HomeMy WebLinkAbout2752 Loker Ave W; 20-B1; CB880477; Permit.,, z 0 .:: C CIC C _,
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),( I hereby affirm that I am licensed under
f;'~1ona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
full force and effect
I hereby alf,rm that I am exempt from the Contrac·
1or·s license Law tor the followmg reason (Sec 7031 5 Business and Proless,ons Code Any city or county wh1ct; re·
qu1res a perm11 to construct. alter improve demohsh or repair any structure pnor to ,ts ,ssuance also requires !heap· pl1c;a.nt for such perm,1 to Ille a s19ned statement that he 1s
hcensed pursuanl lo the p,ov,sions al the Lon1rac1or s License Law (Chapler 9 commencing with Section 7000 ot
o,v,s1on 3 of the Business and Professions COde) or 1na11s ex empt lhefetrom and lhe bas,s fm the allegeo exemption Anv
v1olat1on o1 Sec11on 7031 5 by an app11can1 !or a permtl sub
1ects lhe apphcant to a c1v11 pena11y of nol more than hve hun· dre<I dollars ($500)
I. as owner ol lhe property or my employees with wages
as their sole compensation will do lhe wDfk, and the strut·
ture ,s not intended or ollered tor sale (Sec 7044 Busmess and Protess,on!. Code The Conlractors License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or lhrough his own employees provided thal such tmprovemen1s are no! mtend
ed or ollered !or sale II however. the bu11dmg or improve menl •s sold wtlh1n one year ol complellon. the owner-bwlder wtll have the burden or provmg !hat he did not build or im-
prove !Of the purpose al sale)
r 1. as owner ol the property am exclusively contrac11ng with licensed contractors to conslruct the pro1ec1 (Sec 7044
Business and Prolesstans Code The Contractor's License Law does not apply to an owner of property who bu1tds or 1m· proves !hereon and who contracts tor each protects with a
contraclorfs) hcense pursuan1 lo rhe Contractor's License Law)
I As a homeowner I am 1mprov1ng my home. and lhe follow
mg cond1hons exist 1 The work 1s being perlormed prior 10 sale
2 I have hved ,n my home lor twelve months pnor 10 complehon ol 1h1s work
3 I have nol claimed lh1s exemp11on durtng lhe laSI three years
B&PC
X thereby affirm that I have a cert1f1cate of consent to
sell insure or a certificate of workers Compensation In-
surance or a certified copy the,eol (Sec 3800. Labor Code)
POLICY NO V'I, r ,-,r--,-..,t._ 1c:--. ""':-Z i
COMPANY ~
~Copy ,s hied w,th 11,e c11y
Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
CTh,s sec11on need not be completed if the permit
1s for one hundred dollars is H)O) or less)
0 I certify that in lhe perfOJmance of lhe wOJk for which
this permit 1s issued. I shall not employ any person in any
manner so as to become sub1ect 10 the Workers Compen•
satton Laws of California
NOTICE TO APPLICANT If. after making this Certificate
of Exemption. you should become subJect to the Workers
Compensation provisions of lhe Labor Code you must
forthwith comply w,th such prov,s,ons or this permit shall
be deemed revoked
8 I hereby aftirm that there 1s a construc11on lending
agency for the performance of the work for which this per·
m1t is issued (5ec. 3097 C1v1I Code)
Lender·s Name _ 1\.-J-.J• ... -A--J-: .-
Lender's AddressJ.....Y..LJ /'VI-;
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AODRESS A V ST RD. THOMAS BROS NO J17) ~f ;pj;;N1
BUSINESS L•CENSE # VALUATION PERMIT NUMBER
~~ i_rkp . ()1 lt> ,:::;;JJ-)-~ /) 'e,q(gl
L~ I BLOCK I SUBD VISION I ASSESSOR PARCEL NO CONTRACTOR . CONTRACTORS PHONE • ZONE ~rto<l77 (I ~\rnr .... ~ .I'\ ~n ...l,...r""\r ~~-/'"155 OWNER.SNAME 1 OWNEA"SP"IONE -· ·' t'il, /10 r.
~! ""'-" r ~ i~f-~ r ,-) -(b.\.;,..o(.. 4.._~Pi-·::,~~ ~~~~~:i~~.A STATE LICENSE NO. isu1LD1NGS0 FOOTAGE"
~UJ :::l.-::a.. I q "7 OWNERS '-'AILING ADDRESS ' ~-~~.o.al""'\. b~ t '.""l. I
I ,,m f') £,1 ~ _n,t,4/} . ~ i ~r (."1 1 .L,..f -_J (¥1. ";_.., • >~ K~*-me.Ah04!.k I DESIGNER'S P'><DNE
l::l... ,In-77 / lJ Dl~ION )F ~ A I ~ ' Y'Y'\r ~o ....... \V""'I e... Cl <+-r':1 r ~
r, -• ,e'f '\ ~ i ., \ ("' .0. ) v-.~~~~ Bh.Jd. STATE LICENSE NO
I n~ .. ~ n (').() l r-r-i na·+r·('~n ,~ Y'\ ,l)nr, I'\ A ~~ l A
' l F p Fl~ELEV NO CCC GP EDU
~tC:::::~~ STORIES
vO NO ---. CENSUS TRACT j PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRE SPA AREA CONST
YO ND ,o "10 vO NO Not Valid Unk-ss M11chine C~rttft«f
QTY. PLUMBING PERMIT· ISSUE rJ .So QTY. MECHANICAL PERMIT . ISSUE 15/:0 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE rRAP INSTALL FURN DUCTS iJP TO 100 000 BTU . llUILUINu ~tKMI I UUl ·tllU UU·UU·oav
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001810·00·00 8221
EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891
-EACH GAS SYSTEM l TO 4 OUTLETS BOILER COMPRESSOR J 15 HP TOTAL PLUM Bl NG 001 810·00·00 8222 \C,~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00-00-8223
EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MEC~'9'--001·810·00·00-8224
EACH VACUUM BREA KER ME CH EXHAUST HOOD DUCTS MOBIL~ .If~ ii 'b fl.W.·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR -• ~~-.&ol-0J.a22s
EACH ROOF DRA1N I NS,OE 1 DRYER VENT STRONG MQ'~~A, ,. • 880· 519·92·33
..:::1.-1:t:r-t"""I -. .L. ~. ~ .... ""'.(I lf".1 ,") hJt-,a.nr. TOH.L MECHANICAL
~1819~
FIR.f SPRINi(LERS' J. { /.~~0-00·00·8227
TclTAL PLUMBING I lt"1 rr: -.. P.l. ... ....,_1..-r.ES..EEE 320·810·00·00-8740
QTY. ELECTRICAL PERMIT · ISSUE t:;:"00 QTY. MOBILE HOME SE :~""'
-
n 0.;.00-00-8740 .~ ~~ ~
PARK·IN-LIEU-lil~•L.W:-J'l'~,.-:--u
NEW CONST EA AMP SWT BKR CAR PORT -'"' 101 1ql\R ,
TIF 3i~1.tt(6835
I PH 3 PH AWNING t;.. n• ,un a LA COSTA TIF 311 ·810-00-00·8835
EXIST BLOG EA AMP SWT BKR GARAGE q_ CllY1 EASU~ .. r FMF
l PH J PH \ (S'I \,111 ~ . ..,;;.· .. :-t.A _, rJ LICENSE TAX 001·810·00·00·8162
REMODEL ALTtR PER CIRCUIT \~ . ,.OJ. MFF 880-519-92·57
TEMP POLE 100 AMPS ' ~$ .. ~!'17
OVER ZOO AMPS ,c·z -~
TEMP OCCUPANCY JO DAYSI
CREDIT DEPOSIT
TnTAL ELELTRILAL 1 TOTAL TOTAL FEES PAYABLE J \[') .. CY)
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND 00 HEREBY Expiration Every perm,t issued by the Building Offtc11I under the p,ov1s1ons of thts * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERT,FY UNDER PENALTY OF PER,URY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ex.pire by ltm1tat,on and become null and void ff the bu,1d1ng or work 5· 0 DEEP ANO DEMOLITION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE 1F A PERMIT I', authorized by such perm,1 ,s nol c~~1th,n 180days from the date,:,l such STRUCTUAES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUN Y ANO STATE LAWS GO\IERNING BUILDING CON ~~:~n°~ 1
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1:~v ~~:·;P..~;,..:~k i o~:'.r:Je~~~~ :'~~~·~,s~;bd~~1 °' ...-,...
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPUCANrs SIGN:;:~__,-/ OWNERn CONTRACTOR 8,. "~~l"~}dte KEEP ><ARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE ·1 GRANTING OF Tl-!IS PERMIT .
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\ TYPE DATE INSPECTOR Cf '6 1$1$U <.f) / / \
BUILDING
F OUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY REQ IF INSPECTOR'S
GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEILING SOILS COMPLIANCE :---..._
SHEATHING D ROOF D SHEAR PRIOR TO , -·c::ee~ FOUNDATION INSP ,I FRAME STRUCTURAL CONCRETE --~~ EXTERIOR LATH OVER 2000 PSI .~ '. ~ ,,;i',....
INSULATION PRESTRESSED .jf i\ CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED . " f!I CONCRETE ·~ T ... ~n -... ,.,-
~ ·-•v GI .ice.ti w~~n PLUMBING FIELD WELDING ·~ ,,., n -
D SEWER AND BUCO D PUCO HIGH STRENGTH ' ~ \:-{Ul)'fW·-~\t~\ pr<
BOLTS . _-.9 0 N-... ~ oi C
UNDERGROUND D WASTE D WATER r -~ ...,.. :a~;r1,
D WATER SPECIAL MASONRY -·"'" I. • • ~"' TOP OUT D WASTE .
TUB AND SHOWER PAN -~ 4' "(:"· -: ..
GAS TEST PILES CAISSONS f'l'f' E " P ,.~
D WATER HEATER D SOLAR WATER --
--.
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY ' D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING J
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS
---' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. I FINAL .-. .. -:__. )';,. PLUMBING ·~·f"'",, "'I"" ... --''-' ~ -ELECTRICAL f;::; ... «:-..,J ' \ \
MECHANICAL ' /~
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I bd< I -1 GAS j
BUILDING I I (( /()'t) ,J,-,~~/ /
SPECIAL CONDITIONS u • ~ / . r