HomeMy WebLinkAbout2562 STATE ST; B; 85-257; PermitIi[ 0 0
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O I hereby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license Is in
lull force and effect. lie No ______ Cl•ss
I hereby alhrm lhal I am e.Kempt lrom the Contrac·
IO< s locense Law !of Ille IOllow•ng r .. son (Sec 70315
Business and Proless1ons Code Any city Of county which re· Quires a perrnII 10 construet alter. improve. demolish_ or reoa,, any slructure pr'°4' to ,1s tSsuance a1so requires !he ap• p11can1 IOI' such permn 10 11te a signed statement that he 1$
hcensed pursuanl to lhl prCMSIOf1S ol the COO.lfiClOf s L,cense law (Chapter 9 comm•••:ing w,th Secloan 7000 ol
Olv1st0n J of lhe Busmess and Pro!essM>ns COde) 0< Iha! 1s ex· empt therefrom and the bas.s lor lhe aItegeo exemp1t0n Any
v1ota1ton of Section 7031 . 5 b~ an appl<ant tor a pe,mtl sub-teets the appricant to a c1v1I penilty of not more lhan five hun-
dred dol\!rs (S500)
I. as owner CJf tile property or my employees with wages
as thetr sole compensation. will do the work. and the strue-
ture ,s nol 1ntendec:I or offered lor ~e (Sec 70'4 Business
and Protes~s COde The ConlractOf's Ltcense law does not ap~y to an owner ot property iwho builds or improves
thereon and """ does such -k h..,,..f or through fits own employees. provided !hat such Imptovements are not intend·
ed or ottered for sale II. however tile bu1lcMg or improve-ment IS sold Wflhtn one year of completlOf'I, lhe ownet·budd~
will have the burden or proving lhat he did nor build or 1m· prove lor Ille purpose ot sale)
..J I, as owner of the property, am e~clusrvely contracting w11h hcensed contractors to coostrucl the l)fOJect (sec 7044
BuSlness and ProfesSIOOs Code The Conlraclor's lteense Law does not appty 10 an owner of property who builds or im·
proves thereon, and who contracts for each proteets with a contr,ctor(s) lieense pu~nt to lhe Contr,clor's L,cense Law)
0 As a -ner I •m ,mp<OYrng my home •nd Ille follow mg COnd!IIOOS exist. , Tile wort< Is being performed puor 10 sale
2 I have hvoct in ""I ll0rne to< twetve months puor to completion ot th,s WO<k
3. I have not claimed thrs exemption during the IUI thlee years
□ I am exempl under Sec ______ , 8 & P C
fOl this reason
0 I he,eby athrm !ti.al I na ... e a een1tica1e of conseni
10 self insure. or a cemt1ca1e ot Workers Compensa1,on Insurance. or a cen1f1ed copy trierMJt
(Sec 3800 ubor COde1
POLICY >;O
COMPA>;Y
D Copy ,s Med w11h !he c,1y
0 Cen1t1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTIQ>; FROM WORKERS COMPENSATIO>; l>;SURA>;CE
(This sec1,on need not be complele<J 1t !he oerm,1
•~ to, one hundre<J dollars 1$1001 o, less)
0 I certify that ,n 1he pertorm¥1Ce 01 the ..,.,()OI; tOf
wtucri this permit 1s ,ssued. I shall no1 employ an-.,
person in any manne1 so as to beeome sub1ec1 10
the Workers Compensation U ws ot Ca1tt0tn1a
NOTICE lO APPLICANT It. atler ma1o.m1 lh1s Cen,
hcate ot bemp11on "°" shOuki t>ecome sut>rett I'>
the Workers Comoen»11on prov,s,ons ot lhe LabOr Cooe you musl forth'lt.1th com01., ,.,th such
prov,s,ons or 1h1s perm1I sh&II be c>eemed revoked
0 I hetel)y aflum thal !here ,s a consuuc11on len<J•no .r,oency to, lhe perto,mance ol tne won,. tor
wr;h1Ch th,s pe,m,, ,s ,ssued 1Sec: l/:137 C•1t11 Cooe1
Lencter s Name ___________ _
Lenee, s AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENf
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
-# APPLICATION & PERMIT
JO~Of~;;;~ ~;J NEAREST CROSS ST
LOT I BLOCK I SUBOIV•S ON I ASSESSOR PARCEL NO
OWNERS NAME
~'2/0,:-l
OWNER'S PHQ>;E
Avro PAR.T5 1134 -{oOI.Y
ow-.ER'S MA, NG AOORESS
BUSINESS LICENSE • VALUATIO>; PERMIT >;UMBE fl
S O O 4'_!!:_. $~'
CONTRACTOR CO>;TRACTORS PHO>;E • ZONE c:J..51 LIC '100 '"%1-CONTRACTOR'S ADORESS LICENSE NO PLAN 1.0. # BLOG USE COOE
·C-,o
?c:.~z_ _ __S_Th:[E .. B. C,L~P-, O _ r.A
OESIGNER LICENSE a STANOARO PLA>; # BUILDl>;G SO. FOOTAGE
OESIGNER'S PHO>;E DESCRIPTION OF.WORK "'6Le ffl'CJ;:.-0 I DESIGNER'S ADORES$
I JNS-ntH-l+DQJ,!_ p~~:z1;,7pu,-y ( ~tGN) LJNr. /LLVM olMfl.3/ik-·,j""rd51
3 ·-~" )C \ o !. 0 1•
CENSUS TRACl G• LANO usE -1 PARKING SPAc1 RES .:.J
QTY.I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl. ALTER, REPAIR WAI ER PIPE
:/-~
I
I -,-
I
GRAOl>;G PERMIT ISSUED
YO ND
F/P FLA ELEV.
vO NO
l REDEVELOPMENT AREA
vO "'□
QTY.I MECHANICAL PERMIT· ISSUE
NO I occ GP I EDU STORIES
TYPE I occ LOAO I FIRE SPP
CONST
vO NO Not Valid Unlt!fs Machine Certified
3--SUMMARY/ACCOUNT NUMBER
INSTALL FURN DUCTS iJP TO 100 000 BTU I I BUILDING PERMIT 01·00·00·8220
OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 6, q,-cJ
BOILERCOMPRESSORUPT03HP PLANCHECK 01·00·00·8806 n.50_
BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00·00·8222 --I--
METAL FIREPLACE ELECTRICAL 01·00·00·8223
VENT FAN SING LE OUCT MECHANICAL 01·00·00·8224 --+ ----,~--,.
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN 1,NSIOE1
TOTAL PLUMBING l
!QTY. ELECTRICAL PERMIT· ISSUE ~
NEW CONST EA AMP SWT llK R
1 PH 3 PH
EXIST BLOG EA AMP•SWT BKR
1 PH 3 PH
REMODEL ALTtR PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
_l
TOTAL ELfLTRICAl 1
MECH EXHAUST HOOO DUCTS MOBILEHOME 01·00·00·8225
RELOCATION OF EA FURNACE/HEATER I I MOBILEHOME PARK INSP
SOLAR
TOT J;lMECHANICAL ll1·0Q:QQ·8226 I I
QTY. I SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I 2!.!!0NG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Enc1m1as
San 01e_2u1to
San Marcos
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL FEES PAYABLE
80·92·33·0519 1---------. -
01 ·00·00·8227
32·00·00·89ll
80·92·21·0519
80·92· 22·0519
80·92· 23-0519
80·92·24-0519
f /0,50
HAVE CAREFULLY EXAM:NED THE COMPLETED · APPLJCA TION ANO PERMIT' ANO DO HEREBY Expiral<On Every permit ,ssued by the Bu1ld1ngOfhc11I under the prov,s1ons ol 1h15
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sha•I exp,re by <imitalton and become null and void I! the build,ng or wor• * AN OSHA PU~•m fS REQUIRED FOR EXCAVATIONS OVER
5 o· DEEP ANO DEMOLITION QA CONSTRUCTION OF
STRUCT\JR£S OVER 3 STOAIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$ aulhor,zed by such permit 1s not commenced within 180 days from lhe dateot such
•
'SSUEO TO COMPLY WITH All CITY COUNTY ANO STATE LAWS GOVERN!NG BUILOtNG CON permit. or ,t the build,n~ or work ■ulho"zed by such permit ,s suspended or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO abandoned ■I ■n time■ er the work ,s commenced for a nod ol 180 da
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUOGME,;rs. cosTs~N ·s ~1 AT "' A wNER D CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CO>;SEOUENCE OF TH
GRANT1NG OF THIS PERMIT BY PHO>;E 0 A
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL i
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SH6AR
FRAME I
I
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
!
PLUMBING I
SEWER AND BUCO D IPUCO I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE 0 W~TER
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D t;IFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., 0 REF. PIPIN~ . . .. -
HEAT -AIR COND. SYSTEMS ~ . : ·-! •., I ;
VENTILATING SYSTEMS I . '-,-"".; : , .... 1 r
I ..
I
CALL FOR FINAL INSPECT~~N WHEN ALL.APPROPRIATE
ITEMS ABOVE HA V BEEN 'APPROVE!D. • •· .
FINAL I
PLUMBING I C:: • f
,. I , ' \ '"•
ELECTRICAL I
MECHANICAL I
GAS I / ,..,(
BUILDING I h ,.\\)6-_,, .,..4V I
SPECIAL CONDITIONS I ....--
I
I
-~ .: , ; vS'A.:>67
' FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES l============================~~oc===========,
REO IF INSPECTOR S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STR£NGTH,
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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