HomeMy WebLinkAbout2905 SOMBROSA ST; ; 87-606; Permit"
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0 I hereby affirm that I am licensed under
Pf0¥l1lon1 of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Prolnalons Code, and my license Is in
lull fo,ca and affect.
I hefet,y att1tm INI t ilffl exempt from the Contrac·
tors lJceose Law lor the lotlowtng reason fStc 7031 5
Business and Protesst0ns Code Any city or county whl(.r, re·
Quires a perm,r to cons!ruc1. alter. rmprove demohstl °' re~,r any s1ructure prq to ,ts issuance also requires !tie ap-
pfanl lo, such pefffllt 10 Me a $1Qned S~lement IN1 he IS
11cense<1 pursuant to 1r,e pr0YIs,ons ot !he 1,;onuacI0I' s lttense Law (Chapter 9 commenc,ng with Sechon 7000 ol
OMs.on 3 of the Busme-ss and Protessaons COde) or that 1s ex empt lhtfelrom and the J>asrs to, the attegeo exemplion Any
v10lahon ol SectlOfl 7031. !) by an apphcanl lor a permtl sub
1ec1s the apphcanl 10 a crvil penalty~ not moJe than live hun·
dred dot1ars (S500)
I. as owner ol lhe ptoperty Of my ~oyees w1lh wages
as theH SCN: compenw110n W1II do the work and lhe suuc-
ture rs not ,ntenaed Of olfere<I tor sale (Sec 704◄ Bus,ness
ana ProtesSJOOs. COde The Conlraclor s license Law does not apply 10 an owner ot P,oPefly whO bu1k1s OC" improves
Jhereon and who does such work himself or 1nrough hrs own
emoloyees. provided 1~1 such improvemen1s a1e !'KM intend·
ed oc ottered lor Sile If however the bu11dmg or .rnprova-
menl 1s sotd w1th1n one year of completion_ lhe owner·budder will have lht burden ot proving lhal he did not bu1kJ or 1m•
prove !or the purpose of sate)
I, as owner of the property am exclusively contrac11ng
w1lh licensed conlrKtors 10 cons1ruc1 the protect (Sec 7044,
Busmess and Professions Cede The Contractor's Ltc:ense law doe-5 nol appty lo an owne, ol property who bu1k!s or un•
p,oves !hereon, and who contr4le1s for uch pro,ects wrlh a conlractor(s) l.cense pursuant to !he Coo1rac10C"·s Ltc:ense Law)
As a norneowner I am tmprovmg my home. and the lotlOw ,ng coffl:M1ons e,us1
1 The WOC"k 1s being perlormed prior 10 sale 2 I ha.,. l!Yed 1n my home lo, twelve months pnor to complet,on of lhts work
I have not cla11ned ttus exempt1011 ounng the tast three years
'J I am exempt u,_ Sec ______ . 8 & P C
IOf th,s ruson
2 I hereby athrm that I have a cert1llcate ol consent to
self-insure oc a cemhcate ot Worke1s Compensation In
surance or a certilred cooy thereot 1See 3800. Ybor COde~
POLICY NO
COMPANY = Copy ,s filed with the cit)'
-, Certilied copy 1s hereO)' furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This sectk>n need not oe compteted ,1 the penm1
1s for one hundred dollars ($100) Or less)
C I cet11ty that In the c,er1o,mance ot the WOfk tor v.hleh
this permit ,s issued. I shall not employ any person in any
manner so as to t>ecome sut>ject to the Wo,kers Compen
sattOn Laws of Caltlorn,a
NOTICE TO APPLICANT II alter malung ttus Certificate
of Exemption. you should beco;me su01ect to lhe Workers
Compensa1t0n Pf0¥1s1ons ot the Labor Code. you must
forthwith compty with suet, prcms1ons or this pemut ahlill
be dffmeo reYOk.O
0 I hereby atlum that there 1s a construc11on lending
agency tor the performance ol the wont hx which this per
mn Is issued (Sec 3097 C1¥il Code)
Lender s Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
J;;.;Jjs, J,~ASivs~~a l suBo,-v1s10N 1 ASSESSOR PARCEL NO
9Zdll t l°AJ~ilizNI BUSINESS LICENSE • VALUATION
LOT I BLOCK
OWNER'~ NAME
:7/A-7 ~A t11UAeA · l OWNER'S PHONE Oi:_TiRu~
CONTRACTOR'S AOORESS
OWNER'SI\IIAIL•NG A~ J.L. ?.t,J, ~Al& ~ ~~-
l°Escz oN OF W:2. 4 /0• '/ I Joi ,. tW71';11,./~t!!, ,, 2.,. OESIGNERcS-AOORESS
A, J:LL~c 4ue UII ti,///)
'~ Yl#fS•GNER
F p FLR ELEV. ----;:m--
STO RIES
CONTRACTORS PHONE •
STATE-UCENSE NO
OESIGNER'S PHONE
STATE LICENSE NO
OCC GP EDU
ZONE
PERMIT NUMBER g,,
loo lo
BUILDING SO. FOOTAGE
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-0
CENSUS TRACT PARl(ING SPACE RE S UNITS GRADING PERMIT ISSUED
vO NO
REOEVELOPMENT
AREA
TYPE
CONST
OCC LOAO FIRE SPA 0005 07/15 0101 02BldPet 25-00 ~
,□ ND vO NO vO NO Nor Valid Un~s Machin~ CutdiM
QTY. PLUMBING PERMIT . ISSUE 7 2!.. QTY. MECHANICAL PERMIT· ISSUE /S..¢1v SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WA TEA HEATER ANO OR VENT
l-EACH GAS SYSTEM I IO 4 OUT LETS
EACH GAS SYSHM ~ OR MOHE
EACH INST AL . ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN IINSIOEl
IO I Al Pt UMBINI., T
QTY. ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP swr l!KA
I PH J PH
EXISI BLDG EA AMP swr BKR
I PH 3 PH
REMODEL AlltA PER CIRCUIT
IEMP POLE /00 AMPS
OVE A 700 AMPS
TEMP OCCUPANCY 130 DAYS)
-=r. ~
TlS-
._£-9!!-QTY.
//).-,--
INSTALL FURN DUCTS UP TO l00,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 ~
BOILER/COMPRESSOR 3 15 H~}
MET AL FIREPLACE ,Q---,, 0-.. a~,,_,.
VENT FAN SINGLE ouc~' .&>J A.Vf $
MECH EXHAUST ~~UCTSc... <:; .._ (j'°_.li
RELOCATION OF "t.. IVRNA~E~ATEfL~.«5
DRYER VENT CL c':-c,Y Doi
TOT l<L MEITlANICA{) ~ q:,
0~
CAA POAT
AWNlNG
GARAGE
.lo. .. ~ .,,.~~ MOBILE HOM"~p .~ s
!l□IClllFl!l J!tllf:11T !Jlll-B1!!-l!l!-!!!l-Hnu
SIGN PERMIT 001 ·810·00·00-822 T
PLAN CHECK 001·810·00•00·8891
TOTAL PLUMBING 00 i ·810·00·00-8222 Tl5 -
ELECTRICAL 001 ·810·00-00-8223 'I ("'
MECHANICAL 001·810·00·00·8224
MOBILEHOME 001 ·810·00·00-8225
SOLAR 001·810·00·00·8226
STRONG MOTION 880·519·92·33
FIRE SPAINi<LERS 001·810·00·00·8227
PUBLIC FACILITIES FEE 320·810·00·00-8740
BRIDGE FEE 360-810·00·00·87 40
PARK·IN·LIEU (AREA ,
TIF 312·810·00·00·8835
LA COSTA TIF 311·810·00·00·8835
FMF
LICENSE TAX 001·810-00-00·8162
MFF 880·519·92·57
CREDIT DEPOSIT
TOIAI flELTRICAt 1 ~-TOTAi TOTAL FEES PAYABLYl7 '1,-...r-_...
J HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT' ANO 00 HEREBY hp,ration Every permit 111ue<1 l>ytt,e8u1td1ne Olhc111 uncle< theprov1s,onsol this
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•p,re l>Y hmitalion ■nd t>acome null and void II the 1>u,ld1ng o, wo,lo.
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT t~ aulnorized l>y such permit '1 not commenced ••th,n 180days rrom •~date"' such
ISSUED TO COMPLY WITH ALL CITV COUNIY ANO STATE LAWS GOVERNING BUILDING CON pe,mit. or 11 Iha l>uild,::11 or wo,_ ■uth0riza<1 by such perm,, 1s suspended or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO at>andOnad at I hma • tar I wor-is commenced tor I oOd ol 180 d
KEEP HARMLEss THE c1rv oF cARLsBAo AGA1NsT ALL uAB1ur1es JuoGMENTs cos Ts AND AzP1.1c NT s GNA owNER n coNTRAcroR c
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT '--, , #f.:-~~ ~ BY PHONE n
, I& AEOUIRED FOR EXCAVATIONS OYER
DEMOUTIOH OR CONSTRUCTION OF
S OYER ) STORIES IN HEIGHT
I I
APPRV)_ ~1t--?
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TYPE I DATE INSPECTOR I
BUILDING I
I
-. -,. , ' . cg7 .,~nt/) • --1 : ,
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY : I --
GUNITE OR GROUT I -
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR S DATE CHECKED APPROVAL --
SUB FRAME D FLOOR D CElh.lNG
SHEATHING D ROOF D SHEAR --"
FRAME I
----SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ---. -
EXTERIOR LATH -I
STRUCTURAL CONCRETE
OVER 2000 PSI -
INSULATION I -
I -
INTERIOR LATH & DRYWALL !
PRES TRESSED -CONCRETE
--POST TENSIONED
I CONCRETE --
PLUMBING I
I FIELD WELDING -
D SEWER AND BUCO CJ PU CO
UNDERGROUND D WASTE □,WATER
TOP OUT D WASTE D WATER
.. -I HIGH STRENGTH
BOLTS .. ---
I SPECIAL MASONRY -
TUB AND SHOWER PAN I ' _, -
GAS TEST I ')..~(-"\ ~. ""---. --· ➔ PILES CAISSO11,S
0 WATER HEATER D SOLAR w'{>-. TER
I ~ , ,.,.,..
ELECTRICAL I ~ -" -. .. '-' ' ---
D ELECTRIC UNDERGROUND [l UFFER
ROUGH ELECTRIC I ,-~, ,~) J.J,,..,. .. .... . --
I-.,
D ELECTRIC SERVICE D TEM P<DRARY --,,
'
D BONDING D POOL I
I
~ --•. ' . ~ -r
I
' .,..
MECHANICAL I
D DUCT & PLEM., D REF. PIP(NG
-· --· .... \14 1t;I~.r -l~ .. -~.f ~-c
HEAT -AIR COND. SYSTEMS I .. . -. ""'-........... '· .. -VENTILATING SYSTEMS ' ~. I -"\ -. ,,
I
I ~ ,,
CALL FOR FINAL INSPECTI/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA 'fE BEEN APPROVED.
FINAL I
--. ~ -' . ----. L, ·,. ' "" --. .. . -, -';
PLUMBING ! -.,... " .. -.--..
I '.
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ELECTRICAL I '-R,
MECHANICAL I 'i,I
GAS I •. -{ ·: ,' -j , -, •' I "-' .. -
. _,,. I j
'· ', ' "-:, \ ' ,·--~ " --. . ~ ~-' . <·
-. -.
BUILDING I . ~ ~---.
SPECIAL CONDITIONS I ' I
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