HomeMy WebLinkAbout2187 TIMBERLINE RD; ; 83-512-98; PermitSrt?IC
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I-/ I hereby affirm that I am licensed under
~lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effecta }2
l•c No 1./J(,Z;'ft Class -•IZ----
I hereby affirm Iha! I am exempl from the Contrac-
lor's License uw for lhe following reason (Sec. 7031 5 Business and Prolesst0ns Code Any city or county which re-quires a permit to conslrucl, alter. improve. demolish, or
repair any structure, pnor to its issuance also requires !heap·
pbcant tor such perm11 to hie a signed statement that he 1s
l,c;ensed pursuant to lhe provtsions of the Contracto(s
Ucense Law (Chapter 9 commencing with Section 7000 of
OIV1s1on 3 ot the Business and Protess«ms Code) or that 1s ex-
empt therefrom and the basis for the allegeo exemption_ Any v,o1a11on of SectlOn 7031.5 by an applicant tor a perm11 sub-
1ects the applicant to a c1t1II penalty of not more than five nun-
dred dollars 1$500)
[1 I. as owner of the property, or my employees with wages
as tt"letr safe compensation. will do tt"le work, and lhe struc-ture 1s not intended or ottered for sale 1 Sec 7044 Business
and Professions Code. The Contractor's License Law does not apply to an owner ol property who builds Of improves thereon and who does such work hlfflself ar lhrough his own
employees, prOVtded that such improvements are not ,ntend-
ed or olfered !or safe II. however, the bu1~ing or improve-ment ,s sok1 w1lhm one year of complet1on, the owner·burtder will have the burden of proving thal he did not bmld or Im•
prove ID< Ille purpose ot sale).
□ I, as owner of the property, am exclusively contracting
with licensed contractors to coostrucl the prOfect (Sec. 7044, Business and Pfofess10ns Code· The Conlraclor's Ltcense
Law does nol apply to an owner ot prOl)erty who builds or im•
proves thereon. and who contracts lor each pr01ects with a cootractor(s) lrcense pursuant to the Contractor's License Law).
0 As a homeowner I am improving my home, and the lollow
ing cond1oorts exist: 1. The w<><k Is being pertormed pr,or to sale
2. I have Jived in my home lor 1wetve months pnor to completion of this WO<k
I have not claimed this exemphon during lhe las! three years.
0 I am exempt under Sec. ______ , B & P.C for this reason ____________ _
\i' I tlereby affirm that I ha~e a cen1hca1e ol consent ~ self-insure. or a cen,t,cate ol Workers
Compensation Insurance, or a cen1t1e<l copy inereot
(Sec 3800. L.atx>< Cod~ l J POUCYNO(Y.3,,.,l:f5~ 047
COMPANY /, d/,JtJ lttlJ,,n-□ Copy IS h(,/.{!1th the city
0 Certified copy 1s hereby !urn.shed
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section need nol be completed 11 trie perm11
,s tor one hundred OOllars ($1001 or tess1
D I cer11ty that ,n the pertormance ol the worio. !or
which trus perm11 1s issued, I shall not employ any
person ,n a.ny manner so as 10 become sub1ec1 10
the Workers· Compensa11on Uws 01 Cal1torn1a
NOTICE TO APPLICANT II. alter mak1nJ this Cert1
hcate of Exempr,on you should beeome sub1ect I?
lhe Wor1(ers Compensation p,o..,1s1ons of !he Labor
COde. you mus! tor1h>Atlh compt~ w,th such
pro¥1s1ons or lh1s permit shall be deemed ,e..,okeo
0 I hereby a!t,rm ma1 !here 1s a C()(ISlruc11on
lending agency tor Ille performance ot the woni: rm
"olllt'UCl'l ll'l•S perm11 IS •ssued (5eC J097 C1v1I COde1
Lenc:ter s Name ___________ _
LenOer s Address __________ _
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APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. USE BALL POINT PEN ONLY & PRESS HARD ---. -..... -·· -.. . ····-·-···-· --··--·····-· -········-· -
.. CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS
1iM80illfv'G
AV. ST. RO. NEAREST ,;;p Wlff I DATE OF APPLICATION I aus59;3SE# ;;Jd;z~ ;;~;;;:·~ 2181-l'bH>
LOT BLOCK I ri-?.~'!f1·f'-z_ I AS/~~;\~
0
:.. cH '...en CONTRACTOR CONTRACTORS PHO,E • ZONE ~ -Otutvf~ lf11IA1PP 5 °HCJ<~;AR ~ 11: u JoLJ.A '/59:YilieE CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
@t..lWGe 's Sl/~Z9/ ,i~ M:!:N~ ~D::;S xx/;; 10 3 &-Jd/.A 9zo 3i D~L H!Mlk {!-9090 STANDARD PLAN # BUILDING SO. FOOTAGE
/53=;-DESCRIPTION OF WORK / ' 115~-s l1i.l1rt311+ DESIGNER'S PHONE rw1 RI S. D, 2,,Zl-3 5-zE ~ g/2b/B~Li l6a 3371 .65 -------F/P F LR ELEV. NO OCC GP EDU -STORIES K-3-J vO NO 7_
CENSUS TRACT I GP LAND USE I PA7/iePACE I RE?NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPEW OCC LOAD FIRE SPR
AREA col/i YO ND v0 Nfj v0 N~ Nor Valid Unlers M~chine Cerrifit!d
QTY. PLUMBING PERMIT· ISSUE '1 .. ~ QTY. MECHANICAL PERMIT -ISSUE .~-SUMMARY/ACCOUNT NUMBER _,, . J.:) EACH FIXTURE TRAP :..(7 .t:. .... I INSTALL FURN. DUCTS i.JP TO 100,000 BTU ~--BUILDING PERMIT 01-00-00·8220 J.7 ,_ , EACH BUILDING SEWER (,, .t:. b OVER 100,000 BTU SIGN PERMIT 01-00·00·8221
' EACH WATER HEATER ANO/OR VENT ? __ l;:> BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 7 _~1-~JA-
I EACH GAS SYSTEM I TO 4 OUTLETS ,, ., . &:I\ BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 ~1.~
EACH GAS SYSTEM 5 OR MORE
r 7 METAL FIREPLACE ~-..... ELECTRICAL 01-00-00-8223 -~--
EACH INSTA~. ALTER. REPAIR WATER PIPE L VENT FAN SINGLE DUCT 'I . MECHANICAL 01-00·00·8224 /LI. -
EACH VACUUM BREAKER MECH EXHAUST -HOOO 'DUCTS MOBILEHOME 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n, .nn.nn.oooc
./ -TOTAL MECHANICAL IL/ . _, STRONG MOTION 80·92-33-0519 h ,c:Jl
I -,, . Cy-,_
-r TOTAL PLUMBING FIRE SPRINKLERS 01-00-00·8227
QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32·00-00·893'.l /-;:p./(J,-
QTY. ELECTRICAL PERMIT -ISSUE ,-,
BRIDGE FEE
NEW CONST EA AMP SWT BK R /l'l? "JC.. -COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TAt.KS Carlsbad ✓ LT/< 80·92-21 ·0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 1 80-92-22·0519
1 PH 3 PH PUMP San Dieguito B0-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos B0-92·24-0519
TEMP POLE 200 AMPS J/IH-Jj'l'f{).-
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELEURICAL l ~ a; TOTAL SOLAR TOTAL FEES PAYABLE I 331/,tll
Expiration Every perm,t issued by the Bu,ldmg Ofhc1a1 under the prov,s1ons of this --"1 I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION AND PERMIT AND DO HEREBY * AN OS -· IS REOUlflED F0A EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJUR.Y THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by lim1t■t1on and become null and void ti the bu1ldtng or work s· 0 .. ~~ DEMOI.ITION ~ CONSTRUCTION OF authonzed by such permit ,snot commenced within 180 days from ttle date ot such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS =~~~~ 1
~1 t~~y ~~:·~R.~;h:'=~C:~!h:~~~~leJ~~~ r~~·~,sr~~~-:1 or STRUC OVER 3 ST~IES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~S SIG~,,_ OWNER~ CONTRACTOR 0 APPROVEDB~ ,~/4¢ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND , ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~/I · ·~c ,0 BY PHONE 0 GRANTING OF THIS PERMIT ) · ·
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TYPE I
I DATE INSPECTOR \ -.: ..
BUILDING I
FOUNDATION I " '""72"<::!~ ~ L FI ELD INSPECTION RECORD .,
REINFORCED STEEL i / \,V~ C.,., -
REQUIRED SPECIAL INSPECTIONS MASONRY I
I REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE SHEATHING D ROOF D SHHAR PRIOR TO
I FOUNDATION INSP FRAME I STRUCTURAL CONCRETE EXTERIOR LA TH I OVER 2000 PSI
INSULATION I PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL i POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH ,
BOLTS UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
l PILES CAISS011,S
D WATER HEATER D SOLAR WAifER
I
i
ELECTRICAL I -,~
D ELECTRIC UNDERGROUND D QFFER 1.
ROUGH ELECTRIC I .
D ELECTRIC SERVICE D TEMPO~ARY , . ..
' D BONDING D POOL I -
' MECHANICAL I
D DUCT & PLEM., D REF. PIPIN;G
HEAT -AIR COND. SYSTEMS )
VENTILATING SYSTEMS I • ,~
' I I; _\
I -
. -CALL FOR FINAL INSPECT!~N WHEN ALL APPROPRIATE ' ' -ITEMS ABOVE HAV BEEN APPROVED. ---.. ~ .
FINAL I -. PLUMBING I / .. -1, . ..
ELECTRICAL ) ~/-::, / I ~--' MECHANICAL ~ r~ ~o --GAS I /?/.,n ~ / ... . ·-. . . ' BUILDING . I r...+-. -/j [_/ I
'-"' './,/ --. SPECIAL CONDITIONS I
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INSPECTOR'S NOTES
DATE
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A &J Flame-Cote
P.O. BOX 166
LAKESIDE, CA. 92040
(619) 449-2944 * Licence #445798
June 20, 1985
The City of Carlsbad
Building Department -lnsrection
1200 Elm Avenue
Carlsbad, California 92008
RE: McKellar Development of La Jolla--Los Arboles
To whom it may concern:
This will certify that the installation and nailing schedule
on Lot # 7& of the Los Arboles Tract, Carlsbad, Calif.
is as per manufacturers specifications and recommendations
and is in strict compliance with ICBO #2656P.
RespE:i;tfully,
,._,,. 0'1w~~
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