HomeMy WebLinkAbout2300 SHAWN CT; ; CB880786; Permit.,, z 0 ;::
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O I "-teby alllrm that I am llcenaed under
pro.lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prot ... lona Code, and my llcensa is In
lull fo,ce and ettact
l heleby •thrm lhit I am exempt lrom 1ne Contr1e-1or s license Law !Of 11'11 loltowmg ruson (Sec 7031 5
Business ano Proteuions Cooe Any c,ty o, county wnicl"i re quirts a perm,t 10 conslrucl. a11er wnpnwe demolish o,
rei:wiJt any sUuttur1. pnOf 10 t1s 1ssuanca also requires !he ao phca;n1 to, such oermu 10 hie a signed s~temenl that ne ,s
hcenseo pursuant to !he provisions or tne L-ontrac1or s license law (Chap1tr 9 commtnc,ng w,1n Ste,..,, 7000 of
OIY1S10n 3 oC the Business and Protes,..,,s Code) o, lhal IS e, empt llletelrom ano U1e t>,s,s lo, lhe aI1ege<1 e,empflOn Any
vtdallOn ot Sectton 7031.5 by an apphcanl fOf a perm,1 sub
iects the apphcant to a crv11 pen,lty ot not more lhan f1vt hun
dred doClars (S5001
1 . .s owner of lhe PfOPtflY or my employees with wages as tneir sole compensat,on w111 oo the work. ano !he suuc
ture ,s not ,n1encteo Of ottered lor sale (Sec 704~ Bustness
and Proless.ons. Coot Tht Contr«10t·s license Law ooes
not apply 10 an owner of property who bu1kfs Of improves
thereon and whO CIOts such WOfk tumsell or 1nrough n,s own emoktyees prov~ 11\at such 1mprc,,,emen1s are not mltnCI·
ed or ottered lor sa1e· II, however tne buildmg or ~prove~
menl 1s sold w1th1n or.e yu, ot compithon lhe owner bu1ldet
.,,11 tlave lhe burden of proving lhat he did nol build or ,m-prove lo, lhe purl)OSe ol salel
1. as owner of 1tte• propet1y, am exclusrvely conuacting w,1h fteensed contracl0<s 10 construct the Protect (Set 70,i•
Busmess and Proless.ons Code rne COntraclor" s License law ooes nol apply to an owner ot property who bu•kls Of ,m
proves !hereon. anc, whO con1rac1s tor uch p,o,ects w,1n a contractor(s) hcense pursuan1 lo tne Coorractor's License Law)
I As• nomeo .. ner 1 •m .,,pr..,ng my nome ,no the 1oe1ow •no cond,1t0ns ex.1st 1 The work ,s being per10tme<1 prtOJ 10 sate
2 I ha11e l111ed ,n my hOtne tor tweive montl'ls pnor to comp1e1,on or rn,s wo,k I have not Ctaffnecl 11'1,s exemp11on duong tne
Lasl 1nree yea1s
U I am exempl under Sec _____ _ B&PC tor this r~son ____________ _
,
I hereby 1lf1rm that I have a cert1hc:att 01 consent to
Hit insure or a ce,tthcale of Workers Compensation In•
su,ance or a cert1f1td copy theIeot 15ec 3800. Labor Code)
POLICY NO
COMPANY
Copy ,s hted w,tn the city
0 C.11tlled copy 1s hereby fum1sl'\ed
CERTIFICATE OF EXEMPTION FAOM
WOAKEAS' COMPENSATION INSURANCE
(Th11 se<:ttOn need not be completed ,t the p,:rmil
,s fo, one hundred dollars tS 100) Of leHl
~ '--I ceri1fy that in the performance of the work tor whleh
this permit 11 issued. I shlll not employ any person In any
manner so as 10 become sub1ec1 10 Ine WOfkers Compen-
ut,on Laws ol Cahlorm1
NOTICE TO APPLICANT If. alter making 1r11s Cer11t1cate
ol Exemphon you should become sub1ect to the Wor1'e,s
Compensation Pf0v,s,ons of the LabOf Code. you must
IOt'lhw,th comply with such provisions or 1h11 permit Shall
be deemed re~ked
0 I hereby alhrm that there ii a cons1tuc1ion lendtng
agency tor the performance of lheworit IOf wh,ch th,s ~
mII 11 ,asued (Sec 3097 C,vil Code)
Lender s Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMII 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOORESS AV ST RO THOMAS BROS NO. I o(O~PPL1~:N1 BUSINESS LIC~• /v9~ PERMIT NUMBEl'I
?Z:t:X:> a.u..,v"4 cr .. c~ .6..J • :l ~o?-,. LOT I BLOCK I SUB01 VISION I ASS1!SSOR PARCEL NO -7 CONTRACTOR CONTRACTORS PHONE • ZONE/ Jl,'i<'2 "'Wlr'Y' LAk tr-:C._ '-~ \a.~ ~ '216-UJ...r ~ [1@ OW"'E R'S NAME -OWNER'S PHONE ~~ ·'"l-i HJ.FT ~~ (i,1~~ ~lBb~~STf( ~ STATE LICENSE NO BUILDING SQ FOOTAGE
f..-71 ::ffiilCc ~~ OWNER'S MAIL,NG AOORESS I 1\1 .,,, f\l '" "' " ·'2,5:X) ~\-JJ 0:T. C'Ag~n DESIGNER DESIGNER'S PHONE -~ ...... .,_._ -~ -~ f ~· -~ ~ " ...
oe~n,,,., M wo"g_ j1'JC£·~.,,L. / n1 t:: J . ..-. .A. DESIGNERS AOORESS STATE LICENSE NO
/;::,~ ~ . ~
-' F p F LR ELEV. NO OCC GP EOU
STORIES
vO NO --I CENSUS TRACT I PARK>NG SPACE I RES UNITS I GAAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FI RESPR AREA CONST
YO ND ,□ .. o vO NO Nor Valid Un~1 Machtnt Ctrlllt«f
QTY. PLUMBING PERMIT -ISSUE ?~ QTY. MECHANICAL PERMIT -ISSUE /S-~ SUMMARY/ACCOUNT NUMBER . -
EACH FIXTURE TRAP INSTAL L FURN DUCTS UP TO 100.000 BTU -~,y BUILDING ~ttlMII uu 1 ·B 10·00·00-~au a ·"' -
EACH BUI LUING SEWER OVER 100 000 BTU -"-)...._-_ SIGN PERMIT 001·810·00·00 8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO J HP -< y ii J,, ,_('\O, PLAN CHECK 001·810-00-00·8891 ')_Uf' -
EACH GAS SYSTEM 1 lO 4 OUT LE TS 80ILER1COMPRESSOR J 15 HP ( iY ('\ y.J~ left. PLUMBING OOi 810·00·00·8222 ..
EACH GAS SYSTEM ~ OR MORE METAL FIREPLACE ~ \) V •
~ r.~•-E.tt@eAL 001 810·00-00-8223
EACH INSTAL . ALTER, REPAIR WATER PIPE VENl FAN SINGLE DUCT ~,..... ,,. r_\•· ,.\\\~ECHANICAL 001 ·810·00-00-8224 ~
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS t':~ -.... (\~ MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER ~y r, .,.-~ ~-SOLAR 001-810·00-00·8226
EACH ROOF DRAIN I INS1DE I DRYER VENT ,l : \'\'' STRONG MOTION 880·519-92·33
, _
TOTJ.L MECHANICAL r--~ FIRE SPRIN~LERS 001 ·810-00-00·8227
T01AL PLUMBINL I PUBLIC FACILITIES FEE 320·810-00-00·8740 -
-~~ BRIDGE FEE 360·810·00-00-8740 QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN LIEU (AREA )
NEW CONST EA AMP SWI HKR CAR PORT TIF 312-810-00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00-00-8835
EXIST BLOG EA AMP SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00-00-8 t 62
REMODEL Al 1t R PER CIRCUl1 MFF 880·519-92-57
IEMPPOLE }00 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
101Al ElEL1RltAl I T01Al TOTAL FEES PAYABLE I ?s--
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION ANO PERMIT ANO DO HEREBY E,pirat,on Every permit •Hued by lhe Building Oll1c,a1 under the provos,ons at 1h11 * AN 06HA PUW:T IS AEOUlflE0 FOfll EXCAVATtONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda shall expire by hm1tat1on and become null and •o•d II lhe bu,ld,ng o, work 5 0 DEEP AHO DEllilOllTION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1& aulho"zed by such ~mmenced w,,h,n t80 days hom lne date ot such STAUCTUAES OVEIII 3 STOIIIIES IN HEIGHT ~ ,,:~, build or rk. 1utho111ed by such perm11 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON do at nv to a er the ork 11 commenced tor I oer,od of 180 """" .
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND -~,! l ' oj}i(
APPROVED BY ( o/ I DAt~ / f/ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND ...._APPLICA'\f'S SIGi TURE • OWNER n CON TRAC TO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ' BY p O fJ
GRANTING OF THIS PERMIT '--~, --~ /w. ~ ...,\.. -H NE
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TYPE DATE INSPECTOR
BUILDING ...
FOUNDATION £_.,
REINFORCED STEEL trJ'
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 PU CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING • D POOL
MECHANICAL
D DUCT & Pl:EM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ,· ' .
VENTILATING SYSTEMS .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL • I q
PLUMBING . . -'.
' J
ELECTRICAL "' \,'-
MECHANICAL ~-\':
GAS t ,.,. '11. \
BUILDING -' -
SPECIAL CONDITIONS \ '
--
(l__,A %1i'07 ~ .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS 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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