HomeMy WebLinkAbout2680 OCEAN ST; ; CB881054; PermitCl) z 0 ~ C a: C ..J 0 "' 0
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profnalona Code, and my license is In
full force and effect.
I hereby atfum that I am exempt from the Conlrac·
!or's License Law 101' the following reason (Sec 7031 S Business and Prolessions Code Any city or county wtucr. re·
qwes a perm11 to construct. alter improve. demohsh. or
repalf any slfucture. prlOf to its issuance af$0 requ11es the ap-ptteanl tor such perm.I to hie a signed statement lhat he 1s
hcensed pursuant to the prov1s10ns ol the c;ontrac1or"s license Law (Chapter 9 commencing w1lh Secllon 7000 of
Oiv1s1on 3 ot lht Business and Pro1essJOns COde) or tha1 is ex•
empt lhefelrom and lhe bas,s !or the altegeo exemptlDn Any
y1olatt0n o1 SecHOn 7031.5 by an apphcanl lor a perm11 sub• 1eets the apphcant 10 a c1v1t penalty 01 001 more lhan five hun
dred d()jiars ($500)
1. as owner o1 the property. or my employees w1tt1 wages
as their SOie compensahon. will do the work anct ltle strut· iure 1s nol mtended or ottered tor sale (Sec 7044, Business
and Pf0tesst0ns Code The Conlractor' s license Law does not apply lo an owner ol property who builds or improves
thereon and wno does such work himself or through his own emp~ees. provlOed lhat such improvements are not mtend·
ed or otlered '°' sale If. llOwever. the t>u110mg or improve· ment 1s sokJ w11tun one year of complet10n, ltle owner-builder
will have 1he burden of proving 111a1 he did not build or im-prove lor Ille purpose ol sa1e1
I as owner of the property, am exclusively contracting w1lh licensed contractors to construct tne proiect (See 7044.
Business and Professions Code The Contractor's License Law does no! apply to an owner ol Pfoperty who builds or 1m·
proves !hereon. and who contracts tor each proieets w1lh a contractor(s) license pursuanl to the Contractof°s lttense Law)
I A.s a homeowner I am 1mprovmg my home. and the loflow
mg conditions exist
t The wOfk ,s being per1ormed prior to sale
2 I have ltve<i m my hOme tor twelve months prior 10 complehon ol lh1s work
I have not claimed this exemptlOO durmg lhe
last lhree years
□ I am exempt under Ste ______ . B & P C
lo, lh1s reason ____________ _
D I hereby attum thal I have a cert1!1cate of consent to
se1t.1nsure. or a cert1ficate of Workers· Compensation In-
surance or a cerlthed copy lhereol (Sec 3800. labor Code)
POLICY NO
COMPANY
Copy 1s hied with the c,ty
:J Certified copy ,s hereby lurmsl"led
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not oe completed 11 the permit
1s for one hundred dollars ($1C)()) or less)
0 I certify that in the performance of the work for which
ttHs permit 1s issued. I shall not employ any person ,n any
manner so as to become subJe<:t to the W01kers· Compen-
satton Laws of Calilom1a
NOTICE TO APPLICANT. It. after making thlS Cert1t1cale
of Exempt10n. you shOuld become subject to the Workers·
Compensa11on prov1s1ons ol the LabOr Code. you must
lorthw1lh comply with such provisions or this permit shall
be deemed ,evoked
0 I hereby affirm that there 1s a construc1ion lending
agency for the performance of the work for which th,s per•
---...,_--.sued (Sec. 3097. Civtl Code) -------
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 AOORESS AV. ST.RO. THOMAS BROS NO.
1 dlioP~NI
BUSINE~:E # VALUATION PERMIT NUMBER
~o OC~N ~T. b '6'l/o~<f LOT I BLOCK I sueo1v1s,0N I ASSESSOR PARCEL NO CONTRACTOR I I CONTRACTORS PHONE• ZONE C 4r..,,.;.;,,,o '?-~•--• l} 01t, ?Zl'1-tl'il4 OWNfR"S NAME I OWNE R"S PHONE ■
M.L. 131'-.c~v CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER"S MArLING ADDRESS I U>'t? sr+r~ sr c.sRD. Z-48z_.q t'l
DESIGNER DESIGNER'S PHONE .
OESCRIPTl~OF WORK 1190 08/10/38 0001 01 02 ~ ~A• t, '-~ /. ~ -~~ ' -..... , .c~ DESIGNER'S ADDRESS STATE LICENSE NO. -• --. BldPmt 10-( ~
F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO --I CENSUS TRACT I PARKrNG SPACE RES uNrTS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y O N 0 vO NO vO NO Nor Valid Unless Machine Cerr,hed
QTY. PLUMBING PERMIT -ISSUE 1~ QTY. MECHANICAL PERMIT· ISSUE /2)~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100 000 BTU BUILUIN\J PtHMll 001-~ 1u·OO·OO·~au /,'7-
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001:~·00·8221 I'
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK _ w""." ..... : .:-oo-8891 . -.
I EACH GAS SYSTEM 1 10 4 OUTLETS -:::2.. ' .... BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING.,,.,. "'-~1-810·00·00·8222
' EACH GAS SYSTEM!> OR MORE METAL FIREPLACE ELECLiii.elL • ~ ~ 00 H'.M0.0-00·8223
EACH INST AL. ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MEC~L • c-ool.!?t'll-oo-00-&2•
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME ~, \ \'\ ► 001-810.--., .... ., . ....
WATER SOFTNER RE LOCATION OF EA FU RNACEIHEA TE R SOLAR l ftallll1J·nn.r-.-5•
EACH ROOF DR.XIN (INSIDE) DRYER VENT STRONG MOTION . o' -.-1[~9-92-33
._ TOTl:.L MECHANICAL FIRE SPRINKL.ffl"~ .<t."'O~ 1 ·810·00·00·8227
TDlAL PL UMBING I /t PuBuc FAG" L-<1lr 320·810·00·00-8740
5-:9--BRIDGE FElJ" ~ 360-810·00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l
NEWCONSTEAAMPSWl BKA CAR PORT TIF 312·810·00·00-8835
I PH 3 PH AWNING LA COSTA TIF 311-810-00·00·8835
EXIST BLOG EA AMP•SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00·00·8162
RE MOOE L AL HA PER CIRCUIT MFF 880-519·92·57
IEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I I /J ,/)1)
HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND 00 HEREBY Expiratoon Every perm rt issued by t~ Ofhcrel under the pro-,51ons of thrs * AN OSHA PERM:T IS REQUIRED FOfl EXCAIIATIONS 0\/ER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shallf[~~~o null and void ii lhe burldrng or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION OJ
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!, authorized by such m,t ,s m ed w11h,n t 80 days from the date ot such STRUCT\JRES 0\/EA 3 STOfllES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~If
th 1,r:1: r lhwr✓.;· i~~:1.~leJ~~~ r~~~·~,s~:ged~~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A >~ ~ CONTRACTOR 0 APP~~DBY • /µ~.~ ID~#
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ANO p T Sl~T, OWNER [1
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ -.. _ BY PHONE rJ ~ .. ... GRANTING OF THIS PERMIT ., ·., , ---f ~---
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--TYPE DATE INSPECTOR
BUILDING
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY REQUIRED SPECIAL INSPECTIONS
GUNITE OR GROUT INSPECTION REO IF INSPECTOR'S
CHECKED APPROVAL
SUB FRAME D FLOOR D CEILING
SHEATHING □ ROOF □ SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION PRESTRESSED
INTERIOR LATH & DRYWALL CONCRETE
POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
D SEWER AND BUCO D PL/CO HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
,TUB AND SHOWER PAN
GAS TEST PILES CAISSONS □ WATER HEATER □ SOLAR WATER
ELECTRICAL • □ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS ...... i .. ~ rl 7 • ' --,· v,-, :-; ..,,.
.J ' • -:. !.:··
-·
CALL FOR FINAL INSPECTION WHEN ALUPPROPRIATE ·ov .. ···-··----·····----·· .... ··-·--· ... ' \ " FINAL , -.. ,6 .J d_ \
' PLUMBING ••
. ~ )(J
ELECTRICAL ~ ~
' . ,. MECHANICAL I ~'\. {'\' . . -GAS I ~\'·· ✓~ , .
BUILDING \. '-J
SPECIAL CONDITIONS
'
DATE
?----' -,, ' . . •
' ' -
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INSPECTOR'S NOTES
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