HomeMy WebLinkAbout2435 SIERRA MORENA AVE; ; 85-560; Permitlb z 0 .:: < cc C ..J u ... 0
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O I hereby affirm that I am licensed under
provisions ot Chapter 9 (commencing with
Section 7000) ot Division 3 of the Business
and Professions Code, and my license is In
full force and effect.
Lie No ____ _ Clm
I hereby atl1rm thal I am exempt from the Contrac· 1or's Lieense law lor ihe lollowing reason (Sec 7031 5
Bus,ness and Pr0Jess1ons Code Any city or county which re· quires a permu to construct, alter, improve, demolish. or
repair any structure, poor to I1s issuance aJso reqwres !heap·
phcant for such permll to hie a s1qned s1a1emenl that he Is
hcensed pursuant lo lhe prov1s1ons of the C:on1rac1or · s License Law (Chapter 9 commencing with Section 7000 01
01v1s1on 3 of the eusmess and Proless1ons COde) Of tha1 ,sex-
empt therefrom and the basis for the alleged exemption Any vtOlauon 01 Sec11on 7031.5 by an applicant for a perm11 sub
JeCIS the applicant to a CIVIi penalty of no1 more th.an hve hun-
dred dollars ($500)
I. as owner of the property, or my employees wI1n wages as 1he1r sole compensation. will do the work, and lhe struc-
ture Is nol 1ntended or offered tor sale tSec 7044 Business
and Professions Code The Conlfactor's license Law does not apply to an owner ol property who builds or improves
thereon and who does such work tumselt or through his own
employees. provided thal such Improvements are 001 intend-
ed or offered for sale II. however. rhe building or Improve-
men1 1s sold w11hm one year of complehon. the owner-builder will have the burden of proving that he did not build or 1m•
prove 10< lhe purpose of sale)
D I. as owner ol lhe property, am exclusively con1ractmg
with hcensed contraclors to cooslrucl the prOfecl (Sec 7044. Business and Profess10ns Code. The Con1rac1or·s License
Law does not apply 10 an owner of property who builds or im-proves !hereon. and who contracts for each protects with a
contractor(s) hcense pursuant to the Contractor's Ucense Law)
fJ As a homeowner I am ,mprovmg my home and the follow
,ng cond1h0ns exist
1. The work is being performed prior 10 sale
2 I have lived ,n my l'K>me !or twelve monlhs prior to complehon ol lh1s work 3 I have not claimed lh,s exemp1t00 dur,ng 1he
last three years.
□ lamexemptunderSec ______ ,B&PC.
tor this reason ____________ _
□ I hereby altttm that I ha,..e a cer11hca1e of consent
10 self insure , or a cert1!1cate of Workers
Compensation Insurance. or a cert,fted copy thereol
fSec 3800. ubor Godel
POLICY NO COMPANY
O Copy 1s tiled with the city
0 Cer111ted copy ,s hereby furnished
CERTIFICA Tl OF EXlMPTION FROM
WORKERS· COMPENSATION INSURANCE
(This section need no! be compIe1ed 11 the permI1
Is lo, one hundred dOlla<S (S 1()0) or less)
0 I cen1ty that In the performance of rne wor1o. ro,
which this permit 1s issued. I shall not employ any
pe,son 1n any manner so as 10 become suo1ec1 10
!he Wof'kers' Compensa11on Laws ot Cahtorn1a
NOTICE TO APPLICANT II. at1e, makInj 1hIs Cet11
ticate of Exemption you should beeome su01KI l'l
lhe Workers Compensation prov,s1ons ot me L.abOr
Code. you must tonh'11,1lh comgty w1lh sucfl
prov1s,ons or 1tus permI1 shall oe deeme<J ,evo~ea
0 I hereby alt,rm thal lhere ,s a cons1tuc11on
tendillQ ~ency tor lhe per1ormance 01 lhe won. Im
which this pe1mI1 •s issued ISec )097 C1v1I Code!
Lenoer s Nc1me ___________ _
Lenders Address __________ _
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. -. . -·· ------... ------------
' .
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 . ·-JOB AOORESS AV ST.AO. NEAREST CROSS ST.
'DATE; JJ;ION1 BUSINESS LICENSE tt VALUATION PERMIT NUMBER
~'/35 S,e;z-2. ,9 /J?oKE.NI/ c6"/
LOT 8LOCK I SU8D1 VISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE S0o rEE:.'-k1 A/ s P1...86-. 72? 11r? OWNER'S NAME I OWNER'S PHONE
,om .Sr,r, CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # SLOG USE CODE
p ,o. Box .2.2.or ~2-0oF' OWNER'S MAILING ADDRESS
S~ME DESIGNER LICENSE " STANDARD PLAN # BUILDING SQ. FOOTAGE
DESCRIPTION OF WORK /2ePA1.lf 6-A-s LIi.Jc TD DESIGNER'S ADDRESS DESIGNER'S PHONE
_F, A .LI . F/P FLA ELEV. NO OCC GP EDU
STORIES
vO NO --7 I'd T /8.675p4 tof,r
CENSUS TRACT I I PARKING SPACE I RES UNITS I ~-,-7t. -,, -----GP L AND USE GAAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA I ::If)~ I AREA CONST
y D ND v O NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7£:-QTY. MECHANICAL PERMIT · ISSUE ~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00·00·B221 -
EACH WATER HEATER AND1DR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00-00-8222 /TJ.O l!l .
EACH GAS SYSTEM~ OR MORE MET AL FIREPLACE ELECTRICAL 01-00-00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01 ·00-00-8225
WATER SOF TNER RELOCATION OF EA FURNACEtHEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n, -on-nn. 0000
~ ~A;"-----,::J 00 TOT,i;L MECHANICAL STRONG MOTION 80·92-33-0519
V TO TAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT· ISSUE r-:-...__ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00-8930
BRIDGE FEE
NEW CONST EA AMP SWT BK A COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92·21 ·0519
EXIST BLDG EA AMPtSWT BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Oieguilo 80-92-23-0519
REMODEL A L HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /t), oo
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rat,on Evaryperm1l1ssuedbylheBu1ld1ngOfflc1alundertt>eprovrs,onsof1his * AN OSHA PERMlT IS REOUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,ra by t,m,tation and become null "nd void If tM budding or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by such permit 1s not commenced w,thm 180 days from the date of such STRUCT\JMS OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS perm,!. or ,t the bu1ldmn or work aulhonzed by such permit ,s suspended or
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv hme a er lhe work 1s commenced tor a DAr,od of 180 da~s
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO /4 S SIGNATURE Jf. ~NTRACTOA 0 ~ t?~-~ ~ DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ tl m BY PHONE 0 ,~ 1 /9, /M' GRANTING OF THIS PERMIT -_ • -'L.../' ---
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. • TYPE DATE INSPECTOR
BUILDING -•-FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT ~ ~ ·, ' , ,,, I
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR :, 1 _• .....
FRAME
EXTERIOR LA TH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
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 & PLEM., D 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
I .. -:\ I
FIELD INSPECTION RECORD 8'S ,.....::>(VV I
I _. '. I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS I INSPECTION CHECKED APPROVAL DATE I
I
SOILS COMPLIANCE -'t p <> '. \'\'·.~ I
PRIOR TO
I FOUNDATION INSP
1 r-..,.. ... l.. ·,_, __[ -· --I STRUCTURAL CONCRETE
OVER 2000 PSI ,\ ,. -. , I.,,_ r .. c,. -I
PRES TRESSED I
CONCRETE l . ' -I
POST TENSIONED -. ., .. I
CONCRETE I
' FIELD WELDING I
HIGH STRENGTH I BOLTS I
SPECIAL MASONRY I
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I PILES CAISSONS I
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