HomeMy WebLinkAbout2402 SACADA CIR; ; 83-382; Permit (2)<h z 0 .::: C a: C _,
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions ~ and myz nse is in
lull to'I/--a7:1-1• Lie No ~ Class _
I hereby af11rm that I am exempl trom !he Contrac-tor's l.Jcense Law !or the following reason (Sec 7031.5
Business and Professions Code· Any city or county wh1cn re-quires a permit to construct, alter, ,mprove. demohsh. or repair any struclure. pnor to its issuance also requtres !heap· phcant for such permit to tile a s1i:3ned slatemenl lhat he 1s
ltcensed pursuant to the provisions of the ContractOf·s Ucense Law (Chapler 9 commencing with Section 7000 of
Otv1s1on 3 of the Business and Pr0fess1ons Code) or that 1s ex-empt therefrom and the basis !or U1e allege<! exemption. Any
violation of Section 7031.5 by an applicant !or a perm11 sub· jects the applicant to a civil penalty of not more than hve hun-dred dollars ($500)
0 I. as owner of the property, or my employees with wages
as lheIr sole compensation. w,tt do the work, and the strut· lure is nol intended or oltered for sale (Sec 7044. Business
and Professions Code: The Contractor's license Law does
nol apply to an owner of property who builds or improves thereon and who does such work himself or lhrough his own
employees. provided thal such improvements are not intend-ed or otlered for sale. If, however, lhe buriding or 1mprove--
men11s said within one year of complebon, the owner-builder will have the burden ot proving that he did not build or im-prove tor the purpose ot sale).
D I, as owner or lhe property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044, Business and ProfessKms Code: The Contractor's Lteense
Law does not appty to an owner of property who builds or im• ptoves thereon, and who contracts !or each projects with a
contractor(s) license pursuant to the Contractor's Ucense Law).
D As a homeowner I am Imptovm9 my hOme. and the loUow-ing conditions exist.
1. The -k is being perlormed prior to sale
2 I have lrved in my home lor twetve months
3. rr:; ~C:Pc'f.:~of t1~l: :;~plion during the last three years.
D lamexemplunderSec. ______ ,B&P.C tor this reason
□ I nereby affirm that I ha"e a cerlll,cate of consent 10 self-insure. or a cert,hcate of Workers·
Compensahon Insurance. or a ce.rt1he<1 copy !hereof
(Sec 3800. Labo< Code)
w111'l the Ctly
,y ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS.COMPENSATION INSURANCE
(Th,s sechon need not be complele<l 11 the perm,1
,s tor one hundred dollars ($100) or iess)
0 I cen1ty ltlat in the pertormance of the work tor
which th,s pemut 1s issued. I shall 001 employ any
person in any manner so as to t>ecome sub1ec1 10
1he Wof1(ers· Compensation L.Aws of CaMorn,a
NOTICE TO APPLICANT If. after ,nak1~ trus Ceni
t1ca1e of Exemption. you should t>ecome suDJe<:t ,.,
the Wortters' Compensat,on prov1st0ns of me Labor
Code. you must tonhw,th comply w,lh such
prov,s,ons or this perm.-1 shall be c,e-emed revokeo
0 I hereby atfum that !here ,; tend,ng agenc
which lh•s per
Lender s Name
Lende(s Addr~s _..,,. ___ _
_11~E BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008~1989 (619j 438-5525 APPLICATION & PERMIT
-JOB ADOAESS AV ST. RD. NEAREST CROSS ST. VALUATION PERMIT NUMBER fl ~ ...
CONTRACTOR 1 • ZONE 1---0 ~ i-v
-/>lvt,U:V 3
$Z,,Y--
OESIGNEA_--I ~oL 1))£./'f~ ~ ~ ~_.
lom•~;;/M'~ ~/ lDEStGNEA'SADDAess
_ ~lo _ 1-F ~~ -__,_t/-,.,_~'
~~•r•
F/P F LR ELEV.
vO NO
CENSUS TRACT GP LANO USE I PARKING SPACE I RES UNITS j
QTY. PLUMBING PERMIT.· ISSUE 2 ~So
EACH FIXTURE TRAP
EACH BUILDING SEWE.R
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl , ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN ( INSIDE)
TOT AL PLUMBING r
QTY. ELECTRICAL PERMIT -ISSUE t,)100
NEW CONST EA AMP'SWT BK R
I PH 3 PH
EXIST BLDG EA AMP/SWT /BKR
1 PH 3 PH
REMODEL 'ALTER PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL l
GRADING PERMIT ISSUED
YO N 0 l REDEVELOPMENT
AREA
vO NO
QTY.I MECHANICAL PERMIT · ISSUE
INSTALL FURN. DUCTS UP TO 100.000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE /HEATER
TOTI.L MECHANICAL
QTY. I SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
~
STORIES
TYPE
CONST
:?-oo
LICENSE #
DESIGNER'S PHONE
OCC GP EDU
OCC LOAD FIRE SPR
vO NO
PLAN I.D. # BLOG USE CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
6/0S/11' oou.1~a· -e,_os, s3
Not Valid Un~s Machine C~rtifi«J
,es
93~Ef
SUMMARY/ACCOUNT NUMBER ,,,,...
BUILDING PERMIT 01 ·00·00-8220 "1 t.::> ..L_.J..a
SIGN PERMIT 01 ·00·00-8221 -PLAN CHECK 01 ·00·00·8806 ~Co. 7...f
TOTAL PLUMBING 01 ·00·00·8222
ELECTRICAL 01 ·00·00·8223
MECHANICAL 01·00·00·8224
MOBILEHOME 01·00·00·8225
MOBILEHOME PARK INSP
SOLAR QJ ·QQ·QQ·S226
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
Encinitas 80·92·22·0519
San Dieguito 80·92· 23·0519
San Marcos 80·92· 24·0519
LICENSE TAX 01-00·00-8162
CREDIT DEPOSIT 1.-
TOTAL FEES PAYABLE l ~--i,t'
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY E1<Ptralion Eve,yperm1tossuedt,yllle8uildo"90fficoatundertheprovrS1onsoflh1s ' CERTIFY UNDER., PENALTY, OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by ltm1tat1on 1111d become null and void ti lhe burldrng or work * A_N ~ PERMIT IS REOUIAED FOfl EXCAVATIONS OVER
DECLA~ATIONS 1'AE TRUil /IND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 11 not com.-.cad wltllin 180 daya from the oate of sue 5 0 DEEP AND DEMOLITION OR CONSTRUCTION OF
ISSUED 'TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING 61.JILDING CON-STRUCTUflES OVER 3 STORIES IN HEIGHT
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~~~:;~;i~;;;f;,~~77!!..!:~!!!!!!!!:l=~S~~~~~~~~r.~~~~::'.""-----------,1,-I.-T---'
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT I ..... '--,
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TYPE I
BUILDING I
OUNDATION . . I .
IEINFORCED STEEL ~" f-1~
F
R
M
G
F
s
F
I IASONRY I
iUNITE OR GROUT I
LOOR & CEILING SUB f:~E I
HEATHING -tJ.. R(t~ □ SHE}\R
RAME \. . -I
' EXTERIOR LA TH •, I
INSULATION I
I
INTERIOR LATH & DRYWALL I
' PLUMBING I
SEWER AND BUCO □IPUCO 1
UNDERGROUND □ WASTE D V ATER
TOP OUT □ WASTE O W, TEA
TUB AND SHOWER PAN I
GAS TEST _i
D WATER HEATER □ SOLAR WA1ER
I
ELECTRICAL .
I
□ ELECTRIC UNDERGROUND □ QFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOii_ARY
□ BONDING □ POOL I
I
MECHANICAL I
I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
I VENTILATING SYSTEMS I •
I
DATE
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I'~, U, PO,
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INSPECTOR .. , l ,, . .
I
I\, r FIELD INSPECTION RECORD r. ~ REQUIRED SPECIAL INSPECTIONS -
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
/ PRIOR TO
A?JA FOUNDATION INSP
. -STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
> • HIGH_ STRENGTri
BOLTS
. .
~
~ SPECIAL MASONRY
PILES CAISSONS ;
VF) -
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'·· CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE, BEEN?APPROVED:· . ' '
..... , . ,-.
FINAL I i ~ / . ... . ,, . ' "\>..._ • .. PLUMBING I {"!' rtu~ -'I
ELECTRICAL ...-r-f) 11 V.,rW i ........ I . ' .. • I • \ \. .....
MECHANICAL I , ..... ~, iJ\:...,-:. -. .
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GAS .:, ' ~ ~ '.~ \J I ~ V \0 ... ,. ..
' .. \ ~ -BUILDING I
SPECIAL CONDITIONS I • ~ • .. I < .
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INSPECTOR'S NOTES
DATE ? '
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