HomeMy WebLinkAbout2758 Inverness Dr; ; 81-503-80; Permit"' z 0 ~ "' :l (.) w C
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D I hM8by affirm that I am llcensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Dlvls!on 3 of the Business
and Professions Code, and my license is In
full force 272 e~ftf,l, Lie No_ lih__ Class ___ _ft-=._J __ _
I hel'l!by alllrm that I am exempt from the Con-
~~o;·~~~~:;~ ~: ~1~':1~~~~r~~1\~,
county which requires a permit lo construct
alter. 1mpro11e. demolish, or repatr any structure,
prior to its issuance also requires !he applicant tor such permit to 1,ie a s,gned statemenl that he ,s
licensed pursuan! to the prov1s1ons ot the Con
tr...::tor's License Law (Chapter 9 commencing with
Sechon 70ClO ot O,v,s,on J ol !he Business and Pro
lessions Code) or that 1s exempt !herelrom and the
t>;i.s,s !or the alleged exemption Any v1o!at1on of
Section 7031 5 by an ,i1ppl1cant for a perm,t sub1ects
111e applicant to a c1v11 penally of not more than live
hundred dollars ($500)
0 I. as OWnef 01 the property, or my employees
111,,th wages as their sole compensat,on. will do the
wOf'k, and the structure 1s not intended orollered !or
sale (Sec 7044, Business and Protess,ons Code
The Con1racto,·s L,cense Law does not apply to an
owne, of property who builds or improves thereon
and who does such won<. himself or through his own
employees. provided that such 1mproveme,its are
not mtende'l or ollered for sale If, however, the
bu1ldmg or improvement 1s sold w1th•n one year of
completion. the owner-builder will have the burden
of provmg that he did not build or ,mprove tor the
purpose of sale)
CJ I. as owner ot 1he property, am exclus,vely
contracting with licensed contractors to construct
1he protect (Sec 704-4. Business and Professions
Code The Contractor's L•cense Law does not apply to an owner of property who builds or ,mproves
thereon. and who contracts for each pro1ects w1th a
contractor(s) license pursuant to the Conlr..ctor's
license Law)
0 I am exempt under Sec
tor th,s reason
. B & PC
C] I hereby a/firm t'1at I ha~e a cert,t,cate of consent
to self-msure. or a cemf,cate ot Workers·
Compensat,on insurance. or a cert,hed copy thereof
(Sec 3800, Labor Code)
POUCY NO WP 2_321940
coMPANv Fi rema_n I s _ Fund
D Copy <s hied with the c1ty
D Cert,t,ed copy ,s hereby furn,shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (Th,s sect.on need not be completed d the permit
1s !or one hundred dollars ($100) or lessl
0 I certify that ,n the performance of the worl< to,
which 1n,s perm,t 1s ,ssued. I shall no1 employ any
person ,n any manner so as to become sub1ect to
the Woll<ers· Compensat,on Laws of Cal,forn1a
NOTICE TO APPLICANT 11, a!1er makm3 th,s Cert,
hcate of Exempt,on. you should become sub1ect t'J the Worllers· Compensat,on prov1smns ol the Labor
Code. you must lorthwoth comply with such
prov,s,ons or th,s perm,1 shall be deemed revoked
0 I hereby af1irm thal there <S a construct,on .endmg agency for !he performance of 1he worl< for
wr.,ch th,s perm,! ,s issued 1sec 3097. C,v,1 Code)
Lenaer'sName Uni on Bank
LendersAClClress 525 11811 St
San Diego CA
USE BALL POINT PEN o~·. •,-"P-"RE"-S"-S-"HA"'R"'D-------------------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANr ~~CLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
.If>& A.OORESS
21S.8 . Inverness Dl:"!~e, Carlsbad, '-cA .Av;'$T.-,qATE Of APPUCA-TIONI -•p. -3/25/82 92008
I OWNER'S NAME I Pa.dfi.: Scene. Inc.
OWNER'S PHONE PRIME CONTRACTOR
TREE'.TOPS UNLI M ITEO ?QQ-i;100.
~NER'S MAILING AOORESS CONTRACTOR'S ADDRESS
1QOO Harney Street, San Diego CA 92110 3900 Harney St. SD CA
COT
80 -, SUBOI.VISION l ASSESSOR PARCEL NO. Calayera Hi ]ps 76-12 8l.OCK OES1GN£R
o•scaieT,o!j "' l'Q•< ---h d ., ,,,. O"' n in A soc Sin le ~amr 1y Detac e .,.o<ii 1 lo v .
PLAN lA 488-3 Ronson Ct.
F/P FLA ELEV.
YD NO
GP LAND USE GRADING ~EAMIT ISSUED
Sd CA
NO
STORIE]
~tNESS l,..ICENSE # VALUATION
23.592 S'f 390.--
CONTRACTORS PHONE# ZONE
299-5100
LtCENSE NO. '
272686
STATE LICENSE# STANOARO PLAN#
L_!ill_9
OESIGNER'SPHONE
278-68<;, 31;~5 /:~'~-i ace GP I EDU
ace LOAD r FIRE SPA
PERMIT NUMBER
J>!-So 3 -BLOG USE COO ._5'p
BUILDING SO. FOOTAGE
11,,£s---
CENSUS TRACT I 1"1+-~ce ASS UtTS I
y D ND I REDEVELOPMENT
AREA
,o ~ tm YO NO Not Valid Unless Machine Certified
' QTY. PLUMBING PERMIT -ISSUE 7,56 II QTY.I MECHANICAL PERM1T-1ssuE I 3.00 I suMMARY1AccouNT NUMBER ,,
0
EACH FIXTURE TRAP / l~~_!_~_L.L_£_~RN. DUCTS i.JP TO 100,000 BTU ,.tlO BUILDING PERMIT 01-000-4220 .;L/(J_J,-
-+---JC--EA_C_H BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00,,0·~4~22~1-+-----~·~
._J__ EACHWATEl1HEATER A-NOIOR VENT BOILER/COMPRESSOR UPT03 HP_____ PLAN CHECK 01000-4806 / Yj; 7dl
J EACH GAS SYSTEM 1 TO 4 OUTLETS B~_l_~ER/COMPRESSOR 3-15 HP ___ TOTAL PLUMBING 01-000-4222 .39. _.-
EACH GAS SY~~M 5 OR MORE METAL FIREPLACE _____ ELECTRICAL __ 01-000-4223 ___ 2, 7• -
EACH INSTAI,,. ALTER, REPAIR WATER Pl~-VENT FAN SINGLE OUC!_ __ • 00 MECHANICAL Q_1-000·4224 / 0 ,---=
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-000-4225 - - ------------------
----~-"Y__~Ti_R_SO_F_TN_E_R_______ RELOC~O_N_O_F EA_F_U_RN_A_C_E_IHE_A_T_ER_ . __ ~OBILEHOME PARK INSP ---EACH ROOF DRAIN (l'l;SIOEJ SOLAR LJ _ ------_ --::_--= TOT!'.'.L MECHANICAL ~. {IC, STRONG MOTION 65-641 --~-~___!__
TOTAL PLUMBING . A . FIRE SPRINKLERS 01 000-~_227 .=E.-. ·.-
01-000-4226
)-0519
QTY. ELECTRICAL PERMIT -ISSUE 1, PUBLIC FACILITIES FEE 25-000-4933
~~QTY ____ soLA_F1___:,l,S~UE BRIDGE FEE___ - -=
/! NEW CONST EA AMPiSWT·BKR ~~{--,()t.J 1 _ COLLECTORS --· __ SCHOOL FEE-DISTRICT
1 PH _ --3 PH Carlsba~
EXIST BLDG EA AMPiSWT:BKR Encinitas
1 PH 3 PH
REMODEL.1ALTER PER CIRCUIT ----------
TEMP PO LE 200 AMPS
San Dieguito
San Marcos
--------+
.__!O_Vrn200 AM!S. ____ _
TEMP OCCUPANCY !30 DAYS) -----------------------
---------+-------<I--
_J ---· --------
65-623-0519 ----
65-624-0519
65-625-0519 ----+----65 -626 -0519
---
-
----
TOTAL ELECTRICAL ,,,2, 7d/(J TOTAL SOLAR TOTAL FEES PAYABLE I ..r?,.;·v, .!"!
l tiA,VEi(;AREFULl Y EXAM1N,EO THE OOMPLETEQ \b.PPUCATION AND PERMIT"-AND DO HEREBY f:><Plratton. ~~-P6~mit issued bythe8uilding0fficlalunderthepro~sions of'this eEff'ffi;v UNDER PENALTY ,OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE CQde ~hall (xp1re by 11,n,t~tion and become noH and void. If the butlding or work
D,ECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auth~rized ~ such ~n.nit IS not commanced within 180 days from the date ol such
* AN QGHA PERMJT 1S ~ '"". E> EXCAVATIONS OVER .5·0• 0EEP AND ~~ffllJC:T10N OF
STAUC1'0RES OVER 3 ~ tti HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• :'"a'::::Cr:i':tthe ':l'~di=:r work &tlthorized by such p&rfY!it is suspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-':"'""'""","c.;c""'"e"-"""~t~lte!!..?w~on<"'-"-'c~om!!!!,men~~-!!!Z.~fo~,.!J~riod!!!!~•~fll!!IC!!lllL.· --..-------------------------1
KEEP HARMLESS THE CITY OF CARLSBAD AGAtt;S'f AL. L LIABILITIES, JUDGMENTS, COSTS AND ApPLfCANT' GNATUAE~Jf. . OWNEA0 CONTRACTOR~ APP~ED BY Jt O.ATE
EXP;ENSES WHICH MAY IN ANY WA.Y ACCRUE AGAiNST' SAID CJTY 1N CO~EQUENCE OF THE :J / J , · A/_ .Q
GAAN,:tt,IGOF!HtSPERMIT. --, ' , ' , aQ /A\, BY PHONE O __ · 13,(.,(IJ~Oz
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
"-IA ,l'!P>I~ /1"1" ,,
MASON RY IZ.17 &:0 .L/ C -.:"' s. I<< c;:,J~
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
FIELD INSPECTION RECORD
81-SD3-£'?0 ~
REQUIRED SPECIAL INSPECTIONS ~----,::IN~S;;;P~E;;;C~T;;;O;;;R~';;;S~N~,O~T;;;E~S~-,~-----""'.'.:=+~--~-~
REQ IF I INSPECTORS
CHECKED APPROVAL I f.Jx0~~1'f_-~ INSPECTION
SOILS COMP1_:ANCE
1 PRIOR TO
. FOUNDATION INSP
DATE -------
SHEATHING FRAME -·----STRUCTURAL CONCRETE --+------------+--·------I
J ,,<.,r..V: :t/T"Yl\ OVER 2000 PSI
-------
------------------------
EXTERIOR LATH lNSULATION PRESTRESSED CONCRETE
INTERIOR LATH & DRYWALL POST TENSIONED ----+----+--------+----------, >-----
CONCRETE
--------·-· --~
i
PLUMBING FIE'..0 WELDING
SEWER AND BL/CO 1 •,, __ -,,-1 SlRENGTH +---------+----
PLUMBING UNDERGROUND ~rs -----· --+-------+------
PLUMBING TOP OUT !> l?, -~ '\?.nQ SPECIAL MASO/\Je<Y
TUB AND SHOWER PAN ,
GAS TEST ELECTRICAL I I ~ES CAISSON,
-----+--------+----~
·---+---+-------+------!
TEMPORARY POWER ~ --+------+-----
ELECTRIC UNDERGROUND
ROUGH ELECTRIC S-1-':s·~~ .
ELECTRIC SERVICE
BONDING I I ~----+--------+-----
G. F. I. -SMOKE DETECTOR ~-t----·-------t------,
-+-----+----MECHANICAL
DUCT & PLEM., REF. PIPING ~-13 q.-;iSii r-:· ---+
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
----!-----+------+-----<
-----+------+----<
!------------·-· ------------------------· -----------
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This Cntificate iss~d pursuant to the requirrmrnts of Section 306
of the Uniform Building Code certifies that at the time
{ this structure complies with applicable ordinances
j regulating building construction use.
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of issuance
of the City
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Use Classification
Single Family Dwelling Bldg. Permit No. 81-503-80
GrQup Type Construction _______ Fire Zone Use Zone ________ _
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... ~ Owrno/Bu;Jding .. Treetops Unlimited·Add.ess 3900 Harney St., San Diego t: "'~ c«
4 J Building Add,.,. · 2758 Inverness Locality Carlsbad, CA. 92008 ~> ~ i ~ ~> ~ ~ ~ Date ~> 4 ~ <) NOTE: Alterations, changes, additions or changes <:1 (~ •• ~ {Post in conspicuous place) 'f::. ~ ~
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