HomeMy WebLinkAbout2679 OCEAN ST; ; 86-626; PermitVI z 0 .: C IIC C ...
() w 0
C
i[
0 ()
IIC "' 0 ... :5 • ii "' z ~ 0
z 0 .: C VI z w a.. 2 0 ()
VI a:: ... >< IIC 0 J
![
O I hereby affirm !hat I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my llcense is in
full force and effect.
I hefeby alftrm that I am exempt from lhe Conu_ac·
lei's License Law for the following reason (Sec. 7031 5
Business and Proless1ons Code Any city or county wh1ct; re· Quires a perm,1 to construe!, aller. improve. demolish. or
repa1r any slruclure. prior to 11s issuance also requires !heap·
phcant toe such perm11 to Ille a s1Qned slatement fhal he 1s
hcensed pursuanl to lhe provisions of the Contraclor's license Law (Chapter 9 commenc,ng with Sechon 7000 ol
O1v1s10n 3 01 11'\e Business and Prolessions COde) or lhal 1s ex· empt lherelrom and lhe basis for the al1egea exemplion Any
violat10n of Secuon 7031.5 oy an apphcan1 lor a perm,I sub·
1ects the applicant lo a civil penalty ol no! more than five hun
dred dollars !S500)
1 I I. as owner ol lhe property. or my employees w1lh wages
as their sole compensation will do lhe wock. and lhe slruc·
lure Is not intended or offered lor sate (Sec 7044, Busmess
and Professions Code The ContractOJ·s Lteense Law does
no! apply 10 an owner ol property who burlds or improves
!hereon and who does such work himself or through hIs own employees. provided that such Improvemenls are not mtend·
ed or olfered lor sale 11. however. Ihe bu1!d1ng or improve·
ment ,s sold within one year ol compfet,on. the owner·builder
wilt have the burden of proving lhal he d1CI nol build or Im· prove lor the purpose of sale)
I ! I, as owner ol !he property. am exclusively conlracling
with licensed con1ractors 10 construct lhe pcoiec1 (Sec 7044,
Business and Professions Code The ContracIor·s license
Law does nol apply lo an owner of property who builds or ,m. proves thereon. and wl'IO contracls lor each proiects with a
contraclor(s) hcense pursuanI to lhe Contractor's License Law)
11 As a homeowner I am ,mprovmg my home, and the !allow
ing conditions exist
I The work 1s being perlormed prior to sale 2 I have hved m my home for lwelve monllls
pnor to compleuon ol th,s work 3. I have nol clauned this exempllOn during the last three years
0 I am exempl under Sec ______ . 8 & P C
!or !his reason -------------
0 I nereby alllrm that l have a certilicate ol consent lo
sell-Insure. or a ceriiflcale of Workers· Compensation In-
surance, or a certified copy 1hereot {Sec. 3800. Labor Code)
POLICY NO.
COMPANY
Copy 1s liled with the city
0 Certified copy ,s hereby furmshed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sec11on need nol be completed 11 lhe perm11
,s for one llundred dollars 1$100) or l~ssJ
0 1 certify thal in !he performance ot the work for which
this permit 1s issued. I sl'lall not employ any person 1n any
manner so as to become subject to the WOfkers· Compen,
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificale
ol Exemption. you should become subject to lhe Workers·
Compensation provisions ol lhe labor Code. you must
forthwith comply with such provisions or this permil shall
be deemed revoked.
0 I hereby altirm that there is a construction lending
agency tor the performance ol thework tor which lhis per-
mit is issued (Sec. 3097, Civil Code)
lender"s Name ____________ _
Lende(s Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB Aris 1 ? / ')Cc, ri q AV. ST. RO. THOMAS BROS NO. I DATE OF APPLICATION BUSINESS LICENSE Ii VALUATION PERMIT NUMBER
nf'~ean s+ree+ 4Cu1rnnn 495 398 ~(o-0~ LOT BLOCI< I l;ueD1v1s10N I ASSE~~R PARCEL NO. ) L/ 5 CONTRACTOR CONTRACTORS PHONE.• ZONE ,
J..D -I 40 -4 I Q . (..,. mc:,~e, f)ev,. ~~e~31L.J1 OWNER'S NAME I LI 3 e,W:E 3 ;:r; R. (:;..rosse CONTRACTOR"S ADO RESS STA TE LICENSE NO. BUILDING SO. FOOTAGE
<;amP~ '7 l(bL/ OWNER'S MAILING ADDRESS
f)85D AOen-tda.. J::-n r_. i n as rp,,·bhriri DESIGNER'S PHONE ,
DES IGNER -
DESCRIPTION OF WOAI( ,
OE.SIGNER"S ADDRESS STATE LICENSE NO.
[) t Ln l e 'L. ,> K)12 10/27 0101 02£:ldP1,t 25059 -6 " , FIP NO EDU I FLA ELEV. OCC GP
d.-/?...e..,,r l,{) l+c..L vO NO
STglES r<.3 ;2._ I CENSUS TRACT-
1
p;;,~~ACE l REINITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA ,,,1J y O N 0 vO NO vO NO Nor Valid Un/en Machine Certified
' 7£.E-QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSU E /_5'$9 SUMMARY/ACCOUNT NUMBER
~I EACH FIXTURE TRAP "T''J .. 'v LJ INSTALL FURN. DUCTS uP TO 100.000 BTU ~·..,:/',.. .NJ ~ulLUING rtHMI I 00 l ·81 U·0O·OO·~t tO 1 t..1 ~ • nn
"] EACH BUI LUING SEWER 1~.N OVER 100,000 BTU SIGN PERMIT 001·810·00·00-8221 ., EACH WATER HEATER AN0,0 R VENT i::;-.oo BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 q ~K.Q/1 ., EACH GAS SYSTEM 1 TO 4 OUTLETS ,=,_,-..,., BOILER/COMPRESSOR 3 15 HP T.[):f<lC'~UMBING OOi ·810·00·00·8222 i I 2 .OD
EACH GAS SYSTEM :, OR MOR E t./ METAL FIREPLACE c:{-1, Mod 8 . 75-loo e. ::10 .DD ) \°' .iLloRICAL 001·810-00-00·8223 -, l"l ". ()0
EACH INST AL . ALTER . REPAIR WAT ER PIPE ;,-VENT FAN SINGLE DUCT ,,, ~-A" MECHANICAL 001 ·810·00·00·8224 I t-,P. ,An
"'1 EACH VACUUM BREAKER _;:; .M. ") MECH EXHAUST HOO0:0UCTS .l.K~01 j '°'~li'!jlLEHOME 001 ·810·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE /HEATER -.. ') ) 1S0LAR -ft 001-810·00·00·8226
EACH ROOF DRAIN I INSIDE I "J DRYER VENT q ,~'R{ s..wi 14Glffi'rio&<i'1 ~-880-519·92·33 ~.7n'1
TOTt.L MECHANICAL -,._....,ittt :>M'i.,:~---00)..810·00·00"o227 ~ n~~q-
Jo£i.~ l0lAL PLUMBING I ii~ .?fl -::ielf°BtrrYiG~ FEE~i?-~"l!i-oo-8740 \.. I ...,._,,o~· --•I -"'-~ • --., -,1
~~~i.'-c?lf'~\ BRIDGE FEE Id I A 360-810·00·00-8740
QTY. ELECTRICAL PERMIT · ISSUE seg. QTY. MOBJLE HOM E SETUP PAAK·IN·LIEU (AREA I , . ~12 .00 , l
2 NEW CO NST EA AMP SWl BKR ?M RtnP:.. ::ioo oo CAR POAT / -312·810·00·00·8835 q / ,,I) . /'\/1 TIF
1 PH rJPID AWNINq ~ LA COSTA TIF 311 ·810·00·00-8835
EXIST BLOG EA AMP1SWT BK R GARA~E .... ~ 11\01 FMF
l PH 3 PH Uul lv...,.I LICENSE TAX k. \ /(.J 001 ·810·00·00·8162
REMODEL AL Tt'A PEA CIRCUIT '. t'.J.I';
--TDr' ~t\~P MFF ("' a. \1.J r{ 880·519-92-57 ~. , ~n.011
TEMP POLE 700 AMPS \ !. CITY Of C,,f\. -~,-·AD
OVER 200 AMPS ' -~ \,rl..i~L.;)01·\\J, UI ' . / J
TEMP OCCUPANCY 130 DAYSI ,. / i ---CREDIT DEPOSIT /., , ~nn-7
TOTAL ELECTRICAL I -;..06 00 .__,OTAl TOTAL FEES PAYAf~ 1--z.-~ &!~9'"; .~~
,
Expiration. E~ery permit issued by the Building Oftic1at unde, the provIsIons of th,s I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"" ANO 00 HEREBY -* AN OSHA PU-m IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall Bllp1re by !imitation and become null and void If the ·bu1I0lng or work 5· o·· DEEP ANO OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit ,s nol commenced within 180 days from the date or such STRUCT\Jf!ES OVER J STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON-~~~'::~n°~ 1
~t t=~Y ~~!~'~ffe~~h=~~,:~tc0~~~e~le~~~~ ,P~~~d1~,5~:8~"a~~d or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO , J CONTRACTOR 0 APPROVEO BY (j/ Jl1!r7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~~~ OWNERP(
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ _. ~~ BY PHONE rJ GRANTING OF THIS PERMIT. ~ '• · ~ .
~ u::
>-;;;
0 n.
E QJ f-
l
D
0 (.'.)
C rn u
n. n. <!
I
-"' C a:
0 (/)
(/)
Q)
(/)
(/)
<!
I
3 0
QJ >-
QJ u C rn
C u::
C
QJ ~ (.'.)
0
0 Q) n. (/)
C
(lJ
.c ~
TYPE I 1DATE INSPECTOR I
BUILDING ' I
FOUNDATION I J _, t. .... /} .,
REINFORCED STEEL ! 1 ·~ ·vu '1' v, I
MASONRY !
GUNITE OR GROUT
SUB FRAME D FLOOR D CEl(JNG
SHEATHING TI ROOF D SHEAR A .
FRAME t-1,. ',( l'1.f "-
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO CJ P_L/CO ..
UNDERGROUND B,WASTE D WATER /♦/'/•ft 1'1.<c.
TOP OUT D WASTE D WATER S"·'i." I~ -i:f'
TUB AND SHOWER PAN ~
,,
GAS TEST ,-i.1-10 r ,<"
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND u UFFER n.
ROUGH ELECTRIC Y-1..1 .. w r ,._,r "-
D ELECTRIC SERVICE D TEMP()RARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIP:NG .,
HEAT -AIR COND. SYSTEMS A •l)W 'I ,rL -
VENTILATING SYSTEMS ~-1..'1 j l.'
'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA 1/E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
"8&--'9~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --.
INSPECTION REO. IF INSPECTOR'S DATE f...(JW~ f1-,eA'JJL,,.., /uwvt? l'-l ~ 'f"~ ~} LH€°c.t=-CHECKED APPROVAL
vltt-rl'f.. 1
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED .. ' CONCRETE ....
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS . . .· .
SPECIAL MASONRY -.
-
PILES CAISSONS I
-
0
SEE
2677 OCEAN ST
FOR MORE INFO ON
86-626
2677 /2679 OCEAN ST