HomeMy WebLinkAbout2657 SAUSALITO AVE; ; CB891280; Permit.,, z 0 .: C a:
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;\, I hereby affirm that I am llcensed under
~lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profa11lons Code, and my llcense is In
lull force and effect.
I nereby affirm th.at I am uemp1 horn the Contrac-tOf's license Law tor the toOow1ng reason (Ste 7031 5
Business and Protess10ns Code Any cIly or county wh1Ct, rf' qu,res a perm11 lo construct. alter. improve, demohsh, °' repair any slructure. prlOf to ,ts issuance also requires !heap·
plteant lor such oerm11 to hie a signed slatement that he 1s licensed pursuant 10 the ptovistons ol the t.:onlracto(s
Lteense Law (Chapter 9 cornmenc1ng with Section 7000 or Ckv1s,on 3 ol lhe Business ano Protess,ons Cooe) or th.at ,sex
empt lherefrom and the bas,s f0< the allegeo e.-emphon Any
vN>lahon ot SectK>tl 7031 .5 by an applicant fOf a permir sub ·,ec1s the applicant to a civil penalty 01 001 more tnan hve nun
died dol~rs ($500)
I. as owner of lhe property, o, my employees with wages
as lhe1r sole compensahon will do lhe work an<! the s1ruc· lure Is no1 1n1ended or offered !or sate (Sec 7044 Business
and Pfofess10ns Cooe The Contrac1or's License Law does
no1 appty to an owner o1 property who builds or improves 1hereon and whO dOeS such work himself or through his own
emoloyees. provided Iha! such 1mprovemen1s are not mlend· ffl or offered for sate II. tiowever. lhe building or improve-
ment Is smd witrun one year OC complehon, lhe owner·DuIlder wlll have the burden 01 proving 1hat he did not build Of ,m-
orove !or !he purpose ot sateJ
I I. as owner of the oro;>erty, am PClus,vely contractmg
with ltcenseo conlractors to construct the prOfeCI ( Sec 7044. Eklstness and Professions Code The Coouactor·s License
Law does not apply to an owner ot property who builds Of un•
proves thereon. and who contracts for each proiects w11h a contractOf(S) license pursuant to the Contraclor's license Law).
[1 As a homeowner I am tmprovmg my home. and !tie loHow mg condIt,ons ex'lst
1 The wOfk 1s bemg perto,med pnor 10 saie 2 I have IIYed In my hOme tor rwelve months pnor to compietm o1 ltt1s wOfk I have nol clatmed lhtS exempoon dunng lht last three years
0 I am exemp1 under Sec ______ , B & P C
for this reason
0 I hereby aflirm that I have a cerMicale ol consent lo
self-insure. or a certificate of Workers· Compensation In•
surance. or a cer1tfiea copy lhereol lSec 3800. Labof Code)
POLICY NO.
COMPANY
:J Copy ,s Med w11h the city
0 Certified copy ,s hereby lurnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the permit
1s for one hundred dollars ($100} or less)
0 I cer1ity that in !he performance of !he work for which
11"11s perm11 is Issued. I shall not employ any person in any
manner so as to become sub1ect to the Workers· Compen•
satIon Laws of California
NOTICE TO APPLICANT; If. after making this Cert1hcate
ol Exemplion. you should become subject lo the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply w1lh such pro1i1ls1ons or this permit shall
be deemed revoked
0 I hereby affirm that there 1s a construction lending
agency for lhe performance of lhe woOI: for wh,ch this per•
mu is ·Issultd (Sec. 3097. Civil COde)
Lender's Name ____________ _
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMlT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AODRESS
?;,-.: ''-df ;•~ THOMAS BROS NO l°fbh;c~ Cf;u;;;s,;;;sE • VALUATION PERMIT NUMBER
7L..~1 A\.'~-A r, g,-y-ug,o LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR L I~
, CONTRACTORS PHONE • ZONE ~ ~ . .. r17!b .a~
'OWNER'S NAME (~V\ d
~~W:ERi,li
It r--·.,..-""-~ \YI llf:.JI A~d P.0:~o~s: faU!;,, L. STATE LICENSE NO. BUILDING SO. FOOTAGE
4'c-;11 ~ OWNER'S MAL NG ADDRESS -h----, DESIGNER r DESIGNER"$ PHONE
.._...r1 h es.tr.,"' DESCRIPTION Of WORK
DESIGNER'S ADOR"ESS STATE LICENSE NO
~ti,~ ,,~ e. /.. --.,J"I__, 9305 08/25/89 0001 01 02
" -1 1 .. ~-J BldPmt 10-~ -. • f ,'P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --I CENSUS TRACT I PARK ING SPACE I RES UNITS I GRAOING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y D ND ,o NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7sv QTY. MECHANICAL PERMIT · ISSUE ;500 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100.000 BTU HUILOIN!, rtHMIT uul ·ij IU·UU·UU·o«u
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00·00·8221
EACH WAT.ER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK OOJ.810-00-00·8891
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 IS HP TOTAL PLUMBING 001 ·810-00-00-8222 1u-
EACH GAS SYSTEM~ 0 R MORE METAL FIREPLACE ELECTRICAL 001·810-00-00-8223
EACH INSTAL. ALTER. 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
WATER SOFTNER RELOCATION OF EA FURNACE /HEATER -SOLAR 001-810-00·00·8226
EACH ROOF DRAIN (INSIDE! DRYER VENT STRONG MOTION 880-519-92·33
TOT/;L MECHANICAL FIRE SPRINKLERS 001·810·00-00-8227
TOl Al PLUMBING I /0 -PUBLIC FACILITIES FEE 320·810·00-00·87 40
yoc) BRIDGE FEE 360·810-00-00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl ijKR CAR PORT TIF 312·810·00·00·8835
1 PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BLDG EA AMPISWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001·810·00-00-8162
REMODEL A LHR PER CIRCUIT MFF 880·519-92-57
TEMP POLE ?00 AMPS
OVER ?00 AMPS
TEMP OCCUPANCY 130 DAYSI .
CREDIT DEPOSIT
TOTAL ElftlRICAL I TOTAL TOT AL FEES PAYABLE I Id -
·~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the Bu•ldtng Offtc1al under the prov,s,ons of this * AN OSHA PERMIT IS IIEOUIAEO FOfl EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt expire by l1m11at1on and become null and "Otd tt th~ building or work s· o·· DEEP""'° DEMOLITION OR 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 180days from the date◊t such STAUCT\JA!S OYER 3 STOAlf.S IN HEIGHT permit. or it the bu1fdinPt or work authorized by such permit 11 suspended or ISSUED TO COMPLY WITH A.LL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CO'<· abandoned at any lime a ter the work 1s e,gmmenced tor a oenod of 180 A•u• .,
STAUCTJON, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND •~ ~ OWNER□ r, ~~ l~d/f KEEP HARMLESS THE CITY OF CARLSBAD A.GAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICA SIGNATURE ~ CONTRACT
EXPENSES WHICH MAV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J BY PHONE [J GRANTING OF THIS PERMIT -. 1 ....
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION ' I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEA~
FRAME I
I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
f
I
PLUMBING I
D SEWER AND BUCO D PUC~
UNDERGROUND D WASTE D WAFJ"ER
TOP OUT D WASTE D WAT~R I\
TUB AND SHOWER PAN I •f A ,r_ rC. ,l _L I
GAS TEST I fo "<l(\ ,c, I w ·u '"'-
D WATER HEATER D SOLAR WAT~R
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UF~ER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL .
I
I .
MECHANICAL I
D DUCT & PLEM., D REF. PIPING 1
HEAT -AIR COND. SYSTEMS I
I . . .
VENTILATING SYSTEMS I -·· ..
I
I
CALL FOR FINAL 1-,iSPECTIO~ WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE B.EEN APPFroVED.
FINAL
PLUMBING -. ,,..
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
J I
,. -
,__
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE -
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
,-
PILES CAISSONS
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INSPECTOR'S NOTES
DATE
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