HomeMy WebLinkAbout2697 SAUSALITO AVE; ; CB881040; Permit.,, z 0 ;::
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O I he<llby affirm that I am licensed under
pro•lalona of Chapter 9 (commencing with
Section 7000) of DM slon 3 of the Business
and Profeaalons Code, and my license ls In
full force and effect.
I hereby alfum lhal I am exempt lrom the Contrac·
tor's license Law to, lhe following reason (Sec 7031 5 Business and Pfoless1ons Code Any cny or county whte.li re·
Quires a perm11 to construe!, alter. improve. demolish, or repair any structure. poor to its issuance also requires !heap·
phcant ICM' such perm,1 to hie a SIQned statement lhat he 1s
hcensed pursuant to the prov1st0ns of lhe Contractor s
License Law (Chapter 9 commencing w,rh Sec11on 7000 ot 0w1st0n 3 of the Busmess ana Professoos Code) or Iha! 1s ex·
empt lhe<efrom and lhe basis !or the altegeo exemptioo Any
v10la1ton of secoon 7031.5 by an applicant tor a permn sub·
1ec1s the apphcanl to a CIVIi penally ol not more lhan live hun-
dred dollars ($500)
/, owner ol the property. or my employees with wages ~ /4,~e~:i sole compensation. will do the work. and the strut· o ture 1s nor mlended or offered lor sate (Sec 704◄. Bus mess
~ and Protessl!Ons. COde Tne Contrac1or·s License Law does 3 not apply to an owner of property who builds or improves I! !hereon and Who dOes such work h1msell or lhrough his own a: emotoyees. provided lhat such tmprovements are no1 intend· w ed or offered tor sale If, however. the bu1kfln9 or improve•
Z ment 1s sold w1lh1n one year of completion, the owner·bu1loer t: will have lhe burden o1 provfng that he did not build Of im·
O prove IOf lhe purpose ol sale)
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I l t. as owner ol the propeny. am eit.clus.vely contracllng
with hcensed contractors 10 construct lhe pr01ec1 (Sec 7044, Busmess and Professions COde The Contractor·s License Law does not apply to an owner 01 propeny who bu11Cs or ,m-
proves thereon. and who contracts tor each prOjecls with a
contractor(s) license pursuant lo the Con1ractor's Ucense Law)
11 As a homeOwner I am improving my home. and rhe lolk>w mg cond1t1ons exist
I The work 1s being performed pnor lo sale
2 I have hved m my home for twelve moo1hs
pnor 10 completion ol this work
I have 001 claimed nus &J1emptt0n during the lasl lhree years
□ I am e,empt under Sec ______ , 8 & P C
lor this reason ____________ _
0 I hereby alhrm that I ha"'e a cer11flcate of consent to
sell·msure. or a cert1flca1e ol Workers· Compensation In•
suraoce. or a certified copy lhereol tSec 3800 Labor Code)
POLICY NO
COMPANY
Copy ,s hied w1lh the city
~ Certified copy is hereby lurmshed
CERTIFICATE OF EXEMPTION FROM
W9f'KERS' COMPENSATION INSURANCE
~ction need not be completed 1f the permit
1s !or one hundred dollars (S100) Of lf'SS)
I certify that in tl'le performance of the wmk for which
this permit 1s issued. I shall not employ any person in any
manner so as to become sub1ect to lhe WOfkers· Compen•
sauon Laws ot California
NOTICE TO APPLICANT~ It. after making this Certihca1e
of Exemption. you stiould become subJect to the Workers'
Compensation pt'Ovis1ons of the Labor COde. you must
lorthw,tl"I comply wrth such provisions or this permit shall
08 deemed revoked.
0 I hereby affirm that there 1s a cons1ruct1on lending
agency for the performance of lhe work fOf' which this pef-
ml! 1s tssued (Sec. 3097. C1v1I Codel
Lender's Name ____________ _
Lencie,·s Address; ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
,oaA~(!/'f-~S'~~s~e ~HoMAsB7~N!)3 JEoS~N, BUSINESS LICENSE a VALUATION
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LOT I BLOC I( I SUBOI VISION I ASSESSOR PARCEL NO CONTRACTOR
CJ._,t),,.J(LJ\....
CONTRACTORS PHONE• ZONE ~ 9i'fQ"ijO
OWNf~~~H--7-s • w • l OWNER'S PHONE
v-3'-f-801 </ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS
l \c,,""\-e.., DESIGNER DESIGNER'S PHONE
OESCFltPTtON OF W0 RI( I /.JGvJ ~ L \ ,-J..... I DESIGNER'S ADDRESS STATE LICENSE NO. 1139 08/09/88 0001 01
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GRADING PERMIT ISSUED
F LR ELEV. NO
STORIES
TYPE
CONST
OCC GP EDU
OCC LOAD FIRESPR I CENSUS TRACT I PARKING SPACE RES UNITS l
y D ND l REDEVELOPMENT
AREA
vO NO vO NO Not Valid Unkn Machine Certrfi«J
PLUMBING PERMIT · ISSUE 1)5:!--11 QTY. MECHANICAL PERMIT -lSSUE 1 -crv 0-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I 11 I INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERfm 001-810-00-00-8220 /11 -
EACH BUILDING SEWER I II I OVER 100,000 BTU SIGN PERMIT 001 ·810-00·00-8221
EACH WATER HEATER ANO OR VENT I II I BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891
EACHGASSYSTEM11040UTLETS I II l 801LER/COMPRESSOR315HP I fl TOI ~MBING OOi-810-00-00-8222
EACH GAS SYSTEM~ OR MORE I II I METAL FIREPIACE I II.-~~ICAL 001·810-00-00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE I II I VENT FAN SINGLE DUCT I t,,11. ~ECHiNICAL 001·810-00·00-8224
EACH VACUUM BREAKER I II I MECH EXHAUST HOOO'OUCTS I ~1JI-,., ~~ME A 001-810-00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER 001-810·00-00-8226
EACH ROOF DRAIN flNSIDEi DRYER VENT 880-519-92·33
TOlt;L MECHANICAL 001·810-00-00·8227
le-::. 320-s10-oo-oo-814o fO I AL PLUMBING
ELECTRICAL PERMIT · ISSUE ~~hEE 5~11 QTY.I MOBILE HOME SETUP I c,_ \, :IN-LIEU (AREA
360·810·00-00·87 40
NEW CONST EA AMP SWl BKR CAR PORT .<,~'< TIF 312-810-00·00·8835
1 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
REMOOEL AL HR PER CIRCUll MFF 880-519·92·57
TEMPPOLE 700AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
lOTAL ELELTRICAL I TOTAL TOTAL FEES PAYABLE 1 /6 -
02
10-~
-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
* AN OSHA PERM:T tS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP AND DElrlOl.lTION OR CONSTRUCTION OF
STRUCT\JR£S OVER 3 STORIES IN HEIGHT
~~~ OWNE~ CONTRACTOR 0
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APPR~DBY •
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
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 HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
--.
•' css~ Jo'-+tJ
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
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 ·-:.ro,
"-QJ;,,.
HIGH STRENGTH . '• ''7:,. BOLTS ' <>,, .,. ~ ... " .... SPECIAL MASONRY t ·,.'!,.-'.'~--
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r"> . ,, . ~ ~---Z·,_ ✓ / • t:4,L r<.-,: ~-. ~"Iv-_ ·,~o u ' PILES CAISSONS •':9
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