HomeMy WebLinkAbout2722 Inverness Dr; ; 82-322-88; Permit-------.,: '
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O I hereby affirm that I am llcensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Dlvl1lon 3 of the Business
and Profession, Code, and my llcense Is In
full force,f114,e}l~J,
Lie No ~.QQ_ Class _.B.=l
I hereby atllnn that I am exempt from the eon. tractor·s License Law for the following reason ISec. 7031 ~ Business and Professions Code: Any city or
county which requires a permit to construct alter, improY<!, demolish, or ,-ir any structure, prior to Its issuance also requires the applicant for
such penn1t to file a signed statement that he is licensed pursuant 10 lhe prOYisions of the Con· lractor's License Law !Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro-fessions Code) or that ,s exempt theNtfrom and the
basis for lhe alleged exemption. Any violation of Section 7031.5 by an applicant for a pennit subjects tne applicant to a civil penalty of not more than fiYe
hundred dollars l$500).
0 I, as owner Of the property, or my employees
.,,,th wages as their sole compensation, will do the worl<. and lhe structure is not intended or offered for
sale ISec ~. Business ana Professio/ls Code: The Contractor's License Law dOes not apply to an owner of property who builds or improyes thereon
and who does such wont himself or through his own employees. provided that such improveme,1ts we
not ,ntende-j or offered for sale. If, however, the
building Of improvement is sokj within one yUI of completion, the owner-builder will have the burden
ot pro,lng that he did not build or 1mprOYO for the purpose of sale).
CJ I, as owner of the propeny, am exclus,vely
contracting with licensed con1r,.ctors to construct the pro1ect jSec. 7044, Busmess and Professions Code: The Contractor's License Law does not apply
to an owner of property whO builds or improves
~~=i~ 7.~~nc~~~!~~ ~~rh~r~~~;:.: License Uw).
D lamexemptunderSec _____ .B &PC
for this reason ------------
Cl I hereby aHirm that I have a certificate ot consent
to self-insure, or a cerhf1cate of Workers· Compensation Insurance. or a c&n1hed copy thereof
(Sec. 3800, Labor Code)
POLICYNO KWP _1_65 92 50_
coMPANv Fi reman I s_Lu_nd
0 Copy IS filed With the City
0 Cen1f1ed copy Is hereby furn,shed
CERTIFICA Tt OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This $eChOn need not be completed 1f the permit ,s for one hundred dollars ($100) or less)
D I certify that 1n the performance ot the work tor
which th,s perm,t 1s issued. I shall not employ any
person 1n any manner so as to become sub1ect to
the Workers· Compensation L.lws ot Ca11tom1a
NOTICE TO APPLICANT If. after maktn1 t~,s Cen,.
hcate of Exemption. you should become subject t'J the Workers· Compen~t1on pro111s1ons ot the Labor
Code, you must forthwith comply with such pro111s1ons or 1n1s perm,t shall be deemed revoked
O I hereby affirm that there 1s a construction
1end1nQ agency tor me performance of the wont. tor wtuch this permit 1s issued (Sec 3097. C1v1I Code)
Lender·sName Un i on Bank
Lender's Addr)i.2 ... 5,._.B.._~s .... t...__ ____ _
San Dieqo CA
USE BALL POINT PEN ONLr--..tRESS HARD -r"\ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANty-CL.ARATJONS. 1 CARLSBAD BUILDING DEPARTMENT . 1 1
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
A~~-T.
1
D;~6:8;LICATIONI BUSINESS LICENSE # VALUATION g__,Di/-~ l'ERMIT NUMBUI
2722 Inverness Drive
~-1,;iA1 1710
OWNER'S NAME l OWNER'S l'HONE
299-5100 i99_:5100
l'RIME CONTRACTOR c6NTRACTORS PHONE • ZONE
TREETOPS UNL IMITED Pacific Scene, Inc
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.O. # BLDG USE CODE
3900 Harney St San Diego CA 92110 3900 Harney St San Diego CA 272686 --
LOT BLOCK ASSESSOR PARCEL NO. 88 Tract 6 12 ~:-=1=,--~::-=-,,~~..Lc:1.xc.L.4-LL.u...a.::..~~~..!.!.~~..L.:::::L!..!:-~~--1 Buza rd/Henning & Assoc
DESIGNER STATE LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE
Jt.{1/l, C-4729
t-'""-'-,~-=-:::::.....:...oo.:.:.u...~--l:~~~=:!..----------:-:----------1 DESIGNER'S ADDRESS DESIGNER'S PHONE •
4883 Ronson Ct. S.D. CA 278-6855
F/P F LR ELEV. NO
!,/3S/§2~73 ~s ~:3 EDU
I 6 .s vO NO
GRADING ~ERMIT ISSUED OCC LOAD I FIRE SPR CENSUS TRACT I GP LANO USE l PA~ACE U NITS
YO ND
-1 REDEVELOPMENT
AREA U
vO NCI( I~ YO '1fl. Not Valid Unm ~ o.tm.d ,
QTY. PLUMBING PERMIT· ISSUE ,.rt:> QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EA_CH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
-
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl.. ALTER, REPAIR WATER PIPE
JACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
' TOTAL PLUMBING l
QTY. ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP/SWT/BKR 1nl1
1 PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
.,REMODEL/ALTER PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
--'"';)v.Sr, / ! INSTALL FURN. DUCTS UP TO 100,000 BTU I 1.J... d BUILDING PERMIT 01·000·4220
L ·.M. ' I OVER 100,000 BTU I I SIGN PERMIT 01-000~4221
~ BOILER/COMPRESSOR UP TO 3 HP I I PLAN CHECK 01-000·4806
~fl BOILER/COMPRESSOR 3-15 HP I I TOTAL PLUMBING 01·000·4222
METAL FIREPLACE I I ELECTRICAL 01·000-4223 -----1-1-,--_ .-+-I VENT FAN SINGLE DUCT I £--I MECHANICAL 01·000·4224
L .i!..
'1 I ·.fo
"'2--
-i--.I -
'lf.j MECH EXHAUST -HOOO/OUCTS -MOBILEHOME 01-000·4225
RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
TOTI.L MECHANICAL
1-J . -
QTY. I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
•
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
/""'\ "
01 ·000·4226
65·640-0519
01 ·000·4227
25·000-4933
65·623-0519>
65-624·0519
65·625·0519
65·626·0519
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(P:/'l.Y
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..~ ... TEMP OCCUPANCY (30 OAYSI
TOTAL ELE CTRICAL I ~.--TOTAL SOLAR TOTAL FEES PAYABLE l ...r..r..r: g'~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICA T10H ANo' PERMIT" ANO DO HEREBY l!lpinillon. ~pennlt--bytfle~Officill underlheproviaton1 ofthil
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Cad9 .,.,, 9NPll9 by llfflllBllan MCI Neoma null Mid void. If tM building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~ ~ ="-= ~ nat-lC*S wllllin 180 days from Ille date or IUCh
ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-81111IOOI:,.. 11111e..:' -:,_~IIICfl parmft ,a 11 or
* AN OIHA ..... ITII~_,_ 5· O" DEEP AND OEMOI~ IIIWUD60F
STRUCTUR1SOV8'3 ··-~-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND .
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO Al'PLICANrS SIGNATURE • OWNER O CONTRACTOR~ AP~ 0.-o/;
EXPENSES WHICH MA y IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -, j 'J I
GRANTING OF THIS PERMIT. BY PHONE D __._ I r 1
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
f3EINFORCED STEEL
MASONRY
GUNITE OR GRQU"'[
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING I
"
) \ \
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
..
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE ~
REQ IF I INSPECTOR'S
CHECKED APPROVAL DATE
FIELD WELDING
SEWER AND BL/CO I \.~ I I I HIGH STRENGTH
I f
INSPECTOR'S NOTES
~IF?EPL..AC.e-fa:ftlN<Y ~ t~, l~·BZ °"' "' ~M2. p~~ -o.t:..!_ t.AaP?~ Q.fl-• • l • T-"
\,\~·~--~ Ol'--
PLUMBING UNDERGROUND ! BOLTS • 1 I I
PLUMBING TOP OUT l •. l .t!J.'7 A, SPECIAL MASONRY~ I I I I -..I
TUB AND ~HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
PILES CAISSONS ~ ,-
. -:.~
ELECTRIC UNDERGROUND ...... _.__,,_ -ROUGH ELECTRIC '
ELECTRIC SERVICE
BONDING A
.. ...... ' ·~ ,.
..
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G. F. I. -SMOKE DETECTOR ----~ .... ~:..i ,,
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..... ....:
MECHANICAL ! I I 1
• ' ' I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTBMS
VENT! LATI NG SYSTEMS l
·I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN. APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
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BUILDING
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SPECIAL CONDITIONS
... CERT OF OCCUP~NCY ISSUED I 1 ( -~~
-~ \J
THIS IS TO CERTIFY THAT INStn -~TION l!AS BEEtf INSTALLED IN
CONFORMANCE WITH TH.i:: CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNII., IN THE
BUil.DING LOCATED AT:
sITE AnnREss: ~7JJ.. Ior~rQ<; ss: Dr.=t S. lJ,
Number Street ity
EXTERIOR WALLS
Manufacturer ;;}!71 Thickness/Type 3 Y~ 1
~/Value J /
CEILINGS
Batta: Manufacturer 0 J /YJ Thickness 61¢ 11 R/Value / '-I ~ f
GENERAL CONTRACTOR: Y <>-<-,'C-;c.--Se-~ Lie.ii -z.. =r 2. · <c g '-
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BY ~ . D ~ TITLE 1S k': )'2 e Y-DATE I · ) 7' · ~ '3
INSMTJON CONTRACTOR: APOLLO INSULATION LJC.// :?86015
' BY~ !1~ TITLE (}A~ DATE -/...:c-.:[=-"' ~/;._9--8-;2_-\../ ~ er,
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