HomeMy WebLinkAbout254 JUNIPER AVE; B4; 83-268; Permit., z 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect.
Lie No _________ Class
I hereby affirm that I am e~empt from the Contrac-
tor's License Law !or the following reason (Sec 7031.5
Business and Pro1ess1ons Code: Any city or county which re-
quires a permit to construct, alter, improve. demolish, or
repair any structure, prior to its issuance also requires 1he ap-
plicant for such permit to llle a signed statement that he is
licensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commencing w1!h Section 7000 of Division 3 ol the Business and Professions Code) or that is ex-
empt therefrom aM the basis for the alleg!Kl exemption. Any
violation of Section 7031.5 by an applicant for a permit sub-
Iects the applicant to a civil penalty of not more than five hun-
dred dollars ($500)
C I. as owner of the property, or my 111TTployees with wages
as their sole compensation, will do the work, and the struc-
ture Is not intended or ottered for sale {Sec. 7044, Business
and Professions Code: The Contractor's License Law does
not apply to an owner ol property who builds or imprll'les
thereon and who_ does such work himself or through his own
employees, provided that such improvements are not intend·
ed or olfered for sale. If, however, the building or Improve-
men1 is sold within one year of completion, the owner-builder
will have the burden ol proving that he did not build or im·
prove for the purpose of sale)
□ l,_as owner of tM property. am exclusively contracting
;~:i~1;;;~d ci~~;:~~~~~:o ~::trur~~hcg~f/!~Jr~:\i~~:e
Law does not apply to an owner ol property who builds or im-proves thereon, and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law).
□ As a homeowner I am improving my home. and the !ollow-
ing conditions exist· 1. The work_ is being perlormed prior to sale .
2 I have hved in my home !or twelve months
prior to comp~t1on of this work. 3. 1 have not cla1meo this exemption during ttle
~st three years
□ lamexemptunderSec. ______ , B& P.C
!or this reason, ____________ _
1 consent
Workers
copy thereof
O ! hereby afl1rm that I ha-,re a cer11t1cat,
to sell-insure, or a cen,!,cate
Compensation lnsuraRce. or ii cer1,1
(Sec 3800, Labof iOflt)
POUCYNO
COMPANY
O Copy Is filed w11h the c,,y
0 Cert11!ed copy I hereby furn,shed
CERTIFICATE:. OF EXEMPTION FROM
WOAl(ERS' COMPENSATION INSURANCE
(Th,s section need not be completed 1! the perm,i
,s !or one hundred dollars 1$100) o, less)
D I cert,ty thal in the per1ormance of trie work !or
which this perm,! ,s ,ssued, I shall not employ any
person m any manner so as to become subIect to
the Workers· Compensation Laws o! Cal,torn,a
NOTICE TO APPLICANT I!. after mak,n"J th,s Cer1,
f>cate ot E~emphon. you should become sub1ect t0
the Workers· Compensation prov,s,ons ol !he Lalxlr
Code. you must lorthw,th compl:, w,th such
prov,s,ons or th,s permit shall be deemed revoked
0 I hereby athrm 1ha1 !here ,s a construction
Iend,ng agency Tor the per1ormance of lhe work for
wh<eh !h•s perm,! ,s ,ssued ISec 3097. C,v,1 Code)
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN 1.JORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APP~ION & PERMIT
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VALUATION I~ ....,PE,AMlT NUMBER g~
I ,;i.roP ZONE b \·,n, r/ee.ce. ~~ .· ,,;.iz.3'1 :-r-!f=,;:;....,..,..==--,t..,,_-, .-.. -, _-,--,---+-------l I I BLDG USE CODE
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~~~-~~~~~~~~~·~-.!!!-~·~· •..::r 3 2c~~ eu;>c~. sUeo1 v1s·16N 'o6StGNEfl *· . ( """ " ' ' ' I BUILDING SQ. FOOTAGE STAN DA AO PLAN#
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CENSUS TRACT Ge CANO use I SARK>NG se.ce
QTY. PLUMBING PERMIT· ISSUE
RES UNITS
-?.Jo
~~),:¥1>11•
::'.·=ru_:, >~t~•:':~>
'" vD NO I l STORIES
GRADING f'.EAMIT ISSUED
YO N □ I
REDEVELOPMENT
AREA
vO NO
QTY. MECHANICAL PERMIT· ISSUE
TYPE
CONST
J':llt1
.e 'EC '83di2li
tJ:JCtf:!2il . """ ;~/~=
OCC LOAD FIRE SPA
v □ N □ I Not V;,/id Unless M.chine Certified
SUMMARY/AC~T NUMBER
EACH FIXTURE TRAP I . INSTALL FURN. DUCTS i.JP TO 100,000 BTU . BUILDING PERMIT / 01jl0·00·8220
l {:l ,--: -~ .
~lJ,CI""'
EACH BUILDING SEWER I . OVER 100.000 BTU . SIGN PERMIT / _/ 01-00·00·8221 1 I / EACH WATER HEATER AND/OR VENT --=-t~~-~5, BOILER/COMPRESSOR UP TO 3 HP -• \ PLAN CHECK / / 01·00·00-8806 I
EACHGASSYSTEM1T040UTLETS 1 801LER/COMPRESSOR3-15HP . TOTALPLUM.0ffiG./ 01·00·00·8222 /0--1
EACH GAS SYSTEM~ OR MORE . METAL FIREPLACE jj V ELEi,l'RJC~ 01·00·00-8223 1
----______ ._,____ ------------~----------
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ]:' .,....-""MEC~ICAL 01-00-00-8224
EACH VACUUM BREAKER . MECH EXHAUST -HOOOIOUCTS )f. M'fi'BILEHOME 01-00-00·8225
WATER SOFTNER ----RELOCATlON Of EA FURNACE/HEATER __Ll _A floBILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE) SOLAR 01·00-00· 226_+------------!
TOHi.l MECHANICAL STRONG MOTION 80·92·33-0519
_ TOTAL PLUMBING _ FIRE SPRINKLERS __ _.0,,1-.,0.,_0·._00.,_·.,,82 .. 2.._7_,_ _________ 4
PUBLIC FACILITIES FEE 32·00-00-8923 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR· ISSUE BRIOGE FEE -
--_____ ,, __
COLLECTORS SCHOOL FEE -DISTRICT NEW CONST EA AMPiSWT:BKR ------t-·-----
I PH J PH STORAGE TANKS / Carlsbad 80·92·21·0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE <-· Encinitas 80-92·22·0519
I PH J PH
REMOOEL.'ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
1. PUMP --, ---San Oi~guito -.-ao-.--92---23---05_1_9-t---------·t-! ---+AN CHECK r'EE San Marcos --80·92-24-0519 --
TEMP OCCUPANCY !30 DAYS)
----+-·-+---
-----+---+--------t------tf---
·-
--·-----11----------t---------
TOTAL ELECTRICAL -T I L TOTAL SOLAR 1 11 TOTAL FEES PAYABLE r /0 -
r I¼'... CM!E1'ULLY:.exAMINEP Tt<E ~PL. ET.EP "Aee<,JC'f'flol'i. AN,;>~1"·-ANo'.oi>~E!l~Y "j,icl,I,.;.;.;.. £,e~--· ....,_. 1,yt'1'B"""'ng~ uhde,.,; ,;.;..;..,;.,h... . * 4,{<llil.<!li' . 1 ~~~l!IED FOR EXCAVI\~ 9\18" OEBTIFY :uNdEA PSNAl tv OF PERJORY 0TH~'T ALL fNF,OAMATION, tfEfteON INCLUDING THE ~~ ~ bV1itn.~k)h' ri~ fl~ ~hcf'IIOkl.'1f lh& buir(f'f~ ot.W,Gt'Jt "' < :: ~'$"1>" ----. mo,i Off CON$1RUCTION Of ' ' . ' t)EGLA8ATIONS AftETRUE,AND CGRRECl'. ANO f FURTHER efRTJFY ANEtAG.R£E 1F A PERMIT IS aulh(!faed ty SUCb ~it 15-not commeneect withi(I t80 d,:ys f'?"'J fh(i, dafe of.SY<::h ~ OYER 3 STORIES IN HEfGMT
.ur-;ueo: TO COMP\.;f'WITH A)..L ClTY, .couNTY,ANO S:TA~ LAWS GOVERNiNG ~UtlDlNG CON,• ~ at 1:9 ~~ ~~~aucn r''::'t IS tsus~ or
.Stm,cTION, WHETQR,m_CIFJEO,Hl;Rf;IN OR NOT, 1 ALSO AGREE TO SAVE INOEMNIFYANO • , ,
KEEP"HA°'AMl~S THE,CJ'fY (JF CARLSBAD AGAINST _ALl'LIABIUTfES, JtJQGMENTS, COSTS AND APPt.tCANT'S StGNAT OWN~R□ CONtRACTO
EXPENSES WHICH tAAY,.lt4 li,NY WAY ACCftlil:: AGA'IN$T,SA.ID CITY fN CONSEQUENCE OF THE
SRANTING()FTHl'S PEA~T. ' '
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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 BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER 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 HA VE BEEN APPROVED.
JOB SITE FINAL , /
PLUMBING ">/. f}(,,-~
ELECTRICAL / I
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR ro
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PAESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH .
BOLTS ✓
SPECIAL MASONRY
PILES-CAISSONS
13·-;x/l,
INSPECTOR'S NOTES
DATE
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