HomeMy WebLinkAbout2742 SOUTHAMPTON RD; ; CB881458; Permit....... ,......,_
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a:~ ~ affirm that I am licensed under u L provlalon1 of Chapter 9 (commencing with ~ Section 7000) of Division 3 of the Business
._ and Prof&Hlona Code, and my license is In ~ full force and effect.
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I hereby amrm thal I am exempl from the Contrac-
l<K' s Ucense L.iw tor the tonowing reason (Sec 7031 5 Business and Proless1ons COCle Any c•ty or county whlC.li re-
quires d perm,1 to coostrucl. alter, improve demohsh. or repalf any structure, pnor 10 its issuance also requires !heap·
phcant tor such perm,1 10 hle a signed slalemenl lhat he ,s l1tensed pursuant to !he provisions ot the conuac1or s License Law (Chapter 9 commencing with Secloo 7000 ol
Olv1s1on 3 of the Business and Proless,ons Code) or lhal 1s ex•
empt lhefelrom and the basis IOI' ll'le allegea exemption Any
v,ota1ion o1 Sec11on 7031.5 by an appt,cant for a perm11 sutJ-1ects the apphcanl to a c1v11 penally ot nor more than five hun·
dred dollars ($500)
I 1. as owner ot the property. or my employees with wages
as !heir SOie compensa11on, will do lhi! work. and !he suuc•
lure 1s not intended or ollered lor sale (Sec 704•, Business
and Protessrons. COde The Contractor's license law does
not apply lo an owner of property who bU1lds or improves
!hereon and whO does such work himself or through htS own
emplOyees, provided lhal such 1mprovemenls are not intend•
ed or ollered lor sale II, however lhe building or improve-
ment 1s sold within one year ot completion. the owner·bu11der will have 1he burden of proving lhal he did nol build or im-
prove tor the purpose ol sale)
f 1 I, as owner of lhe property. am exclusively conuactmg
with IJC.ensed conlractors lo conslruct lhe prOject {Sec 7044.
Business and Pr0Jess10ns Code The Conllactor·s license
Law does not apply to an owner ol properly whO builds or im-proves !hereon. and who contracts tor each pr01ec1s with a
contractor(s) license pursuant to the Conrractor's Ucense Law)
1 As a homeowner I am ,mpl'Ovmg my home, and the follow
rng cond1l1ons ex1s1 ·
1 The work 1s being per1ormed prior to sale 2 t have lived ,n my home tor twetve months
prior to completton of !his work
l have nol claimed th,s e.itemphoo du1mg lhe
1as1 three years
0 I am exempt under See ______ . B & P C
lor this reason -------------
0 I hereby alhrm that I have a cemhcate of consen1 to
sell-insure. or a cerhf1cate ct Workers Compensation In-
surance or a certcfied CO?Y ~r~,3800. Labor Codel
POLICY NO P'°?'-f£-'? '
COMPANY ~~(Y\t/
~PY IS hied Wtlh lhe city
D Cert1f1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
ffh1s section need not be completed 11 lhe perm11
1s !or one hundred dollars ($HK)) or less)
0 I certify that in the performance of the work for which
this permit is issued. I shall not employ any person m any
manner so as to become subject to the WOfkers· Compen-
sation Laws ot Cal1torn,a.
NOTICE TO APPLICANT: It, alter maklng this Certificate
of Exemption. you should become subjecl to the Workers·
Compensation pcov1s1ons of the Labor Code. you must
torthwllh comply with such provisions or ll'llS permit shall
be deemed revoked.
0 I hereby affirm that there is a consuuct1on lendmg
agency for the performance of the work for which this per-
mit Is issued (Sec. 3097. C,vu Code)
Lender's Name ____________ _
Lencse,·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
_., 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOOAESS AV ST.AO THOMAS BROS NO. I DATE OF APPLICATION ~ BUSINESS LICENSE Ii VALUATION PEAl\41T NUl\4BEA
L 1 <./2. 5()u'-f1\ i'(!JrJ ofrn--rUct.cl -'J,,U)o<-{ ~oS~ ~ if1r/5f' LOT I BLOCK I SUBDIVISION I ~is9~0 0100 CONTAACTOA ~ CONTRACTORS PHONE • ZONE
fJJh!ON ~/:NS zU,·77f;i? OWNER'S NAME t.Jev~v'-/--PtsdlK~, ~:~·s:;;;,E AAtnr\ I".
~14'1 Id)~
CONTAACTOA'S AOOAESS STATE LICENSE NO. BUILDING SO. FOOTAGE
~q 7 7 _ ~o~ L,/J/t/10 OWNER"S MAILING ADDRESS -
DESIGNER OESIGNEA'S PHONE 2822 11/01/88 0001 01 02 --Bldf'111t 90-0C OESCAIPTION OF WOAK 591 1/J (!}/1~ -
~/r..c. ~'9-'T"'10 OESIGNEA"S ADOAESS STATE LICENSE NO. --C Oc/~ -Ct-ry (1-'-f_C_I F/P FLA ELEV. NO OCC GP EDU
STORIES
v□ r.O --I CENSUS TRACT I PAAK ING SPACE AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CONST
y D ND ,□ NO vO NO Nor Valid Unlffs Machine Currf1M
QTY. PLUMBING PERMIT · ISSUE ?~ QTY. MECHANICAL PERMIT -ISSUE 1s~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . INSTALL FURN DUCTS uP TO 100,000 BTU ~UILLJINL> PERMII vul -~ 1U·VU-UU·~UU 'f"'-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 00 1·810-00-00·8221 .
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00-8891 ,,,~
EACH GAS SYSTEM 1 TO 4 OUT LETS 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 MECHANICAL 001 ·810·00·00-8224
EACH VACUUM BREAKER MECH EXHAUSl HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOF TNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00-8226
EACH ROOF DRAIN tlNSIOEl DRYER VENT ST RONG MOTION 880·519·92·33 I
TOTJ.L MECHANICAL FIRE SPRINKLERS 001 ·810·00-00·8227
TOlAL PLUMBING I ?UBLIC FACILITIES FEE 320·810·00·00·8740
s;~ BRIDGE FEE 360-810-00·00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl BK R CAR PORT TIF 312-810-00·00-8835
1 PH 3 PH AWNING LA COSTA TIF 311-810·00·00-8835
EXIST BLOG EA AMPtSWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162
REMODEL ALHR PER CIRCUIT MFF 880-519·92·57
TEMP POLE 200 AMPS
OVER 200 AMPS .
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOlAL ELECTRICAL I T01Al TOTAL FEES PAYABLE I 10 "°
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PEF\~IT AND 00 HEREBY Expiration Every permit issued by the Bu tiding Ott1c1al unde, the proY1s1ons of this * AN OSHA PERM:T IS REOUIAED FOA EXCA\IATIONS OIIER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt expire by llm1tahon and become null and void If the bwld,ng or work 5· o·· DEEP AND DEllilOllTION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such permit 1s not commenced within 180 days from the date of sucn STRUCT\JRtS OIIER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~r;:~n~ 1~t ':~v ~,;!:1:fte?;h:~~,:~!hi~~~~l~~~~ :~~~·~tr~'!.~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLIC~ SIGN:TUR£ OWNER [J CONTRACTOR 0 APPROVED BY D"TE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~~ 1
10IJ//tr' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT fr ~ £ BY PHONE fJ
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TYPE DATE INSPECTOR
BUILDING -(>~~14-516
FOUNDATION 11 • A • "' IJ .. lt.. FIELD INSPECT,ION RECORD
REINFORCED STEEL ,, •If' . ., .. ' .....
MASONRY
GUNITE OR GROUT
REQUIRED SPEC IAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR D CEILING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME FOUNDATION INSP
EXTERIOR LATH STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION
INTERIOR LATH & DRYWALL
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING FIELD WELDING
□ SEWER AND BUCO □ PUCO
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
-
TUB AND SHOWER PAN
GAS TEST PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
ELECTRICAL . .,
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC . . -
□ ELECTRIC SERVICE □ TEMPORARY .
□ BONDING □ POOL -·
MECHANICAL
D DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ·-
VENTILATING SYSTEMS
' .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
t'Jl.(t..L-y ~
-<:l'J« 'tT\ fl"n. 0'.I ~l'!T f'.T r1~
ITEMS ABOVE HAVE BEEN APPROVED .
FINAL j
PLUMBING "--
ELECTRICAL " ... \.
MECHANICAL ~ \.."" ...
. -. , • ~ 1 " tr . . -. -
GAS \"-. " , ........_
BUILDING \'\,J \_\'
SPECIAL CONDITIONS ~ "-.
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PLOT PLAN
BUILDING INSPECTION DEPARTMENT
CITY OF SAN DIEGO, CALIFORNIA
PERM\TEE'S NAME'.
MAILING ADDRESS:
PT f)V
INSTRUCTIONS. PLOT PLAN SHOULD SHOW:
1. STREET FRONT, ALLEY, AND LOT DIMENSIONS, WIDTH OF
EXISTING EASEMENTS, AND CURB-TO-PROPERTY LINE DISTANCE.
2. U SE. LOCATION, AND OUTSIDE DIMENSIONS OF ALL EXISTING
BUILDIN GS AND ACCESSORY BUILDINGS SUCH AS RETAINING
WALLS, S I GNS, ETC.
IMPORT ANT! PREPARE IN DUPLICATE
CONSTRUC TION ADDRESS
J
:':.XAMPLE OF PLOT PLAN
DRAW TO APPROXIMATE SCALE)
3. DISTANCE BETWEEN BUILDINGS AND DISTANCE TO ALL LOT LINES.
4 . LOCATION, OUTSIDE DIMENSIONS, AND USE OF PROPOSED
NEW CONSTRUCTION.
5. LEGAL DESCRIPTION OF PROPERTY.
,
910-266 (REV. 7-75)
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