HomeMy WebLinkAbout2825 STATE ST; ; 82-245; Permit.,, z 0 ~ a::
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0 I hereby afflnn that I am licensed under
proYlalona of Cllapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license Is In
lull force and effect. Loe No _____ Class _____ _
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I hereby att1m, that I am exempt from the Con-tractor's License Law f0< the following reuon (Sec
7031 ~ Business and Prolessoons Code: Any city "' county which requires a permit to construct
aJte,, improve, demolish, or repa,r any structure,
prior to ,ts tSsuance also requires the appUcant lor
such penn,t to hie a signed statement that he ,s
hcensad pursuant to the prov1St0ns of the Con-tractors license Law (Chapte< 9 commencing with Section 7000 or o,.,soon 3 or the Business and Pro-fessoons Code) °' that ,s uempt the<efrom and the
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Is f0< the alleged uemptoon Arr, voolatoon of ~tiOn 7031.~ by an applocant for a pem,It subfeets ,. 11\e applocant to• Covil penalty ol not more than love .. ~Jl""'ed <lol!Ns ($5001.
fJ I, as owner ol the property, or my employees
.ilh wi1Q8$ as the11 so6e compensation, wlll do the W'Oftt, and the struc:ture 1s not intended or ortered tor sale (Sec 704<1, Business and ProleulO/ls Code The Contractor's license Law doe$ not apply to an
owne, of property wf'IO builds or improves thereon
and who ooes such WOt1t himself or through h,s own
emp&oyees. pro,;,ided that such ,mproveme;its are not mtende1 "'ollered for sale II, howeve<. the
building or improvement 1s 504d w1ttun one year of
completion, the owner~1kjer will ~ the burden
of Pf0¥1ng that he dtd not build or imprOYe fOt the
purl)OSe or sale~
C I, as owner of the property, am e11clus1vely
contraclt"9 with lteensed contr~tors to construct the P<oteet (Sec 704<1. Business and Prolessoons
Code The Contractor's License Law does not apply
to an owner of property who builds or 1mpr0Yt1s =~i:;:, ~~nC:~!~ ~~t!'t.:~~::.:
License Law).
0 lamexempt unde<Sec _____ ,B &P C
tor 1h1sreason ___________ _
O I hereby affirm that I have a cert1hcate ol consent to self-insure. or a cert1t1cate of Wof1il:ers'
CompensattOn Insurance. or a cert1f1ed cc>py thereof
(Sec 3800, Labor Code)
POLICYNO __
COMPANY
□ Copy IS hied with the city
0 C,ert1hed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit
,s tor one hundred <k>tlats (S100) o, Jess)
0 I cert,ty that in the per1ormance of the work tor
whtCh this penmt 1s issued, I shall not employ any
pet.son 1n Mty manner $0 as to become sub,eet to
the Wonte1s· Compensation Laws ot Cahfornla.
NOTICE TO APPLICANT II, alter makon~ this Cen,
hate of Exemptt0n. you should become subfeet I'>
the Workers· CompensatK>O Pf"OYISIOOS of the L.abof Code. you must f0f'1hw1th comply wllh such
prov1s10ns or rrus permit shaJI be deemed revoked
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( 0 I hefeby affirm that 1here 1s a construct.on
lend,no a,gency tor the pertormaoce of lhe WOO( tor
wh.ch ttus permit 1s issued (Sec 3097. C.vtl Code)
Lenders Name ___________ _
Lenders Address __________ _
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£oil'\ CARLSBAD )llDING DEPARTMENT APJ--~;ATION & PERMIT (" 5 1200 Elm, Carlsbad, Calllomla 92008 (714) 438-5525
JCl8 ADDRESS
A~i.T·1 OiT: i r~r;ON1 BUSINESS LICENSE # VALUATION PERMIT NUMBER
1512....r Sr!Pr e.-sr /1 ~()d g ~j~ OWNER•s NAME I 1~-/:,7,5:;o;:_ PRtME CONTRACTOR CONTIIACTI)AS PHONE • ZONE ru~s,~.-r L .<;J:Jrr~t-'--1 e,,.vp(/l.
OWNER'S MAILING ADDRESS , CONTRACToR·s ADDRESS UCENIENO. PLAN 1.0. # BLOG USE CODE
13'/-C, l1Ae_ 'R~5.o <.....-111--'t.,,, (/ I \ I I# (0 d-
LOT I eC.ocK SUBDIVISION A$ESSOR PARCEL NO. DESIGNER STATE LICENSE# STANOARO PLAN# BUILDING SO. FOOTAGE
6/1 81827:3 ar1 I.I I , ,1
DESCRIPTION OF WORK -·;.., ,-,,.s -
OEStGNER•s ADDRESS DESIGNEl'l'S PHONE "' I I W"'r II I H t:J&: 411'
~M.11 1 'ral,nrc e... ~/!Hi~_J] .R_ae_E___ ~q~,l.~~~2 ~· 6/18/
F/P FLR ELEV. NO OCCGP EDU STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TVPE OCC LOAD FIRE SPR AREA CONST
YO N 0 vO NO vO NO Not Valid Unlffs Machine C.rtifi«I
QTY. PLUMBING PERMIT· ISSUE -Z5b QTY. MECHANICAL PERMIT · ISSUE ,~C)d SUMMARY/ACCOUNT NUMBER --EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-nM-4??n _7<;,.-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·000·4221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000·4806 /£. "} S"
EACH GAS SYSTEM I TO 4 OUTLETS BOILE.j/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000·4222
EACH GAS SYSTEM 5 OR MORE My([. FIREPLACE ELECTRICAL 01 ·000·4223
EACH INSTA~ .. ALTER, REPAIR WATER PIPE ~ENT FAN SINGLE DUCT MECHANICAL 01 ·000-4224
EACH VACUUM BREAKER / ME CH EXHAUST -HOOOIOUCTS MOBILEHOME 01 ·000·4225
WATER SOFTNER ~ RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) / SOLAR 01 ·000-4226
/. TQT/;L MECHANICAL STRONG MOTION 65·640-0519 --TOTAL PLUMBING / FIRE SPRINKLERS 01 ·000-4227
ELECTRICAL PEf MIT · ISSU / QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 25·000·4933 QTY. ,..,Ji()Q BRIDGE FEE ' ' NEW CONST EA AMP!Sw/,1 KR IY"' ..... r I / COLLECTORS SCHOOL FEE • DISTRICT
I PH / 1 ftv/ •,, ./ / STORAGE TANKS Car1sbad 65-623·0519
EXIST BLOG EA Af>-Pls-NT/ kif _, ) 4~ ROCK STORAGE Encinitas 65-624·0519
I PH I ~PH_ _v .. A v-PUMP San Dieguito 65-625·0519
REMODEL/ALTER PEF,f(..1 cult \ v• /' lf' . PLAN CHECK FEE San Marcos 65-626·0519
TEMP POLE 200 Ajll!'S \. \ ~
OVER 200 AMpV' -I
TEMP occu;w("NCY (30 DAYS} ' I
/ -r -\ /
/-!O~~L ELECTRICAL
\, TOTAL SOLAR I 4/e---~ TOTAL FEES PAYABLE
I HAVE CAREFUL.l ~e<AMINEO THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY &piratlon. e-y,.,-,__..,, .......... Olllcllt_.. .. =--* AN --NIIMl1'. IIEQUIWD FOIi EXCAVATIONI OVIII CERTlFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code -.i upife 11\1 HfflflallOn ancJlleocNlienuaMd'IIOid. It.. .,_. ·S' r _. NtD OBIOUTION OR CONSTAUCTIDN OF
DECLARATIONS-ARE lRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS eullloriz8d by_,, permit. not _ad ... -........... olwtl ITIUCIWIIIOVER :tSTI>IIES .. HEIGHT pennil. Of if ..• ~...?f!... .......... --.... .. ., ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· allencloneel al -11me 11 .., • •.,, •--
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE To SAVE INDEMNIFY AND 1rs SAONA-ruz,_ 00NTRACT01t0 APPROVED BY ll
IDAT~r; fv KEEP HARMLESS THE CITY OF CARLSSAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND a n. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE •~ z IIYPHONE 0 GRANTING OF THIS PERMIT. ~, _; 'u.c..lA .__ -
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INSPECTION TYPE DATE INSPECTOR
BUILDING I ,. !
FOUNDATION I
REINFORCED STEEL I '
M'}..SONRY i
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
I
SH-EA THING i
I FRAME I ..
EXTERIOR LATH lNSULATION I
I
INTERIOR LATH & DRYWALL I '
PLUMBING I
I --I SEWER AND BL/CO f
PLUMBING UNDERGROUND !
PLUMBING TOP OUT . I
TUB AND $HOWER PAN I I
GAS TEST !
ELECTRICAL i
TEMPORARY POWER I I
ELECTRIC UNDERGROUND I . ROUGH ELECTRIC I
ELECTRIC SERVICE I I
BONDING 1 I
I
G. F. I. -SMOKE DETECTOR I
MECHANICAL I I
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 I I
ELECTRICAL i
MECHANICAL I
GAS I I
BUILDING I
SPECIAL CONDITIONS I
CERT OF OCCUPANCY ISSUED ~
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-.
' FIELD IN SPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTORS ..
INSPECTION REO IF DATE CHECKED APPROVAL '
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -.
HIGH STRENGTH
BOLTS --
SPECIAL MASONRY
PILES CAISSONS
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