HomeMy WebLinkAbout251 REDWOOD AVE; ; CB890921; PermitCl) z 0 ~ C a:: C .J u ... ,o
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O I llereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfH■lona Code, and my license Is In
lull force and effect.
I hereby affirm that I am e11empt trOl'n the Contrac~ lOf'S License Law tor the followtng reason (Sec 7031 5
Business and Pf0tesst0ns Code Any city or counly wh1cr. re~ quires a permit to construct, alter. improve, demohsh, or repair any structure, pnor 10 ,ts issuance also requires the ap-
phcanl tor such permII 10 hie a 5'9ned sta1emenI lhat he IS
hcensed pursuant 10 lhe QfOY1SIOl'IS ol 1ne C.:onrractors lttense Law (Chapter 9 commencing with Se<:110n 7000 of 0tv,s1on 3 of Ille Business and Proless,ons Code) or that 1s ex· empt therefrom and the basts tor lhe atlegea exemphon Any
v1olalt0n of Sectton 7031.5 by an applicant tor a permit sub---
Iects ltie applicant 10 a cIvII penalty of not more than five hun·
dred dollars ($500)
I I, as owner of the property. or my employees with wages
as Ihe1r ~ compensaIIon, wltt do !he wDfk. and the slruc·
ture ,s no1 iruended or offered !or sate ( Sec 7044 Business and Pro1ess10n~ Code Ttte Con1rac1or·s license Law does
no1 apply to an owner ot property wl'IO bu1tos or rmproves !hereon and who does such work h,msell or through his own
employees, provided lhat such 1mprovemen1s are not mIend· ea or ottered !or sale If, however. the butklmg Of' tmprove-
men1 1s sold w1thm one year of complellon. the owner-builder will have the burden ot provmg Iha! he did nol butld Of 1m·
prove !or !he purpose ol sale)
I I I, as owner ot the property, am exclus1vety contrachng
with licensed contractors to conslrucl the proteet (Sec 7044. Busmess and ProfesslOns COde: Hie Contractor's ltcense
Law does not apply 10 an owner of property who builds or im-proves thereon. and who. contracts for each protects wl1h a
contractor(s) hcense pursuant to !he Contractor's license Law).
[1 As a homeowner I am improving my home. and !he follow mg cond1hons exist 1. The work 1s being performed prior to sale. 2 I have ltved In my ho:me for twelve months prior 10 complehon ot this work
I have not claimed this exemptoo during lhe lasl lhree years
D I am exempt under Sec ______ . 8 & P C
tor this reason -------------
0 I hereby alfum lhat I have a cenihcate ol consent to
self-insure. or a cerhftcale of Workers· Compensa1100 In•
surance. or a cert1hed copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy is filed with the city
0 Cerllfied copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This se-ct1on need not be compleled it !he perm1I
Is tor one hundred dollars (S100) or less)
D I cer11ty lhal in the performance of the WOfk tor wtuch
lhtS permit IS issued, I shall nol employ any person.in any
manner so as to become sub1ect to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: 11. after making lh•s Certificate
of Exempllon, you should become subject to the Workers·
Compensation provisions of the Laber Code. you must
forthwith comply with such prov1sfons or lh1s permit shall
be deemed revoked.
0 I hereby affirm that !here is a construction lending
agency for lhe performance of lhe wont tor which this per•
m1t is issued (Sec 3097. C1v11 Code)
lender"s Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
2075 f!~!i!!~~ ~a~!~~~~!\Po!~!~Ts~F4i:1151 APPLICATION & PERMIT
J1 A~Rtss 1\£D vvoc,o AVE: Av . sT.RD. THOMAS BRos No. ID~ ~;:~:LB~oNI eus1NEss LICENSE. vALUATloN PERMIT N:.)
'"' """ I'"'"'""'"" l~~~~o ~ ~ '"'";""" '~'-'""'-'" ,ON, CJ iq o q
OWNE R"S NAME I , OWNER'S ..... ONE 1-~0~..:Y:.....:V..;_"--=....:£.=._K._.:....._ _________ __,j ________ --,11----------+--------,-,-------1 (' 1--{ii. 1 S ,·i-E nn I A, AT LE'2... 7 1. q . 1.. 9 3 1 CONTRACToR·s ADDRESS STATE LICENSE No. BUILDING so. FOOTAGE
OWNER'S MAILING ADDRESS , 15 1 R E'.DVYao..0 A Vf DESIGNER DESIGNER'S PHONE
I DESCR•PTI~ OF WORK /I 1 ""'~ ""-,. _ I---,-,.,--,,-::-=------------+-====-~=--....... 7784 06/22/89 0001 01 Q? 1 r ~ .,._. ,_,_, ~c... -,--0 DESIGNER"S ADDRESS STATE LICENSE NO. -E:ldPmt -30-~~
\\. \ ~1.,. \ ( &I) Pc-?C.'2 u l C,., ... F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --
1
CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FI RE SPP
AREA CONST
y D N D vO NO v□ NO Nor Valid Un~s Machine Certilitd
QTY. PLUMBING PERMIT . ISSUE 1-SO QTY. MECHANICAL PERMIT · ISSUE {.c::; o O SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU BUILDING PtRMII UUl·!l1U·UU·OO·~UU
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221
1 EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00-8891 l.,__.....,.;_.;__;____..:;___.:__;___;_.;_;___;_;_ ____ --l _____ .;__1►---l----l-----'----------,6.----.:......-.. ~----------------..... -----------'
1 EACH GAS SYSTEM I TO 4 OUTLETS BO ILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 .-
1 EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00-8223 / l'I --
1 • I EACH INSTAL . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00-00-8224
r EACH VACUUM BREAKER MECH EXHAUST H00010UCTS MOBILEHOME 001-810·00-00-8225
1 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226 lt---+----------------~~-----1~-~------------------+----.;._-◄~-.;;..;;.;;;..;;.; _______ .;.;..~~~~=--◄--------~
1 EACH ROOF DRAIN IINSIOEI DRYER VENT STRONG MOTION 880-519·92·33
1.,__....._ _______________ __Jl-__ __;_.....JI TOT/;L MECHANICAL FIRESPRIN;(LERS 001·810·00·00·8227
: TOT AL PLUMBING ( PUBLIC FACILITIES FEE 320·810·00·00-8740
I . ~ BRIDGE FEE 360·810-00-00-87 40
j QTY. ELECTRICAL PERMIT -ISSUE C,S QTY. MOBILE HOME SETUP n--P -R--E----------1-----------t 1 A K-IN·LI U (AREA )
1 NEW CONST EA AMP SW! llKR f c,0 ~r -CAR PORT TIF 312·810·00·00·8835
1 I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835 1t--+-----------:-:----------+-------11----+--------------+---_;_--1~-=....:..:.:......:..:... ____ ..:.:.;..:.;.::..:.:,.:.:..=:..+-------~
1 EXIST BLDG EA AMPISWT BKR GARAGE FMF
1 1 PH 3 PH LICENSE TAX 001-810-00-00·8162 1~-+-----------------+------o--+---------------4-----◄~------....;., ________ .:.:....:.:..:..:..:..:.:..:.~ .... -----------,1
1 REMODEL ALTtR PER CIRCUIT MFF 880-519·92·57
I TEMPPOLE 200AMPS
: OVER 700 AMPS
i TEMP OCCUPAN CY (30 DAYSI
: CREDIT DEPOSIT
: TOTAL ElECl RICAl r ~ ~ TOTAL TOTAL FEES PA~ ---p ~ --1,.,_ ____________ _. ___ """"'a;;;~;,,i1,_....i __ ...,. __________ ..., ____ .,11., _______ '-___ ._ ____ ..&,,.;:;;;. __ ..&,-i
I HAVE CAREFULLY EXAMINED THE COMPLETED · APPLICATION ANO PERMIT ANO DO HEREBY Expiration Every permit issued by the Building Ollic,al und"' the prov,sions of lh,s * IIN QSHA~:T IS REQUIA£O FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l,mitatton and become null and VOid If the buildlng or work S' o·· DEE ,.NO DEMOLITION Ofl CONSTRUCTION Of authorized by such perm,t 1s not commenced w11h,n 180 days from the dale of sucri
I DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 15 permit. or tf the building or work aulhori,.d by such permll ,s suspended or STIIUC S OVER 3 STORIES IN MEJGHT
I ISSUED· TO COMPLY WITH ALL CITY COUNl Y ANO ST A;JE LAWS GOVERNING BUILDING CON· abandoned al arw tune 1f1er the work IS commenced for a -•1od ol 180 A•··• • -'
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND l~PLIC z·s . ~ D APPROO~BV I\ ~ ~ I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO NATURE a ~ Q OWNER CONTRACTOR .-l ~
l EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST $AID CITY IN CONSEQUENCE OF THE _, ~ • _ __,,,_/ B [J -"""---'Q/J
I GRANTING OF THIS PERMIT ~!L,( -'~ / ./ V./ __,,,, y PHONE -I 117
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TYPE ' DATE INSPECTOR
BUILDING I
I
FOUNDATION J
REINFORCED STEEL I
-MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEA~
FRAME I
EXTERIOR LA TH '
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
I
D SEWER AND BUCO D PUCb
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WA,;ER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAT'R
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFtFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING;
HEAT -AIR COND. SYSTEMS I -VENTILATING SYSTEMS I ~--. I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ ITEMS ABOVE HAVE 8EEN APPROVED. --
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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-(!£, ~ Oa, .;;i.. \ . . -,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES --
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE -
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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