HomeMy WebLinkAbout2562 STATE ST; B; CB880310; PermitC/1 z 0 ;::
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O I hereby affirm that I am licensed under
provl■lona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Proln1lon1 Code. and my license is In
full fo,ce and effect.
I htteby atttrm It.at I ,m exempl from the COnlrx
1or s Lanst Uw lor IIIO tol1ow,ng reason {Sec 7031 5 Business and Protess1ons Code Any c11y °' county wh1c.n re· Quires a permI1 lo conslruct alter improve demohsh. Of
repau ,1ny structure. poor to 11s JSSLWlU also requues !heap-planl fOf such oermn 10 hte a StQned statement t~t ne 1s
hcensecs pursuanl 10 the prov,slOfls of lhe t:ontrac,or s
l1tense Law (CNJ)ler 9 commenang with Sectt00 7000 ol o,v,s,0n 3 ot Ille Bus,ness •nd PlotOSSIOfts Code, or 11111 ,, "' empt 1neretrom and tne t,as,s f0t the auegeo exemphon Any
vtOtaltOn of SeetlOl'I 7031.5 Dy an applant lor a oerm11 sub·
iec1s the apphcanl 10 a CIVIi penalty ol not more Utan twe hun drect dotlMs {$500)
I as owner ot the properly. 01 my employees w1lh wages as 1he1r sole compensation. wdl do lhe wOl'k al"l(l the struc·
lure Is not mtended Of otlefecl tor sai$e (Sec 7044 Bus.ness
n ProtesS10ns. Code Tne Contractor s lttense law ooes
not apply to an owner ot property who builds or improves lherton and who does sucti work n1mse:lf or lhrougt, tus own
effl()loyees. PfOYtdecl that such ~p,ovements a,e not mteno-eo or offered I« saie II however. !he bu11d1ng or .mprove-
ment Is sold w1thIn one year of complehOn, !he owner-builder will havi lhe burden of proving Iha! he did not bu1kl or 1m·
.,..,. tor Ille purpose ot SIie)
I I. as owner of the properly, am exclusrvtly con1rac11ng
w11n hcensed contractors 10 cons1ruc1 the protect (Sec 7044. Business and Protes.s,ons Code The Con1rac1or·s lanse law dots not ~ly 10 an owner oC property whO builds o, am-proves lhefeon. and who conuacrs to< eacn protects with a contractor(s) license pursuant to lhe Contractor's License Law)
As a homeOwner I am imPJ<Mng my home. and the loflow
,ng cond1hons e,usi.
1 The worl< Is benng perlormeo pnor 10 sate
Z I nave lrved m my name ta twelve months poo, 10 comptehon os 1n1s work I nave not clanned 1n1s exemplM>n dunng the last three years
r I am"""""' under Sec ______ . B & P C
IOI' nus reason -------------
C I hereby attum that I have a cert1f1cate of conun1 10
self insure or a cet11ftca1e of Workers Compensa11on ln-
su,ance o, a ce,11fle<1 copy the,eot 1Sec 3800 Labof Code)
POLICY NO
COMPANY
~ Cooy IS filed With the c1ty
::J Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
CTh1s secrIon need not be compleled It the permu
,s tor one hundred dollars 1s1~ or lt-ss)
~ .....,. I cen1ty that In the performance of the work tor wtuch
1t11s perm11 Is issued. I shall nol employ any person many
manne< so as to become subJect to lhe Workers· Comoen-
sa1Ion Laws oJ Cahforn1a
NOTICE TO APPLICANT If. after making this Cert1lica1e
ot Exemphon, you should become sub1ec1 lo the Workers·
Comc,ensalt<>n provIsIons of the LabOf CocJe. yOU must forthwith comply with such puw1s1ons or this permil shall
be deemed revoked
D I hereby alfirm that there 1s a constrvct1on tending
agency for the performance of the work lo, wtuch Uus per-
mit iS issued (Sec 3097. C1v1I Code)
Lender's Name ____________ _
Lendefs Address
USE BALL POINT PEN ONLY & PRESS HARD ---...... -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB A DDRESS AV ST. RO. THOMAS BROS NO.
IOA½7i;ONI
BUSINES~• VALUATION PERMIT NUMBER
~!Yd :fir/1175" h ij/-;,,-7~ ~ ~IMP a. Uc;u? .'f/o0~1 D
LOT I BLOCK I suB01v,s10N I I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE c£: o~~;~# /AN7 lf3fo~~~E CONTRACTOR'S AOORESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS /-~"'~ J,,,s .bP#JI~ DESIGNER DESIGNER'S PHONE
OE~#"'OF ~AK 7:'-, .. -/...-/A,P. I .-.,..-i .. .illJJ' DESIGNER'S AOORESS STATE LICENSE NO.
d/~ / 0016 03/11 0101 02BldPmt 178■.,.
~M -
/ F p F LR ELEV. NO OCC GP ff STORIES
vO "'O --
I CENSUS TRACT I PARI( ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPP AREA CONST
,□ ND vO "O vO NO Not V~l,d Un~f ~chin~ C~rrtf,«J
QTY. PLUMBING PERMIT -ISSUE <)$0 QTY. MECHANICAL PERMIT · ISSUE }S,c:JJ SUMMARY/ACCOUNT NUMBER _/ ..,
EACH FIXTURE TRAP / INSTALL FURN DUCTS uP TO JOO 000 !j.TU tlUILUINli 1-'l:HMI I UU1 ·81U·UU·UU-ouu ,1.1--
EACH BUILDING SEWER / OVER JOOJ)81'TBTU SIGN PERMIT OOl·B 10-00-00-8221 -EACH WATER HEATER ANO.AR VENT BOILER/COMPRESSOR UP T~P PLAN CHECK 001 ·810·00·00·8891 ~~ -
EACH GAS SYSTEM 1 T.J,"! OUTLETS BOILERtCOMPRESSORJA'S HP TOTAL PLUMBING 001·810-00·00·8222
EACH GAS SYSTE¢£JR MORE METAL HREPLACE / ELECTRICAL 001 ·810·00·00·8223
EACH INST AL . ;,(rm. REPAIR WATER PIPE VENT FAN S~LE DUCT MECHANICAL 001·810-00·00-8224
EACH VA~M BREAKER ME CH ~AUST HOOD DUCTS MOBILEHOME 001 ·810-00-00-8225
WATE~TNER REL'!fCATION OF EA FURNACE HEATER SOLAR 001·810·00-00·8226
EA~ROOF DRAIN fl"ISIDE I DRYER VENT STRONG MOTION 880·519·92·33 I --TOT t:.L MECHANICAL FIRE SPRIN~L ERS 001·810·00·00·8227
101 Al PLUMBINL I ?UBLIC FACILITIES FEE 320-810·00·00·8740
C, ,ro MOBILE HOME SE~'\OT: ,~,3~ BRIDGE FEE 360·810·00·00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. '<I z~.: PARK·IN·LIEU (AREA )
NEW CONST EA AMP SW! HK~ ' CAR PORT /(o'U 'X ~\ TIF 312·810·00·00·8835
I PH /"3 fY ~/I-AWNING ,~ 111n 11\00 ~ LA COSTA TIF 311·810·00-00·8835
EXIST BLOG EA AMPcSWT BKR GARAGE ~ n,rn ,vvv 0:) FMF -/ 1 PH 3 PH ·. rnvm'i'-"""f'"t .~ LICENSE TAX 00 1-810·00·00·8162 XS< ---REMODEL AL TtR PER CIRCUIT ' CllY 9fS ,_ S ill c.~ .• o MFF 880·519·92·57 vv
TEMP POLE !00 AMPS ~-b_ "' .v, --.... -,.
OVE A 700 AMPS ,~ A \I
TEMP OCCUPANCY !JO DAYS> .....____~/>n-, r.!"1 l(Jv ./. ---CREDIT DEPOSIT r Ft c....---~
TOTAL EL~LIRILAL I TOTAi TOTAL FEES PAYABLE I l7f' l"fl
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT ANO 00 HEREBY hp,ratron Every permit ,ssued by tt>eBurldrng 011,c,al under the prov1s1onsofth,s * AN 06HA PUW:T IS AEOUIAED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL tNFORMA TION HEREON >NCLUDING THE Code shall expo,e by l,m,tet,on and become null and void II the bu,ld,ng or work s· o· DEEP ANO DEMOLITION OR CONSTRUCTION OJ authonzed by such pe,m1111 not commenced w,thrn 180 days t,:~ucn ~RUCTUAES OVER 3 STORIES IN HEIGHT OECLARA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT 1& pe~t. OJ'}I buoldi:Dt o;,2~ autho,.zed by such pe,m,t ,s pended or
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GO\/ERNING BUILDING CON anv time a, 1 ork ,s commenced to, 1 041,, ol 180 ri•w•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY t~A~S SIG~ OWNERL"I' CONTRACTOR [J ?J;~B,Y~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL L1ABIL1TIES. JUDGMENTS. COSTS ANO i~J/crr EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT ~ BY PHONE fi'l" GRANTING OF THIS PERMIT ./I_ 'A.~~ /, 4=:,
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' . TYPE DATE INSPECTOR
' ' c.e:,~~o~ rv BUILDING
• FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY REO IF INSPECTORS ~ GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE -rv ~ (0.,..J~~r /,,N , u-aU-...S
SUB FRAME D FLOOR D CEILING /"\ SOILS COMPLIANCE Ne,e~ / ...J,:;~t!!c;. 17.,.,...,, if ,,,#A /.,J ..:X,,.H 70Y ~.e _,..,._..{./ L?
SHEATHING □ ROOF □ SHEAR I I PRIOR TO ·.v /
~J,6/)p.;...1~<-<!2 li./1/~ L3,;7./86 I//~ FOUNDATION INSP . ~;,; -" L7 JJ ~ A--/1 FRAME
STRUCTURAL CONCRETE . , ,I
EXTERIOR LATH OVER 2000 PSI I ,J
I PRESTRESSED ... :. INSULATION CONCRETE ,A ' ... er ~.,q7./f(' . L-' .. INTERIOR LATH & DRYWALL -POST TENSIONED -· CONCRETE \ ~; ~.
PLUMBING FIELD WELDING --~ ·i,;:: r ' ~-~ ....
D SEWER AND BUCO □ PUCO HIGH STRENGTH ""ti -I'~ '-~--✓ BOLTS r-
UNDERGROUND D WASTE D WATER
SPECIAL MASONRY TOP OUT D WASTE D WATER '
TUB AND SHOWER PAN \
GAS TEST '· PILES CAISSONS
[;J WATER HEATER □ SOLAR WATER
ELECTRICAL I
/ 1
" .
D ELECTRIC UNDERGROUND □ UFFER 1 / "I ~ '-...
ROUGH ELECTRIC '~"(;\ ~ r-. .. L □ ELECTRIC SERVICE D TEMPORARY .
D BONDING D POOL -• I
MECHANICAL '-
D DUCT & PLEM., D REF. PIPING .
HEAT -AIR COND. SYSTEMS ' . '-' ,.
·, (" ... ,;., .. -. ' VENTILATING SYSTEMS . . ..... ~,-~ . . ,. . '-· --' ..,__,,
.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE .
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL . • .... -"l.: PLUMBING •.
ELECTRICAL n ,
• I
.
~ ~
MECHANICAL ~ I ft ./ r/ < \ • . . .. ~ . .. ~-~~ . , I •
I/ I ' '; . . >'. • "--GAS ... n ,1 I/ ,/ .
BUILDING 'J ✓,a "6\ J✓U/7
SPECIAL CONDITIONS . /
1/
. .. FINAL BUILDING INSPECTION RECE\VEO APR l 5 1988
0310 ISi
PLAN CHECK NUMBER: DATE:
ANS
ADDRESS:
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
CO 'L T.L
TYPE OF UNIT: _____________ NUMBER OF UNITS:
RANDY
CONTACT PERSON:. _______________________________ _
34-GSSO
~y~PECT~ DATE 4 !./'-(!Jr APPROVED -f-INSPECTED: DISAPPROVED I
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
COMMENTS: ----------------------------------
Rev. 1/86 WHITE,$"'"'" BLUE, W"'" Dlst,ict GREEN, E"'looo,log CANARY, Utllitlos PINK, Pla""iog -t:)