HomeMy WebLinkAbout2615 JACARANDA AVE; ; 82-426; Permit"' z 0 .:: .. 0: :3 lrl 0
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D I hereby affirm that I am Ucens&c:I under
l)f'Ovlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license if/is in
foll to,<;1,<ndJtf..,,._....-A,,, r,r,/.
l,c N&---V_c~ ~I,) Class~l,L~ ~
I hereby i1fl1rm lhil! I am exempt from the Con
jro~t~~;~i~s: ~: ~1~~1:~1tc~re:~~~.',~r
county which requires a permit to construct
aller. 1mp,ove, demolish, or repair any structure, pnor to its issuance also requires the applicant !or
such permrt to hie ,1. signed statement that he ,s
licensed pursuant to the prov1s,ons of the Con tractor's License Law (Ch.pier 9 commencmg with
Section 700CI of D•vrs,on Jo! the Busmess and Pro
ltl!'lstons Code) or that ,s exempt therefrom and the bils•~ for the alleged exemption Any v101a1,on of
Section 7031 5 by an applicant !or a perm,t subiects
tne apphco1nt to a. c1v11 pena.lty ol not more than five hundred dolla.rs (S5(IO)
D I, as owner of the p,operty, or my employees
..,,th wages a.s the" sole compensat,on, will do the
work, c1nd the structure 1s not intended or otfered tor
sale {Sec 704-4, Business and Professions Code
The Contractor's License Law does not a.pply to a.n
owner of property who buolds 01 ,mproves thereon ilnd who does such won,; h1mseltor throug~ his own
employees, provided Iha.I such 1mproveme.11s c1re not intende1 or ollered lor sale 11, however. the
building or improvement 1s sold w1th1n one yec11 of
complel1on. the owner-builder wail have the burden
ol proving tho1t he did not build or ,mprove tor the
purpose of sale)
D I, as owner at the property, am eiclus1vely contracting with hcensed contractors to construct
the pro,ect (Sec 7044, Busmess and Pro!ess,ons
Code The Contractor's License Law does no1 apply
to an owner a! property who builds or improves
thereon. and who comracts for each proJects w1th a
contractor(sl license pursuant to the Contractor's
License Law)
D I c1m e•empt under sec
tor this reason
. B & PC
D I hereby all,rm that I ha-.,,e a cert,hcate of consent
to sell-insure, or a cenil1cate ol Workers·
Compensation Insurance. or a cenit,ed copy thereof
(Sec 3800. Labor Code)
>'OUCYNO "'1:J.Fdl -/t>S!,2.{.v
co•e•NY /Jme,t_. _WPl .
□ Copy IS hied with the c,ty
D Cer1,t1ed copy ,s hereby furnished
CERTIFICAH. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed il the permit
,s !or one hundred dollars ($100) or less)
0 I cer11ty tha1 in the penormance ot the won< for
wh,cn this permit 1s issued. I shall not employ any
person ,n any manner so as to become sub1ect 10
the Wo111e,s· Gompensat1on Laws of Calilorn1a
NOTICE TO APPLICANT II. atler mak1n;,i this Cert•
f,cate of Exemption. you should become sut.>1ec1 !'J
the Wor1<.ers· Compensation provisions o1 the Labor
Code. you must forlhw1th comply w,th such
prov,s,ons or th,s perm,1 shall be deemed re•okeO
D I hereby affirm tha1 there 1s a conslruct,on
1end,ng agency for the per101mance of the won< for
wh,ch this perm,1 ,s V_,=/j_ 3097 c,.,1 Code,
Lenders Name :e .·, h b
Lender s A.Odress
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB-ADOflESS VALUATION
""'<l_'i' -::r;;;.,,_MIJ,iJ~,#. ~~--c<., no -:r--~ 19~0
:~;:;·
OWNE..Ji,'S -NAME
'"~'-' OWNER'S MAILlN~Rxe.§S v ~' ;,. /')_ -
.;')~/u'-::/1i -~~-.
LOT f BLOCK ~l\rlSl()N f A?~"utt:-IJ.5' -00
DESCRIPTION OF WORK a/,.,,.__., J...l.h ~ J
CONTRACTOR'S ADDRESS
~ #k11r-1~~
DESfGNER
oes1'fNER'S ADD,RESS
F/P FLA ELEV.
vO NO
PARKING SPACE GRADING ~ERMIT ISSUED REDEVELOPMENT
AREA
ZONE
s;_--y;-l;8. ENO.. .--: I PLANJ.O.#
~~3L_ r,,6~
NO
STORIES
TYPE
CONST
STATE l..lCENS1: #
DEStGNER'f:J>HONE
ace GP EDU
ace LOAD FIRE SPA
STANDARD PLAN#
! I :v'; •
lo PERMIT 'O,_,., NUMBER
if~'
BLDG USE CODE
BUILDING SO. FOOTAGE
,·. -
ems us TRAC' l G' cANO USE l RES UN'TS l
YO N □ vO NO vD ND Not Valid Un#!$$ Machine Certified
QTY. PLUMBING PERMIT· ISSUE '?,~II QTY MECHANICAL PERMIT· ISSUE :/#(I SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100,000 BTU ------~---.--BUILQING_PERMIT. ----· 01-000--422_0 _ --·--
EACH BUILDING SEWER
L ~~CH WATER HEATER AN~iO_R VENT __ . -1
EACH GAS SYSTEM 1 TD 4 OUTLETS ' ----------
OVER 100.000 BTU t== I SIGN PERMIT OJ.000·4221 t-~OILER/COMPRE.SS□R.u_PT03HP______ PLAN CHECK-=-------. 01~000-4806 r_-=
-·--i-----+-~OILER~ESSOR 3.15. HP -----+-----+TOTAL PLUMBING
.. __._ ...
'-
j__ __ _
01-000-4222 ---·----
--
-----
·---------
EACH GAS SYSTEM 5 OR MORE 1--+--METAL FIREPLACE ELECTRICAL 01-000-4223
-t-~ACH VAC~y~RE.AKER
l-~ATERSOFTNER -----·
H
EACH INSTAI,,.. ALTER, REPAIR WAT~R PIPE __j_. _____ · _
EACH ROOF DRAIN (INSIDE')
·-----
·------>-----+
·-.I)_
--·~-
VEN~_51N_GL_E_DLJC_T_.. . MECHANICA_L _ _1)1:_000 4224i=~ __
~E_CH EXHAUST -HODO/DUCTS . MOBILEHOME __ 0_1 000-4225
RELOCATION _OF EA FURNACE/HEATER . MOBILEHDME PARK INSP -----=-75#.1.--
1 • SOLAR 01-000-4226
TDT.l.L MECHANICAL I STR□N·G MOTl□N-----65-640-0519 -
-------------~~[::;~~~~:~----1~~~ v====JJF~IR:E~SPR_INKLERS .
TOI AL PLUMBING --. -~
!QTY. I ELECTRICAL PERMIT. ISSUE _J_ -,;:,(,t/(/ QTY. SOLAR -ISSUE
COLLECT□.as ,',JI 7 """' ITT ss,aITT
PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP/SWT'BKR ------·
1 PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
lPH 3 PH !--+--------
REMOOEL.'AL TEA PER CIRCUIT
TEMP POLE 200 AMPS ------· e--OVER 200 AMPS >----+-
L__ "--
-----
~ORA~ TANKS ~ bir l~arls~
ROCK STORAGE I
PUMP --i .
Encinitas
San Dieguito
,. ----i--
--1----_J__
.CA~~~~!~ (;;!WP ! ~~arcoS __ _
-·---.--·-------41----~---tfl--H-/ ----+-__.:_-dl-
------11---------
01-000:4227 ·+----
25-000 4933 -----1----------,
----
65·623-0519
·s~-624-0S19r ------
65-625-0519
65-626-0519 ----___ _,_ ----
-· -_, ---------
-+-! E M~□-~c u~~ N_ CY_~.~ A_YSJ
L_
TOTAL E LELTRICAL l -------4·---+--_._10-TAi_s_O_LA_R_ ------+ -,.,,,.~~7-1r--------------r-..l--r:;;::::,.,.,J,.,6,L-1
I HAVE CAREFULLY EXAMINEd-Tt:tEGOMPLETE,6.:•APPUCATJON ANri p'ERMIT" AND DO HERE8Y
CERTIFY UNDER PENALTY_ d'F ?t;RJURY THAT ALL tNFbffl.iATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CEfJTfFY ANO AG.REE IF A PERMIT IS
ISSUED: TO COMPLY WffH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECJFIEQ HEREIN OR NOT. I ALSO AQAEE TO SAVE INDEMNIFY ANO '-;;;:;7.':;;;:';;":;'::;''='2:-0:!".1:~'-"-"'°""'""'""-'"'-~~!S..!!W!!!l.!,.,L--:;;::;l~~~~~---~r-_:'1""----".""-~.,..._~-
KEEP HARMLESS THE CITY Or CARLSBAD AGAtNSi ALL UAB~'ITJES, JUDGMENTS, COSTS AND
EXPENSES Wt-l!CH MAY tN ANY, WAY ACCRUE AGAINST SAID _qTY IN CONSEQUENCE OF THE
GRANTING OF T~ E'E.RMI\. . ~ ,
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INSPECTION TYPE DATE INSPECTOR g;;i..-'-f~
BUILDING FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL ----------
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI --PRESTRESSED l EXTERIOR LATH lNSULATION CONCRETE ------1 ----·
INTERIOR LATH & DRYWALL POST TENSIONED I
CONCRETE ___ J
PLUMBING FIELD WELDING I --
SEWER AND BL/CO --.. ----------·-----·----------1 HIGH STRENGTH I
PLUMBING UNDERGROUND I BOl TS I
! --·------· --------·· . -·--1
PLUMBING TOP OUT I SPECIAL MASONRY ~ ---· ' TUB AND SHOWER PAN J L.,_ __ -----------~--
GAS TEST PILES CAISSON:". I
ELECTRICAL ---j
I TEMPORARY POWER I --. ------------------
ELECTRIC UNDERGROUND I ----·--·-------·-·· -
ROUGH ELECTRIC I
I --·--------
ELECTRIC SERVICE ' ' I ---·· --------·------· BONDING
G. F. I. -SMOKE DETECTOR I
MECHANICAL -----~-------------------------,----
i DUCT & PLEM., REF. PIPING ---------· ----
HEAT -AIR COND. -SOLAR SYSTEMS ----------r-------·
VENTILATING SYSTEMS
-·
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ' ITEMS ABOVE HA VE BEEN APPROVED. / -· -----____ -1
~ JOB SITE FINAL -/
PLUMBING _,\.,-A --------1 ELECTRICAL (;,,.,,,,,___,,}
MECHANICAL /11. ,/_ P<" -----------------
GAS All.//. '1'7• .,__ ·--------BUILDING t// "I/
SPECIAL CONDITIONS ,/1; ---------------·---
I -r OF OCCUPANCY ISSUED '