HomeMy WebLinkAbout2315 SHAWN CT; ; CB881393; Permitell z 0 ~ C • .J 0 ... 0
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O I tlefeby affirm lha1 I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of 1he Business
and ProfHalons·Code, and my license is in
full tafce and effect.
I ht:r&by a!flrm thal I am exempl lrom !he Conlrac-
lor's License law lor !he tonowmg reason (Sec 7031 5 Business and Prolesst00s COde Any city or county wh,c.r. re-
quires a perm11 10 construct. alter, improve, demohsn or repau any struclure. poor to 11s issuance also requires ~heap·
plant tor such perrmt to flte a s1Qned statement that he 1s hcensea pursuant to !he prov,st0ns of lhe con1ractor s
license Law (Chapter 9 commencing w11tt Sechon 7000 or D1vIsIon Jot lhe Business and Professions Code} or that Is o
empt therefrom aod lhe bas,s lor the atlegea exemp11on Any v10la1ton ot SecI1on 7031 5 by an apphcant tor a perm11 sub· ,ects !he apphc.ant to a c,v,I penally o1 not fflOfe lhan live hun·
ared dollars ($500)
I, as owner ol the property, or my employees w,tn wages
as 1he1r ~ compensaoon. will do lhe wOJk. and lhe slruc· rure as not intended OJ ollered !Of sale (Sec 70.4, Business
and Profession!. Cooe The Contraclof's License law does
not apply 10 an owner al praperty who builds or improves !hereon and who does such work h1mselt or 1hrough his own
empk>yees. provided Iha! such improvements are oot intend·
ed or o11ered tor sale II. however, rne bu1ldmg Of improve·
men! ,s sold w11hm one year of complel1on. the owner·bo11de,
w1U have lhe burden of proving Iha! he did not build or ,m-p,ove lor lhe purpose ol sale)
I I. as owner of !he property, am exclus1V1!1y conlrachng
with hcensed contractors to construe! lhe protect (Sec 7044, Business and Professtans COde The Conlractor's License
Law does not ap~y lo an owner ol property who builds Of 1m• proves thereon. and who conlracts tor each pro1ects with a
coolractor(s) lteense pursuant to the Contractor's License Law)
n As a homeOwner I am 1mprovmg my home. and the lottow mg cond1t+ons ex1s1 1 The work 1s bemg performed prtDI' 10 sale
2 I have lwed m my heme tor twelve months poor to compleuon of this work 3 I have nol clain'led this exemption during !he
~sl three years
D I am exempt under Sec ______ , 8 & P C for this reason ____________ _
0 I hereby altum that I have a certificate of consen1 to
self-insure. or a cer11hcate of Workers· Compensa1,on In-
surance. or a cen1t1ed copy thereof tSec 3800. labof Code)
POLICY NO
COMPANY = Copy Is hied with lhe city
0 Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
1Th1s sechon need not be completed if the permit
1s tor one hundred dollars (S100) or less)
0 I cer1'1y thal in the performance of me work lo, wtueh
this pemut 1s ,ssued. I shall not employ any person m any
manner so as to become sub1ecl to the Workers· Compen-
satton Laws of Calllornta.
NOTICE TO APPLICANT; If. after makmg this Cer!ificate
ol Exemption. you should beeome subject to the Workers·
Compensa11on provisions of !he labor Code. you must
torthwtth comply with such provisions or this permit shall
t>e oeemed revoked
0 I hereby aftlrm that there is a construction lending
agency fOf the performance of the work for which th1s per•
mit 1s lssued (Sec. 3097. C1v1I Gode)
Lendef·s Name ____________ _
Lender's Addre"------------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~ ... -· ---·. . . -.. --.... ~ --..
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 6 O-i ✓ 2075 Las Palm as Dr., Carlsbad , CA 92009-1915 (619) 438-1161
JOB AOORESS AV ST. RO. THOMAS BROS NO. I o;T~ o;;;;;;NI
BUSINESS LICENSE • VALUATI~ PERMIT NUMBER
;).._315' S#>4WN er IL/ /.3 .3 . --7 /A(() ~ C< .. .'~ \ ~<=t ~ '1/~ B1 CK I SUBOIVIStON II d ASSESSOR PARC,J.J: CONTRACTOR CONTRACTORS PHONE • ZONE C. 3-2.CJ &~i"W~ r.s lt..'15'3 I OWAI~ -t, tJtL/)ILI) OwNEA'S NAME OWNER'S PHONE
R""''Al..n P . A; ~ -~IR..ilr LL L/ 2 i./-9. "l .3 (/ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S M.A1L1NG A ooRess
::2 ,S/~ C::::..il.l. ,. ,A) /' r-C....4..~'-.$ AA-A r~ DESIGNER OESIGNE R'S PHONE 2496 10/17/88 0001 01 02
oesca::,10N OF WORK ~A~" ~ ,./A :.,,
BldPllt 125-0<
,r--T,'AJG-.S F,/l.,o OEStGNER'S AOORESS STATE LICENSE NO.
{3) A--A~ ~JJ& 7C> c:. &.A!.J,/.,,IQ... V ~~d-Q 06:
$;-~/,~ . .: --~~ tlJE,.✓-~ ....
F;P FLRELEV. NO OCC GP EDU
U,I~
STORIES
vO NO
I CENSUS TRACT PARKING VE RES ~'re ,._y,._~~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPA
:--. ~ h<, AREA CONST
~~ I':,.; t~ ,□ ND vO "'□ vO NO Not Valid Unl~s Machine CertifiM
QTY. PLUMBING PERMIT -ISSUE ½~~i~ ~TY MECHANICAL PERMIT · ISSUE /5 ,tr. SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ,.~--~" INSTALL FURN DUCTS UP TO 100.000 BTU --SUllDlN(, StHMI) uu 1 ·H 10·00-00·Hau /-. 3
EACH BUILDING SEWER -~~9~. OVER 100.000 BTU SIGN PERMIT 001 -810-00·00-8221
EACH WATER HEATER ANO OR VENT ~~· BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00-00-8891 q.;
EACH GAS SYSTEM I TO 4 OUTLETS
. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOi-810-00·00·8222 /o
EACH GAS SYSTEM~ OR MORE MET AL FIREPLACE ELECTRICAL 001-810·00-00-8223 /0
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 FURNACE1HEATER SOLAR 001-810·00-00-8226
EACH ROOF DRAIN !,INSIDE l -DRYER VENT STRONG MOTION 880-519·92·33 I
7 re-.,, #,--.I ~ -.>-TQT;;L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00-8227
0 I QIAL PLUMBING I /0 ,c-c: PUBLIC FACILITIES FEE 320-810-00-00·87 40
BRlDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT · ISSUE ~rn QTY. MOBIL E H O M E SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWI 8KR CAR PORT TIF 312-810-00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BLOG EA AMPiSWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00-00·8162
I REMO OE L AL HR PER CIRCUIT ~ MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
~ CREDIT DEPOSIT
TOTAL ELECTRICAL I /0 ~ TOT Al TOTAL FEES PAYABLE l (/J? rv
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Ex.pnat1on Every permit issued by the Bu,ldtng Otflc,el under the provIsIons of this * AN OSHA PE,_.:T IS AEOUIAED FOR EXCAVATio..S OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,cp1re by ltmI1at1on and become nun and void If tl"te building o, work 5· 0" DEEP ANO DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I!,
authorized by such permit 1s not commenced within 180 days from the date of such STAUCT\JAES OVER 3 STORIES IN HEIGHT permit or It the budd•~ or work authorized by such pe,rnit 1s suspended or
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at env 1Irm1 1 ter the >Nork 1s commenced tor a Dflr10<! of 180 d .....
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNAT RE lJ I~ CONTRACTOR 0
APP~~ ID/A:E/,?/ff KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS ANO e ~NE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ & BY PHONE CJ
GRANTING OF THIS PERMIT •
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TYPE DATE INSPECTOR
BUILDING _,_
FOUNDATION I -~' w
REINFORCED STEEL I\~,-.~ {"'J'
MASONRY .
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF □ SHEAR
FRAME
EXTERIOR LA TH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PL/CO
UNDERGROUND D WASTE D WATER --
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN J
GAS TEST \ 0-11. t { ~
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., □ REF. PIPING --=· . ~
HEAT -AIR COND. SYSTEMS ' ' . .
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING .
ELECTRICAL
MECHA~ICAL
GAS
BUILDING
SPECIAL CONDITIONS
, CE ~813<;3
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REQ_ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURALCO~CRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
'
PILES CAISSONS
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