HomeMy WebLinkAbout2724 GROVE AVE; ; 83-512-94; Permitc,_f.('1.,
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~,(' I hereby affirm that I am licensed under
~vlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prof11&slons Code, and my license is 1n
lull force and effect. •'1/
L,c '"Lf!/,/2,,'jf C rn -t..,I.)_,___
I hereby affirm that am exempt from the Con:·ac
•ors license Law lor the fol!ow,ng reason (Sec 703' S
Susmess ano Profoss1ons Code Any c11y w caunty which ·e-ou,res a perm,t 10 construe! alter 1f'lprove. demol,sh o,
·epa1r any s!ruclu·e pr,or 10 ,is issuance also ·eouires :heap-
ol,can1 for sue~ perm,r to l1le a s,qned stale..,ent that ae ,s
.icensed pu'Suant lo the prov,s,ons ol the coniracor ~
License Law IGha~te· 9 commenc,ng w,rh Sw:t,on 7000 ~•
D1v1s1on 3 ol :~e Business and Professions Code1 ar that ,sex
emol iherelrom and the ,as,s lor the alleged exempI,on Any
·.ioaI on ol Sect,on 7031 5 by an aoplicant fo, a perm,I sub-
eels lhe appIIcant lo a c,v,I penalty ot not m~re than five hun
dred dollars 1$500!
I, as owner ol the property.army emn1oyees w,11 wages
as the,, sole compensat,on will do the wo,k. and the slrcc-
rure ,snot intended or offered for s.ale 1sec 7044. Business
and Profession; COde The Contractor's License Law does
nol apply to an owner of properry who builds or Impr~ves
thereon and whO does such work himself or through his own employees. provided that such improvements are not ntend
ed or olferea for sale 11. howe·1er. the bu,·d,ng or improve-
ment ,s srnd w,th,n one year of completion, the owner-builder
will have The burden of proving that he did not build or ,m
prove 1or lhe purpose of sale)
1. as owner of the property am exclusively contractrng
with licensed con:racrors to construct lhe proIecl (Sec 7044
Business and Proless1ons Code The ConIractor's License Law does not apply to an owner or prooerry who bu,lds or ,m-
proves thereon ana who conlracts tor each ~roIec1s with a
conIractoris\ license pursuant lo the Cor,tracior·s License Law)
As a homeowner I am ,mprov,ng my home. and tr,e follow
,ng condItIons exist
1 The work Is being per1o'med p11or to sale
2 I have I,ved In my home lor •welve mo1·1s
pr.or to completrnn of th,s work
I have not claimed rn,s exernp1Lon curing ·ne
last three years
I af'l exempt under Sec _____ _ B & PC for this reason ____________ _
~ I hereby attirrn that I na,e a cert,!,ca\e o' co,,sent ro self insure or a cert1l1cate ol Wor~ers
CornpensaI,on Insurance. o<~certd,ed ~op the•eof
!Sec 3800 Labor COOB'i.e, • N2. . POLICY NO'-l,./-
COMeANS /t7div., /11c/i,,y,,, • Copy ,s !1led ... ,th the ( ,ty
D Cert,f,ed copy ,s hereby 'urr11shed
CERT!FICA Tl OF EXE:MPTION FROM
WORKERS COMPENSATIO,_ INSURANC~
/Th,s sec1,on need '101 be compleled I The ;,e'"'''
,~ •or one hundred dollars ,$100> ,,, Ie~~,
D I cert,1y \ha1 "' the perforrn.ince ot '.he ... 0rl< '"'
.. n,ch this permit Is ,ssued I shall not Prnp•o) dn, person ,n any rnar>ner so as To becom,;, suD·ec• k
the Worl<ers Co,...pe,-.s.a,t,on La"'s o' CaI,torn,a
NOTICE TO APPLICANT 11, after -na~:cq :r,15 Ce'1,
!1cate of bemploon you 51'1ould becorn,;, whie,--I t· the Wor\\ers Gornpensa1,on pro,is,ons or The L..lOO'
Code you must 'orth11,•th r.ornp•; ..,,1•1 su, l'1
prov,s,ons o, this perm,I shall c>e deemed •,;,,n~pc
D : hereby at!ir<Y1 th.ir n,e,p '< a """~Ir~, 1 ur'
Ipnd,n\l acency 'D' tl'1P per101~.an·e c.,• 'he .... or~ 1,.,
wh,ch 111,s pe•'TlIt ,s ,~c,ued ,Sec \097 c:,. 1 C,xJP
l end,:,r ~Name ___________ _
Lenders Address __________ _
, USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
VG' AveAJG AV. STAO. NEAREST'l!>sP /,<.//IY OATE o, APPUCATOON •us;)5NSE. ~z_,5 PERM,T NUMBER
CONTRACTOR CONTRACTORS PH,.NE # ZONE
: J+Lc.1=,--------ll-~t---=-_LL.,,au._,~:___, '-'~==-• ~a:. &.P/f.L 5
I LICENSE NO. PLAN 1.0. tt
:~J##L.~~~~~:...u..,;~~LI q-~Zfll
I LICENSE,; STANDARO PLAN# BUILDING SQ. FOOTAGE
: ~1!2_!1~ =-<-'--'---"''-"<..:C-=---"-'-~-=-:_=~ 0-90'!) /53?
I t-------------.,--------,---,:-,f--------------f DESIGNER'S PHONE
: --~---cr?7 a AA! --------ee • cR ECEV. S, ~: ::~p -3/5~~
I (JF--V------1--Ln'..Y.-STORIES I:?--<-I
1 YC "<0 ---Z-fl ....J
I CENSUS TRACT GP L.AND USE RES UNITS GRADING PERMIT ISSUEO REDEVELOPMENT TYPE w OCC LOAD FIRE SPF>
/
AREA CON,,S:J'l
: ~-~ ____ _j_ ______ _J _ _L_.!,,~'.'__-~L-'L---l.,.--.,_.:.'~•=--:'~•='-___ L ___ :'~c"-~'~-L-.,-_J _ _'V,ulc!_~----__[-'"~•=--='~:...J----'N=o:':"=':'id:__:U:":'"':':M::::":h:m:':c:':':":'':'d:__ __ -,---1
1 PLUMBING PERMIT. ISSUE I QTY. MECHANICAL PERMIT. ISSUE _ SUMMARY/ACCOUNT NUMBER
I -
I EACHIIXIURETRAP ~ INSTALLFURN OUCTSUPTOlOOOOOBTU BUILDINGPERMIT 01-00-00-8220 1 1 ] EACH BUILDING SEWER ] G, ~ t OVER 100,000 BTU -SIGN PERMIT 01-00-00-8221
:---, EACHWATERHEATERANonRvENT 2. -~' --_f~_~rn,cDMPHE-SSo-RUP-TOJHP _______ ----..-. PLANCHECK 01-00-00-ssos
I / EACHGASSYSTEMI J()40U1LETS • 2__ ,c;: ____ H_q_1_~~--~~M~~E~c;~_R]_l~~-~ ___ __:_ ___ T~~-~~L-~_~BI~~ _____ 01-00-00-8222
: • EACHGASSYSTE'-~JORMOR_E____ _ --·--. _______ _f __ l!_,1_E~~--"~~~~CL ~-:?-.-ELECTRICAL 01·00-00-8223
I ----~~~~N-~~~~ I\LTE~:-~~!'_!_~\_'.0T~~-PIPE ---.-___ , _ _.Z_ VEN~_!-ANSINGLEO~CT LJ -MECHANICAL 01-00-00-8224
1 EACH VACUUM BREAKER MECH fXHAUST HOOD DUCTS ~ MOBILEHOME 01-00·00-8225
Z-5" .ID 51. so
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1 ',It/ATER SOFTNER : RELOCATION OF EA F-URNACE·HEATER MOBILEHOME PARK INSP 1 1
I---,--:---;----::-:;-·---·-----------------~--+. ---~OLAR 01-00-00-_8226 --±_,, +---b,0'7
1
----•• ~.,, i TOTi.iL MECHANICAL I // / .-"" STRONG MUTIUN 80-92-33-0-519
I ..:J/ · J-I. FIRE SPRINKLERS 01-00-00-8227 •
1 PUBLIC FACILITIES FEE 32-oo-oo-s93J I 1~0 , -I 1 QTY ELECTRICAL PERMIT. ISSUE c-: OTY. SOLAR· ISSUE .~ ---
1 1......,1 -____ BRIOGE FEE
' I
1 t.jEW CONST EA AMP SWT BKR //j(J ___ L_ ,,_. ------CUL_~C(PS
STCRA[F T,\t,KS 1 I PH \ Pf-' Carlsbad I -----·-
Encir11tas -
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80·92-21-0519
80-92-22-0519 ----j--
-----
I__ FXISTtllDGEAAMPS~~2_8KR I i iRCCKSIURAf;F ·-·
1 I PH 3 ~-~-I iI p1_J.'.'.!~--
HEMOOEL 41 HR PFR Clf!CUIT P'. A··1 ()lLCK ~EF
San 01egu1to _____ -~O-J2-23-05~+--__ -----I
San Marcos 80·92-24-0519 -----------
Tf MP PO l t ?OU AMPS
0\/EH 2UU AMPS >---+--LICENSE TAX 01-00-00·8162 --=J pao. ----· -----------l--------TEMP (][[UPANCY i][) DAYSI MFF 80-92-57-0519 --·• -----
CREDIT DEPOSIT .L
T()TAl fllLIRlf:1,L Jt, .--1 TC,-A: S':l t,R TOTAL FEES PAYABLE I J31lt:J~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION AND PERMIT' AND DO HEREBY E11.pirat1on. Everyperm1t1ssuedbytheBu1ldmgOfhc11:1Iunderlheprov1s,onsofthis
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e11.p1re by hmttal1on and become null and void If the building or work
DECLARATIONS ARE TRl)E AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permil 15 not commenced w1lhm 180days lrom the date of such
ISSUED: TO COMPLY WfTH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-permit, or 11 the buildmri or work aulhonzed by such permit 1s suspended or
STRUCTION WHETHER SPECIFIED HE.REIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND c.:•~b~•~o~do;c;"z~1 :'"~:••~m~•~•S'.te~cJt:;h•~•~oc,k.,_.,,">.'£0Sm'!!!!m~,o!>Ec•~d'[.!lo~,c•'.l!?"~'ogdl!.So~tl'~80!Ll!d••<•L-::;--+~~~~,!~------------,--,'--""t ... -~
KEEP HARM.LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO AP. IC rs Sl~GNAT E ... OWNER CONTRACTOR 0
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' ~ND DEMOLITION OR CONSTRUCTION OF
STRUCl),,l"ES OVER 3 STORIES IN HEIGHT
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE "/I -
GRANTING OF THIS PERMIT / ___ ........ 1. BY PHONE 0
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TYPE . I DATE INSPECTOR ,
------·---~ --·
BUILDING I ')('5•51...l ·~qt./
FOUNDATION I ;l~li-R 1/( FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
I INSPECTION REQ IF-)I INSPECTORS DATE CHECKED, APPROVAL
FLOOR & CEILING SUB FRAME I : so,LS CQM,-o,_ ,1".,:_ E
SHEATHING • ROOF D SHEAR >°RIOP -0
FRAME I
FCur-.Dt,T-Or--1r,...sp
--------------------i-------
EXTERIOR LATH I STRUC~ ,_if:;AL (:( ".CRFTE:.
CVER '.!Q'.)C: F'~~I
INSULATION I
---------·--P9ESTf--1ESSE'.:
INTERIOR LATH & DRYWALL I r:m'<CHFTE I
POST -Er-.2,·,,·'.J"./E:.:' I
I
PLUMBING I
'.._;(JNC91::Tf ---t--· ----,_
l'";E:.~ CJ •J'JE:.l.D1NC;
SEWER AND BUCO •\PL/CO I -----1 ,w_,1----< s~ RE~c;T,_. I
UNDERGROUND • WASTE C WATER riOL TS -
TOP OUT • WASTE • WATER •)f--ECA_ rv~ASUNPY
TUB AND SHOWER PAN I
----1··~
GAS TEST I
• WATER HEATER • SOLAR WATER
I
ELECTRICAL I
.
,-----------------,!,----
PiLE::O (..:t-1:=;sc ..... -+-+=--=--~ ~ --
i-----------. -··-
• ELECTRIC UNDERGROUND C WFFER 1----.~
ROUGH ELECTRIC I
.
C ELECTRIC SERVICE • TEMPOlilARY ~ ------· -----• BONDING • POOL I .
I
MECHANICAL I i-------. ------------,· ----------T ----
• DUCT & PLEM., • REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE .
ITEMS ABOVE HAV§_ BEEN APPROVED
FINAL I . PLUMBING I • :t"--. I ELECTRICAL I ._,--, J-:::-------
MECHANICAL I I -(. d' I
I
GAS ' (
BUILDING I !
SPECIAL CONDITIONS I
·--~--------~-----i ~ '