HomeMy WebLinkAbout2440 STROMBERG CIR; ; 85-680; Permit"' z 0 ;:::
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/)I,_ 1 hereby affirm that I am licensed under
pr0¥1slons of Cllapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and effect. R
Lie No U'U.'i? 7. Clm _.,c...>.,.---
I hereby afhrm th.al I am exemp1 from lhe Conlrac-
10( s License Law for the lollowmg reason (Sec 7031 5
Business and Pfo1ess10ns Code Any city or county wh,ch re-quires a permtt lo construct, alter lfflprove demohsh, or
repair any structure. pnor 10 I1s issuance aiso requires !he ao-p!ttant tor such permit 10 tile a s,pned s1a1emen1 lhat he is
hcensed pursuant to lhe PfOY1sions ol 1he con1rac1or s license Law (Chapter 9 commencing w11h Section 7000 ol
DMston 3 ot 1he Business aod Professions Code) or lhat 1s ex empt 1he<efrom and the basis for the a!legea exemption Any
violahon of Sectt0n 7031.5 oy an applicant fOf a perm11 sob·
1ects the apohcant to a crvil penally of not more than hve hun-
dred dollars 1$5001
I. as owner ol the proper1y. or my employees with wages ... •1r sole compensauon. will do the work and the struc·
lure 1s· ,c "Wilded Of ottered tor sale (Sec 7044. Business
and Profession:, ~'llle The Contractof's License La...-does
001 apply 10 an owner d Pf04)erty who buikts or lfflproves
thereon and who does such work him.sell or 1hfough h,s own
employees. prov1oed that such improvements are not 1n1end· ed or ollered for sate If. however, the buildmg or improve·
menl 1s sokf w11t1,n one year of comptettOn, lhe owner·bu1lder w,11 have the burden ol proving that he did not build or 1m·
prove lor lhe purpose ol sale)
D I. as crNner of the property, am exclusively conlractmg
with lteensed contractors to construct the prOJecl {Sec 70d4 Business and Profess10ns Code The Contraclor's License Law does not apply to an owner ol property who builds or tm·
proves lhereon. and who contracts for each protects with a
contractor(s) license pursuant to the Contractor's License Law).
O As a homeowner I am improving my home, and lhe follow
ing cond1t100s ex1st 1 The work 1s being performed pr;or 10 sale 2 I have lived ,n my home lor twelve moolhs
3 rr:v~ ~':p~:,~of t1~~ ::~piton durmg lhe last three years
0 I am ex.empt under Sec ______ . B & P C fot" this reason ____________ _
~ I hereby affirm !hat I have a cen1hcate of consent 10
selt-1nsure. or a certificate of Workers Compensation In-
surance. or a ce~ed .JOPY ther,:0}1Sec. 3800. la~~e)
POLICY NO {, C, 3 "f 11-8J
COMPANY .Sr¥1-nE-Fu"'J)
:::J Copy IS filed v.ilh the city
D Certthed copy ,s heret>y furnished
CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(Hus secl•on need not be compteled if the permit
1s for one hundred dollars (511)()) or less)
D I certify that in the performance of the work tor whict,
ttl1s permit is issued. I sh.all not employ any person in any manner so as to become subject to the Workers· Compen-
salion Laws ot California.
NOTICE TO APPLICANT: If. after ma.Jong this Certificate
of Exemption. you should become subject to the Workers·
Compensalion provisions of the labOf Code, you musl
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby aflirm thal there is a construction lending
agency for the performance of !he work for which this per-
mit is issued (Sec. 3097. c,vil Code)
Lende(s Name ~ r; /:J
Lenoer"s Address ':
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -------·--. -. .·
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ~ Carlsbad, California 92008·1989 (619) 438-5525
JOB ADDRESS AV. ST.RD NEAREST CROSS ST I DA;p;;;l?ONI
BUSINESS LICENSE = VALUATION .... PERMIT NUMBER
l::i u<-10 _<;1ll_dtnB~ l'tRt'.lE /,~ ~§/
LoT BLOCK I suso1v1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE f 6&o II-..L--rEUI S ourtl-C/</S-9t?6J DWNER"S NAME I'll;:~;;; Cl\/!)~ BA42SDAJ CONT RAC TOR'S ADDRESS S""1l::J.; LICENSE NO PLAN I.D. # BUILDING SQ FOOTAGE
/31/36973 OWNER'S MA LING ADDRESS ~7 -~ ~ /Jtx.tA '7 ~ -~
~t./'io 5TJUht RJq1_ L t' I/<. U'f/2.Ls.Rro"J DESIGNER DESIGNER'S PHONE
DESCRIPTION DF WORK L/1.JO::::T}CI l / A T7 ru.. I 01= ~ DESIGNER"S ADDRESS LICENSE NO
SovtR-W-+Tt12. lf-a:J,77,J f 6'Y.S:le>1, F p F LR ELEV NO OCC GP EDU !i! d IJI l:lb I 1;11;11., STORIES
vO r..0 --I
CENSUS TRACT I GP LANO use I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP
AREA --~ YO N 0 ,□ ... o vO NO Not Valid Unless M~chine Certified
75U ~~ -
QTY. PLUMBING PERMIT · ISSUE 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 BUI LUING SEWER OVER 100,000 BTU / \ SIGN PERMIT 001-810·00·00·8221
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EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP / \ PLAN CHECK 001 ·810·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS I 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
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT I " r I MECHANICAL 001-810·00·00·8224 -HOOD DUCT~/ _y I EACH VACUUM BREAKER ME CH EXHAUST I),_ MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACLJHEATEff\\ '
,,,, I MOBILEHOME PARK )NSP
EACH ROOF DRAIN !INSIDE) \:,.._ I SOLAR 001 ·810·00·00·8226 ;t._ '-0 lo
TOTI.L MECHANICAL \ ~ .I ~ STRONG MOTION 880·519·92·33 -
TO I AL PLUMBING I FIRE SPRINKLERS 001 ·810·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE s---QTY. SOLAR • ISSUE V I PUBLIC FACILITIES FEE 332·810·00·00·8930
NEW CONST EA AMP SWl BKR I COLLECTORS \ /. SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS \ I Carlsbad
EXIST BLDG EA AMP SWT 'BKR I ROCK STORAGE ' / Encinitas
I PH 3 PH PUMP ......__ ~v San Diegulto
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 700 AMPS
OVER 200 AMPS LICENSE TAX 001 ·810·00·00·8162
TEMP OCCUPANCY 130 DAYS) MFF 880·519·92·57
CREDIT DEPOSIT
TOTAL ELELlRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I /~•00
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT ANO DO HEREBY Exp1rat1on Every permit issued by the Bu,td,ng Off1c1al under the prov1s1ons of th,s * AN OSHA PEFNIT IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON lNCLUDING THE Code shall expire by hm1t1tion and become null and void If the building or work 5 O"' DEEP ANO 0£MOl.lTION 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit is not commenced wt1h1n 180 days from the date ot such STRUCT\JA£S OVER 3 STOfltES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON· ~~~n~~l t:~y ~~~:'~ff-~~h=~~r:~!hi~~~e~le~~~~ rn:7i~·~,sr~~~!d or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO rcl!JlT1,•~ OWNER□ CONTRACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND Md1~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 I 1--1 7 -XS" GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASO.N AY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEILllNG
SHEATHING D ROOF D SH.EAR
FRAME I
I
EXTERIOR LATH ' INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
J
D SEWER AND BUCO D Pl/CO
UNDERGROUND D WASTE □WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W(l.TER
' ELECTRICAL I
D ELECTRIC UNDERGROUND □: UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE 0 TEMP@RARY
D BONDING D POOL I
J
l
MECHANICAL J
D DUCT & PLEM., D REF. PIP~NG
HEAT -AIR COND. SYSTEMS I
VENT11..A I ING SYSTEMS I
I
.. "-',.J,1,. CALL FOR FINAL INSPECTVON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY .
PILES CAISSONS
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