HomeMy WebLinkAbout2585 PIO PICO DR; ; 86-850; Permit.. z 0 ~ a: ~ ~
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0 I hereby •fflrm that I am licensed under
prcwlatona of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Profnaiona Code, and my l!cense is in
full force and effect.
I hereby a!lirm tha1 I am exempl from the Conlrac
tor's License Law 1or the following reason (Sec. ?031 5
Business and Pro1ess,ons Code: Any c,ty or coun1y wt11d, re·
quires a permit to construct. alter, improve. demolish_ or
repair any s1ructure. p_rior to its issuance also requires the ap·
pl1cant for suet, permit to !lie a s1qned s!atement that he 1s
11censed pursuant 10 the provisions o1 the contractor s
License Law (Chapter 9 commencing with Section 7000 ol
D1v1s1on 3 of the Business and Prn!ess1ons Code) or that 1s ex-
empt therefrom and the basis for the alleged exemphon Any
v1olat1on of Section 7031.5 by an applicant tor a perm11 sub·
1ects the applicant lo a civ11 penally 01 not more lhan five hun-
dred dollars ($500)
I I. as owner 01 the properly. or my employees w1\h wages
as their sole compensatmn, will do !he work and the struc-
ture 1s not intended or offered !or sale !Sec 7044. Business
and Pro!essrons Code The Con\rac1or's License Law does
not apply to an owner 01 property wM builds or improves
thereon and who does such work h1msel1 or through his own employees, provided that such improvements are not mtend-
ed or ottered for sale If, however. 1he building or ,mp rove ment 1s sold wi1h1n one year o! complelmn. the owner-builder
will have the burden of proving that he did no1 build or im-
prove for 1he purpose of sale)
rJ 1,.as owner of the proper1y. am exclusively cont,actmg
w1lh licensed conlractors to conslruc\ the proJect (Sec 7044
Business and Professions Code The Contractor's License
Law does Mt apply to an owner of properly who builds or im-proves !hereon, and who con1racts Tor each prOjects with a
contractor(s) license pursuant to lhe Conlractor's L;cense
Law)
D As a homeowner I am 1mprovmg my home. and ttle follow
1ng cond1hons ex1ot 1 The work 1s being per1ormed prior to sale 2 I have lived ,n my home tor twelve months
prior to completion oT this work I have no1 claimed this exemphon during the
last three years
D I am exempt under Sec ------, B & P c
!or this reason-------------
D I hereby affirm that I have a certH,cate of consent to
self·1nsure. or a certificate of Workers· Compensatioo In·
surance. or a cer11fied copy thereot (Sec. 3800. Labor Code)
POLICY NO
COM PA.NY
C Copy 1s hied w,th the city
D Cert1f1ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the perm,1
is for one hundred dollars 1$100) or less)
D I cer1ily that in the performance of the work for which
this permit ,s issued. I shall not employ any person in any
manner so as to become subject to the Workers· Compen-
sat,on Laws of California.
NOTICE TO APPLICANT. II, after making this Certificate
of Exemption. you should become subject to the Workers·
Compensalion prov1s1ons ot the Labor Code. you must
for1hwith comply with such prosisions or this permit shall
be cleemed revoked
D I hereby alflfm that there is a construction lending
agency for the performance o! the work for which this per
mit 1s issued (Sec. 3097. Civil Code)
Lender·s Name _____ _
Lender's Address __ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
JOB ADDRESS • PIC/1
AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
LOT
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QTY.
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.
I I PARK ING SPACE
PLUMBING PERMIT -ISSUE
.-.;,._ --A t: ~" /,//11-V
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RES UNITS I GRACING PERMIT ISSUED
F.'P FLA ELEV
I
REDEVELOPMENT
AREA
,o ..... o
QTY MECHANICAL PERMIT -ISSUE
EACH F-IXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU
EACH BUI LUING SEWER OVER 100.000 BTU
EACH WATER HEATER ANO_O_R_V_E_NT----if-------+------B01LER,..-COM-PRESS6RU·P-T03-HP ____ --
1---+-'':_A_:C:_H_cG::_AccS:_S::_YccS:_T_:E_cMc_cl _ _c_T:_D_c<_cO:_U::_TccL:_EccT_:S_____ ___ L--------'------IL---f-8:_0:_l_:L_:E.::R:_iC:_D:_M:c_P_cRccESSO R 3 15 HP
EACH GAS SYSTEM'.> OR MORE I METAL FIREPLACE ------t-~----11----+---~------
1---+-'-·-cH __ INSTA~_-_AL_T_E~REPA~~WAT~~~~ --______ .JI___ VENT FAN ~~~G_L_E_o_u_c_T --
EACH VACUUM BREAKER MECH EXHAUST HOoo:ouCTS
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER
EACH ROOF DRAIN i1NS10E1 DRYER VENT
TOT.C.L MECHANICAL
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT -ISSUE I~-QTY. MOBILE HOME SETUP
NEW CONST EA AMP SWl BKR CAR PORT
I PH 3 PH AWNING
EXIST BLDG EAAMP,SWT·BKR GARAGE
I PH 3 PH
REMODEL 'ALTl:R PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSl
TOTAL ELECTRICAL I
II I
TOTAL
NO
STORIES
TYPE
CONST
'3'~ ..,
~---T-RA_G_T_ORS ___ ---,-1-Z-O_N_E-------~ 8 5 0
STATE LICENSE NO. BUILDING SQ. FOOTAGE
.
. -
OCC GP EDU U U 15 ii Ul iiili .iij/ i56t'tdil j_ ii •
OCC LOAD FIRE SPF!
Not Valid Un/est At.chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-00-00-8220 ,,..,-
SIGN PERMIT 001·B10-00-00-8221
PLAN CHECK 001-810-00-00·8806
TOTAL PLUMBING 001·810·00-00-8222 -----------
ELECTRICAL 001 ·810·00·00·8223 --
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810·00-00-8225
SOLAR 001-810·00-00-8226
STRONG MOTION 880·519-92-33
FIRE SPRINKLERS 001-810-00-00-8227 -
PUBLIC FACILITIES FEE 320-810-00-00-8740
BRIDGE FEE
PARK-IN-LIEU (AREA I
TIF 001-810-00-00-8835
LICENSE TAX 001-810-00-00-8162
MFF 880-519-92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE I
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TYPE I DATE INSPECTOR
BUILDING I
'
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEIi.iNG
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BUCO D PL/CO
UNDERGROUND D WASTE o:wATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
'
D WATER HEATER D SOLAR Wl'I.TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
'
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPEC1'/0N WHEN ALL APPROPRIATE
ITEMS ABOVE HA IIE BEEN APPROVED.
FINAL I
PLUMBING '
I
ELECTRICAL I
MECHANICAL I ,.,
GAS I .A J
BUILDING I ,.,lll"'" p
SPECIAL CONDITIONS
I
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPL_IANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE:
REO IF INSPECTORS
CHECKED APPROVAL DATE
I---O~VE~R~2~0~00~P~S~l----l----+------+---PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD W~LDING
'-----'--~------..--------+----------riiGH STRe'NGTH
BOLTS
S~EC1AL MASQNqy
INSPECTOR'S NOTES
'-------------1-------+--------l--~ 1---------------------------------1 Pl'. ES CA 1ssor-..;.:-
------., L___ -__ .L___ ____ -+----
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