HomeMy WebLinkAbout2709 Loker Ave W; ; CB89067; PermitUI z 0 ~ C a: C ~ u "' 0
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c~ e hereby affirm that I am llcenaed under
U [ prcwlalona of Chapter 9 (commencing with ~ Secllon 7000) of Division 3 of the Business
1-and Profeaalons Code, and my llcense Is In ~ full force and effect.
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I hereby athrm lhat I am exempt tram the Contrac·
10< s L,cense Law tor the lollow1ng reason (Sec 7031 5 Business and Prolessions COde Any city or county whitr, re
quires a perm11 to conslruct. alter improve demohsh or
repair any struclure pnor to 11s issuance also requires !heap·
plteant tor such perm,t 10 Me a stqned statement that he 1s
licensed pursuant to the prov,sions ol lhe tonuac1or s License Law (Chapter 9 c0<nmencmg w11h Section 7000 of I
D1v1S1on 3 of the Business and Prolesst0ns COde) or lhat 1s ex ( ~:rat~~e~f~t~O~ ;~ 1~sri/:~ l:~;,~:dt:;~m::;:, :u~y ( ~':'! ~::r:~r~~;o. CIVIi penalty of not more than live hun-I
I 1. as o""ner or the property, or my employees w1lh wages I
as their sofe compensation will do the work and the struc-
lure 1s not mlended °' altered 10< sale (Sec 7044 Business I and Profession~ Coc:Je The Con1racto( s license Law does , :;r:gt!n~0 .;;o :;~s:~:~ag::'~1;::i, ~1:~~~~~~~;°:;~ f
employees. provided lhal such improvements are not 1ntene1-t ::i ,~~: ~~h1~~e ~ea~~~P~~~u1t~~"~0~e~1i::; l.
w,11 have !he burden ol provmg lhat he did not build or 1m-I
prove IOI the purpose 01 sale}
1 t as owner ot the property am exclusrvely con1rac1mg
with lrcensed contractors 10 construe! the proiect (Sec 7044,
Bus.mess and Proless.ons Cooe The Contractor's license t Law does nol apply 10 an owner of property wno builds or 1m-f proves lhereon. and who contracts for each proiects with a contractor(s) hcense pursuant to the Contractor's License Law)
As a homeowner I am improving my home. and lhe lotlow 1ng cond1llons exist
1 lhe work 1s being performed prtCK lo sale
2 I have lived an my home tor twelve months
prior 10 complehon ot th,s work
I have not claimed this exemp1t0n during the last three years
ri I am exempt under Sec -------B&PC tor lh1s reason ____________ _
0 I hereby afl1rm thal I ha¥e a cert1f1ca1e ol consenl to '
selt•1nsure. or a cerltflcale of Workers Compensation In-
surance. or a cert1f1ed copy !hereof (Sec 3800. Labar Code)
POLICY NO
COMPANY
Copy ,s filed with the city
D Cet11hed copy 1s hereby lurn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
llhis sec11on need not be completed 11 the perm,1
1s for one hundred dollars (SHlOl or less)
C I certify lhal in the performance of lhe work tor which
!his perm1t 1s issued, I shall not employ any person many
manner so as to become subJecl 10 the Workers· Compen·
sa11on Laws of Cahforn,a
NOTICE TO APPLICANT It, after making this Certificate l
of Exemplton. you should become subJecl to the wo,kers·
Compensation provis,ons ot the Lab0< Code. you must t
forthwith comply with such provisions or this permit shall
be deemed revoked
D I hereby affum that lhere Is a conslruc11on lending
agency for lhe performance of the work lor which lhis per·
mil 1s issued (Sec 3097. Civil Code}
Lender·s Name ____________ _
Lender"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) 438-1 161 _,,
J,1s , .. ,J AV. ST.RO. THOMAS BROS NO. I OAF-,iP·LieNI
BUSINESS LICENSE • VA7P' PERMIT NUMBER ~·-. Ave,. ~;-&1 Lo er .~-1;£.\ I BLOCK I SUBDI VISION I ASSESSOR PARCEL NO. CONTRA].R l.~J .. CONTRACTORS PHONE• ZONE (
LM_~.,. ,· ;4~ -"I 'S "!. ow;;!,;;,, "D~vef op,..... c.w/. I
OWNER'S PHONE
C,;;~OR'S;:_,D~14 \/,,i STATE LICENSE NO. BVILDl~TAGE
l:>r. 1.012.!>1 OWNER'S M.ollLING ADDRESS .
DESIGNER DESIGNER"$ PHONE 't.!'.):> VJ./ .ltU 07 V )VJ. V..L' v.:.
DESCRIPTION OF WORK Bldf'mt 15-0<
DESIGNER'S ADDRESS Sl An: Llc;ENSE Nu.
I~ ~Ve"--··· ·-----
~W.i~.PW. FLA ELEV NO OCC GP EDU ----STORIES __ .............. ---........... vO "D --I CENSUS TRACT I PARK ING SPACE I RliS,ul,Hl"SW' r~ ,~AMtiNb"Pt:AMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
--~~~I. Mt.... _. . ~·, · ., v",e;t..· Mah CONST ,· :. ... a .'Ito ~· \i, .• ._,, """"'.......,,...... vO NO Nor Valid Un~s Machine Cert1/t«J
QTY. PLUMBING PERMIT· ISSUE 7.SV· ·aTY. ' -:: ~EC}iANtCAL PERMlf ~~ q1 15. (!:t') SUMMARY/ACCOUNT NUMBER .. ..
EACH FIXTURE TRAP .. -1N9'A1.t f UflN OOCTS UH O 100'btnnrrlf· .. ~UILUINiJ n11Mil UU 1 ·810-UU·UU·BUU
EACH BUI LUING SEWER OVER 100.000BTU SIGN PERMIT 001 ·810-00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00·8891
EACH GAS SYSTEM I TO 4 OUTLETS BO I LEA ICOMPR ESSO R 3 1 ~ HP TOTAL PLUMBING 001-810·00-00-8222
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 IL"~-
EACH INST AL ALT ER. REPAIR WATER PIPE VENT FAN SINGLE OUCT .___,..,:-,.~-MECHANICAL 001·810·00-00-8224
EACH VACUUM BREAKER MECa ""'"" ijj)<lll.OUJ:.Is..-1111:-~ . ~ MOBILEHOME 001-810-00-00-8225
WATER SOFTNEA R~AVND ........ E. I .. SOLAR 001-810-00·00-8226
EACH ROOF DRAIN i 1NS10Et o;::._., ... iww •• •--1-•: STRONG MOTION 880·519·92-33
PERMIT/;LHA~~ ·~C_E \, '" FIRE SPRINKLERS 001·810-00-00-8227
TOlAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00-00·8 7 40
l:Stl,ltU oi1~) ~ESE~U---~~
BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT -ISSUE ..:S, <!O QTY. PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl llK R l)M ~RT .,, ..
312·810·00·00·8835 TIF
1 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
REMODEL AL TtR PEA CIRCUIT J ,... MFF 880·519·92-57
TEMP POLE 700 AMPS Ill-
OVER 700 AMPS V
TEMP OCCUPANCY 130 OAYSI
C REDIT DEPOSIT , TOTAL ELtllAICAL I JS". TOT Al I /S-f!!d-~ TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT"' ANO 00 HEREBY Ellp,r1111on E--, perm,t IUued by Ille 8uildr119 Off!Ctel under Ille prcw-ol tllta * AN 08HA flEMlfT • flECIUNO FOR EXCAVATIONS OVffl CEATIFY'UNOER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code a,,..I e•pire by hm1tlll1on end become null and vOtd If the budding or work s· o· DEEP ANO OEMOUTION °" CONSTAUCTIOH Of DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I& authorized by auc:11 perm,1 oa not commenced w•lh1n 1111 days from Ille dale ,>I such STRUCTUMS OVEJIII 3 STONES IN HEIGHT permit. or 11 'lv bulldl:.1 or wort,. autllOrlZecl by aucll perm11 11 or ISSUED: TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· -doned •• IIIM ...... worlc .. commenced for • oer,od of IIO -· I . STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
7..NTl7l 'b• ~eRO
CONTRACTOR 0 APPROVED B~ Dt.Ertftff KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN ?,_ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [] ' GRANTING OF THIS PERMIT 10
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SijEAR
FRAME
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I .
I
PLUMBING I
D SEWER AND BUCO D PUCO
UNDERGROUND D WASTE D ,WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL ' D ELECTRIC UNDERGROUND O UFFER
ROUGH ELECTRIC i
0 ELECTRIC SERVICE D TEMPG>RARY
D BONDING D POOL ' ' MECHANICAL I
0 DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I ' --
VENTILATING SYSTEMS .. J . .
I ·,
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
I I •
PLUMBING ' .......
ELECTRICAL ' -.
MECHANICAL I
I
GAS ' . .,.--BUILDING I .
SPECIAL CONDITIONS I
I
... -· .6 --.......-.. -. .-. ' . ' ·, -\
' '
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING • '.lt -HIGH STRENGTH . Tl 1 303 fllJ BOLTS
SPECIAL MASONRY ... ' . .), . ~ 'V2 s:YLIIII ··~CE ~· Ff: \,., ., .... -·-'IJ:'
PILES CAISSONS IL:.. _....,,, a.,1 ... ~L ., '
...
' .
-;;-
~vr .. ~. ·~ ft ,.ft ··-I.Ar 1n1 _.., .--.... I E
PERMIT HA: ~ Ul'IKl JJIN at_ .... _ ,nTH U.:.c
SECTION Jll '(dJ ..
DATE ~ ---···--
f;JQ't,111;
·~S'.12 Or\Ta\86 OOOT or 03 . . . .. -~ . ' . ' . .
• C
-. .. . . -. \ I . .
.... ' .