HomeMy WebLinkAbout2412 SACADA CIR; B; 84-10; Permit"' z 0 ~ a: < .J
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O I hereby affirm that I am licensed under
provlelona of Chapter 9 (commencing with
-,uon 7000) of Division 3 of the Business
and Profeaslons Code, and my license Is In
full force and effect.
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I hereby alfirm that I am exempt lrom lhe Cootrac· tor's License law !or the following reason (Sec 7031 5
Business and Professions Code'. Any c11y or county which re-quires a perm,1 to construe!. all~ improve, demohsh, or repair any structure, prior to its issuance also requires !heap-plicant foe such permit 10 file a s1Qned s1a1emen1 thal he 1s
licensed pursuant lo the prov1st00s ot lhe Conuac1or s Ltcense Law (Chap1er 9 commencmg with Sec110n 7000 ol Or'11st0n 3 of the Business and Professoos Code) or thal 1s ex-
empt therefrom and lhe basis fcx !he aUegeci exemptM>n Any vioia11on of Section 7031.5 by an applttanl for a perm11 sub· jects !he applicanl to a cMI penalty of not ITIOfe than hve hun-
dred dollars ($500)
□ I. as owner of the property, or my employees w,u, wages
as their sole compensation, will do the work. and the struc· ture is not inlended or offered lor sale (Sec 7044, Business
and Pro1esswns Code: The Conrractot's L.cense Law ooes not apply lo an owner ot property who builds or improves
!hereon and who does such work tumself or through his own
employees, provided lhat such unprovements are not intend·
ed or olfered f01 sate II, however. the butldmg or improve·
men! 1s sok:I w1lh+n one year of completion, the owner-builder will have the burden ol pr~ng lhat he did not build or im-
prove lor 1he purpose of sale)
D I, as owner ol the property. am exclusively contracting with l,Censed contraclors to construct the project (Sec. 7044,
Business and Profess10ns Code: The COn1ractor's License Law does not apply to an owner of property who builds or 1m·
proves thereon. and who contracts lor each projects w1lh a
cootractor(s) license pursuant to the Conuactor's License Law).
D As a homeowner I am improving my home, and the fotlow· Ing conditions exist·
1. The work is being performed puor to sale. 2. I have lived In my home tor 1wewe monlhs
prior to completion of this wo,k. 3. I have not claimed this exemption during the las! three years.
D I am exempl under Sec ______ • B & P C
for lhis reason ___________ _
D I hereby a1flrm u,a1 I ha.-e a cer11f1ca1e of consent
to self insure. or a cer11t1caite of Workers·
Compensahon Insurance, Of a cer11hed CQPy the,eol tsec 3800. Labo< Code)
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O Cerhfled copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need nol be completeo 1t ll'le permit
1s to, one hundreo dollars {$100) or less>
D I cer11ty lhal m the performance ol lhe work to,
which lh1s pemi!l 1s issued, I shall not employ any person 1n any manner so as 10 beeome sub1ect 10
the Wonters· Compensation Laws of Cahtornia
NOTICE TO APPLICANT If. afler makmJ lh1s Cer11
hcate of Exemp11on. you should beeome sub1ec1 l'l lhe: Worllers· Compensahon provisions ot tne Labor
Code. you musl forthwith comply w,th such
pcov1s1ons or !his perm,t shall t>e deemed ,e11ok.eo
0 I hereby affirm !hat !here 1s a con!!;truction
lending aoency tor lhe perfo,mance ot lhe won-. ror
which this perm11 ,s 1ssueo iSec ,ml C1v1! Godel
Lenders Name NC~
Lenders Address _________ _
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CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
VALUATION PERMIT NUMBER
PLAN 1.0. # BLOG USE CODE
DESIGNER LICENSE,; STANDARD PLAN # BUILDING SO. FOOTAGE
DESCAIPT OJ 0,F WOAIC
/, '-----,r OESIGNER"S AODAESS DESIGNER'S Po-tONE I tt:9'.~. H 10.a
C,li.7/
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUEO
F/P FLA ELEV.
I REDEVELOPMENT
AREA
vO NO
NO
STORIES
TYPE
CONST
G I P ti t, ... 94 120.0
OCC GP EDU
OCC LOAD FIRE SPA
Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 26t.i QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. OUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER OVER 100,000 STU SIGN PERMIT 01-00-00-8221
/ EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
ex ..S"t~ BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
PLAN CHECK 01-00-00-8806
TOTAL PLUMBING 01-00-00-8222 /0, o-C>
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00· 8224
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS M081LEHOME 01 ·00·00-8225
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE] SOLAR n1 .nn.nn.1100~
TOT J;L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMB ING I /0 .0/n FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ~CJ/) QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32·00-00-8933
BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMOOEL'AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TE MP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-6162
TEMP OCCUPANCY 130 OAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /o. &O
f HAVE CARE FULL y EXAMINED THE COMPLETED APPLICATION ANO PERMIT• ANO DO HEREBY Exptrahon Every perm11 issued by the Building Oll1c1el under the prov,s,ons of 1h•s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall expire by hmrta11on and become null and vo1CI If the buoldtng or work
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE ff A PERMIT IS author,zed by such permit 15 not commenced withtn l80days from IM elate of such
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~~',',';;;,n'::,,1:,1:~v 1::'~~1~Pte~\h:~:~!hi~~~e~%eJ~~~ r~r;:~d
1~t'iWo"a~~ or
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5 o· DEEP ANO OEMOLrTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN:~• :~ * rn,},pf KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND A PUC S SIGNATURE ~ OWNER CONTRACT;7°-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '7 ,?, )' .,,-, A r / BY PHONE 0
GRANTING OF THIS PERMIT ~ ( {/(/1 ~ . _,I'.
APPROVED BY
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I
I INSPECTOR . TYPE DATE
BUILDING I w -10
FOUNDATION I FIELD INSPECTION RECORD I
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REQ IF INSPECTOR'S GUNITE OR GROUT ' INSPECTION CHECKED APPROVAL DATE I
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO
I FOUNDATION INSP FRAME I
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
' CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH I BOLTS UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WJl.TER SPECIAL MASONRY
TUB AND SHOWER PAN I
I
GAS TEST I
PILES CAISSONS
D WATER HEATER D SOLAR WAtER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ijFFER -
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY .. ' D BONDING D POOL I \ . I
MECHANICAL I
D DUCT & PLEM., D REF. PIPINP . /
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I .. ~~ ... ' I ~ 1•~ I Z:" CALL FOR FINAL INSPECTION WHEN ALL APPROPRIA~~ \) ITEMS ABOVE HAVf BEEN APPROVED. 1 . i,,---;
FINAL I -~~v~
r\ . " PLUMBING I f IJl!i -~ ~D./ I I• I
ELECTRICAL I • r, ~.Y ~ . Y'"
◄ MECHANICAL 1 _62r_ 11/ I ~'-f ~ -
'\.~ GAS I .:,....-,-.a.\ ... '· I . ~ "'· \ , ' " BUILDING I V
SPECIAL CONDITIONS I
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