HomeMy WebLinkAbout2016 SALIENTE WAY; ; 87-413; Permiten z 0 .: C CIC ~ 0 w 0
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r<i I hereby affirm that I am licensed under i
~lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
full force and effect.
I hereby affmn 1na1 I am e11:emp1 from the Conlrac-lor"s t.,cense Law tor the lollowmg reason (Sec 7031 S Bus,ness and Pfo1essK>ns Code Any clly or couniy wh1cli re-
quires a perm1I lo construct. alter. improve demohsh. Of repair any slructure. pnor 10 11s issuance also requires !heap· phcant !Of such perrrul to Me a st9ned statement that he ,s
licensed pursuanr to lhe prov1s,ons ol lhe t;onuactof's L,cense Law (Chapter 9 commencing with Sec1ton 7000 ol 01V1s1on 3 o1 lhe Business and Protessions Cade} Of !hat 1s ex· empt therefrom and the ba~ lor the antgeo exemption Any
v1olat1on o1 S~hon 7031 . S by an aootant lor a permJt sub· JtclS the appbcant to a c1vll penalty Ot not more than five hun-
dred dollars ($5001
I I I, as owner ol the pr01)er1y, or my employees w1lh wages
as their sole compensa110n, will do the wOfk and the slruc·
lure ,s not ,ntended or offered tor sale {Sec 704-1. Business and Professions Code: The Cornraclor's Ucense law does I
not app4y 10 an owner 01 property who ou11ds or improves
thereon and who does such WOfk himself OI' through tus own
employees, provfded Iha! such 1mprovemen1s are not inlend-ed or ottered tor sale II. however. lhe butkhng or improve-
ment ,s sold within one year 01 compJellon, the owner-builder
will have the burden of proving that he did not bulld or tm·
prOYe lor !he purpose ot sale)
n I, as owner o1 the property, am exclus1Vety contracting
with licensed contractors lo construct the prOJecl (Sec 7044, Business and Protess,ons Code: The Con?raclor's license law does not apply 10 an owner ol property who builds or im-proves !hereon. and who con1racts for each prc)fects with a
contractor{s) license pursuant to !he Contracto,'s license Law)
0 As a homeowner I am 1mprov,ng my home, and the follow·
mg concht,ons ex1S1. t. The work 1s being perfom'led poor to sale 2 1 have hved in my home 1or lwelve months
PflOI to complehon of this wOl"k
3 I have not clauned this exemptlOO durmg lhe last three years
8&PC 0 I am exempt under sec, _____ _
t« this reason ____________ _
X 0 I hereby affirm that I ha-..e a cer11f1cate of consent to
sell•1nsure. or a cert1f1cate of Workers Compensation In-
surance. or a cert11ied copy !hereof (Sec 3800. Labor Code)
POLICY NO TC@21698048
coMPANY Marvland Casualty' ::J ~PY ,s hied with the city I
0 Certrlied copy is hereby furnished !
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit
Is for one hundred oollars ($100) or less)
D I certlty that in the performance of tne work for which
tn,s perm,t is ,ssued. I shall not employ any person in any
manner so as to become sub1ect to the Workers· Compen-
sation Laws of Cahtornia.
NOTICE TO APPLICANT: U. after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code. you must
fortl'lw1th comply with such proY1Sions or this permit shall
be deemed revoked
0 I hereby atnrm that there is a construction lending
agency for the performance of the work for which this per-
mit is issued (5ec. 3097, cN<o:Re
Lender's Name ______ _
Lender's Address ___________ _
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USE BALL POINT PEN ONLY & PRESS HARD u APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Pal mas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS s~ I 1ente-WI.At AV ST.AO. NEAREST CROSS ST. !DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER
i7 ✓ 2016 Sal±ete Way Rustico Dr. 4-16-87 15402 <--\ \3 LOT BLOCK I SUBD>V>SION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
OWNER'S NAME I OWNER'S PHONE ArlAn Fnf;tAr P11nnh;nn hQ7. .,11 i:;1
c CONTRACTOR'S ADDRESS -STATE LICENSE NO. ,· . .~. ~ ,.; ' BUILDING SO. FOOTAGE
Frances F. Diehl 753-2516
OWNER'S MAIL NG ADDRESS \J 2819 Central Ave. 443348 -
2016 Saliete Way OESIGNER DESIGNER'S PHONE oois m1u v.Lv. v-.::ts1t>r•" .LV•"
Carlsbad 92009 ,. ?. .!'""
DESCRIPTION OF WORK v\'-:Y Water Heater Reolacernent DESIGNER'S ADDRESS STATE LICENSE NO.
~\'~/ --F/P FLA ELEV. NO CCC GP EDU
STORIES
v O NO --
I I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA
AREA CONST
y D ND v0 NO vO NO Not Valid Unless Machine Certifi«J
QTY. PLUMBING PERMIT -ISSUE ~$) QTY. MECHANICAL PERMIT -ISSUE ,~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
, INSTALL FURN DUCTS UP TO 100,000 BTU / BUILDING PERMIT 001·810-00-00·8220
EACH BUI LUING SEWER OVER 100,000 BTU _,,,,,,"' SIGN PERMIT 001-810·00·00·82 21
l $2.50 ---/ EACH WATER HEATER ANO/OR VENT BOILE A/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00-00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP / TOTAL PLUMBING 001 ·810·00·00-8222 -$-10.0~ ---./ -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00-00-8223
EACH INSTA~. ALTER. REPAIR WATER PIPE VEN T FAN SINGL~ MECHANICAL 001·810-00-00·8224 -~-.
EACH VACUUM BREAKER MECH EXHAUST OD 'OUCTS MOBILEHOME 001 ·810-00·00-8225
WATER SOFTNER RELOCATIO_¢ EA FURNACE/HEATER SOLAR 001 ·810-00-00·8226
EACH ROOF DRAIN IINSIDEl DRYERYB(t STRONG MOTION 880·519-92-33
/ TOTt.L MECHANICAL FIRE SPRINi<LERS 001-810·00·00·8227
TOTAL PLUMBING I ~10. 00 PUBLIC FACILITIES FEE 320-810·00-00-87 40
BRIDGE FEE 360-810·00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE ~f)l) QTY. MOBILE HOME SETUP / PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl 8KR / CAR PORT /. TIF 134-810·00-00-8835
I PH 3 PH ./ V AWNING I/ LA COSTA TIF 133-810·00-00-8835
EXIST BLDG EA AMP1SWT BKR / GARAGE / FMF
l PH 3 PV° ./ LICENSE TAX 001·810-00-00·8162
REMODEL ALTtR PER CUJ,e1JIT / MFF 880-519·92-57
TEMP POLE 200 M1jl!!""' /
OVER 200 AMP.¥ / .
TEMP OC,WANCY 130 DAYSI /
/ ./ CREDIT DEPOSIT
/ TOTAL ELECTRICAL
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fOTAL TOTAL FEES PAYABLE l ~ Sl O nn
; HAVE CAREFULLY EXAMINED 1HE COMPLETED 'APPLICATION ANO PERMIT ANO DO HEREBY Exp,rat1on Every perm11 issued by the 8u1ld1ng Offtc1a1 under 1he pro"1s1onsotth1s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT 'ILL INFORMATION HEREON INCLUDING THE Code shall expire b)I hm1tat1on and become null and void It the bu1ld1ng o, work. s· o·· DEEP ANO DEMOLITION ()fl CONSTRUCTION OF
DECLARATIONS ARE TRUE 'IND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT If> authorized by such permit 19 not commenced w1lh1n l80 days trom the date 01 such SlAUCTUR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON :~~ln°.:ci ·~, ·~~y ~~~:1~ e~;h:~~,:~tc°~~~e~le~~~~ :e=.~·~,sr:bd".~':' or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE • OWNER□ CONTRACTOR 0 APPROVE°?/ DATE
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
~1,,/YV·, (' C~ v ~+-) BY PHONE 0 l~f/-f7 GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR " . A-13
BUILDING !
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D StliEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I
. FOUNDATION INSP '
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
'
PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED I
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BU CO D RUCO
UNDERGROUND D WASTE d WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER
r
-ELECTRICAL
I :
D ELECTRIC UNDERGROUND [!] UFFER
R OUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY ' -
D BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
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FINAL !
PLUMBING I .Ilk.
ITEM_§_A_f30VE HA1VE BEEN APPROVED . w,t' -_;.i\ ~r oror OSBJQl:.tif ro·oo
,-}lo ~~LJo~~ A J..,,U-4,/L '
ELECTRICAL I
MECHANICAL I
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GAS I
BUILDING I
SPECIAL CONDITIONS I
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