HomeMy WebLinkAbout2439 SACADA CIR; ; CB880012; Permit"' 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 ProfHslons Code, and my license is in
full force and effect.
r hefeby alhrm Iha! I am exempl from lhe Contrac· !or's l.cense Law tor the following reason (Sec 7031 5
Business-ano Professions Code Any city or counly wh,ct. re· quires a perm11 to conslrucl, aue,. improve oemohsh. or
repair any structure, prior to its issuance also requires !heap-
plant lor such permll to ltle a s19ned slatemenl Iha! he ,s
hcensed pursuant to me provIsIons o1 the con1ract0< · s
License Law (Chapter 9 commencing with Sechon 7000 of 01v1s1on 3 or tl'le Bus,ness and Professions COde} or that 1s ex-empt therelrom and the basts for lhe aItegec exemp110n Any
Vlo!alion of Sechon 7031.5 by an applicant IOJ a perm,! SUD·
,eels the apphcant to a c1v,1 penalty of not more 1han 1,ve nun· area dollars (S5001
I, as owner of 1ne property or my employees w,1h wages
as their sole compensa110n. will do the work and !he slruc-
lure 1s not intended or ottered lor sa!e (Set 7044, Busmess
and Proless10n~ Cooe The contractor's License Law does
not apply to an owner or property who builds or improves !hereon and who does such work tumsell Of lhrough his own emoloyees. prnvided I hat such 1mprovemen1s are not mt end-
ed or ottered for sale If. however !he building or ,mprove-menl ,s sold w11h1n one year ol comple!IOO, the owner-bu,tder
will have !he burden of proving lhal he did not build or im-
prove !Of the purpose ol sale)
I I as owner ol the property. am exclusively contrac1mg
with licensed contractors to coostrucl the prot,ect (Sec 7044,
Business and Professions Code· The Conuactor·s Lteense Law does not apply to an owner of property who bu1k:ls Of im-
proves thereon, and who conlracls lor each proiects with a conlractor(s) ltcense pursuant to the Contractor·s Ucense
law)
11 As a homeowner I am llTlproving my home. and lhe lollow mg concit,ons exist t The work ,s t>emg perlOJmed poor lo sale
2 I have livetl in my home tor twelve months
prior to complet10n of lh,s wDfk
3 I have not claimed lh1s exemplion during lhe. Last lhree years
D I am exempt under Sec ______ . B & P C
for lhis reason -------------
0 I hereby affirm that I have a cert11tcate of consent to
self-insure. or a certificate ot Workers· Compensation In•
surance. or a certified copy thereol lSec. 3800. LabOr COdel
POLICY NO
COMPANY
~ Copy IS hied with !he city
0 Cert,hed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
tTh,s seclion need nol be compteted ,t lhe perm1I
,s lot one hundred dollars (S 100) or less)
q I certify that in the performance of the wOfk for which
this perm,11s issued. I Shall not employ any person in any
manner so as to become sub1ect to the Workers· Compen-
sation Laws of California
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you shOuld t>ecome subject to lhe Workers
CompensaHon PfOvisions of the LabOf Code. you must
forthwith comply wilh such provisions or lh1s permit shall
be deemed revoked
0 I hereby a.ttirm that there is a construction lending
agency for the performance of !he work to, which this per-
mit 1s Issued (Sec 3097. Civil Code)
Lender"s Name _____ _
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION W ITHIN SHADED AREA AND DECLARATIONS. ---"
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 AA 88000J
JOB AOORESS A V ST.RO. THOMAS BROS NO.
l°ATi7iL~;N1
ausissUsE •
~:T~
c:i8MIT NUMBER
~~3? S~C/~~ C1L?.c...Le...
LOT BLOCIC l suaoI v1sI0N I ASS~O'lt.W:..~ o-d.R' CONTRACTOR CONTRAotORS PHONE • ZONE 4'e'f-t:J&a/.2. .. wuc72-_ OWNER'S NAME
--S 7 /~r, "1 _:;.A} 1 ~~-;;;9 l""")
/1 I-A 11 11.Je.. CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOT AGE
OWNElf'S MAIL/"G ADDRESS
~(L./ 5//r,Jtf1A C;~e_ DESIGNER OESIGNER"S PHONE
DEscr;~~ ~RK iRu 1'LA,,, MO (::;R..-A~Jf"'~ -DESIGNER'S ADDRESS STATE LICENSE NO. -V ,
-
FlP FLRELEV. NO OCC GP EDU
STORIES -
vO NO --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRESPR 0013 01/04 0101 02BldPmt 60-C b AREA CONST
y D ND ,□ NO YO NO Nor Valid Un~• ~chine C~rttfi«J
QTY. PLUMBING PERMIT· ISSUE 7£!! QTY . MECHANICAL PERMIT· ISSUE 10-~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PtHMIT 001 ·8 fO·00·00·ijUU ., '2-
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00-00·8891 I '-r
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 l ·810·00·00·8222
EACH GAS SYSTEM~ OR MORE 7 METAL FIREPLACE " _zz; ELECTRICAL 001·810·00·00-8223
EACH INST AL . ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 00 l ·810·00·00-8224 -z..~
EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS M0BILEH0ME 001-810·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACEi HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN I INSIDE! DRYER VENT STRONG MOTION 880-519·92·33
TOH,L MECHANICAL FIRE SPRIN~LERS 001~11-(l.ll-.11,ar-..
10 I AL PLUMBING I 2--L/. drJ PUBLIC FACILITIES FEE /32~:lft' .. u 9~ 0·00·00·8740
5g;!-BRIDGE FEE /,.,._'360·81O·OO·OQ·8740 v?.,\
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA / s::r ) ~\ -• ft
NEW CONST EA AMP swr HKR CAR PORT TIF
,,
312-81~Ji.«ocill™i .,.
0,
I PH 3 PH AWNING LA COSTA TIF ·~ 311-810-oo:o.!P8835 (I)
EXIST BLOG EA AMP1SWT BKR GARAGE FMF , .. ~i'• CJ.,' e ,.._... "'t1
l PH 3 PH LICENSE TAX \ '.o, 001 ·8 f'(Hl!HJ0·8162 ,-
REMODEL ALTtR PER CIRCUIT MFF '-\.$'~ 880·519-92-57 ~-✓
TEMP POLE 700 AMPS "-..:c>~ -,.,, . /
OVER 200 AMPS ---..----
l EMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL [ TOT Al TOTAL FEES PAYABLE I //1 () oO
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY E,cptrat,on Every permit issued by,..._ Bu1ld1ng Offtc1a1 under the p,ov1s1ons of this * AN OSHA PUIMrT IS IIEOUlflEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm1tat1on and become null and vo,d U the bu1ld1ng or work ~-O" DEEP ANO OEMOl.lTIOH Ofll CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm,t is not commenced w11h1n 180 days from the date or such STAUCT\JflES OVEA 3 STOflllES IN HEIGHT
ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON =~~"~ 1!1 t=~'t tr:·:x.~~t!':~,:~!hc~:~~leJ~~~ r~~'s,..•~~~ or STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S Slw Jfo P,I /OWNER
CONTRACTOR 0
A~Y~ 1DW1r-~ 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 D V •• ·-NE []
GRANTING OF THIS P.ERMiT
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
•. .
~ ~I!...~DC~ -
FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
SUB FRAME D FLOOR □ CEl~I NG
SHEATHING D ROOF □ S~EAR
FRAME I
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL --
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH .
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
l
I -
CONCRETE
POST TENSIONED -CONCRETE
PLUMBING I FIELD WELDING ':" ... "'1 t
□ SEWER AND BUCO CJ PiUCO
UNDERGROUND □ WASTE □[WATER
• ' )
HIGH STRENGTH ' BOLTS
TOP OUT □ WASTE □ \I\JATER -. SPECIAL MASONRY
~
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
I ~----
□ ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPPRARY ~ -·-·-□ BONDING □ POOL I ' 4 -. . --
I -
MECHANICAL I
I .......... r-ri.,. _ .......... _ # .. ~ 1-.-..-----. ---. .---,· -r· ~·
□ DUCT & PLEM., □ REF. Pl~NG
• '--'1,,,1",._J__ ... ,._,,, "' ................. ._,.._, -,.. ___ 6" l _~ • -~ -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
l , ---,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. • ·
FINAL
PLUMBING ·~· ~~., ' .. ~ -~ ..
ELECTRICAL
MECHANICAL
---•. . ... ... , . . ' ' ' -' . -.
GAS -" --\ " . . ' . ,-
BULLDING :97"'4c./~ '
SPECIAL CONDITIONS