HomeMy WebLinkAbout2515 Pio Pico Dr; ; 81-311; Permit., z 0 ~ .. .. ~ [rl
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D I ,,.,reby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.CUon 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect
L,c No _____ _ C1ass
I hereby aflmn that I a.m exempt from the Con
~~0l~~~~i;:: ~; J~~f~:1~~~~/~~f:ir
county which reqwres a permit to construc1 aner, improve. demolish, or repair any structure,
prior to ,ts issuance also requires the applicant tor
such permit to Ille a signed statement that he ,s
licensed pursuant to the prov1s1ons of the Con-
tracto1·s License Law (Chapter 9 commencmg with Sec!mn 7tXXJ of 01v1s1on 3 of the Business and Pro
tess,ons Code) or that 1s exempt therelrom and the basis for the alleged exemption Any v1olat1on of
Sechon 7031.5 by an applicant for a permit subJects
ine apphcanl to a civil penally of not more than five
hundred dollars ($50())
D I, as owner ol the property, or my employees ,,,nth wages as their sole compensat•on, will do the
won<. and the slruc!ure 1s not intended or offered for sale (Sec 7().4A, Business and Profess101'1s Code
The Contractor's License Law does not apply to an
owner of property who builds or improves thereon and wl'lo does such work; himself or through his own
employees. provided that such ,mproveme:ils are
not mtende-:l or altered for sale !T, however, the
building or improvement 1s sold within one year of
completion. the owner-builder will have the burden
of proving that he did no1 build or improve for the
purpose of sale)
0 I. as owner of the property. am exclusively
conlract1nQ with i.censed contractors to construct the pro1ec1 (Sec. 7~. Business and P,otess,ons
Code The Contrac1or's License Law does not apply to an owner of property who budds or improves
thereon. and who contracts !or each proiects w,th a
contraclor(s) hcense pursuant to the Contr..ctor's
License Law)
D I am exempt under Sec
tor this reason
, B & PC
D I he,eby alhrm that I ha.-e a cert,t,cate of consent
to self-insure, or a cer11f1cate ot Worl<ers
Compensat,on Insurance. or a certr1,ed copy thereof
(Sec 3800. Labor Gode)
~ POLICY NO ~ i ~:vN,: filed w,th the city ~ ~~fled copy ,s hereby furnished ,.
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CERTIFICATE. OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(Th,s section need not be completed i1 !he perm,!
,s for one hundred dollars 1$100) or less)
D I certify that ,n the per1ormance o! the worl< for which this permit ,s issued. I shall no1 employ any
person ,n any manner so as to become sub1ect 10
the Wort,;ers· Compens.l11on Laws of Cal1forn1a
NOTICE TO APPLICANT 11. alter makm-;J this Cert,
licate o! Exemp1,on. you should become sub1ect 1,:i \he Workers· Compensaloon p,o.is1ons ot !he Labor
Code. you must torthw1!h comply w,th such p,ov1s,ons or 1h,s perm,\ shall be deemed revoked
0 I hereby atfirm that there ,s a cons!fuct,on
lendin,;i agency tor the performance ot the worl<; lo, which this permit ,s ,ssued 1Sec 3097. Ci,,I Code1
Lende,sName ___________ _
Lenders Address -----------
USE BALL POINT PEN ONLY & PRESS HARO LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSB, . .J BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 ~~TION & PERMIT
~TION
,: 00
AV.-ST., DATE Of APPLICATION
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· 11-to-8 r
PERMIT NUMBER BUSINESS LICENSE#
)'2_01(1 2 ? II ZONE
~NER'S MAILING ADDRESS
~:SIS" V(O l?lCD
~NTRACTOA"S A@RESS. ") '3 (, o Mo iV JZ.d F
PLAN 1.0. # BLDG USE CODE LICENSE NO.
2:>co J '?
..,L,O"T""""B=LcO=CcK="'""~'·cu_•_o_,_v_,._,DN ____ _,_I_ASS __ ESSOfl ___ P_ARGE __ L_NO._.,.. _______ -___ ~,,~:-,Q.~tG~Nei·~ijB~-~~J~'-·~;~«;·~~K~Ff~6;-~1~'i£~~))7~~--40S•T•AiiTOEN1La•C,..E:;N;;S-;E.,.#;.-~-S_T_A_N_D_A=R--D~P~L~A---N __ • ____ J_BU_•_L_D_'"_"_S0_._'_oo __ T·_"_·_~
0'£SCE1tPT10N Of WOA« -'. , --, _ :!: -
__ _ ~ . 1 ' ; ~°":_"_ \' -:-T7 A -' :-:--:, DESIGNER'S PHONE <:::I .A l D -L -.+-,, Jc< . ; ~; l " .'. '· :!"!" ><;; .. l l"-"iv. I 15 7 /I:;,-.. -. :-> &.vv r:E12f\lH l""'F"· ·4--:N~Tl\{;:LA-: -~·1-··..;,--·-... ·~·· -~-~~-.;..,---+~~--,-~---i -i ' -. '""T' ' :-:-;:c:T F/P FLA ELEV. NO occ GP EDU :J \i.i S:.? 1 Ii C/ -..
..,, • , __ ,~, ? __ .L -c;.:, -STORIES
,. ; , ---~,~if . , ·,-,_ -"--:--i"' 1
----;,1::,> S:T<i vO NO
RES UNITS GRADING ~ERMIT ISSUED TYPE
CONST
ace LOAD FIRE SPA CENSUS TRACT I GP LAND USE I PARKING SPACE
YO ND I
REDEVELOPMENT
AREA
vO NO Nor Valid Unless ~chine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
l--+=-EA=C .. H_cf_:_IX .. Tc_U.._R .. E:.:.T.::R.::A:.P __________ -+----'--11---+-'IN .. S=-T .. A.cl=-l:..:.FU=RN=. o=-u=-c=-T .. S=-"=-':.c.T.c.0.::1=-00:.·c."':.':."=-T.::U=---J----~--'-'B"--UILDING PERMIT --------
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT ..
EACH WAT~_R HEATER ANO/OR VENT ----1 ___ 1 BOl_~ER/COMPRESSOR UP TO 3~ 1't~---======-=--=--------__ _
!_~CH GAS svsrEM ~ TD 4 ourl.-ETS ----_-_l+--------_--so1LER/COMPRESSOR J-15 HP -----+----'--I-TOTAL PLUMBING ' EACH GAS SYSTEM 5 OR MORE 1---+---·------
EACH INSTAl .. ALTER. REPAIR WATER PIPE __
EACH VACUUM BREAKER
METAL FIREPLACF ELECTRICAL
--~
VENT FAN SINGLE DUCT MECHANICAL
_ _c__ -l----f--"M .. E0C0H_~XHAUST -HOOD/DUCTS MOBILEHOME ______ _
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
/Tl -
-T
----
l--+-=EA~C'-'HROOFORAl·N--l·I-NS_I_DE~)=-==------=----~----'---l---1--~~~~~~~~---~~"""'~i---=----'-~-~----~~-=-s:;o.:L-A;;R;--____ _ ----------+------------l
TOTI.L MECHANICAL ~ STRONG MOTIO~
~ I FIRE SPRINKLERS
__ L___
TOTAL PLUMBING ------
......... ~ PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE QTY. ~ · ISSUE BRIDGE FEE -----
f--+-N_E_W_C_O_N_S_T_EA_A_M_P--IS_W_T_;_B_K_R ___ ---------:1------.L.--+r-.llt1'!"-,,IC~T~D-::RS _____________ ----+-------11-'S-C.:H.:00.cl_c_FECE --OI-ST_R_IC-T -
1--+--------·--------JI-+-------
,___J_I PH 3 PH f, -'--=,i°'.· _/:__-!"STORAGE TANKS~ Carlsbad
EXIST BLDG EA AMP/SWT/BKR V RD~K STOA~ Enc1n1tas
-=f----1 PH Y _,,,,...... PIMIP./
--------~+------~IC---
REMO OE L ,'ALTER P~ul-1 t--c,._--,., •""' _...4.V --''---1~-..+_.:u; _"i~o-,H_E_C_K_F_EE ___ _
~-TEMP POLE _ _20_0 AMPS .. /-/;;.?', ---.. --/ 1/ V -------
OVER 200 AMPS ~ f6 vi-_ _:,i,;7,_-1-J_
San Diegu1to
San Marcos --J-------11--
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~ ~ HMPO~P~YSf'-' _(/, -~ T='--~ ~ -------------------+------ll-------------+------
-------------------------
-~TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND B LICO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
----
TUB AND SHOWER PAN
GAS TEST
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
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
. CE"1'0£.._0~-uPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTORS INSPECTION REO IF
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
-STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE ------POST TENSIONED
CONCRETE
FIELD WELDING
--HIGH STRENGTH
BOLTS
SPECIAL MASONRY
k--
I PILES CAISSONS
I
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-
L--=
-
INSPECTOR'S NOTES --
DATE
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