HomeMy WebLinkAbout2257 PLAZUELA ST; ; CB880526; Permit.. z o• ;:• .. .. .. ~ " '" 0
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I hereby affirm that I am licensed under
pro,ialona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license 1s 1n
lull force and effect
I hereby at1,rrn lhal · am e~empl !rom the Con1rac.
!Ors License Law lor lhe tollowong reason ISec 7031 J
Bus,ness and Proless,ons Code Any c,ry or counly wn,u, re qu,res a perm,1 to construcl a11er. ,mprove demoi,sn or
repair any structure prior to ,rs issuance also requires 'heap
01,cant lor such perm,t to 1,le a s,qned stalemenl lhal he ,s
1,censeo pursuanl 10 the provrs,ons 01 the (.,onrractor s
License Law IChapter 9 commencmg w,tn Seu,on 7000 of D11•,s1on 3 of the Business and Professions CMe: or :nat ,s e,
ernpT lherefrom and the bas,s lor the allegea e,empt,on Any
v,olalion ol Section 7031 S by an applicant lor a perm,1 sub
1ects !he aop1,can110 a c,,,, penally ol not more than 1,ve hun
d•ed dollars {$5001
I as owner ot the property or my employees w11h wages
as the1r sole compensa1,on w,11 do lhe work and the struc lure 1s nol mrended or o•tered lor sale (Sec 7044 Business
and Proless,on; Code The Contractors L,cense law does
not apply lo an owner ot property who builds or improves
thereon and who does such work h,rr,sel1 or lhrough h,s own
employees. prov,ded that sucn improvements are no1 mlend-ed or o11ered for sale If, however tne building or ,mprove-
ment ,s sold wrthm one year o1 complellon the owner-builder
will have lhe burden 01 prov,ng that he did nol build o, ,m
prove lor the purpose of sale1
I as owner of lhe property am exclusively contract,ng
with licensed contractors to construct the pro1ect (Sec 7044
Business and Professions Code The Contractor's Locense
law does not apply to an owner ot properly who builds or ,m
proves lhereon. and who contracts for each pro1ects w1lh a
contractor{s) license pursuant to lhe Contractor's License Law)
As a homeowner I am ,mproving my home. and the follow ,ng cond1t,ons exist
1 The work 1s being performed prior to sa1e
2 I have lrved ,n my home tor twelve monlhs
prior lo complehon o! this work
I have no1 cla,med th,s e~empt,on during lhe lasl three years
J I am exemp1 under Sec ______ , B & P C
lor this reason
-.xi hereby affnm that I na,e a cert,!,cate ol consent to
self rnsure. o, a cert'11cate of Workers· Compensat,on In
surance. o, a ce,t,hed copy thereof tSec 3800 Labor Code)
POLICY NO
COM"" 1013568-87
_ Cop; ,5 f,1gt~f'ecitFund
-teri,f,ed copy ,s he<eby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th,s section need not be completed ii the permit
,s for one hundred dollars 1$100) or l<"ssl = I cert,ty I hat ,n the perlormance of the work 'or which
th,s permit ,s ,ssued. I shall not employ any person ,n any
manner so as to become sub1ect to the Workers Compen
sanon Laws of Calr1orn,a
NOTICE TD APPLICANT If after makmg lh•S Certil,cate
of Exemp1,on you should become sut>1ect to the Workers
Compensation pro,is,ons of the Labor Code. you must
lorthwi1h comply with such prov,s1ons or th15 pe,m;t shall
be deemed ,e,oked
7 I heret,y affirm that there ,s a const,uc!,on 1end1ng
agency tor the performance o! the work for which t~,s per
m,t 1s issued (Sec 3097 C1v1I Code!
Lenders Nar,ie
Lender s Address
Nene
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Car.lsbad. CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
J08 ADDRESS AV. ST.RO. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE # VALUATION
2257 plazuela St. Palenque St. 3/15/88 19451
COT BLOCK l SUBDIVISION 7 ASSESSOR PARCEL NO
OWNER'S.NAME
Kim Qr Mary Webster I OWN£ R'S PHONE
942-9286
QWNE R"Sc MAl LI NG ADDRESS
CONTRACTOR
Arlen Foster Plumbinq
CONTRACTORS PHONE fl
697-4151
ZONE
CONTRACTOR'S ADO RESS
2819 central Ave.
STATE LICENSE NO.
443348
DESIGNER DE SIGNE R'S PHONE
PERMIT NUM8ER
CP ~05 ;;_<.o
BUILDING SQ FOOTAGE
1-· 22.fi7':J)1A'71tol=i c:+--
pOESCFl,IPTfON OF WOR)C
STATE LICENSE NO,
I
QTY
,
QTY.
• y .
. , -::.i;;
I CENSUS TRACT I 'ARK ,NG seAn RCS UN'TS l
PLUMBING PERMIT· ISSUE ;if.Kr,
EACH FIXTURE TRAP
EACH BUILDING SEWE:.R
EACH WATER HEATER ANO UR VENT <-"''1 c:n
EACH GAS SYSTEM I TO 4 OUTLETS T
EACH GAS SYSTEM 5 OR MORE
EACH INST AL. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
tACH ROOf IJRAIIJ I l'JS,Jt:
TUI Al PllJMHINL l c:::1 n rir.
ELECTRICAL PERMIT -ISSUE
~ ..f:; .!2-!2
NEW CONST EA AMP SW! tlKR
I PH \PH ,/
OES1GNER'$ ADDRESS
' ' F LR ELEV
,o ~[J
GRADING PERMIT ISSUED l REDEVELOPMENT
ARE A
10 ~ D ... :J ,□
QTY MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100 000 BTU
OVER 100 000 BTU
BOILER,CUMPRESSOR UP TO 3 HP
80ILER,COMPRESSOR 3 15 HP ../
METAL FIREPtAU ./
VENT FAN SINGLE OUC-V
MECH EXHAUST .,Jrooo DUCTS
RELOCATIO~F EA FURNACE.HEATER
DRYER~T
tbT~L MECHANICAL
QTY. MOBILE HOME SETUP
./
CAR PORT _.,,. .., ,
NO
STORIES
TYPE
CONST
15-dJ..
../
, .
ace GP EDU
ace LOAD FIRESPR
vO "O Not Valid Unlns M~chine Certd1ed
SUMMARY/ACCOUNT NUMBER
BUILDING PERMI~ 001-8 • 0-DD-00-8220
SIGN PERM!T 001-810-00-00-8221
PLAN CHECK 001-81 0-00·00-8891
TOTAL PLUMBING 00'. -810-00-00-8222 ~1fl nn ..
ELECTRICAL 001-810-00,00-8223
MECHANICAL 001-810-00-00·8224
MOBILEHOME 001 -810·00-00-8225
SOLAR 001-81 0-00-00-8226
STRONG MOliON 880·519-92·33
FIRE SPRl~J-<LERS 001-810-00-00-8227
PUBLIC FACILITIES FEE 320-8 1 0-00-00-87--10
BRIDGE FEE 360-8 10-00-00·87 40
PARK-IN-LIEU !f\REA
312-810-00-00-8835
AWNING / I ~ LA COSTA TIF 311·810-00-00-8835
EXISIS!OG[AAMPSWTRKV° I II !GARAGE / I II FMF I 11 PH / 1 PH I II I / I I LICENSE TAX 001-S'CJ-CIJ-O·J-3162
REMOOFL Al Tt0'rn CIRCUIT _/ MFF 880-5'9-92-57
TEMP POI E~lO A',,,iPS ./ •·J/
[JVE:.R lJX]"AMPS ./ (1\..!2'~-~.:----·.
TE~OCCUPANCY '30 UAYSI
CREDIT DEPOSIT
lil!Ai tllUHILA\ I TOT Al TOTAL FEES PAYABLE I
r. I HAVE .CAREFULLY EXAMINED THf COMPLETED '"APPLICATION AND PERMIT .. AND DO HEREBY £,i:pinition £yery per_mrt 1ssuedbythe8udding Offic1alundertheprov1s1onsoflh1s
CERTJFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,i:pire by /Imitation '.Ind Mcome null and void-fl the buoldmg or work
DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CER'.TTFY ANO AGREE IF A PERMIT l~ aulhonzed by such permit is not commenced w1thm 180 days from the dateol such
,..,, n nn
* AN OSHA PERMIT IS REQUIR£D FOR EXCAVATIONS OYER
5· O'" OEEP ANO OEMOUTION OR CONSTRUCTION OF
STFIUCT\IRES OVER 3 STORIES IN HEIGHT ISSUED· TO COMPLY WtTH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· permit, Of •f Iha building or work aulhonzed by such permit is suspended or smucT10N. WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY ANO '--:'c"c""c':'""=-7:'=""""':"':-"''mec:::,-e:,'--'lhe::,:.W:,:eOcri<,._,, .. c,e0emsm,,.oneoe•odcf,oe•a•'-"'~'•'0•'c0e1w,l80""d"'W'--::::--~'!'!~~~.,,.--------------------"!
KEfP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUTIES. JUDGMENTS. COSTS AND ~f!Pl~ICANT'~ SIGNAT~~ .b!.r..n UATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJO CITY IN CONSEQUENCE OF THE l,!..,t"\1 ~~
GRANTING OF iHIS PERMIT. ()n_f\ 1.~ r ~bt ~
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TYPE ' DATE INSPECTOR
BUILDING '
FOUNDATION '
REINFORCED STEEL '
' MASONRY '
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEll;.ING
SHEATHING □ ROOF □ Sf-JEAR
FRAME I
EXTERIOR LATH ' I
INSULATION I
' INTERIOR LATH & DRYWALL I
'
I
PLUMBING '
□ SEWER AND BUCO [J PI.-ICO
UNDERGROUND □ WASTE □:WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN .
I
GAS TEST I
I
□ WATER HEATER □ SOLAR Wi6.TER
'
ELECTRICAL I
' □ ELECTRIC UNDERGROUND □' UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMP◊RARY
D BONDING □ POOL I
I
MECHANICAL ' ' D DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS .
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECiJON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I , /) .
PLUMBING {,v,/4 / f!')/)rC,f_,, I 6//r/:A 1-
ELECTRICAL ' ' ' ' MECHANICAL I
GAS
' BUILDING ' ' SPECIAL CONDITIONS I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
-·
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRE"T E
FIELD WELDING
--HIGH STRENGTH
BOL Ts
SPECIAL MASON.RY
-
PILES CAISSON':::
_.,
-·-
~
-
DATE
i, ~ c,·"' . "~ '•";_( • · 1.,,0 o l · .) ,, ....
INSPECTOR'S NOTES
.· ----