HomeMy WebLinkAbout2785 LOKER AVE; ; CB890619; PermitUSE BALL POINT PEN ONLY &PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT—0 I hereby affirm that I am licensed under0 2075 Las Palmas Dr.,Carlsbad, CA 92009-1915 (619) 438-1161
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_C..)provisions of Chapter 9 (commencing with .1(-tei ADDRESS AV. ST. RD.THOM43 -0S NO.DATE OF APPLIC ION BUSINESS LICENSE #VALUATION PERMIT NUMBER
Z Section 7000)of Division 3 of the Business 4 -2:1 -ce .2.45;L16---aZ.r6,-and Professions Code,and my license is in 2:1 -bo\LL-_"-----Lt.E
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I hereby affirm that I am exempt front the Contrac-Lk.--Z-I ""'"'"2.c.5 _....."?..:1
-6tor's .License Law for the following reason (Sec.7031 5 ..
Business and Professions Code'Any city or county which re-I OWNER S NAMi.OWNE R'S PHONE.quires a permit to construct,after,improve.demolish,or
..,Gzsi=„0 CONTRACTORIADDRESS •STATE LICENSE NO•repair any structure. prior to its issuance also requires the ap-MAAll toc...\L-L..L__I z.G-Gs -
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-15V BUILDING SO. FOOTAGE
plicant for such permit to file a signed statement that he is d)licensed pursuant 10 the provisions of the Contractor's „..
IkaciAict.....ts.p.... V1/48eSDANE R'S MA.N.3 ADnRr SS •
LITLicenseLaw(Chapter 9 commencing with Section 7000 ofDivision3 of the Business and Professions Code) or that is ex-v \ to \Epasi-
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i Pr ct L e-c'2-q olL1/4)c DESIGNER DESIGNER'S PHONE ..'empt therefrom and the basiS for the alleged exemption Any -
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PSviolation of Section 7031.5 by an applicant for a permit sub-"
8jects the applicant to a civil penalty of not more than five lien-DE .;c.r.r r ,x,)-,k we R I<-it1/41t5riqu___'5( (ci.4 c""dred dollars ($5001 ',DESIGNER'S ADDRESS STATE LICENSE NO 6474 04/26/89 0001 01.02 o..E•I,as owner of the property,or my employees with wages t-----DiciPmt 90.LOC.as their sole compensation,will do the work,and the struc-•o ture is not intended or offered for sale (Sec.7044.Business ,.1..
F iP F LR ELEV.NO OCC GP EDU.1 and Professions Code The Contractor's License Law does .0 not apply to an owner of property who builds or improves I STORIES -0,thereon and who does such work himself or through his own
employees,provided that such improvements are not intend-i -Y0 NO TD0lited or offered for sale.it,howey-er,Me buifding or .mprove-Z went is sold withinone year of completion,the owner-builder CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPRAREACONSTwillhavetheburdenofprovingthathedidnotbuildorim-0 prove for the purpose of sale)I Y O N 0 y E NE y11)NO I Not Vafid Unless Machine Certified -
C.i I,as owner of the property,am exclusively contracting I cbwiePwith licensed contractors to
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construct the-project (Sec 7044,QTY.PLUMBING PERMIT -ISSUE .„,..,_315 QTY.MECHANICAL PERMIT -ISSUE /I SUMMARY/ACCOUNT NUMBER uBusinessandProfessionsCodeTheContractor's License t-
Law does not apply to an owner of property who builds or im-,,r. 'CLprovesthereon,and who contracts for each projects with a BUILDING PERMIT 001 -810-00-00-8220 -.-5 4(EACH FIXTURE TRAP INSTALL F URN.DUCTS UP TO 100,000 BTU <co contractorls)license pursuant to the Contractor's License -,•Z Law)..O I EACH BUILDING SEWER .OVER 100,000 BTU .SIGN PERMIT 001 -810-00-00-8221I;As a homeowner I am improving my home, and the follow I ..'.alf conditions exist EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP .PLAN CHECK 001 -810-00-00-8891 _35mg1.The work is being performed prior to sale I ..r 4 .a ii2IhavelivedinmyhomefortwelvemonthsBOILER iCOMPR ESSOFi 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 EACHGAS SYSTEM 1 TO 4 OUTLETS .-Jo prior to completion of this work .'.... .'lW3IhavenotclaimedthisexemptionduringtheEACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 -810-00-00-82230lastthreeyearsI...
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El I am exempt under Sec B 8 PC
.._EACH INSTAL ALTER, REPAIR WATER PIPE .VENT FAN SINGLE DUCT .MECHANICAL 001 -810-00-00-8224 0.,.cr)for this reason .
EACH VACUUM BREAKER .ME CH EXHAUST HOOD DUCTS .
... MOBILEHOME001-810-00-00-8225 ma)Ii '.w i
WATER SOF TNER RELOCATION OF EA FURNACE HEATER .SOLAR 001 -810-00-00-8226 (r) ,<
I FACH ROOF DRAIN (INSIDEI DRYER VENT -STRONG MOTION 880-519-92-33 (
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_•.'"'I hereby affirm that I have a certificate of consent to ITOTAL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227 3self-insure. or a certificate of Workers' Compensation In-.•
surance. or a certified copy thereof Sec 3800. Labor Code)
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.0TO1A1Pt(WRING
1 .PUBLIC FACILITIES FEE 320-810 -00-00-8740 =
CDPOLICYNO.,.,i >-
O COMPANY BRIDGE FEE 360-810-00-00-8740oQTY.ELECTRICAL PERMIT -ISSUE 'II'QTY.MOBILE HOME SETUP .
17 7 Copy is filed with the city PARK-IN -LIEU (AREA )<.cp(1)Certified copy is hereby furnished NEW CONST EA AMP SW1 BKR CAR PORT TIF 312-810-00-00-8835 (.)z•cku.....•a.1 PH 3 PH .AWNING .LA COSTA TIF 311 -810-00-00-8835 asC
LLO•CERTIFICATE OF EXEMPTION FROM EXIST BLDG EA AMP!SVVI BKR GARAGE •FMFUWORKERS'COMPENSATION INSURANCE ...,^..-(/)'(This section need not be completed if the permit 1 PH 3 PH .LICENSE TAX 001 -810-00-00-8162erisfor one hundred dollars i$100) or less)I I''''. '-4.1 ...-•LLJ REMODEL AL TER PER CIRCUIT ..MFF 880-519-92-57[-:.I certify that in the performance of the work for which
CC •Cw.•r ..this permit is issued.I shall not employ any person in any L '.•0 manner so as to become subject to the Workers' Compen-TEMP POLE 200 AMPS .a)
'.'.,'--sation Laws of California.2OVER200AMPS•.0NOTICE TO APPLICANT:If.after making this Certificate '',I r .of Exemption, you should become subject to the Workers I TEMP OCCUPANCY 130 DAYS)..Compensation provisions of the Labor Code.you must Iw-r ',I •forthwith comply with such provisions or this permit shall
be deemed revoked.—I -o.CREDIT DEPOSIT ._-
I TOTAt E1ECIRICAI tSO0TOTALTOTAL FEES PAYABLE9)0 _ci.
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I 1.3'.I (..REFULLY E}.A'.'INED THE COMPLETED -APPLICATION AND PERMIT.At.D j)0 HEREBY Expiration Every permit issued by the Building Official uncle. the pIC...i0n9 Oflh.5 *AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVEREIhereby affirm that there is a construction lending Code shall expire by limitation and become null and void If the L.1.13.114 .2'.workcc(EEI-'r Ir INDER PEN .I.H 1Y OF PERJURY THAT ALL INFORMATION HEREON thr'.:,JOING THE authorized 5'0" MERANO DEMOLITION 044 CONSTRUCTOON OFagency for the performance of the work for which this per.by such permit is not commenced within 180 days trorh the date Oh suchwEi-•.:4 A 'il '....'IONS ARE "-.LIE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I.7.STRUCTURES OVER 3 STORIES IN HEIGHT a)0 .mit is issued (Sec. 3097.Civil code)perma,or if the building or work authorized by such permit is suspended or ._2 'Is)AJEL•10 COMPLY .j..144 ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-.abandoned at.any time after the work is commenced for a period of 180 days la-
ai Lender's Name STRW3TION.WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND_J
,KEEP HARMLESS.THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANT'S SIGNATURE *owNER n CONTRACTOR [..]APP ED BY
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Lenders Address EXPENSES WHICH MAY IN A.Ny WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /—nGRANPNG OF THIS PERMIT..--..BY PHONE
TYPE i DATE INSPECTOR •-
BUILDING
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY REQ.IF INSPECTOR'S
GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE
SUB FRAME FLOOR LI CEILING SOILS COMPLIANCE
SHEATHING 0 ROOF 0 SHE4R PRIOR TO
FRAME I
FOUNDATION INSP
STRUCTURAL CONCRETEEXTERIOR LATH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETEINTERIOR LATH & DRYWALL I
I POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
CI SEWER AND BL/CO 0 PL/CO HIGH STRENGTH
UNDERGROUND 0 WASTE 0 V14ATER
BOLfs
SPECIAL MASONRYTOP OUT 0 WASTE El WATER
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
El WATER HEATER SOLAR WA-ER
ELECTRICAL
O ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC
O ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
O DUCT & PLEM.,0 REF.PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTICiN WHEN ALL APPROPRIATEITEMS ABOVE HAVEI BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL P)1///11).,.
GAS 51",
BUILDING
SPECIAL CONDITIONS