HomeMy WebLinkAbout2805 El Camino Real; A; 87-1001; PermitCl) z 0 i= C a: C .... u "' 0
IC
I[
0 u
a: "' 0 ~ 3 I "' z ~ 0
z 0 ~ Cl) z "' A. 2 0 u
Cl) a;
"' "' a: 0 ~
tl
O I hereby alllrm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000> of Division 3 of the Business
and ProfaHlons Code, and my license is in
full force and effect.
1 hereby affirm lhal I am exempt lrom the Contrac tor s License Law tor lhe following reason (Sec 7031 S
Bus,ness and Professions Code Any city or county wh1c.r. re
quires a permit to construct aller. unprove demolish, °'
repau any sltucture puor to its issuance also requires !heap
plant lor such permit 10 hie a s,gned s1a1ement that he 1s
ticensed pursuan1 to the prov1s1ons ot the Contractor s Ltccmse Law (Chapter 9 commencing w,th Secllon 7000 ol
01v1s1on 3 ol the Business and Prolesst0ns COde) or that 1s ex
empt therefrom and the basis tor lhe a11egea exemp1,on Any
v1olat1on ol Section 7031 5 by an applicant lor a perm11 sub
1ects tne applicant 10 a civrl penalty or not more than hve hun
dre<l dollars ($500)
I as owner of lhe property or my employees with wages
as 1neir sore compensa11on. w,11 do lhe wOfk and the s1ruc· lure ,s not mlende<J or otlered to, sale {Sec 7044 Business
and Protess,on5 COde The Contractors t1cense Law does
nol apply 10 an owner ol property who builds or improves
thereon and who does such work tumsell or through his own
employees. provided that such ,mprovemenls are nor intend· ed or oflered !Of sale It however lhe bu1ld1ng or improve·
ment 1s sold w1th1n one year ot comp1e11on. lhe owner·builder
will have lhe burden of prov,ng that he chd no1 build or tm·
prove toi the purpose ot sale)
I. as owner ol lhe properly am exclusively contracting
wilh licensed contraclors to consuuct lhe pro1ect (Sec 7044 Business and Professions Code The Contractor· s license
Law does not apply 10 an owner 01 properly who builds or 1m-, proves 1hereon. and who contracls for each pro,ecls with a contractor(s) license pursuan1 10 lhe Conrractor·s License Law)
I As a homeowner I am 1mprovmg my home. and lhe foltow mg concht1ons ex,sl
l The wDfk 1s being performed pnor 10 sate 2 t have lived ,n my home tor twelve monlhs prior 10 compleuon of this work
I have not claimed this eKempllon dunng lhe last lhree years
B&PC I am exempt under Sec ----~--
tor this reason -------------
"'""J I nereoy aftum lhat I have a cer11f1ca1e ot consent to
self-insure or a cert1hca1e of Workers Compensation In-
surance. or a cert,f•ed copy 1hereol lSec 3800. Labor Code)
POLICY NO
COMPANY = Copy ,s !lied with the city
:J Cer11f1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed 1f the perm11
,s for one hundred dollars (SH)O) o, IPSS)
::""' I cer11ty that in the performance of u,e work for which
1h1s permit 1s issued. I shall not employ any person in any
manner so as to become subJect to the Workers Compen
sation l aws of Cahforn,a
NOTICE TO APPLICANT If. after making this Cer111tca1e
of E:icemptton. you should become sub1ect to the Workers
Compensation provisions of 1he labor Code. you must
forthw11r, comply with such provisions or 1111s perm11 st'lall
be deemed ,evoked
0 I hereby aflirm that there Is a construction lending
agency lot lhe performance of the work for which this per·
m,t 1s issued (Sec 3097 C1v1I Code)
lender s Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV.ST.RO. THOMAS BROS NO.
1;~:;;.:p;7ATIONI
BUSINESS\~SE # VALUATION PERMIT NUMBER
D ('fl.6-{)H ?4/{ICe_ :l~S' .. fl h7 CQ u.,,; ,,, c ? efll
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE g r?-I ool t.on9 1S 91P 7 .. /() 'l~-OWNE R"S•NAI\IIE I OWNER'S PHONE
c;;;c;;,~~;;E;r. oa?Q~s1¥ of
STATE LICENSE NO. BUILDING SO. FOOTAGE "SA u..a -:;'01 <; ':J. 9 DWNE lf"S, I\IIA o LI NG ADORE SS
DESIGNER DESIGNER"$ PHONE
'\~'1.0~ '
oucR1PnoNoF woRK, l,~fet// ~aJ A Llcf-+f;i l,a"{ST 511( ~ e.. <:;c;,u, e tl, -<...,t'.'-
OESIGNER"S ADDRESS STATE LICENSE NO. ~'°~ !'v "\\
MweY' -f./Ua/r"-~ /'P/1" 7J~c.'T" -f ~/D"<l~ V'
~~-e "' Or6'._~0J.i ~~. !:? O'~-~ ;y~olJ>cr. .. < , F p FLA ELEV NO ace GP EDU $ m.t'o~ STORIES f <"#67 .,..,.,,,~;, vO NO --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD Fl RE SPR c--' cl,'> '
AREA CONST '.,. ')
YO ND ,o NO vO NO Not Valid Unl~rs Machine Certd,«t
Q TY. PLU MBIN G PERM IT -ISSUE 7$-QTY. MECH A NICAL PERMIT -ISSUE /S'~ s uMMAR'ffA~dot,+./f ~u~& a .... c;, i. ;~.OD
. EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100 000 BTU tlUILUINl, PERMIT OU 1 ·8 lU·UU·UU·tlaU
EACH BUI LO ING SEWER OVE A 100 000 BTU SIGN PERMIT 001·810-00-00·8221
EACH WA TEA HEATER ANO DR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891
EACH GAS SYSTE M I ro 4 OUTLETS 80 ILER COM PR ESSO A 3 1 S HP TOTAL PLUMBING 00, ·810-00·00·8222
EACH GAS SYST EM S OR MORE METAL FIREPLACE ELECTRICAL 001 810·00-00·8223
EACH INSTAL ALTER. REPAIR WATER PIPE r VENT FAN SI NGLE DUCT q:. = MECHANICAL 001 ·810·00·00·8224 <.ru
EACH VACUUM BREAKER I MECH EXHAUST HOOD DUCTS ,.., <' _, MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001·810·00-00-8226
EACH ROOr DRAIN ! ~SIDE I DRYER VENT STRONG MOTION 880·519·92·33
TOTAL MECHANICAL FIRE SPRIN~LERS 001 ·810·00·00·8227
I OIAL PLUMBINL I rr' PUBLIC FACILITIES FEE .}20:B 101)0..Wlooil.7 ~ ~
5 !Z5], BRIDGE FEE f ~ I :o~~n,.'""'..;_0~4.£,. 1.1.J
QTY. ELECTRICA L PERMIT · ISSU E Q TY. MOBILE HOME SETUP PARK·IN·LIEU (AREA -)
NEW CONST EA AMP SWT HKR CAR PORT TIF , ~1 H 1 O·(M;'OO,~ ~
1 PH 3 PH AWNING LA COSTA TIF J ~l-1!10-oo-oo-aa35
EXIST HLDG EA AMP SWT BKR GARAGE FMF ---.. -• ~a•tJIIBAP 1 PH 3 PH LICENSE TAX -··,11 ou:1:.a10,;(l!)..Qg,J..,. .::-Ci.ERVS.
REMODEL Al TtR PER CIRCUIT MFF OEVtLU. -.J ~8~·519-92-57
TEMP POLE ZOO AMPS
OVER ZOO AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
IOTAL [l~LTRILAL I TOTAL TOTAL FEES PAYABLE I , tf",i!:J
t:
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT" ANO 00 HEREBY Exprra11on E-y parmot •Hued by 11\a Buoldtng Ofloc,11 under the prov1s1on1 olthos * AN OSHA PEl"'t:T IS AEQUIREO FOR EXCAVATIONS OVEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tatron and become nun end vood II the buoldong or work 5· o·· DEEP ANO DEIIIIOLITION OR CONSTAUCTION QI' DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authorized by such perm,1 ,1 not commenced w11h1n 180 days from the date ot such STIIUCTUM:S OVEA 3 STORIES IN HEIGHT permit. or ,f lhe bu1fd1:ff or work authorized by such permit ,s suapended or JSSUEO TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING COIII abandoned at any tome a er Ille work os commenced for I oerood of tllO n•v• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
COIIITRACTOR X APPROVED BY
1°~}7
KEEP HARMLESS IHE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN~RE ..!._ ~ _hWNER n
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE ~-$-'
GRANTING Of THIS PE'lMIT. \ -¥J"' BY PHONE rJ 1/iA:7 U\i.u,u(>? .,
~
ii:
~
"' 0 a. E Q) f-
"O 0 C)
C co 0
a. a. <i::
I
.:,:.
C ii:
0 U)
U) Q)
U) U)
<i::
~ .2
ci >-
Q) 0 C co
C
u.
C Q)
Q)
0
0 u Q) a. U)
C
Q)
.c :s:
,· .
TYPE I DATE INSPECTOR \
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS I INSPECTOR'S NOT ES MASONRY I REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE -= I
SUB FRAME D FLOOR D CEI LI NG .
SOILS COMPLIANCE -
SHEATHING D ROOF D SijEAR PRIOR TO •
I FOUNDATION INSP FRAME
EXTERIOR LATH I ~ STRUCTURAL CONCRETE
OVER 2000 PSI (f.}tr:rr.-,.J •. !"', ..... .,_. -1 .... --
INSULATION PRESTRESSED --. ~,..,.~~v,c~ ..... Ur, .. ~
I CONCRETE C!~A ~i r.tr~!11· .... k ... ·nt
INTERIOR LATH & DRYWALL I I -"' ., '"'" POST TENSIONED
I l CONCRETE . -.. , l.1 -. ~ . ...... .J ~,-·" !-PLUMBING I FIELD WELDING I ,.
D SEWER AND BUCO CJ PU CO HIGH STRENGTH (~ r· F' "r;! '~.~ ('"'\ r\ -
BOLTS . UNDERGROUND D WASTE D1 WATER -· -.. ~
TOP OUT D WASTE D WATER SPECIAL MASONRY -
TUB AND SHOWER PAN I • -
GAS TEST ! PILES CAISSONS --..
D WATER HEATER D SOLAR W,ATER ,
I I -
~ ELECTRICAL I
D ELECTRIC UNDERGROUND q UFFER I
ROUGH ELECTRIC ! --I
D ELECTRIC SERVICE D TEMP(i)RARY .... ' ·c:~ ',:-~\~] L;;tr ()SL'i'c;_.:cur 'I;""_;-•/\-"'. D BONDING D POOL I
I ' . ,~ -
I I ~ I MECHANICAL " I I v. J LJ / D DUCT & PLEM., D REF. PIP(NG -.ei. J -.-. l
HEAT -AIR COND. SYSTEMS I tC/V ) /,._,.,/ V \
VENTILATING SYSTEMS J ,.., v, / ' I
I /
CALL FOR FINAL INSPECTION WHEN ALL APPR<>'RIA TE ' .
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I ' I
PLUMBING ! • ) I ~
ELECTRICAL I --ll" ) ,1 ~ ~v '
r ' MECHANICAL I .. 5 ·c;p ~µ:: ...
GAS I -/ I
BUILDING I /
SPECIAL CONDITIONS I £ I
I