HomeMy WebLinkAbout2707 TIBURON AVE; ; 87-870; PermitIll z 0 ~ C CIC C .., u ..,
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O I hefeby affirm that I am llcen1ed under
prcwl1lon1 of Chapter 9 (commencing with
Section 7000) of Dlvl1lon 3 of the Business
end PtofeHlona Code. and my license is In
full force and affect.
I hereby itflrm lhat I iffl u.empl tram the Contr.c
10, s Lanse ~w tOf the following reasoo (Sec 7031 !, 8uS1ness Incl Pr~ess.ons Cooe Any oty Of county wtucr. ,e
qwts a penn,t 10 construe! alter. lfflprove oemohsn. Of re~Ir any structure. prior tolls issuance also requires !heap
p1iun1 lcw such perlT'Ml 10 ftlf a S-Qned statement thal l'le Is
hcenseo pursuant to the prov,sions of the t..ontractor s
License Law (Chapter 9 commencmg w1lh Sewon 7000 01 0Msl0ft 3 of lhe Business and Pr~tsSIOl"IS Code) Of lhal 1$ ex
empl thefelrom and 1ne basis lo, the allegeo e>cempt10n Any
VlOlallOf'I ot Sect.on 7031 5 by an applcant for a permII sub
iects the appbant 10 ai cMt penalty of ROI mo,e lhan live hun•
dre<l dollars (SSOO)
I, as owner ot rne Pfoperty, or my em~oyees w,1h wages
as tne,r sole compensahon. "MIi dO the work. and the sffuc· ture 1s not 1n1ended or oflerec lor sale (Sec 7044 Business
and Proless'°ns. Coc:ie rne ConttatlOl''S License law does
no1 ,1ppty to ,1n owne, ot prc,perty who bu•kls or tmprOY!s 1nereon and who does such work nimselt or through h,s own
emok>yees provided thail such imptovements a11 not intend-
ed or ottere<t tor sale If. however u,e building or improve-
ment 1s sold w11tun one year of compfet1on. the owner-builder W>ll 11,w the burden ot pr0¥1og that he did not build or om-
prove lor the purpose ot sale!
t. as owner ot the pr open-,. 1m exclusively contracting
w11n lecensed contractors to construct !he prOJeC1 (Sec 7044.
Bus,ntSS Mid Professions Code The Contrxtor·s license
law does not appty to an owner of property who builds or 1m• proves !hereon. and who conlfacts lor each proteets w1lh a
contraclor(s) 1,cense pursuanl to the Con1ricior s license Law)
11 As , ....,_"°' t am ,mpr0¥1ng my home. ,,., the follow
mg conchtions mos! 1 The wock 1s being performed puo, to sa.ie
2 I have lrn<t m my home lor twelve months poor 10 completion ol this work I 11,w not clatmeo this exempt.., ctunng the
last lhree years.
D I am exempt under Sec ______ . B & PC
tor this reason
C I N,eby alt,rm that I have a cert1l,cate ol consent to
sell-insure or a certificate of Workers· Compensa1ion ln-
SUtance. o, • certified copy t~reof 1Sec 3800 Labof Code)
POLICY NO
COMPANY
~ _: Copy IS hted with the c11y
0 Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
tTh1s sectM>fl need not tie compleled 1f the perm,1
,s tor one hundred dollars ($100) 01 lt-ss)
C I certJfy that in the pefformance of the work for wh!Ch
this permit 1s ,ssued. I snall not employ any person in any
mat1net' so as to become sub1ect to the Wo,kers Compen-
sa11on Laws ol CahfornIa.
NOTICE TO APPLICANT If. aftec-making lh1s Cer11hcate
ol Exemption you should become subJecl to the Workers·
Compensahon p,ov1s1ons of the UbOJ Code. you must
forthwith comply with such PfOYIs1ons or 1nIs permit .shiill
be deemed revoked
D I hereby affirm that there Is • consuuc110n tendu~
agency for the performance of lhe work for wnich 1nIs per.
mI1 ,s issued (Sec 3097 c, ... ,1 Code)
Lenders Name ______ _
Lender s Address
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
JOB ADDRESS AV. ST RO THOMAS BROS NO. 170°~YA' BUSINESS LICENSE ,t ~07~ e,--JE_!!MIT NUMBER
27,.., 7__.,; f..... on-.. I A.a,::::; ~70 tP, BLOCIC I SUBOIVISION I ASSESSOR PARCEL NO L CONTRACTOR I CONTRACTORS PHONE• ZONE
OWNER'S NAME
~ll~ H34:;;;49NE
i:::e:-~11~ ~34-0149
1_£ r=--t. c...l~.· ~~\A
COI-HRACTOR·S AODRESS STATE LICENSE NO
~~~ZOOTAGE Z.7o7 ---r:~. A0,= . z7r:7~;:~-.1 411;; /' i.l.L.~ lA-92.J DESIGNER OESIGNER"S PHONE
L J::"r-. . ~\lo 000410/08 0101 02BldPmt DESCA•PTlON OF WOFU( 64-~ .... OESIGNER·s ADDRESS STATE LICENSE NO
Ct _-ri/ c;:;.,-_ ~ -& t)IE.i!X 2.7o· 7 I 'J,., ,~,..__i AvtS f./521,Llr,
I r -FIP F LR ELEV NO OCC GP EDU
STORIES
vO "'O --I CENSUS TRACT I PARI( ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
y D ND ,o NO vO NO Nor Valid Un~s Machin~ C~rrd,ed
QTY. PLUMBING PERMIT -ISSUE 7.;;S:SL QTY. MECHANICAL PERMIT • ISSUE 15"00 SUMMARY/ACCOUNT NUMBER -
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100 000 BTU tlUILUINiJ ~tMMI I uu 1 ·81U·00·00·ouu < .r
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001 -810·00·00·8221 --
EACH WATER HEATER ANU OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891 .Y~
EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOi ·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 HOOO OUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00-00·8226
EACH ROOF DRAIN I INSIDE l DRYER VENT STRONG MOTION 880-519·92·33 .<?>
TOTM MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TO 1 Al Pl UM81Nl, I PUBLIC FACILITIES FEE 320-810·00·00-8740
S..ES BRIDGE FEE 360·810·00·00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEWCONSTEAAMPSWI BKR CAR PORT . -TIF 312-810-00·00·8835
1 PH 3 PH AWNING LA COSTA TIF 311·810-00-00·8835
EXIST BLOG EA AMP SWT 8KR GARAGE i{ .... _ ........ FMF c ~,l~~A n~-n.
l PH 3 PH LICENSE TAX -otf~"! 2
REMOOE l Al It R PER CIRCUIT ' ~ MFF l I,-.. 880·519·92·57
TEMP POLE 700 AMPS . ~ ~r~~ bl 11U V t5 1~81 ,
OVER 200 AMPS ... ~ o~'9.·¢i'<;J ~l ----
TEMP OCCUPANCY 130 OAYSl ' . -A.~~-.,;~ ~I .. __ -~•;, v1 \iAl(I •a a ft ...,
\~ <as:,,.~ Ml CREDIT --· __ .1 PROr~<<u,, ,.r .. , ·-I
TOTAL ElELlRILAl I ~Or-~ I01Al '/j/,Q'.J TOTAL FEES PAYABLE I t:::4-~SO ' ,_,.,~1., -
I HAVE CARE FULL y EXAMINED THE COMPLETED· APPLICATION AND PERMIT AND DO HEREBV ~~!-y permit •uued bytheBu,ldlng Olf,c1atunder lheprovos,onsolll"s -..... * AN OSHA 1'£11111:t IS IIEQUIRED F()fl EXCAVATIONS OYEA CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code th•U exp,re by hm,tahon Ind become null and •O•d II the budding or work S o· DEEP MCI OEMOt.lTION OR CONSTAUCTl()fj OF aulhortzed by such pern111 ,, not commenced ._.,thin 180 days rrom tn~ date ot such STAUCTUAlS OV£A l STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ perm,t or ,t the build•~ or work autnorozad by such permit ,s suspended or
ISSUED TO COMPLY WITH ALL CITV COUNlY AND STATE LAWS GOVERNING BUILDING CON 1bandonad al any tome a ar the work ,s commenced for I oerood ot 180 nau•
STRUCTION WHETHER SPECIFIED H.E. REIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~D APP ANTS SIGNATURE ,._ OWNER ' CONTRACTOR[~ APPROVED BY
1D/E{//,/17
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~ p~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ·~ :.J k ~~MY BY PHONE 0 GRANTING OF THIS PERMIT --'· ::> ·-·~~
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TYPE DATE INSPECTOR -. ' ' . ·, l I .. 1 8-7---</QO BUILDING ' -·-. . I
FOUNDATION ! FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS
MASONRY I INSPECTOR'S NOTES ' I INSPECTORS GUNITE OR GROUT I INSPECTION REO IF DATE CHECKED APPROVAL • • H_ .. r-1~Llll~ ,;.~!,:~
SUB FRAME D FLOOR D CEiii.iNG I "'f./\•·H..itt¥1< • • .,. -• • --.p. p SOILS COMPLIANCE "· -··' n, J"\H.Jira\-J\'r J SHEATHING D ROOF □ SHEAR PRIOR TO .,,~ ...... ,'?' ,
FRAME I FOUNDATION INSP ~ .,. _ ... ., \
' STRUCTURAL CONCRETE -i .. • • ''(,,..' l.1-• I EXTERIOR LATH ' ' OVER 2000 PSI
INSULATION I PAESTAESSED • l ....... "' I ~ r .... ·r r:-· ·v i-{ L t .. CONCRETE ' INTERIOR LATH & DRYWALL I POST TENSIONED ~-~-',-~
I CONCRETE
PLUMBING I FIELD WELDING ·--
D SEWER AND BUCO CJ PUCO ~IGH_ STRENGTH ~ . I -
BOLTS ----. -UNDERGROUND □ WASTE □,WATER . .
□ \YATER -. SPECIAL MASONRY --TOP OUT □ WASTE ----~ ... I TUB AND SHOWER PAN I ~ . -. .
GAS TEST I
I -PILES CAISSONS ; .. 11
□ WATER HEATER □ SOLAR W~ TEA
I . --,,
-
ELECTRICAL .
I ---~ " □ ELECTRIC UNDERGROUND [1 UFFER ---. • c!c
ROUGH ELECTRIC !
□ TEMPQRARY C D ELECTRIC SERVICE -. ~ . ' •
□ BONDING □ POOL I . I
I
MECHANICAL l
' □ DUCT & PLEM., □ REF. PIPfNG
HEAT -AIR COND. SYSTEMS I
~ I -VENTILATING SYSTEMS I ' -. I I _,,. ~ . -.~.l "."! -~
I -.... ...,._r,o \~ ,_: ... (
CALL FOR FINAL /NSPECTJON WHEN ALL APPROPRIATE 'c r ~~ r,;; ".7 GTCl CSi~ "-'~,, ,,.-j 1 'b , --._ ,-~' ITEMS ABOVE HA VE BEEN APPROVED. . ..
\ ' FINAL : ' ' +' •
-i . 1:::, • ...... ,... r·.:1·!: ,.j "'-
PLUMBING I
ELECTRICAL ' .. ~ ~ .. ~ -.,, i-, l' :t
• -l
..,
MECHANICAL .....
I !
' . ' GAS I < .
BUILDING ! 1/,5 ,17 ~ --
SPECIAL CONDITIONS I u I I ' I