HomeMy WebLinkAbout1095 KNOWLES AVE; ; 85-695; Permit.,, z 0 ;= " 0: " J <.> "' 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commenc1nc with
Section 70CX)) of Division 3 of the Business
and Professions Code. and my license is 1n
lull force and effect
Lie No i'la,
I hereby ;ilt,rm lhat I dITT
·er s License Law l·J' The 'odowr"g
Business and p,oiess,vns Code A0 y;; or
~~ires a pe,~ ,: !o ·:'J "' uc' cl:~· :i·•·.,e ,epa,, ary str,"ct~re Jr or tJ ,Ts 1ss,1or:.e o'sc 'CSJ
p ,cant for suc1 se·m,· · 'le a s•,;oed \Ti.'erne~· o
1 censed ptVi•,arl to lhe oro,is•0n, o: the CG~lnc1J' s '_aw ,Cha~•er 9 C0'"1rnen°.,nq w,tS ~e:t1w1 7•)[,J ,1
•,,en 3 ,;I lhe 8,s,1ess an~ Drofess,on, C~de, ~r 1~,.1 s e, ecr"t ,re•etrJ'Tl ard tre ~,,,, 'or 1he ;illei;ea e,en,01,co A~/
,· o:at1on of Secr,on ~031 C Jy an a:ipl,cdcil for a ~r,r-,t s.,~,
1tr·s rre a~~l,~ant to d ,:,.·, ~ena'tv Gt no• m0'e :na1' ,~ r,Jn
drec ocl,ars 1$500'
;;,!', NJO~S
as tt,e,· 'i'.,~,;;,;,;i,Z,:i ,,, ;'", ,; ,'; ·~e ,,,."c
,,,,e 11 :· .·•., ,,, ,,, 'lus
an~ Pr:iteSo,l•fll T1e s L CfP'>~ ·.,,.
nor .,:)ply to a". 0wner ul p-ope 'Y wno b.,,'ds Gr ,mpr:i,·es
'hereon c.na ;;~a aoe5 ,,.::n ,iori h m,el! or !h'S'.Jgh o,s own
emp Jr•ee~ oro-,,ced t'1a: such ,m~r-'.·.nner:t; a·~ r,ot ,ntend
ea o' o'le·ed lw sale 'f. nowe\'e' the bu, d,"g or mpr~,e
"'1ent ,s so1a w1'n1n one year ot cornp1er,o~ The ownw-bu1'der
,,, 1 tre ~,,1rdrr, ,:,f 8rGv1ng :hal he ct,c no: b~,ld o· ,-
i;,1ve trt ""rpose of ,a1e,
;.s of tne p;c,;ier·y aci ev1us,·,el1 con•ract,nq
·;,,·n ,o~t,ac!crs to coostruci the p•:,.ec,T I )ff 7044
Business dnG P·cless,a1s Coce The Con•rJc:o,·s uceroe
Lav, coes no: aQpl)· to"" owner of propwtv ,..r.o tfJ'lds or 1,1'
P'0'1es thweo·;, 1.nc who contracts 10° eau, :iro1er:ts ,..,in a
'.Jntr;ictvr,:s1 1cense pu•sucint :o the Ccn!rcUor s 1_,cense aw,
~s a homeowner I a, ,moro,·,n,J my rome J1C The 'cl-0,1
,ng cond,1:oos e<1s!
! The war> ,s be1~g pe·tormed pr,or to sa1e
2 havP l,ved 10 mJ hn:11e f8r ·we1ve mortrs
or,cr !o corsplet,c~ of tr,s work
I have n-Jt cla,med this exem;i:,on dv n; 11e
ast toree vears
l, ! a"' exe"1p1 under Sec
'or tlllS reJSOr"· -------------
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I he'eb, aflwn t~a, I "ave a cen f,ca:~ ~f consent ta
CSL'e or a cert,·•cate of wo,kers Corrpensat·o1 In
~t.rancs or d ~er: f,ed co~; thereot 1Sec 1500 Labor Code,
POLICY NO
CC\1PANY
Cupy s l11ed v,,,th the c,1y
Ce,trf,cc cc~-, ,s 0ereby Jurn,shed
CERTIFICATE OF EXEMPTION FROM
>'iORKERS COMPENSATION INSURANCE
1Th1s section need ~ot be completed ,f the permit
,s for one hund,ed dollars 1$1001 or lessl
I cert,fy that ,n the performance of the wo,~ tor wh,cn
111,s ~erm,t ,s ,ssued. I shall not employ any person rn any
manner so as to become sub1ec1 to the Workers Com pen
sat,on La"s of Cai,rorn,a
NOTICE TO APPLICANT If after making this Cert,t,cate
ol Exempt,on. you should become sub1ect to the Workers
Compensation prov,s1ons of the Labor Code. you must
forthw11h comply w 1th such pro,-s,ons or thrs per'll•t shall
be deemed revoked
:.J I hereby affirm that there 1s a construct,on lend,~!,
agency lo, the performance of the wo,k tor which th•s ~er
,,--,.t ,s ,ssued (Sec 30'.!7 c,v,1 Code1
Lende, s Name
Lenders Adc!ress
, USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 9200R.1C!RC! 1R1C!1 41R._"i'i25 APPLICATION & PERMIT
' I JOB ADDRESS .... ,.,_ ---_ : l oq 5 fV.ST.RD. NEAREsrcAasssr. , · .. c-..:. DATE o, APPL,CAT>O I LOT BLOCK ~ ,-\ ,-/ N BUSINESS LICENSE # , ess,_ """ ~ -2 > ·So 00 •-~, o .. 0 0 • '"""" """''""""'"
, owNrns NAME ts!. :, , ;i. 0 1 au coNTRACTOR , o
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' "q~" 'ENC.£ --,----· oe,T<H•>> • Vs,+""-,,, ·-" ~, =---0 _,,
I OWNC R'S MA'UNG AOORESS CONTRACTOR'S ADDReSS 7 :n -~ ,.,_ 1 \ I O "/ $ k { \ ~ <q tv\ o,.p \ le:' ,I\,. f.), Coll.,,,,,._ LICENSE NO.
PLAN I.D.;, BUlLD!NG SQ. FOOTAGE
1 /JO'-' cS ,$ 1 C.,i,n..>-S.~,,.o c_i:.-. '111.)..:> sJ+71"f
I r----,~~~;:;:~:-;,-:r:::=1~--.R,,~e-=~.---."-----_A-G-====1 DESIGNER'S ADDRESS
DESIGNER DESIGNER'S PHONE
LICENSE NO.
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1 CU-..'c>U~ TRACl GP l_Ar>.D L,SE: PARKlr>.(, SPACE: RES UN TS GRADING PERMIT ISSUfD RELlfVELOPMEr-..T TYPE ace LOAD FIRE SPP
I AREA CONST
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: QTY I PLUMBING PERMIT -ISSUE 7 ~ ! QTY. MECHANICAL PERMIT' ISSUE 3-SUMMARYIAC001{'N6!1~1'1B/=fll25
i lNSTAL l FURN DUCTS :JP TO 100 000 BTU BUILDING PERfli1;T 001-810·00·00·8220 {) --r OVER 100 000 BTU SIGN PERMIT 00'.-810·00·00-8221 ,../_. -• ---·
__ B01~E_R:COMPRESSOR UP TO 3 HP . -----· ---PLAN CHFCK 001-610-00·G0·8806 ·-~-bA
BllllER:COMPRESSOR J l'i HP ~~LPLUrv'BING 00 1 -810·00·00·8222 /...r-
\.1E-A F Rt.PL AC~ ELECTRICAL . ---· □□.1-310-0D·OD·8223 -+----M_-=:_ : l E:A~H INST Al . ~u.rn _ HE PA1R 1':>'IT ER r1 Pt VENT FAN SINGLE nu CT __ M_E~HANICAL
1 ! EACH VACUUM BREAKER MECH fXHAUST HOOU lJUCTS '----~--lf.-MOBILEHOME
001-310·00·00·82 24_j_ __
__ _c0~0~1~8~1CYQ-0_0·_8_22_5
1 ...1_·,•1ATER SUFT~ER__ _ __ , RELOCATION OF EA_~RNACE H~ATER ---'----~-MOBILEHOME PARK INSP
1 I '·"' ''';' RO' I SOLAR 007'810·00·00·8226
: ~-·--·-------------,~---IOTiil MECHANICAL STRONG MOTION 880·519-92·33
I TU l Al Pl.U'.H1d\il, FIRE SPRl~Jr\LERS 001'810·00·00·8227 I -·---
: QTY. I ELECTRICAL PERMIT. ISSUE ,.5'-!i QTY SOLAR. ISSUE --PUBLIC FACILITIES FEE 332-8_10·00·00·8930 +
1 NEW CONST E1\ AMP Sii\'i KKR
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: REMODEL AL1tR PEH CIRCUIT.------,---tJ ~ PJ \.1P 1 San 01egu1to ------------+---------,,;,--------+-----------
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-H.MP POl E 200 AMPS ----· 1
--· \ ------------LICENSE TAX 001·810-00-00·8162 :
: ovER 1uo AMPs :: I --------------i------,r-MFF -----s8o-519-92-57
: TEMP UCCUPANCY :30 OAYSI ~ ---+--+----·---------t----1 • CREDIT DEPOSIT I ___,,,
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'• : ! HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT' AND 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
l DECLARATIONS ARE TRUE ANO CORRECT AND 1 FURTHER CERTIFY AND AGREE IF A PERMIT IS
* AN OSHA PERMIT IS REOUIAEO FOR EXCAVATIONS OVER ' ' 5'>ti DEEP AND OEMOUTK>N OR CONSTRUCTION OF
STJIJCTURES OVER 3 STORfES IN HEKiMT ~ I ISSUED: TO COMPLY WlTH ALL CITY. COUNlY AND STATE LAWS GOVERNING BU!LD!NG CON-
I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AN□J,-"°""s'"""'-"'-'e!I.!!C",~e..,e""-!!><"2'-Se!!!!'2!!!:!!S..!'S!_!.E!!CaQ.!!!..""'-"'"'--~
t KEEP HARMLESS THE CITY' OF CARLSBAD AGAINST All LIABJUTJES. JUDGMENTS. COSTS AN E Jf..
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE \/'\.I"\.
GRANTING OF THIS PERMIT. ' '( ,.,
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' TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEILJING
SHEATHING □ ROOF □ SHEAR
FRAME I
' EXTERIOR LATH I I-Z--1-8' r'f......,.-t
INSULATION I .
INTERIOR LATH & DRYWALL I 1-1>1-~ J/4,,-1""11
I
PLUMBING -I
□ SEWER AND BUCO D P~ICO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ _WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □,UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL ' I
I
' MECHANICAL I
D DUCT & PLEM., □ REF. PIPl1'4G
HEAT -AIR COND. SYSTEMS I .-
VENTILATING SYSTEMS I -..
' I
CALL FOR FINAL /NSPECTfON WHEN ALL APPROPRIATE
ITEMS ABOVE HA \!E BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'
----
gs -i-~'5"' '-. .
FIELD INSPECTION RECORD
• REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -~
-.-REQ IF INSPECTORS ' INSPECTION CHECKED APPROVAL DATE
-.
SOILS COMPL :ANCE
I
. PRIOR TO
FOUNDATION 1"-S~'
-----
STRLJCTlJRAL C'ONCRE-TE-
OVER 2000 E'~I
PRbTRESSEO
CONCRICTE
POST ffN5. ONE[;
CONCRETE i ---
FIELD WEL81/\JG I
-------·----r~1<_;r1 STRENG~!-'
HUL rs
SPECIA, MAS(JNRV
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