HomeMy WebLinkAbout2814 SOMBROSA ST; ; 87-296; Permit<I) z 0 ~ ac ,c ~ u LIi 0
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O I hereby affirm that I am licensed under
prOYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaaiona Code, and my license is in
full force and effect.
I hereby afttfm that I am exempl from the Contrac· 1or' s Ucense Law !Of the following reason (Sec 7031 5 Business and Professions Code Any city or county Jhttli re·
quires a perm,1 to construct, alter. improve. demohsh, or
repair any structure, prior 10 its tSsuance also requires !heap-plicant tor such permit to hie a StQned statement that he 1s hcensed pursuant 10 the prov1st0ns ot the contractor"s
License Law (Chapter 9 commencing with Section 7000 ol
01v1s1on 3 ol the Business and Professions Code)°' lhat 1s ex.-empt therefrom and the basts 101' the allegeo exemptt0n Any vt01a11on of Section 7031.5 by an apphcant lor a permll sub-
Jetls Ihe apphcant 10 a civil penalty of not more lhan !Ne hun·
dre,j dotJars ($500)
I I 1, as owner of the property, or my employees with wages
as their sole compensatt0n, will do the work. and the struc·
ture 1s not intended or o1fered for sale {Sec. 7044, Business and Professions Code. The Contractor's Ltcense Law does
nol apply 10 an owner of property who builds or Impumis
thereon and who does such work himself or lhrough his own employees. provkted that such 1mp,ovements are not intend•
ed or offered lor sale. 11, however. the bu1ld1ng Of 1mprove-men1 ,s SOfd within one year of complehon, lhe owner-builder
will have lhe burden o1 provmg lhal he did not build or 1m·
prove l0< !he purpose ot sale)
n 1. as owner of lhe property, am excius1vety contraclmg w11h licensed conlraclors lo conslruct the proIect (Sec. 7~4.
Business and Profess10ns COde. The Contractor·s License law does not apply to an owner ot property who builds Of un• proves thereon, and who contracts tor each projects with a
contractOf(s) license pursuant to lhe Contractor's Ucense Law)
D As a homeowner I am Improvmg my home, and the lollow
ing conditions exist· t. The wOfk ,s being performed pnor 10 sale.
2. I have hved m my home for twelve months pnor to completion o1 tt'lls work
3 I have not claimed this exemptK>n during the last three years
0 lamexemptunderSec ______ .B&P.C. for this reason ____________ _
D I hereby affirm that I have a certificate ol consent to
self-insure. or a certificate of Workers· Compensation In-
surance. or a cert1hed copy lhereol {Sec. 3800. LabOr Code)
POLICY NO.
COMPANY
0 Copy is filed with the city
0 Certifled copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This .section need not be completed ii the permit
1s for one nundred dollars ($100) Of less)
D I certify that in lhe performance of the work for which
nus permlt is issued. I shall not employ any person In any
manner so as to become subject to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If, after making this Cert1f1cate
or Exemption. you should become subject to the Workers·
Compensation pro..,1s1ons of the Labor Code. you must
lorthwlth comply with such provisions or this permit shall
be deemed revoked.
0 I hereby afllrm that there is a construction lending
~gency for the performance ol the work to.-which this PM·
mil ls iSSUed (Sec. 3097. Civil 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., C arlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOM~ ~ni/,n;s,4 cr·RD. NEAREST CROSS ST.
1
DA~lsrRrATION
1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
,,,,l-S---B'.2--q/J/J!!:!-
LOT BLOCK I SUBDIVISION 1 AS5JJSS«;_RCi
1
L NO. '1 CONTRACTOR CONTRACTORS PHONE • ZONE• ~?-;-9t ~ -0 \,,-..-e, n lA.lV\e:r---0
w\RLtiA~ \\. \ ~ FuNK.E I 44t.f~~3'2r CONT RAC TOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE --
0 'ita\~1~~~ks;.q S\-VML~~ ~ux:>1 DESIGNER DESIGNER'S PHONE
C>WY\ec -DESCRIPTION OF WORK R,; I LI!/✓ IQ,4--t I ~.,. e)t'\A 1/e -DESIGNER'S ADDRESS STATE LICENSE NO. --~_1.-1-~er/tei•r"J i 'ni-o .:l._ /3 41t/ /UP"'1....S. F/P FLA ELEV. NO OCC GP EDU OOl7 06/08 0101 02BldPIJlt STORIES 40-'
vO NO --
I I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y O ND vO NO vO NO Nor Valid Unless Machine C~rtified
QTY. PLUMBING PERMIT· ISSUE 7 $ QTY. MECHANICAL PERMIT· ISSUE ,s ~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP a INSTALL FURN DUCTS iJP TD 100 000 BTU I~~). v BUILDING PERMIT 001·810·00·00·8220 /j, -
EACH BUILDING SEWER I OVER 100,000 BTU 11-' ' SIGN PERMIT 001-810·00·00-8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 001-810-00-00-8821 /n-
EACH GAS SYSTEM l TO 4 OUTLETS fJ ~v ./. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00-8222 -7 / EACH GAS SYSTEM 5 OR MO Rf METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 /.S--
EACH INSTA~. ALTER. REPAIR WATEJf P1,~._ VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224 p<.~-
EACH VACUUM BREAKER ,t/' MECH EXHAUST HOOOIOUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER /f / RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN ( INSID,ll DRYER VENT STRONG MOTION 880·519·92·33 £ S"'f)
I TDTM MECHANICAL FIRE SPRINi<LERS 001 ·810·00-00-8227
TO I AL PLUMtiNG I ..2¥-: PUBLIC FACILITIES FEE 320·810·00·00·87 40
5~ BRIDGE FEE 360·810·00·00·87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE H OME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl BKR CAR PORT TJF 134·810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 133-810·00·00·8835
EXIST BLDG EA AMP/SWT BKR GARAGE FMF
l PH 3 PH LICENSE TAX 001·810·00·00·8162
/ REMODEL AL HR PER CIRCUIT /0~ MFF 880·519·92·5 7
TEMP POLE 100 AMPS
OVER 100 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT '?.:S-/
TOTAL ELECTRICAL I -1<--TOTAL TOTAL FEES PAYABLE I Lfo~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Expiration Every permit issued by the Building Ofhc,al under lhe provIS1ons of this * AN OSHA PERM:T tS REQUIRED F~ EXCAVATIONS OVER
CERTIFY UNDER PEt~ALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm1tahon and become null and vo,d If the bu1ld,ng o, work S' o·· DEEP AND DEMOllTION ~ CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I!> authorized by such permit 1s not commenced w1thm 180 days from the date \)f suet! STRUCTVMS OVER 3 ST~IES IN HEIGHT
ISSUED. TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~~~~~"~ '!, 1:~y ~~~:l;~e~;h:~~r:~!hc°~~:ie:le~~~~ r~~d·~,s~~~~~ Of
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . f.f_ OWNE'} 7 0NTAACTOR 0 APPROVED BY ~
IOA1/f/,7
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~A7 l 7~E Jf.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • ~~✓A I /J BY PHONE rJ GRANTING OF THIS PERMIT J ',, ~ . .
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TYPE T
BUILDING I
FOUNDATION t
REINFORCED STEEL f
I
MASONRY I
GUNITE OR GROUT l
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING D ROOF D Stl!EAR
FRAME l
EXTERIOR LATH I
I
INSULATION l
INTERIOR LATH & DRYWALL 1
I
.J.
PLUMBING t
.
\
D SEWER AND BUCO □ ~UCO
UNDERGROUND D WASTE O WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN t
GAS TEST l_
D WATER HEATER D SOLAR WATER
I
.l.
ELECTRICAL
D ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC l
D ELECTRIC SERVICE D TEM~RARY
D BONDING D POOL l • ..1
MECHANICAL -1
D DUCT & PLEM., D REF. PIRING
HEAT -AIR COND. SYSTEMS .1
VENTILATING SYSTEMS I
...L .
DATE INSPECTOR
14(/2s-lhle --,------,
/\ ~li,lnlP -,---,
~
I I I
CALL FOR FINAL INSPECUON WHEN ALL APPROPBIATE
ITEMS ABOVE HA E B2EN./l.PPROVED/' '• ~ 1
FINAL 1
"' ' ,,~, '""'~,.'{''-• ' .•
_1_
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION·
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI --
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
....
__..:.....
.
.. ' t""\
I REO. IF I INSPECTOR'S
CHECKED APPROVAL
•y' '
' .. -• .. -....:ls. \\
.. /
. , I ,
I ' "•', J • .1.
\ ' l -
DATE
PLUMBING ·-.. ,
·, ' I ·,__: ~4.i1f
1 ·
L----ELECTRICAL i__J(
I 'I I I I .. ~ . r I
I t--r-1,,.-----------+-----+-------+------i
MECHANICAL I
GAS ! 1
.. I I -\. ~ ' -.....
"
I V -r.--,,-,.,'-1 -\{-
' BUILDING 1 V I
SPECIAL CONDITIONS I
l ,.
I ~~"('{ ·~-~.-, ,:-,.
5'7-;)fif, ·,
INSPECTOR'S NOTES
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oon zy.?\08 OTOl 0.lDJ~-, sc~c-:.
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
(619) 438-1161
MISCELLANEOUS FEE RECEIPT
Appllcant Please Print And FIii In Shaded Area Only
JOB
ADDRESS
ASSESSOR'S
PARCEL NO.
PLAN ID NO.
~55-102-07
OWNER
OWNER'S
MAILING
ADDRESS
0009 06/0S 0101 I\C'M• v..,,-,Jsc.
CITY ~\sb~ ZIP G\ 2001 TEL. VALIDATION AREA
CONTRACTOR
25-00
CONTRACTOR'S
MAILING _ PLAN CHECK FEE 001-810-00-00-8821
A_D_D_R_E_SS __________________ ___. IF THE APPLICANT TAKES NO ACTION
ESTMATED VALUATION -1-+-=0<J~~-----f $ce__
1
CITY
STATE
LICENSE NO.
-ZIP
BUSINESS
LICENSE NO.
TEL.
WITHIN 180 DAYS, PLAN CHECK FEES
WILL BE FORFEITED.
SUBDIVISION------LOT(S)---------+---------------------
LEGAL DESCRIPTION CHECK IF SUBMITTED:
D 2 ENERGY CALCS
D 2 1987 ENERGY CALCS
FOR NON RESIDENTIAL BLDGS
DESCRIPTION OF WORK D 2 STRUCTURAL CALCS
WroomS k> D 2 SOILS REPORTS
room D 2 SELF ADDRESSED ENVELOPES
DATE GIVEN/
SENT TO APPLICANT
LA COST A LETTER
ADDRESS SCHOOL FEE FORM
P & E CORRECTIONS LIST
CERTIFICATE OF OCCUPANCY
White · FIie Yellow -Applicant Pink -Finance Gold • Assessor