HomeMy WebLinkAbout2705 SOUTHAMPTON RD; ; 87-835; Permit"' z 0 ;:: C a: C ... u "' 0
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O I hereby affirm that I am licensed under
pro..lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolaaalons Code, and my license is In
lull force and effect.
I hereby alhrm lhil I am exempt from the Conrrac·
t01's License Law tor the following reason (Sec 7031 5
Business anc:i Professions Coae Any c11y °' counly wh1c.n re--quires a pe1m11 10 construe!. aller. improve demolish. or repair any struclure, onor lo its issuance also requires !heap·
p11can1 tor such perffllt 10 hle a s,oned stalement that ne 1s hcens~ pursuan1 to the provisions ol lhe t.:onuactor s
License Law (Chapler 9 commencing w11h Section 7000 ot
Dlv1st0n 3 ot the Business and Professions COde) °' that 1s ex empt lherefrom and the basis tor the aUegeo exemption Any
v10lahon of Sect.on 7031,5 by an apphcanl for a perm11 sub--
1ects the apphcan1 10 a CIVIi penalty of not more than live hun-dred OOllars 155001
I. as owner of the property, or my employees with wages
as their sole compensation. w1H do the work_ and the slruc-tu,e ts not intended or offered tor sale (Sec 7044. Business
and Proless10ns COde The ContracIor·s License Law does
no1 apply to an owner ot p10perly who builds Of improves
!hereon and whO does such work himself or through his own emotoyees, provided thal such 1mprovemen1s are no1 in1end-
ed or offered tor sale If, however !he bu1ldmg or 1mpr~-
men1 1s S!Md wllhtn one year 01 complehon. !he-owner-builder
will have the burden of proving lhal he did nol build or im-prove tor the purpose ot sale)
1 I, as owner ot the property, am exclusively con1rac11ng
with lttensed conlraclors 10 conslrucl the protetl {Sec 7044,
Business and Ptofess10ns Code· The Conlfactor·s License Law does not apply lo an owner of property who builds or im-proves thereon, and who contracts tor each P,Ojects w1lh a
conlractor(s) ltcense pursuant 10 the Contractor's License law)
r 1 As a homeowner I am 1mprov1ng my home. and lhe folk>w tng conditions e~Is1 1 Tne work 1s being performed prior lo sale
2 I have hved in my home lor twelve months priot' lo comptehon of lh1s WO<k
I have not claimed Uus e11.emp1ion dunng the last three years
g 11h~:,::t under Sec ______ • B & PC. -------------
i:J thereby afttrm that I have a cert,hcate of consent to
self-insure. or a cert,hcate of Workers· Compensation In-
surance. or a cert.I feed copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
Copy ,s filed w+th the cily
D Cerltfied copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This sec11on need not be completed H ttae permit
,s lo, one hundred dollats ($100) or less)
0 I cert1ty th.al tn the performance of the work for which
th,s perm11 Is issued. I shall not employ any person in any
manner so as to become subje<:t to the Workers· Compen-
sation Laws ol California.
NOTICE TO APPLICANT: If, after making this Certificate
of E11.emp1ioo. you should become subject to the Workers·
Compensa11on pcov1s1ons of Iha labor Code. you must
lorthwilh comply with such provisions or this permit shall
De deemed revoked
0 I hereby allirm that there ls a construction lending
agency for the performance of lhe work for which I his 0er-
m,1 ,s issued ISec. 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.
JOB AOORESS
~ "fr!,s-
LOT BLOCK
OWNE R"S NAME
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
AV. ST.RO. DATE OF APPLICATION VALUATION PERMIT NUMBER
~u,wA~~ c,4.. oo ~n -l SUBDIVISION A!lnR CONTRACTOR A.Je.J-~ s
A , A.:,.,.__,,,. s . / _ CONT RAC R'S ADO RESS STATE LICENSE NO. BUILDING SO. FOOTAGE , N~~,., KVOtA~ 3u~
..::S. l:> Pt"-C-.,~ ...Pr. ?'?.r30 ,t......,_
t:::,,,JCO?-l GA
~o""'e..,.s-,G--N""'E--R-'S:--AO_O_R-c-ES:-S-----------t-,,sT=-A:-:T,:E-,L""IC"'E""N""SE,,,..,.N""O,..._ --ti ........-:---Z--Z---S---tfJ::--d.Jt:'--~-1/.----r--_-a,-✓-----.ti.--",e,. a>X-/t,63
DESIGNER La 1-1.&f:~ DESIGNER'S PHONE
0006 09/22 0101 02Bldf'rit 3.joJ
v g~ 4 I F1P FLR ELEv., I NO l occGP I EDU -/ STORIES
vO NO ---
GRADING PERMIT ISSUED TYPE
CONST DCC LOAD I FI RE SPA l CENSUS TRACT I PARl(ING SPACE I AES UNITS I YO N 0 I REDEVELOPMENT
AREA
vO NO vO NO Not Valid Un~s M~chine C~rtif,ed
QTY ( PLUMBING PERMIT . ISSUE
EACH FIXTURE TRAP
EACH BUI LUING SEWER
76"0 II QTY.I MECHANICAL PERMIT · ISSUE
INSTALL FURN DUCTS i.JP TO 100,000 BTU
OVER 100.000 BTU
/6d-LJ SUMMARY/ACCOUNT NUMBER
lffiT[[jJNG PERMIT 001-81 O·OO·UU-8220
SIGN PERMIT 001·810·00·00·8221
/5
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
PLAN CHECK 001-810·00·00·8891
TOTAL PLUMBING oo:-810-00-00-8222
71S
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 001-810-00 00-8223
EACH INS TAL . ALT ER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001·810·00-00-8224
EACH VACUUM 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 fl NS I OE I DRYER VENT STRONG MOTION 880-519·92·33
I TO 1 AL PLUMB I Nu
QTY.I ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP SWl BKR
TOT i;l MECHANICAL ~
~l[QTY., MOBILE HOME SETUP
CAR PORT
FIRE SPRINKLERS 001-810·00·00·8227
PUBLIC FACILITIES FEE 320-810·00·00·8740
BRIDGE FEE 360·810·00-00-8740
PARK·IN·LIEU (AREA )
TIF 312-810·00·00·8835
I PH 3 PH
EXIST BLDG EA AMP SWT BKR
AWNING --GARAGE
LA COSji'11 'I', 'L°' -,\ -D ·ff <lf\-8835
FMF ""~.C~.t.'-.t.JAJ
I PH 3 PH
REMODEL ALHR PER CIRCUIT
LICENSE TAX 201-sio-00·00-8162
TEMPPOLE 700AMPS
MFF Nov e ,eu~-519-92-57
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI
. 1;1iy Of UA•L&IIAD
DEVELOPMENT , CREDIT DEPOSITROlHSINC: S~RV~
l TOTAL ELELTRl(Al TOTAi TOTAL FEES PAYABLE ] ~.St)
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPUCATION ANO PERMIT AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I&
Exp,ra11on Every perm,t I Hued by 11\e Bu1ld1ng Offlc1al under the prov,s,ons of lh,s * AN OSHA PERMIT tS AEOUlflED FOR EXCAVATIONS OVER
Code shall exp,re by hm,tatton and become null and vo,d If the bull<lmg or work 5· o·· DEEP ANO OEMOI..ITIOH ()fl CONSTRUCTION Of aulhomed by such permit ,snot commenced w,th,n 180 days from the date.,, such STRUCTURES OVER 3 STORIES IN HEIGHT permit. or 11 the bu1td1ng or work aulhonzed by such permll 1s ,uspended or
ISSUED TO COMPLY WITH ALL ClTY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~•!!,b!!8!!n~do!!:n~ad!!?__!;•ll_:l!!n'.!l..l!!;•m!!!!e_!■!!ftt!!e!!_r_!!th~•!..!*~O~rk~1S~c~o~m!!!!!!m&:!2n£C&~d~fo~r..t.~r~•Od~£O!..J!ft80~!!dlWL--::::-t-~~~~~~-----------~~~-7'----, STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND~All I T'S SIGNATURE Jf-OWN CONTRACTOR Q -. 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 _, _, ./ _ • _/2 BY PHONE rJ
GRANTING OF THIS PERMIT v(.,f.-C.--LC,.J"? //f.
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TYPE DATE INSPECTOR
BUILDING . ~,..,~3~
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY
GUNITE OR GROUT INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL -. -
------
SUB FRAME □ FLOOR □ CEl t lNG SOILS COMPLIANCE -n, --~ ...... • 1·1-ao'fJ -.,.: i,•,.i·"\T•J~ "" i• ,~:.:I ~ ':, ~ ! ,E i-,t:P..i~!'vb ·,1 lil'•-f.u,,,-l~, -' c;,._7.
SHEATHING D ROOF D SHEAR
FRAME
PRIOR TO Clf) ~, CV}H":~fJ'i" Q FOUNDATION INSP C
EXTERIOR LATH STRUCTURAL CONCRETE --Vflr. , . ' ..... .., OVER 2000 PSI i} .. a .. ~\
INSULATION
INTERIOR LATH & DRYWALL
PRES TRESSED I
CONCRETE -I ~ I A vv •-.1·, POST TENSIONED -= \ -l :. \ i) 1 ~ ~J CONCRETE
PLUMBING 1 FIELD WELDING -' D SEWER AND BUCO [J P~/CO
UNDERGROUND D WASTE □!WATER
----.
TOP OUT D WASTE D WATER
HIGH STRENGTH
a ,, BOLTS -,-
SPECIAL MASONRY -· ..
TUB AND SHOWER PAN 1
' -
GAS TEST
D WATER HEATER D SOLAR WiATER
-
PILES CAISSONS •
.. .
ELECTRICAL --
' D ELECTRIC UNDERGROUND d UFFER .
,.
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEM P~RARY
D BONDING D POOL
-, . C
I .
MECHA_NJCAI..
D DUCT & PLEM., D REF. PIPING -HEAT -AIR COND. SYSTEMS j
~ -
VENTILATING SYSTEMS --·· . _, . -ire--..------,..__.-,_ c-.... ~--
CALL F_o_ R FINAL INSPEC~ON WHEN ALL APPROPRIATE
_ ITEMS ABOVE HA E BEEN APPROVED.
L ~.; 1\.,-t \t~ .......... ..,,. -----"' -
' FINAL
PLUMBING .I ' .. <.. -,
~t:. •
ELECTRICAL , ~ • ' . = 'I .
MECHANICAL • .
GAS .. ' ~ -.
BUILDING -
SPECIAL CONDITIONS