HomeMy WebLinkAbout2598 STATE ST; ; CB880736; Permit"' z 0 ;:::
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~hereby affirm that I am licensed under
provisions ot Chapter 9 (commencing with
Section 7000) of Division 3 ot the Business
and Profnalona Code, and my license is In
full tore• and effect.
I l'ltreby altirm lhat I am eiempt from the Contrac-
lOf's License Law tor lhe lollowIng reason (Sec 7031 s Business and Protess10ns Code Any city Of county wh1Cl'l re-
quires a perm,t to construct. alter. improve demolish or
repair any structure, prKX' lo tis issuance also requires !heap-
phcanl tOJ such permit to flle a signed statement thal he 1s hcensed pursuant to the prOVls,ons ot the Gontr ac!Of' s
Ucense Law (Chapter 9 commenctng with Sechon 7000 ot Otv,sion 3 ol lhe Susmess and Pro1ess10ns Code) or Iha! 1s e.K-
emp1 thtfetrom and lhe basis IDf lhe allegea exemphon Any
vlOlahOn ol Secoon 7031.S by an applicant tor a perm11 sub Jtcls lhe applttanl to a c,vtl penally ot 001 fOOfe than five hun-
dred dollars IS500)
I, as owner ot the prOJ)ert-,, or my employees wtth wages
as lhetr sole compensatt0n. will do !he work, alld lhe struc-
ture 1s not mt ended or ollered tor sale ( Sec 7044, Business
and Proiession5, Code The ContractOf's Ltcense law does not apply lo an owner of property whO builds o, improves thereon and who dOes such WOfk himself Of through h,s own
emaloyees. provided !hat such improvemenls are not intend-
ed or ottered !or sate It, however. !he bu1l<hn9 or improve-ment ,s sold w1th1n one year of comp1e11on, lhe owner-bui1<Jer
will have the burden of proving that he did not build or im-prove 10< the purpose ot sale1
I I I, as owner ot the property, am exclusively contrac11ng
with hcensed conuaclors 10 construct the pro,ect (Sec 7044.
Business and Prolesst0ns Code The Con1rac1or·s License
Law does not apply to an owner of propeny who builds or im-proves thereon. and who contracts tor each projects wtlh a
coouaclOf'IS) license pursuan! to the Conlractor's License Law)
11 As a homeowner I am 1mprovmg my home and the follow
mg cond1hons exrsl. 1 The work 1s being performed pnor to sale
2 I have hved m my home for twelve months pnor lo complehon ot rtns work
I have nol claimed 11'11s ex.emptton during lhe
lasl lhree years
□ I am exempt under Sec ______ . B &P C
lor lh1s reason ____________ _
I hereby allnm that I have a certificate of consent to
self-insure. or a cerllhcate of Workers Compensahon In·
surance or a cet11fled copy !hereof 1Sec 3800. Labof Code)
POLICY NO
COMPANY = ~y IS hied wttn the Ctly
[M"certifted copy 1s hereby furmshed
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
jTtus section need not be completed 11 the permit
1s for one hundred dollars tStOO) or less)
D I cer11fy Iha! 1n the performance of the work for which
1h1s permit 1s issued. I shall not employ any person in any
ma.nner so as to t>ec:ome subject to the Workers· Campen•
sat1on Laws of Cahlorma
NOTICE TO APPLICANT If. after making this Cerliltcale
of Exemption, you should beeome subject lo the Workers
Compensation provisions ot !he labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby attirm that there 1s a construc11on lending
agency for the performance of !he work for which 1h15 per-
mit IS Issued (Sec. 3097. Civil COde)
Lenders Name ____________ _
Lencter"s Address _______ ~----
USE BALL POINT PEN ONLY & PRESS HARD
JOB ADDRESS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
AV. ST.AD. THOMAS BROS NO.
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
BUSINESS LICENSE # VALUATION PERMIT NUMBER
'2.S9J' SJ'Afe sr:
LOT BLOCK SUBOIVIS1QN , /.3-e:. ASSES~OR PARCEL NO -/ _ p p}
-'-0 °3 10 I .;l b'1 CoA ,4.,;f., ,l>,.,:V/; ' """'"'""""' =rnmoas ""'" "'"' er.;, D 7 3Q.
0 ""'"' ••"'"" •oo•rns 'b ,;J ,:-9-[? 57,;.f.;. ST. C3.ds6_,,,,./ =,o,NG so. ,ooa o,
DESIGNER DESIGNER'S PHONE
STATE LICENSE NO.
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0 a. r ESC~ON OF WOA¾ z s "' ~ e.,L I DESIGNER'S ADDRESS L\lcA ews L....s c1 A,;' I 0012 06/07 0101 02BldPmt
E
15-C~ ~
GRADING PERMIT ISSUEO
F/P FLA ELEV
vO NO
REDEVELOPMENT
AREA
~
STORIES
TYPE
CONST
OCC GP
OCC LOAD
EDU
FIRE SPA I CENSUS TRACT I PARKING SPACE I AES UNITS
y D ND vO NO vO NO Not Valid Unlt!H M~chine Certified
QTY.I PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUI LUING SEWER
~I QTY. MECHANICAL PERMIT . ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100,000 BTU 1 II SIGN PERMIT 001·810·00·00·8221.,.;
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO J HP I II PLAN CHECK 001·810·00·00·8891
E.ACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM !> OR MORE
BOILER /COMPRESSOR J 15 HP I II TOTAL PLUMBING 001·810·00·00·8222
METAL FIREPLACE ELECTRICAL ~
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANIC 1-------1~~--t..&.~ ·Bffi
EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS
WATER SOFTNER RELOCATION OF EA FU RNACE 1HEATER SOLAR
EACH ROOF DRAIN IINSIO• •
TOIAL PLUMBING I
QTY.I ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SW! 8KR
S!!-QTY.
CAR PORT
"~"' '"'JOUL' I I DRYER VENT
• • TOT/.L MECHANICAL
PUBLIC FACILI
MOBILE HOM ~1897~ "' -11...,,,
/,4 • • I ."~~
BRIDGE FEE '"-Y_t!.\.OPfAtll§6~-8'\lf-Olf-00-8740
PARK·IN·LIEU (AREA
TIF 312-810-00·00·8835
I PH J PH AWNING I l _ .... 11111\ I i-\ LA COSTA TIF 311·810·00·00-8835
EXIST BLOG EA AMPISWT BKR GARAGE r,; JUN ~uu ij\' ..... FMF
I PH 3 PH iR ~!L...4. 1'S LICENSE TAX 001 ·810·00·00·8162
7 REMOOE.l ALHR PER CIRCUll /d ,ca r'M' tif &'Ri:siilo ~•-MFF 880-519-92-57
TE MP PO LE 200 AMPS \~ """ ·,\ii ;!11.
OVER 200 AMPS "-*-I ~'2
TEMP OCCUPANCY no OAYSI ~.9>-,_-rlN".7 ~--CREDIT DEPOSIT
TOTAL ELECIRICAI l /2' TOTAi TOTAL FEES PAYABLE l 15' --
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARAllONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I!>
* AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
~· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCTVAES 0\/ER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING C,,O~Nifj-~~!!i\!:~~~!!l'...!!!!!!!..!!!!!~~!!!!:~~~!!!!~!l!...!2!..!..2!!!!&:~~..Q!n __ _,
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIF 4 D
KEEP HARMLESS THE CITY OF CARLSBAD AGAlNST ALL LIABILITIES JUDGMENTS. COS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE TH
GRANTING OF THIS PERMIT "------4:z"~,-;,ir:,d~ae,....:;;l,,.,..;".°:' BY PHONE [J
_L AEJa DATE
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TYPE
BUILDING I
' I
OUNDATION I
,EINFORCED STEEL
IIASONRY
iUNITE OR GROUT
F
R
M
G
s
s
F
E
UB FRAME □ FLOOR □ CEILING
HEATHING □ ROOF □ SHEAR
RAME
XTERIOR LATH '
INSULATION
INTERIOR LATH & DRYWALL '
PLUMBING
□ SEWER AND BUCO □ PU CO
tJNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
J UB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
"
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL .. '-'
PLUMBING
ELECTRICAL ~~.2.0-li' ~ /(c__, ~ ~
MECHANICAL (..)
GAS -
BUILDING
SPECIAL CONDITIONS
~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE d; PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE {'' ◄ ...... , OVER 2000 PSI t J
PRESTRESSED \li CONCRETE
POST TENSIONED \' ... CONCRETE
' FIELD WELDING
HIGH STRENGTH
BOLTS
SPEC IAL MASONRY
PILES CAISSONS
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, ' " . -.
~ . '
'· . .
' \
CR.> i io 1 3ft,
INSPECTOR'S NOTES
DAT_L ---,-'
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