HomeMy WebLinkAbout2598 STATE ST; ; 84-258; PermitCl) z 0 ;:
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O I ,,...eby affirm that I am licensed under
prO\llalons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full forcn.l!CU~ C.. ,,Le:. Loe No ~-"-Clm ~~-~~"'---
I llefeby attinn that I am exempt from the Conlrx-1or·s License Law for Ille following reason (Sec 7031.5
Business and Protesslons Code: Arry city or county which re-quires a permit to construct. alter, improve, demolish. or repair any structure, prKN' to jf_s issuance also requires the ap-e=or :~:':' t:'. file~~~ :1:-"Jo:.'::!a~-~ license Law (Chapter 9 conm,nong with Sectton 7000 or
OMStOO 3 ol the Bus,noss and Prolesslons Code) or that Is ex-
empt u,eretrorn and the basis for the al~ exemplion. Arry IIIOlation of Section 7031.5 by an ~.,.nl for a perm,t sub-::J :::::r~~lo a cMt penalty not more than love hun-
O I. as owner ol Ille p<ope,ty. or my employee, with wages as their sole compensation. win do the work, and the struc-ture is not inlendod or offered for sale (Sec 704◄, Business
and ProleSSIOl'ls Code The Contractor's Loconse Law does not appl)' to an owner ol p,operty wllo builds or improves
thereon and woo does such wor1< lwnseil °' tlvough his own amplo)'eeS, p<<Mdeel lhal such lmp<DYements are not Intend· eel o, ottered for salo 11, oowever. the building or lmp<OYO-
ment Is sold within one year of completion, the owner-builder will have the burden ol p<OY1ng thal he did not bulk! or lrn-
p<OYO for the purpose ol sale)
□ I. as owner ol the p<operty, am exduslwly conlracttng
with licensed conlraciors to conSlruct the project (Sec. 7044, Business and Professions Code. The Contractor's License
Law does nol apply lo an owner ol property woo builds 0< lm-prnves thereon, and woo con1rac1s for each p<~IS w,th a conlrac!Or{s) llcense pursuanl to the Contractor's Llcanso Law).
o As a -ner I am ,mprovlng my homo. and the follOW-
lng cond1ti0ns exist. 1. The work Is being pe~o,med prior to sale.
2. I have hvocl in my home for twelve months
3. l"e: ~~of t1~: :;p!IOn dunng lhe last tllr• years
□ lamexemptunderSec. ______ . B& P.C. for this reason ____________ _
O I hereby athrm lhat~ha a 10 sell-msure, or a
CompenYltOn Insurance cen1f1ed copy thereof
(Sec 3800. LaOor Code)
POLICYNOW~( t<t '55 p
COMPANY ~-$ /~
~Copy IS ftled with the city
, Q Cert,tted cc>py rs hereby turn,shect
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This secttOn need not be compleled ,t lhe perm,t
1s to, one hundred dOllars (S 100) o, less)
D I certify that in the performance of the wont f0' •tucn this pemut 1s issued. I shaJI not employ any
person in .-iy manner so a.s 10 become sub1ec1 to lhe Wortters' Compensation Laws of Gahtorn,a
NOTtCE TO APPl.tCANT 11. after malun~ lh1s Ce:rh
hute of E.xemphon, you srlOuld t>ec.ome sub1ec1 t?
the W()f'1(e<s · Compensaihon prov,s,ons of the Labof
Code. you must tor1hw1th comply with such
prOV1SK>nS Of 1t11s perm,1 shall be deemed revOked
O I hereby attum that there •S a constructton
1end1119 aoency t°' the pe,rto,mance ol lhe 'WM for
wruch ttus pe1m11 •S issued (Sec 3097 C1i,1I Code)
Lenoer s N.,,,., ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS
A~iT-IDsE ~F ~L~~~I BUSINEr ~LUATION ~~MIT NUMBER
-;2 59~ ·$\A~ ~1'. ,rJ-1J-'O ~sr OWNE A'S NAME l O ~3::R4l:;l
CONTRACTOR Af CONTRACTORS PHONE• ZONE
~~~C.CA C.o""-"-1:;...I ·C/"J tU ~<o-~~l\
OWNER'S MA LING ADOAESS 0/~ CONTRACTOR'S AODAESS . LICENSE NO. PLAN I.D. # BLOG use CODE
s~~~ I {ofl P.-~t'! --.-1,...c::, R.~ ~~52-
LOT I BLOCK l SUBDIVISION r ASS-ESS°f/AP,ffJfflO/,A/ 7 DESIGNER ' LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK w r $11 lfi DESIGNER'S ADDRESS DESIGNER'S PHONE
~ f:,'~ ,,~ 5 '!,., :i:A/t.
V
2'-l-Pa.e o/C.3/84 H:d r ,. I
F/P FLA ELEV. NO OCCGP EDU COLI 1229 ~
;i/uJ/t a 'f::>lc,"' • 0 F STORIES (~•1 .
vO NO --
C.ENSUS TRACT I GP LAND USE PARK ING SPACE
1 RES UNITS I GRADING ~EAMIT ISSUED I AEOEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N 0 vO NO vO NO Not Valid Unkss Machin~ C.rtifittd
QTY. PLUMBING PERMIT -ISSUE ~~-QTY. MECHANICAL PERMIT -ISSUE ?;~-SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP # INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01-00-00-8220 3;2.. ~
EACH BUILDING SEWER I OVER 100,000 STU SIGN PERMIT 01-00-00-8221 ~, ,..=--
EACH WATER HEA TEA AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01 ·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00-00-8223 /.<"~ ---
EACH INSTAl-, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00-00-8225 ---
WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-ll0-M-R?2n ~
TOTJ.L MECHANICAL STRONG MOTION 80·92-33-0519 _6<1,,,/ ---i----~ _.:___ .,
TOTAL PLUMBING FIRE SPRINKLERS 01·00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ¢-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923
' BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS ' car1sbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL ALTE R PER CIRCUIT PLAN CHECK f'EE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS -. ~
OVER 200 AMPS -TEMP OCCUPANCY (30 DAYSI _.,,,.,
I hi ,' ill 111 /I II"\.
--/0
TOTAL ELECTRICAL T 1.---TOTAL SOLAR TOTAL FEES PAYABLE I &;JC/~ .) .
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' AND DO HEREBY • Exp,r■bon EV9('( permit -bytllelluilcllngOfflclalunderlbepro,,isooneolllllS * AN OSHA PENIIIT IS AEQl#IED FOR EXCAVATIONS OVEfl
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code allall ■xp,re by Hmllatlon and -null and void ti tt,e bllllcl.:?. or worll 5' 0-DEEP AND OEIIOUTl0N OR CONSTIIUCTlON OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ■uthorlZed by such perm,1 11 not commenced i.illlin ,., cleya lrom Ille of such snlUClURES OV£R 3 STORIES IN HEIGHT A' permlf. or ,, Ille bu~dl~ work --br ■IICh permn 11 ~ or ISSUED TO COMPLY WITH ALL CITY, CO(JNTY AND STATE LAWS GOVERNING BUILDING CON • abandoned et --Ille work ii CCIINlalC■CI tor a -of tllil --STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . -~ OWNER□ CONTRAcr<>RA APPROVED BY ffei 0
AW)J
KEEP HARMLESS THE CITY. OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~ICANT S SliNAT~ Jf. lt,,,t).
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE 1 "' ~ • BY PHONE 0 GRANTING OF THIS PERMIT. ( J -~ -, , --,
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INSPECTION TYPE -----DATE --.. -INSPECTOR .. -----
BUILDING
FOUNDATION 1~./r,.3'1 ~
--q
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME I
SHEATHING I
-i FRAME '
EXTERIOR LATH lNSULATION I
" INTERIOR LATH & DRYWALL .. PLUMBING I --
SEWER AND BL.:/CO I
-. . PLUMBING UNDERGROUND
PLUMBING TOP OUT I
TUB AND $HOWER PAN !
I
GAS TEST \ --
ELECTRICAL I .
TEMPORARY POWER '
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC i.
I
ELECTRIC SERVICE I
'
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL !
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
> ..
' -,, '8 4-...,~~ I
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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