HomeMy WebLinkAbout2606 SOMBROSA ST; ; 84-11; Permit.,,
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O I he<eby afllrm that I am licensed under
l)(cwlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Prolaaalons Code, and my license Is In
lull force and effect. L,c No ______ Clm
I hereby afh,m 1na1 I am exempt from the Contra<:· 10.-s Locenso Law lo, lhe lollow,ng reason (Sec 7031 5
Bustness and Pfolessoos Code Any c11y or county wh1cn re• qu1fls a Pl'"''' lo construct. aiftf. wnpuwe demoh,tt or repair any slructure, prtor to its issuance also requires !heap•
pt,c.anl lor such perml to Me a SIQned statement Iha! he ss 1tcensec1 pursuant to the prov1s1ons of 1he Contractor·s LJcense uw (CNp:er 9 commencmg w,lh Sechon 7000 ol
O.v1sion 3 of lhe Business and Proless.ons Code) Of lhat 1s ex-emp11he<elro,n and lhe bas,s tor lhe allegeo nemplJOO Any
V!Olahon ol sec,.., 7031 .5 by an appl«anl to, a perm,1 sub·
iects the ,ppl«aot lo a CMI penatty ol no1 more than hve hun-
dred dollars ($500)
'J I, as owner ot lhe prOl)efly, o, my employees w<lh wages
as then soie compensatt0r1 . .,,,q do the work. and the Sin.JC· lure tS not nitended or o1fer913 tor sale {Sec. 704.t. Bustness
and Professions COde The Conlraclor's L<tense Law does
not apply 10 an owner ot property who builds cw improves
lheroon and who does such work hlmsell o, lhrough NS own
employees, pHMded that such improvements are not intend
ed or ottered lor sale If. however, the bu11d1ng or wnprove•
ment 1s sold w,thin one year of comptet1011, lhe owner·bu1lder
wtll have the burden of pr0\11ng thal he dtd not budd or im· pr ... IOf lhe purpose ol sale/
O I. as owner ol lhe properly, am exctus,vely contracting
with lansed conlraclors to construct the project (Sec. 7044, Business •nd Proless,ons COde The Contrac10<'s L,cense
Law does not apply 10 an owner of prOl)efly who builds"' im-proves !hereon. and who conUacls IOI each pra,eclS w,lh • contractor(s) license pursuanl to the Contractor's License Law)
0 As a -ner I am ifflprOY<ng my home. •nd lhe lollow-
mg conditions ex1Sl t. The WOik IS be<ng per!Ofmed prio< lo sale 2. I have lived In my home IOI IWOM! monlhs
prior lo co,nplehon ol lhlS WOik
3. I have not cla<med lhls exempl,on dunng lhe last three years
D I am OllemPI under Sec ------. B & p C tor th,s reason
D I he,eby arti,m that I ha,1e a cen,t,ute ot consent 10 self insure. or a cer11t1ca1e ot Wort,.ers
Cornpensa11on Insurance. Of a cer11t1eo CoOy the,eot (Sec 3800. I.al)()< Code)
z POLICY NO ..X, Y,./ 3; </ / S'
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I g COMPANY C/>-1/tl YO .--~ ~Shied w<I~ lf>e C<ly /-._. ,\)
f O cen,hed co0y ,s hereby furnished
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CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE (This se<:.hon neeo not be completed 1t the perm,1
,, t01 one nuoo,ec::1 oonars (S 100} o, Jess)
0 l cer11ty that in the per1ormance ot lhe w()OI. to,
wh1cn 1h15 permtt 1s ,ssued I shall nol employ any
person ,n ¥'~ manner so as 10 t>ec.ome sub1ec1 10 lhe Wo~e,s Compensation Laws of Callfom1a
NOTICE TO APPLICANT II, afUtt ma)un;1 trus Cer11
fteaite 01 E1tempt1on you shoukl t>ecome sub1ec1 1?
the Workers Compens.at,on Pf'0\11s1ons 01 !he l.abof
Code you must l0tthvri.1tn comply w,1n such
prov1s,ons o, u,1s permit shall be deemed re110ked
O I he,et>y afhrm 11'\al 1ne,e ,s • con,1ruc110n 1eod•f"Q agency •or the ~rto,mance ot the worto. tor
which ttus perm•! ,s •ssuea 1Sec ~11111 Code)
Lender s N¥ne µ '-"--..:::_
lenders AOd,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD ----·--·-·· . -·· -··-· -. ··---. .. -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~ CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT ~/
JOB AOORESS AV ST.RO NEAREST CROSS ST
l
01~5~s?'NI BUSINESS LICENSE # VALUATION PERMIT NUMBER
d-.l~olo ,,.5cN e,..eosA __51, '/$71: c/ 34 ✓ // lOT BLOCK I su~o1v1s1ON I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
~e3 i~ :i;.~J (J.i,.J ~ IAJc. Ql/ ..2.. -03R✓ OWNER'S NAME I
19</~ o_w;;s;,~NE VoH.,J Z>4i.J,~ :;;;;;;_74l:6€fus A2>, LICENSE NO PLAN 1.0. # BLOG USE COOE
//.]&071 OWNER'S MAILING ADDRESS
0/-1-r-te 9~ccr OE SIGNER LICENSE " STANOARO PLAN# BUILDING SO. FOOTAGE ~-
DESCRIPTION OF WORt. '\ :.,,e, ·uR-n -::,; c:-xr:~ 0 /-4:N ?,,✓-:-DESIGNER'S ADDRESS OE SIGNE R'S PHONE.
l)U/ .__ -F/P FLR ELEV NO ace GP EDU STORIES
vO "'O --1 !05(84 ,, f6t; 10 .• :) CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
y D ND vO NO vO NO Not Valid Unlffs Machine Certified
QTY. PLUMBING PERMIT· ISSUE ~LG QTY. MECHANICAL PERMIT· ISSUE 3 ..... o◄ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT 01·00-00-8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00-00-8221
I EACH WATER HEATER ANOIOR VENT ~ .~::., BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 /V • ~-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL -01 ·00·00·8223
EACH INSTAL. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOODIDUCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.oo-oo-An~
TOT J';L MECHANICAL STRONG MOTION 80·92·33-0519 --
TOTAL PLUMBING I /0 .01_: FIRE SPRINKLERS 01-00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE ,{;<Jo QTY. SOLA R • ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
32-00·00·8933
NEW CONST EA AMP,SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encinitas 80-92· 22·0519
1 PH 3 PH PUMP San Oieguilo 80-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE ioo AMPS
OVER ?00 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELEnRICAL I TOTAL SOLAR TOT AL FEES PAYABLE I /0.6-o
I HAVE CAREFULLY EXAMINED THE COMPLETED APPUCA TION AND PERMIT ANO DO HEREBY Expiration Eve,y permit rssued by the Butldang Otf1c1el under the prov,11ons ofth•s * AN OSHA PERM:T IS AEOUIREO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall exp,re by fim1t1tton and become null and void 1f the bu1fding o, work 5 o·• DEEP ANO OEMOUTION QA CONSTRUCTION 0~
DECLARATIONS ARE TRUE' AND CORRECT ANO I FURTHER CERTIFY ANO AGREE fl' A PERMIT IS authorized by such pe,m,t Is not comm~w,nun 180 C!ays fro"' lhe <!ate .:,1 such STRUCT\JRES OYER 3 STORIES IN HEIGHT
ISSUED. TO COMPl Y WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~:~~ •~J~v ~~:•l.i~~~~,:u• om::!e:f~~ ."9~';:~'~t'~~:~ or "" STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A -~I 0 VAPPROVED BY '-fJ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS Ar 1. S SIGNATURE Jf. ~TRACT~ ij-J--Jy EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH .Aa'7t V I~ BV PHONE □
GRANTING OF THIS PERMIT_ -I -
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' TYPE I DATE . INSPECTOR
BUILDING I R4-/ /
~ FOUNDATION ' FIELD INSPECTION RECORD I
REINFORCED STEEL I
l REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .. MASONRY I
REO IF INSPECTORS GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE I
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO . FOUNDATION INSP FRAME I
J STRUCTURAL CONCRETE EXTERIOR LATH OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL ' I POST TENSIONED
I CONCRETE
PLUMBING ' FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH l BOLTS UNDERGROUND 0 WASTE D WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
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D ELECTRIC SERVICE D TEMPORARY ' ' •--. l D BONDING D POOL I -. 7;
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPINP f, ·; fit
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I f-./ CALL FOR FINAL INSPECTION WHEN ALL APPROP~ c...e ~
ITEMS ABOVE HA Ve BEEN APPROVED. • V FINAL 1 -, ~} i...."' -,;
) 1"'7.0J v~ ~o., ,.,,,,, ... -' PLUMBING I ,_-.-,I I
ELECTRICAL I ~ .. '\ ' .. ,. ~ /~ -7 YlX MECHANICAL I / • GAS I /\ V
BUILDING I VY:.''
SPECIAL CONDITIONS I
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