HomeMy WebLinkAbout2746 INVERNESS DR; ; 81-503-83; Permit"' z 0 ;::
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D I hftfeby attllm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llc;:ense Is in
full force and effect.
L,c No ~/268G Class ~ B-~
I hereby athrm that I am exempt from the Con· v~~o;·:~~;::: ~; J~~t~~.1i~1i~r~~i~~
county which requ,res a perrmt lo construct
aner, improve, demolish, or repair any structure.
prior to its issuance also requires the applicant tor
such perm,t to tile a s,gned statement that he ,s
licensed pursua.nt to the prov1s,ons of the Cori
traclofs License Law (Chapter 9 commenc,ng with
Section 7lXXJ ot D1v,s1on 3 of the Busmess and Pro
fess,ons CodeJ or that ,s exempt therefrom and the
bas•\> tor the alleged exemp11on Any v10lat1on of
Sect,on 7031 5 by an appl,can, for a perm,, sub1ec1s
1ne ;Jppl1cant to a c1v,1 penalty of not more than five
hundred dollars ($50())
0 I, as owner of The proper1y, or my employees
11,nth wages as their sole compensat,on, will do the
won<. and the structure 1s not intended or offered !or
sale (Sec 7044, Business and Protess,ons Code
The Contractor's License Law does not apply to an
owner of property who buolds or ,mproves thereon
and who does such won< h1msell or through his own
employees, provided that such •mproveme;i1s are
no1 in1eode1 or offered !or sale If, however, the
building or ,mprovement 1s sold w1th1n one year of
completmn, the owner-builder w111 have lhe burden
ot proving tha! he did not build or ,mprove for the
purpose of sale)
0 I. as owner of the property. am exclusively
cont1actmg with hcensed contractors to construct
the proJec1 (Sec 7044. Business and Proless1ons Code. The Contractor's License Law does not apply
to an owner of proper1y who bwlds or improves thereon. and who contracts !or each proJects woth ii
contractor(SI license pursuant to the Contr;;,ctor"s
License Law)
0 I am exempt under sec
tor th,s reason
8 & PC
D I hereby alflrm thal I have a cer11t,ci1te of con sen I to selt-,nsure, or a cert1f1cate ot Wor~ers
Compensation Insurance. or ii cert,1,ed copy thereat
(Sec 3800. Labor Code)
POLICY NO WP 2321940
coMPANY Ei reman I s Fund
D Copy 1s tiled w1th the c,ty
D Cert1hed copy ,s hereby furnished
CERTIFICATl Of EXEMPTION FROM WORKERS-COMPENSATION INSURANCE
(This section need not be completed ,f the perm,t
1s tor one hundred dollars (S100) or less)
D I cer11!y that ,n the performance of the worl<. tor which this perm,, 1s issued. 1 shall not employ any
person ,n any manner so as lo become subJect 10
the Wor!<.ers· Compensation Laws ot Cal1torn,a
NOTICE TO APPLICANT If. after makin-;i this Cer1,
f,cate of Exemption you should become sub1ect t') the Worl\ers· Compensation pro~•s•ons o! troe Labor
Code. you must forthwith comply with such
provisions or th,s perm,t shall be deemed revoked
D I hereby affirm that there ,s a const1uc1,on
:ending agency !or !he pertormance o! lhe wor1< tor
..,h,ch th,s perm,t ,s ,ssued 1Sec 3097 C,v,1 Cooe,
LendersNamel)A i QA 6anl<
LendersAddfjilS 11811 St
San Diego CA
USE BALL POINT PEN O•' • & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA Al"-~ECLARATIONS. ~~'-=""'-~~~~~~~~~~~~~~~~~~-
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JO&ACORESS ~~)l+-5Jz 't)ATE-OF APPLtCATIQN BUSINESS t:.ICENSE # VALUATION PERMIT NUMBER
. ~· "3/25/82. 2 'tJ f!f
J'fJ;3.b PfitME CONTRACTOR CONTRACTORS PHONE# ZONE
Pacific Scene "Inc. 2 -100
27lt6 Inverness· Drive, Ca:r,lsbad, CA 92G08
OWNER'S N4~E OWNER'S PitONE I I """ IHlTED" 7qq-5100 .I
OWNEfl'S MAILING ADDRESS CONTRACTOR'S AOOAESS LICENSE NO. BLDG USE CODE
3900 Harney Street, San Diego, Ca 92110 900 J:larney St. San Diego, Ca 272686
DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE rchitect:s. lorimer/case c-9037 ;J..o YJ>
L§T3 I BLOCK I sueo1V1s10.N J ASSESSOR PARCEL NO. CaJ,Lv~.ra Hi ns 76-12
DESCRIPTION OF WORK Single Family Detached oes,aNea·seeoNE
Fourth Ave; SD. CA 291-0660 ~ 1~ us:·: I;•:_·
F/P FLA ELEV. NO OCC GP EDU I
; ', STORIES I
vO NO --
GP LANO USE PARK ING SPACE GRAOING f'.ERM!T ISSUED FIRE SPA crnsus TRACT l
'°9S-3 RSSU?SJ
,o '~ l REDEVELOPMENT
AREA V
,o ~
~~CC LOAD
vO ~ Not Valid Unless ~chine Certified
QTY. PLUMBING PERMIT -ISSUE 2sSo II QTY.I MECHANICAL PERMIT/ISSUE I .'?,116 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP '? """'7 ro INSTALL FURN. DUCTS UP TO 100.000 BTU L/ . .-BUILDING PERMIT 01-000-4220 I ~06,-~
____ ____£___s:i1_ _ _ _____ ---~VER 100:?_0~_BTU _,._.__ • . ~I~~ PERMIT L ;?, Sc BOLLER/COMPRESSOR UP TO 3 HP~ -~ ~ • PLAN CHECK OH00-4806 .,,;}? 3-£ / EACH BUILDING SEWER ___ 01-000-4221
I I_ _5~CH WATER HE~TER ~~~~ENT
17-EACH GAS SYSTEM 1 TO 4 OUTLETS f h:·{ I') BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING __ 01-00~~~2_22 _____ -f,<£.,__52,
EACH GAS SYSTEM s_o~ MORE . METAL FIREPLACE EIECTRICAL 01-000-4223 -, .7, ---------
I I EACH 1NSTAL.: ALTER:-REPAm WATER-Pi-PE __ ---c-Jt~2._!AN~GLE oucr --.-?-MEC~~NICAL -o,-_(JQQ.4224 p //. -
__ _I ~~iH VACU~-M~_RE~KE_~ .3 ~H_EXHAUST HOOD/DUCTS __ 1---/. MOBILEHOME 01-000-4225
rWATER SOFTNER RELOCATION OF EA FURNACE/HEATER . MOBILEHOME PARK INSP _J.______'._'._ ___________ --------I-- ------------------------
EACH ROOF DRAIN (INSIDE) I SOLAR 01-000-4226
-----. TOT.l.l MECHANICAL I STRONG MOTION . 65-640-0SHl"--6~ 3:-C
~-TDTALPt.UMBING [ !//,Soi -·· /£,ot,1 FIRESPRINKLERS-~ 01000-4227 -~
I -------r PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
~EcToRs --~ SCHOOL FEE -DISTRICT
QTY. QTY. ·---SOLAR -ISSUE ELECTRICAL PERMIT. ISSUE I ,J. '{J_O
NEW CONST EA AMP.'sw-i~BKL-.1~1"? I-....,.<,~
1 PH ~ J PH V I (,,' .. STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMPISWT/BKR ROCK STORAGE Encinitas 65-624-0519
San Dieguito 65-625-0519 L _ _fr~_AN cHEcK FEE hiri M3i-cos
--------~
I PH 3 PH PUMP
65-626-0519 REMODEL'ALTER PER CIRCUIT --+-----
TEMP POLE 200 AMPS ----+-----------------+--+----
OVER 200 AMPS -----~~--+---+-~~---+-------I TEMP OCCUPANCY (30 DAYS) ------+------
,-----
TOTAL ELECTRICAL I ,}. 7,< TOTAL SOLAR TOTAL FEES PAYABLE I 1W~7i
t HAVPCAAEFULL Y EXAMlfiED TI;E cpMPLETE(,} ''APPLICATION ANO PERMIT" AND DO HEREBY,
CERTIFY UNDER PENALTY OF PERJURY THAT ALL 1NFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-
---~-'&e,y penoit iUued'bytM l;k,ildingOfficiel under the provisions of this Code 9mfl exp;,e by HmttaflOn and bec:Ome ruJfl and void. If the building or work
authorized by such permit ii not commenced within 180 days lrom the date of such permit Of if the building or work authorized by such permit is suspended or abllndoned al qr-time after the work iS commenced tor a period of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND TURE Jf, OWNER O CONTRACTOR'KJ
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE //JJ
GRANTING OF THtS PERMIT. ~ ,. BY PHONE 0
. . * AN OSHA PERMIT IS RtQl,MAED FQR EXCAVATIONS OVER
-5' O" DEEP ANO OEMOLfTiOHOlt¢0NSTRUCTION OF
STRUCTLIRtS OVER 3 SroRIES JN HEM'iHT
A~Jt DATE
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INSPECTION TYPE DATE INSPECTOR ,---------------------------------
-------------------~g~l__:-5~'°=-=3~-~8:::::3~ ----------= , BUILDING f---
OUNDATION -.A ,ai;,,:,lb.......-FIELD INSPECTION RECORD
REINFORCED STEEL y ---. J, -REQUIRED SPECIAL INSPECTIONS
MASONRY f'J_n...,a,.,..-. "'P'r7'l' -s-s-ru~ INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL ------
GUNITE OR GROUT FLOOR & CEILING SUB FRAME SOILS COMPC,C,NCE rRIOR TO
DATE
SHEATHING I<", It( . ~ FOUNDATION INSP
FRAME I STRUCT,,JRAL·coNcRfTE: ---+ -·+-·----
OVER 2000 PSI
EXTERIOR LATH lNSULATION • _ _ _-PRESTRESSED -+-----+-• .'1 l"1. ~ .n CONCRETE
INTERIOR LATH & DRYWALL / • POST TENs10,eo---+------------+----
-CONCRETE
PLUMBING FIE'. f) WELDING
SEWER AND BL/CO I :•i,-;i-, STRENGTrl ---t-------t
---
INSPECTOR'S NOTES _ =
-------------· -
-------------
--------------
---
1----------------------------------
PLUMBING UNDERGROUND ~TS --+----------, f---___ ---------------------------
PLUMBING TOP OUT -----SPECIAL MASONPY
I
1~· lclf·r ----. ~
TUB AND SHOWER PAN -'-------------------+-------+-----,
GAS TEST i PILES CAISS0N5-'.
I -----------------------·---I
I
ELECTRICAL , -----~---I ----------•
TEMPORARY POWER ~----------------------------------------------~
ELECTRIC UNDERGROUND _______________ _
ROUGH ELECTRIC ~ •JI( :___:___:___ ___ _:__ ________ !-=----'----'--=1-__cc:__,:_J_ __ -----------------
;~~~::I~ S::::EE DETECTOR ~ ---------" -~---]
MECHANICAL -------~ ------------- --~
I I DUCT & PLEM .• REF. PIPING __ ---______ _ ________________ 1
HEAT _ AIR COND. _ SOLAR SYSTEMS I r------·1
VENTILATING SYSTEMS I --j
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. -----------------1
JOB SITE FINAL V -------------,
PLUMBING _.... I ELECTRICAL ,./l //"/ I ---------
MECHANICAL ("/., V/ ,....7( , ---+ _______________ _
GAS _...,., ~ --,, 1V" 1 I BUILDING .,/ '/ -/ iY r --~----------------------~
SPECIAL CONDITIONS f IY , ~ V , -------------____________ _ ___ _
CERT OF OCCUPANCY ISSUED /' 1: ,. L_____ , -----------------