HomeMy WebLinkAbout2817 SOMBROSA ST; ; CB890726; Permit.,, z 0 ~ IE ◄ ...J u "' 0
IE ~ [ .i'i I lleret,y affirm Iha! I am llcensed under
o ~•IOn• of Chapter 9 (comtMnclng with = Section 7000. J of Otvlalon 3 of the 8ualneas
1-and ProlNelon1 Code, and my llcenae la in ~ lull force ,and affect.
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I hereby at111m lh•I I am e,emp1 lrom me C4nlrac·
IOI s lieeose law ID! IIM! IDIIDWlllg reason (Sec 7031 5
BuSJness anG Prolessions Cede Any cI1y or caunty wlbc;r. re-quires J permtl to construct. aner 1mprovt:. oemo11:sn. or
r,pai:r 1ny structure. ptO lo I1s JSsuanoe also rtQUIJM !heap,. plieaM lor such oerm~ lo file a s1pned s1a1emen1 lhal he IS hcenstd pur$uinl to the prov1s'°ns ot !he C.:onuactor s license Law (Chiples 9 commencmg WJlh SeclJoo 1000 o1 l)ws'°" 3 of tl1e Bus,ness and Prolessions Code)"' thal ,s ••· empl lherelrOll) •!HJ lhe i;>aOIS or lhe aTieoea t,<ffl01""1 Any
vl(llallon ol Secllon 7031,5 by an appl1tan1101 a permll sub· )eels tne iPPlttanl 10 a -ctv•l pe~l1y of nol more lhan hve hun-
dred Oolta,s ($.500)
I u ownet ot tne proptrty. or rrrt emptoyees w11h wages
as lheu sole comptnsalton. will do rhe wor;.; ana the strut· ture ts not mtende<I orotlered tor sale (Sit 7044. Bus,ness
and Prolessmm. Code The Contra,;tor·s loClf1'8 Law does
!IOI apply 10 an owner ot p<openy who builds or 1mproves tbefeon and who dots-such wOl'k nunsell or lhrough h1$ o-wn employ•••· provldto lilat such lmp<ov<mon1s a,e not intend·
ed or offered 101 .. ,. U. however. lhe buLIClIng 01 .mp,ove-"""t ,s SOid .,.,1J11n ono year o1 a,mplellon, tho owner-bu lllef
have lhe burden or proving lhal he old 001 build 0< Im-prove tor lhe purpose D1 salt)
I I I, •• owner ot lho p,o;,orty am excluSNely conlrachng Wllh hcensed contrac;lor, 10 CO<lstrucl U,e -I (Sec 704•, ,
Bustnes, and Protesmns COdo The Con1racfor's License Law does no1 apply to an owner ot p,operty who builds or Im-I proves theieon. and who contracts for each prOjet s with a {
conlfac;IOl(S) liW\se pursuanl lo tte Con~actor·s Lanse Uw)
•'11 As a !lorneowner I am ,mprov,ng my home, and lhe lolk>w
ing condllions OXISI
I rt,e WWI< ,s being pertormed pr,or to sate
2 I have IIYOd m my home lo, l\\'tlve mon1ns prior to complfhon of !his work I have-nol cia1med lhlS exernp1t0n aunng the l laisr thrN years
0 tam .. emplunGtrSec _______ e&PC
toe lhls ru son ------------
~I hereby alhl'm th-ilt I have a cert.fica1e ot consent lo
self.Insure. o a. c-ert1hcaIe or wo,ker.s COmpensat1on ,~
su,anu °' .a oer11fied copy thereof lSec 3800. Labof Code} 1
POLICY NO_
COMPANY
jl.__Cl'Jo.y 15 filed w1,h IM CtlY
0 Cer11fied copy 1s hereby lurnished
CE.RTIFICATE OF EXEMPTION FROM WORK,ERS' COMPENSATION INSURANCE
(Th1.s. section need not be completed 11 u,e penn1t
,s lor one hundred doll•rs. {$100) or t,e,ss)
~ I cet1Uy thal In 1he performance or Iha work for which
lhts pennll is is.sued. I srtall no1 employ any person In any
mant1er eo as 10 beeome subjecl to lhe Wonte1s· Comoen-
satt0n L•w.s of California_
NOTICE TO APPLICANT: It atler making lhis CerlHtcete
or ExemptIol"I. you shOuld become subfect to the Workers· 1 Compensation pr0'1'lsions of the ubor Code. you must
fOl1hwlth comply w11fl such P,O't'i$ions or tl\ls pe1m11 shall
be deemed ,e"'0ked
D I tiereby aJlum l~ tha,e Is a. constwctJon lending I
~ency to, 1r,e pertormil.nce of the week for whteh th•s pe1-I
m1t is I.Sued ◄-See 3097. C4v1l Code) i
Lender·s Name ___________ _
~ender's AddreA ___ .._ ______ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT 2075 Las Palmas Or., Carlsbad, CA 92009-1915 (619) 438-11 61 I
JOB ADDRESS AV ST.RO. THOMAS BROS NO. '(5fl1m~I BUSINESS LICENSl: • v;;u;;z; PERMIT NUMBER
7.#17 2-~~~ I
<""A>w1 ~~-(! ~ 1!0 ~r:v;-1~/ ~.!, BLOCK I suB01v1sI0,. I ASSES~E H.2, -1 CONTRACTO .. I COl>ITRACTORS PHONE • ZONE
?~ I AL.UL,·.~~ ~ I /an--S 2-T..◄~7 OWNf R'S NAME .
f:Ji=-32~~ tJAJ,LJ /)1 ~ JA ~Yl-CONTAACTOR'S AOORESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
,;'?l./,T JlttJl~dl,J ~ -L~.,U /92,,z..37 LIU~ OWNtR'S MAIL•NG ADORESS
-z.'/7 St:JWt IJJUJCA-~ OESIGNER DESIGNER'S PHONE . ~
OESCR1PT10N OF WO"P l:Jt>L_ .. s.M--DESIGNER 'S AOORESS :iTATI: LK-1:N:il: NO. 7019 OS/17/89 0001 01 02
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BldF' t 148-CO Q) t-
i F p F LR loLEV. NO OCCGP EDU
STOBIES
vO ... o ---I CENSUS TRACT l PARKING SPACE I RES UNITS I GRADING P~MIT ISSUED I RE DEVELOPMENT TYPE OCC LOAO FIRE SPP AREA CONST
v □ N D ·□ NO vO NO Not V;,/id Unlffs M;,chme Cerrifitd
QTY. PLUMBING PERMIT · ISSUE 7 -51.) QTY. MECHANICAL PERMIT· ISSUE /6,,a, SUMMARY/ACCOUNT NUMBER
EACH FIXTURE rRAP INSTALL FURN . DUCTS UP TO 100.000 BTU BUILDINv PERMIT uu 1 ·810-00·00-8220 h""7
EAC.H 81,Jlll}lNG SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810-00-00·8221 , , .
f EACH WATER HEATER AN010 R VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK DO 1-810·00·00·8891 7(,,
I EACH GASSYSrEM I 104 OUTLE TS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00·00·8222 )~
EACH GAS SYSl EM ~ OR MORE MET AL FIREPLACE ELECTRICAL 00I·810-00·00·8223 .1,.!!J
EACH INST AL . Al TEA, REPAIR WATER PIPE VEN T FAN SINGL E DUCT MECHANICAL 001 ·810-00-00·8224
/ EACH VACUU¥ BREAKER MECH EXHAUST HOQD IDUCTS MOBILE HOME 001-810·00·00·8225
WATE R SOfTNER RHOCA TIO N Of EA F URNACEIHEATER SOLAR 001-810-00·00·8226
EACH ROOF DRAIN IINSIOEl DRYER VENT STRONG MOTION 880-519·92·33 I
TOTJ.L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00-8227
r□I A L PLUMBING I f'J ~ PUBLIC FACILITIES FEE 320·810·00·00-8740
BRIDGE FEE 360-810·00·00·8740
QTY_ ELECTRICA L PERMIT -ISSUE l""i. d\ QTY. MOBILE H OME SETUP PARK·IN-UEU (AREA l
NEW CONST EA AMP 'SWJ l!KR CAR PORT TIF 312·810·00·00-8835
I PH 3 PH AWNING LA COSTA TIF 311 ·810·00·00·8835
EXIS I BLOG EA AMP/SWT BKR GARAGE FMF
I PH 3 PH . LICENSE TAX 001·810·00·00·8162
7 REMODEL ALT t:R PER CIRCUIT MFF 880-519·92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
TE MP OCCUPAN CY 130 DAYSI
CREDIT DEPOSIT ~ 1Co --7
TOT AL ELELTRICAl I tJ ~ TOTAL TOTAL FEES PAYA BLE I /ytfttO
I HAVE CAREPtJLLV EXAMINED THE COMPLETED APPLICA,TION ANO PER"4IT' ANO 00 HEREBY Exp.,atton E~ penmt '911419d by llle8uikltng OH1clal unclet' Ille Pf0¥ISIORI of, .... * AN 08ttA P£AMIT IS MOUND FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF P.£RJURV THAT II.LL INFORMATION HEREON INCLUDING THE Coda ■hall expire by hm1tllbon and become null and •Old II the bu1td1ng o, wort, !' O" DEEP ANO OEM0lfT10N 011 CONSTIIUC"nON Of
DECLARATIONS ARE TRUE AND CORRECT ANO t FURTHER CERTIFY ANO AGREE IF A PERMIT ti. aulllonnd by auc:11 pam,11 ,. not commenced w11111n 180 daya lrom tne data Ol SOC" STIU;NlllS OVEII J STORES IN HEIGHT pe,111,t 01 ,r Ille llulldi~ work aulllo,IUCI by -" par,,.,, 11 ~ or ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON attandonad at ■n• tllM 1 1111 work ,s commancecl fo, 1 -•IOCI of 1111 ,.._
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY A~S SIGHAT ~ OWNER CJ CONTRACT.o,f\l APPROVE ; fl~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL llA81LITIES JUDGMENTS COSTS AND U
E PENSES WHICH MAY IN ANY WAY ACCAUE AGAINST SAID CITY IN CONSEQUENCE OF THE 8YPHO"IE fJ M, I 5 -IL·i1 GRANTING OF THIS PERMIT -
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TYPE I DATE INSPECTOR
BUILDING ' ' ,
,.
#
C!.,68'l0 7::14 .
FOUNDATION I 'Ii\ .f;l'
REINFORCED STEEL I C.n\., 'f'-I
MASONRY I
GUNITE OR GROUT I
FIELD INSPECTION RECORD i,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl~ING SOILS COMPLIANCE
SHEATHING D ROOF D Sl-tEAR
FRAME I
PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRESTRESSED
CONCRETE
--POST TENSIONED
I CONCRETE .
PLUMBING I FIELD WELDING
D SEWER AND BUCO □ PL/CO
UNDERGROUND D WASTE □:WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONR Y ·
TUB AND SHOWER PAN I
GAS TEST I
f -I .;-YI ~ I PILES CAISSONS
D WATER HEATER D SOLAR Wjr,.TER ,-
I
ELECTRICAL I
' .,
D ELECTRIC UNDERGROUND □.UFFER I',. -1 y;Yf ltAf
ROUGH ELECTRIC . ... I
D ELECTRIC SERVICE D TEMPQRARY
-. ---------y. -
D BONDING D POOL I /_r, ,:I{, i,J --t
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPl~G
HEAT -AIR CONO. SYSTEMS I
---· . -
VENTILATING SYSTEMS I
I I •; /-.
' , I, ,;;,, ( ;\ I .',\~. C,
CALL FOR FINAL INSPECTlON WHEN ALL APPROPRIATE
ITEMS ABOVE HA \(f BEEN APPROVED. . > >
, ....
.
FINAL ' } . . ' PLUMBING "\.. l l --ELECTRICAL I .. ,..,. ~
-
-..', \ MECHANICAL I • )"\ V ~"' I
GAS ' .\1\J/ '°"'" 1 .._
BUILDING -' ~-I
SPECIAL CONDITIONS ' -
I
'
DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
RIGHT OF WAY PERMIT
THIS PERMIT MUST BE
POSTED ON THE JOB SITE
Applicant Please Print and Fill In Shaded Area
JOB
ADDRESS
NEAREST
CROSS STREET 'GA '-IV
ISSUED BY
EXPIRES
11 6 6
~~~J:i: • '7' 7 2 ~ 24 HOUR NOTICE REQUIR FOR
ASSESSOR'S PARCEL NO. INSPECTION AND PRIOR TO START OF WORK.
APN , 1 . ID ?-D / CALL 438-3101
CONTRACTOR YOU MUST CALL UNDERGROUND SERVICE
1---"""'--...._a:..-=-...;....a;;CJ....:......:.;;;.---"___;;;;....__.S _____ ---1 ALERT (1-800-422-4133) TWO
CONTRACTOR'S
MAILING .· <./ f' ;r11S".J,I,
ADDRESS
CITY
STATE
DESCRIPTION
OF WORK
START
DATE
ESTIMATED
COMPLETION DATE
24 HOUR .., ·b) ZIP /., / TEL.
BUSINESS
LICENSE
NUMBER -"c I./ 6 ° :)
WORKING DAYS PRIOR TO WORK.
UNDERGROUND SERVICE ALERT NO. _____ _
THIS PERMIT IS INVALID WITHOUT THIS NUMBER
IF ANY EXCAVATION OR BORING IS DONE.
VALIDATION AREA
INITIALS
-----~ TRAFFIC CONTROL PLAN APPROVED
AND ATTACHED
LIABILITY INSURANCE VERIFIED
0
PAID THE UNDERSIGNED ACKNOWLEDGES THAT ALL WORK
SHALL BE PERFORMED PER CITY CODES, STANDARD
SPECIFICATIONS, CITY APPROVED PLANS AND FEE: #, 2 I§ BILLED
ST ANDA RDS. 1-.'.....'.~-=====:::::::===========::.::.::=.=..--============-l
SIGNATUAE--'-/4} ___ • __ /_~-'-------
DATE -/ s-SP1
RESTORATION SECURITY
TRAFFIC CONTROL DEPOSIT
INSPECTOR'S
SIGNATURE
BLUE -FILE; YELLOW · INSPECTOR; GREEN · UTILITIES; PINK· FINANCE; WHITE· CONTRACTOR
.$ ___ _
I'
$ ___ _
DATE