HomeMy WebLinkAbout2506 SOMBROSA PL; ; 82-414; Permit"' z 0 ~ a:: j u "' 0
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O I hereby -~,Ml that I am llcenaad under
p,o,tlalona of Chapter 9 (commencing with
Section 7000) of Dtvlalon 3 of the Bu•l-
,nd Prof-Iona Code, and my llcenN la~ ~~I ::yJ}:t,!;S_ a.~,d.itse.1/.
1 ~ affirm that I am exempt from the Con-
tractor's Ucense La1 ~~~~~
703 t ~ 8usones1 and ► • permit to construct
county which raqu,r" · "' rwpa1r .,1 structu,e =· ,~n:r.-..s:=.::::· ,.ouires the -,ocant l<K such penn,t to me a s,gneo ~tatement tllal '-18
licenMd pursuant to ,._ pro,,~ 01 the eo.;;
trac:tOf''s Lteense Law (Chapt• 9 cou~ ~
Section 7000 of Dmsio<l 3 of the Bus,.,... "''°" · -
'""'"'" Code) o, that ,s exempt ,...,.,rom and Iii,, bas•• lo, the alleged ••emptoon. Ari'( vioUltlon ,-, Sectoon 7031.5 by an apphc.,, lo, a penn,t sut>,ects
tne -"k:lnt lo a civil penalty ol nol "'°"' lh-. hve hundred dol!Ms ($5001.
0 I, as owner Of lhe p,operty, Of my ~ .,,th wages as their SOie compensahon. w,n do the
WOIII, and the structure Is no1 intended Of olfe<9d to,
sale (Sec 7004, Business and ProlesslOlls Code The Con1rac10,'s License Law does not apply 10 .,
owne, of p,operty who builds"' Imp,oves thereon and who does such wO<I< himself Of through h,s own
employees, provo<led lhat such Improvemeat1 .,.
nol Intencle1 o, offered to, sale If,-. the bu1k;S1ng o, 1mprow,ment ,s sotd w1th1n one yu1 ot
co,npletoon, the --bu11de< will haw! the bumen
of p,o,,1ng I1\ot he dtd nol build o, ,mp,o,,e '"' the purpose ol salel
0 I, as ow-of the prc,perty, am ucl\JSIY9ly
contrachf\i with hcensed contr.:tors to construct
the p,o,ec:t (Sec 7004. Bus,ness and Pl'ofeu10ns
Code The Contractor's Lic~se Law does nol apply
to an ownet' of propefty who bu1kb or 1fflC)l'O¥ft
~:'~i~ ~~nc:1~!~ -::~:~~~=-= Lteense Law)
0 I am uempt under Sec _____ , B & PC
tor this reason
0 I hereby ofhrm I1\ot I how, a cen,foc,,te of consent
to self-insure, or a cert1hcate of Wonc:eJs
Compensation Insurance. or a certihed ccpy thereof !Sec 3800. Labo< Code)
POLICY NO (A!R'~ ~ Q~~-
COMPANY ~ WOl!I-L-
□ Copy IS hied with 11
0 C..n1f,ed CoPY IS ,l'}.~.
CERTIFICATl di EXEMPTION FROM
WORKERS' COMPINSATION INSURANCE
(This section need not be compteted 1f lhe permit
•• for one hundred dollan ($100) "' lessl
0 I cen1ty that In the performance ot the WOfll fo,
which this penrut 1s issued, I shall not emptoy any
e>erson In any manner so as to become sut>,ect to
the WOf'kers· CompenQttOn Uws ot C~hto,n-a
NOTICE TO APPLICANT "· afte< mal11n~ lh,s c:en,
he.ate ot EJ1emptt0n. you shootd beeome subteC,t I?
the Won,.e,s Compensatl<>n PfOVISOOt\S of , ... l,al)o,
Code. )'OU must f0f1hw1th corn~y w11h such prov1s1ons or lh1s permit stwl be deemed rl'YOked
0 I hereby affirm that there ,s a constructK>n
tend,no agency tor the perlonn.-.ce ot the WOA. '°'
wh,ch lhos pe<mol IS ~ 3097. CIYII Coclel
Lenoe, s Name .... _ • :a: _ •
Lenoe,·s AddrHS I • ...., , yyna,, , .. I ~
USE BALL POINT PEN 0.!.'J ,& PR~·s HARD ' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND .~CLAR~.TIONS. ~-CARLSBAD BUILDING DEPARTMENT O APPLICATJON & PERMIT ( ,--
1200 Elm, C&rlsbad, Callfomla 92008 (714) 438.5525
PERMIT NUMBER
ZONE
SlJt) )... ~
~;f
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN# BUlLDING SO. FOOTAdf
I • . I OUIGNEll'S ADDfllESI -.. I I
OEStGNER"S PHONE
F/P FLA ELEV.
YO NO
~ I occ GP I EDU
STORIES
CENSUS TRACT GP LANO USE PARKING SPACE I RES UNITS GRADING ~ERMIT ISSUED
YO N □
REDEVELOPMENT
AREA TYPE I occ LOAD I FIRE SPR
QTY.I
QTY.
CONST
vO NO vO NO Not Valid UnkfSs ~chin~ C#rtili«J
PLUMBING PERMIT -ISSUE 7 .50 QTY. MECHANICAL PERMIT · ISSUE
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER I I I OVER 100.000 BTU
EACH WATER HEATER ANO/OR VENT I BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE I I METAL FIREPLACE
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTJ,L MECHANICAL
TOT AL PLUMBING
ELECTRICAL PERMIT • ISSUE QTY. I SOLAR • ISSUE
NEW CONST EA AMP/SWT/BKR COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
REMOOEL/ALTER PER CIRCUIT PlAN CHECK FEE
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL TOTAL SOLAR
3 .00 SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad
Encinitas
San Oiegulto
San Marcos
fil-1 :ill!
01 ·000-4221
01 ·000-4806
01 ·000·4222
01 ·000·4223
01-000·4224
01-000·4225
01-000-4226
65-640-0519
(!_1-00Q-42.ZI_
25-000·4933
65·623-0519
65-624·0519
65-625-0519
65-626-0519
TOTAL FEES PAYABLE
-==~~::r=. tlACERTIFY ~A ~e
rATE LAW& GCWEN-MIILDINII CC.
....... .., ............... -...... Olllcial---pn,,iaio,laollllle GI-.=---Ill'......_111d~1111111111d VOid. ff Ille buildllla or-" I t1'1, ........ IIMl-1CNwllllln 1_,~.,_tlledllitolauctl
.... •II .. ==--•--....._. Ii,-"...,... 1W 11~ or -··••11----------~~----•-• .. •-. * AN OSHA l'EMHT • MQl#IED POii ElCAVAllOltl 0'181 s· 0-DEEP AND DIMOUTION Oii 00NSTMICTION OF
S11IICTUIIU OVEII 3 S'IONES IN HIIGHT
L90 ~TO~ INOEMNIFY AND
UA8IU1&, ~ cosra,.,. 8A1D CITYIIICOIIII~ a,a ~--"RN APPROVED BY ~ D~ /,.. /
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----------0 INSPECTION TYPE J-~ DATE INSPECTOR
BUILDING
FOUNDATION
REiNFORCED STEEL
MASONRY -. GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION I
INTERIOR LATH & DRYWALL I
PLUMBING --.
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT .
TUB AND $HOWER PAN I
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS • . • ~ ._ I
VENTILATING SYSTEMS ~ ---
CALL FOR FINAL INSPEC '1fJ'!_ ~VHEN ALL APPROPRIATE
ITEMS AB<)lff HAVEi BEEN APPROVED. . .
JOB SIT~ FINAL 1
PLUMBING --.X,.,i. -• ELECTRICAL
MECHANICAL
GAS
BUILDi'NG
S~C!ALCONDITIONS
~ERT OF occur O "lCY ISSUED ---'----'--'"-------+---'------'---'
tr
I
--,, ' .... 'is-~-1-/ ,tj, '
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S 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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