HomeMy WebLinkAbout2625 SUTTER ST; ; 87-567; Permit.,, z 0 ~ II: C _,
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0 I hereby affirm that I am licensed under
p,OYlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfMalons Coda, and my license Is in
lull fo,ce and effect.
I hereby athrm lhal I ~ exemc,I lrom ll'le Conuac
tor s Looe""' Law lor the lollowmg reason !Sec 7031 5
Bus,ness and PtolesStOOs Code Any city or county wnic.t. re quires a pe-rmu to construct. aner improve_ demolish. or ,eo,a,, any Slfucture ptlOC' 10 ,is issuance aiso requ,res ~heap
p~,'11 tor sucn pem"llt to h1e a s,oneo statemen1 tl'lal he 1s
licensed pursuant lo the PfOVtSK>nS ot lhe l#llriClor s Lanse LN (Chapter 9 cornmenc.ng 'W11h Sec1'0n 7000 oi OMswn 3 of tl'te Bvsmess and Protes.s,ons COdeJ or 1~1 ,s e.x
empt lhefeltom a~ the t,as,s kw lhe a1,egea ewe,npNm Any
v1ola1,on ol SectJOn 7031.~ by an apphcanl IOf a perm11 sub iects the apphcant to a crvrt pemlty of not more tnan t ve hun dre<I Collars (SSOO) ---
I_ as owne< of lhe property. Of my emplo-,ees with wages
45 thetr sole comper1sahon .. W1l! do the work and lhe siruc
lure •S not 1rilendec or of!ered '°' saie (Sec 7044 Busmess and ProteSSl()l'lS Cade The Contractor s llCtt\Se Law dots
no1 apply to an or.i.ne, ol property w.no bu1-ds or 1mpioves thereon and who does such work hImse11 or 1hm.1gn n1s own
employees prOYlded tl'lal such imorOYtme111s are no1 m~tftd td or olfere<:1 IOf sa!e · 11,. however. the bu11d1ng o, Impl'ov&-
IT'ltl'll ,s sdd wrth,n one )'Uf of tomptehon. tt,e o..ner·buddtr
w:R nave Ille burden ot proving tflal ne dtO not bu1k1 or 1m
P,M tor !he purpose o1 sare1
l I~ as D'tlrtner ot the prope,ty am e.clus,vety contractmg *•th llcenseo comractors to construct lhe pn>teet {Sec 704-4 Busmess and Protess.ons COde'. The Contrac!Of's License Uw does not appty lo a11 00wner ot property •no t>u•lds or .m-proves thereon and who contracts !or each protects wilh a
conuactorfs) .1.cense c>urSUinl to lhe Conlracior s la.nse L•wl
f J As a nomeowner 1 am 1mpt"ov10g my oome ano the torlow mg condihons e,ust , · 1
-1 The wor1< rs t,e,ng performed pr,or 10 sole
2 I have lived In my hOme to,:;twetve montns pr,or 10 completoOrl ol Ilks -k ~
I have n01 cfam,ed ttus exemphOn during !he lasl three years
to, :~:,e:;:gi undef Sec _____ _ B&PC
'---J I rie,eDy aithrm 1tiat I ha...-e a c.e111hcate ot consen1 to I
selt-insure or a certificate ot Workers Compensation In-I
su,ance °' a een1hed COPY tt\ereot 1Sec 3800. LabOr Code}
POLICY NO
COMPANY
~ Copy lS hied With the Clly .....-, ' I 1 ~ Cerhhed copy 1s htreby turrus!'ed
CERTIFICATE OF EXE..,P'TION FROM
WORKERS CO..,PENSATION INSURANCE
(ih,s sec11on need not be comP1e1ed 1f tne perm11
Is for one hundrea dollars 1S 100) or !•ss)
~ I certify that in the pe,tormance ot the work fOf wh,ch
lh1s permll ,s issued. I shall no! employ any person 1n any
manner so as to oecome sub1ect to the Worke,s Compen
satton Laws ot Ca11tornia
NOTICE TO APPLICANT II. afler making ttus Cert,ticale
of Exemption. you should become suD1ect to ltle Workers
Compensa11on oroviI1Ions of the Labof Cooe. you must
forthwith comply with such P,0\1IsIons or this permit Shall
De deemec, revoked
r, I he1eby athrm 1tiat 1here is a construc1ton lending
agency tor the performance of lhewortt 104" which 1n,s per
m1t 1$ ISSued t$ec 3097 Civil Code)
Lencter 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
,oe ADDRESS AV ST. RO THOMAS BROS NO. I 0 ~~i34i1°N I BUSINESS Ll~ENSE • VALUATION PERMIT NUMBER
,.J,.2s .S&r1c-fl $T 7/# /o;f~ rJ-.5"'7 Li, BLOCK lr-ilt.LSION ,J,ASSEssr,;:.EL NO CONTRACTOR CONTRACTORS PHONE • ZONE /JV HI .<; ~11-~71:JO 6wt1/~ OWNER'S NAME I OWNER"S PHONE
::TCJ/f-A.J D,/CIDA-J'h.S CONTRACTOR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE
0008 11103 011 1 02BldP11t OW"-E-=-·s MA,L1NG ADDRESS ::t1
~.J,5 S/~ / -✓~Jl~ 5-T OfStGNER OESIGNER"S PHONE
oEJ.~~ S:-,72'/L V D~c.,K A-i'>D IT/tJ/1/ OESIGNE-R S ADDRESS STATE LICENSE NO.
I
F p FLA ELEV NO OCC GP EDU STORIES
vO '-0 --I CENSUS TRACT I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST --YO ND ,o ... o vO NO Nor Valid Un~r Machme Ctrtrlt«J
QTY. PLUMBING PERMIT . ISSUE 750 QTY. MECHANIC A L PERMIT -ISSUE /{' oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU BUILDIN(, etHMIT UUI ~lU·UU·UU·oau I Cf
EACH BUI LO ING SEWER OVE A 100.000 BTU SIGN PERMIT 001-810-00-00-8221 .
EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00·8891 / ;;z.
EACH GAS SYSTEM 1104 OUTLETS BOILERtCOMPRESSOA 3 lS HP TOTAL PLUMBING 00i-810-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00·8223
EACH INST AL . AL 1 ER REPAIR WA 1 lH PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·81 0-00-00-8225
WATER SOFTNER RELOCATION OF EA fUANACE•HEATEA SOLAR 001-810·00·00-8226
EACH ROOF DRA1N 11\ISIOE I DAYER VENT STRONG MOT:ON 880-519-92-33 • ,,or,Q
TOTl;L MECHANICAL FIRE SPAIN~LEAS 001-810-00-00-8227
IO I Al Pl UMBINL I PUBLIC FACILITIES FEE 320-810-00-00·87 40
l r;ou BRIDGE FEE 360·810-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN-LIEU (AREA I
NEW CONST E.A AMP SWI !!KR CAA POAT TIF 312-810-00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311-810-00-00·8835
EXIST BLOG EA AMP SWT BKR GARAGE -~ FMF
1 PH 3 PH /4 .,'::t ....... -• -1 ., LICENSE TAX 001-810-00-00·8162
REMODEL AlltR PER CIRCUIT /4'\► \; . MFF 880-519-92-57
IEMP POLE JOO AMPS /,.<o .i. .,,, --'
OVER 700 AMPS f J!? ,,. ·rvp
TEMP OCCUPANCY 130 OAYSI !t: ~ ... _h4. ✓-~h.
Cf\ ~:-;.~;.: -, ;:;-, CREDIT DEPOSIT _.,,,,.., ~·.,.
' -· -TOTAL HHlRl(.AL I \~. -~~, fl TOTAL FEES PAYABLE l3/5~#.6a
I HAVE CAREFULLY EXAMINED tHE COMPLETED APPLICATION AND PERMIT ANO DO HEREBY ~ e .. ry perm,t ,,...-a~ 1"41 Bu,ldrng Ottrc,ar under the p,o.,s,on• otth,s * AN 06HA PE,_,:1 IS AE0UN0 FOIi EXCAVATIONS OYEA Cod e y · on eno become null and void If lhe bu1ld1ng or •orll CERTIFY UNDER PfNALTY OF PEAJURY THAT All, INFORMATION HEREON INCLUDING THf au '2!"~~ nol commenced w1lh1n 180 days from the date 1Jf such ~ 0 DEEP ANO DEMOLITION Ofll COHSTAUCTIOH Of
DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT I~ =~r:o 1
~t ':v =~.?;h:~~r:~!~o~~:i.::.:~~~ r~~~1~,s~:r,.n.~ o,_ STRUC'l'UfllS OYER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
SIRUCllON WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE • OWNEAn CONTRACTOR [J APPROV2)u; ~ ID1~/t;7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGA1NST SAID CITY IN CONSEQUENCE OF THE ~./1.J ~a d"./-BY PHONE rJ GRANTING OF THIS PERMIT -
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TYPE I DATE INSPECTOR '
BUILDING I
. g,..-~,
FOUNDATION I -/ --FIELD INSPECTION RECORD
REINFORCED STEEL ! ~ .. ,. . ' ~
I
MASONRY !
GUNITE OR GROUT ' !
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE . CHECKED APPROVAL -,.
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
FRAME I
... .----~ SOILS COMPLIANCE ,· l'} "-~· '' PRIOR TO , .
FOUNOA TION INSP '~~-·
EXTERIOR LATH I ~ Z.S<J ~i., I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING .
D SEWER AND BUCO CJ p;uco
UNDERGROUND D WASTE 0 1WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER . I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMP()RARY
\ \
' .
D BONDING D POOL I ' I
I
MECHANICAL l
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECtt~N WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I ----,..,..._ ,--_.... i":t""i ..r~.11+ n•~;
PLUMBING l ..
I . .
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ELECTRICAL I L I ' I
MECHANICAL I ,-k""
GAS ~ .....
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. -' .. .-,I . . -·. .
~ -· . ' ·. . .
BUILDING ! -\' "\, I •
SPECIAL CONDITIONS I ' ' I ~ I .
87-567
l. Guardrail to be 36" high min
2. Stiles to be not greater than 6'' on center
3. Asphalt is not an approved surface for decks.
CARTER DARNELL