HomeMy WebLinkAbout2871 SANFORD LN; ; 86-852; Permit.,, z 0 ;::: C CIC C -' c., Ill Q
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0 I hereby affirm that I am llcenMd under
provlalona of Chapter 9 (commencing with
Section 7000) of DIYlalon 3 of the Business
and Profeaalona Code, and my license Is In
lull force and effect.
I hereby allirm that I am exempt from the Contrac-
tor's License Law tor the following reason (Sec. 7031.5
Busmess and Professtons Code: A.ny city or county whith re-quires a permit 10 construc1. alter. improve. demohsh. OC' repair any structure, prK>r 10 its issuance also requires !heap-
phcant t0< such permit to ti1e a signed stateme-nt that he ,s
hcensed pursuant to the provisions of lhe C.:Onuactor"s License Law (Chapter 9 commencing with Section 7000 ot Oivis!Ofl 3 of the Business and Professions Code} or that ,sex-empt therefrom and the basis tor the aflegeo exempt,on Any
v,01a1,on of Section 7031.5 by an applicant for a perm,, sub-
jects lhe applttanl to a ciVtt penalty of not more than five hun-
dred dollars ($500).
f 1 I, as owner of lhe property. Of my employees w11h wages
as lhelr sole compensation, will do the wOfk, and the struc-ture 1s not intended or ottered 1or sale (Sec. 7044, Business
and Professions COde: The Contractor's License Law does not appty to an owner o1 property who builds or improves
thereon and who does such work hunself Of through his own
employees, provided that such improvements are not intend· ed or ottered lor sale. 11. however, the building or improve-
ment is sold within one year of completion, the owner-builder will have the burden of proving that he did nol build or im-prove lor the purpose ol sale).
□ I. as owner of lhe property, am exclusively contracting
with ltcen~ cootraclors to construe! the project (Sec. 7044. Ek.lsiness and Prolessions Code· The Contractor's license
Law does not appty to an owner or property who builds or im· proves thereon, and who contracts tor each protects with a f:!}~ctor(s) license pursuant to lhe Contractor's License
0 As a homeowne; I am imp<oving my home, and the follow· ing conditions ex~t:
1. The work ts being performed prior 10 sale_
2. I have lived in my home for twelve months
3. r:v~ :rpc~::Oo1 i'~i~ :!~pUon Ounng the last three years.
I; M:r-:.:t_u_ooe_r_Sec_. ======---· B&P.C.
0 I hereby affirm that 1 have a certificate of consent to
sell-insure. or a certificate of Workers· Compensation In.
surance. or a certified copy thereof {Sec. 3800. Labor COde) .
POLICY NO_
COMPANY
0 Copy is filed with the city
0 Cer1Uied copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit
Is for one hundred dollars ($ 1()0) or less)
0 I certify that in the performance of the wOfk for which
th1s permi1 is issued, I shall not employ any per$0r'I in any
manner so as to become subject to the WOfkers· Compen.
sation Laws of Calllornia.
NOTICE TO APPLICANT: If. after making this C8r1ilicate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency lor the performance ot the work for which this per-
mit Is issued (Sec_ 3097, Clvll 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.
CARLSBAD BUILDING DEPARTMENT r
-' ---Carlsbad, California 92008-4859 APPLICATION & PERMIT
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JOB AOORESS ~ ~· / __ fi ~ NEAREST CROSS~ I DATE OF APPLICATION I BUSINESS LICENSE • VALUATION PERMIT NUMBER
.:?t7I ,PcVL ~I) er '7oL/ ~-.,,rr r.,,. ..
Lwl BLOCK I SUBOI VIS(.JN I ASSESSOR PARCE NO D CONTRACTOR CONTRACTORS PHONE • ZONE ~ 6;-z_ } /,,,'7 -,I. 12-44 -0
OWNER'S NAME
't)~d
OWNiR'S PHONE
/1 n /. I~ L coN;;:;s;o;~ss 6 ~\ l J(l/ STATE LICENSE NO. BUILDING SO. FOOTAGE e.. 7_,,,; 7-rJ 7 l 9 12~ OWNER'S MAILING AOOAESS
C!J~eft-c// 3 719 ~6-u.A__I,:.. ~I a. DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK
DESIGNER'S ADDRESS ST .. ,c LICENSE NO.
-SXJto y4-{_Lc__~ c_ -~ F/P FLA ELEV. NO OCC GP EDU STORIES
vO NO ---. :
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I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA iiii.21 ii iil Ul:U .1.1:U t,bt'Kn I ,c+ •.
AREA CONST
y O ND vO NO vO NO Not Valid Unlffs Machine Certifi«J
QTY_ PLUMBING PERMIT -ISSUE 7:£A QTY. MECHANICAL PERMIT -ISSUE ?5-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001·810-00-00-8220 lh-
EACH BUILDING 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 001-810-00-00-8806 q-
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001-810-00-00-8222
EACH GAS SYSTEM 5 OR MORE MET AL 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 HOOOIOUCTS MOBILEHOME 001·810·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER -SOLAR 001-810·00-00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92·33 •5C
TOTJ.L MECHANICAL FIRE SPRINi<LERS 001-810·00·00-8227
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810-00-00·87 40
5-QTY. MOBILE HOME SETUP 8RIOGE FEE QTY_ ELECTRICAL PERMIT · ISSUE PARK·IN-LIEU (AREA )
NEW CONST EA AMP1SWT llK R CAR PORT TIF 001·810-00-00-8835
1 PH 3 PH AWNING LICENSE TAX 001·810-00-00·8162 -EXIST BLOG EA AMP/SWT/BKR GARAGE MFF 880·519-92·5 7
1 PH 3 PH
REMOOE L 'ALTER PER CIRCUIT
TEMP POLE 700 AMPS -.. .
OVER 700 AMPS
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I 1-4.ED
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E,cpuat,on. Ewery pe,mtt -by the 8ullclt"90llcctal under the p•o••••on• of lh,a * AN OSWI PINtlT 1$ REQUMEO FOft EXCAVATIONS 0V£fl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmilllltOn and become null and vo,d II the bu,ldong or work s· O" DEEP ANO DElflOUTI0N Ofl CONSTRUCTION Of'
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such perm,1 ,a not commenced w1th1n 180 days from !he date of such STRUCTUMS OVER J STONES IN HEIGHT .,.-m,l or ,1 Iha bulldt:ff.!" work author!Zed by auch perm,, ,a auapended or ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv bme a the worll ,a commenced tor a oerood of 1111 ""w• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
A~::~T~~~O
CONTRACTOR 0
APPROVED BYRrA "'
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-/8~ GRANTING OF THIS PERMIT BY PHONE 0 'l'Clfl
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TYPE I DATE INSPECTOR
BUILDING ' I g(p ..,g;sa--
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEiii.iNG
SHEATHING D ROOF D Sl-(EAR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE .,
PLUMBING I
I
1 FIELD WE-1.,DING I
0 SEWER AND BUCO D PUC0 HIGH STRENGTH
UNDERGROUND D WASTE □,WATER
TOP OUT D WASTE D WATER
BOLTS -=
r --
I SPECIAL MASONRY I 1 ~ i ' TUB AND SHOWER PAN I I " l l
GAS TEST I I PILES CAISSONS " I
D WATER HEATER D SOLAR WATER ' .,
I
ELECTRICAL I
D ELECTRIC UNDERGROUND [l UFFER
,-. , I " I . -
ROUGH ELECTRIC I -.
D ELECTRIC SERVICE D TEMP(>RARY
D BONDING D POOL I
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f -,·
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING ~~J~! ~~! UrC'\ 11:H \ii-ol-'~WI ' :!. _, ----
HEAT -AIR COND. SYSTEMS I . r -----
VENTILATING SYSTEMS I
I -
CALL FOR FINAL INSPEC
1
fON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I ' -I
PLUMBING I ~
ELECTRICAL I ~ I ' ----I
MECHANICAL I . ''-... \.
GAS I \ __ ,,-....,_
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BUILDING I ~ (~-I I ..
SPECIAL CONDITIONS I ~-~
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