HomeMy WebLinkAbout2676 STATE ST; B; 87-680; Permit"' z 0 ;::: < IC < .... 0 "' 0
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0 I he<eby affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license is in
lull force and effect.
I hereby afhrm that I am exempt lrom lhe Con1rac·
tot's License Law tor the loflow1ng reason (Sec 7031 5 Business and Professions Code Any c1ty o, county wh1er. re·
Quires a permit ro conslrtJCI. aller. improve. demohsh. 01' repair any structure prior 10 11s issuance also requires !heap-plicant tor such permit to hte a .s,9ned statement lha1 he ,s
hcensed pursuant to the prov1s,ons of the conuac1or s
L,cznse Law (Chapter 9 commenctng with Section 7000 ol Ofvls1on 3 of the Business and Pro!ess,ons Code}°' that 1s ex·
empt lherelrom and the basis IOf lhe allegeo extmpllon Any v10lal1on 01 Set1K>n 7031 5 by an applltant !Of a perm11 sob·
1ects the apphcanl 10 a CIVIi penalty o1 not more than hve nun·
dred dollars ($500)
I. as owner ot the property. Of my employees with wages
as 1he1r sole compensation, will do the work and lhe slruc-lure 1s nol ,mended or ottered Jo, sale (Sec 70H Business
and Profession$ Cooe The Contractor"s license Law does
no1 apply to an owner of property who builds or tmproves !hereon and who does such work himself or through his own
empJoyees, provided that such 1mprovemen1s are not mlend-e<I or olfere<S tor sale II. however. lhe bu1kllng or 1mprove-
men1 1s sold wrthin one year ol comple11on, the owner·bUlldef
will have lhe burden ol prov,ng that he did not build or 1m-
pr0\le for the purpose 01 sale)
' I, as owner of the property. am exclustvety contrachng
wllh ltcensed contractors to construe! the prOfKI (Sec 7044, Business and Pfotess,ons C~. The Conlractor's license Law does nor apply to an owner ol pre>perty who builds or im-
proves thereon. and who contracts tor each protects w11h a
conlractor(s) license pursoanl to !he Cooiractor's License Law)
I l As a llomeOwner I am ImprovIng my home. and the follow mg cond111ons e111st
1 The work Is .being performed pnOJ to sale
2 I nave hved m my home tor rwelve monlhs prior 10 completion ot !his work
I have noI claimed lhis exemp110n during lhe
lasl lhree years
D I am exempt under Sec ______ • 8 & P C
lor Ih1s reason ____________ _
L... I hereby affirm that I have a certificate of consent to
sell•insure. or a cert1lu:ate of Workers· Compensat,on In-
surance. or a cen1hed copy thereof 1Sec 3800. Labor Codel
POLICY NO
COM PANY
Copy IS hied w,th the city
:J Cert1lled copy is he1eby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not De completed 1I !he permit
1s lor one hundred dOUars 1s 100) or less)
0 I certify that 1n the pefformance ol the work lor which I
lh1s permit 1s issued. I shall not emplOy any person ,n any
manner so as 10 become subjec1 to the Wo,kers· Compen.
sa11on Laws ol California.
NOTICE TO APPLICANT: II. after matung this Certificate
of Exemption. you should become subJect to the Workers·
Compensation provIsIons ot IM Lat,o, Code. you mu~t
torchw,u, comply with such orovts1ons or 1t11s perm11 shaJI
be deemed revoked
0 I hereby arnrm that there 1s a construction lending
agency tor the performance ol the work IOf which nus per-
m,t js issued (Sec 3097 .. C1v1I Code)
Lender s Name
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMl1i -2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 r, -
15 CiEC:~'\-2-\ t (~~:T.:_')
THOMAS BROS NO.
IRi/p/;;;ONI BUTi1J:5>f-•
\/ALUATION PERMIT NUMBER
S( \ 6~o LOT I BLOCK I SUBOI VISION I ASSESSOR PA~~ NO . J, CONTRACTOR ' -CONTIACTORS PHONE • ZONE \ .2.fj I O I O I O 0 ~ ~ \( ~c 2.,\c"c~v-1 <:.. q9.5-;_?Jt_r"
4S,ME·ST A~b I <7~ '{o~.; ~ ;::,NE CONTRA~TOR'S AOORESS {2uC~ loJ STATE LICENSE NO. l BUILDING SO. FOOTAGE
?o Box i -, .::,-J ":2.KPS7G '
~~1~M5t.~:r; ~t I ---·-_, A --------
17: A ( ( bbl ) DESIGNER J DESIGNER'S PHONE VV......_ VWI V'-' v.-.v.&. Va. .... -• Ufl,,r
_,...._
DESCRIPTION OF WORK , '---
DESIGNER'S ADDRESS STATE LICENSE NO.
X,; .~ +t'\_ ( ( ]JevU 1 o o ,~rv"\ r~ F/P NO EDU
~(/1( -8>~J ~ F LR ELEV. OCC GP
P\~) (
~ecvt_
STORIES -
vO "O --,-I CENSUS TRACT I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUEO I RE DEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST .
y D ND vO "'□ vO NO Not Valid Unlns Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7 2 QTY. MECHANICAL PERMIT -ISSUE is~ su~i,.Yt~COUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100.000 BTU ~UILUINb rtMMI I -.__J,IJ~llVIU·lftl~
EACH BUI LUING SEWER OVER l00.000 BTU SIGN PERMIT 001-8lll~~?I( r1
EACH WATER HEA TER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 1J / / PQl-~10.:.,00·00·8891
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING b!J1'1!1~0/WRJ!
EACH GAS SYSTE M 5 OR MORE METAL FIREPLACE ELECT BJ CAL \ifh, .-..00,l;.810·00·00-8223 ~ ""{( J-
EACH INSTAL . ALTER. REPA IR WAT ER PIPE VENT FAN SINGLE DUCT MECH~<KLO.Db .. :-.~.uu o ~
EACH VACUUM BREAKER MECHE XHAUST HOOO DUCTS MOBILEHOME ·• 'f «O.,-nn. II
WATER SOFTNER RELOCATION OF EA FURNACE1HEATE R SOLAR ....... 001-810-00-00·o, ·--.
EACH ROOF DRAIN !INSIDE I DRYER VENT STRONG MOTION 880-519-92·33
TOTt;L MECHANICAL FIRE SPRINKLERS 001·810-00-00-8227
TOlAI PIUMBINl, I PUBLIC FACILITIES FEE 320·810-00-00-8 7 40
s~ BRIDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
I NEW CONST EA AMP SWl IIKA /{J() i4)1J/) .!),<:;. CAR PORT TIF 312-810-00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311 ·810·00-00-8835
EXIST IILOG EA AMP!SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00-00-8162
REMODEL Al Tt R PER CIRCUIT MFF 880-519-92-57
TE MP POLE 700 AMPS
□VER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTA L ELElTRICAI I L30~ TOTAi TOTAL FEES PAY ABLE I ,~()-
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT ANO 00 HEREBY E,cperat,on Every oermtt issued by the Bu1ld1ng Otf1c1al undef the provisions of this * AN OSHA P£1W:T IS AEOUIREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e~pire by hm1t1t1on and become null and void If the building or worll.. S 0" DEEP ANO DEMOLITION OR ~STRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND A.GREE IF A PERMIT I!, authonzed by such permit ,s not commenced within 180 days from the date ot such STRUCTUA£S OYER 3 STORIES IN HEIGHT
ISSUED TO COMP\. Y WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON ::~n':ci ·~. •:;y t~~·J.~~~C:~r:~!~~:'en°Je~~~~ r~r::~·~,s~~~~ or'
STRUCTION. WHETHER SPECIFIED HEREIN QR NOT I ALSO AGREE 10 SA.VE INDEMNIFY ANO A~~TS SIGNATURE • , . OWNER (1 ~NTRACTO~ APPROVED 8~ 7 1~ll,lf7 i<EEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ £,~ \ (iV,,,tv"'_, BY PHONE fJ GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I . _l <g ,-&$J.J --. a ---~ FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' ' MASONRY I .
I
GUNITE OR GROUT ! ~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEI ~ING
SHEATHING D ROOF D S~ 'EAR -
SOILS COMPLIANCE
PRIOR TO
FRAME I -FOUNDATION INSP ~
EXTERIOR LATH !
STRUCTURAL CONCRETE --' OVER 2000 PSI
INSULATION !
I
INTERIOR LATH & DRYWALL I
' I t
PR ESTRESSED
CONCRETE
POST TENSIONED T CONCRETE --
PLUMBING I FIELD WELDING --
D SEWER AND BUCO CJ PUCO HIGH STRENGTH
UNDERGROUND D WASTE □,WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY . -
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR W,A TER -
l
< -,,:r•,LI\.;-,...,-.· ·"''" -· PILES CAISSONS .,·,r--~ n ,r"r~-t '\1;t,l-'-• --~"1:'t'1f4 :::,
.-,,:1\.'~··· c~·•,~ ---. .. -I ·._. ·:.'··--• .-, Ol-• ,.. .
ELECTRICAL ' -I
D ELECTRIC UNDERGROUND q UFFER
ROUGH ELECTRIC I
.... \. ... r ....., -,_ ---. -., fl ,\ ~ ◄ ~ .' -~
I ,. c, _(,,""'.',,
D ELECTRIC SERVICE D TEMPORARY -.•"\:' --:, \ 1 • ' .• . , ---,;
D BONDING D POOL I -.
-I -
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING -
I
HEAT -AIR COND. SYSTEMS I ' -
VENTILATING SYSTEMS ' .
I I
I
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I ' c~~ -06\~ -trc; C!I!Q!..l!-t-::~~co
PLUMBING I ., ' ~
ELECTRICAL I -... -.
MECHANICAL I
J
GAS I .
I,
I ' . . ·r ~ .,-"" -' ' . ' --.. : ~
BUILDING . ' I \.~ s. ' ----
SPECIAL CONDITIONS I
I
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Qtitp of Qtarlsbab
REQUEST FOR INSPECTION RECORD
BUILDING
0 FOUNDATION D FOOTING D SLAB
0 REINFORCING STEEL
0 MASONRY
D GROUT · GUNITE
0 FLOOR AND CEILING SUB FRAME
□ SHEATHING D ROOF □ SHEAR
□ FRAME
0 EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
□ SEWER AND PL/CO
□ TOP OUT PLUMBING
□ TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
□ SOLAR WATER
□ FINAL
Ready For Inspection: □
□ A.M. □ P.M.
TIME:--=-----
--=----~----DATE: <;?-7-'g7
ELECTRICAL
□ TEMPORARY SERVICE
0 UFFER GROUND
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
0 POOL BONDING
~ ELECTRIC SliJ;il 116[
D FINAL
MISCELLANEOUS
□ CONDITIONED AIR SYSTEMS
0 SOLAR HEAT
□ PATIO
D POOL D SPA
□ SIGN
□ GRADING
0 DRIVEWAY
D FINAL
□ Wednesday □ Thursday □ Friday
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