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HomeMy WebLinkAbout2370 SPRUCE ST; ; 84-59; Permiten z 0 ;: ,c IC ,c ... (.) "' 0 C I[ 0 (.) IC "' C ... 5 • ii "' z 3 0 z 0 ;: ,c en z "' Q. ::t 0 (.) en a: .., "' IC 0 3 i[ O I hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proleaalona Code, and my license Is In lull force and effect. L,c No ______ Class -·----- I hereby alflrm that I am exempt from the Contrac~ tor's License Law lor the lottowmg reason (Sec 7031 5 Business and Protesst0ns Code· Any city or coonty wh11:t re• quires a permit to construct. alter, tmprove, demOlish. or repair any structure. pnor 10 IIs issuance also requires theap· plicant tor such permit 10 fi}e a si9ned statement lhat he Is lteensed pursuant to lhe provrs,ons of the Conrractor's license Law (Chapter .9 commencmg with Section 7000 of O.v1st0n 3 o1 the Business and Professions COde) or that LS e,:• empt therefrom and the basts lor lhe allegea exemption Any ;::1:~!~~~.:~JctJ ~~fy~~~~~~ ~f~'t: fuJ~: dred dollars ($SOD). 0 I, as owner 01 lhe property, or rrry emptoyees-w,lh wages as Ihe1r sole compensation. will do the work. and lhe struc· lure is not intended or ottered tor sate (Sec. 7044, Business and Profess«>n~ Code. The Contractor's license Law does not appty to an owner of prnperty who builds or 1mproves thereon and who does such work himseft onhrough hiS own employees, provided that such unprOYements are not mlend• ed or ollered tor sale. II. however, the bu1ld1ng or improve· ment 1.s sold within one year of cDmpJetion, the owner·bu1kler will have the burden of prOYing thal he did not budd or im• prove tor the purpose ol sale). D I, as owner of the property, am exclusively contracling wit~ licensed contractors to conslrucl the prOiect (Sec 7044, Business and Professions Code. The Conlractor's lteense law does not appty to an owner ot property who builds or im· proves I hereon, and who contracts ICN' each projects with a con1racIor(s) license pursuant to lhe Contractor's license Law). O As a homeowner I am improving my home, and the 10,low· ing conditions exist: t. The work is being per1ormed prlOf" lo sale, 2. I have lrved 1n my home lor twelve months prior to completion ot this WOJk. ~ 3. I have not claimed this exemption during the last three years. O I am mmpt under Sec. ______ , B & P C. tor this reason D I hereby affirm thal I l'la•e a cer1tf1cate or consent to self-insure. or a cet11t1cate of Workers· Compensation Insurance. or a cert1f1ed copy thereof (Sec 3800. lab<>< Code) POLICY NO COMPANY □ Copy IS hied with the city 0 Cet11hed copy 15 t,ere-by furnished CERTtFICATl OF EXEMPTION FROM WORKERS· COMPENSA TtON INSURANCE (This section need not be completed 1f the perm,, is lo, one hundred drnlars !S IOCH o, less) 0 I certify that in the performance of lhe w()(t,. to, which ttus pemut ,s issued. I shall nol employ any person in any manner so as 10 become sutl1ec1 10 lhe Workers Compensatton Laws of Ca11to,n1a NOTICE TO APPLICANT If, after malil.1n;i this Cen, hcate of bemphon. you should t,,ecome sub1ect 10 the WOf'll.ers· Compensa11on prov1sH>ns ol lne Labor Code. you must forth'A'1th comply with such prov1s,ons or this permit shall oe c,eemed revoked O I hereby attnm tnat there ,s a con~ 1ruc11on lending agency tor the performance ot !he work 10, wruch this perm11 1s ,ssueo (Sec 3097 C•"'' Code1 Lenders Name ___________ _ Leooer s A,(J(jress __________ _ USE BALL POINT PEN ONLY & PRESS HARD ~. -----APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ... ---- JOB AODRESS AV ST. RD. NEAREST CROSS ST. I DATE OF APPLICATION' BUSINESS LICENSE • VALUATION PERMIT NUMBER l-"!>tO s ?-tt.~e,1 "S:\ °Fo11t.it.~"t-\-"t..<"°-flf ~I LOT I BLOC,C: I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE -57 /'<.;"-(.-n \".1 -~ 1 CJ-u.r,-A • OWNER'S NAME -OWNER'S PHONE ·-- {: . l (.; (\ H. ~ HJ ?,t ~ CONTRACTOR'S ADDRESS 7"?.~ -31"'1 I LICENSE NO. PLAN I.D. # BLDG USE CODE OWNER'S MAILING A00RESS '7....1 "10 S PR.u ~.-a DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE ~T"' . DESCRIPTION OF WOFII< u..z. UJt~l ~~ WA. f-R A ,r~ OESl'-NER'S AODIIESS -DESIGNER'S PHONE -~ --. . . .. I /mi fe.'-~i\cl i!l, • . ' ............ -· ,; ,. --;l']. r'lf I a ~ t1UllJ:E~6P ·l-/~5/~f. ~ ---------"-• ~---F/P FLRELEV. NO OCC GP EDU .. -.,,_ ··-.. STORIES ~ . -. vO NO -- CENSUS TRACT I GP LAND use j PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unlrss Machine Certifitd QTY. PLUMBING PERMIT· ISSUE 7.!f!!... QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 EACH BUILDING SEWER ·-OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 EACH WA TEA HEA TEA AND/OR VENT ~~.:-.... BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 -EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·8222 ./0~ EACH GAS SYSTEM 5 0 A MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 EACH INSTAl , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 EACH VACUUM BAE.AKER MECH EXHAUST • HOOD/DUCTS MOBILEHOME 01 ·00·00·8225 WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILE.HOME PARK INSP EACH ROOF DRAIN ( INSIDE) SOLAR 01 ·00·00-R??~ ·-TOT.iiL MECHANIC !IL STRONG MOTION 80·92·33·0519 TOT AL PLUMBING I /0 .:.--FIRE SPRINKLERS 01·00·00·8227 QTY. ELECTRICAL PERMIT -ISSUE s--QTY. -SOLAR · ISSI E PUBLIC FACILITIES FEE 32·00·00·8933 / " . BRIDGE FEE NEW CONST EA AMP/SWT BKR V COLLECTORS I SCHOOL FEE · DISTRICT - 1 PH 3 PH ./ STOjAGE TAN KS I Carlsbad 80·92-21-0519 EXIST BLDG EA AMP/SWT/BKR / )-~Psi\ STORAGE I Encinitas 80·92·22·0519 1 PH 3 PH /. y P~P" I San Dieguito 80·92· 23·0519 REMODEL 'ALTER PER CIRCUIT I t\ I\ !1'LAN CHECK FEV San Marcos 80·92· 24·0519 TEMP POLE 200 AMPS Ir{\/ /1 / •. - OVER 200 AMPS 'r LJ , / LICENSE TAX 01-00-00-8162 TE.MP OCCUPANCY 130 DAYSI I\ _j_ • V / LnrF \ L CREDIT DEPOSIT lOTAL ELECTRICAL I '--/ TOTAL SOLAR TOTAL FEES PAYABLE I /If~ ' I HAVE' CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT' AND DO HEREBY Exp,rahon Every pa,mit -~Ille 9ulldint()fftclel under the pro¥1s1ons of this * AN OSHA P£AMIT IS IIEOUIAEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1hall e•p,re by hmitation -become NM -VOicl II the bu11d1ng or work 5' 0" DEEP ANO DElitlOl.lTION OR CONSTIWCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by IUCh permit ii not commenc:ed willlin 180 days lrom the date of sucll STAUCTUAES OVER 3 STORIES IN HEIGHT permit. or ,f lhe burldl=x.:" _. authonzed 1111 auch pe,mtl tS suspended or ISSUED: TO COMPLY WITH All CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON· --at anv bme a the wort, ill commericld for a a.nod.al 180 ttav• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , , OWNE~ONTRACTOR 0 APPROVED f1.V • • -/,L-- l 0~b KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO XICANT s SIGNAT.2. • ' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE e 7 . .-.. ,r_ BY PHONE 0 . . • GRANTING OF THIS PERMIT. _ • /' .-:. --'\. .-lllt..A. - 2 u:: >,, ;;; 0 C. E Cl) I- I u 0 CJ c • "' -~ C. C. <{ I .:.: C a: 0 r/) r/) a, r/) r/) <{ I 3:: .2 Q) >- rii r/) a, (.) 0 0:: "' co 0 ~ Cl) (.) C "' C u:: C Cl) Cl) C, 0 u a, C. r/) C ~ .c 3: TYPE I DATE INSPECTOR I BUILDING I ,. --, - ~ qcf,-~ .. .. ,. \ ~\ \ ' .. ' --- FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I I MASONRY I -- GUNITE OR GROUT I REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES - INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME I I SHEATHING □ ROOF □ SHEAR SOILS COMPLIANCE ,-~-----~ ~ PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LA TH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRES TRESSED CONCRETE ' INTERIOR LATH & DRYWALL l I I POST TENSIONED " ·" CONCRETE " PLUMBING I FIELD WELDING SEWER AND BUCO □IPUCO I UNDERGROUND D WASTE □ WATER TOP OUT □ WASTE □ WATER HIGH STRENGTH BOLTS .. SPECIAL MASONRY TUB AND SHOWER PAN I ~ GAS TEST I , ... u,~ip r-..-I PILES CAISSONS ~ ~WATER HEATER D SOLAR WATER 1 '7,.~ ... r, f ,__ ... ll I ELECTRICAL I I I . t,~-i. ~. ~ - D ELECTRIC UNDERGROUND 0 1UFFER •~-... 2 f' . j, ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPQRARY □ BONDING □ POOL I , ... .• -:-~-J -:._) ---I ..,......_ ! . •' -I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING -. -~ HEAT -AIR COND. SYSTEMS I • Ii, ..... .,,.. .. - VENTILATING SYSTEMS l I ~ ; \-1,►'" .1--~ " .. . " '. - ITEMs·A-BOVE HA\1E BEEN APPROVED. ' (_J ., FINAL I - PLUMBING I 1/1,,,M eti--f ' I J ELECTRICAL I I, J I MECHANICAL l I GAS I \, . ' . -~ ,-~-\. •~" -~·--~-t-"• , ' . . BUILDING I - SPECIAL CONDITIONS I I " !