HomeMy WebLinkAbout2466 TORREJON PL; ; 87-980; Permit.,, z
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O I hefeby affirm lhal I am llcensed under
provlalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Buolneso
and Professions Code, and my llcense Is in
lull force and effect.
I hereby afhrm 1hat I am e11emp1 from the Conuac• tors License Law for lhe touow,ng reason (Sec 7031 5 Business and Proless10ns Code Any c,ty or county whttr, re• quires a pernut to conslruct alter ,mprove. demohsh, or
repa,r any structure, prior to its issuance also requires !ht ap-phc:an1 !Of such oerm11 lo hie a s1Qned statement that he 1s
t1censea pursuant lo lhe provisions of lhe con1ractor • s Lrcanse Law (Chapler 9 ccwnmencIng with Section 7000 of O.v1SKJn 3 ol lhe Business and Protess~s Code) or lhat Is ex·
empl lherelrom and the basis to, the al1egeo fllempbon Any
v11Mllon of Sechon 7031 5 by an applicant IOI a perm,1 sub
1ec1s !he applttint lo a c1v1I penalty ol not more than l!Ye hun-
dred dollars (S500)
1 as owner ol the property, or my employees with wages
as the-ir SOie compensa11on. will do lhe work, and lhe slruc-
hHe 1s 001 tnlended or ofleretl !Of sale (Sec 7044. Busmess
and Profession!> Code The Contractoi·s Lteense Law does not apl)4y to an owner of property whO builds or improves
thereon and who does such WOi'k hlfflselt Of lhrough his own employees .. provided thal such improvemenls are not mtend-
ea or ottered for sale It. however. !he building or ,mprove-
menl 1s sold w1tnin one year ol complet.on. 1he owner-builder
will have the burden of provmg that he did nol build or im-
prove '°' the purpose of sale)
I I, as owner of the property, am exclusively con1rac1mg w,lh hcensecl con1rac1ors to construcl the proiect {Sec 7044. Business and Professions Code The Conuac10t's license
Law does not apply to an owner ot property who builds or im-
proves !hereon. and who contracts for each proiects with a contractor(s) hcense pursoanl to lhe Contractor's License Law)
' l As a homeowner I am ImprovIng my home. and the lollow
ing cond1t1ons ex,sI
1 The WOfk IS being perfOl'med prior to sale
2 I have lwed in my home lor twelve monlhs prior lo completion ot this W()(k I have not clal.med lh1s exempuon durmg lhe last three years
D I am exempt under Sec ______ , 8 & P C
lor this reason ____________ _
LJ t nereby affirm 1hat I have a certificate of consent to
sett-insure. or a certificate of w·orkers· Compensation In•
surance. or a cert1hed c:opy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY = Copy IS filed w,th the. city
~ Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This sect+on need not be completed ,t the permil
1s for one hundred dollars ($100) or less)
C I cer11ty that in 1ne performance of tne work lor which
this permit ts issued. I shall not employ any person many
manner so as to become subject 10 the Workers Compen-
satK>n Laws ol Calllorn1a.
NOTICE TO APPLICANT: If. after making this Certthca,te
of Exemption. you should become sub1ect to the Workers·
Compensal!on provisions of the Labor Code. you mus!
tor1hwith comply w11h such p.-ov1sions or th,s permit shalt
be deemed revoked
0 1 hereby athrm lhat there ls a conslruc11on lending
agency tor the performance ol the work for which this pee,
mil is issued (Sec 3097, c,vll Code)
Lender s Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ----. -·--··-· -·----.. ----• ---
CARLSBAD BUILDING DEPARTMENT p CATION & PERMIT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 A PU
J9'°4Z;(,0' ·-rci('J' ... e-irf'--.AVST.RD THOMASBROSNO. IDfr/~;rfrl BUSINESsr,.:-v-VAL~ <tl~ITNUMBER
Q~; BLOCI( I sueD1v1s10N -1,__'.'i5~R ~?~O-I I _ O ( CONTRACT:R ' • • CONTFIACTO~S PHONE• ZONE </ t 0
owl.ER'S NAME I I OWNER·s PHONE .....,_(.\,.,__e::(""'----1+--=C{x=·c...,;.,' \..,..l'5iv-n::.-:.,_;"""--'> -h_._._,t=--~}l\...,~--+-......,,.,.,..--==~-t---------+---:--:-:--::-:~-::--1 -~ l ...._~...,....\ t, CONTRACTOR·s ADD,ESS \
1
' STATE UCE.NSE NO. BUILDING SO. FOOTAGE
OWNEFl0S MAILING ADDRESS 6, ?;~ . (,'. w h fJl\n\ 6D77D7
I.
/J~4-(alA -((t?r(e. \Of\ DESIGNER DESIGNER'S PHONE
DESCRIPTION DF-WORI( ·.....i
----..---------,..-------------------------1 DESIGNER'S ADDRESS STATE LICENSE NO.
'Yo-¼o U)cr~ f<i6 ~-r\ .,_ F/P FLR ELEV. NO OCC GP EDU
' STORIES
vO NO -
~ -~ I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PEFIMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR AREA CONST
--. y D N O v O ND v O N □ Not Valid Unkss M~chine Cerrdied
QTY. PLUMBING PERMIT. ISSUE 7 ~ QTY. MECHANICAL PERMIT. ISSUE /S~ SUMMARY~8eoW~uW& 02BldF'mt 2 5•51
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU BUILDING ccnMII uui·ijlU·UU·UU·ouu / (,,.
EACH BUILOING SEWER 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 001·810·00·00·8891 / 0
EACH GAS SYSTEM I TO 4 OUT LETS 801 LER /COMPRESSOR 3 15 HP TOTAL PLUMBING OOi-810·00·00·8222
EACH GAS SYSTE M 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 SOFT NER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810-00-00·8226
EACH ROOF DRAIN IINSIDEI DRYER VENT STRONG MOTION 880-519-92·33 !' ()
TOT /;L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
IO I Al Pl UMBINl, I PUBLIC FACILITIES FEE 320·810·00·00·8740
BRIDGE FEE 360·810·00·00·8740
QTY. ELECTRICAL PERMIT -ISSUE ._5' .9,.SJ. QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA I _ ..-...
NEWCONSTEAAMPSWI ~KR CARPORT TIF r"T M l!J.. 1(;_1-l'ftJ,~-8835
1 PH 3 PH AWNING ~ ~ 1 LA cos~F'-"--311·810-00-00-8835
EXIST BLOG EA AMP 'SWT BKR GARAGE ,t(°"' 1, " '-. FMF ,.,, 1 '\QQt;:l
1 PH 3 PH 1 / A \ LICENSE T~J-l,\'t (.; .1.. oOY.610-oo-oo-s162
REMODEL ALltR PER CIRCUIT / -A.. "'I MFF _ -•-•5=----
TEMPPOLE ?OOAMPS ,.... N\\'J t';)OI -· CitY 01 -· --···"' rm\ C:.
ovE R 200 AMPS IN PJIO ___ T _ ........ noll~MT •.• ...:·-
I EMP occuPANCv no oA vs1 \N CITY)~J?.-~'<'1ttci'· v••
"' r•r __;,_ ,q,"" ....,-, CREDIT DEPOSIT
TOIAL ELELTRICAL I _ r'o~ _ _, w TOTAL FEEs PAYABLE I //£ #~o
I HAVE CAREFULLY EXAMINED THE COMPLETED -APPLICATION AND PERMIT AND 00 HEREBY Exp◄ration Every pertmt ,uu«tbyU..8uilding0Niciel undertheprovosions ot th" * AN OSHA PlAMIT IS IIEQUIAEO FOfl EXCAVATIONS OYEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFOHMATION HEREON INCLUDING THE Code thall e•pire by hmilltion and become null 8 "d vo•d II th<! buolding or work 5· o•· DEEP ANO DEMOLITION Ofl CQNSTRUCTIOtl OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I& authorozed by such permit 19 not commenced "'th,n 180 days lrom the date o,f such STRUCl\JAlS OYEA 3 STORIES IN HEIGHT
ISSUED TO COM PL y WITH ALL CITY COUNT y ANO STATE LAWS GOVERNING BUILDING CON =.;;;.,.:, 1
~t '=~y i::'.:1ZX.~tt=~~.:~t~::.:'er:'l~~~~ r..:.i::::.i·~,•~:ge;a~ or L
SrRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . (1
1
'4-' APPr;;:;;ED BY /2
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND APPLICANTS, GIG ?.'.R~ OWNER CONTRACTOR ~ DATE~J
EXPENSES WHICH MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /? r ~,f/,N,/ , , • BY PHO E r:J l,r ~ , // rt
GRANTING OF THIS PERMIT M. 1"'""""{.I'(../ N ,.,,, Ii.,_ -I '}I), .....,..., .....
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TYPE I DATE INSPECTOR
BUILDING I <i?7--~~()
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING □ ROOF □ SHEAR --.
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL ' I
I
-INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL ..
SOILS COMPLIANCE
PRIOR TO -vt~u.~,,r:E.,., bv"".-r:,-,, -FOUNDATION INSP
~•-• • \..l• •... or,() ,rv_-. >-
STRUCTURAL CONCRETE -"""'•7'~
-f c~,~r er?\1 D -OVER 2000 PSI
PRESTRESSED ' 'l \; .., ... .. ! ~,"!q -t:,~~ •11 -··-CONCRETE -
POST TENSIONED r,~ ....... CONCRETE ... " .. -
PLUMBING 1·
□ SEWER AND BUCO CJ P'µCO
UNDERGROUND □ WASTE □'WATER
, ........ 1 ' ·1·· t.,' • ' 1~ •• lj ,r.;· ,• --FI ELD WELDING • --•~1 ,_.,
HIGH STRENGTH -BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY -
TUB AND SHOWER PAN I
-
GAS TEST I
□ WATER HEATER □ SOLAR WATER I PILES CAISSONS
!
I . ELECTRICAL ! i
-j
□ ELECTRIC UNDERGROUND □ UFFER I
ROUGH ELECTRIC ' I
□ ELECTRIC SERVICE □ TEMPPRARY ~ .. □ BONDING □ POOL l
I
-,-"";, ~~,, t~-r r:;:--;-:_:,1,.:, ; ~·.-i.:
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPfNG I
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS J
I
CALL FOR FINAL /NSPECmON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I \
ELECTRICAL I -\.~ I
MECHANICAL I ., ~ ~ \
GAS • ~ I <"'"
: \. f' ~. '
BUILDING I ·, -, \"'-'"' I \.
SPECIAL CONDITIONS . I ... ~ ~-'
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