HomeMy WebLinkAbout2756 SOUTHAMPTON RD; ; 85-355-144; PermitIll z 0 ;:::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license is In
full force and effect.
ltc No ______ Class
I hereby affirm that I am exempt from the Conlrac·
lor's Lo<:ense Law lor the lollow,ng reason (Sec 7031.5 Business and Prnfessions Cade Afly city or tot1nly which re-
Quires a permit to construct. alter. 11nprove. demolish, or repair any struclure, pnor to 11s issuance also requires !heap-
pllcant lor such permn lo hie a s,~ned statement that he 1s licensed pursuant lo !he provisions of the Conrractor's
license law (Chapter 9 commencing with Section 7000 of 01V1s1on 3 of the Business a!ld Proless1ons Code} or lhat 1s ex-
empt therefrom and the ba~s for the allegea exempfion Any
v10lat1on of Section 7031.5 by an apphcant tor a perm11 sub-
1ects the apptacant to a CIVil penalty ol not more than five hun·
dred dollars ($500).
ri I. as owner of tne property, or my employees wtlh wages
as their sole compensa11on wilt do the work. and 1he struc· ture 1s not intended or ollered lor sale (Sec 7044. Busmess
and Profession!. Code The Contractor's License Law does
not apply to an owner of property who builds or improves thereon and who does such work hemsell or thiough his own
employees, provided that such 1mprovemen1s are not intend• ed or ollered lor sale 11, however the building or 1mpr0\le·
ment ,s sold wilhm one year ol comp~t1on, the owner·bu1lder w,11 have the burden ol proving 1hat he dtd not build or im· prove for lhe purpose ot safe)
0 I. as owner of the property, am exclusively con1raclmg
with licensed contractors to construct the prOJecl (Sec. 7044,
Business and Pfoless1ons Code The Contractor's license law does not apply to an owner 01 property who builds or 1m·
proves thereon, and. who contrl lor each projects w1th a coolractDf(S) hcense pursuant t he Conlractor·s Lttense Law)
D As a homeowner I am 1mprov my home. and the follow
mg condtlions exist 1 The work 1s being pe med prtOf to sale 2. I have ltved in my home lor twelve months
3. r'~!v~ ~~TP~r~1::1 11
~1
1
: =~pt1on dunng tl'le
last three years
U I am exempt under sec. ______ . B & P C for this reason ____________ _
D I hereby affirm that I ha.,.e a cen1t,cate ol ci en1 to selt•1nsure, or a cenit,cate ol Wo ers
Compensa11on Insurance. or a cer1,l1ed copy t reol
(Sec 3800. Labor Cooel
POLICY NO
COMPANY
□ Copy IS hied with lhe c,Iy
□ Cer1'11ed copy 1s hereby lurn1shed
CEATIFICA Tl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 11 me oerm,I •s tOf one hundred dOHars (S HX>} or less)
0 I cen1ty that ,n lhe pertormance ol the wort,;. lor
which this pemut ,s issued, I shall not employ any person in any manner so as 10 become suoIec1 10
11,e Wor1<ers Compensation Laws of Cahtorn,a
NOTICE TO APPLICANT It, alIer makin"1 lfHS Cert1
hcate ol E1Cemp11on you snould t>ecome sub1ec1 t? the Wonters' Compensa11on p,ov,s,ons ol 1he Labar
Code you must tonh-A 11h comply with such
prov1s1ons or 1h15 permit shall be deemec:i re ... okea
O I tlereby affirm 1na1 there •s a cons1,uc1,on
Ienel1ng aoency 10, me performance o! lhe wor1-t tor wh•Ch this perm11 iS 1ssueo 1Sec 3097 C1Yrl Code!
Lenaer s Name ___________ _
Lenoer s Address __________ _
U:>t D"LL r Vll'II rtrt Vl'ILJ Ck r ,u~.> mu,u --· . -· -· . ---
: ~!~1;~!a!~d~C~1!1~r~!~2iR~f!~1!:\'H~T APPLICATION & Pe,MIT ;i. U6 /v( Od 0 oo Q)
: ~~ ;~A~,H.~uP1?)Af Rf>. 1A~VA~::~ J ~RE;::s,s,s;o ?PAI_ j°;;; 7~L~ONI :s:U;N~~2Nr , ;r,A;.9 b PERMIT NU;~-1
I ;;l,~ / BLOCK I S~BOI VISION I ASSESSOR P,ARCEL/10. CONTRACTOR 1 1 CONTRACTORS PHONE• ZONE <if S' -3 i~
0
I /'1.., rrAM. Ptr. 11....t,Ts -,c-n MA p q,, -r-1J✓/_ l"J5.·c-~ii~·o,
, o wNER'SNAME c.< ~'{ ... ,tu k owNER'SPHoNe 11-11: woonwA~n /'11,.,p/JJA,t:1£ ,,,c 111'1·7. J-11~
I I __,,,,,,. ..,., 1 .,:_ 7/// /lt:e -? /.".l'J ~ CONTRACTOR"S ADDRESS LICENSE NO, PLAN I.D. # BLDG USE COOE
1 iliiA.A.d.&>tvH, f-"A,,rr,=-vr-:1..rTt.Jl?P '/..,,.....,;::J,"1-""'fv~ LJ 5
I tJWNE A'S MAILING ADDRESS Ir~, 1.711 r1A AA .Ou<: n, AIP!lnn,..,,ur-At:a,, -I 5L I'
: .C:100 LAik.PUS /9/t. 1v,:__wPoR'r 1<€/Y'l.4 u 01/'L" DESIGNER -LICENSE a STANDAAO PLAN # BUIL,DING;O~FOOT:;;
DESCRIPT oN oF woA>< AOC CoLL1 f , "° ::l. 1
1-------------------'jl!!..!Q,!la._S'c.!./l...j..Il(\,L./,~'."'IC,1..!€)~0~-------I DESIGNER'S ADDR ES$ DESIGNE A'S PHONE
_ ~'l:)' _ s.,1=}) 1/J <;:/'~v/)RANCf ~1 · 114:-~12-S~f 7
STORIES ~-~ I v□ NO --~· K-..:.J a/1 6/1:jb!;l.dtJ £i 19~ ..
CENSUS TRACT I GP LAND use I PARKING SPACE l AES uN1Ts ~AA,~DING PEA.MIT 1ssueD I REDEVELOPMENT TYPE~ occ LOAD FIRE SPA ·
4 f ~ \ '!.~, AREA CONS ~ 5""" ,"t!?'f• y NO v□ NT/,-V, vO N)i( Not ValidUnless Machine Certdied
QTY. PLUMBING PERMIT -ISSUE ---J .£!!-QTY. MECHANIC AL PERMIT · ISSUE s-SU,MMARY/A~~T NUMBER •
\-2, EACHFIXTURE TRAP (,.J~.c;-t) '...t;~_•;-z \ INSTALL FURN DUCTSiJPTOlOO,OOOBTU J.l -BUILDINGPERMIT 0~220 ...1..•~-~-
( EACH BUI LUING SEWER -7_ . ~51'.: OVER 100,000 BTU SIGN PERMIT .....__ 01·00-~8221 •
l EACH WATER HEATER AN DIOR VENT l'J . .l!!,'l) BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK _'Ql-00·~ ~ P.,/J,.,:,r,
I EACH GASSYSTE M IT040UTLETS _j -~7' BOILER/COMPRESSOR3-15 HP TOTAL PLUMBING ~-oo-8m. c;-4--
EACH GAS SYSTEM 5 OR MORE l METAL FIREPLACE _,3 --ELECTRICAL 01-M-00-822~:----.... ~Al,-.
EACH INSTAL .ALlER,REPAIRl\'ATER PIPE ~ VENTFAN SINGLEOUC(&) ..::l_~ /"_. -MECHANICAL 01-0N 8224 /t:J. -•
{ EACH VACU UM BREAKER --..!J. -~ MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00-0~25
I ' WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP '==--<.._
I EACH ROOF ORAIN (INSIDEl \ .\) -.....,. ,. ..._ ~ ,!:) · -SOLAR O~Vll.:ln.:rm~.o~ooc;\!,t-}-------..~
I I----'---------------,-----..__ .--1-----il TOT,:, ~E CHAN I CAL STRONG MOTION 80-92-33·0519 I .D_C{_
1 TOIAL PLUMBING [ 1::;Z.J,,,.-IA--~SPRINKLERS ·-· 01-00-00-8227
: -PUBLIC FACILITIES FEE 32·00·00·89ll 1 o_;tS: q "5
QTY. ELECTRICAL PERMIT -ISSUE ~ --QTY. SOLAR · ISSUE 1 J -BRIDGE FEE
NEW CONST EA AMP SWl BKR \ (JO /i -~ ')_<'.'""" -COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH ' STORAGE TANKS Carlsbad l .-r I< 80·92-21-0519
EXIST BLOG EA AMP.•SWT BKR ROCK STORAGE Encinitas 80·92-n.0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE -San Marcos , 80-92-24-0519
TEMP PO LE 200 AMPS ---------+-----~-t'a..r-\L_ ~ -\._ '4»-3S:-,!l ( -', c.f--
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 OAYSl MFF 80-92-57-0519 ~r,r °)-:"
CREDIT DEPOSITM_ & ~ 0 f',t' 0.., [ ? l".r(;> -'I
TOTALELECTRICAL I ~--TOTAL SOLAR TOTAL F EES PAYABLE \ 4 .\9l.,,-
I HAVE CAREFULLY EXA•~INED THE COMPLETED --APPLICATION AND PERMIT AND DO HEREBY Exporai,on. Every perm,tlssued bylheBurldtng Ofhc,al underlheprov,s,onsofth's * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tal,on 8nd become null •nd vo,d If lhe butld,ng or work s· O" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit ,snot commenced w,th1n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or ,f lhe budding or work authonzed by such permll ,s suspended or STRUCT\JRf.S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY Wt TH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON-acandoned al anv trme after the work ,s commenced lor a oer,od ol 180 davs I_.
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'~TURE 1f. 0 ~r□ fAJ, PROVED BY \ DAT;/2/4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~WNEA CONTRACTO 'Ii: =· ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE --b r BY PHON O O t. I (J r,-, ~,...-
GRANTING OF THIS PERMIT ~-__..-i --I.A & l ~ t> .a. .I/ _ () f [ ::>
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TYPE I DATE INSPECTOR ·~ ·,
BUILDING I
FOUNDATION I
·---8:> ·i.?.5'15" _,, 11./-,'f
FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF □ SH6AR
FRAME I
REQ IF INSPECTOR S .• -DATE INSPECTION CHECKED APPROVAL , .. ---'> i ' . I, . . •o ~ .....
SOILS COMPLI ANCE I!' . PRIOR TO --FOUNDATION INSP ,. ---EXTERIOR LATH I . •. . •·'---. STRUCTURAL CONCRETE .
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PRESTRESSED
CONCRETE
POST TENSIONED . . ~ CONCRETE I ~ \ .. ""
PLUMBING I -FIEl D WELDtNG
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
', . -,,·i-◄ HIGH STRENGTH
BOLTS . -
TOP OUT □ WASTE D WATER
f -SPECIAL MASONRY-.. ~-.. t
TUB AND SHOWER PAN I '••" (7'°' --'"IC., -,,. ~, . .
GAS TEST I
□ WATER HEATER □ SOLAR WATER
PILES CAISSONS ,_
I -, .... -. .
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FfiER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE D TEMPORAA¥ L .. ; ·. .. .
-·, . ... ~. --• •-
:.·) . ,4.
.
•. -"'• ")' . ·-~· .. ...... ~ ~ -~--'""~-~~ ~' .! .,
.-• ~ j , --'"~),~~ -, \-" ,· ,· -c .... .:.. ..
□ BONDING □ POOL I -.
I '
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
, !.,· ~ . . ;t,:,: -?-
~ ; .
'-: , i
HEAT -AIR COND. SYSTEMS I -. ~
I -,-. i . VENTILATING SYSTEMS I -• l -\ I -...... "".. , • r ' .. . . ... ,
J ") .. ,-~"'\. ' ' . . ' --I -CALL FOR FINAL INSPECTf()N WHEN ALL APPROPRIATE
___ I_TEMS AB_OVE HAV~ BEEN APPROVED: ' · ''-' . --: , ; ~
\ . -..
FINAL I . \ .--,,, --. \ , .... -.. ,. , '. ,. -. ~, -\" ~ .. • -;. ' . ' ' , I -, ... -.. -'. ~ . . . '.• . PLUMBING I f .--<I_ 'f/'. :. _/
'' ..... . ,.. , . ;_ /? -.. ,, ~,;;:·\\;, .. \~·. --,i · . I • • -, , .. I .. 'I . , .. <' , -, . ..
"· ~ -. I •· ' . ~ .:. -~ '. ,.... ·---~-,, :, ,
t r--· . -t ."'~·--...., __ . ...... ~ • • ~· t .. ·1. -,. 1 , ~ ' . . .
ELECTRICAL 1 ,t _ \ ~>' '"_/',.
MECHANICAL 1 1~, l, " '-,,.. · _
GAS I --• • , • ' ':" • '•. •• ' \'. ~ •
-: ·-. .,-.
' BUILDING 1 •
SPECIAL CONDITIONS 1 ,.
I ..