HomeMy WebLinkAbout2907 SOMBROSA ST; ; 86-366; Permita:
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O I heraly attlrm ttiat I am licensed under
prcwl■lona ol Chapter 9 {commencing with
s.ctlon 7000) ol Division 3 ol the Business
anct Prolnalona Cocte, and my license Is In
lull force and effect.
I hereby affirm thal I ""' exempt tram lhe Contrac-tor's llc4nse !Aw tor tne lollowing reason (Sec. 7031 .5 Bu~1ness and Pro1esst0ns Code· Any City or county whltr. 11-qu•u a perrml to construct, alter, improve, demolish, or r~b~,'fJ, s~~~1uc:,~t1°:o t1i:s ~s:a;: :::r=::;rf~}t'~~
rlC8nsed pursuant lo lhe p,oviSJOns of the Contractor's l.Jcense Law (Chapter 9 canmenelng wtth Sect,on 1000 of O,v,slOll.J ol lhe BuSlntSS and ProtesSIOOS Cade) or Iha I JS ... empt llleretrom and lhe basis for the allegeo .. ernpl!Ofl Any
i;~'\': ~~~t",;~3c1iJi ~~~~~~~! ~r,~; ~~~:
dred dollar> (SSOO)
1 I ilS owner ol Ille pope,1y. o, my employees with wages as lhl!f sole e0<npensa110f). do the wor1< and the struc-ture Is nol Intended or Q!lered for sale (Sec. 7044, Business
and Pro!esskms Code: The COntraclor's lice~se Law does not apply 10 an owner of property wl10 builds or ,mproves thereon and who aoos such -k 1m>se11 °' through his own
~-prOYH!ed lhal such inj>lovements ate not Intend• ed o, oll«td lor sale II. l10wever the bulkl1ng or ,mprove-mem 15 SOid w11hin one yea, of oomptet,on, the owner-builder wUI have the burden cl prOVJng that ne did nol build or ,m-
prove tor lhe purposo o1 sale).
□ I, as owner o11he property, am exclusively con1rac11ng
W\ h licensed cuiuactors 10 cons1ruct lhe 111oiec1 {Sec 70-14. Business and ProltsSIOOs Code·. The Comrac1or·s License Law dor,s not apply lo an owner ol propert, who btnlds or Im-proves lheri:on, ai1o wM conlracts 1or each pro1ects with a contractorfs) license pursuanl lo lhe Conlraclor's License Law).
□ As a homeowner I am 1111P<OY1ng my homo . .nd the follow ing condilJOOS exist
1 the work 1~ being performed poor to sale 2. I have lived In my home tor twelve months
3 r'::.,~ :"pc~~I ;;~ =~lion during lhe lasl I ee years
o I am exernp1 under sec ,B&PC. lor this reason
D I hereby altitm that I haYe a certltk■1e of consent to
sall•lnsure. 01 a certificate ol Wotk.ers Compensation In-
sur-ance. or a certified cooy thereof lSec. 3800. Labor Code)
POLICY NO.
COMPANY
□ COpy Is filed wl1h t~e city
□ ce,1ihed copy ts he,eDy lurnlshtd
CERTIFICATI; OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This S&C1ion need not be completed it tne permit
l,s: for one hundred dollars 1s UX)l or less)
0 I certlty lha1 In the performance ot the wl>fl< tor which
li'us oerm11 ,sis.sued, I th.all no1 employ any person In any
mannet so as lo become subject to the Workers· Compen-
setiOn Laws of Calltornla.
NOTICE TO APPLICANT: If, after mak ng this Certificate
ol Ek-tmOflOn. you should become .sublect to the Worker·s
Compensation provls ot1s of the Labor Code. you must
forthwith comply ..-Ith such provision, 01 th1s permh shali
be deemed rewolled.
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0 , ttereby affirm tnat there Is .a consl'ructio.n le~ I
&gency lor the performaoce of the work rorw~ h1a Ptlf· I
mil Is ltoued (Sec 30117. CIVIi Godel ,
lander's Neme ___________ _
LenDef''s Address __________ _
,
USE BALL POINT PEN ONLY & PRESS HAID APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859
JOB AOORESS AV, ST, RO. NEAREST CROSS ST. I OATE OF APPLICATION! BUSINESS LICENSE# VALUATION PERMIT NUMBER
~"'7 SOMRROS"tt ~ T-CARLc;SAD ?jllf) t.z;-O
LOT BLOC'k I su&D1v1s10N ASSESSOR PARCEL NO CONTRACTOR 1-1~~ CONTRACTORS PHONE • ZONE Bto:_¼~ ~S.,-I '-IS \'100 J=,-__y h'1 , .. L_~ ~ <J.-1 _ t;ut:/J OWNER'S NAME
J,( A-Sc , J),M I, ls-Jaw_~~ 7~f /{AH, R !+If~ ANN J: co~1q1;R·s At fl'IESS ,{) STATE LICENSE NO. BUILDING SO. FOOTAGE
t o.d-r.iF e AP. /J~io_
0W£rS1Af;: ~ ~ CA-CJiooY DESIGNER DESIGNER'S PHONE
DESCRrPTION~F WORK ;,a 1 63 a 7 }_ /I DESIGNER'S ADDRESS STATE LICENSE NO. • . " oa i'O t,, ,?A o01L 0o-=±-(1Jef 7 .o ----F/P F LR ELEV. NO OCC GP EDU STORIES "\ YO NO ---
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
' YO N 0-....... ,o NO vO NO Not Valid Un~i Machine C~rtifil!d
QTY. ~NG PERMIT -ISSUE 7~0 QTY. MECH~L PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE~ INSTALL FURN. DUCT~P TD 100,000 BTU BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWE11'-.... 0~ 100,000 BTU SIGN PERMIT 001-810-00·00·8221
EACH WATER HEATER ANDffi,fl VENT BOILER/COMPRESSOR UP TO Jll'II.... PLAN CHECK 001 -810-00-00-8806 -
EACH GAS SYSTEM I TO 4 OUT~ 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 INSTA~. ALTER , REPAIR WATER PIPE~ VENT FAN SINGLE DUCT "-MECHANICAL 001 -810-00-00-8224 --'\. EACH VACUUM BREAKER '-MECH EXHAUST HOOO IOUCTS MOBILEHOME 001 -810-00-00-8225
WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER " SOLAR 001·810-00-00-8226
EACH ROOF DRAIN ( INSIDE) """· DRYER VENT ----.... STRONG MOTION 880-519-92-33
...... ·"· TOTJ.L MECHANICAL FIRE SPRINKLERS 001"810-00·00·8227
' TOT AL PLUMBING I -PUBLIC FACILITIES FE£ 320·810-00-00-8740
~ICAL PERMIT -ISSUE 5 QTY. MOBILE HOM E SETUP
BRIDGE FEE
QTY. -PARK-IN-LIEU (AREA )
NEW CONST EA ~SWT IIKR CAR PORT TIF 001 ·810-00-00-8835 -
l PH "' 3 PH AWNING LICENSE TAX 001-810-00·00·8162
EXIST BLOG EA AMP!SWT,~ GARAGE MFF _)IJI0-519-92-57
l PH JP~ A . -l<J~.,, $4• /J __ , ., 7S-,JUL-.-
REMODEL ALHR PER CIRCUll "-, I
TEMP POLE 200 AMPS "--
OVER 200 AMPS ' TEMP OCCUPANCY 130 DAYSI ,. .
~ CREDIT DEPOSIT
TOTAL ELEllRICAL I TOTAL TOTAL FEES PAYABLE I ~5 00
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY E•p,ra11on Every perm,1 ,..ulld by the Bu,ldtng Ottoc,at ondet the pro.is,oos ot th,s * AN OSHA PERMIT IS~ FOR EXCAVATIONS OV£A
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ■hall ••Pt•• by 11m1lal1on 1nd become null and void II the bu11d1ng or work 5' O"' DEEP ANO DEMOUTION OR C()ttSTIIUCTION OF aulllor,zed by 1uc~ parm,111 not commenced w1lh1n 180 days from the dat• ot 1uch DECLARATIONS" ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ pe,m11, Ot If lhe bu1td1nx or work IUlhonad by such perm,t 1s suspended or STAUCl\JflES OYEA 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-abanOonecl at any hme • ., the WOfk ,, commenced for a oe11od of 180 "•~• STRUCTION WHET11ER SPECIFIED HEREI OR or I ALSO AGREE TO SAVE I DEM IFV ANO APPLlc..tNT S-SIGNATURE. • OWNER □ CONTRACTOR 0
APP;ff;fr:/'}
l DATE KE.EP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO J,(~,i ~4, EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /T BY PHONE 0 l~~/g;_ GRANTING OF THIS PERMIT -
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TYPE DATE INSPECTOR I ~~ .... ~'e~ BUILDING I
I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
' REO. IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEll,.ING SOILS COMPLIANCE
SHEATHING D ROOF D St4EAR PRIOR TO
FOUNDATION INSP 4 FRAME I . STRUCTURAL CONCRETE ' EXTERIOR LATH OVER 2000 PSI \ \ • I
y . -7 ·:· • \. ~ ' l'-,t ... ..,_ ~ .... --INSULATION I PRES TRESSED . ,, ....
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED ' CONCRETE I
PLUMBING I ' FIELD WELDING
□ SEWER AND BUCO □ AUCO HIGH ST-R ENGTH-
□:WATER BOLTS UNDERGROUND D WASTE
D WATER SPECIAL MASONRY TOP OUT D WASTE /)
TUB AND SHOWER PAN I ./ I I I/
GAS TEST I ~-/~•'{)T I/~ I PILES CAISSONS
D WATER HEATER D SOLAR WATER I I
I /\
ELECTRICAL I II
D ELECTRIC UNDERGROUND DUFFER _,, II
ROUGH ELECTRIC I r/lc:?~ ,~ I
D ELECTRIC SERVICE D TEMP◊RARY I ) -D BONDING D POOL I _'\::.' •~> -.
I
I I
L MECHANICAL I
I r
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
' I ---VENTILATING SYSTEMS I l
I -I L ,1 I' I .
CALL FOR FINAL INSPEC1'ION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING I
I -
ELECTRICAL I n
MECHANICAL I I I
GAS I _,; I J j
BUILDING I l½"lil1Y 1.17
SPECIAL CONDITIONS ~ l I
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