HomeMy WebLinkAbout1266 STRATFORD LN; ; 83-162; Permit<II z 0 ~ < er: ~ u Ill 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
lie No ______ Class
I hereby affirm lhal I am exempl lrom the Contrac· tof's License law Jo, the following reason (Sec. 7031 5
Business and Professions Code: Any crty or coun!y which re-quires a permit lo construct, alter. improve, demolish. or
repair any structure, prior to Its issuance also requires the ap-
r~~!Jorp~~~~I /~lil:r~~ll:' ~\:e~~:~~!!
License law (Chapter 9 commencing with Section 7000 ot
Division 3 ol the Business and Professk>ns Code) or that is ex-empt therefrom and the basis tor the alleged exemp1ion. Any
vlolat,on of Sec1ion 7031.5 by an applicant tor a permit sub·
feels the applicant to a clv,I penalty of not more than five hun-dred dollars ($500).
O I, as owner of 1he property. or my employees with wages
as 1he1r sole compensation, will do the work, and the struc-
ture ls not Intended Of ottered tor sate (Sec. 7044. Business
and Professions Code: The Contractor's License Law does not apply to an owner ol properly who builds or unproves
thereon and who does such -k himsett or through his own employees. provided !hat such improvements are not Intend·
ed or ottered lor sale. It, however. tl1e building or improve-ment Is sold within one year of compfetion, the owrter·builder will have the burden of prOV1ng Iha! he did not build or im• prove to< the purpose of sale).
0 I. as owner ol the properly. am exclusively contracting with licensed contractors to conslruct the project (Sec. 7044.
Business and Prolessions Code: The Conlractor's license Law does not apply to an owner of property who builds o, im·
proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License law).
D As a homeowner I am improving my home, and 1he lollow· ing conditions exist: 1. The work Is being pertorrned poor to sate.
2. I have lived in my home lor twelve months
3. rr:v~ ~6::oot :~~ :'"~ptiOn during the
lasl three years.
D lamexemptunderSec. ______ , B&P.C. tor this reason ____________ _
D I hereby affirm that I hav"e a cen,ticate ot consent
to self-insure. or a cert1f1ca1e of Workers·
Compensation Insurance. or a cen1f1ed copy thereof
!See. 3800. l.at>or Codet
POLICY NO ______ _
COMPANY
□ Copy IS hied with the city
□ Cert1f1ed copy ,s nereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed 1f the perm11
1s for one hundred dollars ($1()()) or less)
O I cert1ty that in the performance of the wortt tor
which this pemut 1s issued. I shall not employ any
person 1n any manner so as 10 become subJect to
lhe Wofk.ers· Compensation Laws ot Cal1forn1a
NOTICE TO APPLICANT If. after rnakm~ this Cert•·
hcate ot Exemption. you should beeome sub1ec1 ,.,
the Workers· Compensation prov1s1ons of the Labor cooe, you must tonhw,th comply with such provisions or this perrmt shall be deemed revoke<l
O I hereby afhrm Iha! !here 1s a construction
lending agency f()( 1ne performance of the wor1i. fOf
which tri,s permit 1s ,ssved 1Sec 3097 C1v11 Code)
Lenoe, s Name ___________ _
Lender's Add,ess __________ _
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 ADDRESS
Ai:T·1+is:e~ON
1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
f1. LI~ 4-r~~j?() h"?o2,-~~-i~ OWN,ER'S NAME I J ~ 7N~~°.ui
CONTRACTOR CONTRACTORS PHONE • ZONE
pjlj_\_2.Jf!!~I..~ ............ ~ n :;;,,--r-, _ ~, J I[
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
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LOT BLOCK I SUBDIVISION I ~~!.T1-A--~q DESIGNER LICENSE # STANDARD PLAN# J:;g~G SO. FOOTAGE
DESCRIPTION OF WORK . . "J'U l ~ th {':1A£.
DESIGNER0S ADDRESS DESIGNER'S PHONE .
~~ w -ii~d r:if(I-P{::£ + n :' --..... ~ _. .. ,. 'I-F/P FLR ELEV. NO OCC GP EDU
L•~ ~1) ---tt& Wt>t,_,•-•L 21 STORIES
11 rn, ~•I , . ••~-l'f vO NO
CENSUS TRACT I GP LAND USE PARKING SPACE I RES UNITS ,,I GRACING ~ERMIT ISSUEO I REOEVELOPMENT TYPE OCC LOAD FtRESPR
AREA CONST
YO ND v0 N'lit vO NO Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT· ISSUE /.~ 3--01 UC,/·'gg ; 7i ·~l QTY. MECHANICAL PERMIT· ISSUE SUMMARY/AC<Ml!I'tjlf-N91BEiVC\~ :_93_ t •?·i .,
EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00·00·8220 .,,-L ... ~n
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 •
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01·00·00·8806 .,Alt).'-,~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00-8222 •
'
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223 II) .D n
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 ,-
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00·822fi
TOT.t;L MECHANICAL STRONG MOTION 80·92-33-0519 .5V
TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE S"-QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Oieguito 80·92·23·0519
I REMODEL/AL TEA PER CIRCUIT ,:::::;.-PLAN CHECK FEE San Marcos 80·92·24-0519
' TEMP POLE 200 AMPS
.,,. / --... , .... -
OVER 200 AMPS , ·~ \, ~ .N'T~\7"\ I< -~. ,~)
TEMP OCCUPANCY 130 DAYS) -1 --. -.. ,--. I
TOTAL ELECTRICAL I to ' .00 TOTAL SOLAR TOTAL FEES PAYABLE I 7/tJ,'lO
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT .. AND DO HEREBY E•pirallon Every permit 1saued by the Bullding Off1c1al under the provisions ofth1s * AN OSHA PERMIT IS REQUIAED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALtY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ilm1tel1on end become null end void If the building or work s· 0 .. DEEP ANO DEMOLITION Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author,zed by such permit 1s not commenced w1th1n 180 days from !he date of such STAUCl\JRES OVER 3 STOfllES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON ::;:;,,:, i~t t~y '::'~~1zx.~~h='?;~~!h~~:s.:i~~~~ r,,:~::.,1~f•~-~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA . CONTRACTOR 0 APP ~ DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND X.£GNATURE • ./fl OWNER 0 ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'A. BY PHONE 0 10'~'83 GRANTING OF THIS PERMIT. I~-, .A ,a _..
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION ' (11"\•~,; /!
REINFORCED STEEL 1,,_., .~ ~ l
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME :
SHEATHING u,,1~ (!Jj.,
FRAME ·1
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO ' '
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST . ELECTRICAL -
TEMPORARY POWER t •
ELECTRIC UNDERGROUND
ROUGH ELECTRIC ' I
ELECTRIC SERVICE f
'
BONDING ''
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING c-Ji ' t v-..' .,
HEAT -AIR COND. -SOLAR SYSTEMS '~ ,'~~ i',. .........
VENTILATING SYSTEMS ·~ " ,l ~ '
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
.. -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES•CAISSONS '
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INSPECTOR"S NOTES . ~
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ATI'ENTION POOPERI'Y O\·lN.ER:
An "own<:,.C-builder" building permit has been applied for in your name and bearing your
signature.
Please ccrnplete and return this information in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building permit.
No building permit will be issued until this verification is received.
1. I personally plan to provide the major lal:or and materials for =nstruction of
the proposed property improvement (yes or no) 1£i S :
2. I (have/have not) i1hil ff signed the application for a building permit.
3. I have contracted with the following person (firm) to provide the proposed =nstructi6n.
Name ____________ _ Phone -------------
Address Contractors License No. ----------------
City -------------
4. I plan to provide portions of the w:Jrk, but I have hired the following person to
coordinate, supervise and provide the major w:Jrk.
Name -------------Phone -------------Address -----------Con tractors License No. -----City ____________ _
5. I will provide some of the w:Jrk but I have contracted (hired) the following persons
to provide the work indicated:
Name Address Phone Type of Work
Signed:
EAC~ SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD
BUSHiESS LICcNSE Al;D FURNISH A JSTIFICATE OF W0RKM.''lt,'S C0~·lPEW)ATI0N
TO THE CITY OF CARLSBAD. u1
,I->. Initials
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Dear Property OWner:
TELEPHONE:
714-438-5525
An application for a building Fermit has been sul:::mitted in your name listing yourself
as the builder of the property inprovements specified. ~•or your protection you should be
aware that as "owner-builder" you are the responsible party of record on such a permit.
Building permits are not required to be signed by the property .owners unless they are
personally. performir1g tJ1eir own w:>rk. If your w:>rk is being performed by saneone other
than yourself, you may protect yourself fran possible liability if that person applies for
the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of california and
to have a business license from the City of Carlsbad. They are also required by law to
put their license number on all permits for which they apply.
If you plan to do your own ;;ark, with the exception of various trades that you plan to
subcontract, you should be aware of the following infonnation for your benefit and pro-
tection. If you employ or otherwise engage any persons other than your immediate family,
and the w:>rk (including material and other costs) is $200 or more for the entire project,
and such persons are not licensed as contractors or subcontractors, then you may be an em-
ployer. If you are an employer, you must register with the state and federal government
as an employer and you are subject to several obligations including state and federal
incane withholding, federal social security taxes, 'I\Drkers' compensation insurance, dis-
ability insurance costs, and unemployment contributions. There may be financial risks
for you if you do not carry out these obligations, and these risks are especially serious
with respect to ;;orkers' compensation insurance.
For specific infonnation about your obligations under federal law, contact the Internal
Revenue Service (and, if you wish, the U. S. Small Business Administration). For rrore
specific infonnation about your obligations under state law, contact the Department of
Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors
are allowed to perform their work personally or through their own employees, without
a licensed contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an
"owner-builder" building permit, erroneously implying that the property owner is providing
his or her own labor and material personally. Building permits are not required to be
signed by property owners unless they are performing their own w:>rk personally. Infonna-
tion about licensed contractors may be obtained by contacting the Contractors State
License Board in your corrmunity or at 1020 N Street, Sacramento, CA. 95814.
PLEASE COMPLETE AND REI'URN THE ENCLOSED OWNER-BUILDER VERIFICATION FORM SO THAT WE CAN
CONFIRM THAT YOU ARE AWARE OF THESE MATI'ERS. THE BUILDING PERMIT WILL NOT BE ISSUED
UNTIL THE VERIFICATION IS RETURNED.
Very truly yours,
Building Department
City of Carlsbad
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