HomeMy WebLinkAbout111 SEQUOIA AVE; ; 87-531; Permitu, z 0 .:: C cs: C _,
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0 I h«eby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license is In
lull force and effect.
I hereby amrm tha1 I am ~empt lrom the Conlrac· tor's License Law lor lhe toUowmg reason (Sec 7031 5
Business and Protess1ons Code Any city or county wh1cii re 1
quires a permH to construct, alter. improve. demoflsh. Of repa1r .aoy s1ruc1ure. prlO( tons issuance also requires !heap-phcanl for such permtl 10 tile a s,gned s1atemen1 Iha! he 1s
hcensed pursuant to lht provis10ns of the LonIracIor s
l.Jcense Law (Chapter 9 commencing with Sectron 7000 of Div1s1on 3 of the Business and Professions Code} or thar 1s ex·
empt lheretrom and lhe basis !Of the allegeo e,cemphon Any viotahon of SecttOn 7031.5 by an appf,unt !or a permit sub·
Jecis lhe apphcant to a CIVIi penally or not mOl'e lhan hve hun· dred dollars ($500)
I I, as owner of the property, or my employees with wages
as lhe1r sole compeosatlOf'I will do lhe w0<k. and Ille struc-
ture ,s nol inlende<t o, offered !or sa~ {Sec 704◄, Business
and Professt0ns COde The Coo1rac10( s License law does
not apply lo an owner of property who builds °' improves
lhereoo and whO does such work him.self Of through has own
employees. provided that such improvements are nol intend· ed Of offered tor sale II however, !he bwldIng or 1mprove-
men11s sold within one year of comp!et,on. lhe owner-builder will have !he burden 01 provmg that he dtd not build Of un-PfOYy«lhe purpose or sale)
✓i. as owner ot !he propefly. am exclusively contracllng
wllh lteensed contraclors 10 construct the pr~ect (Sec 7044,
Business and Professk>ns Code: The Con1rac10,·s license Law dots not apply lo an owner ot property who builds or im-
proves !hereon, and who contracts to, each protects w11h a contractor(s) hcense pursuant to the ContractOf's license Law)
O As a homeowner I am improving my home, aoo lhe k>I~ Ing cond1t1ons exist 1 Tile work Is being penormed pnor lo sai.
2 I have lived 1n my home for twelve months r~;v~o :"P~:1'::1
t
1~i: -=~p11on dunng lhe last three years.
O tamexemplun<lerSec. ______ B&PC tor th,s reason
D I hereby affirm that I have a cert1l1ca1e of consent to
sell-msure. or a cerhhcate of Workers Compensation In-
surance. or a certified copy thereof lSec 3800. Labo, Code)
POLICY NO.
COMPANV
□ Copy IS hied with the city
0 Certified COt:>y 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed If the permll
Is for one hundred dollars (SH)O) oc less}
0 I cer11fy lhat in the P&l'formance of tne work tor which
this permit is issued, I shall not employ any person many
manner so as 10 become sub1ect to the Wockers· Compen-
salton Laws of Cahforn,a.
NOTICE TO APPLICANT. It, after making lhls Certificate
of Exemp11on, you shoukt become subject to the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
~ereby affirm that there 1s a construct1on lend1n,
agency for the performance of the wor1t lor which this per-I
mil is Issued 1Sec. 3097, Civil Co~ j~ I
Lender's Nam•~~~ ?f:: I
Lender• Addres ,IJ-,1/ I
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USE BALL POINT PEN ONLY & PRESS HARD
JOB ADDRESS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
AV. ST. AO. NEAREST CROSS ST
I II ~Gt'Jtut:J / ,;1-ut,t:4;/~;£) &--1/Z> l; I BLOCK trt4~7R I ASS~~~cJJ ? U)
OWNER'S NAME
-~
l71f OWNER'S PHONE k~ L-lZ> 1 7.::;. -7S;;;. u
CONTRACTOR
M,IUG~
CON1RACTOR'S A DDRESS
OWNER'S M AILING AOORESS
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARAl , ..
APPLICATION & PERMIT
I°Z~J; 7PLICATIOJ
BUSINESS LICENSE # VALUATION PERMIT NUMBER .,
CONTRACTORS PHONE • •. < ':J I
1J~.-"Jf -:)-u Uv
STATE LICENSE NO. BUILDING SO. FOOTAGE
~ u::
>, ~ 2)M43 ~/4 ?17.JL; A.lcJu/0/2/ 8G"tfU/ DESIGNER
DE,':J'IPTION OF WORK /"'7-. . A,,ee"'47c:e.;r3 /14t;n..::..~
_L-(,)t,l/1Z7Ar/t'J/J, ,IU:://'fr/J//1, v\ =
;1'7NER'S PHONE
t,B<j-1~ 0025 06/11 0101 02BldPl'lt 49-$0~ 0 a.
t--/c{'/-;1r/AJ)J.i4 t(.;4-jlp/ "fa C1-1-v 5,pecs _ DESIGNER/4/~&T ~?6G
cl II , I " F/P FLRELEV NO {C) {) STORIES vO NO __
STATE LICENSE NO
OCC GP EDU
QTY.
QTY.
GRADING PERMIT ISSUED TYPE
CONST DCC LOA D I FIRE SPA l j PARK ING SPACE I RES UNITS I
y D N 0 rEDEVELOPMENT REA
vO NO YO NO Nor Valid Unl~s Machine Cerrilied
PLUMBING PERMIT -ISSUE 7 §:9.11 QTY. MECHANICAL PERMIT -ISSUE \5~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU I I BUILDING PERMIT 001-810·00·00·8220 ${2__.--:"
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER ANO •OR VENl BOILE R/COMPRESSOR UPTO 3 HP --PLAN CHECK 001-810-00·00-8821 L q-
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM; OR MORE
j-_ -·---~-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222
METAL FIREPLACE ELECTRICAL 001·810-00-00-8223
EACH INSTAl . ALTER. REPAIR WATER PIPE ---------VENT FAN SINGLE OUCT I I MECHANICAL 001·810·00-00-8224
EACH VACUUM BREAKER j U j MECH EXHAUST H00010UCTS I II MOBILEHOME 001-810-00·00-8225
----t
WATER SOFTNER I j I RE LOCATION OF EA FURNACE /HEATER I II SOLAR 001-810-00·00·8226
EACH ROOF DRAIN !INSIDE) DRYER VENT STRONG MOTION 880-519·92-33
TOTf.L MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227
TOl AL PLUMBING I PUBLIC FACILITIES FEE 320-810·00·00·8740
ELECTRICAL PERMIT -ISSUE ~oo V ;...--'JI QTY. MOBILE HOME SETUP BRIDGE FEE 360-810-00·00·8740
PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl BKR CAR PORT TIF 134-810-00·00·8835
1 PH 3 PH AWNING LA COSTA TIF 133·810·00-00-8835
EXIST BLOG EA AMP/SWT SKA GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00-8162
REMODEL AL HR PER CIRCUIT MFF 880-519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
·s-"D
--
lOTAL ELELlRICAL l TOTAL TOTAL FEES PAYABLE l qr~
I HAVE CARf FULLY EXAMINED T,HE COMPLETED 'APPLICATION ANO PERMIT"' ANO DO HEREBY Exp,rat,on Every permll ,ssuea by1heBu,ld,ng Olhc,al unae, 1neprovo•10f'so11t119
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1ta11on and become null and vo,d II the bu,ld,ng o• work
DECLARATIOl':IS. ARE TRUE AND CORRECT AND j FURTHER CERTIFY AND AGREE IF A PERMIT I~ au1honzed by such perm,t os not commenced w•lh,n 180 days from the dale<>f such
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING cm~ :~~II. n°.'d'! t:~ ~1ld1n~ or wor~ au1honzed by such perm11 IS pended or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE iNDEMNIFY AND t t me I er the rk ,s commenced for a " 1 t80 da
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND AP ICANrs 7URE OWNER
EXPENSES WHICH MAY IN ANY WAY.ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ GRANTING OF THIS PERMIT ____ BY PHONE rJ ~
* AN OSHA PUW :T IS REQUIAEO F0A EXCAVATIONS OVER
5 o· DEEP ANO OEMOUTION OR CONSTRUCTION OF
STROCT\JRf.S OVER 3 STORIES IN HEIGHT
APPROVED BY DATE
1/tv~ l ~-16-a7
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TYPE ' DATE INSPECTOR I
BUILDING I j
FOUNDATION fl/4t -~M,., I
REINFORCED STEEL ' -j ~~ ,/ I
MASONRY I • ' I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEIPNG
SHEATHING D ROOF D StJIEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
' PLUMBING I
D SEWER AND BUCO D ~UCO
UNDERGROUND D WASTE d WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND DJ UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING '
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE H/1,VE BEEN APPROVED
FINAL '
PLUMBING I . \.
ELECTRICAL I ~ I
MECHANICAL I -\~ •
GAS I "I t\. .~--
BUILDING ., \..\ -I .
SPECIAL CONDITIONS I "-~ '
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87-53(
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
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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