HomeMy WebLinkAbout2759 TIBURON AVE; ; CB890662; PermitU) z Q ... C ac C ... u Ill
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O I hereby affirm that l am llcansecl unde<
pro,,l11on1 ot Chapter 9 (commenclno with
Section 7000> of Division 3 of the Business
and Prof ... lons Code, and my license Is In
full force and effect.
I hereby allnm Iha! I am e•ompl lrom the Conlrac·
10.-. Locense Law ror the IOllowmg reason (Sec 1031 5 81.iSlntss and Proltssions Code ~rty clly or coun1y wh,ct, re-qunes a permit 10 construcl_ aUer. rmpr!M!, demohsh r.r
1epa1r any strut.lure. pttor 10 ,1s issuance also requires :heap-l)lican11oc such pem111 10 hie a s,gne<t slatomenl Iha! he ,s
ttcenseo pursuant to lhe prOY1soos ol lhe tontracr0f $
Ltunse Law (Chaoter 9 commenc,ng with Sechon 7000 ot
0,,,15,on 3 of 1110 8usmess and Pral0$SIO!!S Code) Of lhal 15 e, omp1 1herelrom aM the Dasls tor the allegeo o,emplion Any •OOlallO<I ol S.C1,on 7031.~ ay an api,!oeaot for a poumt sub·
,ects the apphcant to a civil oenalty ol no1 more thari five. huA· dr1•f d<>llars ($!',00)
I as ...... ol tne P•-1Y,"' my emp!Oyees llllh wages as ll'le1-rsme compensation. 'MIi oo the wmk. and lhe 5tn,c~
lure rs not intended Of olleted lo, sale (Sec 7044 BuS1ness
and Proless,ons Code The eon1rac1or', Lttense Law does
ml apply 10 an owner ot propeny '"ho bu•l<Js OI ,mp,c,ves
!hereon and who does such WO'IC l'Hmseff or lhrough his own employees, provided Iha! such improvements are nol lnfer,d•
ed or o~e,eo IOI~•· 11, however. Ille bu11d111g or 1mprove-
menII.s sold w1 h1n one year of complellOfl, lhe. 0"1Wner·Du1ldel I llave Ille burden DI ptovl"9 Illa! lie dtd nOI botld Of iffl. pr"'• lo, Ille purpose ol sale)
I I, as Owner of lhe propert,-, am excluswe!y conttacting
Will> ltcensed conlractors ID <00$1rUCI lhe pro,e<I (Sec 7044. Bus,ness and Protess,ons Cade The Contractor's LtCenst Law does not apply lo an owoer ol properly who builds o, Im• proves tlw!reon, an<! wll<> C»nlracts lo, eacn prqecls w~h •
t:~;iclor(s) license pursuant to tlw! Conrract01·s License
)!,..As a homeowner I am 1111ptlNing my home. and the,_ ;ng cond1l~ l!lOSI • 1 TIie work ,, being pe,1ormeo pr,o, to sate 2 I have lived ,n my nf)OIO IOI -ve months
3 rr::: :imp~= 11~ ~ donng Ille lasl lhree years
); ::.-:.~';.("under Sec.------· B&P.C.
0 I nereby amrm tt,at I r,ave a cerUfl~te of conse.n1 to I
sell-,nsu,e, or a cerfihca1e ot Workers Compensa1ion ln-
sutar,ce or a oe,1111ed copy lhereol iSec-3800. Labor COde)
POLICY NO,
COMPANY
::J Cop)' 1$ hied wi-th 1 e city
CJ Cert1tl~ copy is hereby furnushed
CERTIFIC4TE OF EXEMPTION FROM WORKERS. COMPENSATION INSURJl,NCE
fTh1s section need not be completed it 1he permit
,s Por one hundred doH;us (S100I or lessl
ji{ I certify that in the performance of ;rie w0rk lo, which
ttbs permi11s issued, I shall not employ any person In any
manner so as to become subJOCI 10 Iha WOfkers· Compen
sat,on Laws of Ca.litorma.
NOTlCE TO A.PPLICA.NT· 1'. aflet making this Certificate
of E.Jiemptlon. you should beconie suo1ec1 to 1he WOfkers·
Compenu11on provisions of lhti Labof Code. you rnu,t
torthwlth comply with such PJ0¥)$100S Of lhls permit shall
be deemed re'IIOked
0 I ereby artirm that thete 1s a conttrucl 100 lending
a,.gency lor the perlormar\Ct of the work lot wtuch lh,s per
m1t tS issued {Sec. 3097. CIYII COdeJ
L.nder".s Nsme, _____ _
\.ender"s Add1es,s __________ _
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
JO8A00"ESS ~o. THOMAS BROS NO. Io;; /~PJ;:;oNI
BUSINESS LICENSE a VALUATION PE"MIT NUMBER
::t, S-C\ Tt.bu -... _ .3~ ~~(I)~ I -r .Jr"'-•
~ BLOCK I ,,:;J'S10N ,:J. A.SS,SSOR PA.RCEL NO ,q COIIIO T~-JJ_!
CONTAACTOAS PHONE • ZONE
lt/-3~ t. "; ~Co J...-
OWll!f "·s IIIAME l Y 3 l/:R~~;E Ou,~~ l' ► M""~ CONTAACT0"'S ADD"ESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MA>LING ADDRESS V
:i., s-cr Tr b lA, r-a ~ ~ DEStGIIIEA DESIGNER'S PHONE
0ES~~FWDRK /t)5 #' 6671 05/03/89 0001 01 r"'"'-' 0ESIGNE"'S ADDRESS STATE LICENSE NO. 02
l.~ ~t-bl'"\& O. ,.ll" :::>!5 a. r BldF' t 90-0~
~,P ~ LR ELEV. NO DCC GP EDU \VA-L \.d:b-~ --. STORIES -vO NO I C~NSUS IBA.CT PARJ<ING SPACE RE S lJIIIITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE DCC L0""0 FIRE SPR
A"EA CONST
YO H □ v Q NO vD NO Not Valid UnMs M.chine Certified
QTY. PLUMBING PERMIT · ISSUE -, .5° QTY. MECHANICAL PERMIT · ISSUE ;j~ SUMMARY/ACCOUNT NUMBER
EACH F-IXTURE TRAP INSTALL FURN. DUCTS iJP TO 100 ,000 BTU DUILUINLI PERMIT 001 ·810•00•00·t!UU ~.,
EACH BUILDING SEWER □VER 100 ,000 BTU SIGN PERMIT 001·810-00-00·8221
EACH WATER HEATER AND DR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00·00-8891 is6
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPR ESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00-00-8222
. EACH GAS SYSTEM~ OR MORE ME:IAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223
EACH INSTAl.. ALT ER, REPAIR WATER PIPE VENl FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224
EACH VACUUM BREAKER '4ECH EXHAUST HOOD 'DUCTS MOBILEHOME 001·810·00·00·8225
WATER SDFTNER RELOCATION OF EA FU RNACEIHEA TER SOLAR 001·810·00·00·8226
EACH ROOF ORAIN I INSIDE) DRYER VENT STRONG MOTION 880-519·92·33 I
TOTAL MECHANICAL FIRE. SPRINKLERS 001·810·00·00·8227
TO I AL PLUMBING r PUBLIC FACILITIES FEE 320·810·00·00·8740
~ "° BRIDGE FEE 360·810-00-00·8740
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA I
NEW CONST EA AMP SWl BKR CAR PORT TIF 312-810-00-00-8835
I PH 3 PH AWNING LA COSTA TIF 311-810-00-00-8835
EXIST BLOG EA AMP!SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00·00·8162
REMO OE L A L Tt R PER CIRCUIT MFF 880·519·92·57
TEMP POL E 200 AMPS
OVER 200 AMPS
TE MP OCCUPANCY 130 DAYSI ~
CREDIT DEPOSIT -
TOTA L EL~t:TRICAL I TOTAi TOTAL FEES PAYABLE I 9o It)
I HAVE CAREFULLV E AMINED THE COMPLETED ·APPLICATION AND PERMIT AND DO HEREBY Exporlll!on Every permit ouued by the Burt<long Offoc,ar under the pr0v1soone ollh11 * AN 06HA PEAM:T IS IIE0Ul'EO FOfl EXCAVATIONS OV£A
CERTIFY UNDER PENALTY OF PERJURY THAT ALL I FORMATION 11EREON INCLUDING THE Code allall e.otp,re by hm1w1on a1u1 become null and v01d II the burldonu or wor• !!I 0 .. Dff P ANO DblOUTION OR CXJNSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I':, a11thor11ed by such perm,t 11 nol commenced w,nun 180 clays from tile dale 01 such STAUCT'URES OVER l STONES IN HEIGHT PWfflll a, II the bu•ldo=x: won. 1u11lo<t.ted by such perm,1 ,s suapended or ISSUED TO COMPLY WITH AU CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at anv 11ma a Iha wor• 11 commenced ·1o, 1 .,.,,Od <>I 1110 ,._.
STRUCTION WHETHER SPECIFIED HE.REIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~~S~lr<~ ~E R[] CONTRACTOR 0 APPRO~ 103/e/4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ EXPENSES WHICH MAY I ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE fJ GRANTING OF THIS PERMIT
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TYPE I DATE INSPECTOR
BUILDING I
\ rr tt --~:-nr, . C •· • . " ' , ~
\ 'i-\! . ' ' ~890(,p~?-\
FOUNDATION I I \. Af~ n J I FIELD INSPECTION RECORD
REINFORCED STEEL ' ' -, I ti I f \\"\ I
MASONRY I
GUN ITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL ... ,
SUB FRAME D FLOOR D CEILINQ SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAA PRIOR TO
FRAME I
FOUNDATION INSP
EXTEAl()R LATH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
CO CRETE INTERIOR LATH & DRYWALL POST TENSIONED
l CONCRETE I
PLUMBING ' FIELD WELDING -~
D SEWER AND BUCO D PUCP
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATIER
HIGH STRENGTH-
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN ' ' GAS TEST I
I
--
PILES CAISSONS
□ WATER HEATER 0 SOLAR WATEIR
I
ELECTRICAL I .
D ELE,9,TRIC UNDERGROUND □ URFER . .
ROUGH ELECTRIC ' ' D ELECTRIC SERVICE □ TEMPOR,4RY .
' □ BONDING D POOL I ·.°I . I -. I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING1 ,,, ·-.. ~ ~
HEAT -AIR COND. SYSTEMS ' ' VENTILATING SYSTEMS I _, ~ ' ;
...
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CALL FOR FINAL INSPECT/Di WHEN AU APPROPRIATE ITEMS ABOVE HAVE . EEfv""APPROVED. I.-::. • I V
.
-.-,
FINAL I r -
PLUMBING . ! • . , ----', I .
I .,. -: . . -. . . -..... ~ -: -ELECTRICAL ' ~ "-.) I " .
MECHANICAL I --"J"' '--"' '\: <. I ,..._
GAS --·\ \· ,~-I "'-
-' -. --. -' \ -"' -' . r-... -I .. ' -I c· , . \ \ , . . --..;; .
BUILDING l -I ) \r~ I -
SPECIAL CONDITIONS r '\l..
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