HomeMy WebLinkAbout2614 EL CAMINO REAL; ; 86-517; Permit.,, z 0 ;:: <I(
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"ft< I hereby •lllrm th•t I am licensed under
~visions of Chapter 9 (commencing with
Section 7000) of Division 3 or the Business
•nd Professions Code, and my license Is In
full forc.tf.1.Cd elle~t,. C: _ 1 0 L,c No.S ~87~ Class
I hereby affirm that I am exempt from lhe Contrac·
1or·s license Law 10< the rouow,ng reason ~Sec 7031 5
Business aod ProfeSSJons Code Any city or county wh1cn re
quires a permit lo conslruct. alter improve. demo1 sh or repair any structure. prior to ,ts issuance aiso requires !heap· pllcant for such perm,t to hie a s1Qned slatement lhat l'!e 1s
11cen~d pursuant to lhe pro ... ,sions 01 lhe tontrac1or s license law iChapter 9 commenong with Section 7000 ol o,v1s1on 3 of the Business and Proless1ons Code) or 1na11s ex·
empt therefrom and the basis lor the allegeo e.c.empllon Ant v1ola1ton ot Section 7031 5 by an applicant !or a perm,t sub
1ects !he apo1,can1 10 a c,..,,1 penalty of not rnore than live hun· dred dollars 1$500)
I as owner ot the property or my employees wtth wages
as !heir sore compensation w.U do the work. and the struc-ture ,snot intended or altered !or sate (Sec 7044 Bus1rtess
and Profession!. Code The Contractor's Ucen'if! Law does not apply to an owner of pi:operty who bu1tds 0( improves
thereon and who does such work h1mse11 or through his own
employees. provided that such improvements are not intend· ed or offered for sale If, however the bu tiding or improve·
ment 1s SOid within one year ol completion lhe owner·butlder will have the burden ol proving thal he did not build or im pro_.e tor the purpose of sale)
as Ow':'ler ol the property. am exctus,vely contracling
with licensed contractors to construct the pro1ect (Sec 7044 Business and Proless1ons Code The Col"ltractOf·s License
Law does not apply to an owner of propeny who builds or 1m· proves thereon. and who contracts for each proiecls with a contractor(s) ltcense pursuant to the Contractor's License Law)
As a homeowner I am improving my home and the IOllow mg cond1llons exist
1 The work 1s bemg performed prior to saie
2 I have hved in my home fOf twelve months poor to completion of lh1s work 3 I have not claimed lhts exemphon during the las! three years
rJ I am exempt under Sec ------, 8 & PC for this reason -------------
D I hereby affirm that I have a certificate of consent to
se1f.rnsure. or a cerhl1cale of Workers Compensation In·
surance. or a certified copy thereof (Sec 3800. labor Code)
POLICY NO
COMPANY
Copy 1s filed wllh !he city
D Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This section need not be completed 1f the permit
1s for one hundred dollars (SH)O) or less)
, I certify that in the performance of ttie WOfk tor which
thr \J)erm111s issued. I shall not employ any person in any
manner so as to become subJect to the Workers Compen· sat n aws of California
1 hereby afftrm that there 1s a construction lending
agency for the performance of the work for wh,ch this per·
m,t ,s issued tSec 3097 C1v1I Code)
Lender's Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICAJION ,_.,,ERMIT Carlsbad, California 92008-1989 (619) 438-5525
,OB ADDRESS AV ST AO. NEAREST CROSS ST Io;;; ;;~·;;ON! ""~"". VALUATION ~PERMIT NUMBER ~(~ '" 'II a,,M,.v.:7 lci-.c.l . -
I 517 LOT I BLOCt< J Su60r V1SIQN I ASSESSOR PARCEL NO CONTRACTOR I CCJlll'«A. PH NE• ZONE
/)£ J 6c.:frt.. ; t: 4~B /o~z t1.·.f µ "A".H I OWNE A'S PHONE -:Dod S-~,~o CONT RA(.. ru n·!> ACJDRE ~>~ LICENSE NO PLAN 1.0. # BUILDING SO FOOTAGE
/1)236 CL.-.ll -__ _Dlt. ..Z .... .L. ., s191a7 e/ r1wr-..~ A·· ~ :">. -..;I'": AOORE<;S -
d/o I cf t:I o...,,~" /14~/ lES,GNER OESIG NE R'S Pt1 ON f
()['.( H1folT1 N H 'fl,,' ~~--~ dVBt6o1~ (>/,ec·u ::kv ----':Jf'~ OESIGNEA"S ADDRESS LICENSE NO , , d11rv~ j N F/P F LR ELEV NO OCC GP EDU STORIES
vO r-,Q ---B12 0186El209 7~( CENSUS TAACl I GP LANO USE I PARKING SPACE I RES UNI TS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPFI , I r:' J I 7~0 AREA CONST
r O N D ,o "'o vO "'D Not Valid Unll!fr M~chme CertJf1ed
Q TY. PLUMBIN G PERMIT -ISSUE -::Jt5D QTY. MEC HANICAL PERMIT -ISSUE ~-SUMMA RY/ACBOui!.rrafilMs~ /'r I
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TD 100.000 BTU BUILDING PERMIT 001-810-00·00·8220 ----------EACH BUILDING SEWER OVER 100 .000 BTU SIGN PERMIT 001-810-00·00-8221 I-----I----~ -.... ·---EACH WATER HEATER AND OR VENT BOILE R COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00-00-8806 -------EACH GAS SYSTE M I TO 4 OUTLETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222
f-7~/71)
~ ........ ------EACH GAS SYSTEM 5 OR MORE METAL Fl REPLACE ELECTRICAL 001-810-00-00-8223 ----EACHINSTAl ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 ,__ -------EACH VACUUM BREAKER ME CH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225
WATER SOF TNER RELOCATION OF EA FURNACE HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( NS1DE1 SOLAR 001-810-00-00-8226
TOTM MECHANICA L --
STRONG MOTION 880-519-92-33 I -f---TO I AL Pl UMBING FIRE SPRINKLERS 001-810-00-00-8227
ELECTRICAL PERMIT -ISSUE ~-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE -332-810-00-00-8930 t---QTY
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT -I PH 3 PH STORAGE TANKS Carlsbad /:j EXIST BLDG EA AMP SWT.Jl.!S.!i_ ::2.L)~ ROCK STORAGE Encinitas >--------1 PH 3 PH , PUMP San D1eJ1_u1to -REMODEL ALTtR PE R CIRCUI T Pl AN CHECK FEE San Marcos
TE MP POLE 200 AMPS
OVE R 200 AMPS LICENSE TAX 001-810-00-00-8162 -
MFF ~---8-80-519-92-57 TEMP OCCUPANCY 130 DA YSI -..... -~ CREDIT DEPOSIT I,
TO TAL ELECTRICAL I 7 ~ ·oTAl SOLAR TOTAL FEES PAYABLE :/ /, {Jc)
I HAVE (ARE:FULL Y EXAM NED •HE CUMPLE TE D APPLI ;. : ~ L MT AND 0 y l '"""'"" ''"" ~,~, '"""'""°'"'"'"'om,.,,""'"''",, •"=• '""" I * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS 01/ER Gtl1TIFY UNDER F ',AL TY OF PERJLHY THAT Al L 'i<ORMA HE N ... u .... HE Code shall eJtptre by hmttattor, and become nu I and vo,d • the build ng wor1i. !> o· DEEP ANO DEMOCITION OR CONSTRUCTION OF D' LAAAT ONSARE TH JE ANO RAE T AN FURTH[ .-1 G R A"J) A '1 FA MIT <; auth:or zed by such perm t 1s not co,,,.,-iencet1 ON 1th !'\ 180 days hom the date rs, ti STRUCTURES OVfR 3 STORIES IN HEIGHT permit or 1f the bL ld1ng or w ·~ R ,tto r zed by su . .. · · 'Cl suspe dod r 15SL.E'[; T') COM PL y ./'IT A ~ y N YAN) TATE A Vf: NIN au ::l'i .. ;rJ;rJ/i)J/d.-:;}' ' ~::,:::. )( ~ RUf, Qt, WHPHEf< 5 E >-t:O HE lEI"< Fl NOT A S A H· 0 <AVE fl,OEMN FY A-. APPROVED BY ~v {~-f~ KfH' HARMLESS THE CATY UF A·lL A At.,A .. T ALL L AB F > UDGM NT ' COST A"< EXF-ENSl WHI ·1 MAY N A"<Y WAY A AGAN T SA y ... ONSF.JL,· "<~f CF THE ','1A"<T NG OF Tl-1 :., Pf lM T .. '--'""'" -\ I
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SH:EAR
FRAME I
EXTERIOR LATH I
I
I INSULATION
INTERIOR LATH & DRYWALL I
I
I
I PLUMBING
,...... SEWER AND BUCO -PL/CO
UNDERGROUND D WASTE D ,WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN 1
GAS TEST 1
D WATER HEATER D SOLAR W~TER
ELECTRICAL
D ELECTRIC UNDERGROUND D'. UFFER
ROUGH ELECTRIC 1
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
-~---
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
·---
SOILS COMP ANC'E
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRE'TE
OVER 2000 PSI
PRESTRESSED
CONCRETf -.
POST TEl.:JS1~.Q
REO IF INSPECTORS
CHECKED APPROVAL DATE
>---CO_N_C_R_E_TE ____ --r---t--~ ----t-----;
FIELD WELDING
f--------,--~--1--HIGH STfl!f:NGTH
BOLTS , •
SPEC'IAL MASONRY
PILES CAISSON ----+----·-1--
1---------· _,__ ---+-------+------·-
/ 1-------
/\ -..
~+-------+---~
MECHANICAL I I --
0 DUCT & PLEM., D REF. PIPl~G ""'/ _______ -t-
!
_ _,__._
H EAT -AIR COND. SYSTEMS I II
VENTILATING SYSTEMS : /, ,.J.-.}.---------+---~t------t------1
I /'
CALL FOR FINAL INSPECT(ON WHEN ALL APPROPRIA:IE ~'-------+----;-------r----; ITEMS ABOVE HAVE BEEN APPROV ~-ff\ ]
FINAL I I -, II 1---------+----t-------;i-------;
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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INSPECTOR'S NOTES
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