HomeMy WebLinkAbout2825 Hope Ave; ; 81-420; Permit.,, z 0 ;::: ,c ac ,c ..,
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0 I hereby , _,;1 that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full for~t,,1-i, LL Lie No~ Class ~~7 _-__ _
I he.-..by affirm INt I om exempt from the Con-
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county wh•ch requires a permit to constrvct alter. improve. demolish. or repan any structure,
pnor to its 1ssu.nee al$0 requires the applicant for
such permit to hie a signed statement that he 1s
hcensect pursUillnt to the prov,s,ons of the Con-traictor's License Law (Chapter 9 commencing w1tl"I
SecttOO 7000 of 01v1s1on 3 of the Business and Pro-
fessH>ns Code) or that 1$ exempt therefrom and the
basis for the alleged exemphon Any v,olat,on or
Section 7031 5 by an applicant 10< a permit subjects tne apphcant to a cml penalty of not more than five
hundred oonars i$500)
0 I, as owner of tl'le p<Ol)erty, O< my emptoyees
,.,th wages as theu sole compensa1ton. will do !he WCM'k. and the structure ,snot intended.or offered for
saJe (Sec 704', Business and Professions Code
The Contractor's license Law does not appf)' to an owner of p,openy who burlds or improves thereon
and wno does such work himself or through his own employees. provided rhat such 1mproveme;its are
not intende-1 °' offered fCH sale H, however. the
bu1ld1ng or improvement 1s soki within one )'ear of
completion. the owner-builder will have the burden
of proving that he did not build or improve to, the
purpose of sale)
□ I, as owner of the property, am exclusively
contract,n; with licensed contr~tors to construct the protect (Sec_ 70U, Business and Professions
Code· The Contractor's License Law does not apply
to an owner of property who builds or improves
~:~i~ 7i~nc~~~!~~~ ~~h~r~~~;;~~·=
license Law)
0 I am exempt under Sec _____ , B & PC
for th,sreason ___________ _
O I hereby affirm that I ha·;ie a cer11hcate of consent
to sell-insure. or a cert,ftcate of Workers·
POLICYNO ~-~-----
~~~t~n lnsura"\e~,oracert;•;::;hereot
COMPANY i ~~
□ Copy IS hied With the city a.J_
¢,rt,hed copy ,s hereby fum,shed '-i J
CERTIFICAn OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1t the permit 1s for one hundred dollars (S 100) or less)
D I certify that 1n the pertormance of the work tor
which this pemut 1s issued, I shall not employ any
person ,n any manner so as to become sub1ec1 to
lhe Workers· Compensation Uws ot Calltorma
NOTICE TO APPLICANT 11, after makin1 this Cer11
hcate of Exemption, you should become subJecl t-:>
the Workers· Compensation prov,s,ons ot the L.aoor
Code. you must forthwith comply w1lh such proviIsIons or lh1s perm11 shall be deemed revoked
0 I hereby attum lhal there ,s a consiruction
lending agency tor lhe per1o,mance of the wor1o. tor
which th,s perm1.1 •s issued (Sec 3097. C1v1I Code)
lenders Name ___________ _
Lender's AdOress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA At,J·.....,~ECLARATIONS
-CARLSBAD BUILDING DEPARTMENT lJ ... _,I APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
J792<: M/2~ /l-v~, A~i.T,, ;;_;;~•ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
-Z]'f/'f t,5oo ~(r 4ZD °};~;;;~A, 6 // &. 71J-~9~E;;;; 2;;71;:~~ LI~;-hfff J
CONTRACTORS PHONE • ZONE Vf->.,~ v?R;4L2i;k~uA C ~ /l-r-J/J-
CONTRACTOR'S ADDRESS , LICENSE NO. PLAN 1.0, # BLDG USE CODE
J)/4 t7,g /22,,t;,£ Jj, C l2r.J~ 2.7q /l--J ~A~ ,, ,
LOT I BLOCK I SUBDIVISION I ASS!SSOR PARCEL NO DESIGNER -!?~)](1i STANDARD PLAN# BUILDING SO, FOOTAGE c_~r
DE{'":';7~0:,;z;~c~h~ ~~ /4/.19--'/2-...e DESIGNER'S ADORESS DESIGNER'S PHONE
I---------. ~-NO 9/28/81%81 21 .,□ -F/P F LR ELEV, OCC GP EDU STORIES 000 19681 9/28/ 8 I I23.0-i vO NO --' onn1%8 I 03 CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR 'U2B/' AREA CONST
YO ND vO NO vO NO Not Valid Unwss M~chine Certified
QTY. PLUMBING PERMIT· ISSUE ?-,"57) QTY. MECHANICAL PERMIT· ISSUE 3 -oo SUMMARY/ACCOUNT NUMBE R
EACH FIXTURE TRAP INSTALL FURN_ DUCTS UP TO 100,000 BTU BUILDING PERMIT
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT ----
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BO)LER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE ELECTRICAL 7 ,00
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHDME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR /~, '-,U
TOTAL MECHANICAL STRONG MOTION
TOTAL PLUMBING -r---FIRE SPRINKLERS
,~Y-:?.01) ,S,oo PUBLIC FACILITIES FEE
ELECTRICAL PERMIT · ISSUE QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR I COLLECTORS ~,Ofl SCHOOL FEE · DISTRICT
1 PH 3 PH I STORAGE TANKS 7f _I 00 Carlsbad
EXIST BLOG EA AMP/SWT/BKR
,
ROCK STORAGE -Encinitas
1 PH 3 PH 1 PUMP F/,nt San Dieguito
J REMODEL/ALTER PER CIRCUIT C-OC -'I PLAN CHECK FEE -¾: ,T..,r San Marcos
TEMP POLE 200 AMPS --
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI -
TOTAL ELECTRICAL --r -J f)O TOTAL SOLAR /15,5~ TOTAL FEES PAYABLE I ,Z J, 50
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Expo ration Every permrt Issued by the Budding Official under the prov,s,ons of this * AN 06HA PERMIT IS AEQulREO FOfl EXCAVATIONS OYIA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••pire by 11m,tahon and become nufl 1nd void If ttle building or work S' O" DEEP ANO DEM0UTI0N Ofl CONSTAUCTION OJ
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authc~nzed by such permit 11 not commenced within 180 days from the date of such STRUCTUAES OYER 3 STOAIES IN HEIGHT perm,t or ,1 the build•~-or work authorized by such permit is ~ded or ISSUED: TO COMPLY WITH ALL CITY_ COUNT" AND STATE LAWS GOVERNING BUILDING CON-abandoned at any 1,--work IS commenced for a oenod of 1 ■ua ,,,,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO CONTRACTO~
A~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO~~• -rWNEA 0
1
CJ-Z8-81 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH C° BY PHONE 0 GRANTING OF THIS PERMIT. < _J -......_
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INSPECTION TYPE DATE -· .. -INSPECTOR ... ---. -
BUILDING .
FOUNDATION
'REINFORCED STEEL I
'MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO .
PLUMBING UNDERGROUND
PLUMBING TOP OUT I
TUB AND $HOWER PAN
GAS TEST I
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A I
G. F. I. -SMOKE DETECTOR. I
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTE¥S
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBIN'G
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS I I :)--
CERT OF OCCUP/ Y ISSUED ·
8 }-4 ;;)."i)
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE \ OVER 2000 PSI . --PRES TRESSED
CONCRETE •
POST TENSIONED . -.. .
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS -
SPECIAL MASONRY
'
PILES CAISSONS
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