HomeMy WebLinkAbout2805 OCEAN ST; ; CB881378; Permit.. z 0 ~ .. .. ... u ..
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D I hereby affirm that I am licensed under
provlalon1 of Chapler 9 (commencing with
Section 7000) of Division 3 of the Business
and Protualona Code, and my license 1s in
full fOl'ce and effect
1 hereby affirm tha1 I am exempt lrom the Contrac
tors L11:ense Law tor the following reason !Sec 7031 5 Bus,ness ana Protess,ons Code Any cI1y or county wh,cr, ·e
quires a perm,! 10 consTrucT alter. 1mpro,e demolish o·
repa,r any structure. prior to its ,ssuance also requ11es !heap-
plicant for such perrn,t to hie a s,~neo stalement that he ,s
l<eensed pursuant to lhe prov1s1ons 01 The lontrac!O' s ,,cense Llw '.Chapter 9 commenc,ng w,th Ser.1,on 7000 ol
O,v,s,on 3 of •he Business and Pro!ess,ons Code; or that ,sex
empt lhereffom and the basrs for the alleged e,ew,pt1on Any
.iolalIon al Section 7031 5 by an appl1canl lor a oerm,1 sub
Iec1s The appI,cant ta a c1v,I penalty o1 not <nore than Ji,e hun
ared dollars ($5001
1 as owner al The property, or my employees with wages
as their sole compensat.on w1lI da lhe work ana The struc
ture ,snot ,niended ar alfered far sale 1sec 7(}44 Business
and P•o'ess1ons Code The Conlraclor's L,cense Law does
nol apply to an owner of property who builds or improves
thereon and who does such work hIw,se11 or lhrough h,s own
emoloyees provided that such improvements are not Inlend-
ed or oflered lor sale 11. however. lhe bu,ld1ng or improve
menl Is sold wIm,n one year of complet,on lhe owner-builder
wII1 have the burden of proving that he did not build or im-
prove tor the purpose of sale1
I. as owner ot lhe properly, am exclusively contracting
w,1h I,censed contractors 10 construct the pro1ect (Sec 7044
Business and Profess,ons Gode The Contractor"s L•cense
Law does not apply to an owner or properly who builds or im-
proves thereon. and whO contracts for each pro1ects with a
contraclor(s) license pursuant lo the Conrractor's L1cense Law)
As a homeowner I am ImprovIng my home. and the 1ollov,
mg cond1t1ons exIs1 1 Tne work Is being performed prior lo sale
2 I have lived In my home lor twelve monrhs
wIor lo completion of th,s work
I have nol claimed lh,s exemption during the
last lhree years
I am exempt under Sec ______ , B & P C
1or this reason ____________ _
I hereby aflirm tha! I have a cert1f1ca1e of consent to
sell ,nsu,e. or a cert,t,cate ct Workers Compensation In
surance or a cert1l1ed copy thereof 1Sec :l800 Labor Cooe1
POLICY NO
COMPANY
Copy ,s hied v,1th 1he city
Cert,hed copy ,s hereby fum,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section need not be completed rl the perm,t
Is for one hundred dollars 1$100) or less)
_ I cenrfy thaT In the performance of the wor~ for v,ti,ch
tnIs per,,-,,t ,s ,ssued I shall no! employ any person ,n ani
manner so as lo become sub1ect to the Workers Compen
satron Laws of CalolornIa
NOTICE TO APPLICANT. If, aher making this Cert1hcale
o• Exemption. you should become subJect to tM Workers
Compensation provIsIons of the Labor Code you must
lorthwIth comply with such provisions or this permit SMII
be deemed ,evoked
_ I hereby attirm tt>at there ,s a construct,on Ierd,ng
agency tor the performance of thev,or~ 'or wh,ch this per
m,1 ,s ,ssued 1sec 3097. c,v,I Code)
Lenders Name
Lenders Address
USE BAU 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 A~ is-0CE41."1 s..fv, AV. ST. RD. THOMAS BROS NO. /~~;;ON BUSINESS LICENSE # VALUATION Vb '}i'?; NU;·~ ~A
--ifb?:1«& *'< COT BLOCK I SUBDIVISION I ASSE-PARCEL NO. CONTRACTOR CONH~ACTORS PHONE • ZONE
/IL. E,,. /4... ,h "'1 r-e $-Ca . 1.Zf-4?,lO OWNER'S NAME Develop.I OWNER'S PHONE
R1tPPo l1.JXCN~£Rt: 11';-i4TOR;r;::; ....... STATE LICENSE NO. BUILDING SO. FOOTAGE
J.,, ~~,·t:=ro~~,A F£ Si.,'le 420 !Id &-.,.(."Ol: OE~;;v 'f,f)/24
DESIGNER'S ¥HONE
o✓e; o D~R!PTION OF ARK I ·-. . " // __ ;_.,ff,-· OESIGNER·s .6.DDRESS STATE LICENSE NO.
h-k rh, 'V'~f -" ----. ,~ ,,,.,,., ( -e-2405 10/U/88 0001 01 02
a , FLR ELEV NO OCC GP EDU llldPat 20.0
/JJ /,J~f-(,10;. . /. ¥xi STORIES
vO r-,,,0
I CENSO'S TRACT PARKI""G SPACE RES UNITS GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD FIRE SPP
AREA CONST
,□ ' D YO "JO vO NO Not Valid Unless M.1chine Certd1ed
QTY. PLUMBING PERMIT -ISSUE 7 C:.(\ QTY. MECHANICAL PERMIT -ISSUE 1,::::;rV', SUMMARY/ACCOUNT NUMBER
EACH FIXTURE: TRAP INSTALL FURN DUCTS UP TO 100 000 BTU t1UIU 1ING r·tniv-I1 UU1 b1U-UU-UU-ouu ,...,J ( '
EACH BUILUING SEWER OVER 100.000 BTU SIGN PERMIT 00 1-810-00-00-812 ·
EACHWAIER HEATER ANO OR VENT BDILER.1CUMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0·00-00·8891
EACH GASSYSlEM I TO 4 OUTLETS . 8DILER COMPRESSOR 3 15 HP TOTAL PLUMBING 00; -810-00-00-8222
EACH GAS SYSTEM 5 UR MURE METAL FIREPLACE ELECTRICAL 001 81G 00 00-8223
EACHINSTAL ALTER, REPAIR ,'i.'ATER PIPE VENT FAN SINGLE DUCT MECHANICAL DO 1-81 0-00·00-8224
EACH VACUUM BREAKER MECH EXHAUST HODO DUCTS MOBILEHDME 001-81 D-00-00· 8225
WAHR SOFTNER . RELOCATION OF EA FURNACE.HEATER SOLAR DO 1-8 · 0 · D0-00-82 26
FACH ROC,f-rJRA \J , ''JSll:-l, . DRYER VENT STRONG MOTION 880-519-92-33
TOHil MECHANICAL FIRE SPRl~Ji<LERS 001-81 0-00-00-8227
TUI Al PLUMBINC I PUBLIC FACILITIES FEE 320-310-00-00-81..:0
BRIDGE FEE 360-8 '. 0-00-00-87 40
c:::, Ci) QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU 1AREA ,
NEW CONST lA AMP SW! fJKR CAR PORT TIF 312·810-00-00-8835
I PH :; PH AWNING LA COSTA TIF 311-81 0-00-00-8835
EXIST llllJG EA AMP SWT BKH GARAGE FMF
I PH :l PH LICENSE TAX 00 ·-810<,rJ-G0·31S2
REMOOEl ALTtH PEH CIRCUIT MFF 880-519-92-57
TUnP[ll( 200 AMPS
OVER }(JU AMPS
Tt:MPUCCUPANCY 300AYSI
. CREDIT DEPOSIT
lil!Ai EltUflll:At I 'OT Al TOTAL FEES PAYABLE I ,"do
! HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATlON AND PERMIT" AND DO HEREBY E:o:p,rat1on Every permit issued by the Building Off,c,al under 1he prov,s,ons of this * AN OSHA PERM:T IS AEOUlflEO FOR EXCAVATIONS OVER
CERTJFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON 1NCLUOING THE Code shall e:o:p1re by l1m1tat1on and become null and v-otd II the budd,ng or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTK)N Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT!& auth~;z~v such perm,! is ;;,commer,ce_d w1thm 180 days from the date of such STRUCTIJRtS OVER 3 STOAtES IN HEKiHT permit, f the butldinx Of ork authorized by such perm,t ,s suspended or ISSUED· TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-aban at anu tune a er work is commenced for ii "'""nod ol 180 da s
STRUCT!ON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~· OWNER□ CONTRACTOR 0 APP~EJ;; ~_fiV17 1°7Jiir' KEEP HARM.LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND T'S SIGN.A.TUR§' If,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ...L_ 0 ' BY PHONE fJ GRANTING OF THIS PERMIT ,,,,-, / "'l . ~
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING .,Ir....
ELECTRICAL -I / I
MECHANICAL . ' ~\ '
GAS ' ' . '-'" ,
BUILDING ,\. ~ '--SPECIAL CONDITIONS \,
(;68';, /;378 --·-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL cor-.CRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGrl STRENGTH ~
BOL Ts
SPECIAL MASONFW
PILES CAISSON'.:-'
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