HomeMy WebLinkAbout2708 GROVE AVE; ; 83-512-90; Permit(f9 ..
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h.f I hereby affirm that I am licensed under
~lslons of Chapter 9 {commencing with
Section 7(X)Q) of Division 3 of the Business
and Professions Code, and my license is m
full forl9r!.J>~ ellect.d LIL No ~Z,f// [101, _,(;I__,_ __ _
I nernby alf1,m that am exempt from rhe Contrac tors License Law tor the to:low,ng reason (Sec 7031 5
Business ano Proless,ons Code Ary city or cou~ty wh,c~. ~e quires a permit to const'uC'. a,ter ,m~rove demolish or
repair any structure. prior to ,rs issuance also requires ir.e ap
pl1cant for such perm<! to •11e a s1~ned statemer/ !hat he 1s
1,censed pursuant to tne prov,s,ons of the Con•ractor s L,cense Law IChaoter 9 commenc,ng with Ser1,on 700D of
D1v1s,on J ol lhe B~s,~ess and Profess10% Coce; O' :hat.sex
emp: t~erelrom and The bas,s lor the a·legeo e,empltor An·1
,iolahon of Sect10~ 7031 5 by an applicant lor a perm,! s;ib
1eC1s lhe applicant 10 a c1v,1 penalty of not mare than Ji,e h,n
ored dollars ($500)
I. as owner o1 the P'0Periy or my emp1oyees ,i1th wages
as rhe,r sole compensation. w,11 oo me wo'k and me slruc
ture 1s nol intended or altered for sale !Sec 7044 Bus1ress
and Professions Code The Contraclor's License La,i coes
not apply to an ow~er of property who builds or improves
thereon and who does such work himself or through his own
employees. provided that such improvements are not intend-
ed or offered for sale 11. however. the bu,ld,ng or ,mprove-menl 1s sold w11hm one year of comple110n the owner-bu11der
will have the burden 01 proving that he did not bu11c 0' ,m-
prove for lhe purpose of sale)
I. as owner 01 the prooerty, am exc,usively conrrao,ng
with licensed con1ractors to construct the pro1ect (Sec 7044 Business and Professions Code The Conlracfor s L,cense
Law does not apply to an owner ot properly who bu,lds 0' ,m-
proves thereon. and who contracts for each oro1ects w,rh a
contractor(s) license pursuant to the ConTractor"s License Law)
·-As a homeowner I am ,mpro,ing my home, and :he lollow
,ng cond,r,ons ex1s1
1 The work ,s being performed pr.Dr to sa·e
2 I have lived ,n my home for twelve monrhs
prior to complehon ot this work
I have not claimed this exemption dur11~ the last three years
io'r t'h~: r~~~~~I under Sec _____ _ B & PC
~I hereby af!,rm thal I ha;e a ce'1i1,ca\e of conserr
1o sell rnsure or a cert,!1<.ate ol Worke•~
Compensation lnsuranc(' ,:ir a cZ#/rtd,ed cop t ereo1 1Sec 3800 L.atx:,r Code1
KJUC,Nc(Y~ -a,f"l
COMeAN, ll'lc/,A,vJ l~ • Copy ,s filed With lhe c•ty
0 Cen,1,ed copy ,s hereby tum,shed
CERTIFICATl OF EXE::MPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s sec1,on ne€d no1 be completed ,, the ,,errn,t
•~ lor one hunc!red dollars 1$1001 ,,, lf'S~·
D I cert,11 that ,n The pertorrnance o' The ""'" 'or ,..r,,ch th,s perrn,t ,s ,ssued I shall nol ernplr>y ar>,
person ,n any rnanne, so as tc become sut>1e< r 1<
11'e Workers Compens.at,or L.a"'s o' Ca1dorn,d
NOTICE TO APPLICANT If a!!er rnak,n] •r.,s Cert,
locate of E•f'mpi,on 1ou should t:,,>corne subJe' I t,·
lhe Workers Compensat10CL pro>1~10CLs ol rne .....ioor
Code you must lortt,..,,th compl) ..,,,h suer
p,o-,s,ons or th,s perm,t shal, be rJeer<·,ea 'P.CJ•Pr:
D I hereb)' alt,rm that The•P •~ d _o',~l•u,:t u~
:end,ng .igency •o• thP ,:,erow·an pot the "''Y' 1,,,
,which th,~ pe,m,1 ,s ~sued ,Sec \091 r," c,,~l<'
Lende, s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I
: ,o~Es G 'lllV'G At01tJE AV. ST.RO. NEAR:T,=T /1 fl OATE OF APPUCATOON Bus,€9/3SE. tt??:C,P, PERM; NU:BER I
: ,.~ BL:;:! . , ~~~~':...z_ 1 •,~P~~E,J•Nz..-i.J CONTRACTOR CONTRACTORSP",°"'' ZONE B3' ~lZ 'Jo
I IJ WNER'S NAME '· \ ✓• OWNER'S PHONE /IJ/J.J;v'r,,,,/f ~fL, s
;.1 ~':"':,, A-£? lj#::~LA-~ ,$'6'f~W CONTRA~::~:o:;Ess J UCENSENO. PLAN1.•.# BLOGusEcooE •
I OWNER'S MAILING ADDRESS lYIA.JtvY"JJ 5 IB i./=>it:iZ.'I/
: /2,:}) f/fo5Ra:r Sr. Sre. /03 LA JO<..fA 9ZCJ3r OES•GN~ ffl UCENSE. STANOARO PLAN# BUOLOONG sa;_opr.GE
, OESCROPTOON OF WORK • WL '#CJ/f/Jt, e-1090 lJ:>5,, .
: ~ ;;?1--"c;,;;;5,,.,811t s. D. t31~:·~z:s · ·
I • dffi ~ --. . 'e 'LR ECEV NO occ Ge EDU
I STORIES 12 ·-3 I
1 ,c -..o ---Z n ,
I C!::NSUS TRACT I GP LANO USE I PARKlf\l(_, SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPfw ace LOAD FIRE SPP .
I ~ IC#/ I AREA CONST
1 /7 , • N • , • -..·~ t/i YO r.:-r,i I Nor Valid Unless Machine Cerr,fied I
I : I I
: QTY. PLUMBING PERMIT. ISSUE I .J-/, ,;;r, QTY. MECHANICAL PERMIT· ISSUE "< _ SUMMARY/ACCOUNT NUMBER • ~ . I
I /-f EACHflXTURETRAP =>2, .L..r. / INSTAllFURNOUCTSiJPTOlOO,OOOBTU (J_-BUILDINGPERM',T 01·00·00-8220 __ J_L-:J, I
I / EACH BUILDING SEWER I L. ~ OVER 100,000 BTU SIGN PERMIT , 01-00·00-8221
I / EACHWATERHEATERANIJ[)RVENT -+ 2.~ '801LER-.COM-PRESSo-RuPr03HP -_J._ • PLANCHECK \ ~01-·oo.00~8806 _____ -~:L,i.JC
: / EACH GAS SY_S__T_§_M I !Q_~_~TLETS -:. ·--Z . 5(~ _ -_B_~l-~~Q~~~E~S_9_R] 15 HP _ TOTAL PL~MBl~f._ ___ ~ ___ ' :""-01-00-00-8222 -5"/, $o_
II---EACHGASSYSH.M!:JORMORE __ --t ·-~1---{!MEIA'.~IRt.D_LAC§_____ ;;>. -_ELECTRICAL . -..J~_-_00-00·8223 -.::,..., •. -
: EACHINSTAl ~_L_!E_~:___R_E~~RWAT!R_PIPf -+ 1_J_ VENTFANSINGl~E~~T__ -----/,-,_ -MECHANICAL ,,i ~W-oo-00-8224 ~L,--
1 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME , ' 01-00-00-8225
1 WATER SOFTJIJER RELOCATION OF EA ~URNACE,HEATER . MOBILEHOME PARK lr.l.SP '\
1 --~A[H ~:.:er r;.ri., ',' r.s 1;r~ ---SOLAR ~ _ \ 01-00-00-8_226 : _ L _ ~~! TQTJ'.;,L MECHANICAL .,,,,-STRONG MOTION "--._j 80-92-33-0519
, rcJ1A1 P1u"P'"' I 51 =x,l Jt:, F1RESPR1NmRs 01-00-00-smL
1 ' I I '1; I I PUBLIC FACILITIES FEE 32-00-00-893'.l ~l ---' QTY ELECTRICAL PERMIT. ISSUE ,c-: , OTY. SOLAR· ISSUE · · · ·· -
.tl.06-
~-'--' --II 1 8RIOGE FEE
1 NEW CONST EA ,'.,,MP sv,,1 1-lKR ~a 1 ~ -1 coL.Lc10Rs scHooL FEE -01srn1cT ·-
1 PH _____ ~!~. ' SICRAGE' .A'·JKS Carlsbad v"_f.,m__ _ 80-92-21-0519 j
1 FXISI DLlJG EAAMP•S\J.'T RKR 1 80CK STD"•VlE Enc1n1tas 80·92-22,0519
1 1 PH 3 PH PUW:i San Die;;; --------80-92-23-0519
I ---
1 REMOOELAlTt:R PE.R[IRCUIT P,,">\Cl·HJ<F~E SanMarcos 80-92-24-0519 ---------.,_ ,----------
1 H,\,1PPnlF ?1lnAMPS , --. -
OVE:R 2UO AMPS I f----J-------' 4 _L_!___CENSE TAX 01.oo.oo.s162
--:c:Jf---+------------------t--_ --~~ ~~o~~T:JEr9
_________ -lf:i:J-L ' ' I TEMP OCCUPANCY •:30 DAYSI ---
I --' 7 {) ,,·,.s:;i,R TOTALFEESPAYABLE 'O=f/,ol ~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY CERTiFY UNDER PENAL 1'Y OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE * tS REQUIRED FOR EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$ 0£MOLITK>N OR CONSTRUCTION Of
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUJLDlNG CON· OVER 3 STORIES IN HEtGHT
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~~;t,~~';';~;;;';';;;;~~!S!!.-''-"e!C""e!S::::=~~f""';~:::~=::;:;:;-ir:;~:::,:::;~:;-:--f--T"-------:"77::l~-
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUTlES, JUDGMENTS. COSTS AND APPROVED BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERM!T BY PHONE 0
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TYPE I DATE INSPECTOR
BUILDING ' ' FOUNDATION I
REINFORCED STEEL ' ' MASONRY I
GUNITE OR GROUT
' FLOOR & CEILING SUB FRAME I
SHEATHING • ROOF • SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL ' '
PLUMBING '
SEWER AND BL/CO •IPL/CO I
UNDERGROUND • WASTE r7 WATER
TOP OUT • WASTE C WATER
TUB AND SHOWER PAN ' GAS TEST I
• WATER HEATER • SOLAR WAjfER
I
ELECTRICAL I • ELECTRIC UNDERGROUND • l!JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
• BONDING • POOL I
'
MECHANICAL ~
I • DUCT & PLEM., • REF. PIPIN'G
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEM/LABOVE HA ve BEEN APPROVED
FINAL ' . -PLUMBING I -✓c.
ELECTRICAL ' n ,]_\....J I
MECHANICAL I / ~, I ... ,
-Al
GAS '
' ?')Y
BUILDING '
SPECIAL CONDITIONS I
I
FIELD INSPECTION RECORD ~3-5 I J_., Cf r.) !------
-~-REQUIRED SPECIAL INSPECTIONS I INSPECTOR"S NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOIL.S C'~!~}P_:AN•,-E
Pp l()R TO
FC,UNDAT C")N l"J::SP
-~~-
STHUCT.• IPA! ((1r'-,(PF-r -+' --CVER 2'.YJ•~: P\;1
-----PRES TRESSE'
'.;ON(:Hf~E
POSr 1°c7N~?~l~O~N-[cc:C-----1r-----t-------r··
CONCRETE
FIELD WELDING
ri ·r~rl ~ -•~E-"JG fc<
BCil TS
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..__________ _ ____ _j___ _________ _,_-'•-----------
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