HomeMy WebLinkAbout203 SEA BREEZE DR; ; CB881076; Permit.,,
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O I hereby affirm that I am licensed under
p,o,,l1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 ot the Business
and Prof .. alons Code, and my license is In
full force and effect.
I hereby athrm that I am exempt trom the Conuac· tor's License Law lo, lhe loUowing reason (Sec 7031 5
Busmess and Prolessions Code Any city or county whttr. re· quires a perm,1 to construct. altet, improve. den'IOS1sh. or repair any struclure, prlCN' to us issuance also requ11es !heap-
plicant !Of such permit to hie a si9neo stalement that he 1s
hcensed pursuant to lhe provisions of the Contrac!o(s
License Law I Chapter 9 commencing with Section 7000 of
Olv1st0n 3 of !he Busmess and Professions Code) or 1nat ,s e• empt therefrom and the basis for tne allegeo ex-emphoo Any
v1olahon of Sect10n 7031,5 by an apphcant for a permit sub· 1ec1s the apphcanl to a CIVIi penally of not more lhan live hun-
dred dollars (S500J
~ I. as owner ol the property, Of my employees with wages
as their sole compensahon. will do !he work and !he struc· 1ure 1s nol mlended Of otlered to, sale (Sec 7044 Business
and Proless10n!. Code The Contractor's lteense Law does not apply to an owner ol properly who builds or improves
thereon and INho does such work himself or through his own
employees. provided that such 1mptovemen1s are no1 mlend-
ed or oflered lor sale II, however. the bu11dmg or improve•
ment 1s SOtd w11hm one year of completion, lhe owner-ou1kter
wilt have lhe burden ot prOY1ng lhal he did not build or 1m·
prove lor the purpose ot sale)
f 1. as owner of lhe property. am eJrclus,vety contracting
with licensed contractors to cons11uct the pro,ecl (Sec 7044.
Business and Professoos Code The Contractor's lteense
Law does not apply to an owner of property who builds or 1m· proves thereon, and who contracts !or each protects w1lh a
contractOf(S) license pursuanl lo lhe Contractor's license L1wl
Qt As a homeowner I am 1mprovmg my home, al'ld lhe lollow mg cond1110ns ex1sl
1 The WOl'k 1s being perlormed prlOf to sale 2 I have hved m my home tor twelve monlhs
prior to completion of lh1s wOl'k
I have not clauned lh1s exemot,on dunng !he
last three years
0 I am ex.empt under Sec ______ . 8 & P C
fOf lh1s reason -------------
0 I hereby alhrm that I have a cert1t1cate of consent to
sell-insure. or a certificate ot Workers· Compensation In-
surance. or a cert1fted copy thereof 1Sec 3800. Labor Code)
POLICY NO
COMPANY
::J Copy ,s Med with the city
0 Certified copy ,s nereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f !he perm11
1s for one hundred dollars (S 1()()) or le,ss}
0 I certify lhal in the performance of the WOfk for which
this permit ,s 1ssued. I shall not employ any person in any
manner so as to become subject lo the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT. If. alter ma.lung this Certificate
of Exemption. you should become sub1ect to the Workers
Compensation provisions of the Labor Code. you must
forthwith comply with such pro¥1s1ons or this permit shall
be deemed revoked.
D I hereby affirm that there is a construc11on lending
agency for lhe performance of lhe work for which this Pet·
m11 is Issued (Sec. 3097. c,vil COdeJ
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & 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 ie1JJJl,66Zc AV. ST.RO. THOMAS BROS NO . IJ=-0 PPLWI BUSINESS LICENSE It V~N
PERMIT NUMBER
~03 .... c.~ ,.,_.,,.~
LOT BLOCK I SUBDIVISION I ASSESSO~ tf\C~ o CONTRACTOR --CONTRACTORS PHONE• ZONE ( ~t/07{__ ~so<:;
OWNf R'S NAME /J1e{!Li/K6 I 7' J8"::w9Jf}NE otv .we >L
JDovr:r CONTRACTOR'S ADDRESS STATE LICENSE NO. ~G SO. FOOTAGE
OWNER'S MA>LING ADDRESS
aA~fl?At? ~03 1,8-)J/j' /(,,6 E Z.J3 / DESIGNER DESIGNER'S PHONE
(Jµ).;<="'L..
DESCR•PT~r/~~r t?A RAN~ P::O.k-DESIGNER'S ADDRESS STATE LICENSE NO.
#1 O 6'1 <-e-/~(3 nn /\0/16/88 0001 01 02
F/P FLR ELEV. NO OCC GP
E~ ~\t,'1617-~ BldPat 40-~ STORIES
vO NO --I CENSUS TRACT I PARKING SP ACE l RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl~A 11! •" u~m~ c,,,,.., AREA CONST
,□ ND ,o NO ' NO
QTY. PLUMBING PERMIT · ISSUE )~ QTY. MECHANICAL PERMIT · ISSUE /...)~ ... A w
~MMA6W ~-NUMlf ~
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU lllillOING ·er '\';n -:,u ll"J
EACH BUILDING SEWER OVE A 100,000 BTU , .).. SIGN PERMIT \.a1.., 001 ·810·00·00·8221'4 '7
EACH WA TEA HEA TEA ANO OR vrnT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ...... ~, 001-810-00·0~
EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP ' TOTAL PLUMBING ~ ·2 ....... ELECTRICAL EACH GAS SYSTE M~ OR MORE. METAL FIREPLACE .; .. 001·810-00-00·8223
EACH INSTAL . ALTER, RE PAIR WATER PIPE VENT FAN SINGLE DUCT ,. \._, w MECHANICAL 001-810·00·00·8224 .
EACH VACUUM BREAKER MECHE XHAUSl HOOOIOUCTS MOBILEHOME 001-810·00·00·8225 ~.,,,,-
WATER SOFTNER RELOCATION OF EA FURNACEIHEATER SOLAR 001 ·810·00·00-8226
EACH ROOF DRAIN (l'JSIDE I DRYER VENT STRONG MOTION 880-519·92·33
TOTAL MECHANICAL FIRE SPRINi<LERS 001-810·00·00·8227
TOl AL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·87 40
5& BRIDGE FEE 360-810-00·00·8740
QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP /D PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl llKR CAR POAT TIF 312·810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00-8835
EXIST BLDG EA AMP•SWT BKR GARAGE -FMF
1 PH 3 PH 7 r, .ll./1.A.N'A '<0-LICENSE TAX 001·810·00-00-8162
REMODEL ALTtR PER CIRCUIT -MFF 880-519-92-57
TEMP POLE ?00 AMPS
OVER ?00 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT ~
TOTAL ELE CTR ICAL I TOTAL /LO,, TOTAL FEES PAYABLE q l ///'J_,--z;;;-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exptration Every permit issued by the 8u1ld1ng ~tt1c11I under the prov1s1onsof ttus * AN OSHA PERlil:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tahor, and become null and void II the building or work 5· O" DEEP ANO OEMOUTION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authonzed by such permit 1s not commenced within 180 days from lhe date ot sucl'l STRUCT\IAES OVER 3 STOAIES IN HEIGHT permit. or If the bu1td1J or work authonzed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned al anv time a ter the work ,s commenced for a oe110<1 of t 80 da"• ~
STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND rr_·s SIGNATURE • OWNEr>f< CONTRACTOR 0 APPROVEDB✓7
I DA}/1,/J1/
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 rfi/-· ~---J~ BY PHONE [J GRANTING OF THIS PERMIT ,-pp'/7 -,
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TYPE DATE INSPECTOR
BUILDING .i
FOUNDATION ,. .. >t.l »"' '
REINFORCED STEEL ' llA. ·1;-v,-
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING □ ROOF □ SHEAR [
FRAME 1 (--t '3 -b<'.5 ""~ EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
'
PLUMBING
D SEWER AND BU CO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER t.l ·vt. ((( r-6
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL I I
PLUMBING Ll.,\ \ r,
ELECTRICAL ~ \. '1l
MECHANICAL . ~ ~~~
GAS '--'\..'-:l ~
BUILDING ,.
SPECIAL, CONDITIONS
-+
(l ~ s-~ )1) "Jy
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS . INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI . -__ -..
PRESTRESSED -CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING ' -r
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS .
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