OUT PLUMBING O PATIO OTUB OR SHOWER PAN 0 POOL OSPA O GAS TEST OSIGN O WATER HEATER 0 GRADING SOLAR WATER 0 DRIVEWAY 0 FINAL 0 FINAL SPECIAL INSTRUCTIONS Ready for Inspection: 0 Monday 0 Wednesday 0 Thursday 0 Friday 0 A.M. 0 P.M.