HomeMy WebLinkAbout2678 SUTTER ST; ; 86-1120; Permiten z 0 ~ C a: C ..,
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O I hereby affirm that I am licensed under
PfO'l'lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalon• Code, and my license is In
lull force and effect.
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tor ! ~:: a/':: ,tha)h! :'~~,:;~.~:' (~ cri;~~\ I
Busmess and ProfesS10ns Code Any ~ty °' county whtCt. re· I ~u~~ a!/:~:u~:. ';1!~~!S 1~
1!~~~eq::'\:·a~ 1
pticant tor such perm,1 to ftle a ~~ned statement that he 1s I
l':'.S:: ~~f~p1: J~=~:i: :ih 1~1~·= J I Olv1st0n 3 ot the Business anel Protess,ons COde) or that is ex· I ::·.~r:;'s:,~ ~~l~•~f~. ·~~,::~:::, ::. J
)eels lhe apphcant to a c1vN penalty of not more than llve hun· I
dred dollars ($5001 I
11 I as owner ol Ille property, Ot my employees with wages I
as lhllr soae compensahon. Wlll Oo lhe wOfk. and lhe srruc-I ~: ~=s~:~: 01{r~,r~~~~~~~-L~:1
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oot •PP'Y to an owner of property who builds a, tmprMS I ~;e:~~ ;:.c,~~~,~~~;:=:e~,t:~,~~~~ I
ed a, altered fa, .. ,. If, however. Ille bu•ld1ng a, 1mp10Ye-l :1"~5ve~:. wb~h/;e~y=~~~~"::i·1~~ow:~r:1:: I
prove for tile purpose ot .ate1. I
n I. 1$ owner of the property. am exclus,velr contracimg I with lttensod con Vaci ors to construct tile pro,ec (Sec 70'4. I
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: ~~ a~p~'fo~;~,:eol p1r:=e%°~:':~,~~~~:. I
P<MS thereon. •ncl wno contracts fa, each pro,ects w1lh a I t::}actor(s) lteense pursuan1 10 the Contrac!Of's License l
I f;g ~:,:d~:r I am 1mprovmg my home, and lhe IOllow l
1 The WO<k IS being pe~orrned prlO< to .. 1. 1
2 ~n~~ =le~~on~ t:':o/:' iwetve mon1hs I
3 I have not dawned lh1s exemption during the I last three years I
0 I om exempt under Sec ______ • B & P C I
tor this ruson
I iJ I hereby affirm that I have a cert1hcate ol consent 10 1
~ell•in.sure. or a certificate of Workers Compensa11on ln-
SUfance o, a cert1hed copy thereof {Sec. 3800. LalJOf Code) I
POLICY NO / 7 · £/3 t-a:l'.X)'.) / / I
COMPANYQ..~~i7:
Cogy Is hied with the c,ty I
0 Cefllhed copy 1s hereby furn1sned I
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1f the permit
Is !or one hun r dollars (S,C)()) or less)
0 I cer11ty that 1n t rmance of the WOfk for which
u,is permit is issued. I a I 1.91 employ any person In any
manner so as to becom su Je<:t to the Wo,kers· Compen-
sation Laws of CaJ1forn,a.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemptt0n. you shoutd t>ecome subJec-t to the W0tkers
Compensation provisions of the Labof Code. you must
forthwith comply with such provisions or this permII shall
be deemed re\'Oked.
D I hereby affirm tnat there 1s a consuuchon ~ding
agency fOf the performance of the work tor which Uus per•
m1t IS issued ISec. 3097. Ci'tll Code>
Lender"s Name _________ _
Lender·s Address ___________ _
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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 92009-4859 (619) 438-1161
J08 ADDRESS . AV ST.RO. NEAREST CROSS ST l0
io~2A;~·azN1
BUSINESS LICENSE • VALUATION PERMIT NUMBER
20 7~ Su t--t&;; -_•--st /27DO ~-l \ 2 ° ~~I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR . CONTRACTORS PHONE • ZONE . -( I YI J i ){)., ..:::;,,·TT J M \iJ (' h /} }11 /l,11 2B3 -31A/ OWNER'S NAME
15bC/:NEt~~o; U,J(p ';.,-I f'\~vr-.1 CONTRACTOR'S ADORES(i STATE LICENSE NO BUILDING SQ. FOOTAGE
4l/W>0.LL"arado ~,1r1 r?rli gg552._ s10:; Ll;z;::;, j Vi , , (J V\lfl, J s. [') {)fl OESIGNER I DESIGNER'S PHONE
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OESCRIPT401\o OF WORK I
/ J iJ +-I
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11.. / n OESIGNER S ADDRESS STATE LICENSE NO. , I -
-F/P FLA ELEV. NO OCC GP EDU
STORIES iiiil7 ii iii (•I vO NO --.LU/ t!.l/ t,t>t'KM I
I I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AAEA CONST
YO N D vO NO vO NO Nor Valid Un~f Machine Certtf1M
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE 3 .0t SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU BUILDING PERMIT 001·810·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00·00·8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8821
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP u .ro TOTAL PLUMBING 001-810-00-00·8222 ---------EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00-00·8223 ·"
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE 0UCT MECHANICAL 001 ·810·00·00-8224 ,~ -EACH VACUUM BREAKER MECH EXHAUST HOOD 0UCTS M0BILEH0ME 001 ·810·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN (INSIDE I DRYER VENT STRONG MOTION 880·519·92·33
TOTI.L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TOTAL PLUMBING I 7 .00 PUBLIC FACILITIES FEE 320·810·00·00·87 40
BRIDGE FEE 360-810-00-00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BK R CAR PORT TIF 134·810-00-00·8835
1 PH 3 PH AWNING LA COSTA TIF 133·810-00-00·8835
EXIST BLOG EA AMP/SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001-810·00·00·8162
RE MOO EL AL HR PER CIRCUI T MFF 880·519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I 7 !;/"
I 1-iAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT' AND 00 HEREBY Exptr1t1on Every permit issued byl~e Building Ofhc,11 under the pr0v,s1onsotth1s * AH OSHA PERM:T IS REOUtREO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall e•p,re by 1,m1t11,on end become null 1rid .,o,d If 1he bu11d,ng or work 5' o·· DEEP AHO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ,ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ authorized by such permit is nol commenced w1th1n 180 days from the dale of such STRUCT\IRtS OVER 3 STORIES IH HEIGHT
ISSUED TO COMPLY WITH All CITY COUN1Y AND STATE LAWS GOVERNING BUILDING cm, :~'::::On°.:d •~t •:~v ~,;::1:ff.~~h:~~,:~:hco~~~e~{~~~~ :'~'::~1~,s~:gec,".~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . . APPROVED BY
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0/t/2-3 /4 KEEP HARMLESS THE C1"Y· OF .CARLSBAD AGAINGT ALL UABILillES. JUDGMENTS, COSTS ANO A~T S SIGNATURE • OWNER[] CONTRACTOR L f;, ) EXPENSES WHICH MAY ,N ANY'WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF Tlv}_) ~ e & '.~ BY p C
GRANTING OF THIS PERMIT ~-_ ,• _--t~ ,-/71!, ., HONE ~
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TYPE l DATE lr.JSPECTOR --.. --BUILDING I
FOUNDATION ) FIELD INSPECTION RECORD
REINFORCED STEEL l
MASONRY I
GUNITE OR GROUT ' I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR D CE LING " -•
SOILS COMl 'I IANC'E
SHEATHING D ROOF D Sf~EAR
FRAME ' I
PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH I
I
STnUCTUflAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL . I
!
PRl STRESSED
CONCRETE
POS r TE/-. "IONED I CONCRJ:r[
PLUMBING I FIELD WELDING
D SEWER AND BUCO D >uco HIGH STRENGTH
UNDERGROUND 0 WASTE [; WATER
TOP OUT D WASTE O MIATER
BOLTS , ., -~ .
SPECIAL MASONRY
TUB AND SHOWER PAN • I
/3AS TEST I
I PILES CAISSONS
0 WATER HEATER D SOLAR WATER
'"' -' .. ELECTRICAL ! \ ,-~rJ -
D ELECTRIC UNDERGROUND [] UFFER I
ROUGH ELECTRIC ' j
D ELECTRIC SERVICE D TEMftORARY
D BONDING D POOL I
.... r ~ ---I -• -i ~.?
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MECHANICAL
D DUCT & PLEM., D REF. PIIPING flf!Ti {! ;:i r TIJ \~ 1\91?:-':-W ! .! • I~ G
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS ! I
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CALL FOR FINAL INSPECTION WHEN ALL A~PROP~IATE -ITEMS ABOVE HAVE BEEN APPROV D.
FINAL I . """'·~~,.
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PLUMBING I \
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.·" ,,..j:--,., ... '.:t", ~ rr "r-~----r ------.. ...... ,-.. \
ELECTRICAL l '":\i."',i:"'J
#II• -. . , ' ...:)~::I, _, , .. -;_:; \ ' . .
MECHANICAL --GAS I '> "..~..J 'i
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BUILDING
SPECIAL CONDITIONS j . -
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