HomeMy WebLinkAbout2656 GREGORY DR; ; 86-1103; Permit"' z 0 ~ a: .. ~ " "' 0
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D I hereby affirm that I am licensed under
provlalona ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license is in
full force and effect
I iereby affirm Iha! I am e,empr l·om the CC"''"c t~r s License Law lo, the •011ow1ng ,eas,Jn ,:sec 703' S
Bus,ness ana Proless,ons Cocle Any c,ty or c0ur.1y wh,u, re quires a ~erm,t to consrruct. alter mprove ae1no11sh O' re~a,r any s:ruclure or,or to ,ts ,ssuance a·so reou re~ !',eae
~I,can1 lor sucn permrt to 'rle a s,qned statemeo• ·hor he ,s
1censed pursuant to the prov,s•ons o< The COrT'JCT~r \
L,cerse Law (Chapter 9 commenc,ng with Ser·1,on 7000 al
:Jr·.is or 3 of the Business and Proless,cns Coce, or 11a1 ,, ex
empt t~erefr8m and the bas,s lor the a,legec exef'loT,on Ary
·,,olat,an o1 Sect,on 7031 5 by as appl,canr for a per"1Il s,in
Iec:s t~e aopl,cant to a cIv,I penal!y 01 nor more lhen f1•1e,. Jn-
dred d8'Iars i$500I
as owner 01 the properly, or my employees with wages as rre,· sc;e compensat,on will oo lhe wor, dnc the wuc
'ure ,~ sot intended or offered tor sa e I Sec 714.1 Bus.ress
anG Pro•ess,ons Code The Contrac1or's License Law does
not apply to an owner 01 property who bu,,ds or In,proves
thereon and who doos such war~ himself or through his ow~
employees provIde(l that such ,mprovemenls are not In1end
ed or o11ered lor sale 11, however the bu1ld1nq or improve-
ment ,s so,d w1th1n one year 01 complet,on. lhe owner-builder
w,I. have the ourden of prov,nq thar he d,a not build o, im-prove f~r the puroose at sale!
I. as owner of the property, am exclusively contracl,ng
with I,censed contractors to construct the p,o,ect !Sec 7044
Business and Professions CDde The Contractor's license
Law does not apply to an owner of property who builds or I'll
proves Thereon. and who contracts lor each pro,ects with a
coniractorls) 11cense pursuant to lhe Contractors L1cerse Law,
As a homeowner I am ,rnprov,ng my home. and the fo low
Ing condItIons exist
1 Tt>e work 1s being per!ormed p·Ior to sate
2 I have lived In "'Y Mme lo• twelve mon!h1 prior to complehon ol this work
I have nol cla,med This exemption during 'he
lasr three years
for t'h~:r~~~~runder Sec ______ , B& PC ---------
I hereby afhrm thal I ~a,e a cert,f,cate ol consent 10 I
se,f •nsure or a cert,1,cate of Workers Compensation In, I
surance or a cert,fted copy thereo• 1Sec 3800 Labor Code! j
POL CY 'JO
COMPANY
Cooy ,s filed Wl\h !he city
Cert,f,ed copy rs hereby furnished
CERTIFICATE OF EXEMPTION FROM
WCRKERS' COMPENSATION INSURANCE
1Th,s sect,on need not be completed 11 the perm,!
,s for one hundred dolla,s IS100) or less)
' _ I cert,<y I hat ,n the performance or the work 'or which
th,s per'Tl t ,s ,ssued. I shall not employ any pe'son ,n any !
manner so as to become sub1ect to the Workers· Com pen I
sat,on Laws of Cal1forn1a
NOTICE TO APPLICANT, If_ alter makrng this Certi11cate j
o' Exemption. you should become sub1ect to the Workers
Compensation provIsIons of the Labo< Code you must !
torthw,th comply with such provIsIons or lh1s permI1 shall j
be deemed revoked
h~•eby affirm that there ,s a coas:ruct,on ·cr,,j,1g j
age"cv 'o· the ~erfo·mancu oft~,:, work for v,"Ich 10,s Jer
"1,t ,s ssueo ,sec 3097 :::...1 Code,
Ler ~c s ",ar-ie
L~rcH s ~cJd,ess
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT . ' 2075 Las Palmas Dr .• Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADD~;.s -~A 4 • • AV. ST, RO. NEAREST CROSS ST. 10•;~' .;,~:}JNI BUSINESS LICENSE # VALUATION PERMIT NUMBER · '-':) (,;1;;/(/1
' {ipu. a/1)1" 'D f , i/£ ~L-, -
1
,0s-tBLOCI< j suaol'&rs~!' • .-i S~~s51 A ~ARC".t~.;::. /,_C, CONTRACTOR CONTRACTORS PHONE 11 ZONE //tJ3 .~ti,<• i'°i)u /'ltL V, , j . LJ .-JC., t1 ,, T:)Cj-171 q OWNER·s NAMf · ~VtjHc" LI ~~~:W~E R'S PHONE Jitl,1 • A' ,,,i co3~5~5.~s, ~'"-,. STATE LICENSE NO. BUILDING SQ FOOTAGE ~ ' ' _/~,,.,7 i7,_/37j <;s' OWN~;;.•r 'f°lrJW)I . ~':,..,,, ... -b0-I) .• 'to ' .,. ~J) DESIGNER , DESIGNER'S PHONE .. ,
DESCRIPTION OF WO~I< , , ~~ o' ' <-',, .... :r ..... . " .>-DESIGNER'S ADDRESS STATE LICENSE NO.
~-Ml).. /IJ.t; c 6Lfc.Ti!J~~kTl:e p1C;tJ li 0~3 -1 Li i: ,~; /36~·~ .. v-so ~: u..:. '. f o F LR ELEV OCC GP EDU ,. ' STORIES ... ,,,.,"\. " . ,c "'o
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! PAF'K ING SPACE: ~Esur,.,1Ts l GRADING PERMIT ISSUED ! REOEVELOPMENT TYPE OCC LOAD l'IRE $PR AREA CONST ,• ' D ,r '-.JO YO NO Nor Valtd Unless Milchine Certified
QTY. PLUMBING PERMIT. ISSUE 7!!fE-:1 QTY. MECHANICAL PERMIT· ISSUE ,'2,-SUMMARY/ACCOUNT NUMBER ,,
EACH ~IXTURE: TRAP ' INSTALL FURN DUCTS iJP TO 100 000 llTU BUILDING PERMIT 001 -31 0-00-08-82 20
., I ---· EACH tlUILUING SEWU OVER 100.000 BTU SIGN PERM;T 00 1-i:J '0-00-00-32 21 -------------+---·-L__. -~. . .
EACHWATEH HEATER AND OR VrNT BOILER:COMPRESSOR UP TO 3 HP PLA\J CHECK 001 ·81 0·00·00·8821 -. -~--. ---fACHGASSYSTEM I l04UUliElS I BOILER COMPRESSOR J 15 HP TOTAL PLUMB'\G 001-8: 0·00-00-82 22 -· ------' . ---· -,. . ;le'--·-EACH GAS SYST E.M J OR MO Rt I MET A FIRi:clLACt ' ELECTRICAL oo; s10-co-oo-s223 ,. . ---' . --------, .
EACII INSTA~. ALTER, HE PAIR \';ATER PIPE VENT FAN SINGLE DUCT MECHAN,CAL '.JD' 810-CO G0-8224 . ----' .. ..
EACH VACUUM BREAKER MECH EXHAUST HOOU DUCTS MOBILEH0\t1E 001 ·81 D-00-00-8225
WAHR SOFT"JER RELOCATION OF EA FURNACE HEAfER SOLAR 001-8 I 0-00-00-82 26
!
. -j Lt.C---1 f-1(.il'·I '.'1f1,'.\1\ • '\5 l' ; DRYER VENT s TBUriJG. ,_,, 0TI mi 880-519-92-33 ---------------
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TOTH MECHANICAL FIRE SPRl\:<:LERS 00 • ·8 1 0-'.lO · '.l0-8227 ~-j ·--TOI Al PlUM8Ir-.L I PUBLIC FACILITIES FEE 320-81 0-00-,J0-87 C..O
,c::, --'I QTY
BRIDGE FEE 360·8' O ·00·00·87 tO QTY. ELECTRICAL PERMIT. ISSUE MOBILE HOME SETUP
PARK-1\-LIEU ,:AREA I
NEW CONST EA AMP SW! lJKR CAR PORT TIF 134·81 O·OO·OD-8835 , __ ,, ~ ., . ' -I PH \ PH ,, AWNING LA COSTA TIF 133-810-00·00·8835 ----· EXISI 61 OG EA AMP sv,n lJKR I GARAGE FMF ' .. -. --.,, -. ---I PH .'. PH LICENSE TAX oo· -s 1 c-c"~-:-:o-s · 6? --------------_L RE\!OUEL AL TfH PE:F [IFiCUI' /.~ M FF 880·519·92-57 ,., ' ----·-. -·------TE\1P POLE /(JO AMPS ' --· ·-.. I-----------· . [)VER JOU AMPS :: -~ -· 7 . ·---·---------TEli1P OCCUPAr--.cv ,·w [JAYS! ·--., -~------· ~-., -----··· -.
·. ' CREDIT DEPOSIT
'I I +-----
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I iflTAI tlll,IR1r::..I ;.<-i: T(r,\1 I
' i i TOTAL FEES PAYABLE /S---
I HAVE CAREFULLY EXAMINED THE CO\/PLETED ·APPLICATION AND PERMIT AND DO HERES"! Exp1rat,on E11ery permit •ssued by ttieBuddmg Ofl1c1e.l under the p,o,,smns olth1s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall~:1,m,1at1on and become null and void I11he bulld,ng or work 5" o·· DEEP AND DEMOUTK>N OR CONSTRUCTION OF authorized by h rmIt Is not commenced w1th1n 180 days from the oate vf sucl'. DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE !F A,PERM!T IS permit, ~o:,. 11 e 1td1nPt or:~. author,ied by such perm,t •s suspended or STRUCT\JRES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL C!TY COUNlY ANO STATE LAWS GOVERNING BUILDING cor, abandon t an hme a ter th rk Is commenced tor a nenod o1 180 da"s STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A~D
APPL~JGNATUR~ OWNER(] CONTRACT;;;J;i. APPROVED BY
1i7:W//t'
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND /✓ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE '~--~ GRANTING OF THIS PERMIT _ · ., BY PHONE [J
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-----·---------,-----.------,c-----TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
I
_l
DATE INSPECTOR
-,.:; ·-,,,.
~---------------------s---------------
,_-L_
_fl_EL~ INSPECTION RE~D
REQUIRED SPECIAL INSPECTIONS
:MASONRY , 1 _
I 1~1r·e-1cc11nN HEO IF I NSPECTOP:::, DATE GIJNITE OR GROUT ! I ,,, v cr<EcKrn AFPROV,'L
s·uB FRAME • FLOOR L-:J cdu1,,c: --I 'c~~,'.°~ AN···, 1 •-J:c--9
-: _) • L, ~-' ' . ' ' 1-I • s(1Et,;·1 1 ·I !-,,T-'.:i~ Tn 1 7 ~c,u~-IL!\ll,_JN IN::_;p
I , --------
SHEATHING • ROOF
FRAME ----·-t·-
' EXTERIOR LATH :-0 I '-ll,l_; fl!RA"L C:(11'.CfH If-
01/[_R 2C·(]() PSI
INSULATION I 1-----l'.''',1 "~!,1;,".st0 -----+
INTERIOR LATH & DRYWALL 'cN,,,' " --i----------------+-----~ --I I ·1 I ,;;,,,.-,-.", ,,,, +---j C ' --, ... ,
l] PL/CO I ' ~~;: ;:~,-•,,c, PLUMBING -+----t-
-•-----1 • SEWER AND BL/CO
UNDERGROUND D WASTE d WATER
TOP OUT • WASTE • WATER
TUB AND SHOWER PAN I
GAS TEST j
j
• WATER HEATER • SOLAR WATER I
H"IH Si H"G1H I
rlUL TS -------+-T--
•;p;::-:1A!_ ~/iA'::,-'._lNFlY
f------------
1 ·-,----1 ~~~ ~Al~O'.': i I -+--_j_ __ ,,
-,
! --t----t
-----
ELECTRICAL
' ! -~ --+-___ _;_
~-/103
INSPECTORS NOTES
1----------------------------------,
i !
'--
• ELECTRIC UNDERGROUND ~ UFFER I I : 1----+---+ 1----------
ROUGH ELECTRIC I I I I !-------·--·-----------------~-----
• ELECTRIC SERVICE • TEMRORAF!Y --------. ---+--------1---------• BONDING • POOL 1
f-----------------t------!-------
MECHANICAL 1
• DUCT & PLEM., • REF. Pl~ING I I -!
,___ --~---+--------, ~z-.. ----
HEAT -AIR COND. SYSTEMS 1 1
VENTILATING SYSTEMS , '1>.c---"'l:'-,c--131~.--1---t------t----+
I
CALL FOR FINAL INSPECf/ON WHEN ALL APPR
ITEMS ABOVE HAIVE BEEN APPRO E
FINAL
PLUMBING
ELECTRICAL 1
MECHANlt;AL I
GAS
BUILDING
SPECIAL CONDITIONS ~
~
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. -f------------------------------~------t
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