HomeMy WebLinkAbout1865 SUNSETHILL DR; ; 86-530; Permit"' z 0 ;:: < IIC < ..,
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is in
full force and effect.
Lie No ______ Class
I hereby aflirm that I am exempl from the Contrac·
tor's Lteense Law lor !he loUowmg reason (Sec. 7031 5 Business and Professions Code; Any clly or county wh1Ch re-quires a permit to construct. alter, improve demohsh. or
repair any structure, pr,or to ,ts issuance also requires the ap· plicant for such perm,1 10 hie a s19ned sta1ement that he is
ltcensed pursuant to the prov1s100s ol lhe Conlractor's License Law (Chap1er 9 commencing with SectlOll 7000 or
Dlv1s1on J ol the Business and Proless1ons Code) or I hat 1s ex-
empt therelrom and the basis lor the allegea exempllOn Any v1ola1ion ol ecl!on 7031.5 by an applicant lor a perm,! sub·
1ec1s the a ~lo a cm\ penally of not IOOfe than five hun·
dre<I dolla ( ).
~1 as ne o th ~roperty. Of my employees with wages fastife1r sol c pensahon, w111 do the wor)<. and the slruc·
ture IS not I e ed or offered tor sale {Sec. 7044. Bus,ness
and Profess10 Code· The Contraclof's ucense law does nol apply to a owner ol property who builds or improves thereon and who does such work himself or ttirough his own employees, provu:ted that suet! ,mprovements are not inlend•
ed or offered !Of sale. If. however. the bwldmg or 1mprove-
men1 1s sold within one year of complehon. the owner•bu11der wilt have the burden of prOVJng !hat he did not build or im-
prove '°' lhe purpose of sale}
• □ 1. as owner of the property, am excfus1vely conuachng
with lteensed contractors lo construct the proiect (Sec 7044,
Business and Professt0ns Code. The Contractor's Ucense
Law does not apply to an owner of property who builds or am-
proves thereon, and who contracts to, each pr01ec1s wrth a cootractor(s) license pursuant 10 the Contraclor's License Law).
0 As a hcmeowner I am 1mprovmg my home, and ttle follow
mg conditions eiust 1 The work 1s bemg per1ormed prk>f" to sale
2. I have hved in my home lor twetve months pnor to comple110n ot this work
3 I have not claimed this exemption dunng the last three years
□ I am exempt under Sec ______ , B & P C
for this reason ____________ _
D I hereby affirm thal I have a certificate of consent to
sell•msure. or a certtficate of Workers· Compensation In•
surance. or a certlfied oopy thereol (Sec. 3800. Labor Code)
POLICY NO.
COMPANY
LJ Copy 1s filed with the city
D Certified copy is hereby furmshed
(T
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
the performance of the work lor which
lssu • I shall not employ any person in any
to bee me subject to the Workers· Compen•
of California.
NOTICE TO APPLICANT~ If. after making this C,ert11icate
of Exemption. you should become subject 10 the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this pemut shall
be deemed revoked.
1[
0 I hereby affirm 1hat there is a construction lending
agency for the performance of the work for which this per•
m1t is Issued {Sec. 3097. C1vll Code)
Lender's Name _______ _
Lender's Address ____ ~--
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO Fill IN INFORMATION WITHIN SHADED ABEA AND DECLARATIONS -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
S-v/4/SE /h4t0
~
NEAREST CROSS SJ/ l°A~;~;1:;N1 BUSINESS LICENSE # VALUATION PERMIT NUMBER
;gc.s V/2 · /-kt.~rcof'e M gt.i, _,
~CJ BLOCK j suB0I vIs10N I ASSESSOR PARCEL NO CONTRACTOFI CONTRACTORS PHONE • ZONE 53~
~Cb.A/efc-
OWNE~ss NcN'c/f,1eAI '1-3;,:~;N~ l) .. CONTRACTOR'S "-DORESS LICENSE NO. PLAN 1.0. # BUILDING SO. FOOTAGE
OWNER'S MAILING ADDRESS
£rAett!=-DESIGNER OESIGNE A'S PHONE
OES~~-r OF 2,";,,v~ -?--vo ~m/c~ DESIGNER'S "-OORESS LICENSE NO
~
~def/-/'vtv~e f>ooL U:::o...v O L/ I/ ~ F/P F LR ELEV. NO ace GP EDU
STORIES
vO NO --5/SPl'flt',9420 TO.O(
CENSUS TRACT I GP LANO USE I PARKING SPACE l AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA
AREA CONST oor:19~0 51e: 'J' ro~o y D ND vO NO vO NO Not Valid nlen M~chine Cert
QTY. PLUMBING PERMIT · ISSUE //Sf> QTY. MECHANICAL PERMIT· ISSUE ~~_. SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 ·810·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221 -
EACH WATER HEATER AN010R VENT r-o BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8806
7 EACH GAS SYSTEM 1 TO 4 OUTLETS ~ k-;,,---BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 001 ·810·00·00·8222 /IJ -
l EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 -~-
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M08ILEHOME PARK INSP
EACH ROOF DRAIN IINSIOEI SOLAR 001·810·00·00·8226
-TOTJ;L MECHANICAL ~ONG MOTION 880·519·92·33
TOTAL PLUMBING I /() ~ FIRE SPRINKLERS 001·810·00·00·8227
5.,.-QTY. SOLAR · ISSUE PU8LIC FACILITIES FEE 332·810·00·00·8930
QTY. ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP SWl BK R COLLECTOR$ SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encimlas
I PH 3 PH PUMP San Dieguito
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY !30 DAYSI MFF 880·519·92·57
CREDIT DEPOSIT
TOTAL ELEClRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /(}-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp1rat1on Every permtt issued by the 8u1ldtng Ofhc,al under 1ne prov•s1ons of lh1s * AN OSHA PERMIT IS REOUIREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code st,all expire by llm11at1on and become null and void If the building or work ~-0 DEEP ANO DEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such-permit 1s n_ot commenced within 180days~~ the date of such STRUCTURES OVER 3 STORIES IN HEKlHT perm,t. or 1f the b~d•nft or work author128d by su~7'f8' I rs suspended or ISSUED; TO COMPLY WITH ALL CITY COUNl V AND STATE LAWS GOVERNING BUILDING CON abandoned at any e a ter tne work •s commenced lor = od of 180 davs • J
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICAN?;tA7 ~ OWNE~ CONTRACTOR 0 APPR~ED~ . O.(TE -
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 r ,,. .. 4'. '!." Pi;i9N7:J 5-1-v .J -tf{, GRANTING OF THIS PERMIT I \
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TYPE ' DATE INSPECTOR _l
.. ~. ' ., ~
BUILDING I • -. . ' ' FOUNDATION J FIELD INSPECTION RECORD <:?~...,~ 3u
REINFORCED STEEL I
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL -
SUB FRAME D FLOOR D CEl_½ING
SHEATHING D ROOF D SHEAR
SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LA TH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED ' I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D Pli-/CO
UNDERGROUND □ WASTE □ WATER
.
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
J
ELECTRICAL I
□ ELECTRIC UNDERGROUND □1 UFFER -
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPQRARY
□ BONDING □ POOL I -. \ -
' -. ~ .
I
MECHANICAL I -o.
□ DUCT & PLEM., □ REF. PIPING -
' ' t
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I '
I
CALL FOR FINAL INSPE~~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I ~ •
ELECTRICAL I '-X:) I
MECHANICAL I --'\~ ·-GAS I ... ~ ~ ... -
BUILDING I \"~ I -SPECIAL CONDITIONS I ' -"'-.~
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