HomeMy WebLinkAbout2772 La Gran Via; ; CB891042; Permit,,, z 0
" .. .. .. ... u ..
0
" i[
0 u
.. ..
0 ...
3 ~ .. z
!
z 0
" ~ z .. .. :I 0 u ,,,
ic w " .. 0 3
![
D I hereby alf!rm that I am licensed under
provision, of Chapter 9 (commencing witti
S.Cllon 7000) of Division 3 of the Business
and Proteaalons Code, and my license 1s m
full force and effect
1 hereby alfirm That I am e,empI lrorn ihe Cartrdc
Tors License Law tor the lollow,ng reason !Sec 7031 'J
Business ana Protess,ons Code My City or county wh,ch re ou,res a perrn,t 10 construct alter improve demo<1sh o·
rep;iIr any structure prior to ,ts 1ssuance also reou,res :ne ao pI,cant 1or such oerm,t to f1•e a sraned statemenl That he ,s
I,censed pursuant to the provos,ons of lhe lonlrJVDr.,
·"rcense law :Chap1er 9 commenc,ng w,:n seu·on 7000 ~I
Drvrs,on 3 at me Business and Protess,ons Cooe, o• 1na1 ,, e,
emot tnerefrorn and the basis 1or lhe al1eged e,emot1on Ary
,wiat,on ol Sec1,on 7031 J bv an appl1can1 to, a perm,t sub
1ects lhe app1,cant to a c1v11 penalty ol no1 more lhan five hur, ared (101lars 1$500•
I, as ow0er ol t~.e prope'ty ~r "'Y emplo·1ees w·I", wJge;
as their sole compensal1on w,11 do the wo,, ard lhe ',l"JC
IJre ,snot ,ntended or ofiereC \or sale ,Sel 70a~ Bus,reos
a~d Profess,ans CMe The Contrac•or , L,ren,e Law coe>
nol apply to an owner of properly w~o builOs or 1mpro,es
:nereon and who does sucn work n,msel' or 1nrn,1gh n,s own employees. prcv.ded that such ,moro,ements are not ,mend
ec 8r ollerec tor sale II however the bu11dmg o, :mpr8v?
meal 1s sold w1th1n one yea· of comp1et1on. the owne'-bu,,der
wil have the burden of proving that he did not ~u,ld or ,m prove for the purpose 01 sale1
as owne' o1 The proµeny am e,clus,vely conlra:!,ng w,tr 1,censed cont•ac:ors to consiruct lhe pro1ec1 !Ser, 704~
Bus,ness anc P,oless,ons Code The Contractors License Law Mes not apply 10 an owner of prooerty wno nu,lds 0· ,m
proves thereon. and who con1,acrs to, each pro1ects w11h .i
co~tractor(s) '1cense pursuan! to lhe Con"acw··, L1;eo,~ Law)
As a homeowner I am ,mprovong my home and the lollow ,ng cond1hons ex,st
1 The work 1s bemg perlormed prior 10 saie
2 I have 1,ved 1n my home tor twe,,e mon!hs pnor to comp1et1on 01 th,s work
1 nave not cla1meo m,~ exemp1,or1 dur,r•u the last three years -
lor lh~: r::::t u~de' Sec ------B&PC
I t,eret,y affirm that I t,ave a cert,f,cate of consent to
sell ,nsve or a cert,f,cate of wo,~ers Compensation In
5urance or a cer\d,ed copy thereof iSec 3800 Labor Ccdel
POLICY NO
COMPANY
Copy 15 liled WL\h lhe C1ly
Cert,f,ed copy 15 ~ereby lurn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Tn,s section need not be compleled ,f the perm,t
,s lor one hundred dollars 1$1001 or IPSSI
I cen,ty that ,n the performance of the work for which
1n,s perm,1 ,s ,ssued. I shall not employ any person 1n any
manner so as 10 become sub Jee\ to the Workers· Com pen
sat,on Laws of Cahlorn,a
NOTICE TO APPLICANT If_ after mak,ng th,s Cert,/1cate
of Exempt,on you should become sub1ect to the Worke,s
Compensation pro.is,ons Dl the Labor Code. you must
forthwith comply with such pro,is1ons or th,5 permit sha11
be deemed revoked
I ~ereby affnm tha1 there ,s a cons\ruct,on lending
agency fo·the performance or the work for wh•ch this per
r,,,t 1s issued (Sec 3097. Civil Code)
Lenders Name_
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS
-1.7,z £4 c;.,,.,, n ///e,_
AV. ST.RO. THOMAS BROS NO. 6-,/sb,;..,/ qz,,, r DATE OF APPLICATION 7/;7/89 BUSINESS LICENSE tt V'L+T12-'J PE AMIT NUMr:
e -.so9¥7C. '},.<r ~ 0 q-V
CONTRACTORS PHONE II ZONE 6' C, I ~cA-BLOCK ltt-~":~,1
oWNEA·s NAME
1-vrr,R ~~'b -z-1
OWNER'S PHONE
CONTRACTOR
::TN L Covpc .... ,.-/,"",,..,,, "Jt./Z --,t.;'-(7 0
n V ; ,d A, Osl:;,_, 1/36-0¥ 37 CONTRACTOR'S AD'DRESS
/1/s;' l3 w_.,s+-≤wcws
OWNER'S MAILING ADDRESS
2.77 2. L&. Cr,<.~ V,',,; ,:,.,..,,.lsbAe/'., CA q-u,o'9 DESIGNER f Leµ c~ c1 r&t.1 C,4 'f;u>V-.J
rESCR"t).Q.N OF, WORK_,-f-e'& 4' I ornGNER"S AO DRESS ,1-t,T?o Ldv"f?✓ Su,,n,rR .GS Cc,,-,,,,-h-t:-.. e-6,.-
' ' FLA ELEV NO
STORIES
STATE LICENSE NO.
DESIGNER'S PHONE
STATE LICENSE NO. -
QCC GP EDU
I I V::J '<C I
I AREA CONST
8U1Lti1NG SQ FOOTAGE
:.,_ .. L: •.
I
CENSUS TRACT IPARl<'.11\,G SPAC~ RES uN1TS I GRADING PERMIT 1ssufo I AEDEvELOP...,ENT TYPE occ LOAO FIA£ SPF'
I YO ~ 0 'C "-0 vO NO I ·-· -Nnr Valiri Jin/Ks M~chme Certtlied
I I I
I QTY PLUMBING PERMIT -ISSUE '7-So QTY MECHANICAL PERMIT -ISSUE l~cO SUMMARY/ACCOUNT NUMBER ,,,,/
I EACH flXTURE TRAP I INSTALL FURN DUCTS iJP TO 100 000 BTU oulLLJli." r'l::HM'I IJU1-t1iU-IJU-00-82~li .. / ._,.-
I FACHtlUILOINGSE:WER OVER100000BTU SIGN PERMIT 001-810-00-00·8221 -
EACHWATERHEATERANOURVENT BOILER·COMPRESSORUPTQ]HP , PLAN CHECK 001-810-00-00-8891 K'...J
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 801L£R·COMPRESSOR 315 HP TOTAL PLUMBING 00'. 810 00-00-8?22
I EACH GAS SYSl E:M:, OR MORE METAL F1Rt.PLACt ELECTRICAL QOt 810-00-00-8223
EACH INST AL ALTER. REPAIR V','ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-81'.l-00-00-8224
I
1 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBllEHOME 001-810-00-00-8225
WATER S[JFTNER RELOCATION OF EA FURNACE-HEATER SOLAR 001-810-00-00-8226
: Ft,CY R~,m ilR."i,11< l,\C. '.'1[, DRYER VENT STRONG MOTION 880-519-92·33 /
1 TOT ii l ME CHAN I CAL FIRE SPRIN~LERS 001-810·00-00-8227
1 TU l Al Pl UMBINL, I PUBLIC FACILITIES FEE 320·810-00-00-8740
I
1 [QTY ELECTRICAL PERMIT· ISSUE
,v--.. BRIDGE FEE 360-810·00-00-8740 ~ L,,...., QTY MOBILE HOME SETUP PARK-IN-LIEU \AREA
1 NEW CONST EA AMP SW! 8KR CAR PORT TIF 312·810-00-00-8835
I 1 PH 3 PH AWNING _ LA COSTA TIF 311·810-00·00-8835
fXISfllLDGEAAMPSWTRKR GARAGE FMF
l PH l PH LICENSE TAX ~A. • • i!ll l -,~ 7 11-11,J-00-S" 52
R[MOOEL Al TtR PfR CIRCUIT MFF 880-519-92-57
TE MP POL F JOU AMPS
I ovtR)OlJAMPS .
I I TEMP OCCUPANCY '30 DAYSI _
I CREDIT DEPOSIT ----/
I
: Tfl!Alfiti,lRl(Al I iQl."i,1 TOTALFEES~BLE/1 C!tJ ------■ I
1
1
I HAVE CAREFVLL y -EXAMINED r'HE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Exp. iratioo. Eyery permit 1s.suedbythe8uil'1,lngO.ffic«t1underthepr9v1s10flsofth1s *'~AN P£NUT 1$ REQUIRED ro,/EXCAVATIONS OVER 1i
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expire by hm1tat1on lllld become null and l>Qld If the bu1ldm9 or work 5· DEEP ANO DEMOLITION OR CONSTRUCTION OF I c., authorized by such permit is not commenced *'Ihm 180days from the dat&of such DECLAR. ATIONS ARE TRUE AND CORRECT AND! FURTHER CERTIFY AND AGREE IF A PERMIT L permit, or if the building or work authorized by wch permit 15 suspended or flUCl\JRES OVER 3 STORIES lfrrl HEtGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv lime after the work IS commenced fOf a nAnod of 180dl l 1
STRUCTION WHETHER SPECIFIED HEREIN OR NOT ! ALSO AGREE TO SAVE INDEMNIFY AND . AP ~'/
I KEEP HARM.LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APPLICANTS ~~GNATURE If. OWNER lr,'St CONTRACTOR O ~T'OVED s;
7
/4
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -r--:::::... •-I'? 4 /J,,-.s,? • □ l ;17 f ,,?/":,.
I GRANTING OF THIS PERMIT ~ "'-"~ BY PHONE -( -I 75/1
. .• /
w
lL
i'"
~
0 0. E w t--
:2
0
CJ
C ro Ll
0. 0. <t
I
~ C a:
0 ~ ~ w ~ ~ <t
~ 2
" >-
w
Ll C ro C
lL
::.
C w ~
CJ
0 u w 0. ~ C
w
~ s
TYPE I DATE INSPECTOR
BUILDING '
I ~~o, 104-d--
FOUNDATION A,t) l,eA_, 7. r .&f_, .0 ~ FIELD INSPECTION RECORD
REINFORCED STEEL -----;. µJ L. /-,,.~ ~ Co/).
MASONRY I I
GUNITE OR GROUT I
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAi:i
SOILS COMPLIANCE
PRIOR TO
FRAME I
'
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
'
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING '
I FIELD WELDING
D SEWER AND BUCO □ PUC9
UNDERGROUND □ WASTE □ WA'fER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
' '
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WATEfl
I
'
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER ,,
' ROUGH ELECTRIC I
' ..
D ELECTRIC SERVICE □ TEMPORARY '
□ BONDING □ POOL I
I
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING:
HEAT -AIR COND. SYSTEMS I
'
VENTILATING SYSTEMS I
I " ..
' ' ' CALL FOR FINAL INSPECTION' WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE 8 .. EE/',/_APPROVED
' FINAL I
PLUMBING I
I
ELECTRICAL I '
MECHANICAL I
GAS I /) I
r
'
BUILDING /'7,4'7"h) c.wot.. I f'///Y, [7
SPECIAL CONDITIONS I I '
I
I