HomeMy WebLinkAbout2420 SIERRA MORENA AVE; ; 84-734; PermitIll z 0 ;::
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'W I hereby affirm that I am llcensed under
.A1,1on1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full for~ a~E_ ~'':'\ C .-,f /
Lie No~ Class -~-"'-~f,R_'-"--
I hereby att1rm thal1 I am exempl from the Con· ~~o;·~;~~:;:: ~w ~f~~.~~~~9;~i~
county which requires a permit to construct
alter, improve, demohsh. or repaar any structure.
pnor to its issuance aJso requires the applicant tor
such permit 10 tile a signed statemenl that he 1s
hcensed pursuant to the prov1s1ons of the Con-tractor's License Law (Chapter 9 commencing with
Sechon 7000 ot Otv1s1on 3 of the Business and Pro-fesst0ns Code) or !hat 1s exempt therefrom and the
basis for the alleged exemptt<>n. Any vio'4ahon of
Section 1031.S by an apphcant fOf a permil.subfects tne applicant to a civil penalty of not more than hve
hundn,d dollars ($500).
□ I, a.s ownef of the proP9rty, or my empfoyees
.. ,th wages as their sole compensation, will do the worti., and the structure 1s not intended or offered tor
sale (Sec. 70U, Business and Professions Code: The Contractor's License Law does nol apply to an
owner of property who builds or improves thereon
and whO does such work himself or throoot= his own
employees, provided that such 1mpr0Yemeilts are
not intende1 or ottered for sale. If. however. !he
building or improvement 1s sokj w1th1n one year of
complettOn, the owner-builder wi1II have the burden
of ptO'ilnQ that he did not build Of improve lor the
purpose ot sate)
□ I, as owner of the property, am exclusively
contrachnu with licensed contr~tors to construct the project (Sec 7()4,1. Busmess and Professions
Code: The Contractor's license Law does not apply to an owner of property who builds or improves
thereon, and who contracts tor each protects with a
contractortsl license pursuant to the Contra.ctor's
License Law).
0 lamexemptunderSec ____ .B &PC
tor this reason
\,( I hereby afftrm that I ha·,,.e a cert1hcate ol consenl ~ self•1nsure, or a cert1t1cate ot Workers'
Compensation Insurance. or a certified copy !hereof
(Sec 3800. Labo< Code)
POLICY NO ~_/;Jj_Q±lz.ti_
COMPANY F-1-R-&.-/'1 .4 l'J.S-F-tl. /,ff)
~ Copy IS ftled With the City
D Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1f lhe permit
1s tor one hundred dOllars ($100) or less)
0 I certify that 1n the pert,ormance of lhe work !or
which this permit 1s issued. I shall not employ any
person m any manner so as to bec:ome sub1ec1 to the Workers· Compensation Laws of Cahforn,a
NOTtCE TO APPUCANT It. after maktn~ ttus Cen1
ftcate of Ex.emption. yov should beeome sub1ect l".>
lhe Workers· Compensation provisions ol the Ut>or Code. you must forthwith comply w11h such
prov1s,ons or 1h1s permit shall be deemed revoked
O I hereby affirm 1hat there 1s a cons1ruchon
lendmg agency tor lhe perl()(mance of the wOf'k lor
wh,ch this permit 1s ,ssued (Sec 3097 C1v1I Code)
Lenders Name ___________ _
lender's Address __________ _
U~t DIUL ru1n1 r~n V"L' a..-nL..,.., ""nu ·-·. ···-· .
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT VJ/f( 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525
JOB AOOFIESS AV.ST.I DATE OF APPLICATION! BUSINESS LICENSE # VALUA T1,J'
4
~t.f';..EAMIT NUMBER
5/l=RRA M/JR8NA
RO.
'? 4-d D /2 -J/-8"4-SS3 I 73cj OWNER•s NAME OWNEFl'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE • ZONE
f)C fJ.AL D I. k IR J< JYJ A. IV 7~9-7/, 90 J<r-MP'.s IN C.1A LLATt01'S 7+1-0 1 rl
OWNER'S MAILING AODRESS I , l CONTRACTOFl'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG use CODE
2 4-:z 0 SJ1::::.1<1io MORENA CJ J, '7-E:A..5,TJ~t NT PL. . :SI. li'4-1£ I
LOT I BLOCK r SUBDIVISION I ASSESSOR PARCEL NO. 6 ESIGNER ST ATE LICENSE # STANOARO PLAN# BUILDING SO. FOOTAGE --...__ ./ I 1/ :, II .,
DESCRIPTION OF WORK I I 1■11 . . . • -, ...
DESIGNER'S ADORES~ DESIGNER'S PHONE ' ,c·, • r -'"''.'~'041 I 1.1-.1,
--~ ~~~~~-#
-. -. F/P F LR ELEV. NO OCC GP EDU
E:l.AJ ~ ..-,., ,(} • -., • n --
STORIES
_,, ,__ . -\.. vO NO
CENSUS Tl)4>.CT Of' LANO use PARKIN(; SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y D ND v O NO vO NO Nor Valid Unlrss Machine Certified
Q~ r--.. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT · ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
.
EA~IXTURE TRAP INs'l"A.LL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT
EACH BUrt'ilJNG SEWER " OVER 100.000 BTU SIGN PERMIT
-
EACH WATER iihuR AND/OR VENT BOILER/COMP~R UP TD 3 HP PLAN CHECK
EACH GAS SYSTEM 1 r'tl-4.._0UTLETS BOILER/COMPRESSOR~ HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MO~ METAL FIREPLACE ............ ELECTRICAL /I) --
EACH INSTAl .. ALTER. REPAIR WATE~ VENT FAN SINGLE DUCT ............. MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS ........... MOBILEHOME
WATER SOFTNER '-.... RELOCATION OF EA FURNACE/HEATER I'--,.._ MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) '-.... . "-· SOLAR
~ TOTI.L MECHANICAL ---.... STRONG MOTION
----. ---·
TOTAL PLUMBING I FIRE SPRINKLERS
~OLAR -ISSUE
PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT -ISSUE §."00 QTY. BRIDGE FEE
NEW CONST EA AMP/SWT IBKR COLLECTORS'-..._ SCHOOL FEE -DISTRICT -
1 PH 3 PH STORAGE TANKS "-.. Carlsbad
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE '-..... Encintlas
1 PH 3 PH PUMP "' San Oiegu,to
I REMODEL/ALTER PER CIRCUIT "' UV PLAN CHECK FEE " San Marcos .. ' TEMP POLE 200 AMPS
OVER 200 AMPS ' • TEMP OCCUPANCY (30 DAYSI "' • "' TOTAL ELECTRICAL 1 -/0,'12 TOTAL SOLAR -I ~ • TOTAL FEES PAYABLE /ti
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION Ar.D PERMIT AND DO HEREBY E•P1ra1,on Every perm,! ,ssued by the 8u1tdtng Ofloc11I under the prov,s,ons of this * AN 06HA PERMIT IS AE0UlflEO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void 11 the building or work 5' 0 .. DEEP ANO OEMOUTION Ofl CONSTRUCTION ~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authortZed by such perm,t 1s not commenced within 180 days from the date of such STRUCT\JRES OVEA 3 STOfllES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~~n~ 1~t t:~v -::,~~•~x:~~~~r:~!h:~:'~%~~~~ ro:.o;:::.,•~,•~:r.::.~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPL:7,•s SIGNATURE If OWNER □ CONTRACTO~ P.7 DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 112-ifj{; EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT. Ct,1,~ 'tv-x'-... ~., ·1-,
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL I
'
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME I
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING I --
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT I
TUB AND ~HOWER PAN ' •
GAS TEST I
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND I I
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A l
G. F. I. -SMOKE DETECTOR. '
MECHANICAL I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
,,.
€lf..-,34
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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