HomeMy WebLinkAbout2758 Inverness Dr; ; 83-477; PermitU) z 0 : ~ irl 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
end Proteaalons Code, and my license is in
full force and effect.
L,c No ______ Clas\
I hereby a1hrrn that I am exempt from the Contrac·
lor's License Law tor the followrng reason (Sec 7031 .5
Business and Pro1ess,ons Code. Any city or county wh1c~ re-
Quires a PfrITT1t to construcl. alter. improve, demolish, or repa,r any struclure. pr.or to its issuance also requires !heap-
plicant for such perm,t to hie a s,Qned statement that he 1s
licensed pursuanl to the provisions ot the Gomractor s
license Law (Chapter 9 commencing with Section 7000 of 01v1s1on 3 of the Business and Professions Code) or that ,sex
empt therefrom and the basis for the allegeo exempt.on Any v1olat1on of Sechon 7031.5 by an applicant for a permit sub
1ects the applicant to a c1v1I penally o1 not more than five hun-
dred dollars ($500)
\t I, as owner of the property. or my employees w1lh wages
';;s,heir sole compensation, will do the work. and the struc·
ture is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Gontractor"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 improvements are not intend-
ed or offered 1or sale. If, however, the building or improve·
ment 1s sold within one year of completion, the owner·bu1lder will have the burden ol proving that he did not build or im-
prove !or tM purpose ol sale)
n I, as OWrl!!r ol lhe property, am exclusively contracting
wrth licensed contractors to cons1ruct the project (Sec. 7044.
Business and Professions Code: The Contractor's License
Law does not apply 10 an owner of property who builds or im-proves thereon_. and who contrac1s for each proJects with a
contractor(s) license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home. and the follow
ing conditions exist
1 The work is being performed prior to sale
2. I have lived 1n my home 1or !welve months
prior to completion ol this work
I have not claimed this exemption during the
last three years
0 lamexemptunderSec ______ ,8&PC
for this reason-------------
[) I hereby all,rm 1hat I ha-.e a cert,!,cateof conseni
to sell-insure, or a cert,t1cate of Workers
Compensation Insurance. or a cert1f1ed copy thereof
ISec 3800. Labor Co<lel
POLICY NO
COMPANY
D Copy ,s filed ,..,th the c,ty
O Cert,hed copy ,s hereby furnished
CERTlflCATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be comple1ed ,f rhe permn
1s !o• one hundred dollars iS11lOl o, iess)
0 I cert,!y that 1n the performance ot 1he •Ork fo,
,..h,ch ,ri,s perm,, 1s issued I shall not employ any
person ,n any manner so as to become sub1ect to
1he Worllers· Compensa!1on La•s ot Calolorrna
NOTICE TO APPLICANT I!. after makrn~ m,s Cert,
locate ol E,empt1on, you should become sub1ect v, lhe Workers· Compensat,on provrs,ons of the L.ibor
Code. you must torth,,.·1th comply wi1h such
prov1s,ons or thrs permrt shall be deemed re,o~ed
O I he•eby aft,rm 1ha1 lhe,e ,5 a construct,o"
1endrng agency tor the per1onnance vi lhe "'0"' •,,. wh,ch Jh,s perm,t ,s ,ssued 6e( 3097 C,v, Cooe,
Lenders Name ___________ _
Lenders Address -----------
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
QTY. PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 0 R MORE
EACH INSTA~. ALTER. REPAIR WATER PIPE -----
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (l"JSIDE\
TOT AL PLUMBING
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP.'SWT -BKR
I PH JPH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMOOEL'ALTtR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ELECTRICAL
5V QTY. -
.s-=--QTY.
REDEVELOPMENT
AREA
MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS iJP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
801 LE R /COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOQOiOUCTS
RELOCATION OF EA FURNACE/HEATER
TOTI.L MECHANICAL
SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
TYPE
CONST
-
BUSINESS LICENSE # VALUATION PERMIT NUMBER
63--471 /1,// -
ZONE
PLAN 1.0. # ~:CAf}D
STANDARD PLAN# BUILDING SQ. FOOTAGE
Jlr;-5 ri1 Tafflt-
EDU
OCC LOAO FIRE SPP
v D NO Not Valid Unless Mach me Certdied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUM BIN
01-00-00-8220
ELECTRICAL
MECHANICAL
01-00-00-8223 -+-----
01-00-00·8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR 01 ·
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San Dieguito 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
DATE
//,Cf.a??
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E m f-
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME '
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
'
SEWER AND BUCO DIP UCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST '
I
D WATER HEATER D SOLAR W).I.TER
I
ELECTRICAL ' I
D ELECTRIC UNDERGROUND D!UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
'
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I .-11 '
ELECTRICAL /, • ,,Ps,\Y' 11 11 Q. ().'Z flt ..
MECHANICAL ' ,, ~ l t ........... vi
GAS I
BUILDING I
SPECIAL CONDITIONS ' I
I
&'3-'+77
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
--STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
SOL.TS
SPECIAL MASONRY
-
PILES CAISSONS
---·-------~--·--··· --··
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GRADirJG
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ZOt-iE : ~· i!O(•l, i ilES: S,\N J)JEGU I'fO ________ SAN MI\RCO'..".
1:NCINI'J'.\·: C·\RLS-,.>f\D
·UNITS RJ.:0-;·i~. . J,ROV lDED: u·
9, CO\'l~})!\(~'J: .. ·,·; •)11·1···1~----· . 1'IWVllJFll: ·----E---· --(} ~""-J. '"~,, ,, • ___________ .r . -------·---·
P1\RU:;c Sl'ti(. 5 PUJ 'D: f>ROVID1";D:
\. -------·----------·-------. ------.
B.JILDI:~c !ILJC,Pi' H.EQ'D: _______ ---------PROVIJJHJJ: -------------__
SI DE SF.TD:\CK '
ALL01·:i:tl:
PROVIDLD:
Rr. ~ J> <'l"I' , ·v '"t' 1;" \ .. ' v _ ~ I) , \ 1... , r"
---,,-<'\. --.
\;d--·· ----L----=ti~
RE-JJEVFLOP/,i,.:\i ,;PPROV!,L f<LQ' D: --=-h-~~ ___ ···---------------------.
LAN!J SC:i\Pf: [1 J RRTGJ\TJO:~ Pu\:,; CO\i.,SNTS: _J~~~rr--_
INTRUSJOi\S;
----·--. ·--~-----· -----
ENVI;WN!,fENTAL l'!WTECTiOt. ld:Q: __ ~~£/Yl.PL ___ ----------
-·---------· -----------------------------_.._...._ ~ .
• ADDlT.IONJ\L cml;\lE~TS : --------·---·---
HIG !NEERING ,fEf[:RT~ENT I
R. 0. N : __ _tJ+-1~---JMPROVEMEN'1'S_: N f\
----------.
~@L;C FAm~~·~s--J;·tE : ___ filtt -. .. ···-SE W~i~CO:\!>JEC~-1~·~r :~-bl, {A:
DRIVEWJ\Y LOCJ\TJON(:~);,J~j\-=--------~=-:==--·--__ ·-----:=-~ -
GRADING PEJUHT :~ {_fc __ -----------------·---·-_ -------____ _
EASEMENTS: Q •"-, DR/\IN/\(;J~ :-0+'-· -------____ _
LEG AL DLSCRlPTION: -----~-----------------·--
ADD IT ION1\ L COM;11ENTS: ----------------·--~ -------
---------· ----------------
FTNJ\L l NSPl:C~T; <';--:,
13-V77
ATITh'I'IO.'I PRJPERIY C\·«IB:":
'Ari."owri.:d:_'frJildei::" biJ.ilding'permit'haS been'"appl:ted·f= in yourT.ame and bearir:g yo;rr ···~-·
signature. • .... ,_ inf . . . the 1 'deed 1· Please·complete and return u'-= omat.l.on·.in enve ope prov:i. at your ear iest.
opportunity to avoid unnecessary delay in processing and issuing your building permit.
No building pe=lt will be issued until this verification is received.
1. I personally plan to provide the wajor la.tor and mater~ for O?f1StpJCP.dt\ of
the proposed !,-·.cq:erty .i'rprove-nent Cyes or no) )/€..S ~ ,.s..:,~ not-r bf I ol.11)
2. I (have/hav~ not) hav'.~ signed the application for a building r,o_rrnit.
3. I have contracted with the following perso.i (firm) to provide the proposed constructi611
. Namee,_ __________ _
Address Contractors License No. --------------
City ----'----------
· 4. I plan to provide portions of the ,-;ork, but I have hired t.rie following person to
c=rdinate, SUfPJVise and provide the major \';ork. · •
Na.-ne ------------Phone ------------Address _________ ~
Contractors License No. ----City ___________ _
5. I will provide so-re of the \,ork but I have contracted (hired) the follo• . .f.cr:g ]?"'..ISOns
to provide the \·;ork indicate::1:
Address Phone Type of \•:Ork
Sign.od:
Social Security N=ber 8ud -.:i.U) -/of/e(} .
Date: '7/A--zt: ~}.} C{P
EAC~ SUBCO~TRACTCR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD
BLiSi~ESS LlC~NSE A~D FURNISH A CERTIFICATE CF WORKMAN'S COMPE~3ATIO~
TC i~~ CITY OF C~RLSBAD.
Initials ------