HomeMy WebLinkAbout2777 SOUTHAMPTON RD; ; 86-1277; PermitIll z
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O I hereby alllrm that I am licensed under
p<O¥l1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
lull force and effect.
I hereby alfum !hat I am exempl trom the Con1rac-1or·s License Law tor the tottow,ng reason (Set 7031 5
Busmess and Protess10ns Code· Any c11y or county wtoc.t. re· quires a permit to construct. alter tmprova. demolish. or
repair any struc1ure, prtor to 11s issuance also requires !heap· pllcant fOf such permit to file a s•Aned statemenl lhat he ,s
hcense<I pursuant lo the prov,soos ot the Conuacuw s
License Law (Chapter 9 commencing with Seclion 7000 ol Oiv,s1on 3 ol lhe Business and ProfesSN>ns Code) or that 1s ex·
empt lherefrom and the basis tor lhe al\egea exempt10n Any v1olatt0n of Section 7031.5 by an appllCinl IOI' a permit sub· ,eels the apphcanl to a civil penalty of oot more lhan five hun-
dre<l dollars ($500)
I, as owner of the property, or my employees wtlh wages
as I 1r SOie compensation, will do !he wDfk, and the slruc· ture 1s I intended or ottered tor sale (Sec 7044, Business
and Professions Code The Contractor's UCense Law does
not apply to an owner of property who builds or improves thereon and who does such work himself or through his own
employees, l)tOYided that such improvemen1s are nor intend-ed or ollered !or sale. 11, however the building or improve-
ment is sold within one year of completion_ lhe owner·bu,lder will have the burden ot provmg lhal he did not build or 1m·
prove lor the purpose ot sale)
n I. as owner of the property, am exclusively con1rac11ng
w1th licensed contractors to construct the pr~ (Sec 7044, Business and Pfofess10ns Code The Contraclor's license
law does not apply lo an owner of property who builds or im-proves thereon, and who contracts tor each prOjects w,th a contrac10f(s) license pursuant to the Conlractor's lteense Law)
D As a homeowner I am ,mprovmg my home, and the follow ing cond1hons exist
1. The work 1s being performed pnor to sale 2. I have lived tn my home tor lwelve months pnor to completion ot th,s work
3. I have not tlamled lh1s exemption dunng the last three years
~ /h~; ,":.":/:1 under Sec ______ , B & p C -------------
0 I hereby aflirm that I have a certificate of consent 10 self-insure. or a cerhficate of Workers Compensation In.
sorance. or a cert1hed copy thereof {Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy 1s tiled with the city
D Certified copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
u, (ThJs section need not be completed if the permit
ir: ~ is for one hundred dollars ($100) or less) ~ I certify that in the performance of the work for which
Ct: s permit Is issued. I shall not employ any person m any 2 manner so as to become subject to the Workers· Compen.
> sation Laws of Calilorn1a.
if
NOTICE TO APPLICANT: If. after making this Certificate I
ol Exemption. you should become sub1ect to the Workers·
Compensation p,ovisions of the Lab<>f Code. you must I
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there is a construction lending I
agency for the performance of the work for which this per-
mit is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address, ___________ _
un IJALL t'UIII I t'tll UIIL' & t'Ktlili HAKU IU't"Lll.,Kl'I I I U l"ILL 11'1 ll'll"UMMKI IUl'I nl I Mll'I ;:,n.RUCU KMCK Kl'IU UCl.,LKMKI IV rt<>.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB AOORESS AV. ST.RO. NEAREST CRO~Ju ( 1,:;~,;;~riTION1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
~? ryf) ..£cv1JI,~ ... notv f<.D. 8"'G 1 r LO¼ BLOCK j),_.!'B01\IISl?k ~· ,;r"SSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE IJfJ, ,.,.,,,,,.,, ~ .. ,
(')UJ/V~/2_ OWNE A'S NAME 11/~~~s;~; ~..s .i. tll/1,Jh~<;x}I CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
OWNER'S MAILING ADDRESS
~ r--; r, '7 Sorff'"'J-l ,\'M ~ ,...J I</), C,.AQJ c a~ DESIGN EA DESIGNER'S PHONE
oE~AO~F we'.: &Jd.r~P/ { L1rJ~t' DESIGNER'S ADDRESS STATE LICENSE NO.
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tiii ii6 iiiil l2/i7/B6fRHT 25. i := 1uu1 ---· F/P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --
I I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO ND vO NO vO NO Not Valid Unl~r M~chine Certified
QTY. PLUMBING PERMIT -ISSUE 7.s-0 QTY. MECHANICAL PERMIT -ISSUE ~D SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP !NS TALL FURN DUCTS UP TO 100,000 BTU / BUILDING PERMIT 001·810·00·00·8220
EACH BUILDING SEWER OVERlO~.r-SIGN PERMIT 001-810-00·00·8221
EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8821
EACH GAS SYSTEM l TO 4 OUT LETS -~-a_ sr::, BOILER/COMPRESSOR 3 15 ~ TOTAL PLUMBING 001 ·810·00·00·8222 /0 -/ -/,:s--EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENTFAN
1
~UCT MECHANICAL 001-810·00-00·8224 ->--
EACH VACUUM BREAKER MECH EXH l H000'0UCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNEA RELOCATION Of EA FURNACE/HEATER SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880·519·92·33 -TOTJ;L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00·8227
TOTAL PLUMBING I /0 .co PUBLIC FACILITIES FEE 320·810·00·00·8740 sot) BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SW I BK R CAR PORT TIF 134·810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF 133·810·00·00·8835
EXISI BLOG EA AMP/SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00-00·8162
REMODEL ALHR PER CIRCUIT /U -MFF 880·519-92·57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I /5 (I') TOTAL TOT AL FEES PAYABLE I ~~-
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT' AND DO HEREBY Expiration Every permit issued by t.,e Bu1ld1ng Ott1c1a1 under the provisions ot this L" -...... ,, .. ,.,. . ., "'" ""'""""' ,, ... CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat1on and become null and void If the budding o, work ~· o·· OEEP AND DEMOl.lTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 authorized by such permit 1s not commenced within 180 days from 1he dale of such STRUCT\JRES OVER J STORIES IN HEIGHT permit, or If the bu1td1nft or work au1hor1zed by such ~m1t Is suspended or ISSUED TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time a ter the work 1s commenc b ro, 'oenod of 180 davs STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPf})mEi/1/J/tmffi_ ~'rJ CONTRACTOR 0 APPROVED BY .Pj ID;/n;J<,
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE f] GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL .
J
MASONRY ' I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CE(LING
SHEATHING D ROOF □ SHEAR
FRAME l
EXTERIOR LA TH ' I
INSULATION :
INTERIOR LATH & DRYWALL I
' PLUMBING J
I
D SEWER AND BUCO D IPL/CO
UNDERGROUND □ WASTE q WATER
TOP OUT □ WASTE □ ~ATER
TUB AND SHOWER PAN I ___,
GAS TEST I v-~~.,""':. IU'C I
□ WATER HEATER □ SOLAR \/YATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND [!J UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMf>PRARY
□ BONDING □ POOL I
I
MECHANICAL I
t
□ DUCT & PLEM., □ REF. PIP.ING
HEAT -AIR COND. SYSTEMS l
VENTILATING SYSTEMS I
I
I "
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAII/E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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V, ,. ~ l 1 ·\ • '
• • -s--"' _. ( ~-:·, ')
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUC1URAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELQING
HIGH STR6NGT/.4
BOLTS •
SPECIAL MASONRY
PILES CAISSONS
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