HomeMy WebLinkAbout2020 PLAYA RD; ; 86-1148; Permit.., z 0 ~ a:
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L affirm that I am licensed under
pro,,talona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license Is In
full force and effect.
I MIiby .u,m !NI I ,m txempl lrom Ille Conlrac-
lOf"s L,cense Law tor Ille tallowing ruson (Sec 7031 5 Business and Protess,ons Code Any c,ty OJ county whicr. re-
quires a permit 10 construtt, alter improve. demolish. or repair any structure. or.or 1011s issuance atso reqUtres :hre ap
pl,c.anl lot such l)Ol'fflll 10 hie a s,gned Slalffllenl INI lie rs hcensed pursuant to the prCMSIOf'IS ot the eonrracuw s
LICense Law (Chaple, 9 commeru:mg w,lh Seel.on 7000 cl Drv,sion 3 ot the Business and Professions Code~ Of lhal 1s ex· empl therefrom and the blsis tor lhe altegea exempllon Any vi01ohon 01 Sechon 7031 5 by ,n •pplanl tor • permd suO·
JeCIS the apphcant to I CIVIi penalty of not fflO(! lhin five hun· dred dOl~rs ($500)
r I I. as owner ol the prGperty, or my employees 1w1111 wages as uum so,e compensahon. w,11 do lhe work. an<' lhe strut·
lure ,s not intended or offered lor sate (Sec. ™•. Business
and Proless,ons Code The Con1rx1or·s Locense Law does not apply to an owner ot properly who tx111ds or rmproves
thereon and who does such work himself or through his own
employees, provided that such imp1ovemen1s are not intend·
ed or offered 101 sale II howeve<. lhe 1>u,1c1,ng °' ,mptove· ment 1s sok.1 w1th1n one year or compfet10n. the owner•bu,ldef
will have Ille Ourden cl prov,ng lhal lie did nOI l>uI1d o, ,m-
prove IOI' the purpose of sale>
n I, as owner of the property. im exclusivety contrachng
wilh licensed IXlfll!XlorS lo CO<ISIIUCI Ille P,o,ed (Sec 7044
Business and Professions Code The Contractor's liceose Law does not apply 10 an owner ot property who bu1kls or 1m•
peeves !hereon, ano who conlracts tor each proteels with a conlr.ic:lor(s) license pu1suan1 to lhe ContraclOJ's license Law)
0 As • nomeowner I •m ,mprov,ng my home •net Ille follow· 1ng conditions exist
1 The work Is bemg performed prior to sale 2 I havt hved m my home lor twetve mon1hs proor 10 tomplelron cl 1111s work
t n.ave no1 ctalJ'lV!d this exemption dunno lhe last three years
□ I am exempl under Set ______ , B & P C
tOf' this reason
0 I hereby affum that I have a cerhhcate of consent 10
sell-ensure. or a certificate of Workers· Compensation In-
surance. or a eert,fled copy thereof (Sec. 3800. LabOf COde)
POLICY NO.
COMPANY
=i Copy IS filed .. ,1h the city
0 Cefllhed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit
1s for one hundred dollars (SH)0) o, less}
D I cen,ty that in UM performance of the work 104' which
t1·11s permit 1s issued, I sl'\a.ll not employ any person in any
manner so as to become sub1ect to the Workers Compen-
sation Laws ot CaUtomia.
NOTICE TO APPLICANT; If. alte, making 1h11 Certificate
of Exemphon. you should become subject to the Workers
Compensation provisions of the Labor Code. you must
rorthwith comply with such provisions or this permit shall
be deemed revoked
0 I hereby affirm that there is a construchon tending
agency for the performance of the work fOf which this per
m1t is issued (Sec. 3097, Civil Code)
Lenders Name ____________ _
Lende, s Address ___________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
J;~o;:~ ?lc,vc. ~ \'\ Av sT.Ro N;:;:;~: • ~L M~.-loA;~:;;~;T~N, Bus1Ness LICENSE• VALUATION ~~ :ERM~1T NutMBER
LOT BLOCK I sueolv,s,oN I ASSESSOR PARCEL NO -"' CONTRACTOR CONTRACTORS PHONE• ZONE / / /(}I Lq,(11:.h..-.l"'-\t"-1 .:l.\.<;"°•l~O -<....'\O'v / > . _
o wNER·s NAM£ , ,-.. •. • I owNER's PHoNe .... ~~ ,c.,~L u. I Ye...';) t:>~ _...,,,. ~o<j, · 2."i. c..-5 I oc ,..._J L..,.. . • --i _ I LJ CONTRACTOR'S ADDRESS ',-1<.~"-0 STATE LICENSE NO BUILDING SO FOOTAGE
U'f-.• /"-~'("O"'f • ~C.<Sc....t.. , .3~-a l 8 I . r
owNE Ri;_(s ~1u AooR. Ess. ....,_/...,;b=:.....;./_7..:,._.:.::t:::..,:,.,_S.=..,c..o:::::;::½J''-'""'c.-=,..__ 'w_.::;;'_"'-.:;;.•"f-:s.:,;;,_;;t;tc:..:.r...:.!~Ol'+--,,------..,......,..--,----11----------L---------1
2 ?\ ';") 1'-.. OESrGNER ..., ' OESIGNE R•S PHONE . c'-v<:..... "-u . -::, ,:, _,
OESCR/PTrr Of WOR K " t e. I (>e._ r . vJ\::...l~ ; s ............ "t !> ~ '\. t-,h ~
f / • , DESIGNER'S ADDRESS . f. $TATE LICENSE NO. ---+-r----------------11------:=----------11 . "" > I . • . t' • .. .. .. • .. .. • • .. ·--·-• --• ·---1/ l.l). . . /J-~ . /4'btl .~ c c,. ,.,_. Jc-I '· . uuu.1 uu.1 .1u1.c11i:,t>r-t<n1 ~;:>. C .ll ~..----? /"}If) i? • I ... . •.a,~ • V\, t........, v..; .... ' • ,. •·
-·· ,-r-l~ -V \I. ,,,:;_.i,JC-f!ff:-FP FLRELEV. NO OCCGP EDU .. ~ -
I I STORIES I. ,
vO NO --' , , •
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR ..... AREA CONST
y O N □ v □ ND v □ N □ Nor Val,( Un Ins Machine Ctrtifitd
QTY. PLUMBING PERMIT -ISSUE 7 ~ QTY. MECHANICAL PERMIT· ISSUE 3 ~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FU RN DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810·00·00·8220
EACH BUILDING SEWER , (; OVER 100.000 BTU SIGN PERMIT 001-810-00·00·8221
EACH WATER HEATER ANO o·R vHq ..._.;_'.'..,. ~. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8821
EACH GAS SYSTEM l TO 4 OUTLE'TS~ _ I . IY~ -BOILER/COMPRESSOR 3 l5 HP TOTAL PLUMBING 001-810-00·00~,...
EACH GAS SYSTEM~ OR MORE "-' • METAL FIREPLACE ELECTRICAL 001 ·810-00·00·8223 -i,._r---
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810-00-00·8224 -=--------ll----+-------------------+-------11---------------------------;
EACH VACUUM BREAKER "\ MECH EXHAUSl HOOD DUCTS MOBILEHOME 001-810-00·00·8225
WATER SOFTNER ,,, RE LOCATION OF EA FURNACEtft\TER f;;: SOLAR 001·810-00-00·8226
EACH ROOF DRAIN (INSIDE! DRYER VENT r-~ ~ it; STRONG MOTION 880-_5_19_·9_2_·3_3--t----------t
TOT/;L MECHANICAL ........, .SQ td c.::,· FIRE SPRINKLERS ~-810-00-00·8227
TO r AL PLUMBING I CJ:: ~I fl) -~ PUBLIC FACILITIES FEE 320-810-00-00-8740
~1 ~ -~ ~ BRIDGE FEE 360·810-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE J o_::::--QTY. MOBILE HO~~ETU~ ~ ~ PARK-IN-LIEU (AREA l
NEW CONST EA AMP'SWl HKR CAR PORT °7! _::::.. -c • TIF 134·810·00·00-8835
1 PH J PH AWNING ~ ~ a ~ LA COSTA TIF 133-810·00·00·8835
EXIST BLOG EA AMPISWT BKR GARAGE \,,.J -~ ;;;/ FMF
1 PH 3 PH :-l4: llCENSE TAX 001·810-00-00·8162
REMODEL AL Tt R PER CIRCUIT ._ p;:; MFF 880-519-92·57
TEMPPOLE 200 AMPS ~ _________ ..... .,_-+-----➔----------------+-----------I
OVE R 200 AMPS
TEMP OCCUPANCY 130 DAYS!
CREDIT DEPOSIT
TOTAL ELELTRICAL I TOTAl TOTAL FEES PAYABLE ~ ~ --
1 HAVE CAREFULLY EXAMINED THE COMPLETED ·APPL!CA TION AND Pf RM IT" AND 00 HEREBY Exp,ratoon E•ery perm,! issued by Ille Bu,lding Olf,c,al under lhe prov,s,ons of lh,s * AN os..f PERMIT -~~ "-.:0 F0A EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PE:RJURY THAT ALL NFORMA TION HEREON INCLUDING THE Code Shall ••pore by llm,tahon and become nun 8nd vo,o 11 th• bu•ld,ng 0•. "'0'' S 0 .. DEEl'JIHO~-.ITIOH OA CONSTRUCTION o•
P I authorized by such perm,1 1s not commenced w1th1n 180 days from tt\e date of sucfl DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHE? CERTIFY ANO AGREE !FA ERMIT ~ perm,!, or ,f lht bu•ldmg QL, work ■ulho,.zed by such perm,l ,s suspended or STAUCT\JAES ER 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING COr, abandoned al any 11,../aft .. t,he work ,s commenced !,,r a oenod ol 180 davs ✓
SrRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO yl,R~ / k □ [j APPAOVEO BY >>tit~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS. COSTS AND APPLld<!CAN. SIG/A U E,l,• WNER CONTRACTOR ~ 0/ q ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T~ · \ \" \. /( BY p O E [J ~ -t'f ~ /
GRANTING OF THIS PERMIT / -\ _
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TYPE ' DATE INSPECTOR -,-------------------------------------------~------------------,
BUILDING I
FOUNDATION )
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF D Slr!EAR
FRAME I
EXTERIOR LATH
INSULATION
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF I INSPECTOR s DATE
CHECKED! APPROVAL
;=-=====-=· ===ct=··-=c··-·=·=··---'--4=====l I ! PHIi.JR TO
! I ~
...... ! -ST_R_U_CT--1_f<-A_L-CON-C-fH'IEc----~---.. ---1---~~
I OVER 2GOC P'~' ! r',
l---f-'Cl_t_S-TH_c_S:-,-: E'-D----+-----+1--------~;:-,1-----
rC_,-uN[)ATli.,~J INSP
INSPECTOR S NOTES
INTERIOR LATH & DRYWALL
CC,',JCC1ETE .•= I '">. <. h-'-----------------------------
PLUMBING
C SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ i/JATER
TUB AND SHOWER PAN 1
,.___ .:) , 1,1, , ~ L.,
ccr~cRc-:-E ·~ ~·-,,..-Pr·1rT lf'·,•(·1N"" -+-
r----------------I---•------~+---~---, ~ ~ ~ ..
Flc .. DV\·E'~Ol,,G i ·------· _wL __ ~ ---_-_.-_, "7",--'-<"'--..c,___, _______________________ _ ~-s-1c ___ -1 E-~J-Cl-!~-, --( · ------1 ~,-~ ~ rr-;_
BOL TS ! ....,~ ~-~-\ ':°'~~
t--------------------
~-A-:~;_~E_s;_H_E_:_TL_EE_RC_T_:_
1
_:-:-~_A_R_~--'-; A_T_E_R_---+----+-----..1'\---i•,'~''-~~~~-~~ r--t :=~ 1--I __ ~ ... -------------------------1
□_E_L_E_CT_R_I_C_U_N_D_E_R_G_R_O_U_N_D_Q-'--1 _U_F_FE_R--+----+-----(',_,,.~----------t ~ Os. ;_,,;v ~ c,v ---1-----------C-
ROUGH ELECTRIC J -., :~\ ,,,.~ ~ ----~--~ i-----------------------------1 -□-E_L_E_C_T_R-IC_S_E_R_V_IC-E--□-T_E_M_P-+0-R_A_R_Y_-t--------1t-----~,r • Ci ,.o<.~
L•~:(,~ r D BONDING D POOL '
~----------1------------->---------
---------------, '"" C)"<'---------------------+----+-----_--~ ..... ;). ____ _ MECHANICAL ! n'-'" ----------~
D DUCT & PLEM., □ REF. Pl~ING 1------------t·-----J.__ __ -•------+----
HEAT -AIR COND. SYSTEMS !
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA!VE BEEN APPROVED.
FINAL I
PLUMBING h
ELECTRICAL ' W-r-t.Sl, /~
MECHANICAL I
GAS I
BUILDING I
SPECIAL CONDITIONS '
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