HomeMy WebLinkAbout2609 SUTTER ST; ; CB880661; Permit"' z 0 .:: C IIC C ..., u ... 0
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liQ_ I "41reby affirm that I am licensed under
~1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profffalona Code, and my license Is in
lull force and effect.
I hereby afhrm that I am exempt trom !he Contrac•
ror·s License Law for the foUowing reason (Sec 7031 s Business ano Profess,ons COde Any city or counly whicr, re-
quires a perm,t to construct. alter. improve. demolish. or repatr any strucsure. poOf to tis issuance also requires :heap-
pltcant for such perm,1 to file a signed statement lhal he 1s
hcenseo pursuant 10 the provisions ot the ton1rac10f s License Law (Chapter 9 commencing with Sechon 7000 ol
01v1s1on 3 ot the Business and Professions COde) or lhal 1s ex-
empt lherelrom and lhe basis tor the aHegeo exemption A.ny
v101at1on ot Sect!On 7031.S by an apphcant !or a perm11 sub·
1ects the apphcanl 10 a c1v11 penally of nCN more than hve hun-dre<I dollars ($500)
I, as owner of !he property, or my employees w11h wages as lheir sole compensalK>fl will do the work. anc the struc-
lure 1s no! mlended 01' ottered tor sate (Sec 7044, Busmess
and ProlessiOns Code The Contractor's license law does not apply to an owner ol property who bu1ids or improves
thereon and who does such WOl"k himself or through his own
employees, provtded lhat such 1mprovemenls are no! mtend-
ed or offered tor sale If. however. ltle bu1ldtng or improve-
menr 1s sold w1thm one year of completton, !he ow·ner·builder will have lhe burden of provmg lhat he did not build or im-
prove tor the purpose of sale)
r J I. as owner of the property. am e11:clus,vely contractmg wun hcensed contractors 10 construct the proiect (Sec 7044.
Business and Professions Code The Contractor's license law does not apply to an owner of property who builds or im-
proves thereon. and who contracts for each protects wllh a
contfaclor(s) hcense pursuanl 10 the Contractor's License Law)
fl As a homeowner I am 1mpr0Ving my home. an~Jow ing condlllOOs e,11s1
1 The wDfk 1s bemg performed pr10r~ 2 I have hved m my home tor months rnor to comp1e110n of this WOfk
3 have not clamled this exem~rmg lh.Q:) last three years ,,.,,,._, ~-
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 AOORE SS AV. ST.RO. THOMAS BROS NO. 1~..:2:?~rl BUSINESS LICENSE It VALUATION PERMIT NUMBER
.2~9 st...,., 1,.......4,,,_ sr: 10,rav
~ BLOCK ls)'rq~Ysflt/ I ASSESSi f:'7-L ~ D -.3 J CONTRACTOR CONTRACTORS PHONE • ZONE , ~ b~o"6 I A,/.~-~ . I ,ML,c,.,L '-I~~ ~?'J:,UW? OWNER'S NAME 19.l'~w.:;,~e f')_ .A ~ J -,e'ewc-.,,-CONTRACTOR'S AOORESS STATE LICENSE NO. BUILDING SO. FOOTAGE
JJPLJO~ M/Jf...AMA. .LLJ OWNE R'S MAILING ADDRESS
2~ aq ~<"'•.rm"'-Sr; DESIGNER DESIGNER'S PHONE
OESCRIPT~OF WORI< .. ~ \ Jie" ~,~ .;-:,_ s. '-/SZ,"¥ DESIGNER'S ADDRESS STATE LICENSE NO. .
F/P F LR ELEV. NO OCC GP EDU STORIES
vO NO --0012 05/31 0101 02BldP~t 157-0v I CENSUS TRACT I PARI( ING SPACE j RESUNITS ~ GRACING PERMIT ISSUED I REOEVE LOPMENT TYPE OCC LOAD FIRE SPR -AREA CONST
y O N 0 vO NO vO NO Not Valid Unl~s Machine Certifi«J
QTY. PLUMBING PERMIT . ISSUE 75/d, QTY. MECHANICAL PERMIT · ISSUE /5~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU OUILUINU rt~MI I UU 1·81 U·UU·UU·ouu /~ I.:,
EACH BUILIJING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00·8221 , E/ICH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 'ii' (7\
Jg ,iACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOi ·810·00-00-8222 /~ M ~ACH GAS SYSTEMS OR MORE MET AL FIREPLACE ELECTRICAL 001·810·00·00-8223 J ~
~~ • EACH INST AL . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT i----;,,-, ?R ">n--...... MECHANICAL 001·810·00·00·8224 □ I am exemp1 un<ler Sec 'I t , B & :ilJ
tor !hrs reason ~ ----. j~.._;, EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS ~~ ~--~ ~" MOBILEHOME 001 ·810-00-00·8225
~
}5-, hereby affirm that I hav~t:::l.~ale o• ~en! lo~ self-insure. or a cert1l1cate of rk s· Comp~tioo 1nO
surance. or a cert1f1ed copy ther 3800. lat>or ~)
1
-~ POLICY NO ~ {16 {:;:t
COMPANY = Copy 1s filed with the city
D Cerllhed copy 1s hereby furnished g5 q
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
{This section need not be completed ,t the permit
,s fo, one hundred dollars tS 100) or less)
0 I certify that in the perlormance ol the work lor which
this permit is issued. I shall not employ any person In any
manner so as to become subject to the Workers· Compen,
sa1ton Laws of Caltfornta.
NOTICE TO APPLICANT. It, afler making this Certillcate
of Eump11on. you shOuld become subject to the Workers·
Compensation provisions ot 1he Labor Code. you must
forthwith comply with such provisions or this perm11 shall
be deemed revoked
0 I hereby affirm lhat there 1s a construction lending
agency for the performance of the work tor which 1h,s per•
m1t 1s Issued (Sec. 3097. c,vit Code)
Lender's Name ______ _
Lender's Address
~ WATER SOFTNER RELOCATION OF EA FURNACE1HEATER ,..:>r '\~LAA 001·810·00·00·8226
I~ EACH ROOF DRAIN !INSIDE 1 DRYER VENT /,' # . ,('f ~~!\ONG MOTION 880·519·92·33 I
~ TOTt;L MECHANICAL
I~ :-'./I}, -,r I'~ ~ SPRINKLERS 001·810·00·00-8227 -· TOIAL PL UMBING I I\ :~~,.,.t,pj,,0 -~ ?~ IC FACILITIES FEE 320·810·00·00-8740
5'u;:!L MOBILE HOME SETUP \~ '<'J',9'<11'(.~1'~ ~ 3E FEE 360-810·00-00·87 40 QTY. ELECTRICAL PERMIT · ISSUE QTY. --~j't;,,,'1' •_1K·IN·LIEU (AREA )
NEW CONST EA AMP SWl BK R CAR PORT \~ ., ~-yfF 312·810·00-00-8835
l PH 3 PH AWNING "~ '11,.., -,f\,' 1/ LA COSTA TIF 311-810-00·00-8835
EXIST BLOG EA AMP SWT BKR GARAGE r--.::-• r•--~ FMF
1 PH 3 PH LICENSE TAX 001 ·810·00-00-8162
2-REMODEL ALTtR PER CIRCUIT MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER 700 AMPS '
TEMP OCCUPANCY 130 DAYS!
CREDIT DEPOSIT '( k"'..:2 00 .7
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I /51 o-<J
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT AND DO HEREBY Expiration EYery permit issued bytne Bu,ldtng Oft1c111 under the provisions of lh1s * AN OSHA PERM:T IS REQUIRED FOA OICAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shill expire by llm1tat1on and become null and vo,d It the building o, work ~· o· DEEP ANO DEMOLITION 0A CONSTRUCTION Of authonzed by such permit 1s not commenced wittun 180 days from the dale of such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ permit. or 1f the bu1td1nff or work ■uthonzed by such permit 1s suspended or STAUCT\JRES OVER 3 STOAIES IN HEIGHT ISSUED· TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandonecl at any time I er the work ,s commenced tor a period or 180 d1:ys
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGN"'Z ¼ OWNERn CON TRAC TO'})(_ APPR(~OBY , a/JjA,A,l'I ,Y;~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND A_ U ',J
le. -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE fJ GRANTING OF THIS PERMIT -\ .-~ ~......,. II ,J6f -., _..r (
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TYPE DATE INSPECTOR
BUILDING ..... tJ~'i'\t lJ
FOUNDATION (i~ r,"
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
\
PLUMBING
□ SEWER AND BUCO o ··puco
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WA~JE □ WATER
TµB AND SHOWER PAN 1 ..
GAS TEST !,. 1 .. ./V6' ............ . ...
~
□ WATER HEATER □ SOLAR WATER , --
ELECTRICAL " -
□ ELECTRIC UNDERGROUND D UFFER h .jf1, ·r'r -J\
ROUGH ELECTRIC
□ E~ECTRIC SERVICE D TEMPORARY (\
121"'BONDING D11'00L I!-,. '2, y-t;-~
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS . , -
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-
' (Mi&ov;VJ \
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL ~ ~
SOILS COMPLIANCE
PRIOR TO -(c ~, FOUNDATION INSP
STRUCTURAL CONCRETE 0
OVER 2000 PSI
PRESTRESSED I CONCRETE I
POST TENSIONED rpL~-~ -CONCRETE
I '•' FIELD WELDING ":"A\
HIGH STRENGTH a,' BOLTS •. , Cl
SPECIAL MASONRY ;~/
/1 .
"-:---,-c,~~o/ PILES CAISSONS ----
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a V PLAN CHECK NO. 8&Jh6/ ADDRESS o?b~ £_, 7,,et; DATE ~
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PLANNING I/
ZONE:_£f_
SCHOOL DISTRICT:
TYPE or PROJECT AND usE, ~c::, L~~
SAN DIEGUITO ENCINITAS CARLSBA~N MARCOS
SETBACKS: FRONT SIDE _____ REAR
DISCRETIONARY ACTIONS: -----------------------REDEVELOPMENT PERMIT REQUIRED: --------------------LANDSCAPE PLAN COMMENTS: ----------------------ENVIRONMENTAL REQUIRED: -----------------------COASTAL PERMIT REQUIRED: YES -----NO
ADDITIONAL COMMENTS: _____ ____._ _________________ _
OK TO ISSUE: ___ /) _____ _ DATE:
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED?
EASEMENTS: RIGHT-OF-WAY:
EDU'S: DRAINAGE:
IMPROVEMENTS: ~
// C"\ FIELD CHECK DATE & INITIALS:
PERMITS REQUIRED / Ii/
GRADING: I ff
I) I GRADING COMPLETION CERTIFIED: ,
DRIVEWAY: INDUSTRIAL WASTE:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: , FEE PER UNIT: TOTAL fEE: _____ _ ---------
P.F.F.: ____ TRAFFIC IMPACT fEE PER UNIT: ____ TOTAL FEE: ____ _
FACILITIES MGMT. FEE: ________ BRIDGE & THOROUGHFARE FEE: ____ _
SEWER FEE (CONNECTION): SEWER LATERAL:
-~ ADDITIONAL COM~NTS: _ __:_X5_C:::: ______ ¼~~;;;.._h1 __ ~-7 _________ _
Fl~AL QUILDING INSPECTION
'2-2.
PLAN CHECK NUMBER: 880661 DATE: A U,.., t' 88
PROJECT NAME: _____ D_A_V_E_N_P_O_R_T ___________________ _
ADDRESS: --=-----.,-" ___ 1T_T_E_R_S_T_R_E_E_T ________________ _
PROJECT NO.:~ I/AO~ UNIT NUMBER: -------PHASE NO.: -------
TYPE OF UNIT: __ "" ____________ NUMBER OF UNITS:
coNTAcT PERsoN: _____ R_o_a_1 N_-_M.....:1..:cs--=~....:..•-="-=-N-=---=c..:.....:.:==--:...--=-===m=x:..:.....:P'""'o=o=L=s:.......:.::s:c...=...:-=--P=4=5.__ __
CONTACTTELEPHONE: ____ 6_9_5_-_2_0_0_9 ______________________ _
I I L
~Ny~PECTED /. P,f/. DATE "8 -2z-a-a r-INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Rev. 1186 WHITE: Suspense BLUE: Water District EEN: Engineer g CANARY: Utilities PINK: Planning GOLD: Fire