HomeMy WebLinkAbout2297 SAWYER LN; ; 86-216; Permit"' z 0 ;::
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D I tHlreby attlrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No ------Class
I hereby afhrm !hat I am exempt from the Conuac·
lor's license Law for the following reason (Sec 7031 5 Busmess and Professions Code Any city or coon1y whtc:h re-quires a permII to construct. alter. improve. demolish, or
repair any suucture, prior to its 1Ssuance also requires the ap-ri~~~!c!orp::S:a~t:'' ,1~111:r~~~?oO: ~;a\~~e~o~'::!c~! I!
License Law (Chapter 9 comme.nemg with Sechon 7000 of D1111s,on 3 of the Business and Protesst0ns COdeJ or !hat 1s ex
empl therefrom and lhe basis for the allegeo o:empl!On Any v,olation of Sechon 7031.5 by an apphcanl foe a penrul sub·
1ec1s the applicant to a civil penalty of nol more than hve hun-
dred dollars ($500)
I. as owner of the property. or my employees w1lh wages
as lhetr sole compensatton_ WIii do the worK. ano the strut·
ture Is oot mtended or ollered lor sale (Sec. 7044. Business
and Professions C<>de The Contractor's License Law does not apply ro an owner of property who builds or improves
!hereon and who does such work himself or through his own
employees, provided that such improvements are not intend· ed or offered fOf sale If. however. !he builchng or improve• ment IS sold w1lhm one year of compiet1on, lhe owner-builder w111 have the burden ol proving lhal he dtd not build or 1m•
pr<Ne tor the purpose of sale)
[J I. as owner of !he property. am exclusively conlractmg
with licensed contractors to construe! the prOject {Sec 70.4.
Business and ProlessIons Code The Contractor"s License
Law does not apply to an owner ol property who builds Of lfTl·
proves thereon, and who contracts !or each pr01ects With a
coniractor(s) license pursuant to the Contractor's license Law)
□ As a homeowner I am 1mprov1ng my home, and the totlow
mg cond1tIons exist:
l Tht! work Is being per1onned pnor 10 sale 2 I have hved in my home lor twetve months
poor to completion 01 lh1s work 3. I have not claimed this exempt10n dunng the
last three years
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1:,~r":,":;g' under Sec ______ . B & PC
-------------
0 I hereby affirm that I have a cert111ca1e of consent to
self.insure or a certificate of Workers· Compensation In-
surance. or a certihed copy tttereol {Sec. 3800. Labor Code)
POLICY NO
COMPANY
=i Copy is hied Wtlh the city
D Cerllhed copy 1s hereby furnished \t
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed H 1he permit
1s for one hundred dollars lS 1()0) or less)
0 I certify that in lhe performance ol the work for wtneh
this permit is issued. I shall not employ any person in any
manner so as 10 become subJect to the WOfkers' Compen-
sation Laws ol California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labor Code. you must
tor1hw1th comply with such provisions or this permit shall
be deemed revoked.
0 I hereby atfirm that !here Is a construction lending
agency tor the performance of the work tor which this per-
mit ls issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender's Address ____________ _
USE BALL POINT PEN ONLY & PR Eis HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 0
APPLICATION & PERMIT
JOB ADDRESS s LICENSE# ~TION PERMIT NUMBER
BLOCK _ ZONE
LICENSE NO PLAN 1.D. # FOOTAGE
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--"O 0 DEStGNEA DESIGNER'S PHONE 0:3 ,a
DESIGNER'S ADDRESS LICENSE NO. ~ / ~
-F1P FLA ELEV. NO occ GP EDU I ~ .A ~ STORIES , \
vO NO ---
GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED TYPE
CONST
OCC LOAD FIRESPP CENSUS TRACT l
YO ND I AEOEVELOPMENT
AREA
•ONO vO NO Not Valid Unless Machine Certified
QTY.I PLUMBING PERMIT · ISSUE QTY.I MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I \ INSTALL FURN. DUCTS i.JP TO 100,000 BTU I I BUILDING PERMIT 001·810-00-00-8220
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 001-810-00-00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 001-810-00-00-8806
EACH GAS SYSTE M l TO 4 OUTLETS I . BOILER/COMPRESSOR 3 15 HP • TOTAL PLUMBING 001-810·00·00·8222
EACH GAS SYSTEM 5 OR MORE --41 • METAL FIREPLACE . ELECTRICAL 001-810-00-00·8223_
EACH INSTAl. All ER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT . MECHANICAL 001-810·00-00·8224_
EACH VACUUM BREAKER . MECH EXHAUST HOOD DUCTS . MOBILEHOME 001·810-00-00-8225 ~o.
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I II MOBILEHOME PARK INSP
--l
or--.
EACH ROOF DRAIN I INSIDE) I ll I I u SOLAR
TOTJ;L MECHANICAL
1
I-STRONG MOTION
FIRE SPRINKLERS
____QQ_l-810-00-00·8226 I I
880-519-92-33
TDIAL PLUMBING DO 1-810-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY.
_L • r\
~V'l.,j,J_i;J
X~ ISSUE 1 ~ PUBLIC FACILITIES FEE 332-810·00-00-8930 I \ ( ~o , ~a
0 oc
NEW CONST EA AMP SWT BK R COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMPISWT BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE*
-li ~ TE MP PO LE 200 AMPS ~r-r-..
OVER 200 AMPS
TEMP OCCUPANCY !30 DAYS)
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Dieguito
_San Marcos
\__.I ~le-Lit L ~\~1 I ~
'LICENSE TAX 001-810-00-00-8162
MFF/~~
CREbiT1"EPOSIT
880-519-92-57
~ R-:> r..r-..
R8o .m ~
TOTAL ELECTRICAL l TOTAL SOLAR i<:;o roe TOTAL FEES PAYABLE 1d40~-0C
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STAUCTION WHETHER SPECIFIED HEREIN QA NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
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
GRANTING OF THIS PERMIT
Exp1rat1on. Every permit ,ssued by the 8u1ldmg OH1cu1I under the provisions of this
Code sttall exptre by hm1tat1on and t>ec:ome null and void If the bu1ld1ng or work authonzed by such permit 1s not commenced within 180 days from the date of such
permI1, or 1f the building or work authonzed by such permit Is suspended or
abandoned at an~_ hme after the work 1s commenced for a period of 180 davs
~L'.CANT~~ __ O~ER0 CO~OR 0
\.A{0J ~ CJ::Sf!,:t,HONE 0
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* AN OSHA PE ... :T IS REQUIRED FOR EXCAVATIONS OVER
~-O" DEEP AND DEMOUTION Ofl CONSTRUCTION OF
STAUCT'UR£S OVER 3 STOAIES IN HEIGHT
APPROVED BY j{ DATE 1'-}/r-Jt ,,
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TYPE ' DATE INSPECTOR I %'~ _. ;2A. ~ BUILDING I '
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
GUNITE OR GROUT INSPECTION REO IF INSPECTORS DATE I CHECKED APPROVAL
SUB FRAME D FLOOR D CElt.;ING SOILS COMPLIANCE
SHEATHING D ROOF D SH'EAR PRIOR TO
FRAME FOUNDATION INSP
I
EXTERIOR LATH ' STRUCTURAL CONCRETE
I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED ' CONCRETE I
PLUMBING I FIELD WELDING
D SEWER AND BUCO D P~/CO HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSOt-;~
D WATER HEATER D SOLAR WATER
' I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND □'UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING □ POOL I
I
MECHANICAL I
I
,.J
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPE~~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED. .
FINAL I -. r •
~ .. ,, ••
: u-PLUMBING I -
ELECTRICAL .
I
MECHANICAL I /1 /
I I I /,I -GAS I ,/ -1.,0 BUILDING I !a,., /0· 25'<,., f,~_f, I
S"PECIAL CONDITIONS l I T ~
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APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
438-5541
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
OWNER
MAILING
ADDRESS
CONTRACTOR
CONTRACTOR'S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
REMARKS:
X EXISTING BUILDING
I
LATERAL LOCATION
ST.
LATERAL NQ, _______ INSTALLATION DATE-------
SE
ISSUED BY ------------------
DATE ISSUED-----------------
VALIDATION
•
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') ________ _
OVER 30' H. ___ @..,._ ___ FT. _________ _
OVER 10' V. @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') ________ _
OVER 30' H. ___ @, ___ FT, ________ _
OVER 10' V. ___ @ ___ FT, _________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.) ________ _
TOTALLATERALCHAAGE _________ _
LINE COST DATA
ASSESSMENT DIST. NO,--------------
FRONTAGE ____ COST PEA FT. ___ TOTAL __ _
OTHER ___________________ _
CONNECTION FEE
NO. UNITS_---'-_COST PER UNIT __ t:_~_TQTAL---
PUMP STATION FEES
NO. UNITS ___ COST PEA UNIT ___ TOTAL __ _
TOT AL CHARGES I LA TEA AL ETC.) _ __:_/J.:;..'{P...:t')::c...;:0:;__;_._0_c) ___ _
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
fLj"CARLSBAD UNIFIED SCHOOL DISTRICT
□ CA RLSBAD HIGH SCHOOL RECEIPT NO.
□ VALLEY JUNIOR HIGH SCHOOL 10009
DATE 3/1.s/~t,
RECEIOE~~~ t~ ~~'~
FOR:~~~ i Q
USE OF SCHOOL FACILITIES/RENTALS
USE OF SCHOOL BUS
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
INCOME ~ ABATEMENT 0
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
REIMBUR&~~TS
t'S'cA.oo\ ~e...)
TELEPHONE COMMISSIONS $ ____ _
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ ll \ <t,l, --
CHARGE TO ACCOUNT NO. Q -8'~:1 -___ _
~ uo.). s a ~
RECEIVED CASH □ CHECK IT
RECEIVED BY \j -~~