HomeMy WebLinkAbout2624 Obelisco Pl; ; 83-517; Permit■Htrm th«t I am llcenaad under
provlslona of Chapter 9 (commencing withSection 7000) of Division 3 of tfte Businessand Professions Code, and my license Is Infull force and sff^. XI tLie MniJl/r>7 / ciiss al/C._
I tiereby altirm thai I am enempi Irom the Contraclor's Licanse Law ter ihe tPllowing reason (Sec. 7031 SBusiness and Professions Code Any ciiy or county which requires a permit to construct, alter, improve, demotish. oirepair any structure, prior lo rtsissuance also requires the applicant tpr suctt permit ip tile a siqtiied statement tliat tie islicensed pursuant to itie prsvisions ol Itie Contractor sLicetise Law (Chapiet 9 commencing wrtti Section 7(no olDivision 3 ot the Business and Professions Code) or that is e>-empt ttierelrom and the patas lor Itie allegea exemption Anyviolation ot Section 7031.S liy an a^lcanl tor a permil sub-lecls the applicant loa civil penalty ol not more than five tiun-dred dollars ($500).
n I. as owner ot the prop«Ty. or my employees with wages
as tnelr sc^e corrqrensatron. will do the work, and Ihe structure Is not intemtM or ottered tor sate (Sec 7044. Businessand Professions Code. The Coniraciot's License Law doesnot apply lo an owner ot properly who builds or improvesthereon and who does sucn work hlmsell or through his own
employees, provided that such improvemenis are not intended or ottered lor sale II. however. Ihe building or improvement Is sold within one year ot cDmpleiWn. the owner-euiuterwill have the burr^ ot pcoving that ha did not build or im
prove lor the purpose ot sale)
□ I, as owner at the property, am exclusively contractingwith licensed coniraclors to construct the project (Sec. 7044.Business and Professions Code The Contractor's LicenseLaw does not apply lo an owner ot property who bulWs or improves thereon, and who contracts for each projects with acontractar(s) license pursuant to Ihe Conicacior's LicenseLaw).
□ As a homeowner I am improving my home, and the toUowlog conditions exist:1. Tlie work is being pertormed pnw to sale2. I have lived in my home lor twelve monthsprior to completion ot this vnrk3. I have not claimed this exempiton during thelast three years
□ lamexeiTipiunderSec.for this reason ..BSPC.
O ' fiereby attirm thai I Isave a cerliticale ot c<lo sell insure, or a certificate ot WiCompensation Insurance, or a cerlitied copy(Sm 3800. Labor Codel .POLICY NO 3^ ' ^
opy IS tiled with the city
eriitied copy is hereby turmsriea
CEflTIFtCATt OF EXfcMPTlON FROM
WORKERS" COMPENSATION INSURANCE(This section need not be completed it the permii
IS tor one hundred dollars |$10O) or lessi
□ 1 cedity that in Ihe performance Ot the work torwhich this permil is issued, i stiaii riot employ anyperson in any manner so as lo become subgecl tottie Workers Compensation Laws ot California
NOTICE TO APPLICANT It. after making this Cedi
ticaie ot Exemption, you should become subject tothe Workers Compensation provisions ol the l-aborCode, you must torihwitn comply with suchprovisions or this permit shall be deemed revoked
Q I hereby altirm that there is a consiiuciiontending agency tpr the perlotmance ot Ihe work toiwhich this permit is issued iSec 3097. Cwii Code)
Lersder s Name.
Lender's Address .
USE BALL POINT PEN ONLY & PRESS HARD APPUCAPfT TO PILL tN IN FORMATIOW WTTHIIfSHADED AHEA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT1200 Elm. Carlsbad. California 92008-1989 (6t9) 43B-5525ADDRESS NEAREST^OSS ST. ■—Uhe! f-^>co rC^ n^coAjAurA Sr^ l/£?-3/-^3
APPLICATION
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO
OWNER'S ^ME _M 6. Sie/eAJS OWNER'S PHONE
OWNER'S MAILING ADDRESS
DESCRIPTION OF WORK/jJgjtM. flMtft CJwn.^
CE NSUS TRACT
QTY.
GP LAND uiSE
BUSINESS LICE PERMIT NUMBER
CONTRACTOR'S ADDHES
DESIGNER'S ADDRESS
F/P FLR ELEV.
vO nO
PARKING SPACE
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
GRADING PERMIT ISSUED
»□ N □
7. re
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM b OR MORE
EACH INSTAl.. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATERSOFTNER
EACH HOOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.
J 50
ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT 'BKR
PH 3PH
EXIST BLDG EA AMP/SWTI'BKR
1 PH 3PH
REMODEL.'ALTER PER CIRCUIT
TEMPPOLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
QTY.
REDEVELOPfteENT
AREA
V □ nQ
MECHANICAL PERMIT - ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3 1b HP
METAL FIREPLACE
VENT FAN SINGLE OUCT
MECH EXHAUST - HOOO/OUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
60
NO
STOniES
TYPE
CONBT
CONTRACTORS
uc^ENO.:• PLAN l.o. #BLOG U&E CODE
LICENSE *STAMDARO FLAM #BLRLOWG Sa FOOTAGE
DESIGNE R'S PHONE
OCC L^AO
EDU
FIRE SPR
yD nD
,ia»^3 iQ.Q'
tfcf tW tfiiifcu Mhiiiwn Ctnmtd
J?o o
QTY.
total electrical
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
HOCK STORAGE
PUMP
PUN CHECK FEE
TOTAL SOLAR
idi! . - ' . -AJi-.U ■"i 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY Under penalty of perjury that all information heheon including the
- DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CiTY. COUNTY AND STATE UWS GOVERNING BUILDING CON
STRUCTION. Whether specified herein or not. i also agree to save indemnify and
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
• EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CiTY IN CONSEQUENCE OF
■ GRANTING OF THIS PERMIT.
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT OT-00-00-8220
SIGN F^MIT 01-(n-00-S221
planchb:k 01-00-00-88%
TOTAL PLUMBING 01-00-00-82®
ELECTRICAL OT-00-00-823
MECHANICAL 01-%-00-a224
M08ILEH0ME aT-0(>a0-822S
M081LEH0ME PARK INSP
SOUR
STRONG MOTION
FIRE SPRINKLERS QT-0(KtQ-8Z27
PUBLIC FAClimB FK 32^QSrQQrSm
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad ai-K-2T-05t9
Encinilas 80-92-22-0515
SanDleguitti 80-9^23-0513
San Marcos 80-®-W-t5TS
UCe^SE TAX 01-0&QO>«T«
CiREDrr DEPOSIT
TOTAL FEES PAYABLE
2oO
o<
Expifahon Every permit issued ^t he BuiiatiTgOtticitiurtdertlwprovisions of ttvaCode shall expire by limitation end become null and void. If the building ot workauthor laed by such permit is not commenced withm 180 days from the date of suchpermit. ^ if the Duirding or wor> Buthorixed by sucli permit ts susptnwled ot
PS5MSP* AN OSHA PEFMIT IS REQUtRED FOR EXCAVATKMS OVER
i 0- DEEP AND OEMOUnON OR CONSTRUCTION OF
STFKICTURES OVER 3 STORtES IN HEIGHT
OSa
o
s commenced for a oenod of 160 days
OWNER O APPftOvtDT'S SIGNATURE CONTRACTOR
BY phone'□
1
t
TYPE •DATE ,. INSPECTOR
BUILDING •• K
FOUNDATION !
REINFORCED STEEL ]
MASONRY )
GUNITE OR GROUT 1
FLOOR & CEILING SUB FRAME '
SHEATHING □ ROOF □ SH^R
FRAME ;
EXTERIOR LATH »
INSULATION j
INTERIOR LATH & DRYWALL 1
j
PLUMBING 1
SEWER AND BUCO DIPUCO !
UNDERGROUND □ WASTE □ WATERTOP OUT □ WASTE □ w|tER
TUB AND SHOWER PAN |
GAS TEST t□ WATER HEATER □ SOLAR WaVeR
i
ELECTRICAL i
□ ELECTRIC UNDERGROUND □ (JFFERROUGH ELECTRIC |
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL |
1
MECHANICAL i
□ DUCT & PLEM., □ REF. PIPll^GHEAT — AIR COND. SYSTEMS |
VENTILATING SYSTEMS i
1
1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATEITEMS ABOVE HAVE BEEN APPROVED.
FINAL f!PLUMBING Aj/Ji/fELECTRICAL ^f
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLfS
SPECIAL MASONRY
PILES CAISSONS
-
•
\ ' V