HomeMy WebLinkAbout2795 OCEAN ST; ; 86-934; PermitCII z 0 ;:
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0 I IMreby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profaulona Code, and my license Is In
lull force and effect.
I hereby attirm that I am exempt tram the Contrac-tor's L,cense La,. tor the lotk>wmg reason (Sec 7031 5 Businm and Protess,ons Code Any oty or county whl(;t. rt--quires a perm11 to construct. alter. improve, demolish, or
fepatr any structure. poor 1011s issuance also requites ?he .P· pl.cant lor such perm11 to tile a Signed statement Iha! he 1s hcensed pursuant to the prov,st0ns of the coo1racu:w s L1tense La# (Chapter 9 comrnen<:ing v.,th s.ctLOn 7000 01
Div1st0n 3 of tne Business and Professions Code) Of that 1s e)I• empt lherelrom and Iha t,as,s lo< the altegeo exemp110n Any v1otahon of Sectioo 7031.5 by an appfieant lof a permit sub-
ff(:ls the apphc.ant to a civil penalty or not more tl'lan hve hun
dred dollars ('500) ·
I, as owner 01 the property, or my employees w,u, wages as theu. sole compensation. wdl do the work. and the struc-
ture ,s not intended or offered tor sale (Sec 7044. Business
and Proless1ons Code Tl'le Contractor's Lteense law does
no1 apply to an owner or property who builds or . improves
thereon and who does such work himsett or lhrough his own
employees. provided t~I such 1mprovemen1s are not intend·
ed or offered tor sale II. however. the buikting or improve-ment ls sofd will'ltn one year of comp!ebon. the owner-builder
~II have the burden 01 proving that he did nol bUJ\d or im-prove tor the purpose o! sale)
CJ I, as owner ot the property, am exclusively cont,actmg
wilh licensed contractors to construct the pr()Jett (Sec. 7044.
Business and Pr0fess10ns Code. The-Contractor's License
law does not apply to an owner of Pfoperfy who bUilds °' im-
proves thereon, and who contracts for each pr0f9Cts w1lh a contractorts} license pursuant to the Contractor's LJCense Law)
o· As a homeowner I am knprov1ng my home. and the follow mg cond1hons ex1s1
1 The work ,s being perlormed prtor 10 sale
2 I have !Jved in my hOme lor twelve months prior to completLon ot th,s WOfk
I have not clatmed 1h1s exemp11on dunng the last three years.
D I am exempt under Sec ______ . B & P C
for this reason
0 I hereby affirm 1hat I have a certificate of consent to
self-insure. or a certificate of Workers Compensahon In-
surance. or a certified copy thefeof (Sec. 3800. Labor Code)
POLICY NO.
COMPANY
0 Copy ,s hied with the Ci1y
D Certitaed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORl(ERS' COMPENSATION INSURANCE
(This section need not be completed ii the permit
1s for one hundred dollars ($100) or less)
D I cenify tnat in the performance of tne work for which
this permit 1s issued. I shall not employ any person In any
manner so as 10 become subject to the Workers· Compen•
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certihcate
ot Exemption. you should become sublect to the WOfkers·
Compensation Pfovisions of the Labor Code. you musl
forthwith com pl~ with such provisions or this permit shalt
be deemed revoked.
D I hereby affirm that there rs a cons1<uct1on lending
agency for the perfonnanoe of the wotX fOf which th.ls pe,-
m11 1s issued (Sec. 3097, Civil Code)
lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859
i~!i___.r -nu:-b_ ___ \ AV ST RO
NEAREST CROSS ST
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
I DATE OF APPL!CATt01 BUSINESS LICENSE # VALUATION PERMIT NUMBER
S~'
LOT I BLOCK I sue o1v1s·oN I ASSESSOR PARCEL ~ i~~:, · 2 '5.s , ~3
OWNERS "'AME I OWNER'S PHONE
CO~RACTOR
_r)~~4C.t:'2. '
r:C:-ON:-cT:-R:-lo:-C:-T:-0:-R:-S::-::P:-:HON=-::E-•-f-'.=:-::,,-"°''-4.LII..,,,_;_ __ _, q ~
~..6e /~~~rmtr"Yr..t 172-f-2"2-:Z'
OWNER'S MA ,_, ADDRESS
lj?A.~ ~ ~o
co"l'l"T1fACTOR'S ADDRESS
DESIGNER
STATE LICENSE NO. uoo~ iiul ii9iuilie'dPW1'f'F·F00~~-Su~
u::
L'l."'11::°1~ -'r.
OE'iCR PTIQN OF Wj,'n-. /
DEStGNER'S ADDRESS
FIP F LR ELEV.
vO NO
GRADING PERMIT ISSUEO REOEVELOPMENl
AREA
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
STATE LICENSE NO.
OCC GP EDU
OCC LOAD J FIRE SPA
YO ND vO "'O vO NO Not Valid Unkn Machine Cutilied
QTY. PLUMBING PERMIT· ISSUE
EA CH FIXTURE TRAP
EACH BUILDING SEWER
-o 7 !) ~ I QTY.I MECHANICAL PERMIT· ISSUE
~ ~D I I INSTALL FURN DUCTS UP TO 100.000 BTU I J BUILDING PERMIT 001·810·00·00-8220
3--SUMMARY/ACCOUNT NUMBER
J -
------------+1------+I----!------OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221
l&l'-1--
EACH WATER HEATER AN010R VENT BOILERtCOMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806 -
EACH GAS SYSTEM I TO 4 OUTL n~
EACH GAS SYSTEM 5 OR MORE
.. _ --·--·-801LER/COMPRESSOR3-15 HP TOTALPLUMBING 001·810·00·00·8222 I Jt, -
METAL FIREPLACE ELECTRICAL 001·810-00·00·8223 _/_a -
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
--+--VENT FAN SINGLE DUCT MECHANICAL 001·810-00-00·8224 ~ f I MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I .L_ • . It SOLAR 001-810·00·00·8226
EACH ROOF DRAIN (INSIDE)
I TOTAL PLUMBING
QTY.I ELECTRICAL PERMIT· ISSUE
1/J. ..,,-s -
l DRYER VENT j I STRONG MOTION 880·519·92·33 . ---, I ~ TOTt;L MECHANICAL l FIRE SPRIN~LERS 001·810·00·00·822)
PUBLIC FACILITIES FEE 320-810·00·00·8740
QTY. I MOBILE HOME SETUP BRIDGE FEE E "f....
I ,.J l)
PARK·IN·LIEU (AREA
NEW CONST EA AMP SWl BKR CAR PORT TIF ~ 001·810·00·00·8835
I PH 3 PH AWNING LICENSE TAX 001·810·00·00·8162
EXIST BLOG EAAMP/SWT 'BKR -GARAGE
loo
MFF 880-519·92·5 7
I PH 3 PH
REMODEL AL HR PER CIRCUIT ~
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
A
CREDIT DEPOSIT
TOTAL ELECTRICAL ] LJff V
_j_l) _.,..-TOTAL TOTAL FEES PAYABLE l ~'10
' HAVE CAREFULL ¥ EXAMINED THE COMPLETED AP?UCA nON A NO PERMiT'" AND 00 HEREBY Exporatton E,ery permit ,,ssuea by the Building Off,c,a, underthe prov,s,or• t,n.
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltmtt■t,on and t>ecome null and •O•d tr the building or "0"►
DECLARATIONS" ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE tF A PERMIT If, auth0"Zed by such permit LS not commenced w,th,n 1BO days from the(late ~ such
1SSUED TO COMPLY WITH AL~ CITY COlJNlf ANO STATE LAWS GOVERNING BUILDING CON ~~~;:;,,,°.'.c,'~/=~ ~~,;:~•;~e~;h:':~r:~:"c°';;~ :v •~c~ 1>8'';'•1 '5 suspended or
,* AN OSHA PERMIT IS REOUIAEO FOR EXCAVATIONS OVER
5· o· DEEP ANO 0£MOltTION OR CONSTRUCTION OF
ST'-JCTURES OVER 3 STORIES IN HEIGHT
STRUCTION, WHETHER SPEClflEO HEREIN OR NOT I ALSO AGREE TO SAVE •NOEMNIFY AW o e Ced o 8 ' of l&O da
KEEP HARMLESS rHE C,TY o_F CARLSBAD ,AGAINST ALL LtABIL 'TIES, JUDGMENTS. COSTS A~NT'S/.SIGNAT'4AE ,,. ~/ ~ow ONTRloCTOR C
EXPENSES WHICH MAY 'N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUE1·ice OF THE~ ~,,.,,V, C~
GRAN~ING OF lHIS PE'1MJT '7'J_ , -3 ~ BY PHONE 0 AP;ty
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TYPE I DATE INSPECTOR . ' -~ -
BUILDING I
' _I ' . 3-G,✓93~ '-., .. ~ : \. -' \ .... ~
FOUNDATION I ~ • ' FIELD INSPECTION RECORD ~ ~
REINFORCED STEEL I
MASONRY ' I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S ~TES
REO IF INSPECTOR S -INSPECTION DATE CHECKED APPROVAL -
SUB FRAME D FLOOR D CEIi.JiNG
SHEATHING D ROOF □ SH~AR ---FRAME I
,_.,.,_ ~MV< -,.
EXTERIOR LATH ... -I
.sth--~ . ' /2,,,--~ ,.-· SOILS COMPLIANCE ( ~WZZt Arr,M ·n 1.A/ I.A /
PRIOR TO .,
FOUNDATION INSP
STRUCTURAL CONCRETE --.
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I
' FIELD WELDING ,~
□ SEWER AND BUCO D PUCO
UNDERGROUND D WASTE □,WATER
HIGH STRENGTH .. .
BOLTS
TOP OUT □ WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS ' I
□ WATER HEATER □ SOLAR W'f,.. TEA
I
ELECTRICAL I . □ ELECTRIC UNDERGROUND ct UFFER ' -
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMP¢)RARY
□ BONDING □ POOL I
~ • ' \ ~
I I \ C
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS -I ... --.
VENTILATING SYSTEMS I
I .,-~
I " ' \
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE Bs_EN APPROVED
FINAL I . ' .... , . -. --
PLUMBING I ,: ' ELECTRICAL ' ,
I /"\
MECHANICAL I I
GAS I t -0'1 I
BUILDING V' JI ,1-vv"" I "-,' '. _,/ I
•Ell]: ~~T i,~.\ t:P\ ;'.lvi-1.ll.l I ·~]r]• 2~ .. -... -. -. -.-. -· -·-• r . . -
' \ f
SPECIAL CONDITIONS I -f
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