HomeMy WebLinkAbout2860 NANTUCKET LN; ; 83-135-12; PermitUSE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
0 I hereby affirm that I am licensed under -
o provisions of: Chapter 9 (commencing with I 1" Section .7000) of'Division 3 'of the Business
ci and Professions Code, and my license iSin/
'
[ Class B-1 V
_ •..:-:
'"'--- I. hereby affirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec. 7031.5 I
- Business and Professions Code: Any city or county whifl re' quires a permit to construct, alter, improve,' demolish, or
,l repair any structure, prior toils issuance also requires the ap- I
- plicant for such permit to file a signed statement that he is. .1. licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of I
- Division 30f the Business and Professions Code)or that is en- vmpt therefrom and thn bacic for the allogoo 0050lptien. Any
violation 01 Section 7031.5 by an applicant-for a permit sub- I
ivc'.c lv applicant to a civil pnnalty of not morn than live baa - '1 - - died doSs(5500). - _• . - - -
0 I, as owner of the properly, or my employees with wags .
as their sole cnmpensatien, will do the work, and the struc-lure is not intended or offered for sate (Sec. 7044. Business. 1,
.,and Professions Code: The Contractor's License Law does not apply to an owner 01 property who builds or improves m - thereon and who does such work himself or through his own - employees, provided that cach improvements are not intend I 101 . ...,ed or offered for sale. If, however, the buitdiogor improve' .- Z mont is sold within one year of completion, the owner-builder Will have the burden 01 proving that he did not build or im- I
' prove for the purpose of sale).
- CI I. as owner of the property, am exclusively contracting I with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License
- Law does not apply to an owner of property who builds or im- :.
i.,. proves thereon, and who contracts for each projects with a . 01) - contractor(s) license pursuant to the Contractor's License Z o ,, Law).
-
-. • Li As a homeowner lam improving my home, and the 10110w' I
.iag conditions esist: lx ! 'I The work is being performed prior to sale. - I have lived in.my home for ,twelve mouths prior to completion 01 this work... r' . 'I have not claimed this esemptiondüring the O lost three years.
- 0 larnesempt under Sec: ' .85 P.C. for this reason '.' .. - - tc5l I ...
IL
_o,' - - •' 1'' ," . .• - I
13 t horaby affirm that I have a cartilicata Of cOr.i.anI I to sell-insure. or, a, certificate of Workers' -
-. Compensation tnsurnnco,'o, a ceflified copy thereof - (Sec. 3800, Labor Code). I, •" -. .. •t'2.,, Z NO. KW 265 92: 50
. - ,LJ
- 'COMPANY -Firemen 's Fund"
In - P Copy is filed with the city,L'
Certified copy is hereby furnishedOIL -
k CERTIFICATL OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE 'I
(this Section need not be completed it the permit
LIJ - is for one hundred dollars fglaof or less) -
Ne -I-. ec "0 I Certify lhat in I he performance Of the won, ton
which this permit is issued. I shalt not emplog any - person in any manner so as to become subject to
- the Workers Compensation Laws of Calitorniae —I
NOTICE TO APPLICANT tt,' after making this Cert,
- I iCale of Euemptson, you shOuld become subtect t'a I
, , the Workers Compensation provisions of the Labor Code, you- must forthwith comply- with' such provisions on this permit shalt be deemed revoked I
r ... -'• •.-- - - - l 0 I hereby 'affirm that there is a Construction I I • " ending agency to, the performance 01 me work ton
I which thiS permit 'a issued 15cc 3007. Ci ..l Codcl I
LendesNa;e_Union Bank
25 B 'S T' I -
SDCA''''- •i_
-. •t -- •- CARLSBAD BUILDING DEPARTMENT - i ' . 'APPLICATION &'PERMIT ---•--• - - -- -' 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS ' AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE fit VALUATION PERMIT NUMBER
.2860-Nantucket Lane - 1 -12/16/83 1710 - '32tC7
LOT' BLOCK SUBDIVISION ASSESSORPARCELNO. CONTRACTOR - -
CONTRACTORS PHONE N ZONE
Calavera Hills C1829 Pacific Scene Inc 299-5100 - O I4tR S NAME OWNC fl'S PHONE -
13900
PLAN I.D # BLDG USE CODE - CONTRACTOR'S ADDRESS LICENSE NO.
-T-eetcms Un]Jinited 799-5100 Harney ST/SD, CA 272686
OWNER'S MAIC'tNG ADDRESS --
STANDARD PLAN # BUILDING BUILDING SO. FOOTAGE DESIGNER . LICENSE
CA 92110
RoNOr
lot line
r9-5
/ArOhitect SI2 PHONE
an IA A 9939 Hiber'L SL/SD CA 695-3830
-0---s-q----f-t—l-iv-ing--5-7-.-5-s-torage - F(R ELEV. NO 0CC GP EDU -- 42fJJ$i s STORIES
,' .,• . ._. .. -- -. - - - ./- vO ND
CENSUS TRACT GP LAND USE PARKING,RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT T 0CC LOAD FIRE SPR
I - I JAREA C
YPE
7,,/
- D -
Y N)S" D N)a Not Valid Unless Machine Certified __- -
QTY. PLUMBING PERMIT. ISSUE I OTY. MECHANICAL PERMIT. ISSUE' SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP; , - '7. 'T INSTALL FURN. DUCTS UP TO 100,000 BTU - BUILDING PERMIT . 01-00-00-8220 . 3
- EACH BUILDING SEWER I - - ':Z. ç -- '__-
OVER 100,000 BTU - - — SIGN PERMIT - . -. . 01-00'00'8221- . • .
EACH WATER HEATER AND/OR VENT - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4'0UTLETS
-
,..5 BOILER/COMPRESSOR 3-15 HP ' ' - , TOTAL PLUMBING - 01-00-00-8222 L 4
-
EACH GAS SYSTEM S OR MORE' -.
.•.'$•' - METAL FIREPLACE - , - ., . ELECTRICAL . • 01-00-00-8223 --
- EACH INSTAL.. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT ' -- - It - MECHANICAL 01-00-00-8224 - —
- EACH VACUUM BREAKER - MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-60-00-8225'
- WATER SOFTNER .. - - RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -•
EACH ROOF DRAIN (INSIDE)
' ' ....J. . - 01-QO-00'8226. ... .
.........' -' ' TOTAL MECHANICAL ' -STRONG MOTION 80-92-33-0519
.TOTAL PiUMBINGvt: FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32 00008933 OTY ELECTRICAL PERMIT ISSUE - — QTY.SOLAR ISSUE BRIDGE FEE - - - - • - ' • " - . -
MEW CONST EA AMP/SWT!BKR - JO 0 - I COLLECTORS i . • SCHOOL FEE "DISTRICT
- IPH, - ,. 3 PH ' • . STORAGE TANKS l Carlsbad • 80-92-21-0519 -.
-
EkIST BLOG'EA AMPJSWT/BKR - .• -- - • - '" ROCK STORAGE' ' - - - - ' ' - - Encinitas - • ' - - - - 80-92'22'0519 - -' -
1'PH t'7' 3 PH - - PUMP SanDiegui(o 80-92'23-0519
REMOOEL'ALTER'PER CIRCUIT 1 PLAN CHECK FEE ,"" - S" - -- San Marcos . -- 80-92'24'0519 . - -- -
___ / eQ-t-.,l.L ' /'• 1 ____ _____ - OVER 200 AMPS -I- ' - '--, ' "• ' - ,
. ( s"- j — ' . LICENSE TAX 01-00-00-8162
-
TEMP OCCUPANCY (30DAYS) -- . ', : .-, '
- ,-. '' -- .'• --' , - - - .- • ---- -- - ---. - —
- . - -•. - __-"' ,• . CREDIT DEPOSIT - --6 3-5r - -
TOTAL ELECTRICAL
—
TOTAL SOLAR TOTAL FEES PAYABLE J /
—
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO 'i1.REB'/' Expiratidn1Every permit issued by the Building Official under Ihe'provisionoffhis * AN OS PS T IS REQUIRED FOR EXCAVATIONS OVER Code Shall expire by limitation and become null and void. If the building or work CEFITIFY UNDEn PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by Such permit is not commenced within 180 days from the date of such 5* 0" DEEP D DEMOLITION OR CONSTRUCTION OF
DECLAI1ATIONC AOL TnUE AND COflOECT AND I FUflTfIEl1 CCOTIIYAND ACflCE'tFA PERMIT IS Itetlhlt,-ol tr'rne building or wOrk authorized by such permit is suspeiidedôr STRUC S OVER 3 STORiES IN HEIGHT
TO COMPLY WITH ALL CITY. COUNt V AND STATE LAWS GOVERNING BUILDING CON- abandoned at an imo after the wo commenced for a period STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'SIONATURE 0
01180 days.______________
F CONTRACTOR 0 APPROVED Y.- KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER
CONSEQUENCE-OF THE -- - ',/" "'09 EXPENSES WHICH-MAY-IN ANY WAY ACCRUE AGAINST SAID CITY IN
-.
- — . - I7U / BY PHONED GRANTING OF THIS PERMIT, .. ... ., - - j'.:444
.
. I - /c
PFA
- .
*
-I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ. IF INSPECTOR'S DATE INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTHr -
BOLTS
SPECIAL MASONRY -• -
PILES CAISSONS
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING n ROOF 0 SHAR
FRAME
EXTERIOR LATH 4
INSULATION
INTERIOR LATH & DRYWALL 4 'i4
-
cii-
"4
PLUMBING
SEWERANDBUCO DjL!CO
UNDERGROUND LDEASTE 0 IVATER
TOP OUT 0 WASTE 0 WATER q.04
TUB AND SHOWER PAN wl
GAS TEST
O WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND DIUFFER
ROUGH ELECTRIC qi, 84
ELECTRIC SERVICE 0 TEMPORARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING 344
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION
ITEMS ABOVE HA WE
WHEN ALL APPROPRIATE
BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL I
GAS
BUILDING
SPECIAL CONDITIONS