Loading...
HomeMy WebLinkAbout1166 CARLSBAD VILLAGE DR; ; 80-428; PermitCONSTRUCTION LENDING AGENCY1 hereby affirm that there is a construction lending agency for trie oerformance of the work forClmZ D CD TJ IOzm \ X. S SOF THE GRANTING OF THIS PERMIT•a n zH U)(I) oz -HC m O Z Xn n0zH3J nHO D i ff T•^ D m CERTIFICATE OF EXEMPTION FROMWORKERS COMPENSATION INSURANCE(This section need not be completed if the permtt is for one hundred dollars ($100) or less)) certlty thai in the performance oi the work torwhich this permit Is issued, I shall not employ anyp*^son in any manner so as to become subject tothe Workers Compensation Laws of CaliforniaNOTICc TO APPLICANT If, after making this Certificale of Exemption, you should become subjectto the Workers Compensation provisions of theLabof Cads, you must forthwith comply with suchprovision* or this permit shall be deemed revokedI HAVE CAREFULLY EXA MINED THE COMPLETHEREBY CERTIFY THAT ALL INFORMATION HEFURTHER CERTIFY AND AGREE IF A PERMIT ISCOUNTY AND STATE LAWS GOVERNING BUILDSPECIFIED HEREIN OR NOT I ALSO AGREE TOLESS THE CITY OF CARLSBAD AGAINST ALL Lf > z s£° r "i n C -r J* *- Z 2 O in .-m o tf> , —tfi m H -i H n,_ g 31 O 3 j, C z £ n m - zZZ(<oZ Q m ™ J 3 "] 1 0 m T- m ?j ci " i *• n ± j> i n z > Z S H D 2 Do •AN OSHA PERMIT5 0 DEEP AND DESTRUCTURES OVEJJ g in W O I'ji r m O 12 e ^ m mwop— 3J _ O ui "" O ER SCHOOL FEES:/? /^CONTRACTOR ' ITOTAL ELECTRICALHQ-H f tlmmC/J "O5 CDr-m -% -i -i i_i D ^> D _ - _TEMP OCCUPANCY (30 DAYS)n Hw2 s D-3H 3 -DCopy is filed with the cityD Certified copy is hereby furnishedOVER 200 AMPS/ -TEMP POLE 200 AMPSHO—1 i— So 1—m o m o •n (— - Z-D>Z WORKERS COMPENSATION DECLARATION1 hereby affirm that 1 have a certificate of consent to self insure or a certificate of WorkersCompensation Insurance, or a certified copythereof (Sec 3800 Labor Code)POLICY NOREMODEL/ALTER PER CIRCUIT-nm om a m33en - -o3: -a RAMADA, CABANA'^N.-EXIST BLDG EA AMP/SWT/BKReomH -D CO O J— 33 - -oX ro OJ -o •oo n O l~m Xo m NEW CONST EA AMP/SWT/BKR1VOINVH33Ha (D os m -H ELECTRICAL PERMIT-1 3 •v MOBILE HOME PERMITS ELECTRICALTOTAL PLUMBINGCONTRACTORooz-H FACTORALLINCLUSIVE PERMITTOTAL PLUMBINGTOTAL MECHANICAL•or* Z OXmo i - ^fti u c Issuecc SIGN PERMIT-WATER SOFTNERRELOCATl)N OF EA FURNACE/HEATER)BUILDING PERMIT-EACH LAWN SPRINKLER SYSTEM "\MECH EXHAUST -HOOD/DUCTS ^-*s,£ C £ h-c!Z C EACH INSTAL , ALTER , REPAIR WAfEfefilfEm H -n Z O m oco-H /EACH GAS SYSTEM 5 0 R Mtftft^BOILER/COMPRESSOR lT3flst|PEACH GAS SYSTEM itft^OUTLETSBOILER/COMPRE^SJ^S 15 HPEACH WATER Ht*{£R AND/OR VENT80(LEfl/CCtfta3£SSOR UP TO 3 HPm>oX CD ICltorn m33 \. OVER 100,000 BTUm ^1 fT\ C m -133 I1— -n Z D O•H C -1O oo CDHC ?PLUMBIVI G PERMITH D—1-C MECHANICAL PERMIT^S H i i 3 )^/ W CD C3Cl UlO •n-t mraei c m onn Cl Tl STANDARD PLANa T3r oz -1 o o ro o CENSUS TRACTCl TJ r~ ZD eUl X o o' TOm c. in fr ZCl 1/1 Om tnMi NUMBER OF STORIES™^ ^7^ ~A 5\ i v V_N 5 E^ S> i fe 9- k •i S ^5 k 1\DESIGNER'S ADDRESSom Ol GNER'S PHONENat Valid Unless Machine Certifiedanir JMPTION OF WOX \ ^^•m o-t BLOCKSUBDIVISIONASSESSOR'S PARCEL NO1 1 1 1 1 1 1 t 1 IIDESIGNERSTATE LICENSE^^^—~m O z J3 1 ^ m U) 1 CONTRACTOR'S ADDRESSCONTRACTOR'SPHONE1 "~\ * ^* O z U) -n ozm PRIME CONTRACTORSTATE LICENSE1LICENSED CONTRACTOR S DECLARATION1 hereby affirm that i am licensed under provisions ot Chapter 9 (commencing with Section7000) of Division 3 ol the Business and Profes -sions Code and my license Is m full force and effeetSN ^\V \ | D — D•D UlUl H T?§* z BUS LICENSE^^ rn'•Ox 'i s^ —i •SjW 2 r*0 m ^^B CITY OF CARUSBAD-BUIUDING C^^ APPLICATION & PERMUSE BALL POINT PEN ONLY 12QO EUA AVENUE>EPARTMENT ^^BT ^^(714) 438-5525APPLICANT TONATION vWlTHIIP to -nO • INSPECTION VALIDATE* OmTJ-Ho oo :UPANCY ISSUED• t - • - I O>Ul Sm Hm TJ1•j]rn TJ Hm STJ ELEC METER-•PERM-TEMP.. i •r i 1 [OTHER DEPT':S REQ COMPLETED~^ ***""K *5> ^ Tl Z rr z TJ CD CDra Cl amTJ H ^\, 5 •^^ ^A ^ ^^ S ^ TJ Z , ^. ! ^X\ \ 1 !| SHOWN' FRAME\ '• FENCE PREPLASTETJ i % TJ TJm Dmo • i ' > 1 ( • • - m 3 TJ O0r • STEEL BONDING\ O in -\m H • ^ ' •SEWERi • \ 1 ^ 1 j TEMP POWEF? [POLE) ," ( - " 1 .OTHER- N - • .\ - i -[ PLATE TIES,'HEIGHT OF CHIMNEYDAMPER a SI^mmr i •[RREPLACE• , , > '• 1 -' - \ -EXTERIOR LHI OX * TJr om inHCnno 1 > || WALLBOARD' OK * PLACE TAPE* i ^ '* \ " V * \ -'I INSULATIONOK • PLACE WALLBO'fTJ D t f •^FRAME OK •PLACE INSULATION, \ , . \ ,ROUGH HEA"DNG/VENTILATING. , V ' \ \ TJ OCO X TJr- E ZQ ' ~ •j ROUGH ELE<CTRICAL• 1 i • y ^FRAMEI ' i \' ' , - ' , \ \ '" O -1O TJOcTl! CONCRETEI i , I - • , i -| FOoffNG .^F'ORMS • SETBACK • TOrm ! i - • czam TJ inr>m ! PLUMBINGL.. tflr> CD Tlroo TJ ;•^ ' ' r -*- ,/"-• S--" t ," - >*, oX HO Z H -r incm T)roo TJ , 1 ' f ~ ' i ' i '| UNDER FLOC9NIJ.V3H dCI 1 i*. i . , « - * ,. ,t , ' ' •w *| UN"DER"FL.O(3R PLUMBINGL * . ' t „ ' ' t . ' Ocz D H O M • FORMS .SET BACKHO rmH 1 -*I ' 1 1 1 1 !1 ( J 'j WOOD FLOORf• -„ ' .INSPECTION ' ,1; , D -1m i (nTJmoHo33 -p i 1 ZCOTJrnnHo3 to" 2 O -Lm ••1 ' 'J ' i . j fti. (f ' f '^, ~j '\, i , ! t, - l i Tl rn1 r*a tj\ TJm.O1— 1 o:z TVmno o * * i ' - ^ ! j- *ii,i S "• 'b-5!TEI ADDRESS- - -" - ~ , , •• > O ^Zm TJm TJ ^Z 'o J I . - , „/ */ ,f 00o_i "t^.i 1 *fcc*fi\J\ f"J ' ' ' . " '