HomeMy WebLinkAbout2771 SOUTHAMPTON RD; ; CB881516; Permit.,, z 0 ;::
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0 I "-<et,y affirm that I am licensed under
P<OVl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of lhe Business
and ProfHalona Code, and my license Is In
full forca and e ffect.
I hereby allirm that I am exempl lrom !he COntrac·
tor"s Lanse Law !or the loltowmg reason (Sec 7031 5 &smess and ProlesslOfls COde Any ctly Of counly whttt. re-
quires a permit 10 cons1ruc1. aller. improve. demohstt or repa,r any struclure. prior 1011s issuance also_requires !heap·
phcant tor such perm,1 to tile a sr9ned s~tetnent !hat he 1s
licensed pursuant to Ille prov1SIC)nS of lhe c.;onuac1or s License Law {Chapter 9 commencing with Sechon 7000 of
()fv1s1on 3 ot the Business and Professions Cooe) Of that ,sex•
empt lherefrom and rhe basis !Of the al)egeo exemp11on Any
vt01a110n of Sect10n 7031.5 by an appltcant !or a perm1f sub·
,eels lhe appltcant to a cMt penally of not more than hve hun· dre<l dOllars ($500)
I I, as owner of lhe property, or my emp10yees with wages as their SOie compensation. wlll do the work and the struc-
lure 1s not intended or offered tor sate (Sec 7044. Bus,ness
and Protess1on~ COde The Contractor· s Ucense Law does not apply 10 an owner of property who builds or improves
thereon ano who does such wOfk h1msen or lhrough h,s ow-n empioyees. ptovlded that such improvements are not intend-
ed or 011ered for saie. II, however, the bu11d1ng or wnprove-men1 ,s sold w1lhm one year of compleuon, lhe owner-bu1kler wilt have the t>urden ol proving thal he dtd not l>Ufld Of im-
prove lo, lhe purpose ol sateJ
r, l I_ as owner ol lhe property, am exclusively conlracllng
w1lh licensed contraclors to conslruct the prOfeCI (Sec 7044.
Business and Profess10ns Code The Conlracto,·s License law does no! apply to an owner of property who builds Of im-proves !hereon, and who contracts !or each proiects with a
conlractor(s) hcanse pursuanl lo the Contrac!Of's L.x:ense law)
~ l As a homeowner I am 1mprovmg my home. and the follow-ing cond,hons ex,st
1 The work is being performed pnOf to sale
2 I have hved in my home tor twelve months pnor 10 completion 01 ll'MS WOfk
I have nol claimed !his exempt10n ounng lhe
last three years.
0 I am exempl under Sec ______ • B & P C
tor this reason ____________ _
0 I hereby a11um that I have a cert1t1cate ot consent lo
sett-insure. or a certificate ot Workers· Compensation In-
surance. or a certified copy 1hereot (Sec. 3800. Labof Code)
POLICY NO
COMPANY = Copy IS hied w11h the city
0 Certil+ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Trus section need not be completed ct the permit
Is tor one hundred dollars ($100) or less)
0 I certify that in the performance of u,e work tor wh,ch
ttus permII Is issued. I shall not employ any person In any
manner so as to become subject to the Workers" Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Cer11hca1e
of Exemption. you should become subject to the Workers'
Compensation provisions of the Labor Code. you must 1.
forthwith comply with such provisions or !his permit shall
be deemed revoked
I 0 I hereby alfirm lhal there is a construction lending f
agency tor the performance of the work IOf wh,ch this per-
mit Is issued (Sec. 3097. C1v1I Code)
Lender·s Name ____________ _
Lender's Address, ____ .....,::_ _____ _
USE BALL POINT PEN ONLY & PRE_!S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
' I 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 -
JOB ADDRESS AV. ST.RO THOMAS BROS NO. I OA :E OF APPLICA ~I DN·I BUSINESS LICENSE # VALUATION PERMIT NUMBER
/r-1 f" ,--//. ,---/C/ &re -. ' .~ , -~. ',/-,-:::f-,·r--1 p {.__: -.1 ~;,___·;:-. f-,t{illtlA/ /$/C. ·-( I -! ~-C.C....,..~,
LOT 11 BLOCI( I S\IBD•v•s10N .i A!jSESSOR PARCEL NO , ~ . CONTRACTOR CONTRACTORS PHONE • ZONE u, ~:r/~/ ~ ;o r,ri;<:..A, "' H·' t'-r 4' .. , r:: H~ -·,'1-,J..-1 ,., A,_..,.,.._ r~• ,., J 7' ~ ?S_ '-~--=~· .J-e..A...,
OWNER'S NAME OWNER'S PHONE
/.t::. I.-\ (J, c:) ,.,__, i 'lEc., ~ ✓ -__ , __ , _,, . .---CONTRACTOf''S ADDRESS STATE LICENSE NO. BUILDING sa. FOOTAGE
7 -· T -~..: .:-~ /v /.,,,J.. OW~E R'S MAILING A DDRESS ~ s .. '-1,.. C!.h,(_ t__s -'½ ~ 12.4 .• ,2 .. ,0 ~-DESIGNER DESIGNER'S PHONE -
c 'd" ./ ,? _,,,,_--... ,,,. . -;r ' ,,5,-._ ,) ·/ r
OESCAtP~ON Q.~_WORK -~ ~ ,,.<:" p A-4.-:? -,/r 72/'V&t ,...v,:,,:~ ~,,. (..?: ----. ~-.,,,-----
-,. -e,;; I.... -C .F. DESIGNER'S ADDRESS STATE Uc;ENSE NO
F/P Flf' ELEV. NO OCC GP EDU 31.."8 U/16/88 0001 01 STORIES 02
vO NO --~" BldPmt 157-~ I CENSUS TRACT I PARK ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPM ENT TVPE OCC LOAD FIRE SP~ AREA CONST
y O N 0 vO NO v□ kl ~ Not Valid Un~s Machine Certifi«t
QTY. PLUMBING PE RMIT -ISSUE 7. 5l) QTY. MECHANICAL PERMIT -ISSUE /f;°. Cf) {'~ ~MW~~o~~1)UM~~R
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU llUILmlflj ettiMll, o UOl~~u,;.~~ /d' a-u
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT ~ "'V -&.~-~"'8221
I EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ..,.\ -Ull,---uQ-00·8891 -z;__, u
I EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMB.I~ ~~..t\ M 1·810-00-00-8222 I ..J,, .
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRIC~= r-.1~ 001-810·00-00-8223 Jj ,-'
EACH INSTAL . ALT ER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECH~~., 001 ·810-00-00-8224
I EACH Vj\CUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00·00-8226
EACH ROOF DRAIN IINSIOE) DRYER VENT SlRONG MOTION 880-519-92·33 I
-", TOT /.L MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227
TOT AL PLUMBING I I J PUBLIC FACILITIES FEE 320-810·00·00·87 40
BRIDGE FEE 360-810·00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE 5'.n?'J QTY. MO B ILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl BK R CAR PORT TIF 312-810·00·00-8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00-8835
EXIST BLDG EA AMPISWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810-00-00-8162 " ·. --~--
/ REMODEL ALTtR PER CIRCUIT MFF 880-519·92·57 -
TEMP POLE 200 AMPS ,,. ' , .• -
OVER 200 AMPS ~
fEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT -• .d.. -0 '>
TOTA L ELECTRICAl I < I I , TOTAl TOT AL FEES PAYABLE ,17(rll
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT ANO DO HEREBY Exp,rahon E-y pe,mtt ,ssued Dy lheBu~dlng Ofhc,11 un-lhe prOVJStonl of thtS * AN OSHA PE,_.:T IS MOUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALlY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1t1t1on and become null and void Ir the building or work 5 O" DEEP r.NO OEMOUTION OR CONSTRUCTION OJ
DECLARATIONS ARE TRUE AND CORREGT ANO I FURTHER CERTIFY AND AGREE.IF A PERMIT I& authorrzed by such pe,m,t ,, not commenced w1th1ri 180 days from the date ot suct'I STAUCT\JMS OVER 3 STORIES IN HEIGHT pe,m,t, o, _ •• the buttc:h1 or work. authoozed by such pe,mtt ,s suapended o,
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv bme a r the work •• commenced tor t """od ot Ulil "•·•
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . (J COIHRACTOR 0
{/7.BV /) I DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND A~":J-IC/JIN"? SIC3_NAlyAE -Jf. .t_· -OWNEFI.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE_/, ,_ ,c /., ~ /? ~ . • A /'-BYPHONE fJ --v-r '() r~ ~ I /h~~ &< GRANTING OF THIS PERMIT _-.,"._!, / \.. / '-f -~ ~....,,,, ~
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TYPE i DATE INSPECTOR
BUILDING I
FOUNDATION I ~\ VJL •
Ck. 'isc;s J S-1 ~
FIELD INSPECTION RECORD
REINFORCED STEEL ) ~v <"-'l/
MASONRY I .
j
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
' INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D St-j EAR
FRAME I
I
EXTERIOR LA TH l
INSULATION I
I
..
SOILS COMPLIANCE -. PRIOR TO
~(c. ~ ,µ (6,.~-\:c:¢ FOUNDATION INSP
STRUCTURAL CONCRETE -. I'
\~ . .-2.~•~ -A OVER 2000 PSI
• • PRES TRESSED
INTERIOR LATH & DRYWALL ! C I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING ,
I FIELD WELDING
D SEWER AND BUCO D PUCO HIGH STRENGTH
UNDERGROUND D WASTE □•WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I • GAS TEST I l].C, rt J:, . PILES CAISSONS D WATER HEATER D SOLAR W-P,. TEA ')..,;
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·"IE: , (-. . ,, --';_'.',.
ELECTRICAL I
D ELECTRIC UNDERGROUND □; UFFER fl..-'t·r, ~
ROUGH ELECTRIC L I
I
(;&' ELECTRIC SERVJCE D TEMPORARY ~
(J BONDING 0 POOL I \\/\./41 ~
I . .
MECHANICAL I
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6; f .. ~t:_:-~.--~~~~,:-;~~-.
' "T ~""· .. (':'· r ·i "'" ·I.J1,,Do. ~,_ .. . ..,_ .,f _j";l r--' ' ...,.. ~·~ i
fl'lr . 1., -
D DUCT & PLEM., D REF. PIPING -~(.) ,£JG T2!.·C.
HEAT -AIR COND. SYSTEMS I __c,.;.. --ft--·-......
"l.~ ;}(j 4, "\~ ~ w<J -vv• -• --
VENTILATING SYSTEMS i
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
.
FINAL I
' -PLUMBING I JI.
ELECTRICAL I ~-\ h
MECHANICAL "-~~ .... I I
GAS I ,~ ..... ~~ I
BUILDING I ,, ~-
SPECIAL CONDITIONS . .
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