HomeMy WebLinkAbout2639 SUTTER ST; ; CB891337; Permit"' z 0 .:: C a: C _,
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O I h«eby affirm that I am llcenaed under
p<0¥Ialona of Chapter 9 (commencing with
Section 7000) of Dl•lalon 3 of the Bualneas
and Prolaulona Code, and my license is In
lull force and affect.
I hereby affirm !NI I am exemp1 trcrn the Conttic
1or·s Lictnse Law '°' lhe 1oUow,ng reason (Sec 7031 ~
8us,ness and Protess,ons Cooe Any City or county wh,c.t. re quues a perm11 to conslruct aller. improve. oemohsh. or rep.aw-any structure. poo.-10 ifs issuance also requll'es !he ip-
phcan1 fOf such perm1t 10 file a signed s1a1ement tllat he 1s hetnsed pursuant lo the provas,ons ot lhe tonuactor s
Locens, Low (Chapter 9 convnenc,ng with 5ect,on 1000 o1
O....isot 3 oC the Business and Protess,ons CocJe) or that tS ex
empt therelrom and the t>asr• 10< the anegea exemption Any
Y!Olat""' o1 5ect,on 70315 oy an apptocant 10< ape, .. , sub
,eels the appt!Qlll to a cMI pe~lry 01 not more than f•~ hun
dred dollars (SSOO)
1 I as owner at the property, Of my ernpk)yees w11h wages
as 11\etr so6e: campensatiion_ w~ do the work and the strue lure 1s not mtended or offered tor sale (Sec 7044. Busmess
ano Prote.ssllOr'ls. Code fhe Contractoc·s Lacense la,.i, does no! appfy lo an owner ol property WhO builds or 1mpnms
!hereon and who does such worlt httnsett Of lttrough his own emc>~. provw::led lhal such improvemtnls are nol intend·
ed or ollered for sale If. however lhe bu1k11ng CK unprove ment 1s sold w,tri.n one year ot complehon the owner -bu1tder
wilt have the burden of proving l~I he did not build or im·
P,OYe 10< the purp0$0 o1 saleJ
1. as DWl'lef at the properly. am txciu$1Vdy contr~,ng
with lttensed contraciors 10 construct the pro,ecl (Sec 7044,
Bos,ness and Protess10ns Code Ille Contract0<'s Locense
Law does no1 appfy to an owner of property who builds or ,m
proves !hereon. and who tonlriets lor e.ach PfotKIS with a contracl«(s) license pursuanl to the COnlraclOJ s Lttense Law)
n As a homeowner I am ,mprov,ng my home. and the lollow 1ng conchtions extSI t The work ,s being performed prlOf to saie
2 I have trted 1n my home lor 1wetve mon1hs Pf"' 10 comptehon ot this WO<k
3 I have not c~lffled thts exempt,on during the list three years
0 I am exempt unaer sec ______ , B & PC to.-this reason ____________ _
0 I hereby allum that I have a certificate of con,ent to
selt-,nsure or a certificate ot Workers Compensation In
surance. Of a cert1hed oopy thereof (Sec 3800 Labor Code)
POLICY NO
COMPANY
:J Copy •• hied w1lh the city
D Cettil,ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
{Th11 sectK>n need not be come>teted ii the pet"fflll
Is for one hundred dollars ($100) Of IHS)
0 I certify that In the performance ol the work tor which
IhIs permit is ,ssued. I shall not employ any person in any
manner so as to become subJect to lhe Wcwkets Compen-
sation Laws of Cahlom,a
NOTICE TO APPLICANT. II, after making this Certificate
ot Exemp110n. you should become sut>tect to lhe Wotkers·
Compensation provIsIons of the LabOr Code. you must
lortl'lw1th comply with sueh prov,s.ons or this permit shall
be deemed revoked
D I hereby affirm that lhere 1s a constructt0n lending 1
agency tor lhe performance of the wonL for wtucn uus per
m,t is Issued (Sec 3097. C1Vil 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 APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOORESS AV ST. RO THOMAS BROS NO I OA;~:;:•woNI
BUSINESS LICENSE • VA LUATION PERMIT NUMBER
.v,.~q sul/e.,,, ~ C?l'}.d:~-h -_/ {? )I ~Pt:'F t ~Cf-/3~7 44 BLOCK ,j ~:·,a-~ I ASSESSO;t/~~//-;r-,,' CONTRACTOR CONTRACTORS PHONE • ZONE l
OWNER'S NA"'E I . I ,o;;_;;;o;E A/~IPC"
/h/,,1A A~ 041./s-/2,d~A,, CONT RACTOR0S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE
o;;;;/ NG ~:Ei b I --s / {/,Bd/.(_j,A/ ~J,:/. DES•GNER DESIGNER'S PHONE
OESCR1PT1QN OF WORK . .,/~ ::Yo~, ~~ #1. 4 ,0;, /.S-L .rlt D[SIGNER·s ADDRESS STATE LICENSE NO
I 9542 09/05/89 0001 01 02
F p FLR ELEV NO ace GP EDU C-PRMT 42-tl
STORIES
vO NO --I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FrRESPR
A REA CONST
y D N D vO ... o vO NO No1 Va/Id Un~s MJchin~ u r1tfi«f
QTY. PLUMBING PERMIT · ISSUE ~o QTY. MECHANICAL PERMIT -ISSUE LS 0
~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTA LL FURN DUCTS UP TO 100 000 BTU llUILUINt, ~~t1Mli UUl ·H lU·UU·UU·ouu .-(~
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 001 810·00·00·8221
EACH WATER HEATER ANO OR VE NT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00-00-8891 I (p
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222
EACH GAS SYSTEM ~ OR MORE METAL FIREPLACE ELECTRICAL 001·B10·00·00·8223
EACH INSTAL . ALTER, REPAIR WATER PIPE VENT FAN SINGL E DUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER ME CH E XHAUSl HOOD'DUCTS 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 I
TQT.t;L MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227
TOI AL PLUMB IN(, I PUBLIC FACILITIES FEE 320·810-00-00·8740
~oe, BRIDGE FEE 360·810-00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·UEU (AREA )
NEW CONST EA AMP SWI BKR CAR PORT TIF 312-810-00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311·810-00-00-8835
EXIST BLDG EA AMP SWT 8KR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00·00·8162
REMODEL Allt R PER CIRCUll MFF 880-519-92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
I EMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
IOlAL ElE<,lRICAl I T01Al TOTAL FEES PAYABLE I S';;(H) .
I HAVf CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PF,RMl1 ANO 00 HEREB'f Expirat,on Every perm,1 ,ssuectbyt!laBuildlngOff,c,at under lllapr-ollllol * AN 0&HA PEMIIT II MOUIIIED FOIi £XCAYATIOHS OYEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON 1NCLUDING THE Code shall exp,re by 11m1ta1ton and t>ecome null •nd voed It the butldang o, work S' o·· DEEP AND DElrlOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such perm,t 11 n ot commenced w1th,n 190 days from the date l)t IUC:h STRUC'I\JMS OY£R :, STORIES IN HEIGHT ISSUED· TO COMPLY WITH All CITY COUNl Y AND STATE LAWS GOVERNING BUILDING coi, :~'::~n~ 1
~t •:~w ~,:•J.~~:_::,,:~!"=~~ :-.:!,•~•~ Of
STRUCTION WHETHER SPECIFIED HEREIN OR NOT t ALSO AGREE TO SAIIE INDEMNIFY AND OWNE~ COI\ITAACTOR 0 APPROVED BY DATE KEEP HARMLE!>S THE CHY OF CARLSBAD IIGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APPLICANTS S~~ _ ~~ 1 )s }8~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ·-BY PHONE 0 GRANTl"'G OF THIS PERMIT · · -t.,... I
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT '
I
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING l
I
I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WAtER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UF,FER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPINQ
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. ··-·-· .. . . ... -
FINAL ' PLUMBING I ' ;
' °' ELECTRICAL I J\
MECHANICAL ' \J r I
GAS I r\· \ I\'\.., I
BUILDING ' t, ~ \ "v
SPECIAL -CONDITIONS • V\ ' I
I " . ' '~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR S
CHECKED APPROVAL
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
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INSPECTOR'S NOTES
DATE
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