HomeMy WebLinkAbout1545 SUNRISE CIR; ; 82-66; PermitCl) z 0 .: C CIC ~ (.)
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~ereby a1 'ihat I am licensed under
provisions of Chapter 9 (~nclng with
Section 7000) of Dlvlslop,3 ·01 the Busln&1s
and Professions Code,· and my license Is In
full for~~~~ n / ~l:.l/q lJc No~ Closs -~~~~~~-~-/-
I hereby attinn thll I om exempt from the Con·
~~
0lB~!i:= ~ ~,:::~~i~ county which requires a pennit to construct
.tte<, improve, demolish, or repair any structure,
P,tOf to its issuance also requires the appliCilnt for such penmt to fife a signed statement that he 1s
licensed pursuanl to the prov,sions of the Con-lracto,'s ucense Law (Chapter 9 commencing with Section 7000 of Division 3 of the BuStness and Pro-fessions Coele) o, that ,s exempt lhefefrom and the
basis fo, the alleged exemption. Ar,y violation ol Section 7031.5 by an appliCM1t fo, a pennit sut>tects
tne appltcant to a c1v11 penalty of not m0f"e than tNe hundred dollars (S5001.
0 I, IS owner ot 1he property. 0< my employees •1th wages as thtnr sok! compensahon, will do the
wen. and the structure 1s not intended or offered for
sale (Sec. 7044. Bus,ness and Professions eooe·
The Contractor's License Law does not apply to an
ownttf of praperty who builds or improves thereon
and who does such work hims.ell or through his own
employees. provtded th.at such ,mpmvements are not intende1 or offered for sate If, however, the
bo1ldi~ or improvement ,s sold w1thm one year of
comptetton, the owner-builder will have the burden
of proving that he dtd not buik:J o, 1mprO't'e fo, the
purpose of sale~
□ I, as owner of the propeny, am exclusively
contractini with hcensecs contrac1ors to construct the proJect (Sec. 7044, Bus,oes·s and Professions
Code: The Contractor's License Law does not apply
to an owner of property who b1..nlds o, improYes
thereon, and who contracts tor each pr01ects with a
contract0f1S) hcense pursuant to the Contractor's
License Law).
0 lam exempt undef Sec. _____ , B. & P.C
torth,s reason ___________ _
-01"" hereby afhrm that I ha¥e a certificate of consent to sell-insure. or a certificate of Workers'
Compensatton Insurance. or a certified copy thereof
(Sec 3800. Laro,; ~el , ,, ~J~ /
POLICY NO _w( '4,/ 0
COMPANY w~A~•~
~•fled copy 1s hereby furnished
CEATIFICAT~ OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
CT'h1s section need not be completed ,t lhe permit
,s tor one hunt1red dollars (S100) or tess)
D I certify that ,n the per1ormance of the W'Ol'k. for
which this perm,t ,s issued, I shall not employ any
person ,n any manner so as to become sub,ect to
the Worilers' Compensation Laws of Cahforn.a
NOTICE TO APPLICANT 11. alter malun~ lh1s Cert, t,cate of Exemption. you should become sut)Ject l'J
the Workers' Compensation provisions of the LabOf Code. you must forthwith comply with such
prov1s10ns or this perrml shall be cteemed revoked
0 I hereby athrm that there 1s a conslructton
lending agency to, rhe performance ot the work lo,
which rh1s perm11 ,s issued {Sec .::n37. C1v1l Godel
Lender's Name ___________ _
Lenders AOOrf!SS __________ _
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I CARLSBAD BUILDING DEPARTMENT (;.. D APPLICATION & PERMIT '-" 1200 Elm, Carlsbad, Calllornla 92008 (714) 438-5525
JOB ADORES$ • ~ AV. ST.I O~F V LICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
/5¥S-£ .. --~:,. • ~-.. RO. 1/i '1 a. ~YI '1? ~)-/ t.e& OWNER'S NAME . OWIIIER'S ,,_E "RIME CONTRACTORL ~ 1.. ± CONTRACTORS PHONE • ZONE
J'//l.ll.O~ G12., l>ell. ;1~9·5"'5 <=~-.. I" -• .. ... '.L ...... A. g7-:l2~J
OWNER'S MAit.iNG ADDRESS CONTRACTORS ADDRESS f LICENSE NO. PLAN 1.0. # BLOG use CODE
S~A'll 'JVl,-f) -_·£JI. JJaJ.,, 39~,-1~
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER>• l>, P~/J 1'J STATE LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
-DESIGNER'S AOORESS DESIGNER'S PHONE
w~ Ji! A -&f.: {~ ~~ • ~ 2/IB/828967 'I O~Ot
NO ----------·,c--· ---F/P FLA ELEV. OCC GP EDU
STORIES 3 .4. i 2.,-<t'M vO NO --
CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING ~EAMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND vO NO vO NO Not Valid Unlffs Machine ~rtifi,d
QTY. PLUMBING PERMIT -ISSUE -S .<t lQTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221 -I EACH WATER HEATER ANO/OR VENT "-~ BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01-000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 -000-4222 lb.ti{)
EACH GAS SYSTEM 5 OR MORE ELECTRICAL 01 ·000-4223 T METAL FIREPLACE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOL.AR 01-000-4226
TOTJ;L MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING I N'J.//() FIRE SPRINKLERS 01-000-4227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933
BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Dleguilo 65-625-0519
REMODEL/ALTER PER CIRCUIT Pl.AN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL I TOTAL SOL.AR TOTAL FEES PAYABLE I I ()~clb
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Expiration. Every pem11t issued by the Building Official under the provisions ofth1s * AN OSHA P£AMIT IS RE0U1AED FOR EXCAVATIONS OYEA
fCERTIFY UNDER PENALTY OF PERJURY THAT AU. INFORMATION HEREON INCLUDING THE Code IINII expire by limiUlllon and become null and void II the building or worlc 5' o· DEEP AND DEMOLITION OR CONSTl'IUCTION OF IUIIIClrtnd by such permit 11 not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGRE£ IF A PERMIT IS =:,.:ii~ ':v i::,i:1~eror u.~:~!"~~~l.::~~ ::.r;:::,i'~,•~~ or
STIIJCTUAES OYER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
u~ZURE. ~L OWNER□ CONTRACTOAH APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ~I l'J_.·/6~ GRANTING OF THIS PERMIT. ·----· ~---
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INSPECTION TYPE DATE INSPECTOR
BUILDING I
1
FOUNDATION I
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME .
EXTERIOR LATH lNSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I .
SEWER AND BL/GQ , I
PLUMBING UNDE;RGROUND f. '.
I
I
PLUMBING TOP OUT I
I
TUB AND $HOWER PAN . I
GAS TEST I I
ELECTRICAL I ' TEMPORARY POWER i
ELECTRIC UNDERGROUND I r
ROUGH ELECTRIC I I I
ELECTRIC SERVICE I
BONDING ~ ' ' G. F. I. -SMOKE DETECTOR I
I
MECHANICAL I
I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS .
VENTILATING SYSTEMS ' ' \ ·, 1;, \)
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN-APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING ~
.
SPECIAL CONDITIONS'·~ CERT OF occupr ·--:v 1ssue=-=o ___ _;__-+----+-----
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FIELD INSPECTION RECORD
REQU IRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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