HomeMy WebLinkAbout2857 NANTUCKET LN; ; 85-253; Permit. .. - I USF.RAft PAINT PFN ONlY & PRFSS HARD
ft ._: - , •...a.-_ - 4 • 1'
0. I hereby affirm that lam licensed under
provisions of Chapter 9 (commencing with •
'Section '7000) of Division 3 of the Business r and Professions Code, and my license is in '!. full fOrce and effect. -
Lic No. ________________ Class
0 ..
I hereby all irm that I am exempt from the Contrac- tors License Law for the following reason (Sec. 7031.5
- .' Business and Professions Cede: Any City or County which re' quires a permit to construct, alter, improve, demolish, or -
roynir voy Structure, prior to its icsuancn also requires the up -: ,,, plicont for such permit In file a signed statement that he is licosssd pursuant to the provisions of the- Contractors License Law (Chapter 9 commencing with Section 7000 of
-'O'v'sivn 3 at the Business and Professions Coda) or that La ii-vv'pl therefrom and the basis for the altngna exemption. Any, r
violation of Section 7031,5 by an applicant for a permit sub'
- iiritC the applicant to Civil penalty of not more than five has- dred dollars (5500).
- - Q I, 3c owner of the proporly, or my nmployoe with svogs -
Us
as their sole compensation, will do the work, and the otruc-
o • lOre in not intended or altered for cafe (Sec. 7011. Business .J and Professions Code: The Contractors License Law does S . not apply to an owner of property who builds orimproves
: thereon and who does such wtlrlr himself or through his own -vmp'oynvs, provided that such improvements are net inland, ed or altered for sale. It, however, the building or improve- Z mont is sold within one year of completion, the owner-builder
- - will have the burden at proving that he did not build or im' 0 prove for the purpose of sate). .'
0 I, as owiir of the property, am exclusively Contracting
" with licensed contractors to construct the project (Sec. 7044,'
-1 Business and Professions Code: The Contractor's License Law doss not apply loan owner 01 property who builds or im-
proves thereon, and who contracts for each projects with a (a) .._ •. contractor(s) license pursuant to the Contractor's License .-
- .. -.
1.,
I— - '0 As a homeowner lam improving my home, and the follow'
4 . isg conditions exist: - ..
.1.• The work is being performed prior to sale. - - 2. I have lived in my home for twelve months - prior to completion 01 this work. UI ' ' 3. I have not claimed this ex emption1daring the last three years. '
. 0 lam exempt under Sec. __________________ . B & P.C.—
,for this reason ' - .• -
- 0 t hereby affirm th°at I have a cerlif icate of consent
* - to sell-insure. or a certificate of Workers' - Compensation Insurance, or a certified copy thereolt
(Sec. 3800. Labor Code) .
- z POLICY NO •,
COMPANY. It
Q Copy is filed with the city Z it
Au 0 Certified Copy is hereby furnished
0 • 'CERTIFICATL OF EXEMPTION FROM •,
- 'WORKERS' COMPENSATION INSURANCE
- (This section need not be completed it the permit is for one hundred dollars 15100) or less) ,
0 I certify that in the performance of the work for
- 0 , which this permit is issued. I shall not employ any
4" person in any manner so as to become 5,,blCi lu -
• the Workers' Compensation Laws of California
NOTICE TO'APPLICANT If. alter making this Ceil, - I icate 01 Exemption. you should become sublect I, . the Workers'. Compensation provisions of the Labor - Code. you ,must forthwith comply with Such provisions or this permit Shall be deemed revoked
n•r[75 "hereb;. affirm that there is a Construction
I - - lending agency for the performance of the work Or
I which this permit is issued (Sec 3097. Civil Codei
WI ''Lerider'5Nan1e -.--,-
'ji Lender's Address
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT " . •. .' APPLICATION & PERMIT i"- 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 - . ••.. - -. -
.108 ADDRESS r AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER H
LOT BLOCK' SUBDIVISION ASSESSOR PARCEL NO. cOcTOR ZONE
nwNFR'q
CONTRACTORS PHONE 0
]E--EsP
,i4_0_Q__ - - . CONTRACTOR'S ADDRESS
. ..............
LICENSENO. ,
.5
PL AN I.D.# BLDG USE CODE
OWNER'S MAILING ADDRESS - , . . - , • , . -.. - -
- •-t,'• - .'."-_"-.Q
i.'.-.- DCOIGNCfl ':T''' ''
,
'• .• LlCCN3t'4 ' TA1ItDARD PLAN # . BUILDING SO. rooTAoci
NAMF OWN ..
OC6CflIFTiON or-wonte..' , •. •• •• - . . . . .
- DESIGNER'S ADDRESS . DESIGNER'S PHONE ... . . -'.•. ..- -.
,p p LR ELEV.NO 0CC GP EDU
- STORIES .
-
' . . /09/8 9652 . . • ..--'.•' . . . ,'-.-.- . vJu.('_.,......- .-.- .—-—'—
.'- i'. UD1'!'7o91,-
I a CENSUS TRACT GPLANO USE - PARKING SPACE RES UNITS GRADING PERMIT ISSUED., REDEVELOPMENT.
AREA
TYPE - 0CC LOAD FIRE SPR - .. OiIhriEEs f1-1' -
¼ CONST —,
' 0 0 N 0 - . V 0 N1J vO NO ' Not Valid Unless Machine Certified —
CITY. PLUMBING PERMIT ISSUE OTY MECHANICAL PERMIT ISSUE 3 - SUMMARY/ACCOUNT NUMBER
- EACH FIXTURE TRAP '• -. . . INSTALL FURN. DUCTS UP TO 100,000 BTU -' BUILDING PERMIT 01-00-00-8220
- EACH BUILDING SEWER - ,•. . - - - OVER 100.000 BTU SIGN PERMIT. 01-00-00-8221- - • --
- EACH WATER HEATER AND/OR VENT - . ,
-
BOILER/COMPRESSOR UP TO 3 HP - , PLAN CHECK 01-00-00-8806 4.
EACH GAS SYSTEM i TO 4 OUTLETS -' BOILER/COMPRESSOR 3-15 HP . , TOTAL PLUMBING - - 01-00-00-8222 ,
EACH GAS SYSTEM 5 OR MORE - . - _• METAL FIREPLACE - - . . , , _- ELECTRICAL - 01-00-00-8223 -_- -
- EACH INSTAL,, ALTER, REPAIR WATER PIPE — , VENT FAN SINGLE DUCT - . . MECHANICAL ' 01-00-00-8224
- EACH VACUUM BREAKER - - 5 . ' - , - MECH EXHAUST - HOOD/DUCTS ' S • ' - MOBILEHOME - 01-00-00-8225 •
- WATER SOFTNER - - ' - - RELOCATION OF EA FURNACE/HEATER • ' . MOBILEHOME PARK INSP - - . ' • -. - -
• EACH ROOF DRAIN (INSIDE) -. . • ' . ' -. ' .
. .
- ' SOLAR - - 01-00-00-8226
- -, a. . - . . - • - "T" - TOTAL MECHANICAL •
' ' -
• .
-
- -STRONG MOTION - -. 80-92-33-0519"-
-TOTAL PLUMBING' . - I . -FIRE SPRINKLERS 01-00-00-8227 --
QTY ELECTRICAL PERMIT ISSUE 5 QTY SOLAR ISSUE PUBLIC FACILITIES FEE 32-00-00-89
BRIDGE FEE - -
NEW CONST EA AMPiSWT/BKR . - ' COLLECTORS . SCHOOL FEE - DISTRICT -
I'PH , • 3 PH ,. .. . . ' ' STORAGE TANKS p - CarIsbad.. - 80-92-21-0519
-
EXIST BLDG EA AMP/SWT/BKR - ' - . ROCK STORAGE ' • - . - - . Enc)ni(as 80-92-22-0519
IiPH - 3 PH ', - . PUMP ' - San Diegu)(o • • 80-92-23-0519
REMODEL:ALTER PER CIRCUIT - - • - . ' . PLAN CHECK FEE - . - San Marcos ,' • - 80-92-24-0519
-
- -TEMPPOLE 200AMPS -- • - ,
' - -
'-. . .
- LICENSE TAX 01.00-00-8162 • OVER 200 AMPS - -• ' • . • . ' . .' . • . .
- TEMP OCCUPANCY.(30DAYS) • - , - ' - , . - , - MFF8O-92-57-O519
- . . . -' - - • , - - ' ,. CREDIT DEPOSIT -
-
TOTAL ELECTRICAL
,
• - TOTAL SOLAR - ; , FEES PAYABLE
-
TOTAL
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY -Expiration. Every permit issued by the Building Official under the provisions ofthis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work • 50" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS t. if the building STRUCTURES
ISSUED:. TO COMPLY WITH ALL CITY, COUNTY AND STATE.LAWS GOVERNING BUILDING CON.abandoned
authori
per
mied by such permit is not commenced within 180 days from the date of such OVER 3 STORIES IN HEIGHT
at any time aterthe work STRUCTION. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANTS SIGNATURE *
_m commenced for e period 01180slave.
APPROVED BY-S OWNER), CONTRACTOR 0 .,,,,,,.
DATE
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR& CEILING SUB FRAME ..........
SHEATHING. 0 ROOF 0 SHEAR
FRAME
EXTERIOR LATH
INS6LA11ON
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BLICODIPL/CO
UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WASTE 0 IN TER
TUB AND SHOWER PAN
GAS TEST
O WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND 0 IJFFER
ROUGH ELECTRIC I
0 ELECTRICSERVICE0 TEMPOARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPIN3
HEAT - AIR COND. SYSTEMS I
VENTILATING SYSTEMS
I '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED -
FINAL
PLUMBING
ELECTRICAL
: MECHANICAL
GAS
. UILDING
SECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS - . INSPECTORS NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
S HUC I URAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
bUL I S
HIGH STRENGTH
SPECIAL MASONRY
PILES CAISSONS
_______________ ______ _________ ______ .-.' •;'•
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