HomeMy WebLinkAbout2716 GROVE AVE; ; 83-512-92; Permit5fD" il
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~ hereby alllrm that I am licensed under
~visions of Chapter 9 (commencinQ with
Section 7000) ol Division 3 of the Business
and Professions Code, and
full force and effect
L,c No l~L r101, T I
my i"'" " "
I hereby af\lrrn lhat I am e,empl lrom t~e Contrac-
tor's License Law lor the following reaso~ (Sec 7031 S Business and Proless1ons Code Any c,ty O' county wr1c", re
Qu<res a perm,t to construct. alter 1mpro·1e. cemol,sh. ~r
repa,r any slructure. orior to •ts issuance a so requ,-e, the ap
pl,cant for such ~erm,t 10 tile a s19ned slaternent That ~e 1s 1,censed pursuant to \he prov,s,ons of the C:an1rac1or,
License Law :Chaoter g commenc,ng w,:n 5ec:on 7008 o•
D•~1s1on 3 of the BJs1ness and Pro'ess1ons Coae; er :~al Is ex
empt therefrom and the basis lor the alleged e,emptIon Any
v1olat1on al Sec11on 7031 5 Oy an applicant lor a permI1 sub
1ec1s lhe app;1cant to a cIvII penalty o1 not more tran tive hun
dred dollars i$500i
as owner of the p'ouerty or my employees w1lh wages
as their sole co~pensatIon will do the work ard lhe struc-
Ture ,snot intended or olfered for sale !Sec 7044 B~s1ness
and Pro1ess1ons Code The Contraclofs License Law does
nol apply lo an owner ol property who ~uI'.ds or Imwoves
thereon and who does such work h1"1self or !hrough his own
employees, provided thal such 1'Tlprovements are not ,ntena-ed or offered for sale. 11, however lhe building or improve
ment Is sold w11h1n one year of completion. the owner· builder
will have the burden o1 prov,ng that he (11d not build O' im-
prove for the purpose or sale!
I I. as owner ot the property, am exclusively contracting
with licensed coniractors to con,truct the pro1ect (Sec 7044
Business ano Professions Code The Con1,ac\or's License
Law does not apply 10 an owner of property who bu11ds or Im-
p,oves thereon. and who contracls for each pro1ects with a rontractor(s) license pursuant to the Conrractor"s License
Law)
7 As a homeowner I am ,mprovIn9 my home, and the 10110,.,
,ng condItIons exist 1 The worK Is being performeO pr,o, to sa:e
2 1 have lived In my home for 1weIve montrs
prior to completion oi this work
I have not claimed t~1s exemption during 1ne
last three years
_ I am exempt under Sec _____ _ B&PC
1or this reason ____________ _
•'MI hereDy alflfm that I have a cer11!1cale o' C0"1sent 1J' self insure. or a cerr,1,ca1e of Workers
Compensa!,on Insurance. or a cert,t,ed cop, •hereol
(Sec 3800 LaOOr Code1 ""'(;/.//
POLICY NO~ -tJ5~Z
COMPAN' indua 1,JLn,, • Cooy IS filed with \he City
D eer1,!1ed copy ,s hereby ru,~•shed
CERTIFICAH OF EXE::MPTION FROM
WORKERS' COMPENSATION INSURANCF
(Th,s s.ectmr. '1eed rlOI be completed ,1 the r,errn,•
,~ •or one hundred dolla<s ,:$100' 'J' ies~·
0 I ceri,!y Iha! ,n \he perlormance ,)1 !he ... o,~ r:,,
wh,ch th,s perm,t Is issued. I shall ""t ernpI0, ar,,
person "' any m.ir>f'ler so as lo tiecomf' sub e, • I<
\he Wofl<ers Compensa1,on L..aws ot Ca.,tD•n,a
NOTICE: TO APPLICANT I! after "'"'""'J 1n,s Cer1,
licate of Exemption you should Decome ,uriieo '"
lhe Worl<ers Comperlsat,on prov,s,on~ ul !he Lat,or
Code you musl tor1h ... It'1 compl) ,...,:>, ~uc~
provIsI00s or th,s permit shall tw dPer<,e,: •e•·)i<f'd
![ D I hereby attirm tr>al 'here ,5 d , or,srr~, • ,-,r
,end1rlg agency •or 1r,e pertnrrr•,ir,r r G' •>,e ..,,Jr~ 1,,,
which th,s perm,! ,s <,~u;od ,c,e, Y)'l? (;,, 1 ,_,ooe,
tenders NafT1e ___________ _
Lender's Address __________ _
, USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 '~===:,-----------=~~~~=~~~~~;:..;.;==------~=""."."=~===:--~~====~t---c--cc-,----c-=---,--==~=~--1 I f--.i,,.-, NEAREST CR OA TE OF APPLICATION BUSINESS LICENSE # ''A• •'A~.~·· .,,,.Lu,-11UN b~~~:9? :l--kffl.LYm.~~~------=t::[;,pj_~[_ _ __l __ _J ~---'"<-51~-CONTRACTORS PHONE 11
8?-92-6
ZONE
: ~~~~~~;,to--::~~ ~=I tiAJtrU Is
LICENSE NO. PLAN 1.0. # I BLDG USE CODE
, t£-L-l-l=='..2..L.l,!.~-'ZI._~~~L....:._:=~~-------I 19 'I 3/oZ}1 I
: k'.~~eh,~~~r..~i.~~E0.~~~"-i:~~~~L2~c~"~?"t-:J• c-9cih#
: . . ' "'"·"'' s, D, i;;/N~R'S:§_~ -~.12.____fiAtv__ ------F.P FLR ELEV NO OCC GP EDU
I z:,,--~ . STORIES ff I
I ,• ,• ,z -11'------.... -----,-------,-----,-------1.._-~---'-'=----=---===+----+-~--+~~L-+_..'....----l CENSUS TRAC1 GP LAND USE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT OCC LOAD FIRE SPfl
I / AREA I y O ~ 0 , :J , v0 '-Not Valid Unlt!Ss Machine Certified
STANDARD PLAN# BUILDING SQ FOOTAGE
/53]-_
1 QTY PLUMBING PERMIT. QTY MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
I 1-7'_.-i-:C:-C-C-:CC-C:-C:--:C:-:C:-C:------------,---~~-"-,:.,:cl----r--l---:-c:;:-:--:--:--:--;ccc;:-c---;;-,--:c:-:--:c:-CCCCC:CC:C::-:-:C:C-,------l------'Jr-l-::::::-::-+---,;;;;;-=ic,occ,w,-----~'°=~=c-7-------=::.i~J--~-1 1 EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU -BUILDING PERMIT 01-00-00-8220 __ _,.._,_.J_,
I EACH BUILOING St.WEA ____ ----.,,,,'JL_ OVER 100 000 BTU SIGN PERMIT 01-00-00-8221
1 EACH WATER HEATER AND •R vENT so1--lER.COMPREssoR _U_PT-•-iHP ----------PLAN CHECK 01-00-00-8806
If--~-+----------------1----~
EACHGASSYSTEM1 IU40UTLETS t--z_._9 1
.. ----BOILE~,:_c_~M~~E~_s~~-~~P__ --------TOTALPLUMBING 01-00-00-8222
I CALHGASSYSlEMJORMUHE ---• ----~-' ~!AL'.IR~PLAC[_ -----~-_., ELECTRICAL 01-oo-o,o~s~2,23~l-------.;l~+~cc1
: f---R~ IN~~~ AL!_~R, REPAIR 1\'ATEH PIPF . _ t.-....U j ~~~-~AN SING~~~~T _ ~. _. MECHANICAL 01-00-00-822t.---l----~l--"'-_._--j
1 VACUUM BREAKER , MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225
~Al ER SOf TNER RELOCATION OF EA FURNACE-HEATER MOBILEHOME PARK lr~SP ---'a--------
______ -,~; 'H ---------1------'----+--.l..--==~==~==-----~--_l__ ___ ..;. __ +-SOLAR 01-00_-Q_Q-_8_226
80-92-33-0519
01-00-00-8227
TOTi'.i.L MECHANICAL /. _.,. STRONG MOTION
TUI Al PLUMfJ1r,,ic /" FIRESPRINi<LERS
1p_;7YT
___ -~LIC FACILITIES FEE
----5-,IV"·I 0~c~,,·,vvv~ __ J.-_ ____ 11 BRIDGEFEE
___ ~ 'Ir .,' I N" rrrnn, SCHOOL FEE -D'STRICT
QTY I ELECTRICAL PERMIT -ISSUE
I ii'---I nTV I cn1 110 I C:C: l I I=
NEW CUNST EA AMP SWT BKR la:'> :I I
32-00-00-893] L'l'fO I
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fXISI bLlJG EA AMP.SW I BKR
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nnr-" r~nrHr•r Enc1n1tas
so-,2-21-os1,---I----------I
80-92-22-0519
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------------+---------j~an_ D_ie_gu_1_lo 80-92-23-0519
REMOOEl AL ll:R PEP CIHCUIT I 1:
r1I/P Pu"'J c--1F >< F:r San Marcos ____ 8,cDc..c·9~2_.c· 2"-4--"D"-'5; 9._f-----------1
lEMPPOlE !00A'Y1PS I ~ H •-----~ ~ ~ICENSE TAX 01-00-00-8162
~LT '.)lJ lJl-\1:;, ---!f---+-----------------+-----_ L. MFF 80-92-57-0519 ------1-----
OVER 2CJU AMPS
TfMP OCCUPANCY 1JU lJAYSI . . j 9iO ' ,c=j
--
ll CREDIT DEPOSIT I
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TllTAl ElE-1.lRICA! . -------,-~jt} ......-, 7 _?_~ ......-1 n·• rn •.c II T 331-/.(,
I ! HAVE CARE FULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY ExpiratiOf'I. Every per_m1t issued byltle8u1ldmgOfl1c1al under the pmv,sionsoflhis * IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFOAMAT!ON HEREON INCLUDING THE Code shall expire by hm,tat1on and become null and void If the building or work O DEMOLITION OR CONSTRUCTION OF authorized by such permit 1s nol commenced w1th1n 180 days from the date of such
1 DECLAR. AT!ONS ARE TRUE AND CORRECT AND! FURTHER CERT!FY AND AGREE IF A PERMIT IS permit. or ii !he building or work authorized by such permit ,s sper>ded or S OVER 3 STORIES IN HEKitH
ISSUED· TO CO_MPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· l._!•~•~on~d~o;ood!!!_!•Ll !'"!'l.~l>~m~•~•~fl~t•~'Jt~h•!._!•~o~,~k.!!"!..£'°em!!!!!m~•~o~c!•d!!11oe,c•~~•en~~j1~60Q..!ld!Oa<•L-=-+"'~'!"""'"'.f--"'-----------,,"'---'f"-~
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDY'};;1 NT'S G o
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUTIES. JUDGMENTS, COSTS AND ~NAT E .. _ OWNER •
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE --BY PHONE 0
GRANTING OF THIS PERMIT. -----------' I ,. I
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SH~AR
FRAME
EXTERIOR LATH i
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO •IPL/CO 1
UNDERGROUND • WASTE • "VATER
TOP OUT • WASTE • WATER
TUB AND SHOWER PAN T ' -
GAS TEST ,
• WATER 1::fEATER • SOLAR WATER
ELECTRICAL ' • ELECTRIC UNDERGROUND C WFFER
ROUGH ELECTRIC ' _j • ELECTRIC SERVICE • TEMPORARY
• BONDING • POOL _l_
MECHANICAL '
[] DUCT & PLEM., • REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
'
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS AB_OVE HAVE BEEN APPROVED.
FINAL ' ,,-
PLUMBING ' u~ ' ELECTRICAL I /)-If} ------' '-'
MECHANICAL I , -L • I. "V"
GAS I ....
BUILDING I
SPECIAL CONDITIONS I
I
%3-~ \~ -~------
FIELD INSPECTION RECORD
~-REQUIRED SPECIAL INSPECTIONS I bl =====~IN:;,;Sce;P~E~C"'T""O~R,;'S'=N~O~T"'E"'S=====-=======-~=====9
INSPECTION
SOIL.S C-::)~.1~=· ;,,,,_·E
PPIQR TC)
~Qll~[);\~IC,N ".SP
REO IF I 1NSPECTOR s
CHECKED APPROVAL + -~--~===
s1r,uCTL''\A_ C(1NCPF-E:. --[ ---t
OVER ?n:·1-,1 PS1
DATE
~RES-REssi-! ----
·,.ONCRETF -
PCS' Tcr;;;:-,c;,;;cc;-----j_ -
c~~cR~~~--1:JNED ---E-+
FIEL Q ,,. ~ --1 _-,,ELC"G --'
--I\,,-, :;1 :::iE • "----~~-:'S '\/(_, T'-< --r -_ _
I s1-·t::~1AL M:'1.SO"Jr=;v r ----+ ---+--_J
f--------------------+----~------+--------,
P< ES C,'.l:'-scv·
f-----------+---+==-+-------r--
,,
---------f---+--
--t---------------+------
f------+---~-•--
f-------_--==--_-_------r--~ ~=--=--=L-~---
~-----------~--L----~----~
f-------------_j
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----.. -.. --... .. ---.. --..
-..
-..
---.. ----
-.. ---.. -
CITY OF CARLSBAD -' , . -INSPECTION RECORD
LOT#
ADDRESS:
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME () FLOOR () CEILING
SHEATHING () ROOF () SHEAR
EXTERIOR LATH
INTERIOR LATH. & DRYWALL
FINAL -------------" ~ ~ 1.1 \.. PLUMBING
( ) SEWER & BL/CO ( PL/CO
UNDERGROUND WASTE ( ) WATER
TUB .& SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL ____________ _
~~f~ ELECTRICAL ( f ELECTRIC UNDERGROUND () UFFER
( ) BONDING ( ) POOL
FINAL ____________ _
MECHANICAL
( ) DUCT & PLEM., ( )REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL ____________ _
COMPLETE BUILDING FINAL~
DATE: q .. Jy-.-y
CLEARED WITH GAS AND ELECTRIC
DATE: ________ _
NOTES ON REVERSE SIDE •••..•