HomeMy WebLinkAbout2505 OCEAN ST; ; 85-478; Permit<I) z 0
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CIC \J, I hereby affirm that I am licensed under o ~Ions of Chapter 9 (commencing with t; [ Section 7000) of Division 3 of the Business
c and Professions Code, and mc:cense is In
~ full f~~~t. / (j ~ L,c No j"' Class '°'.
or
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I l'lereby amrm !hat I am exempl from the Con1rac-tor· s License Law lor the lollow,ng reason (Se<: 7031.5
Bus,ness and Prolessions Code Any city or county wh1cli re-quires a perm1I to construe!. alter. improve, demohsh. or
repair any structure prior to its issuance also requires !heap
phcant for such perm!I 10 file a s1Qned statement thal he 1s hcensed pursuant lo the provis100s 01 the t.:ontractor · s
License Law (Chapter 9 commencing w1tl'l Sectt0n 7000 of 01v1s1on 3 01 rhe Busmess and Professions Code) or lhat ,sex·
empt lhe,elrom and lhe basis !Of the allegeo exemption Any
v101a1ion of Sectt0n 7031 _5 by an applicant fOf a permit sub-
1ec1s the apphcant to a civil penally Of not more than hve hun·
dred do'~rs 1$500)
I, as owner of the property or my employees with wages
as their sole compensa11on, wiU do the work. and !he struc-
ture 1s not intended or offered for sate (Sec 7044 Business and Profession!> Code The Contractor's License law does
not apply 10 an owner of property who builds or 1mprCNes
!hereon and who dOes such work h1msell or through hts own employees. provided thal sucn improvements are not intend·
ed or o!lered for sale If, however. lhe building or improve-ment 1s SOid within one year of complellon. the owner-builder
will have !he burden 01 proving Iha! he chd not build or im-prove for the purpose of sale)
r 1 I, as owner ol the property. am e:i1.clus1vely contracting with licensed conuactors to construct !he prOject (Sec 7044.
Business and Profess10ns COde The Conuactor's license Law does nol apply lo an owner of prooerty who builds or im-
proves thereon, and who contracts tor each pr0jects wit~ a contractor(s} hcense pursuant to the Contractor's License Law)
[1 As a homeowner I am 1mprov1ng my home. and the fol~ mg colld1hons exist 1 The work 1s being performed pnor to sale
2 I have lived in my h.ome lor twel/u monlhs pnor to completion of this work
I have not cla1me<:1 this e.xempt1on rmg lhe
last tnree years
D I am exempl under Sec / , B & P C
!or this reasOl'I /
D I hereby afl1rm thal I ha"e a cert
to self-insure, or a cert1l1cat
Compensalton Insurance, or a cert1
(Sec 3800 LabOr Code)
POLICY NO
COMPANY
0 Copy 1s hied w1lh lhe city
D Ceri1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Tr-us sect,on nee(] not be completed 11 the permit
•!> tor one hundred OO!lars (S 1001 or IessI
~
ceri1ly 1ha1 in 1ne performance ot the wor1o. to,
h lh+s perm,1 1s issued, I shall not employ any
person in any manner so as 10 become suo1ec1 It)
lhe Wor\ers Compensa11on Laws or Calllom,a
NOTICE TO APPLICANT II alter mak1nJ tn1s Cer11
t.ca1e of E:r:emp11on you should t>eeome suo1e<1 10 lhe Won,.ers Compensation 111s1ons ot tne Labor
Cooe you must t0<1h¥>1 c ply w11h sucf"I prov,s,ons or t~ perm11 all aeemed re~oke<l
0 I he,eby affirm ttlal 1nere ,s a cor,s1ruc11on
1end,nQ agency to, the performance ot the won. t,Jr
wtuch lh1s perm11 ,s issued 1Ser ~7 c,,.,,1 Coae1
Lenders Name ___________ _
Lenders Address __________ _
USE BAl(1'-0IN<14[N ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICA !ION.)t PERMIT
JOB ADDRESS
2:>-VS" o~~ c,,,-,
AV--ST,RD. NEAREST CROSS ST
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LOT BLOCK CONTRACTOR I SUBOIVISION T ASSESSOR PARCEL NO
OWNER'S NAME Ae4,0~41 OWNER'S PHONE -::1:dY J~&Y_~ f(EC
CONTRACTOR'S ADDRESS >ffl.m 'f-IVl!V 'r 72~-2;rs-
OWNER'S MA LING ADDRESS JI W T11-rn iffl..14-ct=,
,_ . DESIGNER
I t.lfftLC,619-D
lll~;wo~~ ~ t,o JI. VTI /Or,//-,
~ l'slu o -en-rz1,~-~
tr. -V
/LI~
OfSIGNF R'S AOOR ESS
~ t?o -~ tfJ ~ -~, 'W ~o J4 .
D~~-/M. ~-~ F/P FLA ELEV.
.CENSUS TRACl l GP LANO "i:JE PARKING SPACE RES UNITS
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
.-,!;!,
7
EACH BUILOING SEWER
EACH WATER HEATER ANO ,OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM S OR MORE
I -t-
GRADING PERMIT ISSUEO
y D ND
vO NO
REDEVELOPMENT
AREA
vO NO
QTY.I MECHANICAL PERMIT · ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOI LER/COMPRESSOR 3.15 HP
METAL FIREPLACE
NO
STORIES
TYPE
CONST
3-
VA LUATION PERMIT NUMBER
~
[r:::;::-1/;R':-:-:cic-=T;-:-:-s ;--,--<?J-1-e •-1--ZON-E -------1 ~ 7 p
LICENSE NO. PLAN 1.0. # BLDG USE CODE
sfodt ff s-
LICENSE " STANOARO PLAN# BUILDING SO. FOOTAGE
DESIGNER'S PHONE //(U/85tiU71 001:lf 6~7t -71 01 85 ..... _ ... , .... ·1 ~:8
OCC GP EDU
OCC LOAO F IRE SPR
vO NO Nor Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00·8220
SIGN PERMIT 01-00-00·8221 ---1 PLAN CHECK 01·00-00-8806
TOTAL PLUMBING 01 ·00·00·8222
ELECTRICAL 01·00-00-8223 l 75-~
EACH INSTAl . ALTER. REPAIR WATER PIPE ~~('~A.Mlr"AI --L-~ I VENT FAN SINGLE DUCT I I "'•""MoHvML 01-00·00·8224
EACH VACUUM BREAKER ME CH EXHAUST HOOOIDUCTS M0BILEH0ME 01-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDEI SOLAR O 1 · 00·00:.8226_
TOTAL MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 ,v,,..,l. rLu1..-1u11·u, I rint.:,r-n1rH\Lcn.:, v1-uu-uu·ot£t I I
QTY.I ELECTRICAL PERMIT · ISSUE y-QTY. I SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8930
BRIDGE FEE
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE · DISTRICT
I PH J PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP•SWT BKR ROCK STORAGE Encinitas 80·92· 22·0519
I PH 3 PH PUMP San 0Iegu1to 80·92·23-0519
REMODEL AL HR PEA CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI -MFF 80-92-57-0519
,doA-,,,.,,d'!, ~,. J,,..,v CREDIT DEPOSIT
1 rnTUL ELELTRICAL 1 /~-I TOTAL SOLAR TOTAL FEES PAYABLE I /?--
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT" Arm DO HEREBY
CERTiFY UNDER PEN4LTY OF PERJURY THA'!' ALL INFORMATlm, HEREON INCLUDING THE
DECLARAflONS ARE TRUE ANO CORRECT AND 1, FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILIT•ES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Exp1tatton Every permit issued by the 8u1ld1ng Qft1c1a1 under the prov,s,ons of this
Code shall exp,re by hm1tat1on and become ntJll and void If the bu,ld,ng o, work
authorized by such permit 1s not commenced within 180 days ftom the date of such
permit or 1f the budding or 9 k authorized by such permit is suspe. ndea or
abandoned at any hme afte)' t,W'work 1s commenced for a period ol 18Q ~~
* AN OSHA PERM;T IS REQUIRED FOR EXCAVATIONS OVER
5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
S TRUCT\JRES OVER 3 STORIES IN HEIGHT APPLIC7~tZ OWNER□ CONTRACTOR)\
BY PHONE fJ . ==
APPROVED BY )~ IDA"1/./,1
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION '• j
REINFORCED STEEL ,. '-
MASONRY
GUNITE OR GROUT ~. ·~ , \ ·-\ • ' &I-. '
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF □ SHEAR Y-~-n· ,.
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO □IPUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER -
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING J I
ELECTRICAL ~ Jl L al--' I /
MECHANICAL i fl? I I//
GAS I '" /l /1-1 I K I
BUILDING '-// I
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIA L INSPECTIONS
REO IF INSPECTORS tNSPE;CTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
~·~ ... ,· c.,. ff" •• -
STRUCTUR'AL CON08ETE '+. -\ ·-.,. 'I, I
OVER 2000 PSI ~'" ~ ;,\ ...... .,..,,
PRES TRESSED ' -. v·
CONCRETE .. .... 11:t-
POST TENSIONED --
CONCRETE ~ .
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISso,-.,s
-
.
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•· ,--'1-. 2~ ... 4-7~ I ' I -.,
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