HomeMy WebLinkAbout2725 TIBURON AVE; ; 87-53; PermitIll z 0 ;::::
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I O I her.t>y alflrm that I am licensed under 1 provl1lon1 of Chapter 9 (commencing with 1 Section 7000) of Division 3 of the Business
and Prole■alona Code, and...a,y license Is In 1
lull force and effect. r I
I '°'·! t~r_ a~';; ,~na:~ :;_:,~~:..'::' 1~ cro~/\ I
8uS1ness Mid PTatess,ons Code Any c11y or county ¥thic.r. re·· I =~ a~~~:u~: ::~~~S ~~:~~;~f:~eq~~:;:·: I
plant tor such pem'llt 10 hie ,1 s1gnecl sta,ement Iha! he 1s I t:::: J:~i:P: ~~;:;:1gs ~!h 1~1'!"'~:f o~ I
OMsto<I 3 al 1he 8us,noss and Professions Cooe1 or that is" I :\:•~1~1:d ~~1~sriytrnt~~:1a1=~m:;~~r !~y I
iects the apptoant to a cMI penalty al not more than lrve hun• I
dred dollars ($:;oQ) I
I, as owne, ol lhe propeny. or my emp<oyees w,th wages I
as their SOie compensa11on will do the work, and !he s1ruc• I ~~; ~o:=~~ o~~edc!:tr~~~~lt~«:·~:1~:! I
nol apply to an owner ol property who builds or 1mprovts I =~~ ;~.=~~~c:uc~;::,t::~ ~~:,~ I
ed or ollered '°' saJe II. however. lhe building ot improve• I !:i"~~ ~ w~hr'~~v;:~noco:'1t!r•~~-~~ow~~1~:. 1
prove ror the purpose o1 sale) 1
I. as owner of the Pfoperty am exclustvety contracting I
wuh lfCensed contractors 10 coostrucl the pr01ect (Sec 7044,
Busmess ind Protess,ons Code The Contracto,'s Lttense U-N does not apply to an owner 01 property who bu1kls or im-
proves thereon. and who contracts '°' each proiects with a contractor(s, license pursuanl to the Conuac101·s License Law).
n As• homeowner I am ,mpcov,ng my home. and the lotlOw ing c:ond•hons ex.1st 1 _ The work 1s t>etng performed prtor to sale
2 I have hved in my home lo, twelve rrooths
3 rra: ~ct::' t
1
:: ~~ptlOn dunng the lasl lhree years
LI I am exempt under S..: ______ . 8 & P C
f« ttus reason -------------
0 I hereby aftum that I have a cer11t_ica1e of consent to I
self-insure. or a cer11ficate ol Worlters Compensa11on In-
surance. or a certified copy thereof (Sec. 3800, Lat>of Code) I
POLICY NO I
COMPANY I
r-, Cooy 1s filed with the city
0 Cetllhed copy is hereby furnished
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CERTIFICATE OF EXEMPTION FROM I 'ORKERS' COMPENSATION INSURANCE I
·h,s section need not be completed 1I the permit I
,s for one hundred dollars ($100) or less) I
th1~!:1111s1~,a~~:C:.~ =l~~:=l~t~t::s: ~h~~ I
manner so as to become subjecl 10 the WOfkers· Compen-I
Ntion Laws of Cahtornla. t
NOTICE TO APPLICANT If. al1er making this Certificate j
~=:~~~~,1::;~'::;,~°:: ~=~~ ::r!:, I
forthwith comply with. such ~isions or th•s perm11 shall 1
be -med revokedo ., I \"'°. I
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0 I hereby aftum that there Is a constructt0n lending I
agency lot the petformance of the wotk for whteh lhjs per-I
m1t 11 issued {Sec. 3097, Civil Code)
Lenoer·s Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRE!.1f11-UD -------...... APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATl<?H;i PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
JOB ADDRESS AV ST RO. NEAREST CROSS ST. 1:;i; ;7:f;TIONI
BUSINWICENSE # VALUATION PERMIT NUMBER
;;_ ;-2.5 7){:,(je_(W (' t<JQ.lg_&1t> {j.J..ccJi , "fl< <g1.,
LOT BLOC~ -t, I SU8OLV1S1O}' ._ I ASSESSOR PARCEL NO. 4~ti) CONTRACTOR , I CONTRl CTOAS PHONE • ZONE / 73 I (,,"l Sl-;;t tN./,4'0 toiy~}', 1.).£/-brt/ :S OWNER'S NAM£ I 7-2-9:~~~ZE
OWNeLsl½G A.OOR~oH-Lv 9 CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
P. 0, ")_/~/ c~~1~ "~~ ~"-"4/p'f y
:;i.-;:,;,..s-rt B,,.,Q.()JV Ct<JRl~s .. ~ P~ol? OES•GNEA OESIGNER"S PHONE
J../..o . .u ,_-IJwtJ~ ~9--4.31 ·7 OESCAIPT ON OF WORK i~) nck.. /Lr f.../J..l,U1Al(l l1JALi-DESIGNER'S ADDRESS STATE LICENSE NO.
t5-~ -rz' 6'--r .-GI ..1-J~ 1,~tJtt.1 C~21.l9«> -~~ F p F LR ELEV. NO OCC GP EDU 0001 02/02 0101 02Blcj>at 24-5 STORIES
vO NO --
I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y D ND vO NO vO NO Not Valid Un~s Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7,So QTY. MECHANICAL PERMIT -ISSUE 3 ,oo SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING PERMIT 001·810·00·00-8220 /S-
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810•00·00-8221 -----· --
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00-00-8821 ~-
EACH GAS SYSTEM I TO 4 OUTLETS --+-BOILER /COMPRESSOR 3 1~ HP TOTAL PLUMBING 001·810·00·00-8222 ,
----
EACH GAS SYSTEM~ 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 -
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN (INSIDE) DRYER VENT ST RON.§_ MO!!ON 880·519·92·33 ,<7) --TOH,L MECHANICAL FIRE SPRINKLERS 001·810·00·00-8227 -~
TOT AL PLUMBINL I PUBLIC FACILITIES FEE 320-810-00·00·8740
67oD 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 BKR CAR PORT TIF 134·810·00-00-8835 ·-~-
l PH 3 PH AWNING LA COSTA TIF 133·810·00·00-8835
EXIST BLDG EA AMP SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810·00·00·8162 ·-REMOOEL"ALTER PER CIRCUIT MFF 880·519-92-57
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI -
CREDIT DEPOSIT
TOTAL flEllRl~At l TOlAl TOTAL FEES PAYABLE I ~ '-I-EE----
"iAVE CAREFULl y EXA~MNEO THE CQMPLETEO 'APPLICATION AND PERMIT AND DO HERl:BY Explfahon Every permit issued by the Building Olt1c1al under 1ne prov1s1ons 01 th15 * AN OSHA PERM:1 IS REQUIRED FOR EXCAVATIONS OVER
'"FRTIFY IJNOER PENAL"Y OF PERJURY THAl ALL INFOAVATION HEREON INCLUDING THE Code ,hall exp1,e by 1tm1ta1ton and become null and "¥0•d If tne bu•ld1n9 0.."'ork 5 o· DEEP AND DEMOLITION OR CONSTRUCTION OF
IJECLARATIONS ARE TRUF. ANO CORRECT ANO I ruRTHER CERTlf'Y AND AGREE IF A PERMIT I~ authorized ~Y such permit,, nol commenced w1th1n 180 day, trom the date u, .• Ucn '1 STRUCTVMS OVER 3 STORIES IN HEIGHT perm,l. or 1f lhe bu1tdm~ or wotk auttionzed by suet, permit is suspended or ISSUED: TO COMPLY WITH All CITY COUN1Y AND STATE LAWS GOVERN'NG BUILDING co•. 1band0ned at any lime a e, tne 'tltOrk 1s commenced tor a oenod of 180 dav~
STRUCTION WHETHER SPECIFIED HERE,N OR NOT I 4LSO AGREE TO SAVE INDf.MNIFY ANO
APPp;;w~~
OWNER() • CONTRACTOR~ ~PPRF i?,! KEEP HARMLESS THE CITY OF CIIRLSBAO AGAINST All LIABILITIES JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSr SAID CITY IN CONSEQUENCE OF THE /?JiW7; GRANTING OF THIS PERMIT BY PHONE r:
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TYPE I DATE INSPECTOR
BUILDING j
FOUNDATION l IC\ j tv\ IL /.
REINFORCED STEEL ! ~\ ·' ' ru""'-
MASONRY i /',
GUNITE OR GROUT ' lJ. ·tO · ~1 f lri~ I
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SltlEAR
FRAME I
EXTERIOR LATH J
t
INSULATION I
INTERIOR LATH & DRYWALL i
I
PLUMBING I
D SEWER AND BUCO D FfUCO
UNDERGROUND D WASTE q WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN !
GAS TEST I
D WATER HEATER D SOLAR WATER
I I
ELECTRICAL I
D ELECTRIC UNDERGROUND Ql UFFER
ROUGH ELECTRIC ' D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL .
I
l
I
MECHANICAL t
D DUCT & PLEM., D REF. PIF ING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS I ' ...
CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE ITEMS ABOVE HAYE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
' .
-cc' 8'7-0073
FIELD INSPECTION RECORD --
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -I .
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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