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HomeMy WebLinkAbout2721 MONROE ST; ; 86-538-130; Permit- . 2 r 0 - I hereby affirm that I am licensed under I C.) I provision. of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in L. full force and effect. Or - I hereby affirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a permit to construct. after, improve, demolish, or I repair any structure, prior to lie iccuance also requires lbe up' plicant for such permit to file a signed statement that he is licensed pursuant to the. provisions of the Ccm!ractvr'c I License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Cods) or that is ex-empt thcrcf rum and the basis for the alleged exemption. Any I violation of Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penalty of not more than five hun-dred dollars ($500). I, as owner of the property, or my employees with wages - as their solo compensation, will do the work, and the struc-ture is not intended or offered for sole (Sec. 7044, Business I and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own I employees, provided that such improvements are not intend-ad or offered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that ho did not build or im- prove for the purpose of sole). - I') I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Cede: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). , 13 As a homeowner lam improving my hsme, and the tollnw- iog conditions exist: I. The work is being performed prior to sale, I have lived in my home for twelve months I prior to completion of this work. I have not claimed this exemption during the last three years. lam exempt under Sec. _. B & P.C. for this reason thereby affirm that I have a certificate of consent .to self-insure, at certificate of Workers' Compensation In. surance. or a certified copy therCol fSec. 3000. Labor Code) POLICY NO. COMPANY 0 Copy is filed with the City - O certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM. WORKERS COMPENSATION INSURANCE (This section need not be completed it the permit - is for one hundred dollars ($100) or less) I certify that in the performance or the work tor which this permit Is issued. I shall not employ any person in any I manner so Oslo become subject to the Workers' Compen-sation Laws of California. NOTICE TO APPLlCANT:Ifl, after making this Certificate at Exemption, you should become subject to the Workers. I Compensation provisions of the Labor Codn, you must Iorthwith comply with such provisions or this permit shall be deemed revoked. - sic [' 0 I hereby affirm that there Is a construction lending i agency for the performance of 1kg work for whir'h thin Ver- mit is issued (Sec. 3097, Civil Code) Z - Ml Lender's Name_________________________________ -J -- Lender's Address 15 0 -j m Ml Z 31 ic Ml 0 C (0 C) 0, a C 0. 0 USE BALL POINTPEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. "- CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859(619) 438-1161 ,( - JOB ADDRESS0," AV. ST. RD. NE RESTCRSS 1, bATE OF APPLICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER c3à/ '/QM-\' I c I it ______ B IVIS N A CID 4 CONTRACTOR CONTRACTORS PHONE a oI BLOCK ZONE OWNER'S NAME OWNER'S P ONE _________________________________ " 67J8 ________________ CONTRACTOR'S ADDRESS STATE LICENSE NO./ BUILDING SO. FOOTAGE jJ//oQ4 ? -lu",' 7' OWr4Cfl'O MAILING ADDflCCS DESIGNER 7AS_XJr _c/_'Thmto t i/a DESIGNEM'S PuNE oP____ ,ta,, DESIGNER'S ADDRESS STATE LICENSE NO. -- F/P FLRELEV,I I NO OCCGP E I STORIF S YO - I - P A K INGSPACE RES UNITS GRADING PERMIT ISSUED I AREA _TV 0CCLOAD I_FIRESPR -_I_ Ct Valid Unless Machine Certified Yor k Not - o e - QTY. PLUMBING PERMIT - ISSUE 7_Sd QTY. MECHANICAL PERMIT- ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP S - INSTALL FURN. DUCTS UPTO100,000BTU - BUILDING PERMIT 001-810-00-00-8220 I EACHBUiuLDINGSEWER .., 4 OVER100,000BTU L71 , SIGN PERMIT 001-810-00-00-8221 - EACH WATER HE'ATERAND/O31VENT BOILER/COMPRESSORUPTO3HP BOILER/COMPRESSOR 3.15HP - - . PLAN CHECK TOTAL PLUMBING 001-810-00-00-8222 001'810-00-00'8821 EACH GASSYSTEM1T04OUTLETS EACH GAS SYSTEM 5 OR MORE' ' ,' METALFIREPLACE .':' ELECTRICAL '001-810-00-00-8223 EACHINSTAL..ALTER, REPAIRWATERPIPE - VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 EACHVACUUM, BREAKER. _- -. _5_.. MECHEXHAUST -HOOD/DUCTS MOBILEHOME 001'810-00-0O-8225 WATERSO.FTNER - - RELOCATION OF EA FURNACE/HEATER . SOLAR 001-810-00-00-8226 EACH ROOF DRAIN (INSIIE) . DRYER VENT . STRONGMOTION 880-519-92-33 V •.\s....,,,,., - TOTAL MECHANICAL I I 17_. FIRE SPRINKLERS 001-810-00-00-8227 \-TO TALPIUMB1NG.t' ,Ø PUBLIC FACILITIES FEE 320-810'00-00-8740 - BRIDGEFEE _360-810-00'00-8740 QTY' ELECTRICAL PERMIT- ISSUE - QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA NEW CONSTEAAMPSWT!BKR /.4y4)1JO -'-- CARPORT - . TIF 134-810-00-00-8835 ' I PH, \_ 3PH , AWNING . LA COSTA TIF 133-810-00-00-8835 EXISTB1-'6dEA_AMP/SVT/BK14__- - GARAGE ' - FMF 1 PH 3 P ' - . LICENS 81 62 REFbOE4AL.TR PER CIRCUIT ' . MFF 99257 TEMP POLE.-,2,Q0 AMP___Le,., '' - - . . --NUV_2_1 OVER 20 _AMPS.,____________ TEMP OCCUPAN'CYI3O'DiYS) - City o _cARLSBAD CRENT PROCFSSIN _k S. TOTAL ELECTRICAL I .' TOTAL - TOTAL FEES PAYABLE — I HAVE CAREFULLY EXAMINEDTkE COMPLETED -'APPLICATION AND PERMIT" AND DO HEREBY I Expiration. Every permit issued bythe Building Official under the provisions of this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER Code shall aspire by limitation and become null and void lithe building or work CERTIFY UNDER,: PENALTY-OF ,.PERJURY THAT ALL INFORMATION HEREON INCLUDING THE I 5'0" authorized by such permit is not commenced within 180 days from the dale of such DEEP AND DEMOLITION OR CONSTRUCTION OF UE(LAHAI IONS ATIEJ'AVE AND CORIILCT AND I rURTHEll CERTIFY AND AGREE IF A PFRMIT I pormut, or if Iho building or work authorized by much permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON. abandonedatanyIi_aftertheworkiscomWencedfora period 01180 days. - - STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND AF`51f~N`T'S SIGN RE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ______ a GRANTINGOFTHISPERMIT.__ cNER\ BY PHONE 0 CONTRACTOR 0 APPROVED BY _- ___0A1E1.f (\ M Pl. _Yciz 0 0 an CL in C I . I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REQ. IF INSPECTORS INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY INSPECTORS NOTES - I F' TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEIJNG SHEATHING EfROOF E7'S0EAR FRAME ______ EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL (,4441 PLUMBING O SEWER AND BL/CO 0 4L/CO UNDERGROUND FeMASTE DIWATER 1.23,97 TOP OUT ;WASTE jVATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR VATER t ELECTRICAL ELECTRIC UNDERGROUND UFFER ,7 ROUGH ELECTRIC I_______ ELECTRIC SERVICE 0 TEMPIDRARY O BONDING 0 POOL 4 1 MECHANICAL DUCT & PLEM., 0 REF. PIPING /7 HEAT — AIR COND. SYSTEMS I_____ ______ VENTILATING SYSTEMS I PILES CAISSONS I I I I CALL FOR FINAL INSPECTION WHEN ALL.APPROPRIATE - - - ITEMS ABOVE HAVE BEEN-APPROVED.- FINAL PLUMBING - - ELECTRICAL MECHANICAL 1 GAS BUILDING SPECIAL CONDITIONS : CITY OF CARLSBAD LOT /3O INSPECTION RECORD I ADDRESS: ??, tAJ,2OL - BUILDING FOUNDATION ' /1-724 REINFORCED STEEL MASONRY GUN!?! OR GROUT SUB PRPJII ( ) FLOOR C) CEILING SHEATHING f.4OF vc HEAR 4'-?? 7 FRAME INSULATION -. EXTERIOR LATH INTERIOR LATH & DRYWALL & FINAL PLUMBING ) SEWER & BL/CO C ) PL/CO UNDERGROUND (-1 WASTE ( ) WATER ./--v3 TUB & SHOWER PAN GAS TEST C ) WATER HEATER C ) SOLAR WATER FINAL ELECTRICAL ) ELECTRIC UNDERGROUND ( ) UPPER BONDING ( ) POOL -- FINAL MECHANICAL C ) DUCT & PLEM., ( )REF. PIPING, HEAT - AIR COND. SYSTEMS 7) VENTILATING SYSTEMS - FINAL COMPLETE BUILDING DATE: I I CLEARED WITH GAS AND E CTRIC DATE:______________ NOTES ON REVERSE SIDE...... ••- FINAL BUILDING INSPECTION PLAN CH NUMBERS 86-53843O DATE: 101-87 PROJECT NAME: Los Arboles ADDRESS: 2721 Monroe St PROJECT NO.: 772 UNIT NUMBER: PHASE NO.: TYPE OF UNIT: sfd NUMBER OF UNITS: 1 ) CONTACT PERSON: Steve CONTACT TELEPHONE: INSPECTED INSPECTED BY: I INSPECTED BY: DATE NOV. 02 1987 INSPECTED: APPROVED DISAPPROVED DATE INSPECTED: ____________ APPROVED ______ DISAPPROVED DATE INSPECTED: ___________ APPROVED ______ DISAPPROVED Costa Real Municipal Water District COMMENTS: Engineering Department (619) 438-3367 Rev. 1186 WHITE: Suspense :ter Dstrct EEN: Engineering CANARY:Utiiities PINK: Planning GOLD: Fire I FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 86-538-130 DATE: 10-1-87 1. PROJECT NAME: LOO Arbolco ADDRESS: 2721 I'lonroo St PROJECT NO.: 772 UNIT NUMBER: PHASE NO.: TYPE OF UNIT: ofd NUMBER OF UNITS: CONTACT PERSON: Steve I " CONTACT TELEPHONE:________________ all dent INSPECTED DATE /.'fE7 BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED ______ DISAPPROVED INSPECTED DATE BY: ______ INSPECTED: APPROVED ______ DISAPPROVED ± 1 Rev. 1186 WHITE: Suspense BLUE: Water District Planning GOLD: Fire '- • -- ve - FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 86338130 DATE: 1O-l-87 PROJECT NAME: Loo Atbolea ADDRESS: 2721 Notir*4 St PROJECT NO.: 77"2 UNIT NUMBER: PHASE NO.: TYPE OF UNIT: ofd NUMBER OF UNITS: CONTACT PERSON: Steve CONTACT TELEPHONE: INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: _______________________ INSPECTED: ____________ -APPROVED ______ DISAPPROVED INSPECTED DATE BY: INSPECTED: 1) . APPROVED- DISAPPROVED - . - - - • 4 ... COMMENTS: / Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Uti PIN K: Planning OLD: Fire - .-----.---- '...- - ".- '-- r' FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 86-538-130 DATE: 10-1-87 PROJECT NAME: LOB Arbolco ADDRESS: 2721 1onroo St PROJECT NO.: 772 UNIT NUMBER: PHASE NO.: TYPE OF UNIT: ofd NUMBER OF UNITS: 1 CONTACT PERSON: Stave CONTACT TELEPHONE: All diot INSPECT? DATE BY: INSPECTED:/ ?7 APPROVED DISAPPROVED INSPECTED DATE BY: _______________________ INSPECTED: APPROVED ______ DISAPPROVED INSPECTED DATE BY: ______ INSPECTED: ____________ APPROVED ______ DISAPPROVED COMMENTS: Rev. 1186 WHITE: Suspense BLUE: Water Distric=EglneeringCARY: Utilities PINK: Planning GOLD: Fire