HomeMy WebLinkAbout2780 LOKER AVE W; BLDG G; CB881454; PermitC/1 z 0 .:: C CZ: C ... ~ 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
and Professions Code, and my license is in
lull force and effect.
I hereby affirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec. 7031.5 Business and Protessmns Code: Any city or county which re-quires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance also requires the ap-plicant for such permit to file a signed statement that he 1s
licensed pursuant to the provifilt>ns ot t'ne t;ontractor's License Law (Chapter 9 commencing.with Section 7000 of
D1vis10n 3 of the Busmess and Professions Code) or that is ex· empt therefrom and the basis for the allegea exemption Any
v1otalion of Section 7031 :5 by an appltcan_t for a peri"mt sub-iects the applicant to a civ1t penalty of not more than five hun-
dred dollars ($500).
I ! I, as owner of the property, or my employees with wageS
as their sole compensation, will do the work, and the struc-
ture is not intended or offered for sale (Sec 7044, Business and Profess1om:1 Code The Contractor's license Law does
not apply lo an owner of property who builds or improves
I.hereon and who does such work himself or through h,s own employees. provided that such improvements are oot intend-
ed or offered for sale. If. however, the building or improve-ment is sold within one year of completion. the owner-builder
will have the burden of proving that he d1d not build or im-prove for the purpose of sale)
I l I, as owner of the property, am exclusively contracting
with hcensed contractors to construct the project (Sec. 7044,
Business and Professions Code· The Contractor's license Law does not apply to an owner of property who ~uilds O! 1m· proves thereon. and who contracts for each pro1ects with a
contractor(s) license pursuant to the Contractor's license Law).
[ 1 As a homeowner I am 1mprov1ng my home, and the follow
ing conditions exist 1. The work ts being performed pnor to sale .
2. 1 _have lived in my home for twelve months pnor to completion of this work.
I have not claimed this exemptmn dunng the last three years
D I am exempt under Sec _______ . B & P C
for this reason -------------
D I hereby affirm that I have a certifrcate of consent to
self-insure. or a certificate of workers· Compensation In·
surance. or a certified copy thereof {Sec. 3800. Labor Code)
POLICY NO.
COMPANY
~ Copy 1s hied with the city
D Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit
is for one hundred doltars ($100) or less)
D t certify that fn the performance of the work for which
this permit is issued. I shall not employ any person in any
manner so as to become subject to the Workers' Compen-
sation Laws of California.
NOTICE TO APPLICANT: If, after making this Certificate J,
of Exemption. you should become subject to the Workers· l
Compensation provisions of the Labor Code. you must J
forthwith comply with such provisions or this permit shatt
be ·deemed revoked.
D I hereby affirm that there is a construction lending
agency tor the performance of the work for which this per-
mit is issued (Sec. 3097, Civi I Code)
Lender's Name _____________ 1
Lender's Address _____________ I
I
! I
USE BALL POINT PEN ONLY & PRESS HARD
QTY.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
PLUMBING PERMIT -ISSUE 7-oD
EACH FIXTURE TRAP
"EACH WATER HEATER AN010R VENT I::. -
EACH GAS SYSTEM I TQ·4 0 UTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE!
7-=rn
TOTAL PLUMBING r tJ,..f,, r"'
ELECTRICAL PERMIT -ISSUE a-{!Jtj
NEW CONST EA AMP SWT HKR-=-,.
1 PH /(',PH/}/')F) ~n. -
1 PH 3 PH
REMODEL ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL
QTY.
.,__.....
QTY.
YO ND
vO NO
REDEVELOPMENT
AREA
vO NO
MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOO!OUCTS
RELOCATION OF EA FURNACE/HEATER
DRYER VENT
TOTi.L MECHANICAL
MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
H • I • t i (ri,";f C/
BUILDING SQ. FOOTAGE
1
E:loPmt
Not Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
001-810-00-00-8221
PLAN CHECK 001-810-00-00-8891
TOTAL PLUMBING 001-810·00-00-8222
ELECTRICAL 001-810-00-00-8223
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
SOLAR "#a.01-8
STRONG MOTION g1;-:::31--1fso-519-92· -001-810-00-00-8227
320-810-00-00-87 40
BRIDGE FEE -PARK-IN-LIEU (AREA
TIF ~l-, ~ lµfS°o/'312·810-00-00-8835 -LA COSTA TIF 311·810-00-00-8835
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TYPE l ·· DATE INSPECTOR
BUILDING..___ . r
FOUNDATION -....!.._ /'\
REINFORCED STEEL J 11 h.4 I t1Y -r
MASONRY I I I
GUNITE OR GROUT I
' SUB FRAME D FLOOR D CEILING /'I
SHEATHING D ROOF D SHEAR 1/27/yf 77)
FRAME ! 2./ 2 'l y'J ~
EXTERIOR LATH r I I
INSULATION ' /)
INTERIOR LATH & DRYWALL ! .,._,_/~ft--, r
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PLUMBING I
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D SEWER AND BUCO D PJ,./CO -A•___,
UNDERGROUND D WASTE OlW~TER 12.·!2-W fl~prjj
1OP OUT D WASTE D WATER .212-I µ, v V
TUB AND SHOWER PAN I { { .
GAS TEST I
D WATER HEATER D SOLAR Wf-. TER
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ELECTRICAL r /\
D ELECTRIC UNDERGROUND 14 UFFER 1~-1/n---f/
ROUGH ELECTRIC !~--z..~ t
D ELECTRIC SERVICE D TEMP<l>RARY
D BONDING D POOL I r
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MECHANICAL r /"'I
D DUCT & PLEM., D REF. PIP~G ,,_ft_(~ ~
HEAT -AIR COND. SYSTEMS I , .
VENTILATING SYSTEMS I
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CALL FOR FINAL INSPEC7VON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'IE BEEN APPROVED
FINAL I
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PLUMBING I •
ELECTRICAL I n
MECHANICAL I I ,, f-r
GAS I 1 I <z I Y • I I
BUILDING I ... \ l
SPECIAL CONDITIONS I
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C'.?.8881¥5(/)"~
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FIELD INSPECTION RECORD
-.. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
1.:1..12.. w ..r,,,a.,,,..P /:"77VJ v!. g ~ REO. IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE A,, 1..r fTA ,,1 llA~) I /15 -}J PRIOR TO --r~u.JrJ f? ~ / / FOUNDATION INSP ... . . -STRUCTURAL CONCRETE l .. ..
OVER 2000 PSI
PRESTRESSED
CONCRETE ..
POST TENSIONED
CONCRETE ,· -
FIELD WELDING
HIGH STRENGTH
BOLTS \
SPECIAL MASONRY
PILES CAISSONS
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' FINAL BUILDING INSPECTION -. ~
PLAN CHECK NUMBER:
/'}/:Ff'
88-t.,tt E, F, G DATE: 2 /21 /09.
PROJECT NAME:--------------------------------
ADDRESS: 2776-78-80 Lok0r Avenue k'lest
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: ____ C_(_)r_,.'!f_,1 _______ NUMBER OF UNITS:' ____________ _
i
CONTACTPERSON·~ ___ n_a_v_e_._r_ia_.r_n_e_.t_t~·-· _L_u_s_a_r_<J_i ___________________ _
CONTACTTELEPHONE· ____ ._9_3_1_-_7_G_08 ____________________ _
all d~o:artments
INSPECTED DATE 3 --/3--%9 APPROVED / BY: INSPECTED: DISAPPROVED
INSPECTED DATE
i ,. BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE'
BY: INSPl;CTED: APPROVED DISAPPROVED
. I
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire
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Rev. 1/86 ';. ;' WHIT~, S.'-'spensl! -,, BLUE: Water District .• GRl;EN:. ,Engineering"; : CANARY: Utllltles
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FINAL BUILDING INSPECTION -p ½
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/ '16'""Y . .f
PLAN CHECK NUMBER: _a_a_-_~_-___,._E_, _F.;...,_G ____ -'-------DATE: 2/21/CT'J \ '·
PROJECl;NA~ .
ADDRESS~. ,~. '21t~-;~~,~~-·lolrnr Awmu1'1
/
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT: f:()•I ~A_1 ----"---------NUMBER OF UNITS:
CONTACTPERSON~· ____ t_1w_v_·~_._f_3?_.r_n_e_t_t~,_L_u_s_~_r_d_f ________________ _
CONTACTTELEPHON...__ _____ 9_3_1_-_7_6_0_8 _____________________ _
INSPECTED ~
BY: ----~__,_1<--=::;_ __ _
INSPECTED
BY:---------'--------
INSPECTED BY: _________ _
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DATE
INSPECTED: ..!.../-~=.:....:..--'-APPROVED DISAPPROVED __ _
DATE
INSPECTED: APPROVED __ _ DISAPPROVED __ _
DATE INSPECTED: ____ _ APPROVED __ _ DISAPPROVED __ _
,,
Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Englneerl~g CANARY: Utilities PINK: Planning GOLD: Fire ~,
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O ~"[ I j ~A~~~L I RE;URNEDI -1-, ~AN~~T~· ,· 1 J WUCAC~I •
. B~CK J.j_ ~C~LL ---. ~!'.E.~_ou --AGAIN . --· I I
·Wyman
Testing
Laboratories
COVERING WORI< PERFORMED OREINFORCED CONCRETE
13230 Evening Creek Drive South
Suite 218
San Diego, California 92128
(619) 486-0354
. OSTRUCT. STEEL ASSEMBLY
WHICH REQUIRED APPROVAL BY OPRE-STRESSED CONCRETE OREINFORCED GYPSUM 0 GLU E·LAM.FABRICATI ON
THE SPECIAL INSPECTOR OF OREINFORCED MASONRY OPILE DRIVING O0THER
JOB ADDRESS Ir-on WEEK
27Rn T.ok,::,r AvR. r.arlshad NO. 88-237 ENDING 19 89
OWNER OR PROJECT NAME Bl.,DG, PEHMIT NO, . , PI..AN FII..E NO,
Canvon Pacific Phase II Bld£i:. G 88-1454 G
CONSTR, MAT'I.. (TYPE,GRADE,ETC,) ARCHITECT Jim Edwards
DESIGN STRENGTH 15OURCE OR MFGR, ENGINEER
Arcon Engineerine:
DESCRIBE MAT'I.., (MIX DESIGN, RE•BAR GRADE B¢ MFGR.) GENERAL CONTRACTOR
Lusardi Construction
CONTR. DOING REPORTED WORK
LAB RECEIVING B< TESTING CONSTR, MAT'L SAMPLES
CERTIFICATION OF COMPLIANCE
Wyman Testing Labs here-by certify that we have. performed
all the "Special Inspections" required by the local building
depal:'tment (i.e. Concrete, Reinforcing Steel and Welding ) and
have found this work to be in accordance with the approved plans,
specifications, Permit No. 88-1454
code.
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS
WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS, &
APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS,
G and applicable building