HomeMy WebLinkAbout1708 Oak Ave; ; 87-192; Permit"' z 0 j::
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1 h«eby affirm that I am licensed under
••lalona of Chapter 9 (commencing with
~Ion 7000) of Division 3 of the Business
and Proleaalona Code, and my license Is in
lull force and effect
I hereby athrm that t am exempt from the Contrac-tor's License Law tor lhe followmg reason (Sec 7031 ~
Busmess and Profess,ons Cade Any city or county wh1cli re Quires a permit lo construct. a11er !mprove. demol,sh. or repair any struclure, pnor to its issuance atso requues !heap·
p11canl lor such perm,t to f1ie a s,qnect srarernent tha1 t'le 1s
hcensed pursuant 10 the prov,s,ons of the (.;ontractor' s License Law (Chapler 9 commencing with Sect1on 7000 of
D1v1s1on 3 of !he Business and Protesst0ns COde) Of Iha! 1! ex
empt therefrom and the basis for the al!egea eremplion Any
v,olat,011 of Section 7031.5 by an applicant lor c1 perm,! sub ;eels the apphc.ant 10 a c,v,1 penalty of not more than five hun
dred dOllars ($500)
I. as owner of the property. or my employees w,lh wages
as their soie compensallon, will do the work, and lhe slruc-
lure 1s nol lfltended or offered lor sale (Sec 7044, Business
and Prolesst0ns Code· The Contractor s l1cen\f! law does not appty to an owner ol property who ou,tds or improves
!hereon and who does such work himself 0< lhrough h1s own
employees. provfded thal such improvements are nol intend-ed or ollered for sale II. however, the building or improve-
ment 1s sold within one year ol complelton, the owner·bu1lder w11I have the burden of proving !hat he did not build or ,mr
prove !or the purpose of saleJ
I, as owner of the property. am exctus1ve1y contracting with hcensed contractors to construct the pro1ect (Sec 7044,
Business and Professt0ns COde The Contraclor's license
Law does not apply to an owner of properly who bu11ds or 1m·
proves thereon, and who contracls tor each Pfoteels w1lh a
contractor(s) license pursuant to the Contractor's License Law)
D As a homeowner lam 1mprov1ng my home, and the IOllow Ing cond1hons ex1sl
1, Ttie work 1s being performed poor to sa1e 2 I have hved 1n my home for tweive months poor to complet10n ol this work
l have nol claimed th,s exemption durmg the 1as1 three years
D I am exempt under Sec -------B&PC for this reason ____________ _
I tlereby a.fhrm that I tlave a cert11tcate ot consent to
s~nsure. or a certificate of Workers Compensation In-::: :~ c?"Jc~s.J''Cc 3800. Labor Codel
COMPANY -FA-JY"t>tqA(t' ~
C Copy 1s flied with the city 4 /, , J.
D Certllled copy 1s hereby lurmshed -'{Y/rj
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no1 be completed If 1he permit
1s tor one hundred dollars ($100) or less)
~ I certify that in the performance of the work for which
1h1s permit is issued. I shall not employ any person in any
manner so as to become sub1ect to the Workers· Compen-
sat,on Laws of California
NOTICE TO APPLICANT: II. after makmg this Certificate
of Exemption. you should become sub1ect to lhe WOfkers
Compensa11on provisions or the Labor COoe. you musl
lorlhw1th comply with such provisions or this permit shall
t>e deemed revoked
0 I hereby alflrm that there is a construction lending
agency for the performance of the work tor which this per·
mit is issued (Sec 3097, Civil Code)
Lende(s Name ____ _
Lender"s Address·---~--------
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
;OB ADDRESS AV ST RO. NEAREST CROSS ST
10;:;2~~~IONI BUi Z7Lf S
VALUATION PERMIT NUMBER
17oe ~ ~ue. Vol\e~ 19~ LOT 8L.OCK I suao, v1s10"' I ASSESSOR PARCEL NO 14 -~l r::s ~LLM~~I~ co,.J'h,ACr'OAS PHONE • ZONE
'/ 51'--? I 'r) -
OW ... ER J AME OWNE ffS PHONF J
.D. "Chois 729-&293 CONHIACTQR·s ADDRESS .., STATE LICENSE NO. BUILDING SQ FOOTAGE
390 t:biL A-v'L OW"J~ R'~ MA1 l •~G ADDRESS ~\~ \7QB ~ Aue.1 ~~ O£S1G~t ~ DESIGNER'S PHONE
Of.SCRr '°,."i~F ;;;ra,.T ... ~a" IOQ -r.:. L ..d --,;. /Ill ~ / DESIGNER"S ADDRESS
-
STATE LICENSE NO. 0002 03/12 0101 02BldPllt 14-0
I-F/P F LR ELEV NO DCC GP EDU
STORIES
vO "O ---
I
I PARl(I ... G SPACE I RES UNITS I GRACING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPP AREA CONST
YO N 0 ,o r..O vO NO Nor Val,d Unlt!!s Machine c~rtd,«J
QTY. PLUMBING PERMIT -ISSUE 7So QTY. MECHANICAL PERMIT -ISSUE ~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INST All FURN DUCTS UP TO 100 000 BTU / V BUILDING PERM'T 001 810-00·00·8220
EACH BUILDING SEWER /_,<;U OVER107 SIGN PERMIT 001 ·810-00 00-8221 ---~-- --~ -~ --·~--
~BOILER COMPRESSOR UP TO 3 HP
,-
EACH WATER HEATER ANO,OA VENT PLAN CHECK 001·810·00-00-8821
l'f~ -:--~~ --'!'" -i -
,,...,......
EACH GAS SYSTEM 1 TO 4 OUTLETS "°"~'~ TOTAL PLUMBING 001·810-00-00-8222 --------~--..
EACH GAS SYSTEM) OR MO Rf METAL F'REPLACE ELECTRICAL 001·810·00·00-8223 ---------------I--.. ----· --
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SIN DUCT MECHANICAL --ticoQ·00·00-8224 -~----. --. ---
MOBILEHOl.!IE 111.. "Q 0·00·00-8225 EACH VACUUM BREAKER MECH EX UST HOOD DUCTS
WATER SOFTNEA AEl,P(°ATIO~ OF EA FURNACE,HEATER sm.ii ~~p. ..... -001-810-00-00-8226 r
EACH ROOF DRAIN (INSID[J { l,.!l'RYER VENT sM.GMOT10N \~~ 880-519-92·33
14 ([( 4 TOTJ;L MECHANICAL --FIRE.SPRl"Ji(~E,RS i ~ 01-810·00-00-8227 ---
---I PUBLIC FACJL;TIES FEE ""'·-R.,~·87_4,ll TOTAL PLUMBING
.bo BRIDGE FEE . .& CP.t'~~;~~O:fl0lp0·8740 QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARo;'rMu ME.A ~u_Q(~~_, •••
NEW CONST EA AMP SWI IJKA ~ CAR POAT .Jlf\1;.\ cN,\-·•. 134-810-00-00·8835 ·-1 PH 3 PH ~ AWNING ·1.:A'COSTA TIF 133-810-00-00-8835
EXIST BLOG EA AMP SWT BKA ./ GARAGE FMF -. -1 PH __....a,1'H LICENSE TAX 001·810·00-00-8162 -
REMODEL ALHR Ji•4('t1RCUIT MFF 880-519·92-57
TEMP,POLE ]116'AMPS
.. --
0 V EA 2 llll""(M PS -
ry,ef"occuPANCY (30 DAYS) -
V --
/ CREDIT DEPOSIT F -------
/ J()lAL EL~LIRICAl I TOTAL I ;4{Y V . TOTAL FEES PAYABLE
I HAVE CM1EFULLY EXAMINED THE COMPLETED APPLICATICN AND PERMIT ANO 00 HEREBY Exp1rat,on E\lery permit issued by the Bu1ld1ng Olftc1al under tne provisions of1h1.s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF Pf RJUl>Y THAT Ale INFORMATION HEREON NCLUOING THE Code shall e•~•tat,on and become null and ,o,d II the bu,tding or work 5" o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF aumorized by ch rm,t as not commenced w1th1n 180 days from the date ot sucl"i DECLARATIONS ARE TRUE ANO CORRECT AND• FURTHE'R CERTIFY AND AGRff ·FA PERMIT If> perm,t. or if he bu• '"H or ~ork authorized by such permit ,s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED. TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUiUING co•. abandoned.I any t1m a ter lhe work ,s commenced for a neriod of 180 dP.~ ,
STRUCT(ON WHETHER SPcCIFIEO HE:REIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN:~ OWNE~ CONTRACTOR[. APPROVED BY flt DATE ,v/t1 KEEP HARM! E',S THE CITY OF CARL ',BAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS A•. I SIGN~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CON',EOUENCE OF H·t ~G BY PHONE [J 1$ GRANTING OF TH!S PERMIT
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TYPE I DATE INSPECTOR I
/ BUILDING ·,
•, -
·-. -• t.. --'8"'7-1·q ~ •
FOUNDATION ! FIELD INSPECTION RECORD
REINFORCED STEEL !
I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION AEQ IF INSPECTORS DATE o8~f£).: /1 CHECKED APPROVAL -' I
SUB FRAME D FLOOR D CEIJ-ING
SHEATHING D ROOF D SlliEAR
FRAME '
SOILS COMPLIANCE " 'SmJ., IC,, -IA-It-Plllw 4 c~;..-m ~ // PRIOR TO I I /,! ~ FOUNDATION INSP
EXTERIOR LATH I
l
STRUCTURAL CONCRETE ,
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO D f?UCO
UNDERGROUND D WASTE q WATER
TOP OUT D WASTE D WATER
-·-·· HIGH STRENGTH
BOLTS
SPECIAL MAS<:JNRY
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
' ,,,,,, I . --ELECTRICAL I
~ ELECTRIC UNDERGROUND [IJ UFFER
ROUGH ELECTRIC I
J
' .
D ELECTRIC SERVICE D TEMPORARY ~ ' . ----
D BONDING D POOL I
' l
MECHANICAL I --
D DUCT & PLEM., D REF. PIAING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I .. ~ .;,1\r; 1liTOJ' 0..~JCU:.•f r~·oo
ITEMS ABOVE HA;VE BEEN APPROVED ..
·I C f . --
FINAL I /) , .
PLUMBING ' 3,,?,o,'?7 /~ I .. .lrr,,, '---'·
-' -.
ELECTRICAL I ' _I .. -.. .. -I ""r ,.~ .,.. • -MECHANICAL I
GAS : I . , -Cl-:.__,,, ~.7 ' •' I ..
-
-. ~ •• \ r ·. ' .... ' . -..
BUILDING I
I
SPECIAL CONDITIONS I
I
CASHIER'S VALIDATION
Qrttv nf C!rarlsba~
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA SEWER PERMIT NUMBER: SE ·l-:,-f l,
BUILDING PLAN CHECK NUMBER: PC ~
BUILDING ADDRESS: I I I BUILDING TYPE: '" """ .
NUMBER OF EDU'S: I. l )
OWNER: l . CALCULATIONS: I ~~ I \ . l'
MAILING ADDRESS: I j I-I h l
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CONTRACTOR: t I
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MAILING ADDRESS:
I \ ~ I ,
LEGAL DESCRIPTION: CONNECTION FEE
COST PER UNIT 1: I , x NO. UNITS r I,
LATERAL CHARGE: JI ~ tJ.o ~0
TOTAL CHARGES: Lw9V ~-z>
ASSESSORS PARCEL NUMBER: .,. "'-¥ PREPARED BY: ~ ' (PRINTED NAME)
COMMENTS:
\AIUITC, noc t"!DCCt..l, c,..,..,,,.,.,..n r"'A,-.IACV• \A/,:i,tar Dlfl.11<• ~11ilrtlnn ~nl n• .6.nnllr::1nt