HomeMy WebLinkAbout2750 INVERNESS DR; ; 84-679; Permit. ,J/ I , USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
J ..,~ r-~ ~ I hereby affirm that I am licensed under { ~ ;i5 r ovlslons of Chapter 9 1commenc1ng with
I , '\JO L Section 7000) of Division 3 of the Business ,,. y ,c and Professions Code, and my license 1s 1n
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I hereby af!irm lhat am exemor from lhe C8rtrac
tor's License Law 10, ihe tol!ow,ng 0eason 1Sec 7031 5
Business and Professions Code Any c,ty er counly wh1u, re
quires a perm,t lo consrruct. airer 1'11pr~ve def'l'ol,sh or
0eoa,r any structure p'1or lo ,rs 1ss~ance also requires :~e ap
ol1canl tor such perm,: lo file a s,aned sta:emeot that he ·s ,,censed pursuant to the orov,s1ons 01 The lowactor s
1,cense law !Chapter 9 commenc,ng with Serl·on 7000 cl D1v,s1on 3 of the Bus,ness and Proless,ons Cade; or t~a, ,s e,
em~I !he•efrom ano lhe Oas,s for The a'legen e,empr,on An1
v1ola1,on of Section 7031 5 Oy an aopl,canl hr a oerrP1: sub-;ects the applicant to a c,v,1 penalry of nol more lhar five hun
dre~ dollars i$500'
I. as owner ol lhe proper'y or my employees w1'h wages
as the,r sole cornpensa1,on will do the wor.. and the struc-lu'e ,snot 1n:ended or oflered for sale (Sec 70~4. Bus11ess
aod Protess1on~ Code The Coniracror·s License I aw does
ool aooly to an owner 01 proper:y who builds or improves !hereon and who does such work h1'11sell or 'hrough h,s own
emp,oyees, provided that such 1mpravernenrs are not intend-
ed or ollered lor sale 11. however. tne budding or ,mp rove
rPent 1s sold w1lh•n one year ol co<npletron the owner-builder
will have the burden of prov,ng that he did not build or ,m prove for the purpose of sale)
I. as owner of the property am exclus,ve·y contract,ng w;th r1censed contractors tc consnuct the project (Sec 7044 Business and Professions Code The Contractor's L,cense
Law does not apply to ,m owner of property who builds or ,rn proves thereon. and who contracts for each oro1ecls with a
contractorlsl 1,cense pu,suan\ to the Conlrdctor s L,cense Law)
As a homeowne' I am ,rnprov,ng my home and t~e fol av,
1ng condlt]Wls ex,s:
1 The work ,s oe,ng Performed pr,or to sale 2 I nave lwed in my home for twelve mon•~s p~1or ro completion of th,s work I have not cla,med th,s exemption Gur,ng t~e
last three years
~r t'h~: ,!::;it under Sec ------B & PC
~ hereby affirm th.it I have a cer1,!,ca1e ot conseni :
sell ,nsure or a cert1f1cate of Wor~ers I
,s.~'~':':,'0:,'.'~;:,:c,e oc a cem,,~ wo~oet"'' 1
MUO NO U t lD LJ 'i :i_ -& 1 I
CQMemS+e... t e \'.='v. ~ :
Copy ,s liled w,tn the c,ty I
} Cert,t,ed copy ,, hereby •urr<1shea I
CERTIFICATt OF EXE:MPTION fROM
WORKERS COMPENSATION INSuRANCf (Th,s sect,on n~d not be CCJmpleted .t 1'1f' ;,e'"" t
,s •o, one hundred dollars ;$100' or 1es,,
D I cert,•y that ,n the pertorman~e ot thP .,,.,,r1< •or
,..h,ch th,s perm,1 ,s ,ssued. I shall not Pmp10, an, person ,n .iny m.inner 50 as In become ~ub1e,-• 1,
the Wofl<e,s V)mpens.a1,on L.aws o' Ca1,•,:,r~,a
NOTICE TO APPLICANT I' atte, m;iio.1na tn,s Ce~
locate of Exemp1,on you should become sub1eC' ,,,
lhe Workers V:,mpensat1on prov151ons ol :he L.abv
Code you must lorth ... 1\h comply ,...,:t' sue" prov,s,ons or th,s perm,! shal be (lper,,ec •e•nkp(I
O I hereby ;ittircn Thill there ,s a c,or,~lruc I u~
ending agenc.-ro, thr per'unn;ince ul lhe ,.,o,,. r,,, wn,cn th,s pe<m,• ,s ,~sue<l ,Se, lO'll c: ,, c:cxie,
L entle< ~ N.ime ___________ _
Lenoe, s AOdre~s -----------
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ~ q 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 ,
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINEWENSE # VALUATION N(} PERMIT NUMBER
~,i::;o --..... vf> r""',. cc:.. T'\,. S+:,...\·~~ Av~. I I -.1{)-i'-\ /~.% V 1a LOT I BLOCK SUBOI VISION I-ASSES~R PARCEL NO. 'i ~~~\\;TORS,)\/) y-
CONTRACfOAS PHONE , ZON< -117 -; ">o -1 \ -I ,Q~D c;3r. OWNER"S NAME OWNER'S PHONE
IT)" V\ ~ I' "' ...... i> c:. + Y'O.."' \ 43<.\-4 d-1..\ '1 CONTftACTOR'S ADDRESS UCENSE NO. PLAN 1.0. # BLDG USE coot
';°~'15'\\t /+ir Ln. Fa\. '-\.;JDS tl 11 OWNER'S MAILING ADOflESS
.SA·~-~ DESIGNER -LICENSE It STANDARD PLAN# BUILDING SQ FOOTAGE
OESCRIPT!ON OF WORK -~A \./l I I I I '\A)l}-\-ev-I , , I ' DESIGNER'S ADDRESS DESIGNER'S PHONE
·------------------------· . " F LR ELEV NO OCC GP EDU
STORIES
vO ,o ---
CENSUS TRACT I GP LANO USE I PARK•NG SPACE: RES UNITS I GRADING PERMIT ISSUEO REDEVELQPrv,ENT TYPE OCC LOAD FIRE SPF> AREA CONST ,o 'D ,0 .... o YO r-,,0 Not Valid Unfess Machine Certified
QTYI PLUMBING PERMIT -ISSUE i 7.S) QTY. MECHANICAL PERMIT· ISSUE ,~-SUMMARY/ACCOUNT NUMBER
EACH ~IXTURt TRAP I I INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220
-----------
EACH i:lUILOING SEWER I OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 --~-----------l!-------t--- -·---------·------· . ---
EACH WATER HEATER ANU OR VENT
'
, j BOILER·COMPRESSDR UP TO 3 HP PLAN CHECK 01-00·00·8806 ----·--
EACH GAS SYSTEM I TU40UTLETS ! BOILER.COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00·00·8222 ~ -------' ---~ --' ----------------· -------·-----
EACH GAS SYSTEM 5 UR MORE: [ 1/ETAL F ::iEPLACE ELECTRICAL ··--· 01·00-00·8223 --·-~ -------r--- -+ ---··-------
EACH INSTAl,.. ALT EH. REPAIR \';ATER PIPE I VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224 1------- ----. -- -----r--·-
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01 ·00·00-8225
'NATER SUfTNER RELOCATION OF EA FURNACE·HEATER MOBILEHOME PARK IW)P -------~--/ff!>---------~ t. :-: H ::i :".)f ·,.i .'..1 f, , ~. c; I:: 1 _ _$_0LA_R 01 ·00·00·8226 ·--·-L TOT.C.L MECHANICAL I STRONG MOTION 80·92·33·0519 -I --
TU!Al PlUMfllN\l FIRE SPRINKLERS 01·00·00-8227
:1 SOLAR· ISSUE /'~ PUBLIC FACILITIES FEE 32·00-00·893J ~--· QTY. ELECTRICAL PERMIT· ISSUE ,;:-_ 'I QTY. ----
""1r"JV y BRIDGE FEE ., -
NEWCONSrEAAMPS\l,'l 8KR I/ CCLI C[TDPS ' SCHIJDL FEE· OISTR'CT ·---I PH 3 PH / sro;,/,c;~ Tt..r,Ks J 1.r-Car:sbad 80·92·21 ·0519
_,/ --. { I IU"
-------------
EXISI bllJC EA AMP SWT 8KR ROC-< S ()~:iGt': Enc1n1tas 80-92·22-0519 --·--I PH ~f'H O~f1P fl \ _.,, San D1egu1t? __ 80-92:_23·05~ _ ---· L___ ____
REr..100EL AlTl:R ~CIRCUIT Pl f,\ Cf--<~(K F~L I {'' San Marcos 80-92·24-0519 ----------· - ------------·
Tf',IPPOLE _,.;>{11JAMPS I
OVE:. R ].J!11 AMPS I I J LICENSE TAX 01-00·00-8162
J-Oi,p OCCUPANCY:]() OAYS.1 I L/ MFF 80-92-57-0519 --------V . .A CREDIT DEPOSIT
IOTAl E"Ul.TRICA! I ,· I TOTA.L SOL.'..R JS~ TOTAL FEES PAYABLE I /.9E-11 I
Expiration. Every permit issued by the Bu1ldmg Ofhcial under the provisions of this ' I HAVE CAREFULLY EXAMINED THE COMPLETED · APPUCATION AND PERMIT'" AND DO HEREBY * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ei,;ptre by limttat1on and become nun and void 11 the building or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORAEC] AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S authonzed by such permJl 1s not commenced wrth,n 180 days from the date of such '" STRUCTUMS OVER J STORIES IN HEIGHT
ISSUED, TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON :~i::~~n~ l~t t=~v ~u,;::i~ei~h:c:;~,:~!hco;~~~le~~~~ :e~7i~d1~i5~;gedn8~d or
STAUCTION. WHETHER SPWFIEO HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY~-. OWNERD APPROVED BY
~//'~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APP ICANT S SIGN~~()~ CONTRACTOERl
,' / EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • _[\ A\ BY PHONE GRANTING OF TH.IS PERMIT A V . 7 ., ,
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TYPE
BUILDING
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME _I
SHEATHING D ROOF D SHeAR
DATE INSPECTOR
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
Pf~IOR TC
f-UUNC·A-:-ION INSP
REO IF I INSPECTORS
CHECKED APPROVAL
---'8'-', (, 7'7 ----------·---
INSPECTOR'S N0-7ES
DATE
INTERIOR LATH & DRYWALL
"F'R~A~M~E--,--,---------+'--r---r--11 STRLJCT.JCAL CUNCRETc I I
'._'. I OVER 20()0 PSI I -----j EXTERIOR LATH I PRESTISESSEO I I ----1
INSULATION I . . ' CONCRFTE ---1,-----+-----j
I POST TE-NSICNEC
cor-..CRET[ I •
PLUMBING f-lELO WE;LOi\JG I
SEWER AND BUCO DIPUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D W,I\TER
TUB AND SHOWER PAN
GAS TEST
. ':)f-"E·'.~'AL MA5()N:ciY [ r=--------L ' +--
··-·· r------·t----------~·l(]'-1 s~•,E'\GTr< L ,
BOLTS _l
D WATER HEATER D SOLAR WA'rER
ELECTRICAL
D ELECTRIC UNDERGROUND D li)FFER
~E~_CAl='"' ___ l _ --__ J= --
1----+--t-=+---~ 1C1 ------=~
ROUGH ELECTRIC '
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPIN,G
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS 1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VI; BEEN APPROVED.
FINAL I
PLUMBING ' i I
ELECTRICAL I f1'1
' , </U MECHANICAL I
----1----+----
1-----------+--------+-------
I
--+---------, f
--t------+----
----------I----------+------
---+ ---------!---~------------------------
t---------t-----1-----------------------------j
Fl If I J,LI
j
GAS I / ,! 1 •• /) Jll,VI j
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i-----------------------------------------,
'-. BUILDING I : L ____ I ___ [ l I SPECIAL CONDITIONS I ) ! ' --,_,