HomeMy WebLinkAbout2750 INVERNESS DR; ; 81-503-82; Permit"' z 0 ~ "' .. .. irl 0
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D I hereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
'"" 10,>l'_.~",e~oct 1 Lie No~_O __ Class B-
I hereby aflirm th.it I am exempt !rom the Con-~~~,B~~~i~S: ~: ~~1~~.~~~~.r~~i,~;
county which requ,res a permit to construc1
al1er, ,mprove, demohsh, or repair any structure,
pnor to its 1ssu.Jnce also requires 1he applicant for
such perm,t to Ille a signed sta!ement that he ,s
licensed pursuant to the prov1s1ons of the Con-
tractor's L,cense Law (Chapter 9 commenc,ng with
Sechon 7000 ol D1v1s1on 3 of the Business and Pro-
fessions Code) Of that ,s exempt therefrom and the
oas,s !or the alleged exernphon Any violation o!
Section 7031 5 by an applicant tor a permit sub1ects
me applicant to a civil penalty ol not more than lrve
hunclrf!d dollar'3 ($500)
0 I, as owner of the property. or my employees
,,..,th wages as the" sole compensat•on, w,11 do the
worl<, and the structure ,s not ,ntended or offered for
sale (Sec 704-4. Business and Pro!ess,ons Code
The Contractor's License Law does not apply to an
owner of property who builds or improves thereon
and who does such work himself or through his own
employees, provided that such 1mproveme,11s o1re
no1 mtende1 or ottered for sale If, however, the
bwldmg or improvement ,s sold wrth•n one year ot
comp!e1,on, the owner-burlde, w,11 have the burden
of proving that he did not build or improve for the
purpose of sale)
D I. as owner of the property. o1m exclus,vely
contract1nQ with licensed contractors to construct the proJect (Sec lo«. Business and Professions
Gode The Contractors License Law does not apply
to an owner of property who budds or ,mproves
thereon. and who contracts for each pro1ects with a
contractofls\ license pursuant to the Controctor·s
L,cense Law\
DlamexemptunderSec ________ BS.PC
!or th,s reason
D I hereby att1rm that I ha,e a cert1t1cate of consent to self-insure, or a cert1!1cate ol Workers
Compensation Insurance. or;; cer1,!1ed copy thereof
(Sec 3800, Labor Code)
POUONO \./P. _23_21940
coMPANv Ei reIDan_' s fund
0 Copy 1s lded w11h the c,ty
0 Certified copy 1s hereby furnished
CEATIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1! the perm,t
IS !or one hundred dollars ($100) or less)
D I certify !hat m the pertormance of the work for
which this perm,t 15 issued. I shall not employ any
person 1n any manner so as to tlecome sub1ec1 to
!he Wor1<ers· Gompensa1,on Laws ot Cal1forrna
NOTICE TO APPL!CANT If. afler makm;i thrs Cert,
t,ca!e of Exemption. you should tlecome sub1ect t0
the Workers· Gompensa!1on prov1s,ons ol !he Labor
Code. you must forthw,th comply with such
p,0~1s1ons or this permit shall be deemed revoked
D I hereby aff,rm 1hat there 1s a constrwc11on :end,ng agencv tor the perto,mance ot the worl< tor
..,.h,ch 1h15 pe,m1! ,s •sswed (Sec 3097 Covil Code)
lendersNarbkl; on Bank
LendersAdcttn'G 11911 ST
San Diego CA
USE BALL POINT PEN o~· • &'-P-'R"-ES-"S-'Hc.cAc.cRO'--------------------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AN~ -ECLARATIONS
CARLS8AD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
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?£·i p-0': Jh.v~r
oWNER'S~~A~: '. :_,----·-;::~;.:•)f; _
iRi;ElOfS· UNt:i'f#.l'J'at
-i+ :!:, ;:~-~. t,
'~it'lstad.
I
OWNEA's MAt1.niG Ario"tj&-~. :-_1.f'L--.0--·. -ff"' ---. • 3900 Harney St~~1· San. Diego Ca 92110
·---·---... ~
. CA s2oos
~NER'S PHONE
299-5100
LOT I BLOCK
82 I .suBrntJS,.ttitf .. w-.: · . 1 ASSESSOR PARCEL NO.
Calavera Hi Is --~ _ ___26_-12
DESCRIPTION OF WORK ,
Si no 1,. F amll"-De taehed
PLAN 4A
AV.ST. OAT£ OF APPLICATION
3l25/82 •• RO.
PAIME CONTRACTOR
Pacific Scene, Inc.
CONTRACTOR'S A-QOAESS 3900 Harney St. SD CA
OESIGNEA
Buzard/Henning & Associates
OES!GNEA'S AOOR£SS
4883 Ronson Ct. SD CA
F/P FLA ELEV. NO
STORIES
YD NO c,}_
CENSUS TRAC, I GP LANO USE I PA~;eACE RES UN'TS I GRADING ~ERMIT ISSUED I
y D N D
REDEVELOPMENT
AREA
y D N"M.
TYPE
v!Y
QTY. PLUMBING PERMIT· ISSUE -,,So oTY. MECHANICAL PERMIT. 1ssuE -:3,oa
BUSINESS LICENSE# VALUATION PERMIT NUMBER
c?/-So3
~ff~. -~
ZONE
23592
CONTRACTORS PHONE#
299-5100
G USE CODE I BLO
p N LO ::.-? 0 s r/)
.lo OOTAGE -BUILDING sa. F STANDARD PLAN# /_? t:2-6 -
LJCENSE NO.
272686
C 4729
STATE LICENSE#
DESIGNER'S PHONE
278-6855 ~IC~!~~-' I
CCC GP EDU
R-3
OCC LOAO FIRE SPA
L/d vO Ni}(, I Not Valid Unless MJchine Certified
' SUMMARY/ACCOUNT NUMBER
L:i
I
EACH FIXTURE TRAP : .:..f,,;J,S9"0 / INSTALL FURN. DUCTS i.JP TO 100,000 BTU L, .... ~ BUILDING PERMIT 01-000-4220
·-_ 4?"'5d -+-s-------·--==-~-OV~~lOO,OOOBTU _ I SIGN__?_~RMIT 01-000-4221 -+ _____ _
,JJ/ • ..-
i--L-
'
__ l __ ----<'S'o~_,_B[ll_L~_D"P"Esso, uP rn_3 HP . PLAN cHEcK _01 ooo-,aoa3. --~-1'.'/.)j-
EAcH GAS SYSTEM 1 TO 4 OUTLETS ______ +---_ 1,.5"C, BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 '57,,S?
EACH GAS SYSTEM 5 OR MORE j METAL FIREPLACE ELECTRICAL 01-001
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
1-4223
I EACHINSTA~~-ALTER. REPAIR WATER PIPE --------i---~~~ fl,_/ VENT FAN_S,ING LE DUCT ___ --31()0 -MECHANICAL ---01-00I
f--+-E-ACH VACUUM BREAKER _ I ___ . L/ MECH EXHAUST -_HOOD/DUCTS O AO MOBILEH_OME
1-4224
1---+-~A::':o~~~:~:,~ .. ---.. 1-,--_J~i_ ":~0-C~:I~~ ~:~H:~~c~~ACEIHE~T-~-1 ~--, -~.:: ~f ;i~:H:::::RK INSP
_ TOTAL PLUMBING _ ! Q/,.50!i FIRE SPRINKLERS
~ ,---.
QTY. ± d:TY COLLECTORS ~;;._3-;4L lSTORA~E 1ANKS
ELECTRICAL PERMIT· ISSUE SOLAR · ISSUE
I NEW CONST EA AMP/SWT/BKR -
1 PH / "~
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
·---~---~ --
PUBLIC FACILITIES FEE
1---~-R~ ~~-~~E
SCHOOL FEE -DISTRICT
---
Carlsbad
Encinitas
San Dieguito
---11----~LA~_~HEC~_~(E-.-·--t---san MarCo-,----
I PH 3 PH PUMP
REMODEL/ALTER PER CIRCUIT
TEMPPOLE ZOOAMPS 1----+----
f----OVER 200 AMPS __________ ----+-
TEMP OCCUPANCY (30 DAYS) ··-----;,----
--------+-
01-000-4225
01-000-4226
65-64-0-0519-·--+-
01-ooo-422L
25-_Q00-4933
65-623-0519
55-624-0519
55-625-0519
65-626-0519
TOTAL ELECTRICAL -i ?-7 '.()/) TOTAl SOLAR TOTAL FEES PAYABLE l
-~i-1--
----
]_t/4, (:,1
l H.,V1;',CAREfl;fll. Y E)(A\~-w
CISRTif'V UNOl:R PENAL tv: .5• O" OEEf> A.NO , bdNsTRucTioN OF
DECLARATIONS ARE TflUE AND
ISSUED: TO COMPLY WITH ALL
STRUCTION, WHET HEB .SP,Ei.CJ~l~
KEEP HARMLESS THE CfT'(
EX.PENSES WHICH VAY
GRAN'tlfi1l OfTHl~fPI
~~OATION AND ·-ff; ANO Qi> HEREllY 'TH-At' ALL 1NFOAMATION HERE()N .lNCLUOtNG THE
ANO I AJRTHEfl CERTIFY ANO'AGREE IF A PERMIT IS
'!TY At:lt) SfA'TE LAWS GOVERNING BUILDING CON-lJg;~~~~~~~~~2ii!~!!!!~~~~~~~~~'.:::-;:~~"p'/::cw,~~-'7'.:-------~;:::;';'°----...I
.
l'j.01'. ' .. LAL.SO AGREE TO S.AVE INDEMNIFY ANO APPROVED BY j\ DATE ~ Jll"UA~ILITIES, JUDGMENTS, COSTS ANO 1JJ "":! '1 {_ 0."1
* AN~p£RMfT~.IS ._ EXCAVATIOHSOVER
STRUClURES OVER$ ffEIGHT
_,l!'i~~!\"1fGJ1Ylbl-C?NS~NCEOFTHE BY PHONED ~ I ;;,, .. V'(;1 .. Dl,,,,'
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INSPECTION TYPE
BUILDING
~OUNDATION
REINFORCED STEEL
DATE INSPECTOR
, I .1L It: a,-; ,,....--
,""I~---·
---~·--_-· _______ ___,,g,L!1_--=~-o-~=-~3~.;;i.______ -·-~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . __
·~ MASONRY ~Gt!-p\oce '? -.<.
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
-.:: ..,; ~tl,.,.,.C INSPECTION
SOILS COMP1_ IANCE
PRIOR TO
FOUNDATION INSP
REQ IF I INSPECTORS
CHECKED APPROVAL
SHEATHING STRUCTURAL CONCRET~----+--------
F RAM E OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTREssrn
DATE
CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED =t 1---=1--=1 CONCRETE PLUMBING . ----FIELD WELDING
SEWER AND BL/CO I . . '--+----+--·-··'--+---I·-"·-''" STRENGTJ....
PLUMBING UNDERGROUND 1-l _s_o'-, T-'s'----
PLUMBING TOP OUT SPECIAi MASONRY c----------·+·--+~---f-----1 --
TUB AND SHOWER PAN
---------· --------------+---
GAS TEST PILES CAl::>SON::·
ELECTRICAL I I ------+--+----
TEMPORARY POWER ~----+--·-+------+-
eCSCTS,O "'°""0",0 ~ s ,
ROUGH ELECTRIC,,.,,, ~ ··j· I -J------1
ELECTRIC SERVICE :___ +--___j-
BONDI NG
G. F. I. -SMOKE DETECTOR -------+-------+----1
MECHANICAL >----·----·--·-· --.+---+-----+----1
DUCT & PLEM., REF. PIPING ti· ,tr ·4~ 1 ---+-·.
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
f---------------+-----+ ----+.----1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE -
JOB SITE FINAL
PLUMBING I ./',~·A
ELECTRICAL I -It!' ·y ~
~!~HANICALJS_,v ~13)'
1
1 BUILDING ee~ !---+·-1 1
SPECIAL CONDITIONS t
~ERTOFOCCUPANC~Y,_..,IS~S~U~E~D------'------'-----------L------'----·-'---
'
·--·-··---------I
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-------··--·----·-.J
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I--------------·---------·-----------------·
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4 31>-~ CITY OF CARLSBAD ~ 4 ~ j This Certificate issued pursuant to the requirements of Section 306 ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ;;>
1 regulating building construction use. t ~ Single Family Dwelling 81-503-82 ~ 3 Use Classification · · Blclg. Permit No. ~
R-3 . VN . " Group Type Construction F,re Zone Use Zone ~
4 Occupant Load _ ~ ~ OwnerofBu;ldinFT.reetops Unlimited . 'Address 3900 Harney St. 31>-
. ~ Building Address ',\2''.:~0-~I~v~.rziess{, Dyiye Locality Carlsbad, CA. 92008 ::
;I 4 1·"':···"-.. ·'.----,t'.-. .... ;;>
4 ~ ~ B ;!>
~ ;!> ~ NOTE: Alterotions, chonges, odditions or chon·ges of occupancy null· ies this certif ote. ~
~ (Post in conspicuous place) ~
-~o/fW'V.MMMMM MMMMMMMMMMMMMMWW')(
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