HomeMy WebLinkAbout1735 GERANIUM ST; ; 87-237; Permit., z 0 ;::
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O I hereby affirm that l am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my license is in
full force and effect
I hereby a1!irrn that I am exempt lrom the Contrac 1or's license law for the following reason [Sec. 7031 5
Business ana Protess,ons Code Any c,Ty or county wh,cr, re
qu,res a perm,I to construct. aI1er, ,mprove. demolIsh. or
repa,r any structure. prior to its issuance also requires !heap-
plicant !or such permit to file a s,Qned statement that he ,s
licensed pursuant to the provisions of lhe t:ontracrnr's
License Law (Chapter 9 commencing wI1h Secllon 7000 of
DIv,sIon 3 of the Business and Pro!ess,ons Code) or Iha! ,sex-empt therefrom and the Oasis 1Dr lhe allegeo exemption Any
v1olat1on of Section 7031 '.I by an applicant 1or a permit sub 1ec1s the applicant to a cIv11 penalty ol not more than t1ve hun
dreo dollars (5500)
I I, as owner of !he properly, o, my employees wIlh wages
as their sole compensallon, will do the wor~. and The struc
ture Is not intended or offered for sale (Sec 7044. Business and Professions Code The Con1rac1or's License Law does
not apply to an owner 01 property who builds or improves
thereon and wllo does such wor~ himself or 1hrough his own
employees. provided thal such Improvemen\s are not intend-
ed or offered for sale 11, however, the bu1ld1ng or improve ment ,s sold w1th1n one year of completion. 1he owner-builder
will have the burden 01 prov,ng thal he did not build or im-
prove !or 1he purpose 01 sale)
J I, as owner of the property. am exclusively contractmg
with licensed contractors to construc11he pro1ect (Sec. 7044. Business and Protess1ons Code The Contrac1or' s license
Law does not apply lo an owner of property who builds or Im proves thereon, and who con1racts tor each pro1ects with a
contractor{s) license pursuanl 10 the Contractors License
law)
As a homeowner I am improving my home, and the follow
Ing cond1l1ons exist 1 TM work Is berng performed prior to sale 2 I have lived ,n my home for twelve monlhs prior 10 completion 01 this work
I have not claimed \his exemption during the
last three years
LJ I am exempt under Sec B&PC for this reason ____________ _
I hereby afhrm that I have a cen1ticate of consent to I
sell insure. or a cer!1l1ca1e of Workers Compensatoon In-!
;~:~~:· :~ cen.t,e<J copy thereof (Sec 3800. Labor Code\ I
COMPANY
Copy ,shied with the c1ty
Certified copy ,s hereby fum,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
!This section need not be completed if the permI1
Is for one hundred dollars ($100) or lt"SS)
C I certify that In the performance of the work tor whIcll
this permit ,s issued. I shall not employ any person in any
manner so as to become subJect to the Workers· Com pen
satIon Laws ot Cal,fom1a
NOTICE TO APPLICANT; If. after mak,ng this Cer!if,cate
of Exemption. you should become subJeCt to the Workers·
Compensation provisions of the Labor Code. you must
for!hw,th comply with such provis,ons or this permit shall
be deemed revoked.
C I hereby affirm that there Is a construction lend,ng
agency !or the performance of the work tor wh1c~ this per
mIt Is issued (Sec 3097. Civil Code)
Lenders Name
Lender s Address __ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV, ST.RO, NEAREST CROSS ST. o;;,;~•cAnoNI BUSINESS LICENSE # VALUATI~ PERMIT NUMBER
/1.!5 t;t!R.ltAIJa,11. ·. ST. (!() L <JIU~/ Ale I f,o.j r(\,
LOT BLOCK I SUBOIV-\~ON I AS~f~'s~"3ooD CONTAA;CTOR CONTRACTORS PHONE # ZONE "' 2-?7 .,. I.,_
OWNER'S NAME ' !t.N _;;;;:;;;d '/) IJ/J -f/)IHAIE f)~f/lP/(,, CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MAILING ADQRES~ CJ/J.)/d (=_ /1.,,
l'!.35' (d,~l't/iliU"'1 {!,ft-~l~4/rD 61-'f,IO<J'l DESIGNER DESIGNER'S PHONE
' . .... . /<1111() S L/JAllJSCA:/'/AIG OESCRtPTA'EL~is /It Tio {!,()/)f=~ DESIGNER'S ADDAESS ST ATE LICENSE NO.
0025 03/23 0101 02BldPlllt 46-0
·-------·---F :P F LR ELEV NO ace GP EDU . STORIES
vO NO
I
l PAf'KING SPACE RES UNITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE DCC LOAD FIRE SPA
AREA CONST
YON • •C "• vO NO Not Valid Unless Machine Cerrified
QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE "2, ,,.-0 SUMMARY/ACCOUNT NUMBER .
EAr:H f-lXTURE TRAP . INST All FURN DUCTS i.JP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220 , .,,,,, -·---
EACH !WILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER AND-OR VE~~----1 . I.-----------------------------I 9. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK DO 1-810-DO·D0-8821 -
EACH GAS SYSTEM I TO 4 OUTLETS i -_ _:__ --BOILERiCOMPRESSOR 3 15 HP TOTAL PLUMBI\JG 001-810-00-00-8222
-. +· .. I-----------··----------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL ...... 001·810-00-00-8223 -----i~ '~ ---~-------. --
MECHANLCA1\' 'V EACH INST~ __ ALTE~._R_E~A~~~ATER PIPE _ _ ___ VENT FAN SINGLE DUCT 001-810-00-00-8224
------------------
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MDfll.! Ef1ll.1'1'f" DO 1-81 0-00-00-8225
WATER SOFTNER : RELOCATION OF EA FURNACE,HEATER -,...,4 -ic,\ 00 j. 810-00-00-8225
.
EACH ROOF DRA''-.1 I :~S llt' DRYER VENT t \..JrnoNG_M~f')N\~ ~\~!80-~·92-33
I TOTt:.L MECHANICAL FIRE Sglil-l"l E~s ,, ~ u_/ji~ -0·0-8227--
~--
'
~-•.. ------I ~(id\· Ac I LIUF&."~,n" · '-\.~1't810-00-00-87 40 !UlALPlUMBINL I
QTY. ELECTRICAL PERMIT· ISSUE '5ce QTY. MOBILE HOME SETUP
BRIDGE FE.E_ft., --0C>' 360-s10-oo-oo-s140
PA, ... ~ "o"'f>la,r
NEW CONST EA AMP SW! l:)!<R ' CAR PORT ffl" r":'\.c;-.· 134-810-00·00-8835
I PH :l PH . AWNING _,,,;jt:i·os;A TIF 133-81 0-00-00-8835 -
EXIST BLDG EA AMP,SWT BKR GARAGE FMF ..
I PH 3 PH LICENSE TAX 001-810-00-00-81 62 --
REMODEL Al TtH PER CIRCUIT . MFF 880-519-92-57 ..
l[J[J AMPS TEMP PDLE . -.. ----
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI -------r-----CREDIT DEPOSIT
TOTAL Elt(.IRICAt 1 ii ; lOTAl TOTAL FEES PAYA~ I ) £J..L -
I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT"' AND DO HEREBY E:-.piration Every per_mit 11sued by the Building Ott1c1ar under the pro111s,ons oflh1s -~ * AN OSHA PERMIT REQUIRED F0A EXCAVATIONS OVER
CERTIFY UJWEA-PENALTY Of PEl;;tJURY THAT All INFORMATION HEREON INCLUDING THE
Gode sl'l811 expire by hmitation and become null and vo,d It the bu1ldmg or work K 5· O" DEEP~ MOLITION OR CONSTRUCTION OF authonzed by such permit 1s not commence_d w1thm 180 days from the date ol su__,,
DEClARATl()NS ARE TRUE.AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !5 permil, or if the bu11d1J or work authorized by such permit 1s suspended or STRUCTUR£$ R 3 STORIES IN HEKiliT
ISSUED: TO COMPLY WITH All CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned al an" lime er the work is commenced fOf .i ""'t1od of tBO davs . ' . , ,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATURE Jf. OWNERJ/ CONTRACTOR 0 APPROVEO B& ;v J-;.1,7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UASIUTIES, JUDGMENTS. COSTS AND li~Xl~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMIT. ,
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TYPE ' DATE INSPECTOR
BUILDING '
FOUNDATION : ~-"ZS"-57 ~tcP
REINFORCED STEEL I .
MASONRY '
GUNITE OR GROUT ' I
SUB FRAME • FLOOR D CEILING
SHEATHING • ROOF • SHEAR
FRAME I
I
EXTERIOR LATH I
INSULATION !
INTERIOR LATH & DRYWALL ' I
I
PLUMBING I • SEWER AND BUCO • ~UCO
UNDERGROUND • WASTE •1WATER
TOP OUT D WASTE • WATER
TUB AND SHOWER PAN :
GAS TEST I
• WATER HEATER • SOLAR WATER
I
ELECTRICAL I
• ELECTRIC UNDERGROUND Q UFFER
ROUGH ELECTRIC I . • ELECTRIC SERVICE • TEMPORARY
• BONDING • POOL ' I
I
MECHANICAL !
• DUCT & PLEM., • REF. PIPING
HEAT -AIR COND. SYSTEMS !
VENTILATING SYSTEMS !
'
CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE
_ _ /TE.MS ABOVE HAYE BEEN APPROVED
FINAL I
PLUMBING I ""' ELECTRICAL ' _;y_ \ (J
MECHANICAL I ... _ \ 'I,/
GAS ' )-'M'< I
BUILDING I \ :.. ~~
SPECIAL CONDITIONS ' -'
'
• <i, ~ ::i~' -FIELD INSPECTION RECORD . -· .
·.
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES '
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
·----·------~-STRUCTURAL CONCRETE
OVER 2000 PSI --PRESTRESSED
CONCRETE
POST TENSIONED
COr-..CRETE
FIELD WELDING
Hl(.-;H STRENGTH
BOL.TS
SPECIAL MASONRY
PILES CAISSOM~
. ---____ ' -------~-.
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