HomeMy WebLinkAbout2770 SUNNY CREEK RD; ; CB890664; PermitIll z 0 ,=
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O I llefeby affirm that I am licensed under
prcwlalona ol Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Proleaalona Code, and my license Is In
lull force and effect.
I l!efeby at!•m that I am exempl 1,om the Contra<· tors License Law lor the lotlowmg , .. son (Sec 7031 ~
Business and Professions Code Any c,ty 0< county wl'uc.t. re quires a permit to construct. aller 1mp1ove. oemottsh. er
repa any structure prtOf 10 its ,ssuance also requues !heap-ptanl !Of sucn penr1tt 10 file a st,:ined statement t~I he tS
lleensed PW'~nt 10 the pr<Msions ol the tontr~or s Locense Law iCllapter 9 c:ommencmg w,th Sect,on 7000 ct
llMsron 3 ot Int Bus,ness and Protm,ons Coct<,J or that ,s ••· empl therelrom and !he baSJs !Of me allegeo exemptt01'1 Any
,.,..1Ion ol Section 7031 ~Dyan app!,cant lor a perm,, sut>-iects the apphant ta a cnnl penally of not more lhin 11.,e hun·
Creel Collars ($!>001
I as owner ol lhe p,openy. or "'t emotoyees w,th wages
as lhetr SOM compensatl0f1. WIii do the WOlk. and lht StfUC·
lure is 001 1niended or olfered lor sale (Sec 70U Busmess ind Prolession~ Coot The Contrat!Of · s ucense Law dOes
no1 appty IO an owner of propeny who t>u1tds or improves
thereon and wno ooes sud'I WOl'lt t'ttmse:11 or thtough ~t$ own
emplOyets PJOVK1ed 11\at such wnprnvements a,e not ,rtenG--
ed or otterecl tor salt II. howev!f, !he bu1ld1ng or Improvt· menI ,s SOid w1Il'11n one year of comPff!lton, the owner· builder
w,11 have the burden of prCJ111ing lhal he dfd no1 build or Im• prove lor the purpose of salel
1. as owner ol the p,openy am excluSMly contracting wrtn ltcenseo contractors 10 construct lhe pro,ect (Sec 7044,
Business and Protesst0ns Code The Conlractor s license Law does not apply 10 an owner of property whO bu1lds or ,m-proves thereon, aOd who contracts lor each prOJects w,tn a
contrKtor(s) license pursuanl to the Contractor's Lanse Law)
As a homeowner I am omp,ov,ng "'t homo. and 11,e lotlow ing condl1ions exist 1 The work 1s being per1ormec, prtO< 10 saie
2 I have lived ,n my hOme for twelve months
poor 10 completlOf'I of this work
I haw noc clatmed nus exemption ounng the Last thtet years
D I am exempt under Sec ______ . 8 & P C
for lhIs reason
0 I hereby alllrm !hat 1 have a cert1f1ca1e of consent to
self-insure. or a cert1hcate of Workers Compensation tn-
surAnce. Of a cen,l1ed copy thereof (Sec 3800 labor Codet
POLICY NO
COMPANY
Copy IS hied Wllh the City
0 Cernf1ed copy Is hereby furn1$hed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need not be completed ,t the p~m11
tS fOf one hundred 00IIa,s tS 100) Of lf'SSI
r, I certify that in the performance of the wo,k fOf wh1cn
ttus permit Is issued. I shall not employ any person in any
manner so as to become subjecl to the WOfkers Compen-
sation Laws of Cahlorn1a
NOTICE TO APPLICANT. If. after making Uus Cettthcate
of £Ji emption. you shouJd beeome subJect to the Workers'
Compensa11on p,ov,sIons of the Labof COde. yoo must
torthw1tfl comply with such p,OYIsIons or this permit Shall
be deemed revoked
0 I hereby 11tirm lhal there Is a construction lemhng
agency for the performance of the work lor wh1e:h this per
m11 ,s issued (Sec 3097. Civil Code)
Lender s Name
lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. --
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV.ST.RD ~OSNO. I;.:; ~;;h;IONI
BUSINESS LICENSE • VALUATION t'P:;;z;v ::2770 G----r-~ ... A
LOT I BLOCK I su
1
eo, v,s,oN / I ASSESSOR ..!i"~L NO CONTRACTOR CQNTRACTOl!S PHONE • ZONE
O<,Q lfgV<) ow:ez:;e rr L-~.J ~ I OWNER"S PHONE
'i'.3✓-~r?a CONTRACTOR"S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE
0"4'NE R"S "'A' L, NG ADDRESS -/
~?70 <,: ~~~dd/ /2..A~/ OES>GNER DESIGNER'S PHONE
/4/t:J~ DESCR•~;:.,_woRK % _/ ;( ~ _£_ J 6690 05/04/89 0001 01 02 -~ .... ~ .. ~1-~,,,,.,,,..1,c_/ DES1GNER·s ADDRESS STATE LICENSE NO BldP11t 10.0< ~c-J.-,~ ... / # ,_ .
N '-p . F p FLRELEV NO OCCGP EDU STORIES
v0 NO --I CENSUS TRACT I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ~LOAD FIRESPR AREA CONST "' -YO ND ,□ .... o "') v0 NO_. Nor V~lid Un~s M~chine Certd1td
QTY. PLUMBING PERMIT · ISSUE 15" QTY. MECHANICAL PERMIT · ISSUE /~~ P) ~ ~\~~ <t; ""1MARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU r ...... " ~BUil ~ _, •"" UUl-~lU·UU·UU·o«u
EA CH BUI LDING SEWER OVER 100.000 BTU .. ..-Y '-., -SIGN_ 1$.,BMJF 001-810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP 10 3 HP rY . . ' P~/Clj_ID< 001·810·00·00·8891
EACH GAS SYSTEM 1 10 4 OUTLETS BOILER/COMPRESSOR 3 15 HP ""' "' t<lTAL<Pl~MBING 001-810·00·00·8222 -
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE " v *.CTRICAL 001 ·810·00·00·8223 /{) -..
EACH INSTAL . ALTER. REPAIR \\'ATER PIPE VENT FAN SINGLE DUCT ,_,. ~llECHANICAL 001-810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS l••Y. MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER ~ SOLAR 001·81 0·00·00·8226
EACH ROOF DRAIN I NSIDE 1 DRYER VENT STRONG MOTION 880·519-92-33
TOT /;L MECHANICAL FIRE SPRINKLERS 001-810·00-00-8227
TOIA( PLUMBINL I PUBLIC FACILITIES FEE 320·810·00·00-87 40
.5 '° BRIDGE FEE 360-810·00·00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWl HKR CAR PORT TlF 312-810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF 31 1-810-00-00·8835
EXIST HLOG EA AMP SWI SKA GARAGE FMF
I PH 3 PH LICENSE TAX 001-810·00·00·8162
REMODEL Al Tt R PER CIRCUIT MFF 880·519·92-57
I EMPPOLE 100 AMPS
OVER 100 AMPS
TEMP OCCUPANCY 130 DAYSI
I l'J If-.--/ a u fi-CREDIT DEPOSIT
TO TAL ELELTRIC.Al I /d TOTAi TOT AL FEES PAY ABLE I 10---
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND 00 HEREBY Eas,er1t,on Every permit •Hued by the Bullatng ON,c,■1 unoe, tne prov,s1on1 of 1h11 * AN OSHA PEMl:T IS AEOUIMO FOfl UCAVATW:>NS 0¥£11 CERT,FY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall exp.re by 1tm1ta11on and t>ecome null and void If the building or work ~ o·· DEEP AHO DEMOLITION Ofll CONSTRUCTION 01'
DECLARATIONS ARE TRUE AND CORRECT AND I fURTHE~ CERTIFY AND AGREE IF A PERMIT I'> authorized by such permit •snot commenced w1ttun 180 days from th• date"'' such STIIUCT\IAfS 0¥Efl l STOMS IN HEIGHT
1SSUED TO COMPLY WITH ALL.CITY COUNlY AND STATE LAWS GO~ERNING BUILDING CO"' =~,:, l!t t~y t,:•:x.~~,.:o;~:~:h:~:.:i.:~~~ ~~~l~fsr:r:~ or -STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . CONTRACTOR 0 AP~~ ~Os/r/Q KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO 77 S ~ ~ OWNER n
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE f] GRANTING OF TH.IS fERMIT , _ ---., -
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... , ' "' J' l, "-' ..... , .,. ·, ........... ~ TYPE I DATE INSPECTOR ~ ,' . ', Cl!:, <a q O VJ &, <:/ ' \ ' \ I·. ' J BUILDING I
F FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY / I
I REO. IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEILIN"3 ~ ,1 ,.
SOILS COMPLIANCE SHEATHING D ROOF D SHEA~ PRIOR TO
FOUNDATION INSP FRAME I
STRUCTURAL CONCRETE EXTERIOR LA TH I OVER 2000 PSI
INSULATION I PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE I
PLUMBING I FIELD WELDING
D SEWER AND BUCO □ PUCO HIGH STRENGTH
BOLTS ~ . . UNDERGROUND D WASTE D WATER
TOP OUT D WAl1ER SPECIAL MASONRY D WASTE
TUB AND SHOWER PAN I
GAS TEST ' ' l PILES CAISSONS
D WATER HEATER D SOLAR WATER
I /1 -
ELECTRICAL _L_ /~/ -D ELECTRIC UNDERGROUND ~PFER ~/~
ROUGlj_ ELECTRIC I ,(;., .
9:f%ECTRIC SERVICE D TEMPORJ\RY
D BONDING I . \•..._ D POOL ,., ,} ,... l ~ ' , -
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING'
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . ~
I
I --i,..----. ' ~ l 4 ;___:,...t.r,., • CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~.;:.-. ·.,..,··~,-~: ~ .-_J ; c.:-ITEMS ABOVE HA VE SEEN APPROVED. ,-. ' ' C FINAL I
PLUMBING r ' ~c;-, ~. ' ",:-. ·' . _,,
ELECTRICAL ' /') //1 I -'"""' I ---MECHANICAL 1 -~ . f~/~ .
' //J-r/ I ,. ·, ' ' ' . GAS I -¥ . ' BUILDING I IA , I ~
SPECIAL CONDITIONS I V // , -/
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