HomeMy WebLinkAbout2622 EL AGUILA ST; ; 85-203; Permithereby affirm that I am licensed under
provisions of Chapter 9 (commencmg with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect v
Lie No >^y Class SC^l
I hereby aifirm that I am exempt from Ifie Contrac-tor's License Law for the lotlowmg reason (Sec 7031 5 Business and Protessions Code Any city or counly which re-quires a permit to conslruct alter improve demolish, or repair any structure prior to its issuance also requires 'he ap-plicant for such permit to file a siqned statement that he is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex-empt therefrom and the basis for the allegea exemption Any violation ol Section 7031 5 by an applicant for a permit sub-jects the applicant to a civi! penalty of not more than five hun-
dred dollars ($500)
n I, as owner of the property, or my employees with wages as their sole compensation will do the work and the stfuc-ture is not mtended or offered for sale (Sec 7044 Business and Professions Code The Contractor's License Law does not apply to an owner of properly who builds or improves Ihereon and who does such work himself or ihrough his own employees provided that such improvements are not intend-ed or offered for sale II, however, the buildmg or improve-ment IS sold within one year of completion the owner-builder will have the tjurden of proving that he did not build or im-prove lor lhe purpose of sale)
• I. as owner ol the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractor's License Law does not appiv to an owner of property who bwl6s oi jm proves Ihereon and who contracts lor each projects with a conlractor(s) license pursuant to the Conlraclor's License Law)
• As a homeowner I am improving my home and the lollow ing conditions exist 1 The work is being performed prior lo sale 2 i have lived in my home for twelve months prior to completion ol this work
3 I have not claimed this exemption dunng the last three years
• I am exempt under Sec for lhis reason , B& P C
Q I tiereby alfirm that I have a ceriiticate of consent to self insure or a certificate of Workers
Compensation Insurance or a certified copy thereof
(Sec 3800 Labor Code)
POLICY NO
COh^PANY
n Copy IS filed with the city
• Certified copy is hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need nol be completed il the permit
IS for one hundred dollars ($100) or less)
"certify that in the performance ot the work tor
hich this permit is issued I shall not employ any
person in any manner so as to become subiect to
the WorVers Compensation Laws of California
NOTICE TO APPLICANT If after making this Ceni
ficate of Exemption you should become subject to
the WorVers Compensation provisions ol the Labor
Code you must forthwith comply with such
provisions or Ihis permit shall be deemed revoked
Q I hereby affirm that there is a construction lending agency 'or the performance ol the wofV lor
which this permit is issued (Sec 3097 Civil Code)
Lender s Name^
Lender s Address ,
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADDRESS AV ST RD NEAREST CROSS ST DATE OE APPLICATION
"> I 7
<6> lfi-* ^' 'iCfl.-'l'-3 V ^ - dT
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
SUBDIVISION ASSESSOR PARCEL NO
OWNER'S NAME OWNER'S PHONE
OWNER'S MAILING ADDRESS
DESCRIPTION OF WORK
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
CONTRACTOR
he
CONTRACTOR'S ADDRESS
DESIGNER'S ADDRESS
F/P FLR ELEV
GRADING PERMIT ISSUED
Y • N •
REDEVE LOPMENT
AREA
• • ND
NO
STORIES
TYPE
CONST
LICENSE NO
LICENSE tr
DESIGNER'S PHONE
OCC LOAD
EOU
FIRE SPP
ZONE
VALUATION,*.^
PLAN I • #
STANDARD PLAN #
PERMIT NUMBER
^3
BLDG USE CODE
BUILOING SQ FOOTAGE
3/1 J/ijp/ui'-ib
Not Valid Unless Machine Certilied
QTY PLUMBING PERMIT - ISSUE QTY MECHANICAL PERMIT - ISSUE 3— SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP / INSTALL FURN DUCTS UP TO 100 000 BTU BUILDINGPERMIT 01-00-00-8220 '7 — EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 /
J ^ 1*^
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM S OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH INSTAI. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00 8224
EACH VACUUM BREAKER MECH EXHAUST - HOOD/OUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226
TOTAL MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
OTY QTY SOLAR - ISSUE PUBLIC FACILITIES FEE 32-00-00-8930 OTY bLbU 1 HIUAL KbHMI 1 -IbbUt QTY SOLAR - ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWTiBKR COLLECTORS SCHOOL FEE - DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21 -0519
EXIST BLDG EA AMP/SWT.'BKR ROCK STORAGE Encinitas 80-92-22-0519
IPH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMPPOLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELTRICAL j TOTAL SOLAR TOTAL FEES PAYABLE
1 HAVE CAREFULLY EXAMINED THE COMPLETED 'APPUCATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY-AND AGREE IF A PERMIT IS
ISSUED. TO COMPLY WITH ALt CITY COUNTY AND STATE LAWS CONCERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS TME CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration Every permit issued by the Building Official under the provisions of this Code shall exptre by Nmitation and become null and void If the buildtng or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time aftei>th6 worj< is commenced for a period ol 180 days
APPLIpfCNT'S Sf%ATURB^* OWNER • CONTRACTORS^
BY PHONE D
•* AN OSHA PERMiT IS REQUIRED FOR EXCAVATIONS OVEB
5 0" DteP ANO OEMOCITION OB CONSTRUCTION OF
STRUCTURES OVER'3 STORIESiN HEIGHT
TYPE [ DATE INSPECTOR
BUILDING 1
FOUNDATION \
REINFORCED STEEL 1
MASONRY 1
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME
SHEATHING • ROOF • SHEAR
FRAME ;
EXTERIOR LATH i
INSULATION 1
INTERIOR LATH & DRYWALL '
1
1
PLUMBING I
SEWER AND BL/CO DIPL/CO \
UNDERGROUND • WASTE • WATER
TOP OUT • WASTE • W^TER
TUB AND SHOWER PAN >
GAS TEST ',
• WATER HEATER • SOLAR WATER
1
ELECTRICAL i
• ELECTRIC UNDERGROUND • 1)FFER
ROUGH ELECTRIC i
• ELECTRIC SERVICE • TEMPOf^ARY
• BONDING • POOL '
1
i
MECHANICAL '
• DUCT & PLEM., • REF. PIPIN|G
HEAT — AIR COND. SYSTEMS i
VENTILATING SYSTEMS ', ~
1
CALL FOfl FINAL INSPECT!
ITEMS ABOVE HA VE^B
WHEN ALL APPROPRIATE BEEN APPROVED.
FINAL 1
PLUMBING [
ELECTRICAL i
MECHANICAL [
GAS 1
BUILDING I
SPECIALCONDITIONS i
[
\
" • '-FIELD INSPECTION RECORD ^^^^ O
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF
CHECKED
INSPECTOR'S
APPROVAL DATE
1 • - ' •'- ^^^CTM , • — • l.l 1
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL TS
SPECIAL MASONRY
PILES CAISSONS
t