HomeMy WebLinkAbout2754 Inverness Dr; ; 81-503; Permit"' z 0 ;::
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0 I hereby atflrff, that l am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
1,11 fo,c• r," ~,,..,. B-l
Lie No L LOQ_b __ Class _____ _
I hereby atl1rm Iha! I am exempt from the Con ¥ro~0~·a~~~:;:: !;,3; ~~f~':;l~~~~.·e::~.<~r
county which requ1res a permit to construct
aller. ,mprove, demolish, or repair any structure.
pno, 10 its issuance also requires the applicant tor
such perm,t to t,le a signed statement that he ,s
licensed pursuant to 1he prov,s,ons of the Con-
tr;ictor·s License Law (Chapter 9 commencmg with
Section 70C'O ot D,v,s,on 3 of the Business and Pro
fess,ons Code) vr that ,s e;w:empt therefrom and the
b;l.sos tor the al~ed exemption Any v,01at1on or
Section 7031 5 by allapptlcant for a penmt subJecls tne applocant to a c,v.t penalty of not more 1han 1,ve
hundred dollars (S5(X))
0 I, as owner ot the property, or my employees
w,1h wages as their sole compensa1•on. will do the worl<. and the structure ,snot intended or offered !or
sale (Sec 7044. Business and Profess10'1s Code The Contrac1or's License Law does not apply to an owner of property who builds or ,mproves thereon
and who does such worl< himself or lhrough hos own employees, provided that such ,mproveme;its are not m1ende'l or offered for sale If. however, the
building or improvement 1s sold w1thm one year or completion. the owner-builder will have the burden
of proving tha1 he dod no1 build o, improve for !he purpose of sale)
D I. as owner of the propeny. am exclus,vely contracting with licensed contractors to construct
the pro1ect (Sec 7044, Business and Pmless,ons C<Xle The Contractors License law does not app1,,.
to an owner of propeny who builds or improves
thereon. and who contracts lor each pro1ects with a cootraclorjs) license pursuant to the Con1r&.ctor's
License Law!
D I am exempt under Sec
!or this reason
_, B & PC
D I hereby af!<rm 1ha1 I ha•e a cert1f1ca1e of consent
to self-insure, or a cert,f,cate of Workers Compensa1,on Insurance, or a cert,he<l copy thereat
(Sec 3800. Labor Code)
POLICY NO WP -232l 9-4Q ---
COMPANY Fireman-• s. Fund
0 Copy ,s ftled with the c,ty
0 Cert1t1ed copy ,s hereby !urn,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS· COMPENSATION INSURANCE (This sec1,on need not be completed 1! Irle oerm,t
,s tor one hundred dollars iS100) or less)
D I cert,ty that "' the performance of trie worl< tor
which 1h1s perm,t 1s issued. I shall not employ <1ny person ,n any manner so as to oecome sub1ec1 !o the Worl<ers· Compensat,on Laws ot Ca11torn,a
NOTICE TO APPLICANT It. alter mak,n;i th,s Cen,
f,cale ol E•empt,on. you sriould become sub1ect t'J
trie Worl<ers· Compensa1,on prov,s,ons of the Labor Code, you must forthw1!h comply w,th sucri
prov,s,ons or !rlrs permit srlall be deemed resoked
0 I he,eOy af1,rm tha! \here ,s a construction .end•ng a,;iency •o, lhe performance ot the wor1< for
...-h,ch 1ri,s pe•m,t ,s ,ssued tSec 3097. C,vil Code)
LenaersNaUnioo Bank
LenctersActdress 525 11 B11 St
San Diego, CA
.
USE BALL POINT PEN O~ ... \ PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A~ ECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
:l~ih•\OOi\ESS ::,. ' "-, , , ' ,AV.~fOATEOf f\PPLJC,11\:Tt,ONI BUSINESS LICENSE# VALUATION PERMIT NUMBER '.y, \, :-s .. ' '' '" , '/ 0-X:; ~-i. ' ' ' ' ' 7 CA 9200S ",'AC,. , , &C,,3S3 * .27511 Inve;rne:ss J.l:efi'i'l'e, Carlsbad, . . . 3/25/82 2359;: 81·5o~ OWNER''S NAME · . I OWNER'S PfiONE .. PRIME CONTRACTOR CONTRACTORS PHONE# ZONE ,"' -t, . TREETOPS UltLIMITED . 299-StoO Paci.f i c Scene. Inc • 2QQ-<;100
OWNER'S MAJ LING AOORESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE'
3900 Harney Street, San Diego CA 92110 3900 Harney St. SD CA 272686 S,F. D,
LOT I BLOCK 1 SUBDl VISION ii ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARD PLAN# i~°8001GE Rl Calavera Hi ls 76-12 Buzard/Henning & Assoc. 4729 DESCRIPTION OF WORK
1 ...... 10"' 11 oo C Sinole Familv Detached OES~GNER'S ADDRESS DESIGNER'S PHONE
4883 Ronson Ct. SD CA 278-6855 PLAN 2A ~-----·--------·, . ___ ,,_, ___ m FLA ELEV. NO OCC GP EDU '}/Jj/.~;-. ·-ST,IES f2.-3 vD ~o
CENSUS TRACT I GP LAND USE 1 :fz1S4sCE RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD F!RE SPA
AREA N"'g v~s~ .L. iO ,o Nii Y O N Apt;j >0 N Not Valid Unless Machine Certified
! .
QTY. PLUMBING PERMIT· ISSUE i ·t,5(. QTY. MECHANICAL PERMIT· ISSUE 1,,CJO SUMMARY/ACCOUNT NUMBER .
Ll EACH FIXTURE TRAP ·--t -I'/ .oo I INSTALL FURN. DUCTS i.JP TO 100,000 BTU Ao,OC BUILDING PERMIT ______ 01-000-422(L_ ~~~()()_
EACH BUILDING SEWER ,,;;;;o OVER 100,000 BTU • SIGN PERMIT 01-000-4221 ----------- + - -----
~"7/0 EACH WATER HEATER ANo,oR VENT --'--
.;:;, BOILER/COMPRESSOR UP TO 3 HP _ _:_ ___ PLAN CHECK 01-000-4806 z,.~( ------. -----------· -_J_ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 "'I ·"" --------t. -----;2 J.(/,;, -EACH GAS SYSTEM 5 OR MORE ~ rr'"''"'"'"' ~~-----· ELECTRICAL 01-000-4223
------------------------
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ':t.,00 MECHANICAL 01-000-4224 ! l/,.r,,1 r
EACH VACUUM BREAKER 7 MECH EXHAUST -H-000-'0UCTS ~,(21 MOBILEHOME 01-000-4225 -r-------------------
WATER SQFTNER -----·r -~(!_C_Aj~OF_ EA ~~NA~-~·~-~-~TE~-MOBILEHOME PARK INSP
--· -----
EACH ROOF ORAIN (INSIDE) I· L ·-"' '/ , ()0 SOLAR 01-000-4226 .,J ,:.et -1 ----· t---ToT..C.L MECHANICAL 14,oc STRONG MOTION 65-640-0519
-__l .~~.. -
-------· ----. • TOT AL PLUMBING FIRE SPRINKLERS _Q_l-000-_4227 - -
---,,
PUBLIC FACILITIES FEE ~:OJJ_Q-4933 QTY. ELECTRICAL PERMIT· ISSUE z,.,ol CHY SOLAR· ISSUE ----··--
BRIDGE FEE ------------------------I NEw coNsT EA AMP:swT.BKR I/Jo MP '2. ,;;.,, 011 ' COLl ECTOB.S../] ~ -SCHOOL FEE -DISTRICT
------
lPH 3 PH ~re'llfflKs _.,....--Carlsbad 65-623·0519 ------------· -·-----·-i--------·-
EXIST BLOG EA AMP/SWT;BKR ~ K -l!l/ifa;" Encinitas 65-624-0519 --lPH 3 PH l lJ _,c 4\ San Dieguito 65-625-0519 ~-----------,,.T// P\li{y,fECK FEE
------· ---
REMOOEL:AL TER PER CIRCUIT ,/ San Marcos 65-626-0519
-----------· -·-· ------·-----------
TEMPPOLE 200AMPS
~-.· 9µ --------------~ -------
OVER 200 AMPS ... -------------- ---r , I . t. --------
TEMP OCCUPANCY !30 DAYS) ------------~---------· ---- ---------
-._L_ ----~--~-----1,-, ---
TOTAL ELECTRICAL 1 11 ,tJO TOTAL SOLAR TOTAL FEES PAYABLE I (ptf-o I 7 t./-I
I~ CAREFULLY EXAM IN~ Tl1J; p()MPLETED "APPUCATION AND PERMIT" AND DO HEREBY Expiration. Every permtt iquedby the Building Official under the provisions of this * AN OSHA PERMIT~ FOR EXCA:YA.TIOMS OVER
CERTI'FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code stlail e,;ptre by ffmltation and become nuU and void. tf the building or work .5• O" DEEP AND Qll.CONSTIWCTIOff OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT JS authcmzad by such permit ia not commenced within 180 days from the date of such STRIJClURES OVER 3 STORIES IN HEIGNT permit, or it the buildi~ work authonz&d by such permit is suspended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandOned at .. ., time a the work la commenced for a ""'riod of 180 d .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPUC11.°2.i }'1,,, U
OWNER0 CONTRACTOR ex APP OVEDBYJJ-DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUTtES, JUDGMENTS, COSTS AND 1, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 -"" I 3-2kr8Z GRANTtNG OF THlS PERMIT. . . •
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) INSPECTION TYPE DATE INSPECTOR
BUILDING
....... 11 ,/1 =' -FOUNDATION
I • r r ..,. ' REINFORCED STEEL
MASONRY K --~ A.c 277-. C:: 1<-c::::.(h "'~
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING r::..1n.~1 !'-JI--
~. i6I C'"'1 •I -FRAME '
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING -.
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT e,::;. ~ . 'i<l l~ ----.
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC K,\&\.~ ... -r-... -" u
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING ~,1tf!I ·K ,_ '' "'
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL -
PLUMBING -. «) -
ELECTRICAL V• I.,'"
MECHANICAL . ' n 1/./ ./
GAS pYY,, V ~<./.. I./ ,
BUILDING Y'"A ,I /J ---,
SPECIAL CONDITIONS , I&, -)I y--
CERT OF OCCUPANCY ISSUED . L.->
--------------
1-----
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS .
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMP'_IANCE
PRIOR TO
f'.-OUNOATION INSP
STRUCTURAL CONCRETE ·r
OVER 2000 PSI
PRESTRESSED
CONCRETE --------------------POST TENSIONED
CONCRETE
IC"IEL D WELOll\jG
'--· --1•1(;1; STRENGTH
: BOLTS --~----~ -----
SFEC1AL MAS0Nl=1Y
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PILES CAISSON'.:-'
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INSPECTOR"S NOTES .
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Single Family Dwelling ., . .. 81-503-81 -~-::_ Use Ciossi~icctic-n 5:c;. Pcr::-;:I· l',:c, ________ _
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Ccc'.'pant Lo:::::d ---,,:------c--o---c---,--~-·
c.,,e,ofBoi!d:n, Treetops Unlimited ,.!Jc,ss_390~_r:ney St., San Diego
Suiiding Addcess___;. . 2 7 5 4 In ver_JJ.~S_S ____ L,ct:,y_C~r_l_;;_b~.cl..,_j:_f\._. __ 9 2 0 0 8
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NOTE: Alt~rotic:,~, c.':or.,;<cs, ,:,dd:t:cr:~ er c:,,;;.~z.,!: c• c,;c1...~c.,cy ·"~·;1:f:,:,; fr ,~r ;f:c:,t:>.
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