HomeMy WebLinkAbout2853 NANTUCKET LN; ; 83-135-21; PermitUSE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
Di hereby affirm that-1 am licensed under i
- L provisions of Chapter 9(commencing with I I Section 70) of Divlsioh 3 of the Business i
FitI and Professions Code, and my license is in
L 'fuuiforl a/lfg
Class _B-1'.',!
8 - "' " •'.
I . heretry.affirni that I. am, exempt from the Contrac.
., for's License Law for the following reason (Sec. 7031.5 I
Business and Professions Code: Any city or county which re-
quires a permit to construct, alter, improve, demolish, or 1 repair any structure, prior to ifS j3355flCO also requires the op I
plicanl for such permit to file a signed statement that he is u licensed pursuant to the provisions of the Convector License Law (Chapter 9 commencing with Section 7000 of I - - - Division 301 the Business and Professions Code) or that is en- I empt therefrom and the basis for the alleged exemption. Any
Violation of Section 7031.5 by an applicant for a permit sob' I
jocts the applicant to a Civil ponalty cleat more than fins hue - dred dollars ($500),
IC
- 'IJ I. as owner 01 the property, or my employees with wages
as thei( sole compensation, will do the work, and the struc' tore is not intended or offered for sale (Sec. 7044. Business 1
and Professions Code: The Contractor's License Law does I not apply to an owner of property who builds or improves
- thereon and who does such work himself or through his own - employees, provided that such improvements are not intend' I ed or offered for sale. If, however, the building or improve- Z must is said within one year of completion, the owner-builder 3 will have the burden of proving that he did not build or im- I 'prove for the purpose of sale).
- 0 I, as owner of the properly, am exclusively contracting i - , with licen
se
d contractors to construct the project (Sec. 7044. - Business and'Professiens Code: The Contractor's License
Law does not apply to an owner of property who builds or im- proves thereon, and who contracts for each projects with a cantraclor(s) license pursuant to the Contractor's License
t —0 As a homeowner lam improving my home, and the fellow" I
- ingcaodilinos exist: . i, 1-..".- ' - - - ... * I - -1. The work is being pertormod prior to salu,_, , - 2. I have lived in my home for twelve months I
prior to completion 01 this work.
-- 14 I 'have flat claimed this exemption - during the - -
- last thee years. I
0 i ari under Sec. - . B& P.C. .
/ br- this reason - -
'f,--.-'
-..- I
0 I hereby affirm that I have a certificate of consent to setf'insure. or, a 'Certificate of Workers' a
Compensation Insurance. or a certified copy thereof
-; Sec. 3800, Labor Code). ,,. r
z 'POLICY NO. .KWP"26592 50:
, - COMPANY Firemen':s, F-undi
Q'Copy is tiled with the cIy Z '"'
- "" '' ] Certified copy is hereby furnished 116
j7 - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE -
- '(Ths section need not be completed it the permit
W.
I is for one hundred dollars 151001 or less
WL ......... Di terlif. I..lual in the performance of ifle work to i
,, which this permit is issued. I shall not employ any
3 person in any manner so as to become subject to -,
- The Workers' Compensation Laws of California . I ' ,• - ' NOTICE TO APPLICANT If, alter making 11115 Ceni-'
- IiC5tO of Exemption, you 0110cM beCOme subject '0 i
' the Workers' Compensation provisions of the Labor
- -Code, you 'must • forthwith' comply with 'Such -
prOviSuonsOr this permit shall be deemed revoked I
-1 01i he'eby fIi,'m'ihi'ih,r, is a r,nnslniriunn p
- teiIuujj a'jeilcy iui the performaricP UI lies wuir. fur
1 'wnuch ilns IJeiuuiiI 'a ,nnueuj i'wi. 3037, C.i,I Cu,eJi
Lender's Name_- -
'525 B'St
"
- - -CARLSBAD BUILDINGDEPARTMENT - 1 ' 'APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438.5525
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. , DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
2853 Nantuàket Lane ' '141 Q-1 X at OD ' . - 12/16/83 1710-- '
ZONE - LOT I BLOCK SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE
Pacific Scene,Inc ' 'Calavora iills CT 82,,,ER,Sp 299-5100 . ' ER'SNAME HONE
"PLAN I.D.1 - ' 'BLDG USE CODE - - CONTRACTOR'S ADDRESS ' ' ' - ' - LICENSE NO.'
Treetoos Unlimited 9-51flfl 3900 Harney St/Sb CA ' 2/2586
' OWNER'S MAILrl'IG ADDRESS - ' '- ' - -
STANDARD PLAN # BUILDING SO. FOOTAGE DESIGNER ' LICENSE it - . 3900 1-Tl1-ny ct/sen pit -,-CA 92ll0 - L.O. Chrisman /Architect -C 9239
OESCRfPTlO"I OF WORK
½ dup]x-4ithlot line '
DESIGNER'S ADDRESS - DESIGNER'S PHONE
Plan 3B ' ' ' 9939 Hibert St/SD CA 695-3830
2:533sq—ftIiving59'5storage F/P FLRELEV, • NO OCCGP EDU
-
STpES
I '----------' v J NO --• - - .
' CENSUS TRACT ' GP LAND USE - PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPR
' 'Xl -
AREA . - ' ' CONSI
- YO ND rD N( VI' YO Or Not Valid Unless Machine Certified
-
QTY PLUMBING PERMIT ISSUE i QTY MECHANICAL PERMIT ISSUE .
-
SUMMARY/ACCOUNT NUMBER
' EACH FIXTURE TRAP ,
' 7 $' INSTALL FURN. DUCTS'UP TO 100,000 BTU n.j. - BUILDING PERMIT . 01'00'00-8220
-
EACH BUILDING SEWER' , . ' . . ... . OVER 100,000 BTU , . SIGN PERMIT. - . 01'00-008221 -' -
EACH WATER HEATER AND/OR VENT' C $'b BOILER/COMPRESSOR UP TO 3 HP ' , PLAN CHECK - 01'00-00'8806
EACH GAS SYSTEM I TO OUTLETS I ' - 2 $ -
BOILER/COMPRESSOR 3.15 HP ' TOTAL PLUMBING - 01-00'00-8222 - -Lft
EACH GAS SYSTEM 5 OR MORE '- ' . ' 2..-, .-' METAL FIREPLACE ,. ' ' , - ,. ELECTRICAL... - 01'00-00-8223 - -.. -
-- EACH INSTAL.-.ALTER, REPAIR-WATER PIPE, - . VENT FAN SINGLE DUCT £... . MECHANICAL 01-00-00'8224 1i -
-
EACH VACUUM BREAKER,. MECH EXHAUST HOOD/DUCTS " MOBILEHOME 01-06-00-8i25
- WATER SOFTNERI '' - - RELOCATION OF EA FURNACE/HEATER__. MOBILEHOME PARK INSP
- EACH ROOF DRAIN (INSIDE) . . ' L 9- ' - SOLAR 0100-00'8226
TOTAL MECHANICAL -
'' I -, '
. . .
- STRONG MOTION ' 80-92'33-0519
- TOTA1P!,.UMBING L/.c(. FIRESPRINKLERS - - 01-00'00-8227 '
PUBLIC FACILITIES FEE 3200008933
QTY ELECTRICAL PERMIT ISSUE - - OTY SOLAR ISSUE * -BRIDGE FEE
NEW CONST EA AMP/SWT!BKR I • ' 1 - - - COLLECTORS _,7• . SCHOOL FEE - DISTRICT
-1 PH '3 PH . - .. - . i STORAGE TANKS Carlsbad 80-92-21'0519
'EXIST BLDG EA AMP/SWT!BKR , ' . - '' ROCK STORAGE ' ' "/' / - J' ,(, / Encinitas - -- - --- — 80'92-22'0519
I, PH :'-:' 3 P , . - . PUMP / / O"• .'I / . - San Dieguito 80'92-23-0519
REMOOEL:ALTER PER CIRCUIT - .' '', ' .
TEMPPOLE200'AM'S
PLAN CHECK FEE 'San Marcos - - -. 80-92-24-0519
4' OVE'R 200 AMPS LICENSE TAX O1.00.00-8162
TEMP OCCUPANCY(3. DAYS)
CREDITDEPOSIT L2 10 .11?
- TOTAL ELECTRICAL
- - _--
-TO T4 SOLAR,_____
-
TOTAL FEES PAYABLE
-
I HAVE CAREFULLY EXAMlNgD THE COMPLETED'APPLlCATlÔN AND'ERMIT AND DO HEREBY ExpirationtEvery permit issued by the Building Official under the provioionsofthis * AN fadA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
EHl!)-V' iJMI/IH lJhNAL1V.,I,11'- PlU1iII4o,'rHAT'AttltgFc)RMATtflNilHFRFflf4lNr,i I,tflIN('THE'. Code shall expire by imitation and become null and void, lithe buuldina or work ' - - 5$'EEp AND DEMOLITION ORCONSTRUCTION OF bfiaul.IuI,ruu,uil esi utu.ui iii euui,eid within lODde, DCCLAI'lATlONl' ARC TRUEIAilID CORRECT AND I FURTHER rFRTIFj/ifl ArRF IF A PFRMIT l' 13 3u3p:ndad or STI1iCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY'WITH'ALL CI1'Y'COUN1Y, AND STATELAWS 'GOVERNING BUILDING CONS abandonedat any Ii_er thewor_c_mmencedforaperiodof180
STRUCTION, WHETHER SPECIFIED. HEREIN-OR NOT. .1 A LSO, . AGREE1fDSAVE.INDEMN1F1r ... APPLICANT'S SIG URE OWNER 0
davu
CONTRACTOR KEEP HARMLESSTHE CITY, Oj~,.CARILSBADAGAINSTALL LIABILITIES UUDGMENTS,POSTS AND,
_dITY_irON
GRANTING OF THIS PEAMIT
EXPENSES WHICH-MAY IN ANYkWAYJAI r BY PHONE 0 -- _-
-_I
FA 1
-
.
FIELD INSPECTION RECORD
flEQUIflED SPECIAL INSPECTIONS - INSPECTORS NO I ES
INSPECTION ... REQ. IF INSPECTORS - DATE CHECKED APPROVAL
SOILS COMPLIANCE V
PRIOR TO -
FOUNDATION INSP -
SI HUG IuRAL CONCRErE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED - -
CONCRETE
'FIELD WELDING
HIGH STRENGTH -
BOLTS . . -•
SPECIAL MASONRY
PILES CAISSONS. V
TYPE DATE INSPECTOR
BUILDING
FOUNDATION 1f
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
f41L SHEATHING ROOF S
FRAME ____........._L....__ EXTERIOR LATH
iz84.
__
INSULATION 3zz4 . INTERIOR LATH & DRYWALL
PLUMBING
SEWERANDBLICO DIPUCO ____
UNDERGROUND tWASTE 0 }IVATER
TOP OUT . 0 WASTE 0 WATER
/5.134. ....
TUB AND SHOWER PAN
GAS TEST ___- .. ..... ....
O WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND D'UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPRARY vj
O BONDING 0 POOL
.
-
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT - AIR COND._SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAtE BEEN APPROVED
--FINAL
PLUMBING_________
ELECTRICAL
____
MECHANICAL
- .........
BUILDING -
SPEC CONDITIONS ............. - ............. ..........._____