HomeMy WebLinkAbout2691 STATE ST; ; CB881716; Permit"' z
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USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
APPLICANT TO Fil l IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
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0 I hereby affirm that I am licensed under
Pf()'llalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profnalone Code, and my license is in
lull lorC41 and effect.
I hereby alt1rm 1nat I am exempt lrom the Conlrac-
tot"s License Law !or lhe lollowmg reason !Sec 7031 5 Bus,ness and Professt0ns Code Any city Of county whict, re-
quires a perm11 10 construct, aller. improve oemohsh. Of repair any s1ruc1ure. prlOf to ,1s issuance also requires !heap-
p~nl IOf such pefl'TIII lo Me a Stgned Slatemenl thal he IS
licensed pursuanr to lhe prov1st0ns ol !he t,;onuacux s
Liunse Law (Chapter 9 commencing with Section 7000 ol Dwmon 3 ol lhe Business and Pro!esSM>ns COde) or lhal 1s e•·
empt lherelrom and rhe basis t« lhe allegeo exemphon Any vtOtatton ot SectlOf'I 7031.5 by an apphcant !Of a permtl sub·
1ects the apphcant 10 a CIVIi penalty ol not more than five hun·
dred dollars ($500)
: __ ..,,"7,o, .!;1. Av ST.RD. THOMAS BROS NO. r--'-u_s_1N_E_SS_-_L_1c_E_"_s_E_•~J.---v-A_L_u_A_T_10-N----i ~AMIT NUMBER I .,.
·! LOT ,..,,..._,_, CONTAACTORSPHONE• ZONE ~':-6 \1 l \..(,I
JJ. OWNER'S PHONE 0 I l)'1..IJ,I BUILDING SO. FOOTAGE
: N ~'Ir~ 'tJ
:• DESIGNER DESIGNER'S PHONE
{ .,. ___ =...i..i111<...L..L---'=;,.,,.=..::.::=--%~--
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I 1----...(:~~l!:;:L_,_,l,.;~,t~-..,e.C.C.~fl,!~~0:',!!!.1.... ____________ _. DESIGNER'S ADDRESS STA TE LICENSE NO
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~ I I. as owner o1 lhe property, CK my employees with wages
as !heir sole compensation will do the work. and !he slfuC·
lure ,s no, intended or olfered lor sale (Sec 704-4 Bus,ness
and Professions COde· The Contrac1or·s license Law does not apply 10 an owner of property who builds or improves
rhereon and who does sucn work n1mse1t 01 through his own employees. provided that such 1mprovemen1s are no! intend·
ed or ollered tor sale 11, howevef. the building Of improve·
ment ts sold w1thm one year ot completion. ll'lf owner·tx.ulder
will have !he burden ol proving lhal he did not bulld or im·
p<ove for !he purpose of sale)
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FJP FLA ELEV,
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STORIES OCC GP EDU
3847 12/27/88 0001 01
P.ldPmt
02 I 10.00 "O
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CENSUS TRACT 1 PARKING SPACE I AES UNITS 1
I QTY. PLUMBING PERMIT -ISSUE 7-SZ>
GRADING PERMIT ISSUED
YO ND I
REDEVELOPMENT
AREA
vO NO
QTY. MECHANICAL PERMIT -ISSUE
TYPE
CONST
/5.oO
DCC LOAD FIRE SPP
YO NO Not Valid Unlffs Machine Cerrif,«J
SUMMARY/ACCOUNT NUMBER I J I, as owner of the prcpeny, am exclusively contracting w1lh licensed contraclors lo consuuct the project (Sec 7044.
Business and ProtesSJOns Code. The Contraclor's license Law does 001 appty to an owner ol property who builds or 1m· proves !hereon, and whO contracts for each proiects with a
contractOf(s) license pursuant to the Contractor's License Law)
:·( (EACHFIXTURETRAP . -INSTALLFURN.OUCTSiJPTOlOO,OOOBTU I • 11 ----·-·-····
f I f EACH BUILDING SEWER . OVER 100,000 BTU " -·----------
BDILOING PERMIJ
:>l\;N ~tRMIT
OOl-810-00-00-ijat
00 l-810-00-00-8221
11 As a homeOwner I am 1mprov1ng my home. and the fotklw
ing cond11lons e,ust ' I I EACH WATER HEATER AN010R VENl . BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00-00-889
oo 1-810-00-00-8222 I /0---l. The work is being performed pnor to ~
2 I have hved in my home tor twelve monlhs
3 r:v~ ~C:Pct,~ot It~,•: -=~plM>n during lhe
tasr three years
D I am exempl under Sec ______ , 8 & P C for this reason ____________ _
0 I hereby affirm tnat I have a cer1111cate of consenl to
self,,nsure. or a cerllllcate of Workers· Compensahon Ir.. I
surance. or a cert1hed copy lhereol (Sec. 3800. Labor Code} t
POLICY NO
COMPANY
~ Copy 1$ tiled Wllh the c,1y
D Cerllhed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the petmi1
1s for one hundred dollars ($1C)O) Of less)
0 I certify that in the pe,formance ol the work lor wtuch
1h1s perm,t ,s issued. I snall not employ any person in any
manner so as lo beeome sub1ect to the Workers' C()(Tlpen•
sat1on Laws of CaJlfomla.
NOTICE TO APPLICANT. If, alter making lhts Cert1hcate
of Exemption. you should beeome subject lo the Workers
Compensation provisions ot the Labor Code. you mus·1
forthwith comply with such provisions or lhis permit shall
be deemed revoked.
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' D I hereby altirm that there ls a construclion lending i
agency for the performance of the work 101 which this oer•
m1t is issued (5ec. 3097, C1v1t Code) '
Lender"s Name ____________ _
Lender's Address ___________ _
7 EACH GAS SYSTEM I TO 4 OUTLETS rL C.V BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING
EACH GAS SYSlEM 5 OR MORE I II I METAL FIREPLACE ELECTRICAL 001-810-00·00-8223
EACH INSTAL . ALTER, REPAIR WATER PIPE I 11 I VENT FAN SINGLE DUCT MECHANICAL 001 ·810-00-00-8224
EACH VACUUM BREAKER MECHE XHAUST HOODtDUCTS MOBILEHOME 001 ·810·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810-00-00·8226
EACH ROOF DRAIN IINSIOEI DRYER VENT STRONG MOTION 880-519·92·33
TOT AL PLUMBING l m -TOTf.L MECHANICAL j· FIREiDB
001·810·00-00-8221
.r. A~ 320·810-00-00-8740
BRIDGE FEE 360·810·00-00-87 40
,QTY. ELECTRICAL PERMIT · ISSUE 5.a:> QTY. MOBILE HOME SETUP
NEW CONST EA AMP SW! BKR CAR PORT 'E ~;~'E'\9.98 I
312·810·00·00-8835
I PH 3 PH AWNING SAD 311-010-00-00-0035
EXIST BLOG EA AMP/SWT BKR GARAGE <ii:RVS.
l PH 3 PH Ot ~ 001-810·00-00-8162
REMODEL ALHR PER CIRCUIT 880-519·92·51
TE MP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAi l TOlAl TOTAL FEES PAYABLE 1 10 ---
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 I~
Exp1rat1on Every permit issued by the Budding Off1c1al under lhe prov111on1 ofth11
Code snall ••p.re by hm1tat10n and become null and v0td 1f the bu,td1ng or work
auth0f'IZed by such permit 1s not commenced w,ttun 180 days from tne date ot such
permit. or ,t the buitdmg or work authOflled by sucn permit 11 suspended or
* AN OSHA PEMIIT tS AEOUIAED FOR EJICAYATIOHS OVEA
5 0" DEEP ANO DEMOUTION 0A CONSTRUCTION Of
STAUCl\lRES OVEA 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL Cl TY COUNlY .t.ND STA TE LAWS GOVERNING BUILDING CON LJaban!!!!~do~ned!!!!,,!al!.,!;an~l!!!u~n•.!•!!!fterc,;l!!!h!•..!•!!or!!.k~rs:_!c:.!om!!!!!m~enc~:!ed~lo!!!•c.Ja~~r~"'~"os??l:_:1!§!l_gf!Xl.--:;;-ji~~~~~-----------~~~-,-~,-"'."'1
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S StGNATUAE • OWNER APPROVED BY
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES .. JUDGMENTS. COSTS 4ND ~ f71
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , ,1 BY PHONE []
GRANTING OF THIS PERMIT 't:/ _;f ~
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TYPE ' DATE INSPECTOR t ,, •
BUILDING I
I CB-t~ \ l ~ . .
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF D St,)EAR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE ,
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PRESTRESSED ., . CONCRETE .
POST TENSIONED ~L ·'-.(1.:::.., ~· ·.....,, ., CONCRETE
PLUMBING .
I
□ SEWER AND BUCO □ PUCO
FIELD WELDING ;r,-, )
HIGH STRENGTH.
UNDERGROUND □ WASTE □1WATER BOLTS -
TOP OUT □ WASTE □ WATER
-~ J --' ' SPECIAL MASONRY '
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
PILES CAISSONS
I
ELECTRICAL ' □ ELECTRIC UNDERGROUND □:UFFER
.., __
:"1 ' \ -.,
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
D BONDING □ POOL I
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MECHANICAL '
□ DUCT & PLEM., □ REF. PIPlt'JG
HEAT -AIR COND. SYSTEMS I t. ~ "O'-'-t -"'
VENTILATING SYSTEMS I ,...-.... 1: ~~•,<""TJ ,.,.,.,_n,~ r-r I --
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL ' .
MECHANICAL "' \ I , • .•
GAS . -I . ' i;--J . ' .
BUILDING -·
SPECIAL CONDITIONS