HomeMy WebLinkAbout2505 Jacaranda Ave; ; 82-251; PermitIC 'P O I hereb, _rflrm that I am licensed under
<• • o provisions of Chapter 9 (commencing with t; [ Section 7000) of Division 3 of the Business
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I hereby affinn INII I am exempl from Ille Con-
~lt~!f ::: ~ ~f=~ ~i~ county which requires a permil to construct
alter, improve, demotish, °' repair any structure. pnor to its ,ssuance also requires the applicant for
such permit to tile a signed statement that he is
licensed pursuanl 10 lhe provisions of Ille Con-tractor's license Law (Chapter 9 commencing with Seclion 7000 of D,v,sion 3 of lhe Business and Pro-
fessions Code) or lhal is exempt tllef1tfrom and the basis for the alleged exempt,00. Any violattOfl of
Seclion 7031 S by an apphcanl for a pennil subjects
tne -,plicant to a civil penalty of not more than five hundred doll~ ($500).
0 I. as owne, of lhe property, or my employees -.11h wages iS their sole compensation, will do the
wcwk, and the structure is not intended°' offered tor
sale (Sec. 7044, Business a.no Protessk>ns Code:
The Contractor's license Law does not apply to an
owner or property who builds or imprOYeS thereon and who does such work himself Of through his own
empk)yees, prOY1ded thilt such Improyemeilts are
not inteode1 or ottered fOf sale. If, however, the
butkhng Of improvement IS sold Within one 'IN/ of completton, the owner-builder will have the burden
of proving that he did not build or improve for the
purpose ot sale).
O I, as owner of the property, am exclusively
contr.cting with licensed contr~tors to construct
the P,Oteel (Sec. ~. Business and Professions
Code: The Contractor's Ucense Law does no1 appty I to an owner of pro,perty who builds or improves
thereon. and who contracts tor each prQfeCtS with a contractOf'{s) license pursuant to the Contractor's 1
License law) .
0 I am exempt under Sec. _____ , B. & P.C.
torth1s reason ___________ _
0 I hereby affirm that I ha~ a cer11ticate of consent
to sell-insure, or a certificate of Workers·
Compensaltm. certified copy thereof (Sec. 3800, La
POLICYNO ~I' ~
COMPANY ¥\ / -;T, i'VV°i ~
□ Copy IS hied With the city.
0 Cer11fied copy ,s hereby fum,shed
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need not be completed 1f the permil ,s tor one hundred dOllars ($100, or less)
D I certify that in the performance of the wM for
which this permit ,s issued, I shall not employ any
person ,n any manner so as to become sub1ect to
the Wof'kers· Compensation Laws of Ca.htorma
~OTICE TO APPLICANT If. after makin;1 lh1s Cert•·
hcate ol E.xemptK>n. you sh<>utd become subject t?
the wmers· Compensation provts,ons of the Labor Code. you must for1hw,th comply w1lh such
prov,s,ons or 1h1s permI1 shall be deemed revoked
D I hereby affirm that there Is a consiruction
lending a,gency for the performance ot the work lor
w hoch '."" perm'YK 'J/J97, Covol Code)
Lenders Name _ >J T _
Lenoe,·s Address / I&.(/ ,{,'4-41"-
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/,L) / CARLSBAD JILDING DEPARTMENT APf-... .bATION & PERMIT 1200 Elm, Carlsbad, Callfomla 92008 (714) ~25 ' t. > J°Q ~ /:v}~ \.J/J/1 l'i YY);-v--, " A~:T,l°i: 0 j~~l BUSINE.,. ~--• ~ VALUATION PERMIT NUMBER
·.• -w~ c:2, S?/t:J ( ')--_,,.
OWNf~ NAME f)t-• -v ti ~{&/¾_-.,l'HGN£
Pfl~CC)NTRACTOR m .'6tfw CONTRACTORS PHONE 1 ZONE I ~S-/
• ·• "1' ·' IT 911; !'l.!~1 1 Vl iiJAno .1 .. ~~Li'J
OWN1!fl'S MAILING AOORESS 2 r;sE·s7h; 1..d. , 'P" UCENSENO. PLAN 1.0. # BLOG USE CO0E
~~mR,, ~~ti? • r::.-1 -1 'f.i;,,r /
LOT ,■LOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER--STATE LICENSE# STANOAR0 PLAN # BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK -DESIGNER'S ADDRESS DESIGNER'S PHONE -~v:lr h/11 NO S/ii 2 l92760t.: 16,DO . F/P FLA ELEV. OCC GP EDU STORIES q~oJ.~§~~ -s1221 ea 15,0G YO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING J'.EAMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N □ vO NO vO NO Not Valid Unless Machine Certifi,c/
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT -ISSUE 3 .00 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01-000-4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000·4221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -,.,0
EACH ROOF DRAIN (INSIDE) SOL.AR 01-000-4226 /~
TOT.t.L MECHANICAL STRONG MOTION 65-640-0519 -
TOTAL PLUMBING I FIRE SPRINKLERS 01-000-4227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933
2.00 BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS .. '.; SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS ' All" Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE / l _/1..V Encinitas 65·624-0519
1 PH 3 PH PUMP .JI~-San Dieguito 65-625·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK m/J V {/ San Marcos 65-626-0519
TEMP POLE 200 AMPS AY -
OVER 200 AMPS V
TEMP OCCUPANCY (30 DAYSI
• .,,V --TOTAL ELECTRICAL I TOTAL SOL.AR ;.<;:,,,-TOTAL FEES PAYABLE I /~
IHAVECAREFUU.YEXAMINEDTHECOMPI.ETEO"APPUCATIONAND~=..,..ttl;Af:8Y . ~.Evay,.,....illulda.1t1ellulldlng0fflc:illlundlr ... ,-lllonaoflhia * AN OSHA P£AMIT IS IIEQUMED FOR ElCICAVAno.OWBt CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION H THI! CON-..,._ llr llfflllllllDII aid becon19111111 and VOid. If !tie or work · 5' O" DEEP AND 08ilOUT10N Oft CONSTRUCl10N OF OECLARATlONS AAETRUE AND CORRECT AHO I FURTHER CERTIFY ANO . A.,..ITIS ....... .,IUdtllllfflllllllClltomn•ICldwllhln ,_,._,,_"::oflUCh STIIUClURES OYER 3 STORIES IN HEIGHT ..-. or Ille =:z.or _. IIUIIICltlUCI Ill' IIICh .-,nit II or ISSUED: TO 00MPl Y WITH ALL CITY, COUNTY AND STATE LAWS G0VEflNINI BIil.DiNG CON-__,., ... • -11n19 .. 'IIOlll 11 -iced tor a-...."' 1■11 -...
Sl'RUCTlON, WHETHER SPECIFIED HEREIN 0A NOT. I AL.SO AGREE TO IWIE. INUEMNIF'Y MID •--•-
APPROVED BY iJJJ-I Df;/yv/ /Y ~ HAANt,EISS THE CITY OF CARLSBAD AGAINST ALL UABILmES • .,..,.c;os1SANO ·-Q SIONA~.. OWNEA0 TAAC~
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BUILDING I
FOUNDATION I
REINFORCED STEEL I I
MASONRY I
GUNITE OR GROUT f
FLOOR & CEILING SUB FRAME I
SHEATHING I
FRAME I
EXTERIOR LATH lNSULATION I I
INTERIOR LATH & DRYWALL !
PLUMBING i
SEWER AND 8L/f:O \ \ · • I
PLUMBING UND_ERGRt)!JNQ
. I '
PLUMBING TOP OUT I
TUB AND $HOWER PAN I I
GAS TEST I
I
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING ~
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS .
VENTILATING SYSTEMS C \ ' ~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN. APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-'CERl OF OCCll"'t\NCY ISSUED I I
i
,.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
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
PILES CAISSONS
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INSPECTOR'S NOTES
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