HomeMy WebLinkAbout2691 STATE ST; ; 84-652; Permit"' z 0 .:: < a: < ....
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect.
Lie No ______ C11ss
I hereby alhrm that I am exempt from the Contrac· !or's License law lor the loUowmg reason (Sec 7031.5
Business and Proless1ons Code Any city or county which re-quires a permit to construct, alter. improve. demohsh, or
repair any s1ructure. puor to its issuance also requires !heap• phcant I« such perm,1 to 111e a signed statement lhat he ,s
licensed pursuanl to lhe prov1st0ns ol lhe Coolractot' s License Law (Chapter 9 commencing with Sectt00 7000 ol
01v1s1on 3 ol the Business and Proless10ns Code} or lhal 1s ex·
empt therefrom and the basis for the allegeo exemp110n Arly ~!'~~: ~~:1~!:t1:~~v~ ~~7,:~r~~~ ,hfn',:~ ~~:
dre<l dollars ($500).
n I, as owner of the property, or my employees with wages
as their sole compensahOn. will do lhe work. and lhe struc-
lure 1s not intended or oflered tor sale (Sec 7044, Business
and Protess10ns Code The Contractor's License law dOes nol apply 10 an owner ot propeny who builds or improves
!hereon and who does such work htmself or through his own
employees, provided that such improvements are not intend·
ed or offered for sale. If. how'ever, the buildmg or 1mpnwe-
ment ,s sold w11h,n one year of completlOfl. !he owner·bu1lder
will have !he burden of proving that he dtd not build or im· prove tor the purpose of sale)
0 I, as owner of lhe propeny. am exclusively conuactmg
with licensed contraclors to consiruct the pr01ect (Sec 7044, Bus,ness and Pfoless1ons Code: The Contractor's license
Law does not apply 10 an owner of property who builds or im-proves !hereon. and who contracts I« each prOJects wl1h a con1ractor{s) ltcense pursuant lo !he Contractor's License Law)
0 As a homeowner I am 1mprov1ng my home, and the foflow ;ng cond1!1ons exist:
1. The work is being performed pnor to sate. 2 I have ~ved m my home lor twelve months
r~!v~ ::1pc~::: t
1~i': ::~plt0n dunng lhe
last three years
D I am exempt under Sec ______ , 8 & PC
tor this reason
D I hereby affirm that I t\a'le a cert1t1ca1e of consent
to sell insure. or a cert1ftcate ol Workers
Compensa1,on Insurance Of a certified CoPy lhereo1
(Sec 3800. Labor Code!
POLICY NO
COMPANY
0 Copy IS hied With lhe city
D Cer11f1ed copy ,s hereby lurn1she<l
CERTIFICA Tl OF EXE:MPTION FROM WORKERS' CDMPENSA TION INSURANCE
(This secllon need nol be comple
1s to, ooe hundred OOllars
~ cenily that in lhe pertorman o · & wo~ '°'
~er, this permit 1s issued. I ,s~o1 employ any person m any manner so a~ e sub1ec1 to
the WoO(ers CompenSc11ton '(js G.llltorn,a
NOTICE TO APPLICANT 11. aflet makinj tt-us ~111
licale of Exemp1,on. you should oecome subIec1 1-,
the Workers' Compensa11on provIs,ons of the LabOr
Code. you must lortt1 ..... 1th comply with such
pFO'IIISIOl"IS or ll'ltS perm11 Shall be oeeme-o ,e11Oke<J
O I heteby atr11m 1na1 1here ,s a consuuc1,on
1end1nQ agency 10, 1ne pertormance at the wot11. lor
wt'uch this permit ,s 1ssueo !Sec .3097 C1v11 C<xle1
Lenders Name ___________ _
Lenders A0dtess __________ _
1 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) 438-5525 APPLICATION & PERMIT
DATE OF APPLICATION BUSINESS LICENSE" VALUATION ERMIT NUMBER
~~:x.;~~~r-,'-.LJ~'"=-==~~f:-tL~~:f-::;i,/:!;~:-;:-::~~~---------.---C-:D-N_T_R_A_C_T_O_R _ __JL_---::------.J ZONE -# ?S-:2.
-J/)_--I I OWNER'S PHONE • f.-{ D µ
CONTRACTOR'S ADDRESS PLAN 1.0. # BLDG USE CODE ~~~c
DESIGNER STANDARD PLAN # BUILDING SO. FOOTAGE
CENSUS TRACT I GP LAND USE
. d e jlk'~· N o &Rs ...-"""1--.,P .......... .........,, ....
PARKING SPACE RES UNITS 1 GRADING PERMIT ISSUED
YO N □
v0 Ne] --
I REDEVELOPMENT
A REA
vO NO
NO
STORIES
TYPE
CONST
DESIGNER'S PHONE
I -:7..:29-69/ ~ I 1/U~/til+ '
OUUI bj 11 /OB/ 84
DCC GP EDO-
DCC LOAD FIRESPR
v□ NO Not Valid Unless Machine Cerrdied
QTY. PLUMBING PERMIT · ISSUE 2_~ II QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I ' I I INSTALL FURN DUCTS i.JP TO 100,000 BTU I I BUILDING PERMIT 01·00-00·8220
EACH BUILDINGSEWER I I I OVER100,000BTU I I SIGNPERMIT 01·00-00-8221
EACHWATERHEATERANOORVENT I I I BOILE R/COMPRESSORUP T03 HP I I PLANCHECK 01 ·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS I . BOILER/COMPRESSOR 3 15 HP . TOTAL PLUMBING 01 ·00·00-8222
EACH GAS SYSTEM 5 OR MORE I . METAL FIREPLACE . ELECTRICAL
EACH INSTA~. ALTER, REPAIR WATER PIPE I . VENT FAN SINGLE DUCT -·-----. , . -MECHANICAL
01 ·00·00·8223 _LL1._~
01 ·00-00-8224
EACH VACUUM BREAKER I . MECH EXHAUST HOOO'OUCTS . MOBILEHOME 01 ·00·00·8225
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I U MOBILEHOME PARK INSP
.u
I I EACH ROOF DRAIN 11Ns1□E1 I II I I I SOLAR oi -Qo-oo-a226 I I
TOTf<L MECHANICAL I STRONG MOTION _ 80·92·33·0519
TOT AL PLUMBING
IQTY. ELECTRICAL PERMIT · ISSUE s-i!QTY. SOLAR · ISSUE
NEW CO NST EA AMP SWT 8 KR COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP•SWT ·BKR ROCK STORAGE
1 PH 3 PH PUMP
RE MOOE L ALTt R PER CIRCUIT ) ·'!:..-PLAN CHECK FEE
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DA YSI
TOTAL ELECTRICAL /ttJ~
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY COUNTY AND ST/ITE LAWS GOVERNING BUILDING CON-
TOTAL SOLAR
FIRE SPRINKLERS 01·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·893)
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 80·92·21-0519
Encinilas 80·92· 22·0519
San Qieguito 80·92· 23·0519
San Marcos 80·92· 24·0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL FEES PAYABLE J It~
* AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTUR£S OVER 3 STORIES IN HEIGHT
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND L..::-==;;;c;CF:..::.=i:..::.==:c...:=-======"-'-'c..=-":::=~~~=-APPR07-BY OATE JJ
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ,._ -; / r; ~
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH -'-U.-~'.1--,C.. BY PHONE O V I / /(f
I GRANTING OF THIS PERMIT, ___.: . _ _ 1L...---------------------,--~---e,------------------•--'----------.......__.__ ___ _
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION i
REINFORCED STEEL I
' MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHeAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO D IPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WA-.TER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAt ER
' ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING . ,s -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE, BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I I
MECHANICAL I 'I ~ I ,.)
GAS I \l vi/ V (
BUILDING I . I I j r,,./'
SPECIAL CONDITIONS I V ,l 'I'
I
-% <.f:(J:::.-;}...
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL -
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
.
.
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