HomeMy WebLinkAbout2638 SUTTER ST; ; CB880768; Permitr
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0 I hereby affirm that I am licensed under
p,o,,lalona ol Chapter 9 (comm<1nclng with
Section 7000> ol Division 3 ol the Business
and Prol .. alona Code, and my license 1a In
lull force and effect.
I hereby attlfm lhat I am e,,empl from the ConlfK· ror·s Ltcense Uw tor the lollow,ng reason {Sec 7031 ~
Bus.ness incl ProtesSJOns Code Any city or county whK.t. rt-quires a perm11 10 C<M1slruct. alter mprove oemohsh. or
repair any structure, poor lo ,ts issuance also requires !he ap• plant tor such oermn 10 hie a s.pned sta1emen1 that he 1s
~enseo pursuanl to lhe prCMs1011s of lhe t,;on1rac1or s L,cense Law (Chapter 9 cornmene,ng w1lh Sett,on 7000 ol
0tv,st0n 3 of lhe Busmess and Professions Code) o, tnat 1s ex empt thefetrom and the baStS fo, the attegeo exemphon Any
vt0Llt10n of Sect,on 7031.5 by an apphcanr '°' a perm11 sub /fCIS 1ne apphcanr 10 a CIVIi penally ot not more than lrve hun-
Ored Oollor$ ($500)
1. as owner of !he property. o, my employees with wages
as their sole compensation wilt cto !he work and 1ne strut·
lure 1$ not .ntenoed OJ ofteret1I0f' sale (Sec 70U Business
and ProlesSK>n!, Code The Contractor· s Ltcense Law does no1 apply to an owner ol property who builds or improves
lhtfeon and who dots such wtWk h1mseJ1 or through his own
employees, proviOed Iha! such tmprovements are not intend·
eo or otlereti lor sa,le 11, hOwever, the building or improve ment ,s sola wIth1f'I one ytaf oC complehon. !he owner•bu1k:Ser
•Ill have lhe buroen of provmg INt he <hd not build or ,m. prove for th< purpose of sale)
I 1. as owner oC the property, am exclusrvety contracting
with hcenseo contractors 10 cons1ruct lhe pr01ec1 (Sec 704•.
Bos,ness and Professions Code The Conrrac:tor s License
Law dOeS nol apply to an owner ot property who butkSs o, 1m
proves tnereon. and who contracts lor each pro,ecls w11t1 a conuactor(s) hcense pursuant to !he Contrac1or·s Lteense Law)
! ·1 As a homeowner I am ImprovIng my home. and the totlow ,ng cood111ons eiost
t The work Is being perlormtd prior 10 sale
2 I have hved in my IIOme tor twelve months prior lo complellOn of lhLS work
3 I have nol ciiuned lh1s exemption duong lhe last 1hree yea1s
□ I am e,cempt under Sec _____ _
tor 1h1s reason B&PC
C I hereby alt.rm that I have a cert1hca1e of consent 10
sell-insure or a cert1t1ca1e of Workers Compensation In•
surance or a certified copy thereof 1sec. 3800. LabOr Code)
POLICY NO
COMPANY
Copy is Med with the c11y
0 Cer11t1ed copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
fTh,s sechon need no1 be completed if the permit
is fo, one hundred dolla,s ($100, or less)
0 I cert,ty that in !he petlo,mance ol the work for whteh
this perm11 1s issued. I sh.all not employ any person In any
manner so .as to become sub1ect to the Workers Compen.
satIon Laws of Cahforma
NOTICE TO APPLICANT If after making lh1s C.rt1hcate
ot Exemptt<>n you should become subject to the Workers
Compensa11on provisions ol the Labof Code. you musl
toru,wlth comply w,th suci'I provIs,ons or 1nIs perm11 sh.I.II
be deemed revoked
C t hereby affirm that there is • cons1ruchon lending
agency tor the performance of the wof1t for which trus per
m1t iS issued (Sec 3097. CiYit COde)
Lendef s Name
Lendef s AOOress _____ ~-~----
USE BALL POINT PEN ONLY & PRESS HARD ------------·----· --·-· --··---·····--APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ····-······-------···-·--·
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Rrr WA ~ 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS \._\± ~V S~RD{J. ;Hr~B:::. ~ qJ.cOO~ IDATEZ~?7At
BUSINESS LICENSE # VALUATION PERMIT NUMBER d\u3 2 &ilitr I {!J._ /tHJ-{}
8E;o76f LOT BLOCK I sueo: v•S10N I ASSESSOR PARCEL NO 7)~ CONTRACTORS PHONE • ZON~
OWNER'S NAME
I\\ \e~43 <+°~~13N3 N\~-t\"o Q\ \-€X1 -1'" 12A"N CONTRACTOR"S ADO RESS STATE LICENSE NO. BUILDING SO. FOOT AGE
DW.,.ER'S MA•L•NG ADDRESS .
d',38 \.).u+-k.r S+ I ~, ,:"\hod C' IIL.
DESIGNER DESIGNER'S PHONE
OESC'f,~ wqRK.,,,,. rn f ~ . . -~MA.,.-, Ra.~~ /':) () _A_ __./ DESIGNER'S ADDRESS STATE LICENSE NO
' --I,. ;J -, u ....A .-.ty"v'} -1
I (/ FIP FLR ELEV. NO OCC GP EDU
STORIES
vO "'O --I CENSUS TRACT I PARK iNG SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
y D ND vO NO vO NO 0075No.1fllfld:J.lnf!fj A(,00,1 CtJ!J..f,td 0"
QTY. PLUMBING PERMIT · ISSUE 7s-o QTY. MECHANICAL PERMIT · ISSUE /S"!!r SUMMARY/ACCOUNT NUMBER cf "' '1.e,
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU llUILUINu CtMMlt uu 1 81 0·00·OO·oau ,,;}~
EACH BUILOING SEWER OVER 100 000 BTU SIGN PERMIT 001·810·00·00·8221
EACH WA TEA HEATER ANO OR VENl BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 //;..
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222 ,
EACH GAS SYSTEM 5 OR MORF METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223
EACH INSTAL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224
EACH VACUUM BR EAKER MECH EXHAUST HOQO·OUCTS MOBILEHOME 001 ·810-00·00·8225
WA TEA SOF TNER RELOCATION OF EA FU RNACEIHEA TER SOLAR 001·810·00-00·8226
EACH ROOF DRAIN I INSIDE I DRYER VENT SlRDNG MOTION 880·519·92·33 I
TQT/;L MECHANICAL FIRE SPRINi<LERS 001 ·810·00·00·8227
TOIAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·8740
5~ BRIDGE FEE 360·810·00·00·87 40 QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU {AREA >
NEW CONST EA AMP SWl IIKR CAR PORT TIF 312·810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF 311 ·810·00·00·8835
EXIST BLDG EA AMP SWT BKR GARAGE FMF ,-.T-'r.'I a ---
I PH 3 PH LICENSE ~ i..t i:J .l"!l.lft·'•"'l/1., ,.,
REMODEL ALTtR PER CIRCUIT MFF 880·519·92·57
TEMP POLE 200 AMPS IIIN 97 ,noo
DVE A 200 AMPS -
TEMP OCCUPANCY 130 DAYSI e1tv •• ............
CR -·--···----
TOTAL ELELlRltAl I TOlAl TOTAL FEES PAYABLE r --· · .,. ¥ 2-(fT.I
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exptrahon Every perm,t issued by the Bu1ld1ng Offlc11i under the provisions of this * AN OSHA PERlot:T IS MOUND FOA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON .NCLUD1NG THE Code shall expire by l1mt1at1on and become null and v01d It lhe building or work 5 0 DEEP AHO DEMOlJTIOH 0A CONSTRUCTIOH Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ au1nonzed by such permit 1s nol commenced within 180 days from lhe date -.,f such STAUCT\JAES OYER 3 STOAlf:S IN HEIGHT permit.. or 1f the bu1ld1~ or work 1u1hortZed by such permit Is suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING COI\I abandoned al any time a er the work 1s commenced tor a oeriod ot 180 11a11c STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND .~ CONTRACTOR 0 APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND APPLICANTS SIGNATURE Jf-OWNE ~~ 1DA~Elrk<f EXPENSES WH1C>< MAY IN ANY WAY ACC"IUE AGA1NST SAID CITY IN CONSEQUENCE OF TH~ a.MJ>.-, ~ BY PHONE [] GRANTING OF THIS PERMIT
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LA TH I
'
INSULATION .
INTERIOR LATH & DRYWALL
I . PLUMBING
□ SEWER AND BUCO □ PUCO
,UNDERGROUND □ WASTE D WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS .• ·. •\
VENTILATING SYSTEMS ' ....
'
CALL FOR FINAL INSPECTION WHE/11 ALL APPROF'.RIA TE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
I
.-
(!;f3 fsf:{; 7b<zf
FIELD INSPECTION RECORD "'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
INSPECTION REO IF INSPECTORS DATE t,\hi~O~r•t·-,i :.if.tO(f} -:1v, ?~!';,rt/ CHECKED APPROVAL
SOILS COMPLIANCE C!J" ''I r•~r flt!~T""'
PRIOR TO ,n~\ ··!8 FOUNDATION INSP I ••
STRUCTURAL CONCRETE
OVER 2000 PSI ·----,-t _, I -T,,._
PRESTRESSED C' ,I. CONCRETE -~ I DJ~ Li
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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APPROV£L .
By_ -~k:: .
. -JUN 15 1988 '
. .
City Of CARlSBAL
BUILDING """.'"· ··
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