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HomeMy WebLinkAbout2728 GROVE AVE; ; 86-453; Permit"' z 0 -' .. "' .. J 0 w 0 "' iL D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ol tl'1e Business and Professions Code, and my license is 1n full force and eflect lie No _____ _ ( a,, 0 I hereby af!,rm that I am exempl lrJm tr,e C0n:rcc •O'·s License Law lor the foilow,ng rea;or !Sec 7031 ~ Bus,ness and Pcofess,ons Code Any~,:, O' coun'1 wh,cn ,e quires a per.,,,t 10 cois:rucl. alre,. ,~8rove de~oi-sh Jr repair ar-y strucl•Jre pr•or TO ,ts 1ssuarce ;l!s: requ res The ~r; p1,cant for such pecm,t :o 1, ea s,qned ,ra•ern~c-! :oa1 oe s ,1censed pursuant to :he pro,·1s ons o' the Cor-t<ac:or; License Law •Chaoter 9 comr1enc,ng ,,,th s~,i,o, 7000 of DI\• s,o~ 3 o' rre B~s1~ess ard Pra!ess1ons Code, o· :ha: ,s e, enspl 1'1erel-om and lhe basis for the aliegea e,empt1on A~-1 ,·ola:1on cl Section 7031 5 by ar c.opl1ca~1 10, o pw•nI1 sub ,ects :ne ~ppIIcart to a cI·11 penaltyn' 001 ~,ore Than '.ve n,,n jced du'iars 1ssoo, ✓ as owner ol rhe ~'G~er1y or m1· e~111I0,ee1 ,., rr wages_ ffi /1":>t~e1· sc e c0rr-per.sa1Icr w·ll do 1he w0rk t~-e str,.c c lure I~ sot 1n•e~r.ed or o'lered tor srtle -:Sec 8Jsir1%e> ..J and Prote<s1ons Code :he Cor-tranor s License La;i dc;a,s 5 not app!y IO dn owner of properly w~~ ~uI de ~r Im8'0',es ~ ~~~ri;e:~d P~2~od:i~h~~\hu;hJ'.~,t~/:~e~'t~:;ii~:1:n5,;:" w ed or ottered 'or sale If, however the hJil011g or Imoro-.e Z rren! Is said w1\h~n ne year of complet,on t~e ownec-builder_ J: -,,.1:: ha,·e th ur n of proving that he dId not build or ,m 0 ;J'O\·e t, e• pl' e_ of sale) z 0 -' ~ z w ~ ,. 0 0 "' "' w " "' 0 3 a uwner of the proJerty ar,i exc'us1vely contracting w11h licensed cortractors lo constrt:c! the P'O:~cl !Sec 7044 B~s,ness d~d Pro'ess1ons Code The Contractor's License Law does nDt app·\' to an owner of p,ooerly v,ho Jc1!ds O' Im pcoves thereon a~d wno cowa:ts for each pro,er.ts with a contractorfsI :icense pursuant to the Cor'l·octor s License Law) As a homeowner I am ImrrovI~Q m1· 'lome. anr. thP 'ollow Ing condItIons e,ist 1 The work Is be,ng pertormed prmr to saIe 2 I have lived I~ my home for 'wel,e monlhs prior t~ comolet1on ot th,s wo:~ 1 rave noi claimed t~,s exemptI0, Curng the last three ·1ears B & PC j _ 1 am exempl under Sec L 'or th,s reason ____________ _ I herety al'irrn !hat I have a certItIcate ol co~sent 'O se:t ,1sure or a cPrt,f,ca\e of Worke·s Compensation,~ %rJnce or J c~rtil,ed ccpy thereof 1Sec 3800 Labor Cc0e1 POL:CY NO COMPANY Cop, ,s f,led ;.1th lhe c,t·y Cert,f,ed co;;y ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1Th1s section need not be ccmpleted ,t the perrn,t ,s for one hund,ed dollars 1$1001 or ,ess) = I certily tha1 ,n the performance of the work to, wh,ch t~Is ;,ermIt Is issued. I shall not employ any person In any manner so as lo become sub1ec1 to the Workers· Compe~- sat,on Laws of Callfom,a NOTICE TO APPLICANT: If. after makmg this Certificate of E,empt,on. you should become sub1ect to the Workers Compensation provrsIons of the Labor Code you must forthwith comply w,th such pro,rs,ons or th,s perm,t shall be deemed revoked i[ I hereby aft.rm that there ,s a construct,on lend•ng agency for 1he performance ol the work for which this pe, mIt Is issued (Sec. 3097 Civil Code1 Lenders Name __ _ Lenders Address __ _ 1 USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT I. '1---------------,,--,,----------=.,.,,..--------..,.,.======-=====~'l--===:c---.--;;====;---JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT OAH: OF APPLICATION & l't:HMI I NUMBER BUSINESS LICENSE ft VALUATION , ;;)7,;)8' G::uax.J€ /1.v<.. 1./-o::J.p WR-<-{ S-.:l ~ &°f. t LOT BLOCK SUBOIVISION ASSESSOR PARCEL NO. : OWNER'S NAME I OWNER'S PHONE l----l=-""':__;:.::__;:_!:'.:..k.e::::...!r,2.:__-=:::==------l-c~==--------11------------+----------- I /.._e,t: ,;t/µµ ~.c/af~ CONTRACTOR'S ADO RESS LICENSE NO. PLAN 1.D. # BUILDING SQ FOOTAGE 1 CONTRACTORS PHONE. I ZONE t ~5 3 OWNER'S MAil.iNG AOORESS : l.;>7.;icr c;;;,z..,..,~ 4-e. DESIGNER DESIGNER'S PHONE ,t::-====-::-:==::------------------------1 1 T 1-o~E"s",o=NcEcRc.cs-•"o~o"e0e0s0s---------------lr,c,ccEcNcScE=N70".-----I I : -----/.d./3. y, -F,P FLRELEV NO STORIES OCC GP EDU I vl: r-.0 __ _ ,1----,-.--,-------,------.-------.---------L_---,-c-=":-:--"'c-::-:==-+---+=::c--+=c-:-=-=+==:-::---J CE:N'.,US TRACl GP l_AND USE PARK•NC_, SPACE. RES ur-..ITS GRADING PERMIT ISSUED REDEVELOP,._,,E"JT JYPE CONST OCC LOAD I FIRE SPFI I AREA e• ~ ! 7 .... t.; i'.' I t • ~ • , =:J ,,• vO "-0 Not Valld Un/en Machine Certified ... lr-~----L--------'------..-'----~-,---~-~-~--~-------~--,--L----+----~---~-----------------~--j : QTY I PLUMBING PERMIT -ISSUE --1 ~ QTY MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER : EACH FIXTURE TRAP I ' INSTALl FURN DUCTS UP TO 100 000 BTU BUILDING PERMIT 1 E'ACH flUILOING SE.WEA _ ------_ --l i-_ -------OVER 100,000 BTU _ ---SIGN PE~ 001-810-_0~~00-822' 1 E.ACHWATERHEAlERAr'lllJORVENT 1 1 BOILERCUMPRESSORUPTOJHP . PLANCHECK 00'-310-00-00-8806 : ~ ~~~~ GAS SYST~!-~-~ -rn_~~Tlus ~ --f,. f.,L_ ~ BOILER coMPRES-soR 3 15 HP -------_____ _:_ _____ 1 _ ~TALPLUMB~~~--001-a10.oo-oo-8222 I /6 7 I 1;:AlH liAS SYSTEM 5 UR MOHE 'Mt:TAL F REPlt\Cf-ELECTRICAL QfW-810-00-00-8223 00 1-8 I 0-00-00· 82 20 I -----------~ -. ---- 1 ~-EACH INST Al ALTER, REPAIR l','ATEI{ PIPE. • ----VEN!_'.AN SINGLE DUCT -----. _ MECHANICAL o~-1\io-o•-00-8224 t-· _j 1 EACH vAcuuM sREAKtR MECH rXHAUST HOOll ouus MOBILEHOME 001\;l1\i-oo-oo-822s I I . . -------·- I ·,',AHR SUFTNER ___ i I RELO~~~'.ON OF E:A FURNACE.HEATER MOBILEHOME PARK 'NSP .. 'l --I ___ ~,.~~-~~-';:;;;, 1• 1 ',SI' 1 I _ _ _ _ SOLAR _0_01-~00-00-822? __ +---------- . -TOU..l MECHANlr:AL I STRO\:G MOTIO~ _ fB0-519-92-33 I _ _ oa _ FIRE SPRl"l'\LtRS 001~\'10-00-00-R227 I _,, 1, QTY. I SOLAR_ ISSUE PUBLIC FACILITIE~FEE ___ ---_JJ~'. !Q~QQ:_9ll~Q_+-_ 7 . i -I -; \\. • __ 1 ____ I '.";OlL~Cl~R;-; --l SCHOOL FEE -DISTRICT\" .. u j +---- . I Sfc,HAG~ 11\',VS . Carlsbad \ \ \ , ' t 1 _ 1 ROCK sro;it1.G:. _ _ Encinitas '\.. \ T \/\ I _ 01,M;:, -::------SanD1egu1to , ...., _ J --+ -I l JE),\PPOlE-)UoAMPS --I PLMHHllJ-~F~------------------SanMarcos --~ I I : OVERllJlJAMPS I -----I LICENSETAX 001·810-00-00-8162 1 ·----- 1 TEMP UCf.UPANCY ·30 OAYSI 1 _ MFF--880-519-92-57 I ---L__ --------------------- 1 I I CREDIT DEPOSIT ! T1lTAl ELfLTHILAl I I 'UTA.I sn kR jl _.,,, 1 'i I .. TOTAL FEES PAYABLE /~ ~ 1 1 I I ! HAVE C.A,REFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' AND DO HEREBY Expiratron. Every permrt issued bytheBuildingOfhcia! under1he provis1onsofth1s I I 1 CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUD!NG THE Code. ~hall expire by hmitation and become null and void lfith:e bulldmg or worlt * AN OSHA PERMIT lS REOUIAED FOR EXCAVATIONS OVER 5' O"' DEEP ANO DEMOl.ffk)N OR CONSTRUCTION OF STRUCTURES OYER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT lS aulhomed by such ~rmit is not commenced wilhm 180 days om the date of Such I , permit or 11 the bu1fding or wor~ authorized by such per it 1s suspended or I ISSUED: TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned a1 &!l" lime after •L k 15 commenced!~:..:._. nod ol 180 da s STAUCTION. WHETHER SPEC!FlEO HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND . I KEE~,HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLI 1.· , OWNE i CONTRACTOR• ,e~_rr;p"' DATE 1 l EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE O .__.,.,,,,,,.. ( 1 I J • #:-6 ) fA I GAANTtNG OF THIS PERMff. J. Jf ...,,., • BY PHONE --i.,, .,., 0 \::> I ,, , , -~ "' (),,,.._, f..;._ 0 " -"' U: c "' 0 0. E © f- D 0 (.'J C "' u 0. 0. <,: I ~· C 0:: 0 ~ ~ w ~ ~ <,: ~ Q "ii >- ifi ~ © u 0 a: "' ;;; 0 Q w u C "' C u._ :::. C © ~ (.'J 0 0 © 0. ~ C © ~ ,; TYPE T BUILDING I FOUNDATION I REINFORCED STEEL I MASONRY I GUNITE OR GROUT SUB FRAME • FLOOR • CEl~ING SHEATHING • ROOF • SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING I C::: SEWER AND BUCO :-J P~ICO UNDERGROUND D WASTE • V'/ATER TOP OUT • WASTE • ll'l'ATER TUB AND SHOWER PAN GAS TEST I _J_ • WATER HEATER • SOLAR WATER ELECTRICAL • ELECTRIC UNDERGROUND ROUGH ELECTRIC •1UFFER ' I • ELECTRIC SERVICE • TEMPC:,RARY • BONDING • POOL MECHANICAL • DUCT & PLEM., • REF. PIPING HEAT -AIR COND. SYSTEMS : VENTILATING SYSTEMS I DATE I INSPECTOR CALL FOR FINAL I_NSPECr/ON WHEN A_ L_L APPROPRIATE ITEMS ABOVE HAl/'E BEEN APPRO __ V~E=D~---- FINAL I PLUMBING I -ELECTRICAL I I MECHANICAL I GAS I BUILDING SPECIAL CONDITIONS I \ -----·-------· ------·--g-(o-4S"3 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL ___ _j -- SOILS COMPL.ANCE PRIOR TO -- f-OUNDA nor-.. lr-..SP --·---STRUCTtmA1. CO~C9f-H- OVER 2000 PSI --·---PRES TRESSED CONCHETF POST TEN~·.,ONtXl cor-..CRETE f-lELO WEL n1NG --I---~-·----Hl(]H STHEr-...GTi-. BU~ TS ---- '::PEC1AL MASCN>W ·r· ----- PIL.ES CAISSCr-s.~- --------------------------. -------- --, ---- ·---- -------- r------------- ./ ~ ----- ------ ' I I I I i -------- I ~-------------~ _J I