HomeMy WebLinkAbout2860 ELMWOOD ST; ; CB880160; Permit"' z 0 ~ "' :5 u w 0
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O I hereby affirm that I am licensed under
PfOVlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaslons Code, and my license is 111
lull force and ellect.
1 nereby al!,rm That I am exemp1 Imm tne Conirac
10, s L,cense law tor the 1011owing reason 1Sec 7031 S Bus,ness and Prolessrons Code Any crty or county wh,co re
quires a perm,1 to conslfuct alter. ,mp rove demol•sh or
repair any structure. prior to ,1s issuance a1so requires !heap
pl,canl for such perm,1 to 111e a s,~ned slatemenl that he ,s
',censed purs,,ant 10 the prov,s•ons of !he caniracior s
Lrcanse Law (Chaoler 9 commencmg wrlh Sec1<on 7000 ol
Oiv,s,on 3 011ne Business am! Protessrons CMe; or that ,sex
emo1 tnerehom and the bas,s tor the allegea e,emption /\ny ,,olat,on of Sec1,on 7031 5 by an appl1canr lor a perm11 sub
1ects 1he appl,canl to a c1v11 penally 01 not more than !1ve nun
dred dollars ($5001
1 as owner of the property or my employees w11n wages
as lhe" sole compensat,on will do the wor.. and lhe si,uc
ture ,snot 1n1ended or otte,ed for sale (Sec 7044 Bus,ness
and Professions Code The Contrac:or's ucense Law does
not apply 10 an owner of oropef1y who builds or ,mproves
1nereon and who does sucn work himself or lhrougn h•s owr
employees. provided that such ,mprovemenrs ¥e nol intend
ed or o!lered for sale It however ,~e building or improve
o,en1 1s sold w1th1n one year of comple11on 1he owner-bu,lder
will have lhe burden o! proving thal he did not build or 1m
p•ove lor lhe purpose of sale1
I as owner of 1ne properly. am exclusively conlract1ng with licensed contractors 10 conslruct !he pro1ec1 (Sec /044
Business and Professions Code The Contractor's License
law d0€s not apply to an owner o1 property whO builds or ,rn
proves lhereon and who con1racts for each prn1ects with a
contractor[s) license pursuant 10 lhe Contractors License Law)
i As a hOmeowner I am ,mp,ov,ng my home and the lollow
mg cond11LOns e .. st
1 The work 1s being per!ormea pnor to sale 2 I have 1,ved m my Mme !or twelve momhs
proor !O completion ol this work
I have no1 cla,med th,s exemption duronq me
las1 three years
I am e~empl under Sec -----~ B & PC
for lh1s reason-------------
I nereby aflirm thal I ha,e a ce,t,licate of consent to
self-,nsure or a ce,t,hcate of Worke,s Compensat,on In
surance or a cert,lied copy tMreol ,Sec 3800 Labor Code\
POLICY NO
COMPANY
Copy ,s t,1ed w,tn the c11y
_ Cert,f,ed copy ,s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section need not be compleled If the perm,t
,s lor one hundred dollars i$1D0I or less\
_ I cer11ty that ,n the performance of 1ne work to, w~1ch
this perm,11s issued. I shall not employ any person ,n any
manne, so as to become sub1ec11o the Workers Com pen
sat,on Laws 01 Callforn,a
NOTICE TO APPLICANT If after making th,s Cert1ftcate
ol Exemption you shoula become sub1ect 1o the Workers
Compensation prov1s1ons ot the Labor Code you must
for1hw'1h comply w,th such pro.is1ons or th,s perm,1 shall
be deemed revoked
I hereby all.rm that there 1s a construction lending
agency for the perlormance of the work lor wh,ch th,s per
m,1 1s ,ssued 1Sec 3097 Civil Code!
Lenders Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
PERMIT NUMBER
J08 AOQRESS AV.ST.RO. THOMAS 8~ NO. DATE OF APPLICATION BUSINESS LICENSE# VALUATION
. ..
l CENSUS TRACT I PAFlK,NG SPACE
OTY. PLUMBING PERMIT ISSUE
EACH FIXTURE TRAP
EACH 8UILOING SEWER
EACH WATER HEAfER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUT LETS
EACH GAS SYSTEM 5 OR MORE
EACH INST AL ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOf TNER
FACH ROilF l'R~ '1 , ''JSllli,
l[l!Al PllJMRINl. I
QTY. ELECTRICAL PERMIT ISSUE
NEW CONST EA AMP SWT HKR
I PH ; PH
EXISI bllJG EA AMP·SWT RKR
1 PH l PH i ~ -
REMODEL Al Tt:.R PER CIR[l]1"!t'.J -
TEMPPDLE 200AMPS '
OVl:A 2UU AMPS
Tt:.MP OCCUPANCY 13Q DAYSI
I fl l Al El t. (, I RICA l I
.
02.-oz.:-s&
•. ~ON.TA.ACTOR , CONTRACTORS PHONE II
CONTRACTbA"S ADDR.ESS -STAIE LICENSE NO.
DESIGNER
F P FLA ELEV NO
STORIES
OEStGNER"S PHONE
STATE LtCENSE NO. ·
ace GP EDU
ZONE
BUILDING SO. FOOTAGE
. " "" , ... ~_,_:1
RES U"IITS ! GRADING PERMIT ISSUED
I
REOEVELOPMENT
AREA
TYPE
CONST
ace LOAD FIRE SPA
/ 50 QTY
.
.
QTY.
10 --
,/,2
I -
'CJ -...o
MECHANICAL PERMIT -ISSUE
INSTAl l FURN DUCTS ;JP TO 100 000 BTU
OVER 100 000 BTU
BOlLER.:COMPRESSOR UP TO 3 HP
BOILER.:COMPRESSOR 115 HP
METAL F·Rl:PLACE
VENT fAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE,HEATER
DRYER VENT
TOTt.L MECHANICAL
CAR PORT
AWNING
GARAGE
7fij
\,,.
'\',E:'~
'{."?!-
101 Al
/.5 (ft.
Nor Valid Unless MJchine Cerr1f1ed
SUMMARY/ACCOUNT NUMBER
tlUILUIN'J ~'tRr.'111 uu 1 -~ 1 U-uv· UU· OL LV
SIGN PERMIT 001 -810-00-00-8221
PLAN CHECK 001-81 0-00-00-8891
TOTAL PLUMBING 00'. -810-00-00-8222
ELECTRICAL 001-810-00-00-8223 IS -
MECHANICAL 00 1-81 0 · 00 · 00·8224
MOBILEHOME 001-8 '. 0-00-00· 82 25
SOLAR 001-810-00-00-8226
STRONG MOTION 880-519-92-33
FIRE SPRIN~LERS 001-810-0D-00-8227
PUBLIC FACILITlS FEE 320-810-00-00-8740
BRIDGE FEE 360-810-00-00-8740
PARK-IN-LIEU 1.A~..-~ -A. -~r,;:llRL~ ·-=~~------1
TIF ULI "'-V~!!:1!.'~/)2.,·....:...:.... ____ ~
LA COSTA TIF 311-810·09;.QQ...~35
FMF
LICENSE TAX 00.S10 00 ~o . -
01 li-~·:-,Rll,j~ -----~ MFF ,._...,
---· -.. ~·· ·-;. ,h._,. • ..: ... u,u~
CREDIT DEPOSIT
TOTAL FEES PAYABLE I
l HAVE QARE FULL'( EXAMfNEO THE COMPLETED .. APPLICATION AN'[) PERMIT"' AND DO HEREBY Eitpiration Everrper.miti$$1J~byt~BuildmgOtt,cu111:!nderttteprovis1onsoflh1$
-CERTIFY UNDER PENALTY OF PERJURY THAT ALL !NFORMATlON HEREON INCLl,JDING THE Code shall expire by hm1talion and become null and void 11 the buildmg or work
* AM OSHA P£AMtl-1$ AEOUIREO FOR EXCAYATIOMS OYER
5· O"' DEEP ~ OEMOlmoH OR CONSTRUCTK>N OF
STRUCTURES OVER 3 STORtES IN HEIGHT DECLARATIONS ARE TRUc AND CORRECT AND l FURTHER CEfl.TtFY AND AGREE IF A PERMIT lb authorized by such perm1t 1s no! commenced w,thm 180days lrom the date of such " permit, or if the building or work authorized by such pe.rm11 1s suspended or
·ISSUED: 40 COMPLY WITH ALL CITY. COUN-lY ANO STATE LAWS GOVERNING BUILDING GON· L,_,,:::c"°"""':::'::';;a:ICO:n":-vlC,me"':a•:fllCec<!lnCe'--"w>os<k,._,,,sC'OoOmCm""enec,,ee,d!..!!loe,a•c· -~•e•od,s_oet!.-"i,;;;,,._d•·•w'·''----;;:-~~,:::::P.::":I~~-----------~~------""
STRUCTlbN. WHETHER SPECIFIED H.EAEIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY AND APPL~CANT'S SI ATURE Jf. OWNER O CONTRACTOR cj APPP™VE BY ~
KEEP HARMLESS THE cn:v OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO .. 7_Jet=i~r...., O~Ao~E
EXPENSES WHICH'MAV if.I ANY WAlf ACCRUE AGAINST SAID CITY lN CONSEQUENCE OFT~ ,/ r.r BY PHONE (] I _'",?-c-
GRANTING-OF THIS PERMIT V, • I' Q ~
C w w t5
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION I
REINFORCED STEEL '
MASONRY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEIIJ.ING
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING ' '
D SEWER AND BUCO L PL/CO
UNDERGROUND D WASTE O,WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR Wi\TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND o: UFFER -I J -
ROUGH ELECTRIC I L ~~ .\'iO r~I"\..
D ELECTRIC SERVICE D TEMP<i>RARY
tJ BONDING D POOL ' I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I '· . ' CALL FOR FINAL INSPECTWN WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'IE BEEN APPROVED
FINAL .
I
PLUMBING I ~
ELECTRICAL I ''--
MECHANICAL . ... '3'-' I .
GAS I \,.. ~-.
BUILDING I
J C"""-,.. 1.),,.) -
SPECIAL CONDITIONS ' (',,.,_ \ " '\. I . -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPI_IANCE
PRIOR TO
FOUNDATION INSP
· RED IF INSPECTORS
CHECKED APPROVAL
INSPECTOR'S NOTES
DATE
.. ~ ...... -(,' ~ ..
}h.;~;.J -~:, ... 'r---~-~ 1------------+----·---------------i----------=:c..:-...cc..,.....o..1.p,,..;:;:,:.--:c;__ _________ ----,
STRUCTURAL CONCRETE · _. ":I. -.:C_'.;"'i -, ·.,,. ''
0VEF12000PS1 · s ;,,-.· <~; -:~~:fJ-~ .. _;,;-.
PRES TRESSED
CONCRETE
POST TENS10NE:.C
CONCRETE
..,__,:
~ ) / ·, ( ~ t"""· ~ " ' -· • ,,;:,.._ ... ~· '",. r:, ·}' :·,,.; J-:. ;>', ... ,., ·: .,
f----H-IG_rl_S_TR_E_N_G-TH ____ ,__ ____ --+---~·-·-.--------:; ,---: ~ ,; ';. ;...... f-----------------"-'~-"---'-"~c--c< .. ~,..--i------------j
BOL rs . ·-·_ ... -
FIELD WELDING
SPECIAl MASONRY
~---------+-----+-----+---~ ~------------------------------1
f-P-IL-Es_· -CA_I_Ss_o_,_-~--~=-~ ~ -__: -...
1------------+------~------------
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