HomeMy WebLinkAbout2803 TORRY CT; ; CB881689; Permit.,,
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O I lle(eby attlrm thal I am licensed under
provl110n1 of Chapter 9 (commencing with
Section 7000) of OM1lon 3 or the Buslneu
and Prof .. 1lon1 Code, and my license Is in
full force and eflecl.
1 hereby attIrm thal I am e11emp1 from lhe Contrac 1or s Locense Law lor Ille 1ooow1ng reason (Sec 7031 5
Bos.iness and Protessaons Code Any oty or tounty whac.t, '9· quires a perm,1 lo construct. alter lfflProve demotIsh. °'
repair ~'f slructure prt0r to 11s issuance also requ1res !he ao pie.ant tor such oermrt to r,te a s~ned s1Jtemen1 lhat he 15
ltetnsed l)UrSUilnt to the provmons at lhe t;on1ractor s License law (Chapter 9 commencing w1U'I Section 7000 or
Drv1s,on 3 D4 ine Business ano PfOCes.saons C0t1e) °' I hat ,s e,: tmQ1 lllefefrorn ano Ille bas,s tor lhe anegeo exemp1,on Any
vtOiat+on ot Sect.on 7031.5 oy an appiIcan1 lor a permI1 sub ,ec.Is the app&gnl 10 a tMI penally ot not fflOfe than hve hun
dred dOl,.rs 1$500)
l I as owner ot lhe property_ or my emoioyees with wages
as lhetr sole compensation wtn do lhe wo,k and lhe struc·
hne ts noc 1nlencted or ottlfed tor sa•e (See 7044 Business
and ProfesSM>ns. COde The Conuac10(5 bcense law does not apply 10 an owoer of proptfty who builds °' ampcoves
!hereon ano who does such wock htmsett o, through hts own empk,yees. provfded that such improvements are not 1n1enct•
ea o, ottered fOI' sale rt. however the bu,td,ng 01 1mpr0't'e ment ,s SOkl wllhtn one JUf ol cornplehon lhe CM-'ltf'·buddef
will have the burcren of proving lha1 he OKI not btuk1 o, 1m P<OV• tor the PUIPoSf o1 sale)
I. as owner of lhe properly, •m exclusr,ely con1rac:11ng w1lh lteensed eon1rac1ors 10 conslruct the protect (Sec 7044,
Business and Professions Code lhe COntracto,'s License c Law does notappty toan owner ol property whO buikts or .m proves thereon, and who contracts IOI' each prOffCIS w1tn a
contract0t(S} hcense pursuan1 to the Conlfic1or·s License , Law)
11 As a homeowner I am ,mprov1n9 ff't home and the IOllow Ing cond1hons ex&SI I The -k ,s t,e,ng performed pno, lo .. ,.
2 I have hved in my home lor twelve months pnor 10 completi0n ol this work
I haive not claimeo lhts exemption during the las! three years
□ I am .. tmlll unclef Sec _____ _
lo, this reason _ B&PC
0 I hereby athrm that I have a cen,r,cate of consent to
self-insure or a eer11hcate of Workers Compensa110,, In-
surance. or a certified eooy thereot (5ec 3800. Labor Cooel
POLICY NO
COMPANY = Copy 1s hied with the city
::J Certthed C<>t)y ,s heteby lum,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be eompieted ,f 1he permit
IS fQt one hundred dollars (S 100t or IHS)
CJ I certify that in the performance ot the work lor wh,cn
irus permit 1s issued. I shall not employ any person In any
manner so as to become sub,ect to the Workers· Compen-
sation Laws ot Cahlorma.
NOTICE TO APPLICANT. If. alter maJc.lng Uus Certthcate
ol Exempt,on you should t>ecome sub1ec1 to the Workers
Comoensat1on provIsIons of the Labor Cooe. you must
lo'1hw1th comply with such provisions or this permit lhaJI
be deemed ,evoked
0 I hereby athrm Iha.I there iS a construe.lion llndlf\Q
agency tOf the performance of the wortl tor which thjs per-
m,t 1a iHued (Sec 3007 C1v.l Code)
Lenders Name ----~------1
Lenoe, s Addf'ns ___ -~ ______ _
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 AOOAESS A V ST.AO. THOMAS BROS NO. I 0 ~;1;;~;TIONI
BUSINESS LICENSE • VALUA?::2 PERMIT NUMBER
~8()3, 1'>RR\/ coUfn' CAR1.5Sql) ~ ~8& 1fo~9 LOT BLOCK I sullo1 v1s10N ,'f I ASSESSOR PARCEL NO 0 COl\jTAACTOA COOITAACTOAS PHONE • ZONE C c-:c ~•-~ :::,, 11_ <l-0 I I ~ 0 --OWtJER UW~f: R"S f\lAM E
PAllli.fe~~" 1P I OWNER'S PHONE r-=
Ulil....< OJ=-AU<:A~E. '1 ;>.1-310/ CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
~~03 it>l2\/ a-OWNER'S MA•L•NG ADDRESS
DESIGNER OESIGNEfl'S PHONE -R~610tJ.'U-rl>E.C.S OESCR1P•11:-..s._OljfWORK)
I(\} t'I ~d &-ct'\ I 3708 12/16/88 0001 01 02 .¥~--:. ~ DESIGNER'S ADDRESS STA rt LICENSE NO. , -I BldP111t 194-C
F, p F LR ELEV. NO OCC GP EDU STORIES
vO "'O --I CENSUS TRACT I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
YO N 0 ,□ NO vO NO Nol Valid Un~s Machmt Ctrtifitd
QTY. PLUMBING PERMIT · ISSUE 7. 5D QTY. MECHANICAL PERMIT · ISSUE J.5-CO SUMMARY~~~UMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU ijUILUINu rtt1MI I -~ "" ~--" vv·oau II/
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT.I"""'\ .1 ~ ~l-810-00·0'l;,_8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK'-'-001-.ar ,_ 91 7 h
EACH GAS SYSTEM I TO 4 OUT LETS BOILER/COMPRESSOR 3 IS HP TOTAL PLUMBING ~ <. ?,.001-!ti'0·00·00·82.:i,il, I .u -
EACH GAS SYSTEM ~ OR MORE METAL FIREPLACE ELECTRICAL ' ,_ 001·.!L)-_,. -~ c.t\',••
EACH INSTAL . ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL . Al1l'fd-n .r
EACH VACUUM BREAKER MECH EXHAUST HOOD'OUCTS MOBILEHOME ·1:,,•,11 .• dl\Bl~-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR .ad lcJT •• 001 ·810·00·00·8226
EACH ROOF DRAIN t1NSIOE1 DRYER VENT STRONGMOTIMf' 880·519·92·33 I
TOTI.L MECHANICAL FIRE SPRINi<LERS 001·810·00-00·8227
TO I AL PLUMBINL I PUBLIC FACILITIES FEE 320·810·00·00·8740
BRIDGE FEE 360·810-00·00-8740
QTY. ELECTRICAL PERMIT • ISSUE l '5", a"J QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWI IIKR CAR PORT TIF 312-810·00·00·8835
I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BLOG EA AMP SWT SKA GARAGE FMF
I PH 3 PH LICENSE TAX 001-810·00·00·8162
REMODEL AL HR PER CIRCUIT MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYS)
CREDIT DEPOSIT
TOTAL [LEtlRILAL I TOTAi TOTAL FEES PAYABLE I If 'I (JU
I HAVE CAREFULLY EciiAMtNEO THE COMPLETED APPLICAflON ANO PER'41T ANO 00 HEREBY Exp,ratt<>n EW4My l)eftntt ••MM by 1"'9 Bu.&den,g Off,c,af undet' the pf'ov•..ont of 1ht1 • AN OSHA PEMil:T IS AEOUIAEO FOfl UCAYATIOIICS OYER
CERT,FY UNDER PENALTY OF PERJURY THAT All fNFORMATION HEREON INCLUDING THE Coa ,shall eap.re b)' hm,1at1on ,nd bKom• null And ._.o,d If the building or •ork ~· o· DEEP ANO OEMOlfTION 0A CONSTAUCTl0N OF
DECLARATIONS "RE TRUE! AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ aulhonzed by s.uch perm,t ,snot commenced -•thin ,ao days ham the date llr sue" STRUCTURES OYER l STOAIES IN HEIGHT perm,t. °' If the build•~ 01 work autnoozed bv auch perm1I is suspended o, ISSUED: TO C0'4PLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CO" abandoned al any hme I er lhe work ,, commenced tor 1 ,_,.,ocs of 180 rla ...
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APP\.ICANT'S SIGNATURE 4 OWNE~ CONTRACTOR [J
APP~(:. loi~4t KEEP HAR"1LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ID)\,:, /J ~ 11/IJJ.iAll~~ BV PHONE rJ GRANTl'-IG OF THIS PERMIT ..
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TYPE
BUILDING
I
I
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I
FOUNDATION --.:.._
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME D FLOOR D CEl!l-lNG
SHEATHING D ROOF D SHEAR
FRAME I
I
EXTERIOR LA TH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
□ SEWER AND BUCO □ PI-JCO
UNDERGROUND D WASTE 0 1WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND Di UFFER
ROUGH ELECTRIC I
' D ELECTRIC SERVICE D TEMP()RARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
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2 /1IP1 -r--
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?./'3 /n T
' I
CALL FOR FINAL INSPECU.:ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I .
PLUMBING I . ' . . ' I
ELECTRICAL : -.. .-
MECHANICAL I
GAS I . -/) . .
BUILDING ' ~/.:,/~ f-' I
SPECIAL CONDITIONS I / ,
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"·
t' .,& ~g l ~ S'Cj
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. 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
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