HomeMy WebLinkAbout2410 TORREJON PL; ; CB890279; Permit.,, z 0 ;::
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1 USE BALL POINT PEN ONLY & PRESS HARD --------. -···· . -·· -··-· -. ··----···-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---··
.(]_ I M<el>y affirm that I am licensed under
p,o,,lalona of Chapter 9 (commencing with
Section 7000) of Dlvlalon 3 of the Business
and Profffalona Code, and my license Is in
full f0<ce and effect.
I hereby afflfm t~I I am exempt from the Conlrac
10, s License LJw tor the lol1ow109 reason (Sec 7031 5 Bus,ness and Protess,ons Code Any cdy or county wtuc.r. re• qu11es a perm.I 10 cons1ruc-1. alter. ampcove demolish, or
,epa,r any suucture. prtO< 10 ,1s issuance also requires !heap pl1tanl lor such perm,1 to hie a signed statement thal he 1s
tans.eel oursuan1 to the p,ov,sions of the L.onuac1or s Loeense Law (Chapter 9 commenc,ng w,lh Ser:lt0n 7000 ol
Olv1sK>n 3 ol lhe Business and ProfesslOOs Code)°' thal 1s ex I empt lhlrtfrom ~ lhe bH&s kw \he au~ exemooon Atty \
v>OlallOII ol 5,ci,on 7tl31 5 by .. apphc•nl lo< a permll ,..i,. •
1ects lhe aophcant to a ervtl penalty ot not more than h\lf hun t dred dollars (S500)
I as owner of the prc,perty Of my employees with wages as their SOie compen~taon wti do tt'le work and lhe struc•
lure 1s not 1nlended or ottered 10J salt (Sec 704◄ Business
and Protes~n~ Code The Conlrac1or·s lteense law does not apply 10 an owner of property "'ho bu'4ds or ttnpf'OYes
thereon and whO dots such work him.sell or through his own emoloyees prOVKSed that such improvements are n01 rn1eno-
ed Of offered tor sa~ If, howevef, lhe bUlkl1ng Of .mprove-
ment 1s sokl within one year ot completion, the owner-builder
WIii have lhe burden of PfOVlng Iha! he did nol butld Of tffl· "'°" IOI Ill! purpose ol sale)
I 1. as owner o( lhe property, am e•ctustvely contrachng
with bcensed cOACracton to construe! lhe pro,ec1 (Sec 7CM•.
Business and Protess,ons COde The Contractor's license law ooes not apply 10 an owner o4 property who builds or 1m-
pt0¥6 thereon. and who conuac.ts lor each pcaeec-1s •llh a contraclOJ(s) ltCtnSe pursuant to the Con1rac1or s license Law)
) As a_, 1 am lffll)rOYlflg my --and lhe lOIIOw ing condthons e•1st ..
1 The wo,k ,s being perlormed puo.-10 sa~
2 I have IMJd in my hOme lor lwe!Ye monlhs p<IOI 10 COfflj)leltOn ot lntS wo<k
J I nave not cYimed lh1s exemphon during lhe list lhrN years .
0 I am OMfflj)I unotr Sec "\ . 8 & P C lo, lh1s ruson ____________ _
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~ I hereby athrm thal I have• cerhhcate ot consent to I
sell-insure or a cert1!1cate ol work8Is Compensation In• l
9Ufance or a cer11fled cooy thereof (Sec 3800 Labor Code)
POLICY NO
COMPANY
:= Copy 1s hied w,tn lhe clly
0 Cerllhed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Ttus ,ec:tion need not t>e compfeted ,f the permit
,s for one hundred dollars {51001 Of l~ss) ::= I cerhty that 1n me pefformance ot tne work few which
lhts permit ,s issued. I shall not employ •nv person 1n any
manner so as to become sub1ect to the Wcwkers Compen•
satt<>n Laws of Cahfom1a
NOTICE TO APPLICANT· If af1er matung this Cer1:1hcate
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of Exempuon. you should become sub1eet to tne Workers· Compensahon prov,s1ons of the Labof Code. you must
tortnw11n comply with such provisions or this permit shall ,
be deemed revoked
I
J 0 I hereby alhrm that there ,s a conatruchon lending I
agency for the performance of lhe work for which this P4tf-
m,t ,s ts.sued (Sec 3097 C1Vtl Cooe)
Lender s Name
Lenders Addtess ___________ _
CARLSBAD BUILDING DEPARTMENT ~£-'1f~PPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADOAESS Al/ ST.AO. THOMAS BROS NO. IOATE OF APPLICATIONII BUSINESS LICENSE • VALUATION PERMIT NUMBER
2...,/J/0 rPL. ---/rJ. l)R-lJ 77-JL ~. ir .77'Jw.. J l'-1--o I I ~ <?? -;;;,_ 7 9 LOT BLOCK r SU9O1VISi1~N I A~EsllPA~~Va~J-0~ ~OR& LJ>•~ CONTRACTORS PHONE • ZONE
---.. -=--I_. --.. .... _ .Alla.-
OWNER'S NAME r I 9'£tq:;.p;~ , ---' -r., lJ ~P--.J, •
# AAJ~,eu°t:A..J CONTRACTOR'S ADDRESS STATE LICENSE NO.
Vf67%AGE --• I .. ---L..Jrj -, ,/ ~ I --,
OWNER 5 MA1L NG ADDRESS ~~~Ir ---.&--.J ---~ , ., ~~ ,,,-----.1
,_q./~, ·'77:JU..d'"rr.M.J ,oL, DESIGNER DESIGNER'S PHONE 7
~c9 .... Qa. ·~ 12 ' DESCRIPTION o;e,'M L .. < < m 4-b)'° ~ z,
OES•GNE R'S ADDRESS STATE LICENSE NO
F/P FLRELEV NO DCC GP EDU
STORIES I 7372 06/05/89 0001 01 -
vO "'O --02 I CENSUS TRACT I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REOEVELOP.,.ENT TYPE DCC LOAD FIRE SPR BldPmt 162-0
AREA CONST
YO ND vO "-0 vO NO Not V~/ld Uniffs Abchint Ctrttf,td
QTY. PLUMBING PERMIT· ISSUE ?,SD QTY. MECHANICAL PERMIT · ISSUE /$,~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTAll FURN DUCTS UP TO 100 000 BTU BUILDIN(, ~tHMI I 001 ·81 0·OO·UO·HUU J,;/D,
EACH BUILDING SEWER OVER 100 000 BTU SIGN PERMIT 001·810·00·00·8221
I EACH WA TEA HEATER ANO,QR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 q;L
I EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 )~
EACH GAS SYS1EM; OR MORE MET AL FIREPLACE ELECTRICAL 001-810·00·00·8223 ~;l.O
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00-8224
/ EACH VACUUM BREAl(ER MECH EXHAUST HOOD DUCTS MOBllEHOME 001-810·00·00·8225
WATER SOFT NE A RELOCATION OF EA FURNACEtHEATER SOLAR 001 ·810·00·00·8226
EACH ROOF DRAIN ! INSIDE I DRYER VENT STRONG MOTION 880·519·92·33 I
TOT Al ME CHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TO I Al Pl UMBINC. I PUBLIC FACILITIES FEE 320·810·00·00·87 40
BRIDGE FEE 360·810-00-00·8740
QTY. ELECTRICAL PERMIT · ISSUE 0-(I:) QTY. MOBILE HOME S ETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWI BKR CAR PORT TIF 312·810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BlDG EA AMPISWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001·810·00·00·8162
~ REMODEL ALTl'R PER CIRCUll MFF 880-519-92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPAN CY 130 DAYSI
CREDIT DEPOSIT / {2.:::-. tt'D ~
lOTAL fl~LlRILAL I TOlAL TOT AL FEES PAY ABLE I /6;/~
I HAVE CAREFOLLV EXAMINED THE COMPLElED APPUCAllON AND PEA~IT AND DO HEREBY E•pr1tton Every perm,t tSSued by tl'le Bu,tdlng Off1c,aI unelef 1ne orov,11on1 of th11 * AN OSHA P(Nrl:T tS MOUIRED FOfl UCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL .INFORMATION HEREON INCLUDING THE Code shatl eap.re by hm1tatt0n and become nuu and void If tM bu,td1ng o, work s· o· DEEP ANO DEllrlOt.lTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO J FUPTHER CERTIFY ANO AGREE IF A PERMIT I~ aulhonzed by such permit ,snot commenced w1th1n 180 days trom the dale of sue ti STAUCT\JAES OYER 3 STOMES 1H HEIGHT permit~ Of ,f the bueldtJ Of WOf9' autftOf'lffd: by IVCh pe,m11 ti SUIPM\ded Of ISSUED. TO COMPLY WITH ALL CITY COUNlV ANO STATE LAWS GOVERNING BUILDING CO"< lbanOOned at anv tune I er the work ,s commenced for a oeriod of 1 llt'I ...... .
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
AP:rh"TU~ OWNERn CONTRACT~ APPRO'VED Bvz ~ ~ DATE/4 / KEEP HARMLESS THE CITV OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BV PHONE rJ I l s--.W GRANT1i.G OF THIS PERMIT ----
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TYPE l DATE INSPECTOR
BUILDING I
1
FOUNDATION t ./) <~
REINFORCED STEEL I f ,/1) •• 1'I
MASONRY I
' GUNITE OR GROUT I
SUB FRAME D FLOOR D CEili.iNG
SHEATHING D ROOF D St-(EAR
FRAME I
EXTERIOR LATH I '
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
I
0 SEWER AND BUCO D Pl/CO
UNDERGROUND D WASTE D tWATER
TOP OUT D WASTE D ~ATER
TUB AND SHOWER PAN I n . t _r
GAS TEST I .. I'[ •(-t. ~1 rt{"'
D WATER HEATER [;J SOLAR WP.TEA
I
ELECTRICAL I (\
D ELECTRIC UNDERGROUND o:uFFER '1 •N-'(J r \.1"
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
[l..8'0NDING o,POOL I ~-i7,r'J c.../1 I
I I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I . -
CALL FOR FINAL /NSPECTiON WHEN ALL APPROPRIATE
ITEMS ABOVE HA ~E BEEN APPIWVED. -.... . . ... . . -•
FINAL I
I
PLUMBING l .. ~ I
ELECTRICAL I u. .J.
MECHANICAL I ['-.... ~ 1
GAS I "I ~
BUILDING I \\..
SPECIAL CONDITIONS :
!
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES
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DEVELOPMENT PROCESSING SERVICES DIVISION
2075 LAS PALMAS DRIVE
THIS PERMIT MUST BE
POSTED ON THE JOB SITE
CARLSBAD, CA 92009-4859
(619) 438-1161
RIGHT OF WAY PERMIT 11639
Applicant Please Print and Fill In Shaded Area
JOB
ADDRESS
NEAREST
CROSS STREET 1
PROJECT
NUMBER
T.
ASSESSOR'S PARCEL NO.
APN
CONTRACTOR
CONTRACTOR'S
MAILING
ADDRESS
CITY
STATE H LICENSE
NUMBER
DESCRIPTION I
I Ir
5' t,
ZIP
BUSINESS
LICENSE
NUMBER
OF WORK F
START
DATE
ESTIMATED
COMPLETION DATE /_ _,
24 HOUR
TEL. I T I I
THE UNDERSIGNED ACKNOWLEDGES THAT ALL WORK
SHALL BE PERFORMED PER CITY CODES, STANDARD
ISSUED BJ.
EXPIRES
24 HOUR NOTICE REQUIRED FOR
INSPECTION AND PRIOR TO START OF WORK.
CALL 438-3101
UNDERGROUND SERVICE ALERT NO. _____ _
THIS PERMIT IS INVALID WITHOUT THIS NUMBER
IF ANY EXCAVATION OR BORING IS DONE.
INITIALS
1255 05/3:L
VALIDATION AREA
TRAFFIC CONTROL PLAN APPROVED
AND ATTACHED
,.....::::;,:::>/,?-LIABILITY INSURANCE VERIFIED
h/'7171>
PAID
SPECIFICATIONS, CITY APPROVED PLANS AND FEE: 25, o BILLED
STAN DA RDS. I-'..-~-===============.:::.:.::.::.::::_-=:==========~
DATE I
RESTORATION SECURITY
TRAFFIC CONTROL DEPOSIT
INSPECTOR'S
SIGNATURE
BLUE • FILE; YELLOW • INSPECTOR; GREEN • UTILITIES; PINK • FINANCE; WHITE • CONTRACTOR
DATE