HomeMy WebLinkAbout1005 PINE ST; ; 85-861; Permito
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n I hortby affirm ttiat l-^m llcenaod under
provlslona'of Chapter 9 (commerxjlng with
Section 7000) of DMeion 3 of the Business
and Profeesions Code, and my license Is In
full force and effect. • -
Uc Ho _2 Class J !—
1 hareby atfinn that i am exempt from the Contrac
tor's Ucanse Law for the foBowvtg reason (Sec 7031 5
Business and Professions Coda Any city or county whHCh re
quires a pemnt to construct, after, mprove.^nmofish, or
repair any structure, prior to its issuance also requires the ap-
plicartt for such'perrmt to Me a sipned statement that he is- rtcensed pursuant to the prdvisions of the Contractor s' bcar^ Law (Ctapter 9 commencing with Section 7000 of «
Drvisl^ 3 of the Business and ProJessioni Code) or that is ex
empt therefrom and the ttasis for the alleged examphon Any^
vKdatlon of Section 7031.5 by an appbcani for a penrut sub-
fects the appftcant to a cml pertafty of not more than trve hun-. dred do^ (J500).
□ I, as cwner;)f the property, or my employees with wagesas their sole compensation, wiQ do the work, and the structure ts not Intended or offered for sate (Sec 7044. Businessaruj Professions Code The Confractor's Ltcense Law doesnot apply to an owner of property wtio burids or anprovesthereon and who does such wort mmsetf or through his ownemployees, provided that such anprovements are not intended or offered for sale, ft, however, the buifckng or anprwe-.ment is sold wdhin one ysar of compteton, the owner-builderwill have the burden of proving tfrat he dMj not build or improve for the purpose of s^) .
□ I, as owner of the property, am otdusrvely contractingwith Ijcersed contractors to construct the profed (Sec. 7044,Business and Professions Code. The Contractor's Lxense-Law does not apply to an mmer of property wtn builds or improves thereon, and who contracts for each projects with a .gnt^lor(5) licansi pursuant to ttw Contractor"! Ucanse
■ □ As 1 homeowner I am improving my home, and the follow-tng conditnrts exist:1. The wait Is being performed pnor to sate.
2. I have bved In rw hone »r twehre monthspnor to completion of ttis work. ,3 I have not claimed ttite exemption durvig thelast three years.
□ I am exempt under Sec : B&P C■for this reason •
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d I hereby affirm that I have a certificate of oortaent to
stif-iniure. or a certificate of Workers Compensation In
surance. or a certified copy thereof (Sec 3800. Labor Code)
POUCY NO.
COMPANY
D Copy IS filed with the aty
CH Certified copy la hereby fumlstied
CERTlFfCATE OF EXEMPTION FROM
WORKERS' (XIMFENSATION INSURANCE- (This section need not be completed if the permit» for one hundred dollars ($100) or less)
Q I certify ttwl in the performance of the work for wtnohthis permit Is laaued. I shall not employ any person in anymanner ao ae to become subject to the Workers' Compen-
'satKKi l.awa of Califcmiau
ffOTKDE TD APPUCANT. It.jifter making thie Certiflcaleof Exeimptioruyou ahouW t)econtie subfect to the Workers", Compensation proviat^a of ttie Labor Code, you must
forthwith comply with such proviwont or thle permit shall
be deemed revoked- •
' i
n 1 hereby affirm that there Is a construction tending
agency for the performance of the work for which this per-
V mit Is issued (Sec 3097, Civil Code)
Lender's Nsme^
Lender's Address.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENTCarlsbad, California 92008-1989 (619) <^5625 APPLICATION & PERMIT
JOB ADDRESS AV. ST.RD, NEAREST CROSS 8T.
LoV/ BLOCK T SUBQ] VISION | A^ESSOR PARCEL NO.
OWNER'S NAME . 'OWNER'S PHONE"
OWNER'S MAl.LlNG •ADDRESS' '
TION OF WORK
— OStQ-
CENSUS TRACT
QTY.
Z
GP LAND USE PAf^lK "NG SPACE RES LTNITS
CONTRACTOR
CATIO BUSINESS LICENSE #
CONTRACTOR'S ADDRESS
DESIGNER
DESIGNER'S ADDRESS.
F/P FLR ELEV.
yD nD ^
GRADING PERMIT. ISSUED
Y □ N 0
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 outlets •
EACH GAS system 6 OR MORE
EACH INSTAL . ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.ELECTRICAL PERMIT - ISSUE
NEW CONST E% AMP/SWT'BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
I PH 3 PH
REMODEL.'ALTER PER CIRCUIT
TEMPPOLE 2aOAMPS
OVER 200 AMPS
TEMP occupancy (30 DAYSI
TOTAL ELECTRICAL
QTY.
REDEVELOPMENT
AREA
yG nG
MECHANICAL PERMIT - ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY.
NO
STORIES
TYPE
CONST
SQJJ^R - IS5UdsSCOLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED -APPLICATION AND PERMIT" AND 00 HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THEDECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OH NOT. ( ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE GITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS'AND' EXPENSES WJHIGH MAYIiN ANY WAY ACCRUE fLGAINSX SAID CITY IN CONSEQUENCE OF THEI Gfi^NRHp O^THIS PERMIT-. ' ■ ■ '4. '
(XINTnACTORS PHONE •
LICENSE tW.
peSIGN^RTS PHONE
.UCENSE NO.
FIRE SPR
yD nQ
VALUATION ^5
P
ZONE
PLAN I.D. #
ERMIT NUMBER
BUILOfNQ SO. FOOTAQE
tT/BT>'Be6«9J?ul3DT5ffff7"fr?f
Not Vak'd Unfess Machine Certified
^ s&i'sg
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-00-00-8220
SIGN PERMIT 001-810-00-00-8221
PLAN CHECK 001-810-00-00-8806
TOTAL PLUMBING 001-810-00-00-8222
ELECTRICAL 001-810-00-00-8223
MECHANICAL 001-810-00-00-8224
MOBILEHOME 001-810-00-00-8225
MOBILEHOME PARK INSP
SOAR 001-810-00-00-8226
STRONG MOTION 880-519-92-33
FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACILITIES FEE 332-810-00-00-8930
SCHOOL FEE - DISTRICT
Carlsbad
Encinltas
San Dieguilo
San Marcos
UCENSE TAX 001-810-00-00-8162
MFF 880-519-92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE "2^
Expiratioo Every permit (eeued by the BuHdirtg (Dfficial under the proyiaronsofthieCode ehaJI expire by limitation and become null arKf void l( the bmkJing or workauthorized by such permit ts not commenced within 180 days from the date of suchpermit or if the buildtng or work authorized by such permit is suspended' orabandoned at any tim aner the work is commenced for a period of ISO days.
* AN OSHA PERMrr tS F«QUIR£D FOR EXCAVATIONS OVER
5' 0" DEEP AND DEMOLmON OR CONSTBUCTION OF
STRUCTURES OVER 3 STOWES IN HEIGHT
T'S SIQNA OWNER □ CONTRACTOR □APPROVED, BY
BY PHONE '□
TYPE 1 DATE INSPECTOR
BUILDING >
FOUNDATION
REINFORCED STEEL '
MASONRY 1
GUNITE OR GROUT |
SUB FRAME □ FLOOR □ OEIUING
SHEATHING □ ROOF □ SHEAR
FRAME ;
EXTERIOR LATH i
INSULATION 1
INTERIOR LATH & DRYWALL J
1
PLUMBING ;
□ SEWER AND BUOO □ PljJCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ V^fATER
TUB AND SHOWER PAN |
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL i
□ ELECTRIC UNDERGROUND dIuFFER
ROUGH ELECTRIC ]
□ ELECTRIC SERVICE □ TEMPORARY A□ BONDING □ POOL 1 \
MECHANICAL i
□ DUCT & PLEM., □ REF. PIPNG .l!.. . - \1
HEAT — AIR COND. SYSTEMS '\ ^VENTILATING SYSTEMS !/\ V i/f
1 /\ M (
ITEMS ABOVE HAVE BEEN APPROVED.
\TE
FINAL i
PLUMBING !A1 1
ELECTRICAL I /j
MECHANICAL 1 /GAS . I /
BUILDING !/
SPECIAL CONDITIONS i /
1
1
FIELD INSPECTION RECORD ' ^
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
1
structural CONCRETE
OVER 2000 PSI
...
* ' r '4
PRESTRESSED
CONCRETE 'i 2"* ^ f-..A, ■
POST TENSIONED
CONCRETE /
FIELD WELDING '
HIGH STRENGTH
BOLTS /V,'' ,' -V l->
special MAhpNRY /J
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PILES CAISSONS /
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