HomeMy WebLinkAbout1365 PINE AVE; ; 86-6; PermitI[
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llcenlllld under IX! I hereby affirm that I am
provlslona of Chapter 9 (com
Section 7000) of Dlvlalon 3
and Profllaalone Code, and
menclng with
of the Bu•ln9"9
my Ileen"" Is In ~:I ~~~tl Cl= 61
from tho Controc· I hnby 1ffrm that I 11I11 exempt lor' 1 uce,,"" uw IC< the tollowmg
Busmss •rm Professions Godo· Any a qulm • parm,t to conslruct, alter, I/TI repair any structure, pnor to ru = ploclnt tor such ponm to 1,1o • SJqned lanS8d pursuant lo tlu, Pf1MI/Onl
LJcan .. Llw ( Chapter 9 C00111Bnc1ng DMllon 3 of the Business and Profess,on empt therefrom 1nd the b.!"' tor tho lliago(I YIO!alJon of Soc~on 7031.5 by an IJ)l)flC8Jl
{Ocis tho IPt)licant to• clvll penalty ol not
raoson I Soc 7031 5
ty o, county wlllcil re-p,ova, demollsll, or also requires tho •P-slltement !hit ho " of the Contracto,·, with Sectron 7000 of
S Code) or !hit LS OX· exam pt ,on Any t 10< a perm~ ,rub· more !hon fM h\Jn· dreo dollars ($500)
O'f80S '"1h wages work, ond the struc-
O I, IS ow nor of the property. or my ,mp1 as theJr sol• compensatron, wiB do tile bJre Is not fntande<l or ottmd loc ..io (
and Prolmlons Godo· The Contractoc Sec' 70«. BIJ"""" 's I.Jconso Law doe., not il?P ly to 111 OWT-. r of proporty who
thor80!1 llld who -such wor1< -amplO'fOOI, prov!dod that such 1mproo,emen
ad o, of1lnd for u!o If, however, tho mont LI IOld wrth,n ooo ~ of comple!J
w,11 have tho burdooi of provmg that ho prove f o, tho pu rpooe of sale)
bu,lds o, ~roves or ttvoogh lll3 owo
ts"" oot lntenrl-bulldlng or improve-on, tho own 01-oo, Ider did not build 0( ,m-
"'"""1 contractmg pro)O(: (Soc. 70-4-I, D I, "' owru,r of tho property, 1111 oxd wrth l1conood controcto,s to cooslruct the Buslneos ind Professlol,1 Godo. The law doe., not Ip ply lo a.n OWT1.0 r of pro party proves th orem , • nd wt, o com rem for
C:,f'1°'1•) licMse purwant lo th!
Cootractoc'. LJooo, .. who builds o, ,m-
ooct, pn;oct' w rth • Contraclor' s L>eon ..
D As 1 -1 ,m rnprow,g my
Ing cona!Ioos oxlsl 1 Tho WOf1< f, bomg p1,rlormod
2 I have INod 11 my homo
homo, ond Ille follow·
~to sale
Of -rnooth.,
3. r~ :np~of if::, pbon durmg tho lat tine )'W!.
g /i:' ,::gi under Sec. ~--, B& PC.
rt1hcate of consen ['ii' I hereby affirm that I ™'""•co ~ self-insure, oi 1. cert1f1cai
Compensa11on ln.surance. or ace !Sec 3!!00, Labo< Code)
te al Worker rt1hed copy ther
POLICY NO C 1 9 7 2 6 5
COMPANY I NA
~ Copy IS hied Wllh the City
87 1
D Cert1l}ed copy 1s hereby lurm she
/~
SUAANCE CEATIFICA rt OF EXEMPT WORKERS' COMPENSATION
(This sec-1100 l"'li9ed not be comp
:1lF~M
le ,cj ,1 the pem,,t
1s for one hundred dollars (S 100) or"''"'
I
ce ol !he work '°' D I cert,ty that m the per1orrn8f1
which lhtt perrr11t ,s 1ss.ued. I sh.i
person 1n any m.a.nner so a:s to bee the Worke-rs' Compenut1on UW
II not employ any
ome sub1ect to
s of Cal1lom1a
rn.aJr.1n;i 1h,s een, NOTICE TO APP\.ICANT II, afte<
f1ca1e of Exemption. you should
the WOOC.ers' Compeo:s.ation p<ov Code, you must forthwith com
pl'OY1~oos or 1h18 penrnl shall be
become subject lo
1Sl()fl! ol the l..&bor
ply w1lh such
cleemed revoked
1s a con.struc11on 0 I hereby ott,rm !hot lhe<e
i.e-ndirl.Q iig,ency tor !he per10ffillli0C
Which lht5 pefTTIII IS is.sued (Sec e ot the work '°' YJ97 Crvrl Code)
Lender's Name ____ _
Le,nci,,er's Address ----
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFO.,RMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLS·BAD BUILDING DEPARTMENT I :,. AP~• ~~N & PER~l .. 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 t·~ r ..,. -.
JOB ADDA0ESS AV.ST.AD. NEAREST CROSS ST. I DA:E;; ;P;L~CATIONI
l~US!NESS LICENSE # VALUATION PERMIT NUMBER
~ l}t)IJ _-1 7i h c; PTNF AVF H!hHI AND nR. 5 0 9.5 2 0 LOT I BLOCK I SUBOI VISION I ASS~~L 7) s:i. -o tQ CONTRACTOR CONTRACTORS PHONE # ZONE
OWNER'S NAME SOLAR EDWARDS, INC. .695:..0888 I OWNER'S PHONE CONTRACTOR'S ADDRESS LICENSE NO. PLAN t.D, # BLDG USE CODE M/M SFNSFMFN 729-7284 . ' ..
. 9637 DISTRIBUt.ION, SD 4333:61 OWNEA',S MAILING ADORES$
DESIGNER LICENSE# STANDARD PLAN# BUILDJNG SQ. FOOT.t,GE
SAME ...
DESCRIPTION OF WORK
INSTAil .SOIAR HOT WATER DESIGNER'S ADDRESS DESIGNER'S PHONE
COLLECTOR IAPMO # 5-2126 -------. .. ______ ... ___
F/P FLA ELEV. NO DCC GP EDU
STORIES
vO NO ---
CENSUS TRACT
I
GP LAND USE I PARKING SPACE I AES UNITS
I
GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA 1 ts~oa AREA CONST J1D6/~T87 YO N 0 vO NO vO NO (It 'hlid 'MK/lin, C1rtifi«J ....... -------··----""' .. .J.~ ' I-IL.IU_I i;II It:/· I /·I.II,!/' 'llll:I ~~! ClU
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/AC'cbu'Nf NUMBER·---
EAC.H F_IXTUR~ T~A..!' INSTALL FURN. DUCTS i.JP T0,00.000 BTU BUILDING PERMIT 01 -00-00-8220 ' . -" ..
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT. 01 -00-00-8221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTA~ PLUMBING 01-00-00-8222
EACH GAS S'(STEM 5 OR MORE METAL FIREPLACE ELECTRICAL : 01-00-00-8223
EACH INSTAl. ALTER, REPAIR WATER PIPE VENT .FAN SINGLE OUCT MECHANICAL 01-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00·8225
WA TEA SO FTN ER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ·'"""' -. .. ~
EACH ROOF DRAIN (INSIDE) SOLAR 01 -OO-nf\.~ooi, /£, --TOTt;L MECHANICAL STRONG MOTION 80·92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8930
BRIDGE FEE
NEW CONST EA AMP/SWT 1BK R COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS . Gar1sbad 80-92-21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE A II Encmrtas 80-92-22-0519
1 PH 3 PH PUMP II II San Diegulto 80-92· 23-0519
REMODEL:ALTER PER CIRCUIT PLAN CHECK FEE rr.M '\ San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS v-I .L .....
OVER 200 AMPS I I /, I J>u//" LICENSE TAX 01-00.00:S162
TEMP OCCUPANCY 130 DAYS) '-IA ~/v--MFF 80-92-57-0519 ~, -.--
' f/ ... CREDIT DEPOSIT
I
-JS?' I /-~ TOTAL ELECTRICAL TOTAL SOLAR · TOTAL FEES PAYABLE
f HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiret,on Every permrt IUtJed by the Bu1tdmg Ofhcial under th<> provis,ons ofthla * AN OSHA PERMIT IS AEOU1REO FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by )imltation and become null and vo,d .. If the bU11ding or work 5' O" DEEP AND DEMOUTION Ofl CONSTRUCTION OF authoriz&d by such permit is not commenced wllhin 180 day, from the date of such DECLABATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or 1f the buildi~ or work authonzad by IIUCh permit .. ,f~nd9d or STAUClURES OVER 3 STOfllES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a er the worl< is commenced for a oor1od of 1 ,..,_
STRUCT!ON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ~, r;! OWNEA0 CO,NTRACTO-~ APPROVED BY /J---;~TE6_16 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND AP A s S)~NAOAE If, .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE I
GRANTING OF THIS PERMIT . , '· ~ 10 '.,IQ,,,,!.,.-'--. BY PHONE 0 -
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TYPE -DATE INSPECTOR
BUILDING ,, --'-.
"'·. 4.-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 BUCO: -DIPUCO
UNOERGROUND . 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
ROUGti EL!:CTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING EJ POOL
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
PLUMBING
ELECTRICAL-
MECHANICAL:
GAS
BUILDING
SPECIAL CONDITIONS
.. .. g~v I ., I
FIELD INSPECTION RECORD I
I
REQUIRED SPECIAL INSPECTIONS -I INSPECTOR'S NOTES I
REO. IF INSPECTOR'S -' .. I INSPECTION CHECKED APPROVAL DATE I
SOILS COMPLIANCE I
PRIOR TO --FOUNDATION INSP I
I
STRUCTURAL CONCRETE I
OVER 2000 PSI .. I
PRESTRESSED I
CONCRETE I '
'. .. I POST TENSIONED I I CONCRETE
FIELD WELDING I
i I
HIGH STRENGTH I
BOLTS I
SPECIAL MASONRY I
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PILES CAISSONS I
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