HomeMy WebLinkAbout2725 TIBURON AVE; ; 87-867; Permit.,, z 0 ~ "" ac "" _,
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It e [ ~hereby affirm that I am licensed under u lalona of Chapter 9 (commencing with = Sec 7000) of Division 3 of the Business
..,_ and ProlHalona Code, and my license la In ~ lull force and effect. u
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I Mfeby a1t1rm lhat I am exempt from the Contrac· 'or's License uw tor 1111 lollow1ng ruson (Sec 703t 5
smess and Professions Code Any crty or county •hteti re q es I permit to construct. alter. mprOYe, demolish. or
re any struclure, prior to I1s issuance also requires !heap· pt.ca to, such permit 10 file a s~ned stalement thal he ,s
hcense pursuant to the prOY1st0ns of the conuactor s Locense aw (Chapler 9 commencing with Sec1,on 7000 ol Oiv,s1on 3 1 Ute Business and Proles$K)(ls COdeJ or that 1s ex-empl !here m and !he baS<s tor the alieg,o exempl,on Any
YIOlolJon cl bon 7031 5 by an apphcan1 tor a perm,1 sub tetts the apphc t to a t1VJI penally o1 not mo(e than hve hun-
dred dollars ($ )
property or my emp!Oyees w1lh wages
ation, WIii do the WO<k' and the SlrUC· ture 1s not intended tiered lor sa'8 (Sec 7044 Bus.oess and ProtesSJ011, Code The Coolractor·s License Law does not appty 10 an owner property who builds or unproves
!hereon and who does su wo,k himself or through his own emp!Oyees. provided Iha! h lfflj)<OYemenlS are no11n1end-ed or ottered tor SH If. h !he bu•ld1ng or ,mprove-I :~~~S0:~1tb:~~1y::~, c~t"he'~-~~~~~l~b~rl: I
prove lor lhe purpose of sale) I
r I. as owner of tile p,operty, a exctusivety contractmg
Wllh hcensed conlrKtors to constru lhe prOftCI (Sec 7044.
Business and PrOfesSfOns Code T Contractor·s License
Liw does noc apply to an owner of pr rty who butlds or tm· proves I hereon_ and who conuacts tor ch proiects with a t:!)Klor(s) hcense pursuant lo lhe 1rac1or·s Lanse
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. I ~~=:I am 1mprovmg my home. nd lhe lollow I
1 The wor1< IS being performed Pf"" I I
2 ~,!:•,~ ~=ie\':onmJ ,1:"" wor': 1we l
3 I have nol clalffled lh1s exemphon du ng !he I last lhree years 1
D I am exempl under Sec ______ . B & P C I tor this reason _____________ I
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I D I hereby a!lum that I have a certificate of consent to 1
self-.nsur• or a certificate ot Workers Compensation m-
surance. or a cert1hed copy lhereol (Sec. 3800, Labof Code) I
POLICY NO I
COMPANY
0 Copy Is hied with the city
0 Cefl1lled copy 1s hereby furnished
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CERTIFICATE OF EXEMPTION FROM I
WORKERS' COMPENSATION INSURANCE f
(This section need nol be completed it lhe permit I
1s tor one hundred dollars {SH)()) or less) V I certify !hat In the performance or the work for which
~permU ,s Issued. I shall not empkly any person In any
mannef so as to t>ecome sub1ect to tne Workers· Compen-
satk>n Laws ot California.
NOTICE TO APPLICANT It. after making this Certttlcate
of E,:emphon. you should beCOme sub1ect 10 the Workers
COmpensaUon provisions ot the Labor Code, you must
lonhwith comply with suci'I provisions or this permil shall
be deemed revoked
affirn;t that there Is a construcoon lending
agency fOf ~a nee of the wOfk tor wh1Ch this per-
mit Is tssued {Sec. ~ Code)
Lenders Nome ---....... I ....._ I Lenders Address ____ _ -,
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOBAOOAESS 't'O\/\ NEAAESTCROSSST (l.~~(_,k. OATio7i' ft?N ,it;tc_ere,, v;,u~
L?.!i_ BL CK e~,s,oN I ASpESSOR PARCEL NO ~! r-CONTRACT~ CONTRACTORS PHONE • ZONE ]--2 ~ . /1,1 -SI z. -2 ~ _\~ LI~~
OWN OWNER'S PHONE .,__--',,,.._~~.,..__-=-..~-~~_,__0_.-'-------+...L,>£.,,,--.!.-f=-..,.,,.--c--/J..1-s/ 7 CONTAACTOA"S ADDRESS STATE LICENSE NO
NG ADDRESS '-/ so DC,\.l'f?.... u........._.,,..,11~ 4 '11.t:SI ~-"b \A "DV\.. e__ OE IGNEA ----DESl~PHONE
OE SCA PTION OF WOA K JI I?_ .,. 1../ 7... ' ( O\J!!.,~ OESIGNEA'S ADDRESS STATE LICENSE NO
F p FLA ELEV. DCC GP EDU
PERMIT NUMBER
r1-g-07
BUILDING SO. fOOTAGE
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I I PARKING SPACE I AES UNITS I vO "'O
I REDEVELOPMENT
AREA
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STORIES 000110/07 0101 ,02BldPmt 68-fOS
GRADING PERMIT ISSUED TYPE
CONST
OCC LOAD FIAESPR
y D ND .. o NO vO NO Nor Valid Un~s Machme Certd1«1
QTY. PLUMBING PERMIT -ISSUE /J ·(f) QTY. MECHANICAL PERMIT -ISSUE tS·0 J SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP j / j I INSTALL FURN DUCTS UP TO 100.000 BTU j I BUILDING PERMIT 001·810·00·00·8220 ~-"5 9
EACH BUI LO ING SEWER I 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 dZ.9
EACH GAS SYSTEM 1 TO 4 OUTLET_S ____ -+-BOILER/COMPRESSOR 3 15 HP 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 -----
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I V SOLAR 001·810·00·00·8226 .5c)
EACH ROOF DRAIN (INSIDE) DRYER VENT I I STRONG MOTION 880·519_:-9c.::.2·-=-3=-3 --1----------l
TOTJ;L MECHANICAL I FIRE SPRINKLERS 001·810-00·00·8227
TOIAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00-8740
QTY. ELECTRICAL PERMIT • ISSUE ~ e) O QTY. ~f!ii~~'R BRIDGE FEE 360·810·00·00·8740
PARK-IN·LIEU (AREA r LEAR~D
NEW CONST EA AMP SWI BKR
I PH 3 PH
EXIST BLDG EA AMP SWT BKR
1 PH 3 PH
RE MOOE L ALTER PER CIRCUIT
TEMPPOLE 100AMPS
OVER 200 AMPS
I EMP OCCUPANCY 130 DAYSI
CAR PORT ~~--~~-----"-:....i._ TIF
AWNING fl -~-~ ~ \ I II LA COSTA TIF
GARAGE /!f ,rr 1m .i\ I n FMF
~ .. u, ---M ~ -OIY~~ ~J I r~ENSE TAX -MFF
~. a~ ~/ _'\.~.~-J$'/
133·810·00·00·8835 $ _O~CJ 26 19 7
001·810·00·00·8162
~1tv ati-e ,a:m
..,.,,,rUY»US:NT ., ....... "" ~SEll'YY.
~ r,§1,3/ ffc?ezzii~ CREDIT DEPOSIT
TOTAL ELELlRILAL 1
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE'
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGFIEE IF A PER.MIT I~
ISSUED TO COMPLY WITH All CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
><EEP HARMLESS THE CITY OF CARLSBAD AGAINST Al• LIABILITIES. JUDGMENTS COSTS
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOU THE
GRANTING OF THIS PER>.,m
..._...
TOTAL TOTAL FEES PAYABLE I lo__(.so
Exp1rat1on Every permit issued by ttle 8u1ld1ng Offlctal under th~ prov1s1ons of this
Code shall expire by lim,tat,on and become null and void If the bu•ldmg or ..,o,li.
authorized by such permit 1s not commenced w,th,n 180 days from the dale 1Jf 5ucn
pe,m,t. or ·1f the buitding or work au1h011zed by such permit 1s suspended or
abandoned _at any time after the won( 15 commenced to, a pe,nod of 180 oav,
Ar:.!::,lc;'fSSIG,.AT~~ OWNER□ CONTRACTO~
-ft1--/r u ~ BY PHON~ IJ l
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* AN OSHA PERr.t:T IS REQUIRED FOfl EXCAVATIONS OVEA
5 o· DEEP AND DEMOllTION Ofl CONSTRUCTION Of
STRUCTVMS OVER 3 STOAIES IN HEIGHT
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' TYPE I DATE INSPECTOR ' BUILDING I
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FOUNDATION ' I FIELD INSPECTION RECORD
REINFORCED STEEL I •
MASONRY I
GUNITE OR GROUT I
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REOUI RED SPECIAL INSPECTIONS l======IN=S=P=E=C=T=O=R='=S~N=O=T=E=S=====-~--==============,
INSPECTION REQ IF INSPECTORS DATE CHECKED AP~A.0VAl
SUB FRAME D FLOOR D CEl).JNG
SHEATHING D ROOF D SIHEAR
FRAME I
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EXTERIOR LATH i t
SOILS COMPLIANCE /'
PRIOR TO 'L.-•
FOUNDATION INSP / ;1' .-ai'"'1t ty < ()foEfCbt,'fHJ b~Orft)1V ) ,(",.,, -
sTRucTu RAL c o Nc RETE ,,i i 'T.',w,~L-_ . ..!"' C!.s>. or CVi;r,.,,,. ~~-·~
OVER 2000 PSI IC., -~~ . ,_
INSULATION l
INTERIOR LATH & DRYWALL I
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PLUMBING 1
D SEWER AND BUCO D P,UCO
UNDERGROUND D WASTE [ WATER
PRESTRESSED \t I llfll · , , , .
CONCRETE ~-~ 11A,L '-----1 IH , I :)():
POST TENSIONED , \ _y_
CONCRETE • T ~--------------,,i::..;.-1"'"~---..~r.C""T-:::~:::----------=----1
,i, • ' l . j F \f ',/ f "' • ~. FIELD WELDING ~t':>£ ~ '-' .• :, -]') ,: j__,}
HIGH STRENGTH ._
BOLTS
TOP OUT D WASTE D NATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER :
ELECTRICAL I
D ELECTRIC UNDERGROUND dJ UFFER ,,
ROUGH ELECTRIC I
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D ELECTRIC SERVICE D TEMPbRARY .. . .
D BONDING D POOL I J•
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MECHANICAL I
D DUCT & PLEM., D REF. PIF\ING ____ -• ft1 r.-.. .-. rf"C ..-----; "'J,i '£L,i:_ -
HEAT -AIR COND. SYSTEMS l t_iJ'.,J..1 "'-' \,--.--' ----
VENTILATING SYSTEMS l
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CALL FOR FINAL INSPEC ION WHEN ALL APPROPRIATE
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ITEMS ABOVE HA E BEEN APPROVED.
FINAL I "-
PLUMBING I ~' 'tt~. I •. I-• I'!
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ELECTRICAL I UV I ·-.
MECHANICAL l .. _, .... , t... .... b...
GAS ' • r-.."'\. ~
BUILDING I "--\ "-,~, I
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SPECIAL CONDITIONS I ..... ~ ~
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