HomeMy WebLinkAbout2715 TIBURON AVE; ; CB890704; PermitIll z 0 ;:
C a:: C -' u ... ,a
e [ ~I ,,.,eby affirm that I am licensed under u ovlelona of Chaptltf 9 (commenclnQ with ~ Section 7000) of DM alon 3 of the Business
.. and Profffalona c:oci.. and my license la In ~ lull tore. and effect.
u
II: ~ -' 5 I ... z ~
z 0' ;:
C Ill z ... ... 2 0 u
Ill a: ... lO: a::
0 3t
![
I hereby amrm th.al t mi exempt from the Contrac•
10(1 License Law lor lhe following reason (Sec 7031 5 BuS1ness ano Professions Code Any aty Of county whttl'i re• quues a pettNI 10 construct. alter lfflPfM. demolish. or rrpi.lr any structure. pnOf lo 11s ,ssuanc:e aJso requires ?heap--
phunt tor such pernut to hie a ~i:lned statement t!\al he ,s
ticenseCI pursuanl to the provisions ot the Coniracto(s License Law (Chapllf 9 commencmg wIlh Sect,on 7000 ol Orv1st0n 3 ot the 81.1smess and Professions Code) o, th.at rs ex·
empt 11\efelrom •no the bOSls lo, the allegec exemptlOII A"'f YIOl,lllOI\ or SectlOll 7031.5 Dy an applicant 10< a perm,t sub· peels 1ne apphcant 10 a civil penally ot ~ mo,e than hve hun·
tired dol!Ms ($5001
I. as owner ol lhe property. o, "'I emptoy<es with wages
as !heir sole compensaloo, w,11 Clo lhe work. and Hte struc-lure ,s nol intended Of offered tor sale (Sec 70,U . Business
ano Pn>lesSIO<ls Corle The Conuae10,·s Locense Law does
not •PIJIY ro an owner ol property who bu110s or imprOYn
!hereon and woo does such wock h,msen OJ through tus own emoioyees. p,ovlde<I that such 1mproveme111s are l"IOt 1nlend-
e<1 or orlereo !or sole 11. however. Ille blJilclJng O< '"'PfOYe· menr 1s sofd wit.tun one yur ot comptetion. the owner-builder
WIii haVe lhe burden or prCMng I1\al Ile ""' not blJIICI or ,m-
1)10\/1 to, the purpose ol ,.lei
I t. as owner ot lhe property, am oclus,vety con1r1ettng w11h ltcensed conUKIOfS to construct the protect (Sec 7044
Bustness ind Profess10ns Code The Contractor's License law does not apply to an owner of property who builds or im-proves lhefeon. ar,d woo contracls loc each pr01ec1s with a
contractor(s) lcense pUrSlWlt to lhe Con1ractor's License Law)
11 As a homeOwner r am ,mprovmg my home. and !hi follow
mg con<hhons exist I The -k IS being pe<lormed pr,or lo .. 11
2 lti,vellYedinff'lllomelor1we4Yemonths prlOf to comptehon of Otts work I have not claimed lh1s exemption dur1ng ll'le
iasl three years
D I •m exempt...,.. Sec ------· 9& PC. 10f this rNSOn ____________ _
0 1 hereby aft.rm 1nat I have a certificate of consent to
sell insure Of a CtHhlicale of Workers Compensation In-
surance. or a cert1hed copy tf\ereot (Sec 3800. Lat>Of Code)
POLICY NO ~/(:)SS..337-f/7
COMPANY srAre PvNtJ i Copy IS hied Wllh the city
0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th11 section need not be completed 1f the permll
is IOJ one hundred dollars (S100, or less)
0 I certify that in the pe,formance of !he wOfk tor which
lh1s permit 1s issued. I shall not emplOy any person 1n a,ny
manner so as to become subJect to the Wo,kers Compen-
sation Laws of CahlOJma
NOTICE TO APPLICANT; It. alter making this Certtlicate
of ExempttOn. you should t>ecome sub1ect to lhe Workers·
Compensation p,ov,s1ons ot the LabOf Code. you must
forthwith comply w,th such Pf0Y1sions or 1h1s perm,t shall
be deemed revoked
0 I hereby affirm that there is a construcuon lending
agency tor the performance of the work for whu;h th,1 pe,•
m11 ii lHued (Sec 3097 C1vtl Code)
Lenders Name_ ~--
Lender·, Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT ,.
~.) pPfZ.. rr $/JnC -r;-Ht~
,ATE OF APPLICATION . 5-?~ VALUATION PERMIT NUMBER
OWNfR"S MA•LING ADDRESS
76tJRoAJ
CENSUS TRACT
QTY. PLUMBING PERMIT · ISSUE
EACH FIXTURE TRAP
EACH BUILUING SEWER
EACH WATER HEATER ANO OR VEN.
EACH INSTAL . ALTEJY,1fEPAlR WATER PIPE
EACH VACUU~REAKER
IO I Al Pl UMBIN(,
QTY. ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP SWT BK R
1 PH 3 PH
EXISI BLDG EA AMP SWT BKR
1 PH 3 PH
REMODEL Al ltR PER CIRCUIT
TEMPPOLE 700AMPS
OVE A 200 AMPS
TEMP OCCUPANCY 130 DAYSI
IOTAl ELE~IRICAL
..-11 QTY.
~
/~00
1T O fl 0
vO ND
REDEVELOPMENT
AREA
vO NO
ME;CHANICAL PERMJT ·-1SSUE
INST All fURN,OUCTS UP TO 100,000 81'0
.!!O_,!lOOlllU
DRYER VENT
CAR POAT
AWNING
GARAGE
TOT Al
---,:m-·
STORIES
TYPE
CONST
/~-
"ATE LICENS,; .. v.
4'7~~
DESIGNER"!! PHONE
OCC GP EDU
CCC LOAD I FIRE SPR
vO "'O
PUBUC FACILITIES FEE
BRIDGE FEE
PARK-IN·UEU (AREA
TIF
LA COSTA TIF
FMF
LJCEiij"s E TAX
MFF
CREDIT DEPOSIT
rrQ7o f
BUILDING SQ. FOOTAGE
6850 05/10/89 0001 01
Bldf'111t
02
Nor Valid Unlrsr Machine Certtfi«i
001-B 10·00·00-8222
001·810-00-00-8223 I L,£.-
001-810·00·00·8224 -?il.--
001-810·00·00·8225
001 ·810·00·00·8226
880·519·92·33
001·810·00·00·8227
320·810·00·00-8740
360·810·00·00-87 40
312-810·00·00-8835
311·B10·00·00-8835
001-810·00·00·8162
880·519-92-57
39.01
TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND 00 HEREBY Expiration Every permit issued by toe Bu,tdtng Othc1ol under the prov,s1ono ol 1h11
CERT,FY UNDER PE"lALTY OF PERJURY THAT ALL INFORMATION HEREO"l INCLUDING THE Code shall expore by hm1tatIon and become oull and vO•d If lhe bu,10,ng or work
* AN OlSHA PENl:T IS REQUIRED FOfl EXCAVATIONS OVER
~ 0 DEEP 4NO DEMOt.lTION Of' CONS TAUCTIOH OF
STRUCTUA(S OYEll l STONES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT ANO , FURTHE"l CERTIFY AND AGREE IF A PERMIT r~ aut:;::;•zed by such PltfmIt 'Snot commenced •Ith,n •l!Odays from the date ot sue~
ISSUED TO CO'-'PLY WITH ALL CITY COUNlY AND STATE LAWS GO~ERNlNG BUILDING COi, ~
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND '-;'.-;:_;:-__ :';.::;;r.::=-:-.::~=::...:=~9==~~==~~~!!!!!=..!.!!l!..lll!ll--'loc--:;,f,~~~~P""'---!r--,'ii+-------,_,.---""""'
><EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND •nnnn, ~n nv n ••
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF ·THIS PERMIT ';o/1)
~
ii:
>-;;;
0 a.
E Cl> I-
I
"O 0 (!)
C co -~ a. a. <t
I
.>t:.
C
ii:
0 r/)
r/)
Cl> r/)
r/)
<t
I
~ .Q
ai >-
Cl> u C co C
ii:
C Cl> ~
(!)
0
0 Cl> a. r/)
C
Cl>
.c ~
TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT· I
SUB FRAME D FLOOR D CEILING
SHE'ATHl~G -D ROOF D SHEA~
FRAME I
EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING r
I
D SEWER AND BUCO D PU CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WAT.ER .
TUB AND SHOWER PAN '
GAS TEST I
D WATER HEATER D SOLAR WAT~R
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UP.FER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING'
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I '
,._
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
I
PLUMBING I -
ELECTRICAL I
MECHANICAL I
I
GAS I . ' ·-I
BUILDING ....
I
SPECIAL CONDITIONS I
I
I
t
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
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
I REo 1F I INSPECTOR·s
CHECKED APPROVAL
\·
INSPECTOR'S NOTES
DATE
......