HomeMy WebLinkAbout1009 FOXGLOVE VW; ; 85-569; Permit"' .z 0 ;:: " "' " ~
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Ji?J I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
~~!I ~~r44~ct3e2'.ff' _c}fj
1u·e a·,c
er"plovees su('" ,n•enc
ed or oi'frd 10r sa e hcwe"e
ment s sold w·tn,n vne )'ear cl
,vl·I ",a·,f t~,P hurae~ ol prov,r;q p·Jve '·Jr tre ~u·pose ol sa,e, ·
I dS owner of 1he pro;iert)' am e,cus,ve'v ;:c,r,Jract,ng
with l1csrse~ cc0,trac:ors to co~s!ruct lhe pro1ec' I Sec 7044
Bus,ress a,c r,a1ess1ons Code Tre ContrJctor s L1cen,~ la,;, does rot app:v to a~ owner of propecty wno bu Id;~, m proves t~ereo~. and who cor.r,acls tv· eac" ws1~crs with a
conl'actor1si l1cer1se pursua,t 'G t~e Contrator·; ~1cence Law I
As a homeow~er I aT, 1mpro.,1ng my r.ome dnG lhe 10 luw
1ng cond1t1o~s exist
1 The work 1s being oerforn1ed p'1ur to sa•e
2 1 have lived 1n my home lor lwei,e mort~;
prior lo comDlet1on of this wor<
I i1ave nol claimed this exemption during the
last lhree years
lor ih~: r~~~~t u~der Sec ------
Jr!t I hereby aJt,rm that I ha
to self ,nsure or ii c Compensa1,on Insurance
1Sec 31!(() Labor Code!
POLICY NO
COMPANY
~ Copy ,s lile<I with 1ne c,
0 Cen,!,ed copy ,s hereby ru"11she<J
&e C
CERTIFICATl OF EXtMPTION FROM
WORKERS COMPENSATIO-. INSURANCE (This section need nol be compleled ,t ·ne percr r ,~ •or one hundrpd dollars !$1001 or ,ess·,
0 I cer1,ty !hat ,n the performance ot lhf' "'"r1' :,,, wh,ch lh1s perrn,t 1s issued. I shall 'IOt emp10; an,
person "' .:iny manner so .:is lo becomf' sub'<"'· I,
the Worl<e<s Compensation Laws DI Ca"t"""a
NOTICE TO APPLICANT If atte, m.:ik1n:; ih,> C<"r1' locale ot Exemp1,on ,o~ should t>Pcome sub1en '
1r.e Worl<ers Compensat,un prov,s,ons cl the Labor Code yo,, must 1or1h•11h 0 omp11 ,,.,th ~.,, ~
prov,s10"S or th,s perm,r shall De deem<"d re>'lk<'J
0 I •ie•eby ar• rm lh.:il th<>rf' ,s a ,,:,r,5i,," 1.,;r en<l•ny age'1C\' tur 1'1f' ;.,er<,,,marce c! •t,p ,,.,,,-,. t,,,
wh•C~ 'h,~ iiercr,r s •ssued ,S.,, 1097 c;,, ,-=:oo,c
Lenders Name AAae
Lenders Address -----------
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
A
CARLSBAD BUILDING DEPARTMENT APPLICATION ~ PERM -v,i~ 1200 Elm, Carlsbad, California 92008·1989 {619) 438·5525 •
JOB AOORESS AV. ST.RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LIC~' # VALUAT/01 PER~IT NUMBER
1009 Fo~love View Rose Dr. 7/18/85 8177 1 /
cOT BLOCI( 1 SUBDIVISION I AS:!ltr rtffi'''2i CONTRACTOR CONTRACTORS PHONE• ZONE :5J .t;'bf!f OD
OWNER'S NAME I OWNER'S PHONE Arlen Fbster 697-4151
Rachael Yanovskey 438-5124 CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLDG USE cooH
OWNER'S MA:LJNG ADORESS 2819 Central Ave. s.v. 92077 443348
DESIGNER LICENSE# STANDARD PLAN# BUILDING SQ FOOT -'GE
1009 Foxalove View
DESCRIPTION OF WORK water heater ~1acarent DESIGNER'S ADDRESS DESIGNER'S PHONE
~--------a e FLRELEV NO ace GP EDU STORiES y= '.::] ---
c1:r,..,'.-,LJS TRAC' I c_;P L Ar,..,D usr-! PARK1r,,G '>PACE RES UN·TS I GRADING PERMIT 1$SUE"D I REDEVELOPMEr-..T TYPE OCC LOAD FIRE $PR
AREA CONST
' ,o ' D ·O '>0 YO N[J Not Valid Unless Milchine Certified
I
7 .so II QTY I QTY PLUMBING PERMIT· ISSUE MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
I
I EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 00-0ll-8220 .
I OVER 100 ooo _/ SIGN PERMIT
I 1----EACH BUil DiNG St.lNER -____ :_, __ 01-00-00-8221
--P,t::: :::~ .. ~-.. ------
I 1 EACHWATfR HEATER ANlJ OR VENT ! 2 ccn PLAN CHECK 01-00-00·8806
I I --
EACH GAS SYSTEM i TO 4 OUTLETS TOTAL PLUMBING 01-00-00-8222 10.00
I ------· -•-· ---
I EACH GAS SYSTEM '.l UR MORE I ~ETAL F1REPlACE ELECTRICAL 01-00-00-8223
1-·---·-- --t -----+--------------·-
EACH INSTA~ ALTER REPAIR ',','ATER PIPE VENT FAN SINGLE T MECHANICAL 01-00-00-8224
I L. _____ -------- --------+ ----------
I EACH VACUUM BREAKER I MECH fXHAUS HOOD DUCTS MOBILE.HOME 01-00-00·8225
I WATER SOFTNER RELOCATIGfQ OF EA FURNACE:HEAfER MOBILE.HOME PARK INSP
I : --tA< 11 R(l11F -ii=l,\", '.S '1E; -__ SOLAR ____ 01-00-0D·.82.2.6_ I------
I TOT kl MECHANICAL L__S~~ONG MOTION 80·92-33-0519
' -------
l1----l[)TAlPIUMBINl -,-10:00 I FIRE SPRINi<LERS 01-00-00-8227 I
I
! QTY
PUBLIC FACILITIES FEE 32·0_0:90·8930
1 QTY ELECTRICAL PERMIT· ISSUE illi1llifl: SOLAR· ISSUE --
BRIDGE FEE I
I NEl'V CONST E:.A AMP SWl HKR COLL EC~CJRS SCHOOL FEE -DISTRICT ·-----· I ----,_
I I PH ·1 PH I STORAGE TANKS -Carlsbad 80-92-21-0519
I ·---
I EXIST BLOG EA AMP SV,'T BKR ./ ' ROCK ST:JRAGE / Enc1n1tas 80-92-22-0519 , ____ --------------
I I PH 3 PH/ PUMP / San D1egu1to 80-92-23-0519
I REr.10DE L Al 1 t R PER C!.IX'LJIT / I Pl ,V. Cl·~CK F:::r San Marcos 80-92-24·0519
-2!10A~ ------~. -· / -
I fEMP POLE --- -I / OVER 200 AMek' , I LICENSE TAX 01·00·00·8162 I
i · 1 I
/ -------·
I TE MP () · PANCY 130 OAYS1 MFF 80-92-57·0519
I / ------------->--·-~-=r CREDIT DEPOSIT
I-----·· / --~---i---------
:1
li'JTA! tltl,TRlt:AL '(JT ,'<. SOI A~: I 1: I i TOTAL FEES PAYABLE 10.00
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" ANO DO HEREBY Exp1ratmn. Every per_m1t issued by the Build1ng Ofhc,al under the provisions ofth1s * AN OSHA PERM:T 15 ReOIJIRED FOfl EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limrtat1on and become null and void II the bu1ld1ng or work 5' O" DEEP .\NO DEMOt.JTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE 1F A PERMIT IS authorized by such perm1t 1s not commenced within 180 days from the date of such STRUCTUMS OVER 3 STORIES IN HEK3HT I ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· ~~~~don~ 1~1 t=~" ~~~:!~~e~~h=~~f:~!hi~~~d~leJ~~~ :~~~d!~tr:r:a~ Or I STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT ! ALSO AGREE TO SAVE INDEMNIFY AND
~/},< I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE Jf,. OWNERD CONTRACTOR 0 APPROVED BY
I EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '-Paw\\ ,() -~?t;; #.;enf-BY PHONE 0 /~--I GRANTING OF THIS PE:RM!T
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO D PL/CO
UNDERGROUND CJ WASTE n WATER
TOP OUT C WASTE ::::; WATER
TUB AND SHOWER PAN
GAS TEST
C WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC
----------·-----____X_;;,_--50~ ----~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION DATE 8EQ IF I INSPECTORS
CHECKED APPROVAL ----1
-i---
S01LS COMP( A"s(:E: l PRIOR TO I F-OL,NDA--:-1ors.. 1~sP
----
:i' HUC I URAL CONCRETE
OVER 2000 PSI
PRES'RESSEO
CONCnETE
I ------+------ -----+----I
I
POST r-''O. t:.NSIONED
'-' NCRETE t
F EL.-, ~ - -I 0 ,;EL[),N" ---~ I
HI ,H ,-R I I
sew ""'' ~r, 1·
,PE--A -1 -t=' --i
_ __"_AC ,,ov ---' -'l
1------------
I r --', " , s ca, cso,• , ----+--. --. I· -. · -_ -r-I
e-----. -----I ---L__ __ ----1 I -------1
I , ,-----------+-------~
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' I ' I I -----Ii--------,r---:
-----i
D ELECTRIC SERVICE D TEMPORARY I I I I---+----+-----
D BONDING D POOL
---+-------
I
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MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I I I
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
1------+-------+------l I I
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