HomeMy WebLinkAbout2770 SOUTHAMPTON RD; ; 87-266; Permit"' z 0 ;::: < a:
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0 I her.«>y afllrm that I am licensed under
provlalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleulona Code, and my license Is In
lull force and effect.
I hereby afhrm lhat I am exempt from lhe Contrac-tor's License Law lor the lotiow,ng reason (Sec 7031 5 Business and Professions Code Any clly or county whict, re-
quires a perm11 10 construct. a lier. improve, demohsh, or
repa1r any structure. prior to its issuance also requues !heap-plJtanl for such permit 10 hie a s19ned statement lhal he 1s lteensed pursuan1 10 lhe provisions ot the Con1rac1or·s
Ucense Law (Chapter 9 commencmg with Section 7000 ol
Dfv1s1on 3 ol the Business and ProfessiOns COde} or that is ex-
empl therelrom and the basis !Of the allegeo exemption Any v101a11on of SecttOn 7031.5 by an apphcant IDf a permit sub-
1ects the apphcant to a CIVIi penalty of no! more than hve hun-dred dollars ($500)
I I I. as owner at the property, or my employtts with wages as. lh1!1r sole compensatlOn, w,tt do lhe work. and lhe struc-
ture Is not intended or offered for sale (Sec 7044, Business
and Professions COde. The Contrac1or·s Lteense Law does
not apply to an owner of property who builds or improves thereon ano who does such work tumsell or through his own
empioyees. provtded that such improvements are not mtend-
ed or offered 101 sale II, however. !tie building or 1mprove-menl iS sold wllhm one year Of complelion. the owner•builder will have the burden ol prov,ng thal he did not bu,ld or im-
prove tor the purpose of sale).
n I, as owner of the property. am exc1us1vety contractmg
with hcensed contractOfS to cons1ruct the pro1ecf (Sec. 7044. Business and Professions Code· The Con1ractor·s license
Law does nol apply to an owner of property who blulds or im-proves thereon, and who contracts tor each projects with a conlractor(s) license pursuant to the Contractor's License Law)
□ As a homeowner I am improving my home, and lhe follow ing conditions exist
1. The WOfk is being performed prior to sale 2. I have ltved in my home !Of lwelve months
prior 10 complet10n ol lh1s work.
3. I have not claimed lhis exemption during the last lhree years.
D I am exempt under Sec. ______ • B & P.C
tor this reason
D I hereDy affirm that I have a cer11flcate ot consent to
$ell-insure. or a cerhficale ol Workers· Compensation In•
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO.
COMPANY
D Copy 1s filed with ttte city
0 Cerlthed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ii the permit
is for one hundred dollars ($11)0) Of less)
D I certify that In the performance of the wock for whici'l
this permit is issued. I shall not employ any person in any
manner so as to become subject to the WOf'kers· Compen-
sation Laws ol California.
NOTICE TO APPLICANT: If. airer making this Certificate
of Exemplion. you shOuld become subject to ttte Workers'
Compensation provisions ol the Laboc Code. you must
torthwittt com pl)' wilh such provisions or this perm,t shall
be deemed revoked.
D I hereby affirm that there is a construction lending
agency for the performance of the woOl for which this Pet'·
m1t is issued {Sec. 3097. Civil Code)
lender's Name ____________ _
Lender's Address ___________ _
usiL u"1,.1,. ..-v1n 1 ..--Ln unLt G '""t..>.> """u Hr"r"Ll\.,H rl I I V rlL L IN 1N t"Ur1M ~ 1 IVJ''I n , I n rrt .;>nKUCU l'lnC.l'I 1,u,iu UC\,,Ll'lnK I IUrt~.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS 5ouTIIMpro";JsT.RD. NEA~~IKk l°~A;7nN1 BUSINESS LICENSE • VALUATION -z.%'.IT NUMBER fti 2770 ~ 2-,t, 1371 BLOCK J SuB01v1s10N r ASSESSOR PARCEL NO
CONTR/WA;l!_Y--!-l CONTRACTORS PHONE • ZONE
~/ OWNER'S NAME
M DIJ])f:.1<_; f\J f_ /13t/~1~0°<o 'G ut.:re.J £-CONTRACTOR'~ ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNE A'S MA1 LING ADDRESS
2770 5 o uTflrf ,t;,1p To tJ DESIGNER DESIGNER'S PHONE
OESCR1PT10N OF WORK E.L£.C_ L, ',v6. /1#¥ -t'or DESIGNER'S ADDRESS STATE LICENSE NO.
S,J>E t,/: //4v..se ri:'o,JT To8A<-k F/P F LR ELEV. NO DCC GP EDU 0014 03/31 010l O2BldPat 10.0 STORIES
vO NO --
I I PARKING SPACE I RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AAEA CONST
y D ND vO NO vO NO Not Valid Unlns M~chine CertifiM
QTY. PLUMBING PERMIT· ISSUE 2~0 QTY. MECHANICAL PERMIT· ISSUE .. ~o-o SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810·00·00·8220
EACH 8UILOING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8821
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00-8223 /1?-===-
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810-00-00-8224 -,--EACH VACUUM BREAKER MECH EXHAUST HOODIOUCTS MOBILEHOME 001-810·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00-00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519·92·33
TOTt;L MECHANICAL FIRE SPRIN~LERS 001 ·810·00-00-8227
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320-810-00·00·8740
;5o-0 BRIDGE FEE 360-810·00-00·8740 QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 134·810·00-00-8835
1 PH 3 PH AWNING LA COSTA TlF 133-810·00-00-8835
EXIST BLOG EA AMPISWT.BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00-00-8162
REMODEL ALHR PER CIRCUIT _s -MFF 880-519-92·57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL HEClRICAL l /o -TOTAL TOTAL FEES PAYABLE I /D -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Exp,rahon Every pe,m,11ssued bythe8u1lding Ofhc,al under theprov1s1onsolth1S * AN 06w. PERM:T IS REQUIRED FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Cf~:re by hmitation •nd beco1~aod void If the building or work 5' o--DEEP AND DEMOLITION 0A CONSTRUCTION Of authonz Y. uch perrmt 1s not cornmenced in 180 days from the date or such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 perm, 0, the buifdi::ll or work ~~" by such pe,m,t ,s suspended or STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-ab n 11 env hme I ter the work co enced for a perJod of 180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY A~ . r7~ APPROVED BY /3fa1/1) KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND p ~::2GNATURE • OWNER)iL CONTRACTOR 0 ~1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ '.#~ ._,,,, BY PHONE 0
GRANTING OF THIS PERMIT / -' "l. ·pJ' --"1..,.-i
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TYPE ' DATE INSPECTOR I ~ .... ~--. -
BUILDING ! ·, . ~,-~c.,
FOUNDATION J FIELD INSPECTION RECORD
REINFORCED STEEL '
MASONRY r
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEIJ.JNG
SHEATHING □ ROOF D St:t EAR
FRAME j
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH (
STRUCTURAL CONCRETE
OVER 2000 PSI '
INSULATION
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
POST TENSIONED
' I CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BU CO □ AL/CO
UNDERGROUND D WASTE C WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D NATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST • I PILES CAISSONS
D WATER HEATER D SOLAR '#ATER
l
' ELECTRICAL J
D ELECTRIC UNDERGROUND dJ UFFER '\--'/So7 1'1,~
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY \ -
D BONDING D POOL : ,-. --"' _, .. --I
MECHANICAL I
D DUCT & PLEM., 0 REF. Pl ~ING
HEAT -AIR COND. SYSTEMS I
V ENTILATING SYSTEMS I ,· ' ..... ·: I
:OOH '01\3T otor 03BJQl:;ll,f rn·oo . ~--.
'
\
,,_ -. , """' ... _...,, ....
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS .AJ3QVE HAVE BEEN APPROVED -
FINAL J
I ~
PLUMBING I i;c' \: -I ....... • -I
ELECTRICAL I • I J:1
MECHANICAL I _-_.,-. K I
GAS I ~--. . ~"
~-... f.~--,i · fv,•
I \ .... \, \.
• I. 1._ <
BUILDING I '\'
SPECIAL CONDITIONS I
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