HomeMy WebLinkAbout2655 SUTTER ST; ; 86-1119; Permiten z 0 ;:::
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0 I Mreby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) ot Division 3 ot the Business
and Protnalons Code, and my license is In
lull force and effect.
I hereby affirm lhat I am exempt from lhe Contrac· I 10,'s Liunse Law lor the loltow1ng reason (See 7031 5 I
:~;~~es: ~~m7i0!~s~:~:tr~ at~:l ~:pf~ce~~t~~~: r~~ I
repair any suucture. pn0< 1011s issuance also requires !heap• I r~~~°' :r~!:':11 11::etil~!,~sfo: ~:a;:ero~~:~~~••: I
license Law (Chapter 9 commenc,ng with Seclion 7000 of I ~~~1~~~e~~~e a~~s~~s~as~ ,:~:safe~e~:~P~~:~ is:;; I
vtOlalK>n ot SectlOO 7031.5 by an appheant !or a permtt sub· I iects lhe apphcant to a civil penalty of not more than live ttun• l
dre<I dollars ($500) J
I I I. as owner of the property, Of my employees with wages ,
as 1tte,r sole compensauon. will do the work. and the struc· 1
lure is not intended or offered IOf sate (Sec 7044. Business I
: :i:;s~;~ ~~r o~h:r:~r;c:;,\~~~~~ \~;r~°:: 1
thereon and who does such work h1mself OJ through his own I employees. provided that such improvements are not intend•
ed Of ottered for sale. If, however. lhe building or improve·
ment ,s sold within one year of completion. the owner·butkler
will have the burden of proving that he did not build or im-prove lo, \he purpose ol sale)
n t, as owner 01 the property, am exclusively contracting with hcensed contract01s to conslruct the project (Sec 7044. Business and Professions Code: The Conllactor's license
Law does nol apply to an owner of property wtto builds o, 1m•
proves thereon. and who contracts lor each projects with a contrac10f{S) license pursuant to the Contractor's license Law)
0 As a homeowner I am Impr0Ymg my home. and the follow-mg cond111ons exist
1. The work 1s being performed prl0f to sale
2. I have hved in my home tor twelve monlhs prM>r 10 complehon of this work
3. I have nol claimed this exemption during lhe lasl three years.
0 I am exemp1 under Sec. ______ • 8 & P.C. tor th,s reason ____________ _
0 I hereby affirm that I have a certificate of consent to I
sell-insure. or a certificate of Workers· Compensation In-I
surance. or a certified copy !hereof tSec. 3800. Labor Code) I
POLICY NO. 7 7-43 8--00000 I l
COMPANY AR<8Ot0AU..T 'i/7 1
Copy IS filed with the city
0 Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed If the permit
1s for one hundred dollars ($100) o, less)
0 I certify that In the performance of the work tor which I
uus permit ls Issued. I shall not employ any person in any I
:a~;nerl:w:s~~ ~~;'~~ubjecl to the Workers· Compen-I
JCANT: If. after making this Certificate I
ituld become subjec1 to the Workers· I
sions ot the Labor Code. you must I
w h such provisions or this permit shall I
I
0 I hereby attirm that there is a construction lending :
agency lor the performance of the work tor which this per-
mit is issued (See. 3097. Civil Code) I
Lender's Name _____________ I
I Lender's Address. ____________ I
I
I
I
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
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. I~~~ o;_;P~8~N,
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2./po5 Sc.L-Ue.v--s:t. l;l,.70D 8fo ·
LOT BLOCIC . I SUBOI VISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE I I JC} 41 t l n 1 \ H.) Y -~ .\. i l \ M .c (' Y\l\ '(\.\Nt I 1.2~3-31~ I OWNER"S NAME ls0q ~;ae;ONE M,k.~ r:., I.,,. f)p VP I CONTRACTOR'S ADDRESS\ STATE LICENSE NO. BUILDING SO. FOOTAGE
4-L\ Ion (tl 1)/) V(} 11 () (11 n'1 0J 9>555.:2 OWNER·s MAILING ADDRESS
.!>~O e:; f<ea_,y nJ..-1 Vi l l ll \/\) \./ l S.D.-1CA. DESIGNER I DESIGNER•S PHONE
OESCRIPTtON OF WORK At'fJ unil--.
OESIGNER·s ADDRESS STATE LICENSE NO.
I liii23i86?RiiT 7. iiiil 7 iiiil --------· F/P FLRELEV. NO OCC GP EDU
STORIES
vO NO --
I
l PARKING SPACE l RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR A REA CONST
YO N 0 vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE _.-q, DD SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP 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 AND10R 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 (J ./'Y) 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 DUCT MECHANICAL 001·810·00-00-8224 7~ ~
EACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS MOBILEHOME
. 001-810-00·00-8225
WATER SOFTNER RELOCATION OF FA FURNACEfHFIITER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN !INSIDE) DRYER VENT STRONG MOTION 880-519-92·33
TOT/iL MECHANI CAL [){) FIRE SPRINKLERS 001-810-00-00·8227
TOTAL PLUMBING I 7. PUBLIC FACILITIES FEE 320·810-00-00-87 40
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 BK R CAR PORT TIF 134-810·00-00-8835
I 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
REMODEL AL HR PER CIRCUIT MFF 880-519-92-57
rEMPPOLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL ElECTRICAL l TOTAL TOTAL FEES PAYABLE I 7 ~
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" ANO 00 HEREBY Exp,ralloo Every permit issued by the Bulldmg Offlc111 under lhe prov,s1ons of th,s * AN OSHA PEN,t:T IS REQUIRED FOIi EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1ta1ton and become null and void II tile bu1ld,n9 or work ~-o· DEEP ANO DEMOLITION QA CONSTRUCTION Of DECLARAT ONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE )FA PERMIT I~ auino«zed by such permit •snot commenced with'n tBOdays from ine dale ol sucll STRUCTUA£S OVER 3 STOAIES IN HEIGHT I . permI1, or 1f the bu1fd1nff or work authonzed by such permit Is suspended or ISSUED. TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CCI, abandoned a1 anv lime a er the worlc 1s commenced lor I oeriod ol 180 davs
STAUCTION WHETHER SPECIFIED HEREIN OR NOT t ALSO AGREE TO SAVE INDEMNIFY AN~ APPROVED BY
D/t,123~
KEEP HARMLESS THE CITY OF CARLSBAD AGA1N:)T ALL LIABILITIES. JUDGMENTS. COSTS AND APPL! SIGNATURE 1f-OWNER□ CONTRACTOR 0 Po/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE :&; ~ ~ ~ B O
l GRANTING OF THIS PERMIT d ~
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TYPE I DATE H~SPECTOR
BUILDING i
FOUNDATION l
REINFORCED STEEL I
MASONRY j
GUNITE OR GROUT I
_l
SUB FRAME D FLOOR D CEillNG
SHEATHING □ ROOF □ Sf-!EAR
FRAME I
l
EXTERIOR LATH I
INSULATION ;
INTERIOR LATH & DRYWA LL I
l
I
PLUMBING l
_J
D SEWER AND BUCO D IPL/CO
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE □~ATER
TUB AND SHOWER PAN t
GAS TEST J
□ WATER HEATER D SOLAR V/IATER :
l
ELECTRICAL . I --"
tJ ELECTRIC UNDERGROUND lp UFFER
ROUGH ELECTRIC l
□ ELECTRIC SERVICE D TEMRORARY
□ BONDING □ POOL r
I
MECHANICAL i
□ DUCT & PLEM., □ REF. PIP.ING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I I
l
CALL FOR FINAL INSPECir/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
~-
...;;
. • BUILDING
SPECIAL CONDITIONS
y ·,~> ' '-
~ -
~ g<,;i-/11q '
FIELD INSPECT ION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED /\PPROVAL .
SOILS COt,,u>LIANCE
PRIOR TO ,,
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRfSTRESSED
CONCRETE
POS r TEr·.'" IONED
CONCRE :E
FIELD WELDING
HIGH STRENGTH
BOLTS ' ' .... 'J SPECIAL MASONRY -·
PILES CAISSONS
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