HomeMy WebLinkAbout2126 SALIENTE WAY; ; CB891088; Permit"' z 0 ~ C C J u ~
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It ... ~ e _I her.t>y affirm that I am licensed under
U [ o,,lelone of Chapter 9 (commencing with
: Section 7000) of Division 3 of the Business
1-and Proleaslons Code. and my license is in ~ lull force and effect.
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1 hereby affirm !hat I am exempt from the Conlrac· tor's lteense law tor the fottow1ng reason (Sec 7031 5
&Jsmess and Professions Code Any city or county wh1tt. re· qu1res a permit to construct. alter improve, demohsh. or repair any s1ruch.1re, prior to us issuance also reQu1res !heap·
plicant !or such pem111 to flle a s19ned statement lh.11 ne 1\
licensed pursuant to Ille prov1s1ons ol lhe t.:ontrac1ofs
L1c2nse Law (Cl'lapter 9 commencmg with Section 7000 ol
O,v,sion 3 of the 8usmess and Professions Code) or that 1s ex· empl lherefrom and the basis !Of the allegeo exemption Any
v101ah0n ot Sechon 7031 .5 by an apphcant !or a perm11 sub-1ecIs lhe apphcanl 10 a c,v,1 penalty ol "°' mote than hvr hun·
dred dollars ($500)
I I ,15 owner ol ltle property or my employees with wages
as their sole compensal1on, wltl do lhe work, and lhe struc· lure Is not 1n1ended. or offered for sale (Sec 7044, Business
and ProlessHJns. Code The Con1rac1o(s llcense Law does
not apply lo a.n owner ol property who t>u1kis oi improves
thereon an<l whO does such wwk h1msell or through hrs own employees. provtded that such improvements are no1 mtend·
ed or ottered !or sa1e If, tww.ever. lhe building or improve· men1 ,s sold within one year ol complehon. lhe owner·bu1lder
wilt have lhe burden Of proving that he did nol butld or 1m• prove to, 1ne purpose ol sale)
I I I. as owner ol the propeny, am exc1us1vety contracting
with licensed contractors to conslruct the pro;ect (Sec 7044.
Busmess and Protess10ns Code· The Con1rac1or·s Ltcense
Law does oot apply to an owner ol property who but Ids or ,m. proves thereon. and who con1racts lor each prorects wnh a
conuactor(s) license pursuant lo lhe Contraclor's License Law)
11 As a homeowner I am 1mprovmg my home. and the follow 1ng cond1hons exist
1 The work Is being performed puor to sale
2 I have hved m my home for lwelve months prtor to completion of this work
I have not cl.luned this exemption dunno the last three years
□ I am exempt under Sec ------:--, 8 & PC for this reason <
...../', tiereby aflirm that I have a cert1f1ca1e of consent to
e;nsure, or a cerhhca1e of workers· Compensation In-:::~ :~ux: ,r;;•qg? Labo,Codel
COMPANY c;~ ~
~Copy IS f,;/ :.,t I~ tJ Cerlihed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need nol be completed 11 the permit
1s for one hundred dollars ($100) or lesst
0 I certify lhat in the performance of lhe work for which
this permit is issued. I shall nol employ any person in any
manner so as lo become subJect to the Workers· Compen-
sahon Laws ol California.
NOTICE TO APPLICANT: If. after making 1h15 Cert1f1cate
of Exemption. you should become sub1ect 10 the Workers·
COmpensat,on provisions of the LabOr Code. you must
forthwith comply with such provisions or !his permit shall
be deemed revoked.
0 I hereby altirm that !here is a construcl1on lending
agency for lhe performance of the wonl. for which this per•
mil is issued (Sec. 3097. Civil Code)
Lender's Name
Lender's Address ___________ _
USE BAU POl~T PEN ON_LY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOORESS AV. ST.RO. THOMAS BROS NO , 7~j.Zp~~;?0
NI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
A-I ;}-(o S>4-Ll f:::;.NT~~ w,4--y ;:;.:", A-I <3C>377 ..n 11 I' ~i1-ID&~ I~!> BLOCK S~51lfN 1 ~n: PA1'.111 -C/ 'i A+ [T'!~1-v, LG
CONTRACTORS PHONE I ZONE l_...L
Co 7J-1·//78 OWNER'S NAME I u "b~NEGiYNl .
FAP-l.E-Y CONTRACTOR"$ ADORES$ r STATE LICENSE NO. ~NG SO. FOOTAGE
/ tjJ~ ~,, !Ut~<.,r'wv ~~M J-8Yo3J OWNER"S.MAILING ADDRESS '"" sllq J11JW~llA r_r u4111Sg,40 'fJcc11 OES>GNER OESIGNER'S PHONE.
DESCi:TtON OF WO RK __...,a.-<.._ } -~ 1'1. .JC hi}-~ WUS-Y-e1l.. tn DESIGNER'S AOORESS STATE LICENSE NO. -
Tl-fkJv4 ,:;:. toD J~ l~ ~ .
I -FIP FLA ELEV. NO OCC GP EDU 8539 07/26/89 0001 01 STORIES 02
vO NO --BldPmt 10-1.. · -I CENSUS TRACT I PARKING SPACE I RESUNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRESPR
AREA CONST
YO ND vO NO vO NO Nor Valid Un~s Mlchine Cer11/ied
QTY. PLUMBING PERMIT -ISSUE 7 §£ QTY. MECHANICAL PERMIT· ISSUE / 5'51SZ--SUMMARY/A CCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILUINu ~tHMI I UU1·81U·UU·OO-~uu
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 EACH GAS SYSTEM 1 TO 4 OUTLETS ) ~ '-! BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222 ./r, -
\., I -EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00·8223
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER ME CH EXHAUST HOOD 'DUCTS MOBILEHOME 001-81 0·00·00·8225
WATER SOFTNER RELOCATION OF EA FU RNACE/HEATER SOLAR 001·810·00-00-8226 --
EACH ROOF DRAIN flNSIOEi DRYER VENT STRONG MOTION 880-519-92·33
,,_ '\ TOT.t.L MECHANICAL FIRE SPRIN~LEAS 001-810·00·00·8227
TO I AL PL UM81NG I /V PUBLIC FACILITIES FEE 320·810-00-00-87 40
s-~ BRIDGE FEE 360·810·00-00-8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l
NEW CONST EA AMP SWI BKA CAR PORT TIF 312-810·00-00-8835
I PH 3 PH AWNING LA COSTA TIF 3 i 1-810·00-00-8835
EXIST BLDG EA AMPISWT SKA GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00·00-8162
REMODEL ALHR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYSl
CREDIT DEPOSIT
lOTAL ELEl.TRICAL I TOT Al TOTAL FEES PAYABLE l /C) -.
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT AND DO HEREBY E,ptrahonf ~•ued by the Building ott,c,al under the prov,s,ons olth,s * AN OSHA P£Mt:l 1$ IIECIUIRED FOfl UCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre I at, ..,,o become null and void JI the bu,ldmg or work s· O" DEEP .\NO DEMOllTION QA CONSTAIJCTl()fj OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ author,ze(I by sue •t :~t,tom~ce<I within 180 days from the date of such STAUC'I\IRES OVER l STORIES IN HEIGHT permit. or ,t t bu tfli ,. ,lltork Oftzed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandOned ny a _...__menced tor a oeood of 180 t1auc .._ ...
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
AP~~
OWNER 0 CONTRACTORJS--APPROVED BY 071 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO P-7 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT BY PHONE [] 1,~~,r9
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TYPE I DATE INSPECTOR
BUILDING I ~cg~ l O~~
FOUNDATION ' I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT ' I INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL ' SUB FRAME □ FLOOR □ CEILING
SHEATHING D ROOF □ SHEAR
-SOILS COMPLIANCE PRIOR TO
FRAME I I
EXTERIOR LA TH I
FOUNOA TION INSP ~
STRUCTURAL CONCRETE ~ ~ OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL !
I
I I
, -~ CONCRETE
POST TENSIONED ' CONCRETE ~ -
PLUMBING ' ' FIELD WELDING --
□ SEWER AND BUCO CJ P)..JCO '
UNDERGROUND D WASTE OIWATER
HIGH STRENGTH BOLTS ..
TOP OUT D WASTE D WATER SPECIAL MASONRY -. ✓ -~ -
TUB AND SHOWER PAN I
I -.
GAS TEST !
D WATER HEATER D SOLAR WATER -
--PILES CAISSONS
I I
I I -I --
ELECTRICAL ! < ,. •.
D ELECTRIC UNDERGROUND d UFFER
-, -
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE □ TEMPORARY
--
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"'
D BONDING D POOL I ' -
!
_1
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPEC1}0N WHEN ALL APPROPRIATE
··-·-·-··----.... ----·-.... ··----·
FINAL ' PLUMBING ' ~ -' -Ci.er If J..0,...1', -. J
ELECTRICAL ! 0
MECHANICAL I . ' ' GAS I
BUILDING I
SPECIAL CONDITIONS I ! ' '