HomeMy WebLinkAbout129 MAPLE AVE; ; CB881330; Permit"' z 0 ;: .. a: .. .. CJ "' 0
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O I hereby affirm that I am llcen9ed under
provlaiona ol Chapter 9 (commencing with
Section 7CXX>) ol Division 3 of the Business
and Proteaalona Code, and my license is in
lull force and affect
I hereby aflirm tnat I am exempt lrom The C~nlrac
tors License Law tor the following reason (Sec 103' 5
Business and p,otess,ons Code Any c,ty or county wh,c~ 'e quires a perm,I to construct. alter ,mprove demol,sh or reoair any structure pr,o, lo ,ts issuance also requores '.heap
pI,cant tor such permit to t,le o sIqned statement •naI ~e ,s
1,censed pursuant TO the provis,ons ol me Loniractor s License Law ,:Chao1e, g commencmg w,tn Sec1,on 1000 of
Qi,1s,on 3 ol lhe Business and Professions Codei or mar 1s e, empJ there1rom and !he basis tor lhe allegea e,empt,on Any
violation ot Section 7031 5 Dy .in .iool,canr for a perm,1 sub
1ects The applicant to a c1v11 penalty of not mo,e :nar 1ive h,n
dred dollars 1$5001
1 as owner of the property. or my employees w 1~ wages
as the,r sole compensation will do the work and the srruc
:ure ,s nol ,ntendeo or ot1ered tor sale 1sec 7044. 8Js1ness ana Profess,ons Code The Contractors L,cense Law does
not apply to an owner of property w~o builds or improves
thereon and who does such work h,,,,se11 or mrougn his own err>oloyees. pravrdeo that such ,mprovemenls are not ,ntend
ed or ottered •or sale If. however The bu1ld1ng or ,mprove-menl ,s sold w1Th1n one year of corrplet,on. The owner-Du,lder
will have the burden of proving lhat he did not tJU1ld or ,m ~rove lor lhe purpose ot salet
I as owner ol the pro~erty am exclusively contracting
with licensed con1raclors to construct lhe pro1ect I Sec 7044
Business and Proless,ons Code The Contraclor's License
Law does not apoty to an owner of property who builds or ,m proves thereon. and who c0n1racts for each pro1ects w1lh J
contraclor(s) 1,cense pursuant !o the Contractor's License Law)
As a homeowner I ,im ,mprov,ng my home and the to low
1ng cond,t,ons exist
1 The work 1s be,ng per1ormect prior to sa1e
2 I haye lwed ,n my home for twelve months prior ro completion ol Mis wo,k I haye not cla,rned t~is e,empt1on durin~ 111~ 1as1 three years
I am exempt under Sec _____ _
for this reason B & PC
I hereby al'irm that I ~ave a cec1,t,ca1e of cooseM io
seil ,nsure or a cert1f1cate of Workers Compensation In
surance or a certil1ed cooy thereof 1Sec 3800 Labor CcOel
POLICY "JO
COMPANY
Coe; 1s f1 ed v,,1tt> the city
Cen1f;ed copy ,s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sect,on need no1 be complete<l 1f the permit
1s for one honored dollars 1s1001 or less)
_ I certify ttiat 1n the performance o1 the work lo, wh1cti
this perm,t 1s issued I shall nol employ any persor 1n any
manner so as to become sub1ec! to the Workers Compen
sat1on laws of Cal1lorn1a
l NOTICE TO APPLICANT, If alter mak,ng th>s CerT,licate
ol Exemption. you should become sub1ec1 to the Workers
Cornpensa1,on provis,ons of the Labor Cooe. you must
torthw1th comply w,th such prov1s,ons or this permit shall
be deemed revoked
i[ I hereby affurn that there 1s a constn,cHon len(l•ng
agency for the performance ol the work for which this per
m1t IS ISSUe(l 1Sec 3097 c,,,1 Code)
Lender s Name
Lender's AOC!ress
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad. CA 92009-1915 (619) 438-1161
.108 ADDRESS
Jl,4jQ/4.
AV.ST.RD. THOMAS BROS NO. 1::10~:iT? BUSINESS LICENSE # VALUATION PERMIT NUMBER
/:29' ti ,~ COT I BLOCK I sueo1V1s10N l ASSESSOR PARCEL NO r /4.TRACTOR CONTRACTORS PHONE fl' ZONE (!,J~
vU tU ~e. OWNER'S NAME
1-a~,,,~ S4-c,;.:.-... { r Jr?11, ,
0JC.d"1"'-CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO FOOTAGE
ID
OWNER'S MAILfNG ADDRESS LL / ,2 'f ,#/ A,P/,c,, DESIGNER DESIGNER'S PHONE 2205 09/30/88 0001 01 02 ~ -ElldPa,t 24-C rn
DESCRIPTION OF WORK ~F-P .() 0
DESIGNER'S ADDRESS STATE LICENSE NO. 0.
E i°£. Io c. ,,_;;;; ..1. ~l ~ Or, .. ID >--
' e NO I FLA ELEV OCC GP EDU
<;/f'v"/,/ .I'£ ,r -'_,,. ~-. ~v &'I'..,~ STORIES D
vC ,-,□ 0 ! CENSUS TRACT
1
PAP~(_, SPA.cl_\ CJ
RS'/&"T~ GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPP ~~ .·'-. "-y ~.,$ AREA CONST
,□ 'D '~ ,□ vO NO Not Valid Un/en Mad11ne Cerr,f,ed c •,· -~ rn QTY. PLUMBING PERMIT -ISSUE ' ~ -;Jl-'c:.o QTY. MECHANICAL PERMIT -ISSUE Jc::; ri': SUMMARY/ACCOUNT NUMBER u
0.
,<I -.:;.,~ tjLJl~UI% PEHMIT UU 1-0IU vu·UO-o,:,Q Q EACH FIXTURE TRAP INST Al L FURN DUCTS UP TO 100.000 BTU <!
EACH 8UILOING SFWER ,., •j OVER 100.000 BTU SIGN PERMIT 00 1 818-00-0D-822' I
EACH WATER HEATER ANO OR VENT ,V BOILER·COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 1 --C
EACH GAS SYSTEM I IU40UTLETS " BOILER·COMPRESSOR 3 15 HP TOTAL PLUMBING 00'. 810-00-00-8222
EACH GAS SYSTEM J OR MORE ~E-AL FIREPLACE ELECTRICAL 00 -810-00-00-8223 .,.,.__,_ ,,---
EACHINSTAL ALTER. REPAIR \r','ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 00' -810-00-00·8224 0 w
EACH VACUUM BREAKER MECH EXHAUST HOO □ DUCTS MOBILEHOME 00 I -8 10-00-00-8225 w
ID w
WATER SOFTNER RELOCATION OF EA FURNACE.HEATER SOLAR JO 1-810-00-00-8225 w
<!
f ACH RUC1f 'lR.11\ "JS )[ DRYER VENT STRONG MOT',ON 880-5'.9-92·33 I
TOH..L MECHANICAL FIRE SPRl~Ji<LERS DO 1 -s 1 □-co-Jo-s2 21 ~
I 0 TOIA( PilJMBINC PUBLIC FACILITIES FEE 320-810 00-00-8740 ru
BRIDGE FEE 360-810-00-00-87 40 >-
QTY ELECTRICAL PERMIT· ISSUE c:;-, (Y) QTY MOBILE HOME SETUP PARK-IN-L'EU 1AREA
NEW CONST EA AMP Sli\il !JKR ,,... ~ CAR PORT 312-81 0-00-00-8835 ID ,, ' F u C
I PH /o/,_!, -rr-, H /7)' /..J AWNING LA COSTA TIF 311-810-00-00-8835 rn
C
rx1sr bLOG EA AMP SWT BKR ,
GARAGE FMF LL
I PH 3 PH LICENSE TAX C,01-S' J ·!}J-!JC-s1 62 -
REr.•onEI Al TtR PfR CIRCUIT MFF 880-519-92.S-/ I
C TEMPPOt[ JOO AMPS ID ~ OVER 2lill AMPS CJ
It MP OCCUPANCY:)() DAYSI
CREDIT DEPOSIT 0
HlTAl Ell'Ufll[.Al I 'l?-"J-.f '""" 10' A1 TOTAL FEES PA)'.M!(E V i,,._/--u ~ -0. w
(* A~rr IS REOU ... O FOf! EXCAVATIONS OVER
C ' E,r:ptral1on Every permit issued by the Bu1ldmg Ott1c111I under the prov,s,ons ofth1s -I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" ANO DO HEREBY I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1talion and become null and void II the bu,ld,ng o, work 5· O" 0 ,,,:No OEMOUTION 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE !FA PERMIT lb authonzed by such permit 1s not commenced w1thm 180 days trom thetlateor such ST S OVl:R 3 STORIES IN HEIGHT 1: ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-:~i:;i::c,n~
1!1 t:~y ~,:
1
~e~~h:c:.!~,:~t~~~~l~~~~ r~~!/~i5~8()d~~ or . "' STRUCTION WHETHER SPECIFIEO HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY A~~ANT'S SIGNATURE ,.
0WNE1"3 CONTRACTOR 0 AP~ 1'.'/';o /11
s: KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABIUT!ES, JUDGMENTS, COSTS AND <L
EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ , 111 BY PHONE f] GRANTING OF THIS PERMIT , ..If' ..JI ,.IL ~ 7 -,
TYPE
BUILDING
'OUNDATION F
R
M
G
EINFORCED STEEL
ASONRY
UNITE OR GROUT
,UB FRAME □ FLOOR □ CEILING
lHEATHING s
F
□ ROOF D SHEAR
'RAME
:XTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
•..J SEWER AND BUCO □ PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
. '
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING I I/
ELECTRICAL r I , I ,,.,.
MECHANICAL .w I U..Y
GAS . _.,f' r.,---/
BUILDING /v I
SPECIAL CONDITIONS V
-CA'.> '6 I!, i ;:, c:, u
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED'
CONCRETE
FIELD WELDING
HIGrl STRENGTH
BOL Ts
SPECIAL MASONRY
PILES CAISSONt'.
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