HomeMy WebLinkAbout2701 LA GRAN VIA; ; 82-107; Permit"' z
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D I hereby all!rm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect
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I hereby aft.rm thill I am exempt from the Con
~~~·~~~~~;sS: ;:; ~~l~~,~~l~~e'~~1\~r
county wh,ch requires a permit lo constn.,c1
alter, improve, demolish, or repair any structure.
prior to its ,ssuance also requires the applicant tor
such permit to hie a signed statement that he 1s
hcensed pursu.n1 to the prov1s1ons of the Con-
tractor's License Law !Chapter 9 commenc1ng with
Section 7000 of D,v,s,on 3 of the Business and Pro
fess•ons Code) or tho1t ,s exempt therefrom and the
bills,s lo, the alleged exempt,on Any v,olat,on ot
~,,on 7031.5 by an appil nl !or a permit subjects
tne apphcant 1o a cMI tr;t no! more than five ~ ~"""'"'" "''"~ ($500) . . :! I, as owner of I rty, or my employees
::::, h wages as the1r I compensa11on, will do the
• w . and the struc!u ,s not intended or offered for ii sale (Sec 70«, Business and Protess1ons Code w The Contractor's License Law does not apply to an
Z owner of property who builds or improves thereon 3 and who does such work himself or through his own 0 employees, provided Hlat such ,mproveme,its are not ,n1ende1 or oflered for sale It, however. the
b1..11lding or improvement rs sold w1th,n one ye.ar of
completion, the owner-builder will have the burden of proving that he did not buold or ,mprove for the
purpose ot salel
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D I, as owner of the property, am exclusively
contracting wrth licensed con1rac1ors to construct
the PfOlecl (Sec 7044. Busmess and Professions Code The Contractor·s License Law does no1 apply
to an owner of property who builds or improves
thereon. and who contracts for each proJects w•!h a
contractortsl license pursuant to the Contractor's
L,cense Law)
Q I am exempt under Sec
!or tn,s reason
.B &PC
□ I hereby a!t,rm that I ha·~e a cert,t,cate of consent to self-insure, or a cenit,cate ot Workers
Compensation Insurance. or a certr!,ed copy thereof
(Sec 3800. Labo, Code)
POLICY NO
COMPANY
0 Copy IS !1led with the city
0 Cert1t,ed copy ,s hereby furnished
CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed '1 tne pe,m,t
,s tor one hundred dollars 1S100) or less)
O I certify that ,n the perlormance ot The wnri< Im
which this permit 1s issued. I shall not employ any
person 1n any manner so as to beCOme sub1ect 10
the Worl<ers· Compensation Laws of Cal1forn1a
NOTICE TO APPLICANT I!. after maktn;i this Cert,
f1cate of Exemp1,on. you should become sub1ect t0
the Workers· Compensation prov,s1ons ot the Labor
Code. you mus1 !orthw1th comply with such
provisions or this permit shall be deemed revo~ed
D I hereby af•irm thal There ,s a cons1fucl10f'
1end1nQ agency to, \he perlormance ol lhe work lor
wh,ch this perm,t ,s ,ssued 1Sec 3097 C,v,1 Code!
Lenders Name ___________ _
L!•n(le, s Addre~s __________ _
••• oOLL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
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OWNER'S NAME
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PRIME CONTFIACTO~
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T -~"!IS "''OIi"' ,, ZONE /c17 14 .. l C-<I ·c..~D q. ,:~·~;;,
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OWNER'S MAILING AOORESS CONTRACTOR'S ADDRESS ~.'19·. PLAN 1.0. # BLOG USE CODE
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LOT TA~-~LNO. DESIGNER ~~'t'·E· L~NS£ 1! STANDARD PLAN# BUILDING SO. FOOTAGE
OESCFHPTIQl\,I Of,WOfl.K
DESIGNER'S ADDRESS -~~~~-,~,-,.
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F/P F LR ELEV.
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STORIES
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CENSUS TRACT I GP LANO USE 1 'ARK>NG S'ACE Res UNO TS 1 GRADING ~ERMIT ISSUED
v □ ND I
REDEVELOPMENT
AREA
YO NO
TYPE
CONST
OCC LOAD FIRE SP
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/ I Y JJ N Valid Unkss lbchine Certified
QTY.I PLUMBING PERMIT -ISSUE "7 .5,-0 --QTY. MECHANICAL PERMIT, ISSUE
'
~ / /,o /f y' s&.iMARYIACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100,000 BTU 01-000-4220
EACH BUILDING SEWER -------------
1---l EA.CH_WATER-HEATER ANOl~~~_NT
EACH GAS SYSTEM 1 TO 4 OUTLETS
/ I EAcH GAS sYsTEM 5 OR MORE --
-----"' ----t---OVER 100.000 BT PERMIT 01--000-4221 ➔~ ---[== . . :~::~=:::::~: ~:~T~: HP -H'--------.--'----,1\ftj,"; ~--. . . :;.::::::i: =t--/46 ~ I
cP:._ 5 ME~~IREP~A~-ELECTRICAL ~_:_~00-4223 C-----· ----
VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 ----+----+-------------,,L--~1-cc.-,11 ~+-.,.+,-s+'fl--'-cMccoccB-c-:1LEHOME ----·o-,,-oo-o--422s EACH INSTAI_ .. All ER. REPAIR WATER PIPE
EACH VACUUM BREAKER
---+--
---,---
..i_!ATER SOFTN-ER ----_ __,_______ ~~----<l'----F--+---~--+ MOBILEHOME PARK IN-SP--------
H-~ACH ROOF D~AIN (INS~DE)_
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TOTAL PLUMBING
---+----__ _,_; ·-SOLAR ----01-000-4226--
-~---STRONG MOTION___ 65-640-0519_ __ _ ___ _
_ _l____-_/4d -~--1 _ FIRE SPRINKLERS 01·000-422?
PUBLIC FACILITIES FEE 25-000-4933
QT SOLAR -ISSUE BRIDGE FEE ------___ -----16,"-----
NEW CONST EA AMP/SWT:BKR COLLECTORS
QTY. ELECTRICAL PERMIT -ISSUE
SCHOOL FEE -DISTRICT u~-~ ____ 3 P-H-~---STORA~_E_TANKS Carlsbad
------l-----
65-623-0519
EXIST BLDG EA AMP/SWT/B_K_R___ -t---;' ROCK S_T_OR_A'_aE ___ _ __ _
3 PH 1 PH
REMODEL:ALTER PER CIRCUIT
-jf----f':u MP I t Saa Diegulto
---+--------!---i~A~ __ c~~CKFE-E ------~------San~rcos·--· --
Encinitas 65-624-0519 ---L--
65-625-0519 _ __,_ --
65-626~ -I---
----
-----
1-----------+ TEMP POLE __ 200 AMPS '---_ _:_ __ ----ll--+------1---___J__ ---------□VER 200 AMPS
t=t-·EM~-~-~~UP~~CY_ 1~~-□A YSf
TOTAL ElECTRICAL
--------1----
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----11-----+----
I HA\fE CAREFULLY EXAMINED THE:toM"PL~Eti.,..~1,lOti~.PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PER.JORY THAT All. tNfiQ.RM~TION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I FUATi:iEft CERTIFY AND AGREE 1F A PERMIT IS
ISSUED:· TO COMPLY WITH AU. CITY, COUNTY ANO STAT£ LA\¥6 GOVERNING BUILDING CON·
STRUCTION, WHct:HER SPECIFIED HE~EIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU."UABCtmES, JUDGMENTS, COSTS AND ,
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAJ~T 'SAtQ CITY 1N CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. . '
-----· -----1-----.----
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TOTAL SOLAR TOTAL FEES PAYABLE r /t:J ~;,o
Expiration. Every permitisS\Nld~Buildiniotfb-'\ffldltfll·tca;ft,&-· ·-.. -,♦·AN_. PEfUT~·• _· . · fOR IEXCAVATIOHSOVER
Code shall expire by lim_i~on and becom& t'iutt ~d void. Jt: N 0,¥~. . .j•iV' ... ~ . _ ~. fflUCOOH 0, authorized by such permit JS not commenced wfthln 180 days fr t;IM6ot,uc;h. .. · STIIJCl'YIEs OV£R · · JN MttGHT perm ii. or if lhe building 01' work authonutd l)y ' Qt· , · · • abandoned" at an time aftet-the 1tlOl'II ii commenced ·
APPUCANrS BIGjT~' \:& • APPROVED BY ,)/#. J o¾,b"1,,-
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT -TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING ,1
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT"-AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED. -
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
eo~r.lAL CONDITIONS
--.. ,..,....111:n -
l1r,-"•·
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE -
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
I BOLTS --
I SPECIAL MASONRY
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PILES CAISSONS
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