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HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; C; 80-26; Permitrx «31VaiTVA NOIlD3dSNIio:Ou_ «"5-"_i Q=»£•*U. •''~"\^ ;| i^^B CITY OF CARUSBAD-BUIL.DING DEPARTMENT i^^H^^^ APPI IfTATIDN & PERMIT ^1^^ APPLICANT TCLICENSED CONTRACTOR S DECLARATION , ICC n Ai i nrtlklT DCM nkll V Mrri_H-M MLMX r cr\mi ATiON WITH!1 hereby affirm thai 1 am licensed under prov, USE BALL POINT PEN ONLY ^QQ £LM AVENUE (714)438-5525 MA 1 IUN WMMIsions of Chapter 9 (commencing with Section \ ' --* ^,"Z \H ON2 .^O^i 'N DATE OF APPLICATION1-ui Q —cc — t/>l J2a 1 — 'i4 ^ §X3 <1 7000) of Division 3 of the Business and Professions Code and my license is in full force and effeetSTATE LICENSEceu. zoICL Ul CCLU I O \ f cc. zIso 3/H/0C2GQk 7rCMDQO|^S34 a/H/fld ?«0nNot Valid Unless Machine CertifiedCONTRACTOR'SPHONE1f •1in Ul cco^-u a: ou 1DDRESSoz 5 01 or STATE LICENSEGNER'S PHONEQ DESIGNERDESIGNER'S ADDRESSASSESSOR'S PARCEL NO1 1 1 1 1 1 1 1 1 1SUBDIVISION1 BLOCK: c r- O 1 Vi ir o IT NUMBER OF STORIESUlLL) U CLm Z *• -1^.Ct ~te a. tnl- z ZONING1I \KL) CC 1- Ul U -aooo TYPE CONSTft z CL STANDARD PLAN fta.o u o 111 Uln a m i- L. O O -1o VALUATION:h-MECHANICAL PERMIT1—a l_PLUMBING PERMITCJ INSTALL FURN OUCTS UP TO 100,000 BTUEACH FIXTURE TRAPt-ca CDC3 o"O ccUJ o EACH BUILDING SEWER•BOILER/COMPRESSOR UP TO 3 HPEACH WATER HEATER AND/OR VENTBOILER/COMPRESSOR 3 15 HP•EACH GAS SYSTEM 1 TO 4 OUTLETSBOILER/COMPRESSOR 1630 HPEACH GAS SYSTEM50RMOREVENT FAN SINGLE DUCTEACH INSTAL , ALTER, REPAIR WATER PIPEMECH EXHAUST - HOOD/DUCTSEACH LAWN SPRINKLER SYSTEM-BUILDING PERMITccUJ1- LJJ I UJ Zcc LU- LU LL. O Z RELOCATIWATER SO FTNER-SIGN PERMITr>•O cy; HH O O K) J-L. ^—trcrf— —PLAN CHECKTOTAL MECHANICALTOTAL PLUMBINGVE PERMITALLINCLUSIccoi—CJ< 1—ZOo CONTRACTORIHiSfi-<^||i°s:;!e|isji i|i||*||i|||i inlili iPiiiWPlifif IliliniliHICQ~a,c€Q.o-§-i:£T3n>-2 = o _£a>,S^ogo)>.cE;=T, £<°'«^«££5rri5>;SSE- = «£|cce£': °£aj?cS2e-Si? --^ u £ £ - c S 3 I!ii£*El*irilf=S- 1 «;5* Mi If i|§"|Sn§f =i ?s ill? § III? 1 !hfi3ti|fj;i| Igl^silETOTAL PLUMBING&8ELECTRICAL1-S MOBILE HOME PERMITh-a 1 ELECTRICAL PERMITt—a for this rnasnno <u "5Q MECHANICALz3 NEW CONST EA AMP/SWT/BKRLUOXLUO XUccoQ- Xa. CO Xa. -cco SETUPEXIST BLDG EAAMP/SWT/BKR-RAMAOA, CABANA3:a. r \ Xa. _FENCE OVER 6W REMODEL/ALTER JPER CIRCUIT/vVWORKERS COMPENSATION DECLARATION1 hereby affirm that 1 have a certificate of consent to self msure or a certificate of WorkersCompensation insurance or a certified copythereof (Sec 3800 Labor Code)POI ICY NO-LL.OO UJ O LU TOTAL MOl TEMPPOLE^TCCXMPS_OVER 200 AMPSDCopy Is filed with the cityuncertified copy is hereby fuimsheO_ o TEMPOCCUPANCY(--ci-E-C5ecPhc/ 'cr o r-l £ CO CO 1— 1 trTOTAL FEES PAYABLEr TOTAL ELECTRICAL-WN_CONTRACTOR / ' **"WP4PH ^-1 , "OCT 0MO t/Dz.O zIjll ^LL jj. Z (\VQ o M \s ^ uJ _i in XS. 1 H D > > 5 Q 0<^ \ £ Z W ^Ov WUJ < LU ^4 \ °- a. tt J^i 5 Q &* V<O ^ \ < in uJ OQ Q - >• _ Q LIz Q t S z ,<zu cc < . 3 h H vi Q LJJ 1 HAVE CAREFULLY EXAMINED THE COMPLETED APHEREBY CERTIFY THAT ALL INFORMATION HER EONFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUECOUNTY AND STATE LAWS GOVERNING BUILDING CCSPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVELESS THE CITY OF CARLSBAD AGAINST ALL LIABILCERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed if the perrait Is for one hundred dollars ($100) or less)I certify that m the performance of Ihe work forwhich this permit is issued I shall not employ anyperson tn any manner so as to become subject tothe Workers Compensation Laws of CaliforniaNOTICE TO APPLICANT If, after making this Certificate of Exemption you should become subjectto Ihe Workers Compensation provisions of theLabor Code you must forthwith comply with suchprovisions or this permit shall be deemed revokedn^2 ?- /r. ^^MSVAX APPLIC/NT S SIGNATURE' OWNERT^^ CONTRACTORS^(^/ AGENT D BY PHONE QOFTHEGRANT1NGOFTHISPERMIT\V CONSTRUCTION LENDING AGENCY1 hereby affirm that there Is a construction lendmg agency for the performance of the work forwhich this permit is issued (Sec 3097, Civil Code) I - « ^ rN C ^C , • LLh (/• *»•CozL-,r~srvu_LUa. t % |i ct UJz5O -ADDRESS'1 i • J *J Qa: Ou 'LLJa; ~z.o 'h- U «UJ ' rtLL. 'LO ^ ,_J LLJ LL j • ' , . \' inEl 1,LLJH OZ 0) "o:O H OLU Lltn« ^z , t ? Lt O H.UUJ-H COz LU < D ,NSPECTION' •" - *WOOD FLOOR1> f t HUJ_ Oh• y.u<m h-LUtfi• W EtroLL • Z C <DZDOU. _ ' " "". ' , ( J( . <)R PLUMBINGUNDER FLOC> - 1 -)R HEATING '1 UNDER FLOCi • : 1 iLL SUB FLOOR•3. tez Oh y.o X ''' ' 1 , ' ' , t ' ' ' 'j~SLAB FLOORJ PLUMBINGf UNDER SLAB11 LU_l ORMS • SETBACK • TOIFOOTING «''Fi• 1 "CONCRETE(E=1 O Q. O1- yo ( .FRAME"* ' " • _l< UaK1 1 j~ ROUGH ELECOZ HI ^[ ROUGH PLUI\•PING/VENTILATINGROUGH HEA1t 'PLACE INSULATIONFRAME OK •- Otrtf OK • PLACE WALLBOyZ O H< J •fiZ • ' " *• 'OK • PLACE TAPEWALLBOARD. ' OUu ATH OK • PLACE STUEXTERIOR L' •FIREPLACEJUJ UlI ..DAMPER & SI/HEIGHT OF CHIMNEYPLATE TIES,, , • - ,1 OTHERI (POLE)1 TEMP POWEF' ,SEWER- - kUJH (/)<O . STEEL BONDINGJOOH E5 t/7 ' " yu UJo UJaa ( £T t FENCE PREPLASTE' FRAME1 SHOWN •<a f BLDG DEPT| FINAL INSP B>1 5 REQ COMPLETED[OTHER DEPT':' ' , ' Q. EUJh- 1 tr UJa. !ir ^LU E ULUJLU 'ERM-TEMP| GASMETER-F' . ! -:UPANCY ISSUEDwuo Lu O ITLUO