HomeMy WebLinkAbout2894 FOREST VIEW WAY; ; 85-288; Permitg
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n I htreby affirm that I am llconaed under
provlalona'of Chapter 9 (cc>mmer)olr>g with
Section 7000) of CHvlalon 3 of the Bu8Jr>eas
ertd Profaaalona Code, and my llcenae la In
full force and effect.
Lc Class
I bertby affirm thai I am exempt fnm the Contrac-
lor's Lxsnte Law for the tolowmg reason (Sec. 7031 5
Business and Proteseuns Code Any aty or county wttch re
quires a permt to construct, atter. mprove, demoksh, orrepair any structure, prior to its tssuince also requires the ap-
pibant for such p«^ to trie a signed statement that he is
licaitwd pursuant to the proyieons of the contractor's
Licsnu Law (Chapter 9 commencing with Section 7000 ofDrvisMXi 3 of the Business and Professmu (^o^j or that is exempt therefrom and the basis for the ahe^ exempfion Any
vionhon of Section 7031.5 by an applicant lor a permit sub-
lects the apptont to a era] ptnafty of not more than five hun
dred dollars (WOO). " . .
□ 1. as cnvner of the property, or my employees with wagesas ther sole compensation, will do the work, and the structure Is not Inlanded or offered for sals (Sec 7044, Businessand Professions Code* The Contractor's Lcarrea Law doesnot apply to an owner of property who'buitds or iinpnMstljereon and vrho does such work htmsaff or through his own■employees, prwided that such Improwmants are oof ortend-ed QT'Offered lor sale. If. however, the bulduig or nprm-ment a sold within one year of completion, the owner-buiklerwiO have the burden of proving that ha M not buU or improve for the ptjpose of sals).
□ I. as owner of the property, am exdusMy contractingwith licensed corknctors to cortstruct the project (Sec. 7044,Buslness'and Professixts Code Ttts Contractor'e UcenseLaw does not apply to an owner of property who burids or vo-prwss thereon, and who contracts tor each propcts with acontractorts) Ucense purmaul to the Confractor's UcenseLaw).
□ Asahomeownar lamimprovingmyhome, andlhefolfow-vig contitons exst-1. The work b bang performed pnor to sate2. I have kved in ny home ror twelvt monthspnor to completwn a ttia work.3. I hwe not daenad this exemptkw durmg thelast thrse years
84 P.O.□ lamocemptundarSec..
c
for tba reason
n I hereby affirm thai I have a certificate of corrMnt
to self-rnsure. or a cenificale' of Workers'•CompensatKXi Insurance, or a ceriified copy thereof(Sec 3000. Labor Code)
POUCYhIO
• COMPANY '
n Copy t% filed with the city
Q Ceriified copy re hereby furnished
CERTlFICATt OF EXEMPTTON FROMWORKERS' COMPENSATION INSURANCE(This eeclion need r>ot be compieled if the permiiIS lor or>e hundred dolLars (SIOO) or less)
Q I certify ttiat in the performance of the work foxwhich this permit is issued, 1 shall r>ol employ any
person m any manner so as to tMCome subfect tothe Workers' Compensation Laws of California
NOTICE TO APPLICANT,If. after making this Ceriificote of Exemption, you should become sutitecl tothe Workers' CompensafKXi provisions of the LaborCode, you must forthwrth comply with suchprovieions or this permrt shall be deemed revoked
O I heretjy affirm that there is a constructionlendirig agency for the performance of the work for
which this permit is issued (Sec 3097. Civil Codei
LefKler's Name ; '
Lender's Address .
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT1200 Bm, Carlsbad, CalUofnia 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDREgS^AV. ST.HD. NEAREST CROSS ST.
L'tfr ^ASSESSOR PARCEL NO
0WNER3^ME y " r ' OWNER'S PHONE
rMAilkic D'C kJAi i lAi/-! ArM-iaec?c?OWNER'S MAILING ADORES
■1-
CENSUS TRACT
QTY.
GP LAND USE PARKING SPACE
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM -1 TO 4-OUTLETS
EACH GAS SYSTEM.b OR MORE .
EACH INSTAL , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
RES UNITS
DATE OF APPLICATION BUSINESS UFCf^-3 61L
CONTRACTOR
n-i xyy\
CONTRACTOR'S AODR
DESIGNeR'S ADDRESS
F/P - FLR ELEV.
yD nD
GRADING PERUrr ISSUED
TD N □
TOTAL PLbMBING
QTY.ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT.'BKR
1 PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH 3 PH
REMGDEL.'ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYSI
TOTAL ELECTRICAL
QTY.
REDEVELOPMENT
AREA
yD nD
MECHANICAL PERMIT - ISSUE
INSTALL TURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-1B HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
HECH EXHAUST - HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
STORIES
TYPE
CONST
QTY.SOLAR - ISSUE ,
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
CONTRACTORS PHONE »
UCENSE NO.
DESIGNER'S PHONE
OCC LOAD
EDU
FIRE SPR
yD nO
VALUATION
ZONE
PLAN I.D. #
STANDARD PLAN #
PERMIT NUMBER
BLOG USE CODE ■
BUILMNG SO FOOTAGE
Not ViSd Unkss Utchint CtrVhtd
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK Uuucrj I I?■ 01-00-00-8B06
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
WIAR 01-00-00-8226
STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
EiKlnltas 80-92-22-0519
San OteBvllo 80-92-23-0519
San Marcos 80-92-24-0519
UCENSE TAX 01-004)0-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE
"3cn in
I HAVE CAREFULLY EXAMINED THE COMPLETED •■APRLfcATION AND PERMITT^ AND DO,HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL'INFORMATION-HEREON INCLUDING"JHE*DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER,CERTIFY AND AGREE IF a'PERMIT ISISSUED" TO COMPLY WITH ALL CITY. COUNIY AND STATE LAWS GOVERNING BUILDJNG CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. iALSO AGREE TO SAVE INDEMlflFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST-ALLUABILrriES.'JUDGt^ENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN.CONSEQUENCE..QE-THE
■ --..L ;r. ■'• --'L-Tigv"-'.GRANTING OF THIS PERMIT
Expiration.Every permit issued by the Building Otfictal under the provinona of thisCode.shafUexplre.by Hmitatton and become null and void If the buikJmg or workatrihorfzed ^ auch permit ra not commenced within IftO daya from the date of suchpermit, or if ,the bulldina or work authorized by auch permit is suspended orabandoned at any time after tt>e work la commenced for s penpd of 180 davs
AN 06HA PERMIT IS REQUIRS) FOR EXCAVATIONS OVER
5' 0" DEEP AND DEMOUTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORtES IN HEIGHT
APPROVEAPPLICANT'S SIGNATURE OWNER □ CONTRACTOR
BY PHORE
TYPE I DATE INSPECTOR
BUILDING :
FOUNDATION ]
REINFORCED STEEL i
MASONRY i
QUNITE OR GROUT [
FLOOR & CEILING SUB FRAME i
SHEATHING □ ROOF □ SHEJaRFRAME j
EXTERIOR LATH i
INSULATION ;
INTERIOR LATH & DRYWALL !
PLUMBING
SEWER AND BL/GO DlPUCO i
UNDERGROUND □ WASTE □ V^ATER
TOP OUT □ WASTE □ W^TER
TUB AND SHOWER PAN '-
GAS TEST .
□ WATER HEATER □ SOLAR WA^ER
1 ■
ELECTRICAL i
□ ELECTRIC UNDERGROUND □ ijlFFER
ROUGH ELECTRIC »
□ ELECTRIC SERVICE □ TEMPOlJlARY
□ BONDING □ POOL I
I
MECHANICAL i□ DUCT & PLEM., □ REF. PIPIN(G
heat — AIR COND. SYSTEMS i
VENTILATING SYSTEMS I V
1
1 .<
f
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.-
FINAL ;
PLUMBING 1 A 1ELECTRICAL i i\iiJ
MECHANICAL 1 V.
GAS '■ / A 1 mv
BUILDING 1 0 \ V
SPECIAL CONDITIONS !J I
1
- -—
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTHESSED
CONCRETE
c.
POST TENSIONED
CONCRETE ■
FIELD WELDING '
, HIGH strength .
BOLTS
SPECIAL MASONRY
■
PILES CAISSONS
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