HomeMy WebLinkAbout2235 SARA WAY; ; CB891240; Permiten z 0 ;::
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0 I her.t,y affirm that I am llcensed under
provlatona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is in
lull force and effect.
I hereby affirm lhal I am exempt lrom !he Conrrac-lor's Ltce11se Law for the loUowmg reason (Sec 7031 5
Business and Proless,ons Code Any clly or coun1y wti.cr, re-quires a permII to construct. alter, improve. demohstl, or
repair any structure. prH>r 10 its issuance also requires :heap-phcanl 10< such permit 10 hie a signed slalement lhat he 1s licensed pursuanr to the provIs10ns of !he con1racIor s
License law (Chapter 9 commencing with Sec110n 7000 ol
Div1s1on 3 of !he 8usmess and ProtesslOfls Code) or tnat,s ex· empl therefrom and the baSts for lhe 311egea exempuon Any
v10lat1on ot Section 7031 5 by an apphcanl tor a perm,t sub~ iects the' apphcant to a c1vrt penally of nol more than live hun·
dred dollars ($5001
I. as OWfler of Ille prQpef'ty Of my employees w11h wages
as thelf sole comp,ensahon, will do lhe work and rhe suuc-rure 1s not intended or olfe.red l0t sale {Sec 7044 Business
and Professions Code The Col'llractor's License Law does
not apply ta an owner of propefty who builds or ,mproves thereon and who does such work hImsel1 or through hts own
employees. provided that such ,mproverrie"'s are rnH mlend·
ed or ollered 101 sale II, however. the build mg or ,mp rove~
menl Is SOfd wtlhtl" orte year of CC!ITIPle1tOn, the owner-bu1k:Ser
w,11 have the burden ol proving that he dtd not build or Kn·
prcwe for the purpose ol saleJ · ~
I I. as owner of lhe propec1y, am exclusively conlraclmg
with l1c~seil contractors to construct the protect (Sec 7044,
Business and Proless1ons Code The Contrac1or·s License Law does not apply to an owner pf properly who bUtk:t.S Of im-
proves thereon. and who contracls !Of each proiects.wrth a conlractor(s) bcense pursuan1 to 1he ConJractoc's license Law)
I l As a homeowner 1· am 1mprOV1ng my home, and the tottow
NlQ condlllons ,x1st: ~
1 The work. Is bemg performed pnor to sale 2 I have. hved m my hOme lor twelve months puor to complebon of Uus work
I have nol 'Clarmed 1hts exemplt0n during lhe last 1hree years
D I am exempt uncle, Sec, ______ , B & P,C ror this reason -------------
~ L.....i I hereby afhrm that 1 have a cer1iflcate of consent to
selt-msure. or a certificate of Wo,11.ers· Compensallon In•
surance. or a cer11t'....ed copy u,ereol (Sec 3800. Labot Code)
POLICY NO
COMPANY
'Copy 1S filed Witt, the CJty
.:J Cert,tied copy Is h~reby fum\shed
CERTIFICATE OF 'EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This settion need not be completed 1f the permit
,s ·,or one hundred dollars (S tOO) or less}
0 t cer11ty that iri the performance of the work tor which
t.n1s permit ,s issued. I st'lall no1 employ any person 1n any
manner so as to become subJecl to the Workers· Compen-
sahon Laws of Californ,a.
NOTICE TO APPLICANT: If. after makmg this Certificate
of Exemption. y.ou st\Ould become subject 10 the Workers·
compensation p,ov1sIons of the Labor Code. you must
forthw11h comply w,th such provisions or this permit shall
be deemed revoked
l O I ". ereby affirm that there Is a conslruct,on lending ffi agency for the performance of 1he work for which 1h15 pet•
O •·m1t 1s 1ssyed (Sec. 3097. C1v1I Code) z 1M Lender"s Name_._ ...,
Lender's Address ___________ _
USJ BALL POINT PEN ONLY & PRE~S 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 A V. ST.RD THOMAS BROS Nl4 I o;~;:;~1~0 Nl
BUSINESS LICENSE # liu;;;J-PERMIT NUMBER
7_2 ~t: ~NA WA'I B3 t1 1-v4-a lj~ BLOCr<
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CONTRACTOR CONTRACTORS PHONE • ZONE Ci) ~v~u...._ OWNER'S NAME OWNE R"S PHONE 0~V-.P""-
IU .... -. llA ~--b~E"U E". i-,---~o ..,c-CONTRACTOR'S AOORESS STATE LICENSE NO BUILDING SO. FOOT AGE
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OWNER"S MAILING ADDRESS (v ;4e.\ s.b~ 2.2 "!>S SPnrA w~ ~I DESIGNER DESIGNER'S PHONE -<
OESCR1PT1QN OF WO R K ' DESIGNER'S ADDRESS STATE LICENSE NO.
Cooe-2.a PA--no IL~ lq 92U 08/22/89 0001 01 02
BldPrnt 72-~ I FJP F LA ELEV., NO DCC GP EDU
STORIES
vO rsO --
I . I CENSUS TRACT •· 1 PARKING SPACE I RESUNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA
I ;, AREA CONST
I • y O N 0 ,□ NO vO NO Nor Valid Un~s Machine Cutifird
Q T Y PLUMBING PERM IT· ISSUE 1,Sd QTY. MECHANICAL PERMIT · ISSUE ;~--SUMMARY/ACCOUNT NUMB ER
I I -
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BHJ l:IUILUINl, ~tHMI I 001 ·81 0·00·UU·HUU .._,,..,,,.. .I
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221 / .1
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 --L,..-)5
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 00 i ·810·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INST AL. ALTER, REPAIR WAT ER Pt PE VENT FAN SINGLE OUCT MECHANICAL 001 ·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RE.LOCATION OF EA FURNACE1HEATER SOLAR 001·810-00·00·8226
EACH ROOF DRAIN (INSIDE! DRYER VENT STRONG MOTION 880·519·92·33 I
TOTliL MECHANICAL FIRE SPRINi<LERS 00 I ·810·00·00·8227
TOIAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·87 40
BRIDGE FEE 360·810·00·00·87 40
~ -QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST lA AMP SW\ llKR CAR PORT rn 312·810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BLOG EA AMP SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00·00·8162
REMODEL ALTtR PER CIRCUIT .. Mff 880·519·92·57 , ~
~
TEMP POLE 700 AMPS
. t --, ~--' OVER 200 AMPS
f(MP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT ,,-
lOTAL ELEClRICAL I TOTAl <
TOT AL FEES PAY ABLE -h 7~
I HAVE CAREFULLY E;<AMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every per mt I issued by 1he 8u1ld1ng Offlc,al under the prov,s,ons of this * ~·~~ RfOUIAED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaJI expire by hm1t1Uon and become null and void If the bu11d1ng or work 5' DEEP A DEIIOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ au1honzed by such permll ,s not cornmenced within 180 days trom the date .:,t such STRUC OVER J STORIES IN HEIGHT
I ISSUED TO COMPL YWITH ALL CITY. COUNlY ANO STATE LAW:O GOvERNING BUILDING CON :~~~n':c, 1
~t ·=~v ~~~:1:H.~;h:~~,:~!h~~~~~le~~~~ r~r::~1~,s~:ged"•~ o, I
I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE'TO SAVE INDEMNIFY ANO APPLICANT S SIGNATURE If OWNERr"lf CONTRACTOR [J APPRO~() _
,DHzJJ
I · KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
I EXPENSES WHICH MAY IN ANY WA.Y ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (} 'L-VV"\e..o (~ BY PHONE rJ
I
GRANTING OF TH IS PERMIT ~-;_ ----
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILIN
SHEATHING D ROOF D SHEAR
FRAME \I
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D
UNDERGROUND D WASTE D W~TER
TOP OUT D WASTE D WAliER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATliR
ELECTRICAL
D ELECTRIC UNDERGROUND D UftFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPINGi
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/O~ WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE 8EEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
\..
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-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH'
BOLTS .
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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City of CARLSBAL
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