HomeMy WebLinkAbout2860 STATE ST; ; 84-185; Permit"' z 0 ;::
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'O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 70001 of Division 3 of the Business
and Professions Code, and my license is In
full force and effect. Lie No ______ Class
I hereby alflrm that I am exempt from !he Contrac·
tor s license Law for the loi!owrng reason (Sec 7031 5 Business and Professions Code Any c11y or counly wh,cii re-
quires a permtl 10 construct, alter. improve. demohsh. Of repair any structure. prior 10 I1s issuance aIso requires !heap-r!~~~~orp~~~~a~f':11 tt~el•l~r!)~~~d ~:a't:e~~:!c:-1:
bcense Law (Chapter 9 commencing with Ser.liOn 7000 or Oiv1s1on 3 of the Business and Protessions Code; or that 1s ex
empt therefrom and the baS1s tor lhe al:egeo exempt,on Any violatJon ot Section 7031.5 by an appricant lor a permit sub 1ec1s the appl1can1 to a CIVIi penally of not more than live l'lun-
dre<l dollars ($500).
r 1 I, as owner of the property. or my employees Wlth wages
as their sole compensation. voll do !he work. and the struc•
lure 1s no1 mlended or offered for sale (Sec. 7044 Business and Profession~ Code -The Contractor·s license Law does
not appty 10 an owner or property who builds °' improves
!hereon and who does such work himself Of through his own employees. p(Ovided lhal such improvements 11re nol intend-
ed or offered tor sale II. however, ine bU1ta1ng Of improve· ment tS sotd within one year ot complehort, lhe owner-builder
WIii have the burden ol PfOYlOQ that he did nol bUlld Of Im·
pr<Nt: for the purpose of sale)
r I, as owner of lhe property, am -,:elusively conlracung with licensed contraciors to conslruct the pro,ecl !Sec. 7044.
Business and ProtessIons Code The Conlractor·s LK:ense Law does not apply to an owner ol Pfoperty who bu1kfs or im-proves thereon. and who conlracls tor each pro1ects with a
con1ractor(s) hcense pursuant to the Conlractor s License Law)
fJ As a homeowner I am ,mprovmg my home. and lhe lollow
mg cond1t1ons exist ~ f~a:~,i~ ~::9 ~rl= r;~t!ei:e months
pnor to compIe11on o! rllis work. I have not cta1med 1h1s exemphon during the
last lhree years
D I am exempl under Sec -------· B & P C !or this reason -------------
D I hereby atfum that I h.a¥"e a certificate ot consen1 10 self-rnsure. or a cer11l1ca1e or Workers
Compensation Insurance. or a cer11hed copy thereof
!Sec 3800 lab<>< COdie
POUCYNO /2
COMPANY
D Copy ,s llled w, r c1ly
0 Certified copy hereby furnished
CEATIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sec1ton neea not t>e completec 11 the oerm11
1s for one hundre<' dollars iS 1001 or less)
0 I cer1'1y lhal ,n the performance ot lhe wo"'-lo,
.... h,ch lhtS perm11 IS issued I shall no1 employ any
person in any manner so as 10 t>ecome sub1ec1 10
rhe Wo'11.ers· Compensa11on la'AtS ot Cai1torn,a
NOTICE TO APPLICANT If after mak:nJ 1n1s Cel'"tl
hcate ot E•emp1100 you snouto oecome suo1ec1 ,,.,
the Wor1(ers Compensa11on pro'll1s,ons of the Labor
Code you must tor,h,...,ir, como1, w11t1 such
oro,...1s1ons or in15 oerm11 shall be deemea ,e..-Qked
O I nereby affirm !hat 1here ,5 a cons1roc1,o" 1end,ng agency tor li"'e pertofmance 01 !he -N0rk to,
which 11'11s ~rm11 is ,ssue<l •Sec )()97 C1v1I CO<Je1
Lenders Name ___________ _
Len<ier s Address ------~----
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 _(_619) 438.§_515_
:sf_, DESIGN EA
OESCAIPT ON OF WOA•
OEStGNEA"S AOOAESS
I-G?°'s //,,._ <.... v-~ (Ja,\---F/P FL A ELEV .
vO NO
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
LICENSl a
OESIGNE A'S PHONE
OCC GP EDU
OCC LOAD Fl AE SPA
VA.}-UATION
PLAN I.D. #
STANOARO PLAN#
PERMIT NUMBER
BLOG use CODE
BUILDING SO FOOTAGE
• CENSUS TRA-CT--1-GP LANO USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED
YO ND I AEOE VELOPMENT
AREA
vO NO vO NO Not Vaiia Unless M~chine Certified
QTY.I PLUMBING PERMIT· ISSUE
EA CH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WA TEA SOFTNER
EACH ROOF DRAIN (INSIDE)
/l ~~h~..,.,
/ TOTAL ~LUMBING I
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP SWT BKR
I PH 3 PH
EXIST BLOG EA AMP 1SWT BKR
I PH 3 PH
REMODEL ALHR PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 0AYSl
I0TAL ELECTRICAL I
/ .f!!_ QTY.
L
_£!!_
,-,£.--~
/P f!..-
.5=-II QTY.
l
MECHANICAL PERMIT -ISSUE 3-SUMMARY/Ayv04NT NUMBE,R fit.
INSTALL FURN . DUCTS UP TO 100.000 BTU BUILDING PERMIT ~tQ.O·eO·B?20
OVER 100.000 BTU SIGN PERMIT 01-00·00-8221 ·---------------
BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 _;,
BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00-8222 /4~
METAL FIREPLACE ELECTRICAL 01-00-00-8223
VENT FAN SINGLE DUCT MECHANICAL 01·00·00-8224
MECH EXHAUST H0O0I0UCTS MOBILEH0ME 01-00·0Q-8225
RELOCATION OF EA FURNACE/HEATER M0BILEHOME PARK INSP
TOT kl MECHANICAL
SOLAR 0.Lll0.:.!!l!:l!2.2.6
t-STRONG MOTION 80·92-33-0519
FIRE SPRINKLERS 01·00-00-8227
SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·8933
BRIDGE FEE
COLLECTORS SCHOOL FEE • DlSTRICT
STORAGE TANKS Carlsbad 80·92·21-0519
ROCK STORAGE Encinitas 80-92· 22·0519
PUMP San Dieguito 80-92· 23-0519
PLAN CHECK FEE San Marcos 80-92·24-0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL SOLAR TOTAL FEES PAYABLE 1 /d ~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPUCATION AND PERMlr AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE M~D CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY, COUNlY ,AND STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT_.
Expiration Every ~rm,1 issued by 11ie8u1ldmg Offtc1a1 under thepr,o,...1s1ons ofthts
Code shall expire by ltm,tation and become null and void u the build111g or work
authorized by such permit 1s not cornmenced within 180days from the date of such
permit. or if the budding or work. authorized by such perm,1 1s suspended Of
abandoned at an"V time after the work 1s commenced tor a period or 180 d&Y!
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5" O" DEEP AND DEMOLITION Ofl CONSTRUCTION OF
STRVCT\JRE.S OVER 3 STOfllES IN HEIGHT
AP;;zzLICA ,ss1GNATUA''''E Jf-OWNER□ CONTRACTO~ ~ ~
,_.
--::,;✓ BY PHONE 0 ~ l -"A~ -
APPROIIEO BY ;I-~
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TYPE DATE INSPEC"TOR
BUILDING I
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO D1PUCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER -TUB AND SHOWER PAN
GAS TEST
D WATER HEATER 'J SOLAR WATER ·-
ELECirH CAL
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 I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
~ '11 ..
-~
~l.f-1~~-'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
C'VER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CL•~CRETE
F D WELDING ,__
HIGH STRENGTH
BOLTS
SPECIAL MASONRY ..
PILES CAISSONS
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