HomeMy WebLinkAbout2235 SARA WAY; ; CB890101; Permit"' z 0 ;:
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1"if I herM>y affirm lhal I am llcenaed under ~•Ion• of Chapter 11 (commencing with
Section 7000) of Division 3 of the Business
and ProleHlons Code, and my license is In
lull fo,ce and effect
I hereby llhrm lb.at I am exempt from the r,c-
10< s l.Jctnse law to, the IOllowlng reason (Sec 7 31 5
8usmess and Professions Code Any c,ty o, county w u; re quires a perm,1 to conslruct alter improve dem 1sh or repair any struc1ure pnOf' to 11s tSsuance also requ1r !heap
plteanl IOt such permil 10 .... a StQned SlJtement I he tS
licensed pursu,n1 lo lhe p,ovrs01s ~ the tractor s lcense lJW (C~p1er 9 COffmtncu,g with Sec 7000 ot OmsK>n 3 of the Business and Pr01ess10ns Code or lhal 1s ex
empt lhefetrom and the basis tor lhe allegeo e mpt1on Any v1olat10n ot Section 7031 5 by 1n apphcanr I a perm1f sub
,ects the applicant to a CtVd penalty ol not re than five nun dred dOllars 1$500)
I, as OWnet' of lhe property Of my p,oyees "1th wages
as lheu sole compensatton wttl dot 'l'VOfk. and lhe struc lure 1s not 1n1ended or olleted tor e {Sec 7044 Busme.ss
and Pro1ess10ns. Code The Con 1or·s License Law does
not apply to an OONne.r ot pt y whO t>utkls o, improves
thereon and who does such hims.err or thlougti his O'Nr"I
emok>yees. P,OYlided lhat su wnprO\.-ements aft no1 mteod· ed 0< ollered lor sale II wove,, the l>ulld1ng 0< lfflp<ovt·
menI ,s soki w1thm one y of com~t0n. lhe owner-builder
will ha_ve the burden ot I1Mng Iha! he did noI build or Im•
prove to, the 0urpose sale)
I. as owner ot property, am excklstvety contracting
act0<s to construct the protect !Sec 7044 ofessaons Code the Conlractor's License
Law does not ty to an owner of property wno builds or Im• proves ther n, aod who contracts ror each pro,ec1s with a
contractor hcensa pursuant 10 lhe Con1rac1or·s L.cense L•w)
I J As homeowner I am ifflll'OVlng my -•nd lhe IOIJow mg c dItions exist
1. The wCKk 1s being performed prior 10 sate
2 I have hved 1n my home tor twelve mon1hs
PIIO< lo compleliOO ol llus -• I tQve ~ clatml!d lh1s exempt.on (lu11og lhe list three years
□ I ilf!I exempt unaer Sec ______ , B & P C
tor lttis reason
~ I hereby alhrm that I f\a¥e a cer11trca1e ot consent 10 •,
sell,,nsure or a cer11l1ctte ot workers· Compensation l.n-•
su,ance or a cen1hed copy !hereof (Sec 3800. Labor eoc;e, ~
POucY No P u.,L-'-to-o~zs !
COMPANY LNA. t>" Copy iS hied With the City
0 Cer11he4 copy 15 hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSU!¥-NCE
(This sect,on need not oe completed
is for one hundred dollars ($
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:J I centty that m the perfOfm ot the WOfk for wh,ch
!his permit is Issued. I SNIJI employ any person many
Iect to the WOfke,s Compen-•
I
;ANT If, after making tt'lis Cert1f1cate I
. shoukl become sub1ec1 to the WOfkets t·
Compe~sa prov,sions or the LabOf' Code. you must
forthwith om ply w,th such provIsIons or this permit shall r
be dee ed revoked
which ll'us Def •
USE BALL POINT PEN ONLY & !_RESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
J ·, CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 --.. -
JOB ADDRESS A'V ST. RO. THOMAS BROS NO. 10;:2 ;:.;~ONI
IUSINESS LICENSE • 'VALUATION PERMIT NUMBER
'-'-~~ ~ ... r..:.. ... I " .. ,v,,,_ I'\ ~ [\-~ rz. '-\ °\7 Io, 9'2rJ
LOT I BLOCK J sueo1v•s10N . I ASSE,z::,=c; lb-~f-. CONTRACTOR CONTRACTORS PHONE• ZONE g-9010I
"'" s ~,' Ol\ ~\<. l'f3-Uo.c; (!j )
OWNE R"S NAME OWNER'S PHONE
51~.:v(.-+ 1< o .... ,@ M~~u. l,...,.
, CONT RAC TOR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE ·,l~\ <,L(l-!1 )1 155 w .. u.r~"'-~ Q.\le "3"'t..J::,'1b0 ow .. E R'S ... A, •NG ADDRESS
-56...YV'\~ DESIGNER DESIGNER'S PHONE -Gt.\ 'rt, OESCRtPT•Opc~O RK '-i55 16 ~~~;be,r . \ --t-s~ DES1GNER'S ADDRESS STAIE LICENSE NO. 4515 01/31/89 0001 01 02
I Bldf'lnt 142-0
F/P F LR ELEV. NO OCC GP EDU STORIES
YO "o --I CENSUS TRACT I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not V~lid Un/en MJchin, Cl!ftili«I
QTY. PLUMBING PERMIT -ISSUE '7.8{) QTY. MECHANICAL PERMIT -ISSUE /5",t:r'J SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU HUI LUI Nu ~t HMI I UU I ·!l l U·UU·UU·HUU /~,_cu
EACH B'UILOINO SEWER OVER 100,000 BTU SIGN PERMIT 001 810-00-00-8221
I EACH WA TEA HEA TEA ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 I<~ (fD
I EACH GAS SYSTEM 1 TO 4 OUTLETS 801 LEA /COMPRESSOR 3 1 ~ HP TOTAL PLUMBING 001-810-00-00-8222 I~ <J"'
EA~ GAS SYSTEM ~ OR MOR[ 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
I EACH VACUUM BREAKER .. MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225
WATER S()FTNER . RELOCATION OF EA FURNACE1HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN fl"lSIDE1 DRYER VENT STRONG MOTION 880-519-92-33 / CTU
TOT ~L MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227
TO I Al PLUMB I NL I /.~-~ PUBLIC FACILITIES FEE 320-810-00-00-87 40
BRIDGE FEE 360·810·00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE 6-0l> QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l
NEW CONST EA A MP SWT liKR CAR PORT TIF 312-810·00-00-8835
I PH J PH AWNING LA COSTA TIF 311-810-00-00-8835
EXIST BLOG EA AMP•SWT BKR GARAGE FMF
1 PH J PH LICENSE TAX 001-810·00-00·8162
'L REMODEL ALTtR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 700 AMPS
OVE A 700 AMPS
rEMP OCCUPANCY 130 DAYSI . ._ -
CREDIT DEPOSIT -< ~ ::l. Q -7
lrlTAl El[LIRICAl I I#_,.. I /492,fYJ ' , TOT Al TOT AL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATiON ANO PERMIT ANO DO HEREBY Exp,r1t1o._n Every permit issued by tt'te 8u1id,ng O01c111 under lhe provIs1ont of u,,, * AN OSHA PlMl:T IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJUHV THAT ALL INfORMATION HEREON INCLUDING THE Code shall e:rpire by l1m111t1on and become null and void If the buitdmg or work ~ O" DEEP ANO D£M0t.lTION 0A CONSTRUCTION OF
DECLARATIONS ARE' TRUE ANO CORRECT AND I FURTHER CEATIFY AND AGREE IF A PfAMIT :<, aulhor•zed by such perm,t •snot commenced w1th1n 180days trom th• dateot sucn STRUCNAES OVER 3 STOftlES IN HEIGHT
ISSUED TO CO ... Pl Y WI\!'< AL.L CITY -COUNlY ANO STATE LAWS GOVERNING BUILDING CON =~';:~~ 1!t •=~v ~r:1~.i~h:~~,:~!~°c;~~l~~~~ :8~'::~1
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~~-~ or -STRUCT:ON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . i)I,.
~EO BY , a lo~/49 l<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANTS SIGNATURE • OWNER O CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THA.. ~. fH. ' . ~ BY PHONE [J .""1 A,,, .-,,,. i--_..
GAANTING·OF THIS PERMIT , -A • • J,fl , l .L. t ~ Jo •--, .,.. ....,.. . .,. .,. I
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' TYPE I DATE INSPECTOR '
BUILDING I
~-{)£?;'1 O 101
FOUNDATION I
A .A rll. n i I FIELD INSPECTION RECORD
REINFORCED STEEL I 7· v•p V ' \~\ ·v
MASONRY I
GUNITE OR GROUT I
I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE ~~.:r ~ ~~ C (-'~).~ CHECKED APPROVAL
SUB FRAME D FLOOR D CElllNG
SHEATHING,. D ROOF D SHEAR
FRAME ,
' EXTERIOR LATH "''·._ I ..
SOILS COMPLIANCE ..l_ On1 ~ -Q ,,~._~? ~~~·-PRIOR TO I I 6 .....__
FOUNDATION INSP --
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
'
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING ' FIELD WELDING
D SEWER AND BUCO D Pl-JCO
UNDERGROUND D WASTE □~WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY •
TUB AND SHOWER PAN I // ~ I ,.
GAS TEST I . 'f./( · ~ { ,~ '1'r. PILES CAISSONS
D WATER HEATER D SOLAR WATER '
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ELECTRICAL I . .
D ELECTRIC UNDERGROUND Di UFFER .,, r,£:. II,,, ..
ROUGH'ELECTRIC I 7(/,fl/ r <z('< ' ..
D ELECTRJC SERVICE D TEMPORARY I\
'\
lO BONDING, ltl POOL I 'h . 'lb •~Ii\ \v\\. -
! ·, .
MECHANICAL ' D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND, SYSTEMS I
VENTILATING SYSTEMS I . ~ [lJQ~.f T'#S·OC -----· -"'t.1\.-,.----I . . • . ,1,;.. L:. '\,,◄ "-◄ ,~ \itA,/V-, .,,. -CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'JE BEEN APPROVED ·
.
FINAL I . ,. .
PLUMBING \ T -I : .A
ELECTRICAL :1 \ I
MECHANICAL I ~ I I\ --
GAS • . '\. I I\ •
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' •>·; ' . ; ' -\ -. -· .. , . ' 1; ' . -: '
BUILDING I ~ \\ l\
SPECIAL CONDITIONS I l~. ~
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