HomeMy WebLinkAbout2709 SOUTHAMPTON RD; ; CB891185; Permit.., z 0 ;::
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O I hereby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolualona Code, and my license is In
lull lore• and effect.
I hereby affirm thal I am exempt lrom the Conlrac·
!or's L.cense Law tor the followmg reason (Sec 7031 5 Busmess and Professions Code Any city or county wh1tt. re-quires a perm,1 to construct, alter. nnprove. demohsn. or
repa,r any structure, prior to 1Is issuance also requires !heap-
plicant !or such per1n11 10 hle a s1Qned statement lhal he 1s. hcenseo pursuant to lhe provIsIons ol the t;ontracto, s
license Law (Chapter 9 commencing with Sec11011 7000 of Ofv1st0n 3 of the Busmess and Professions Code) o, lhat ,sex-
empt lherelrom and the basis IOf lhe al!egea exemphon Any v1olatIon of Section 7031 5 by an appftcant lot a permit sub-
Jecls the apphcanl lo a c1v1I penally of not mDfe ttian live hun dred dollars ($~001
1, .as owner ot the p,operty, or my employees wilt, wages
as Ihe1r sole compensa1Ion wm do lhe work and the strut· ture 1s not intended or ottered lor sale (Sec 7044 Business
and Prolessions Cooe The COntractOf's L1tense Law does
not apply to an owner ol property who builds Of improves !hereon and who does sucn work himself or tf'lfOugh his own
employees. provtded that such improvements. are not intend-ed Of offered lor sale It, however_ the burld1ng or improve·
menl 1s sol<I w1th1n one year of comptetion_ the owner-builder w11I have tile burden of proving lhat he dfd not build or im-
prove tor the purpase ot sateJ
! I 1. as owner o1 the properfy, am exclusively contracung
with l.censea contractors to construcl the pro,ect (Sec 7044 Busmess an<f Profess10ns COde lhe Contractor's License
Law does not apply to an owner of property who builds or im proves thereon. and who contracts !Of eacti protects Wttt'I a
contractor(s) license pursuant to the Con1rac1or's Ucense Law)
II As a homeow~ I am 1mprovmg my home, and lhe follow mg cond1Iions e,ust
1 The work is bemg performed prior to sale 2 I have lived in my hOme for 1wel\le mon1ns r':v~o :;1P~:,:..:f r'~,1: :~!prion dunng the
last lhree years
D I am exempt under Sec ______ • B & P C
for this reason -------------
0 1 hereby alhrm that I have a certificate ol consenl to
self-insure. or a cert1t,cate ol Workers· Compensalion In-
surance. or a ce'rfihecfCOpy thefeot tSec 3800. Labor Code)
POLICY NO
COMPANY
:J Copy IS hied with the Ctly
0 Cert1t1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1f 1he permit
,s tor one hundred dollars ($1C)O) or less) ti I certify that in the performance of the work for which
lh1s perm11 ,s issued. I shall not employ any person in any
manner so as to become sut>ject to the Workers· Compen-
sa11on Laws of Californ1a.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subJect to the Worker·s·
Compensation pc-ovisk>ns of the LabOr Code. you musl
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby alfirm !hat there 1s a construction lending
agency fOf lhe performance ol the work for which lh,s P8f·
mit ,s issued (Sec 3097. C1v1I Code)
Lenoer·s Name __
Lender"s Address
USE BALL POINT PEN ONLY & PRESS !IARD Mf""r-LIV"'rt I I u r'ILL IN INrvnM"' t 1vrt ffl I nu-. -.>nru.,,_u ""~ """ ...,~\.ot~nr1, ,...,,~...,_:_
JOB ADDRESS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
AV ST RD
J'f)PL!~ATION & PERMIT
BUSINESS LICENSE d VA LUATION PERMIT NUMBER
/ -z.1oq THOMAS BROS N0.4 C, -4
70"1:tl-AMpmtJ ~M> I_ 0 6 7,;,z~•ONl
CONTRACTOz:; ~ CONTRACTORS PHONE• ~TA~~ E._U8D1v1s10N· j,_ASSESSOR PARC_;,}~ / ~A l..t ~1'rl JI"°~ ICMLMtD T1L "4-IA. rLJH")• 5'.u• rL-
ZONE 1!£fJ-(/f s
OWNER'S NAME
~&!? i V.-bA•~ ~JN61
7 l
OWNER'S PHONE
CONTRACTOR'S ADDRESS STATE-LICENSE NO BUILDING SO. FOOTAGE
r .,.,.,
QW"'-IE R'S MA NG ADDR ess
-1--1,01 ~ru:> ~ qzrd-,
DE}_CR.!.P.!..:.ON OF WORK I ,,,..;;::;u< _ .. ~. e,e:, 1_nn. 1'2.. ~, L'7~ Ml
DESIGNER
-._ OESIGNER S ADDRESS ,.,., .,,,. --·:2 ,,
~ ~~ ci~ i-lA//; ~ FiP fLR ELEV,
l:et¥i1 "7/0f!__ OF ~ vO NO I CENSUS TRACT I PARK ING SPACE
QTY. PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO,OR VENT
I EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM~ OR MORE
EACH INST AL . AL I ER. REPAIR WAT ER PIPE
EACt1 VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN !INSIDE I
TOIA-l PLUMBING T
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWl HK R
I PH 3 PH
EXIST BLOG EA AMP,SWT BKR
I PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMP POLE 700 AMPS
OVER ZOO AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELEt.TRICAl T
RES UNITS l GRADING PERMIT ISSUED
y D ND l REDEVELOPMENT
AREA
vO NO
f-:5Q II QTY. MECHANICAL PERMIT · ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
OVER 100.000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOO'OUCTS
RELOCATION OF EA FURNACE1HE ATER
DRYER VENT
TOT t.L MECHANICAL
TT
Lc::;oo QTY. I MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOTAl
----,;m
STORIES
TYPE
CONST
k500
DESIGNER'S PHONE
STATE LICENSE NO ,
OCC GP EDU
OCC LOAD FIRE SPR
vO NO
8929 08/11/89 0001 01
BldPmt
02
Not Valid Unlffs Machine Certified
SUMMARY/ACCOUNT NUMBER
BUllOING PERMIT lllll-Stll-ml-llll-8220
SIGN PERMIT 001-810-00·00·8221
PLAN CHECK 001-810-00-00·8891
TOTAL PLUMBING 001-810·00·00·8222 /() ;,.;.-
ELECTRICAL 001-810·00·00·8223
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00·00·8225
SOLAR 001-810-00-00-8226
STRONG MOTION 880-519·92·33
FIRE SPRINKLERS 001 ·810·00-00-8227
PUBLiC FACILITIES FEE 320·810·00·00-87 40
BRIDGE FEE 360·810-00-00-8740
PARK-IN-LIEU (AREA I
TIF 312-810-00-00-8835
LA COSTA TIF 311·810·00-00-8835
FMF
LICENSE TAX 001·810·00·00·8162
MFF 880-519·92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE 1 /0 --
10-0C
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMI-AND DO HEREBY Exp1rat1on Every perm,t issued by !lie Building Othc,al unde<the prov1S1oos oltn,s
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expore by tom,tat,on and become null and vo,d II the bu1ld1ng or work
DE Ct.ARA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I'> autorozed by such perm,t ,snot commenced within 180 days from lhe dale .:,t such
ISSUED TO COMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING COr.t pe m,t. or ,I the bodd•nri or work author,zed by such perm,t ,s suspended or
* AN OSHA PERMIT IS REQUIRED FOfl EXCAV ... TIONS OVER
5· O" DEEP -'HD DEMOLITION Ofl CONSTRUCTION Of
STRUCTIJMS OVER 3 STOAIES IN HEIGHT
STRUCTION WHETHER SPECIFIED 1-'EREIN OR NOT I ALSO AGREE TO SAVE. INDEMNIFY AND abandoned at an time a ter Iha work ,s commenced for a nO<I of 180 da s
KEEP _HARMLESS THE CITY. OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AN~APPLIC . IGNATURE ~ \ OWNER. CONTRACTOR CJ
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '/" /e"'"' '--\. GR .. N'T1NG OF THIS PERMIT ~, ---BY PHONE 0
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TYPE I DATE INSPECTOR ----~
BUILDING I .
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS
REQ. IF INSPECTOR'S INSPE CTION CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEILlt\(G
SHEATHING □ ROOF □ SHE,t,/R
SOILS COMPLIANCE
PRIOR TO
FRAME I FOUNDATION INSP
EXTEflOR LA TH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
I
t
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING l FIELD WELDING
□ SEWER AND BUCO □ PUOO HIGH STRENGTH
UNDERGROUND □ WASTE □ W,t.TER BOLTS
TOP OUT □ WASTE □ WATER i'I
SPECIAL MASONRY -
TUB AND SHOWER PAN 1 A ,/ r '2. II L
GAS TEST I 1, l v "O l f't.tl I PILES CAISSONS
□ WATER HEATER □ SOLAR WAT~R
I
ELECTRICAL I ' I
□ ELE.QTRIC UNDERGROUND □ UFFER
ROUGR ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
□ BONDING D POOL I ... -. ~
I
MECHANICAL I
1
□ DUCT & PLEM., □REF.PIPING I • '-I -'· ' \ --... ~ ... . -·. ' . r -' '·-• •
HEAT -AIR COND. SYSTEMS I
~ . ..
-
VENTILATING SYSTEMS I ' '\" t.' ' __ .t:. V . ◄ I
,-\ I \-' \ . ~ .. ' • I . ' . "j µ '◄ • • • , \ --CALL FOR FINAL INSPECT/Of,/
___ I_TE_M_S ABOVE HAVE BEEN·APPPIOVED. ~', ... , J\ •'"\;
FINAL 1
. -\ -----
.\ ·!L.-_: \.., ' . . ... ,, -.. ·~ '"'~ .. --,--, -,;-. \_ \ • I''; •
PLUMBING : -·tt , ''t\l jt··\"< ', L
ELECTRICAL
MECHANICAL
' . .
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GAS . i c~ ....... • -. . ' BUILDING -'
SPECIAL CONDITIONS ~--
,~
.. • (!E~1/ }{,S
INSPECTOR'S NOTES
DATE
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