HomeMy WebLinkAbout2183 TIMBERLINE RD; ; 83-512-77; PermitU) z 0 ;:
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\,,( I hereby affirm that I am licensed under
~vision, of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaelons Code, and my license is in
full force }ff~~ct. B
Lie No /,J ~2.'-p I Class --. _.,_ ,._ __ _
l hereby affirm that I am e.1Cempt lrom the Con1rac-1or's License Law lor the lotlow1ng reason (Sec. 7031 .5
Business and Professions CocJe· Any c11y or county which re-quires a perm1I to construct. alter. improve. demohsh, or
repair any structure. prior to its issuance also reqmres the ap-
plicant tor such permI1 to file a signed statement that he Is licensed pursuant to lhe prnv1s.ons of the ConIracIor·s
ltcense Law (Chapler 9 commencing with Section 7000 of D1vis1on 3 of the Busmess and Proless1ons Code} or that ,sex-
empt lherelrom and the basis lot lhe allegeo exemption Any v,ofahon of Section 7031 .5 by an apphcan1 for a permit sut).
Jecls the applicant to a civil penalty of not more than five hun·
dred dollars ($500).
□ I. as owner of the property, or my employees with wages
as their sole compensation. w1II do tbe work, and the struc-ture ,snot intended or offered for sale (Sec. 7044. Business
and Professions Code. The Contractor's license law does not apply to an owner of property who bt.ulds or improves !hereon and who does such work himself or through his own
employees, provided that such improvements are not intend-
ed or offered for sale. If, however, !he budding or improve-ment Is sold within one year of complehon, the owner-builder
will have the burden ol provmg lhat he did nol bulld or im-prove !or the purpose ol sale)
0 I. as owner of the property, am exclus,vety contracting
with licensed contractors to construct the prOject (Sec. 704◄,
Business and Professions Code: The ConIractor's license law does not apply to an owner of property who builds or im-prO\leS' thereon, and who contracts fDf each prOjects wilh a
conlractor(s) license pursuant to the Contractor's license Law).
D As a homeowner I am improving my home, and the fotlow
ing conditions exist: 1. The work is being performed prior to sale
2. I have lived m my home for twelve months
3. rn~!v~ ~P~f1/:gf t1~i1: :~~plion during the
last three years.
);{, heret>y affirm t11a1 I have a cer11t1caIe ot consent
to self insure, or a cer1,l,cate ol Workers·
Compensation Insurance. o, a cer11fIed copy !hereof
:l::~<i,~tzo'i4 ~0::N1: f,~JY'~
D Certified copy 1s hereby furn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This secIIon need not be completed 11 the perm,1
1s to, one hundred dollars (S 100) or less;
D I cen1fy trtat In !he pertormance ot the wor1c tor
which lh1s permtt ,s issued. I shall not employ any
person in any manner so as to become subIecI to the Wonc.ers· Compensation Laws ot California
NOTK:E TO APPLICANT It, after makin~ tn,s Cen1
t1cate ot Exemption_ you should oecome subIecI t".)
the wonc.ers· Compensation provIsIons ol lhe Laoor
Code. you musl torth....,11h comply wilt\ such
provisions or 1h,s permn shall be deemeo revokeo
O I hereby att,,m lhat mere 1s a cons1ructIon lenci,no agency tor lhe performance of me wof1.. tor
which this perm11 ,s ,ssued 1sec J097 C,v,I COOe1
Lenoer s Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
~IH~ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JO B ADDRESS .L i?DlfP ST. AD. NEAREST CRO#t>SP hJ/1( I DATE OF APPLICATI ON I BUSINESS LI CENSE # VALUATION PERMIT NUMBER .~ I I ltli¾fli./JVG S9/l 8-7()v5 z ✓1l
LOT BLO~ l ~T-~~~ z_ I ASi~l p~,N2 -oe ·oD ~ CONTRACTORS PHONE • ZONE B3~1 7,1 ~~$ i~ • I '159w:_~E ay,@;;[i+Tot.LA CONTRTJJ:/di:ifs LICENSE NO. PLAN 1.0. # BLOG USE CODE ~ 'IJ/,2!1/ OWNER'S MAILING ADDRESS
1zq:, ~ Jr-~€,/0-5 IAToU+ f/JM7 DESIGNER / LICENSE ,, STANDARD P~ # BUILDING SQ. FOOTAGE
/k-11L JitoRYt'.. ,"' ~~ 1539-DESCRIPTION OF WORK l .... I ' I I
DESIGNER'S ADDRESS . OESIGNEA'S PHONE \J)'" 11~~ -------F/P FLA ELEV . NO EDU OCC GP 7 I• STO~S R-3 I -vO NO ---
CENSUS TRACT I GP LAND USE I PAR~ACE I RE S ?ITS I GRADING PERMIT ISSUED I REDE VELOPMENT TYW DCC LOAD FIRE SPA
AREA ,,){ cos
YO N D vO YO Nr;{ Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7.Stl QTY. MECHANICAL PERMIT -ISSUE ,~-SUMMARY/ACCOUNT NUMBER _.,..,,
,-;,;,.., EACH FIXTURE TRAP <2 . Q') I INSTALL FURN. 0 UCTS i.JP TO 100.000 BTU ~ -BUILDING PERMIT 01 ·00-00-8220 J771-
7 EACH BUILDING SEWER b -1.:.7: OVER 100.000 BTU . SIGN PERM IT 01 ·00·00-8221
I EACH WATER HEATER AN010R VENT 7~. c:r. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 Z-~I V
I EACH GAS SYSTEM 1 TO 4 OUTLETS 2 .l'J, BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00-8222 c:;h ~
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE :j -ELECTRICAL 01 ·00·00·8223 ~.-
EACH INSTAl . ALTER. REPAIR WATER PIPE 7 VENT FAN SINGLE OUCT 'I -MECHANICAL 01-00-00·8224 7'1,--EACH VACUUM BREAKER . MECH EXH AUST -HODO O UCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.nn-nn.o??~
TOH,L MECHANICAL I'-/ STRONG MOTION 80·92·33·0519 ,, 6 ·0Cf ---TOl AL PLUMBING I '::JI . :;1: > FIRE SPRINKLERS 01-00-00·8227
PUBLIC FACILITIES FEE • 32·00·00·89l) IMO ' -QTY. ELECTRICAL PERMIT -ISSUE c;-_ QTY. SOLAR · ISSUE . .
-BRIDGE FEE
NEW CONST EA AMP SWT BK R /u.,I ~..-COLLECTORS SCHOOL FEE • ~TRICT
I PH 3 PH STORAGE TANKS Carlsbad V l-1/?.. 80·92·21-0519
EXIST BLDG EA AMPISWT 'BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE SanM;ircos 80·92·24-0519 ---TEMP POLE 200 AMPS l'/W i:1~,-
OVER 200 AMPS ' LICENSE TAX 01-00-00-8162
TE.MP OCCUPANCY 130 OAYSl MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELE CTR ICAL
I g) -TOTAL SOLAR TOTAL FEES PAYABLE I ~,t//
Exptrat,on Every permit •ssued by the Bull ding Off1c1aI under the prov1s1ons of tt11s --I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY * AN os~~1001RED FOR EXCAVATIONS ovER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltmIIatIon and become null and void If the butldmg or work 5· 0 .. DEE ANO ITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced within 180days trom the date of such STRUCTUR£S R 3 STORIES IN HEIGHT permit. or 1f the bu1ldinff or work authorized by such permit ,s suspa-1ded or ISSUED TO COMPLY WITH ALL CITY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON• &blllldofled at any 11""-' ter the work ,s commenced !or a tl9rtod ol 1ao "•-•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND1"eM ·s~ _,,_ OWN ' CONTRACTOR 0 APPROVED BY ~ ,~/'!{-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND CANT S S G U_'.:E .!f
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 1 >Cf BY PHONE 0 GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION '-f\ ,,.,--;z -~ f
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REINFORCED STEEL I ) ✓ "'--' -
I MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR . FRAME I
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □I PUCO I
I i
UNDERGROUND □ WASTE □ V\IATER j 1). \i .... · ~ ~
TOP OUT □ WASTE □ W.{\TER -, . ...---
TUB AND SHOWER PAN t
GAS TEST I
□ WATER HEATER □ SOLARWAlER
i
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ '4JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPOFaARY -
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN#,3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I /
PLUMBING I -,/ I -
ELECTRICAL I ,, c.J... -,
MECHANICAL I \II .,i,V _/'~ I
GAS I /l,,,, / .;/
BUILDING I L ~ < ~
SPECIAL CONDITIONS I lJ
I
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FIELD INSPECTION RECORD
REQUIRED SPECIA L INSPECTIONS
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
' SPECIAL MASONRY
PILES CAISSON S
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INSPECTOR'S NOTES
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A & J Flame-Cote
P.O. BOX 166
LAKESIDE, CA. 92040
(619) 449-2944 * Licence #445798
June 20, 1985 J (
The City of Carlsbad
Building Department -Inspection
1200 Elm Avenue
Carlsbad, California 92008
/ -µ~
1//r/
JJ-'
RE: McKellar Development of La Jolla--Los Arboles
To whom it may concern:
This will certify that the installation and nailing schedule
on Lot # Z 7 of the Los Arboles Tract, Carlsbad, Calif.
is as per manufacturers specifications and recommendations
and is in strict compliance with ICBO #2656P.
Respectfully. ) 7VI
olln M.
'\wJier
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cc: t of La Jolla