HomeMy WebLinkAbout2822 LOKER AVE E; ; CB880718; Permiten z 0 ;:
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O 1 hereby affirm that I am licensed under
provlalona of Chaptar 9 (commencing with
Section 7000) of Division 3 of the Business
and Profaaalona Code, and my license Is In
full forca and effect
I hereby attum that I am exempt from the Conlrac·
tor s license Law tor the lollow1ng reason (Sec 7031 5 Business and Profess10ns COde Any city or counry wh1tr. re quires a perm11 to construct a1ter. improve demot1sh or
repair any structure poor to ,ts issuance also requires !heap·
pltcant '°' such permit to hie a signed statement that he 1s hcensed pursuant to lhe prov1s1ons ot the Lon1rac1or s License Law (Chapter 9 commencing w1tt1 Section 7000 ot
01v1s1on 3 o1 the Business and Proless,ons Code, Of thal 1s eK empt lherelrom and the basis tor the allegea exemplton Any
vt0la11on of SK11on 7031 5 by an applicant tor a perm1I sub
1ec1s the apphcant to a c1v11 penalty of not more than IIVe hun
ar..i aollars ($500)
I. as owner ol lhe property or my emptoyees with wages
as !heir sole compensahOn will do the work_ and the slruc
rure 1s no1 intended Of oflered tor sa1e fSec 7044 Business
and Profession~ Cocte The Contractor s License Law aoes nol apply to an owner o1 properly who builds or ,mproves
thereon and who does such wOJk himself or through hts own empk>yees provided that such 1mprnvemen1s are not intend·
ed or oflered for sale 11 however the building or improve ment ,s sold w11h1n one year of comp1e1i0n_ the owner-builder
will have lhe burden of proving thal he did not build or 1m·
prove !or lhe purpose ol sale)
I, as owner of the property am exclus,vely con1ract1ng with licensed contractors to construct the pro1ec1 (Sec 7044
Business and Professt0ns COde The Conlraclor" s License law does not app1y lo an owner of property who builds or 1m
proves I hereon. and who con1rac1s lor each protects w,tn a contractor(s) license pursuant to the Contraclors License Law)
As a homeowner I am 1mprovmg my home and the foflow ,ng cond1t1ons e,i;1s1 1 The work 1s berng performed pnor to sale
2 I have hved m my home tor 1welve months puor to completion ol lh1s work
I have not ciauned lh1s exemp11on during the
lasl three years
I am e,i;empt under Sec ------, B & P C
for 1h1s reason------------
I hereby affirm 1ha1 1 have a cer11flca1e of consent to
self insure or a cert1hca1e ot Workers Compensation In·
surance or a cert1l1ed copy thereof lSeC. 3800. LabOr Code)
POLICY NO
COMPANY
Copy ,s lded with the c,ty
C Cen1hed copy is hereby lurn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed it the permit
1s tor one hundred dollars ($100) or less)
I certify that 1n the performance of the work tor which
this permit ,s issued. l shall not employ any person in any
manner so as to become sub1ect to the WOfkers Com pen•
sat,on Laws of California
NOTICE TO APPLICANT If after making this Certificate
ol Exemption. you should become sub1ect to the Workers
Compensation prov1s1ons of the Labor Code. you musl
torthwtth comply with such prov1s1ons or this permit shall
be deemed revoked
..J I hereby affirm that there ,s a construction lending
agency for the performance of the work for which 1h1s per·
m11 1s issued (Sec 3097, C1v1t COde)
Lenders Nam•~~~~--~~-
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BU ILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad , C A 92009-1915 (619) 438-1 161
JOB ADDRESS 8" I AV ST RD THOMAS BROS NO 'DATE OF APPLICATION! BUSINESS LICENSE tt VALUATION PERMIT NUMBER
~8 ~Jl -l o-:::t\..L A~: i= . <c.-~-s~ \ SC\o!::> /' f;~o 7/Z LOT I BLOC!( I SUBD1v1S,ON I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE <..;
OWNER'S NAME
'~3.._:~~~~0 NE
\~ C...Ou~ -~--,,,..-"'O . ~-,c..<.:.~ --CONT RACTOR'S ADDRESS cu.,~e. STATE LICENSE NO BUILDING SO FOOTAGE \ +<--r ... 1l ,~~ ....... IL.l'a ,....__, \ ....... ?.c.~~ -,"1,,( .!),i""\ r A• I 4Si\,'l \ \ OWNER'S MA,. NG ADDRESS
~o.~Sa::,~ DES1GNER ,._) DESIGNER'S PHONE 0029 06/02 0.:...01 :::J::ldPmt '" ' ~P...... 'b,1il-...... u,·, . r .6. ..,~.~Q. . ,;\
O ESCA 1PT .r1P,,. OF WO R K
~~Jl" \ Q l'l 1 <::At'....,. --1U"il..~ o ~l ..... DESIGNER'S ADDRESS ST A TE LICENSE NO
G;1.) ~a-~ ""-,;7 1J' 8' Ir F p FLA ELEV NO OCC GP EDU
STORIES
vO NO ---I CENSUS TRACT I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP
I AREA CONST
YO N D ,o .... o YO NO Not Valid Un~r Machine Certtf1M
QTY. PLUMBIN G PERMIT· ISSUE 7~ QTY. M ECH A N ICAL PERMIT · ISSUE i .. ~e SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TD 100 000 BTU lffillDINu ~rniv,11 uu 1 ·H lU·UU·UU·ouu
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001 810·00·00·8221
EACH WATER HEATER AND OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00·00-8891
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 i ·810·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223 .d~ ...
EACH INSTAL ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN 'IISIDE 1 DRYER VENT STRONG MOTION ,... ~80~19·92-33
TOT kl MECHANICAL
~-1-23~
FIRE SPRl'Ji<LERS bl.b JljloA 27I • T."I ~
TOI Al PLUMRINL PUBLIC FACILITIES FEE 320·810·00·0o'.°874if' t..~LJ
5"~ MOBILE HOME SE~ ~:r t ·~d)" BRIDGE FEE 360·i i Q·RP-Oll.·87 40
QTY. ELECTRICAL PERMIT· ISSU E QTY. '9 PARK·IN·LIEU (AREA ) -~" 4 ".:J ,~ BR
NEW CONST EA AMP SWT BKR CAR PORT fN nr 1noo C TIF Clfii2·e.J.!.OO.C.0;,!3815
1 PH 3 PH AWNING ·t1 •••V . LA COSTA TIF DEVFI ;-_'a 1 i .R, lf-Ov vv"o<>.-;a.an . "~
EXIST BLDG EA AMP SWT BKR GARAGE , C _CITYm :ASURER I FMF -··• rftUlfS #Air-~ ..... __ .
I PH J PH ~ "';.~:!!" ...... -.. --;· ~ LICENSE TAX 001·810·00·00·8162 .. ~
RE MODE l AL Tt R PER CIRCUIT ~.A ·--,~ ... , MFF 880·519·92·57
TEMP POLE 200 AMPS "\.,,;-,.:i,..,. _,.q, ... /
OVER 700 AMPS """'-..."<ll. •61,g\,~
TEMP iJCCUPANCY IJllJ)AYSI ,,_ ~~ v. ~ • ...,TTJ1fl..,..J ··~ --CREDIT DEPOSIT
TOTAL Eli CTRICAL ~ -TOTAL TOTAL FEES PAYABLE I .;/..5 -
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the Building Otf1c1al under the prov,s,ons of this * AN OSHA PEFM:T IS REQUIRED FOR EXCAVATIONS OVER
C ERT1FY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON NCLUDING THE Code shall expire by llm1tal1on and become null and void If the bwld,ng or work 5' 0 ' DEEP AND DEM0l1Tt0N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authonzed by such permit ,s not commenced w1th1n 180 days ftom the date o1 such STRUCT\IRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON ~~~~~Ono:d ,~t 1:~v ~~~~'~ftei~ work 1 :~!honzede~le~f ~~ ;>9~r;;~'~ts~:geJ.~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND P5CJ~-2 OWNERn CONTRACTOR C APPR~~~
DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND 1¥~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE n GRANTING OF THIS PERM'T .
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TYPE
BUILDING
OUNDATION F
R
M
EINFORCED STEEL
ASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
s
F
HEATH ING D ROOF D SHEAR
RAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE 0 WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
1,..,,., .r • ~.
. .. -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRI.~ TE /
ITEMS ABOVE HA VE BEEN APPROVED. 7 FINAL _L_ \ , .I P
PLUMBING ra..~ \i kt /
ELECTRICAL . _.,~"' /1/
MECHANICAL . I\!/ , /.
GAS < -~ ~/
BUILDING I/
SPECIAL CONDITIONS
' OA~07t'K
FI ELD INSPEC TION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTOR S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE ~ PRIOR TO ~ --,{..,fr:;-FOUNDATION INSP ~
-~ STRUCTURAL CONCRETE
OVER 2000 PSI -'.
PRES TRESSED
CONCRETE J
I -·· ~\ ·e i {t..,. ··~··. 1...~('\._£?.Z\V
POST TENSIONED \ :;} :.)t.f, ,.., , •• ),/;, ... -~ 'cB' .._ \~t •
CONCRETE l • /t. .. " :,. -•'") Ol C
\{". ~ -FIELD WELDING ,. ~ -lb \ J ,, l·-
HIGH STRENGTH
'!'-.A-fi~ BOLTS ··. 1,
---.. ~----1t\.f B r.J 1 SPECIAL MASONRY -..,
..
PILES CAISSONS
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