HomeMy WebLinkAbout2723 GREENOCK CT; ; 83-522; PermitIll z 0 ;:: C ac C ~ (,J "' a
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~y affirm that I am licensed under
provlalona of Chapter 9 {commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profeaalona Code, and my license is in
full force and eff k ;, '> -,
Lie No :J2,c,.1. Cl,ss -~
I hereby an~m I/lat I am exempt tram the Contrac·
tol's Locense uw toe the lollow1ng reasoo (Sec 7031 5
Business and ProfesslOl'ls Code Any c,ty Of county which re--quires a perm11 to construct, alter, improve. demolish, or repair any structure. poor to its issuance also requ,rts !heap-
plicant loc SU<h permit ID hie a s,oned Statement lhal he IS
Kensed pursuant to the PfCMSIOns of tl\e COntooor · s License uw (Chapter 9 commenang with SecllDn 7000 DI Olv1st0n 3 011 the Business and Professions COde) or that rs ex·
empl lherelrom and the basis tor the allegeo exemption Any
vtOlatlDfl of Sect,on 7031 .5 by an appllcant lo, a permit sul>-teets the applicant to a tMI penalty o1 nol more lhan five hun-
dred dollars ($500)
D I, as owner DI the property, oc my employees with wages
as their SOie compensation, wjll do the work. ano the struc-
ture Is not lntended or ottered lor sate (Sec 7044. Business
and Profes$100S Code. The Contractoc's License Law does
not apply to an owner of property wllD builds o, imprOYeS
thereon and who does such work himself 01' through hlS own employees. provided that such improvements are not intend·
ed °' offered 101 sale If. howeYer the bu1ld1ng o, improve-
ment 1s sold within one rear of comptebon, the OW!lef'·bwlder will haYII Ille burden of prDYlng that he did not build Of im-prove fo, the purpose of sate).
D I. as owner of the property, am exclusively conlracting wilh licensed contractocs to construct the pro,ect (Sec 7044.
Business and Professions Code The Con!racloc's License uw does not apply to an owner DI property who builds or im-
proves thereon. and who contracts lor each protects with a
contractot(s) license pursuant lo lhe Contractor's License Law)
D As a homeowner I am ,mprov,r,g my home. and the lolow·
ing cond1tt0ns must
1. The wo,~ is being pertocmed prior to sate. 2. I have hved in my home for twelve months r:: ~~ot t
1
~ :W!s,hon dunng lhe
lasl lhfee years.
D I am exempt under Sec.------· B & P.C.
for this ruson -------------
• 1 ne,et>y athrm t~t I ha-,e a cert1tica1e ot consent to self 1nsu,e. o, a cer11t1cate of Wo,kers·
Compensation Insurance. Of a cen1tted CoPy thereof
(Sec 3800. ubo< eooe,
POLICY NO
COMPANY
D Copy 1s hied with the city
D Cer11f1ed copy 1s hereby tu,n,shed
CERTIFICA Tl OF E~EMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This Mtellon neeo not be completed 11 the perm11
,s fOf one hundred dollars IS 100) Of less)
_ I eert1ty that ,n lhe per1o,~e ot the wont tor
h«:h Ih1s pem,11 1s issued. I shall nol employ any
~~n~y~=sa~o~ ~w~~h~~~;;1 10
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1TJCE TO APPL.CANT II at1er malun, lh1s Cert,
ffe of E11emph0f'I. you snou~ t:>e-come subJecl I'>
the Worke,s· Compensation prov,s,ons of tne Labo,
Code. you mus I torth111r1tti comply with such p,ov1s10ns or this oemut stiaU be oeemect ,evOked
0 I hereby aU1,m that 1here 1s a cons1ruc.11on
tend•"Q i.oency to, the per1o,~nce of 1r.e ..,o,11. to,
wn1ch this permit 1S ISSue<J 1Sec 3097 C11;'1I Cooe1
Lenders Name ___________ _
Lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARD --.. -·---... ··--APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------. -. -~-----·-· -·-·-·--··---. -------. --
I CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB AOORESS AV. ST. RO. NEAREST CROSS ST I DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER
:Z?.:t.3 ~c/( C+. lt!J-~l-13 ~~?C) %3-
LOT BLOCI( I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE s-...2;2-C.. C /Jwe C!.-.. --.e. q39-~'IS--a, OWNEO!"S NAME I OWNER'S PHONE I
-h,r:J! :r-.-hLl~t sk~ CONTRACToR·s ADDRESS . LICENSE NO PLAN 1.0. # BLOG USE COOE -'L -.-. PL ~s'-J c,-7 :J;ao-294, --~' :1.,r, ~ OWNER"S MA•LING ADDRESS
~~ DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
! ... _-.tr OESCAIPTION OF WO.LAL, ,L __ ...i!:IM.L•. C<I!. ,,.,.~~,~ OESIGNER-S ADDRESS OESIGNER•s PHONE -~ , :Z:1«!j;-:; ~;;Jo fli --F/P FLA ELEV. NO OCC GP EDU ·' 0~ .IJ.,360~0: 48.8(
STORIES COC)~t;:!7 1_6,13_1 I 93 '108 . vO NO --CC" I 6"'!7 e.,. 'I.Oi l I CENSUS TRACT I GP LAND use I PARK ING SPACE I <!ES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR ARE A CONST
YO ND vO NO vO NO Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT -ISSUE 1~ QTY. MECHANICAL PERMIT · ISSUE s-SUMMARY/ACCOUNT NUMBER __,,
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING ~AMIT 01-00-00·8220 ;:..,L...3--;..--
EACH BUI LO ING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 ...,,_
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ./"5 ~
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00-00-8222 //JV~
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01·00-00-8223
EACH INSTA~. ALTER. REPAIR WATER PIPE ........ VENT FAN SINGLE OUCT MECHANICAL 01-00-00·8224
/ EACH VACUUM BREAKER i-:' MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOM E PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??~
,;-0 TOT.t.L MECHANICAL STRONG MOTION 80·92-33-0519
TOTAL PLUMBING I /0~ FIRE SPRINKLERS 01 ·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE .5-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32-00-00-8933
NEW CONST EA AMP/SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT 'BKR ROCK STORAGE Encinitas 80·92· 22-0519
1 PH 3 PH PUMP San Diegulto 80·92-23-0519
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 OAYSJ ,c
CREDIT DEPOSIT -
TOTAL ElEURICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 417£!!.-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Explratlan. E-, pennil-..cl"1tlle.,ildi119 Off1cull un-lhe provis,ons of 1h11 * AN OSHA PE..,IT IS AEOUlflED FOR EXCAVATIONS OVEII
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1"811 expiM 111 llllillllOn and ~ null -void II Ille bu11d1ng or worll !I' 0" DEEP~ DEMOUTION OR CONSTIIUCTION OF
DECLARATIONS ARE TRUE ANb CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS autl>onnd bl'-" pennil ii nol _,.,.., wotllon 1110 days trom lhe date of suet, S~TUMS OVER l STORIES IN HEIGHT permot. or If ._ ::I.°' -' _..., i,, IUCh perm,1 ,s ou•~~ or ISSUED TO COMPlY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned• -..._ ._ __ • CClfflflleflCed for a oenOd of tllll •
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPl.lCANrS SIGNATURE • 0 CONTRACTOR~ APPROVED BY #-1Do/%;m
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~ • -L OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ', "' /.A:::. ---.1 BYPHONE 0 Gf!ANllNG OF THIS PERMIT. 1 1 " •., ""' --.
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TYPE I
I DATE INSPECTOR
BUILDING I
FOUNDATION ; Ll,'J,A~ (.LU..
REINFORCED STEEL I . ~,
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SttEATHING • ROOF • SHEAR
FRAME I
I
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO D IPUCO I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER '
I
I
ELECTRICAL l
D ELECTRIC UNDERGROUND D,UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING "'· HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I ~ -:;_ ... --· -.
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA V,E BEE,N APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
~ -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTAESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS " .. ,.,
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INSPECTOR"S NOTES
DATE ..-.-, .. .,
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