HomeMy WebLinkAbout1855 MCCAULEY LN; ; 87-77; Permit"' z 0 i= C a: C ~ 0 Ill 0
~eby affirm that I am llcenNd undef
provlalona of Chaptar 9 (commencing with
Section 7000) of Division 3 of the Business
and ProlHalons Code, and my license is In
lull force and effect.
C Ill 0 ~ 5 ' Ill z ~ 0
I hereby affirm lhal I am exempl from tile Contrac·
1or·s License Law tor Ille following reasoo (Sec. 7031.5 Business and Professions Code: Any city or county whicli re· quires a permit 10 coostruci, alter. improve. demolish, or
repair any S1ructure. prior to its issuance also requires !heap-
plicant for such pem,it to file a signed statement Iha! Ile is licensed pursuant to the provisk>ns ot the Con1rac10(s
License Law (Chapler 9 commenci~ wtth Section 7000 of Otvision 3 of the Business and Profem:ms Code) or that is ex·
ernpl lherelrom and tile basis for Ille allege<! exemption. Any
violalion of Section 7031.5 by an appl,canl for a perm,I sub· te(ts the a~icint to a civil penalty of not mote than t!Ye hun• dre<I dollars ($500).
I I I. as owner of Ille property. or my employees wilh wages "as their sole compensatmn, will do the work. and the struc· tun, is not intended or oflered loc sale (Sec. 704-4. Business
and Professions Code: The Contractor's License Law does
not appty lo an owner of Pfoperty who bu1Sds °' improves thereon and who does such work htmsetf or through his own
employees, provtded lhat such improvements are no1 intend-ed or ottered for sale. If, however. the building or improve-
ment is sold within one year o1 compleUon. the owner-builder
will have the burden of proving thal he dtcl not build or im-
p,OYe tor tile purpose of sale).
fJ I, as owner ol lhe property. am exciusivety contracting
with li<ensed conIracIors 10 conslrucl Ille p,ojecl (Sec. 7044, Business and ProlessK>ns Code: The Conuactor's License
Law does not appty to an owner o1 property who builds or kn-proves thereon, and who contracts tor each prOiects with a
contractor(s) ltcense pursuant to the COnlractor's license Law).
□ As a homeowner I am imp,OYmg my home. and the lollow·
ing conditions exist t. The work is being performed prior to sa'8. 2. I have lived in my home tor twelve months
Pfior to complettOO of this work 3. I have not claimed this exemption during the lasl three years.
□ I am exempt under Sec. ______ . B & P.C.
for this reason
D I hereby affirm that I have a certificate of consent to
sell•insure. Of a certificate of Workers· Compensation In-
surance. or a certified copy thereof (Sec. 3800. Labc::lf Code)
POLICY NO ~1 COMPANY ► 0 COpy is filed with the city i O Certified copy is hereby furnished
Ill .... ~ 0 CERTIFICATE OF EXEMPTION FROM
0 WORKERS" COMPENSATION INSURANCE
en cn,is section need not be completed ii the permit ffi ~ is lo, one hundred dollars ($100) or less)
:a:: certify that in the performance of the wo,k for which ~ this permit is issued, I shall not employ any person in any
~ manner so as to become subject to the Wo,kers· Com pen-~ sation Laws of California.
il
NOTICE TO APPLICANT: If, after making this Certificate
ot Exemption. you should become subject to the Workers·
Compensation provisions of the Labof Code. you must
forthwith comply with such provisions or this permit shall
be deemed reYOked. ;1....,,.,.,,
ref rr. >
0 I hereby affirm that there is a construction lending
agency fo< the performance of the work for which this P9f·
mil Is issued (See. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
USE IALL POINT PEI OILY & PIESS KAID APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. --.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Or, Carlsbad, CA 92009-4859 (619) 438-1161 -~:;:-c-A? e cV•:•:~7aDaS,. JOAT~1~1TIONI 9USI i91JCEIISEa VA/:3~ s,~RMITNUM■ER
LOT ■LOCK I sua01v,s,°" l 1 ~~ 6 8 o2> C:0-.TRACTOR I.A. \ , CONnlllCTORSl'HDla• ZONE ( ~71
~R-SNAME I --~ ~ --// L,., ~~ / -,-:::,-,,y'Z--7'7111
--,._ ~ •. 1 CONTIIACTOR-S AOOR£SS -STAll: LICIIIE NO. autLOING SQ. FOOTAGE vrn~I /J.,,01/A-J.. A~.c:,,u J I.
~ws-•L•NGAODR£S5 H::;,,& Ov~.S 1/JJA-y ....,,,_/';"/,/2. /4 J ~ _L _/ OUtGNUI • r aa.G-fl'Sf'HOIIIE' -:z.. 9, /~A ~~~k H-i.lC-c.~~s~ u i1,, ,, _I
OFIIORK /./_ /../4 ~uo y ///_,/./_/ , -~ ~ ~~-I Z"'E~ ~ / _,--.fl ~ r J A ~ M ,6 J _ ~ ':A j L 11""5 AOOR""'5 .,..,.,., ~ --
~ -------------· ------~ F/P FLRELEV. NO OCCGP EDU
STORIES
vO NO --0018 02/03 0101 02EldPflt 39 ■( :
I I PARKl,.G SPACE I RES UNITS I GRADINGP61U!TtSSUED I REDEVELO~£NT TYPE occ LOAD FIRE SPA
AREA CONST -r,"' T"'\
f O ~ □ v□ NO ..--T ffl ~ l ~ ~ .l.Jll,r Vaid llml!ts .tldi-Cmilw
\..)J..-,1 ........ ~ -
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER /
-"I"'\ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 160.000 BTU BUILDING_ll~-11\'{ \ q. \.·uur-010-00-00-8220 _';)(.JI
EACH BUILDING SEWER . OVER 100,000 BTU SIGN PERMIT !)Ol;.8~~fl·8221 I
EACH WATER HEATER ANO/OR VENT ' BOILER/COIIPRESSOR UP TO 3 HP PLA~~W ~ ftf CAY-~ w , nn••:: / 'S -
EACH GAS SYSTEM 1 TO 4 OUTLETS _ 801LER/COIIPRESSOR 3-15 HP TOTllrPL '11.lill'IQT OOQ(1-::.o ,v·v0'-1l"D~8222
EACHGASSYSTEM50RMORE MElAlAREl'lAtf I) __ :_:: 'Ar· 001'810·00.00-8223
EACH INSTA~ .. ALTER. REPAIR WATER PIPE ---+--. VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-822◄
EACH VACUUM BREAKER • IIECH EXHAUST -l'tOOO/OUCTS MOBILEHOME 001-810·00-00-8225
WATER SOFTNER RELOCATION OF EA fURNACE/tlEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) • DRVER VSfi :1 ,STRONG MOTION 880-519-92-33
TOTl:.l llECHAN:ICAL FIRE SPRINKLERS 001-B10·DO--OO-a227
TOI AL PLUMBING j PUBLIC FACILITIES FEE 320-810-0lHl0-87'40
1 BRIDGE PEE 360-B10-00-D0-'81-{0 QTY. ELECTRICAL PERMIT . ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP'SWT 8KR CAR FOHT Tlf 13-4-!l0-00-00-,8835
I PH 3 PH • AWNIHG LA COSTA Tlf 133-810-00--00-8835
EXIST BLOG EA AMP/SWT/BKR GA11AGE f\lF '
I PH 3 PH LICENSE TAX 001·810-D0·00-8162
REMODEL 'Al HR PER CIRCUIT MFF 880-519-92·57
TEMPPOLE 100AMPS
OVER 200 AMPS .
TEMP OCCUPANCY (30 DAYS) I •
. CREDIT DEPOSIT
TOTAL ELECTRICAL I I TOTAL TOTAL FEES PAYABLE j . 3 CJ -
I HAVE CAREFllLLY EXAMINED THE COMPLETED .. APPUCATION AMDf'EIMT" AMO DO HEREBY ~.&.,y __ ..,_....,.Olltael ___ .,,""9 * AN._,_.. IIJ,.._,l'OIIIJCaVA-CW
CERTIFY UNDER PENALTY OF PERJURY THAT ALL tNf'ORIIIIATION HEAEON INCLUDING THE eo. ..... _..,.._. _ _,_ ___ llthebuold,ngorwon. 5'0-DEEPIIND ......... OIICONS1'1UCnDNOF --br--•-~.ced-tlOGaysfromthedaleol9UCh DECLARATIONS ARE TRUE AND CORRECT ANO 1 FURTH£RCB!TWY AND AGflEE 11' A PERMIT IS -■-, cw d .. llutldtllg or ---by IUCh --,s ~ or. STIIUClUflESOW81 JS10NES .. ....«
ISSUED: TO COMPLY WITH AU CITY, COUNTY AND STATE LAWS GOVERNfNG BUILDING CON-L!-!!!!!-~!!!!,;•!'c!!!J -L:--!!!!!!!..!! _,!!!JIN!!!!..-!!!.!~•~co.:!!!!!,•!!!-!!!!,ICiid!!!_:lor~•!.' _..,...~!2!!_g!oll_!l!!2_lll1-!lnL-::Ji""°!'~~~~----------------4
!~~J:1"~~Rc~~~R~=~ "~~ ~~-~~~==g APPI..ICMT-s SfGNATURE • . OWNER □ CONTRACTOR l!r' APPROVED BY P1 DATli /;
EXPENSES WHICH MAY IN ANY WAY ACCffllE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ '_,, ~ / /_,../ / BY Pl-tONE O / 2 '(77
GAANTINGOFTHISPERMIT ~~~--7--<-c ez:...-: I 'J, A'
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY · j
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl)JNG
SHEATHING □ ROOF □ S14EAR
FRAME !
EXTERIOR LATH ' .,
INSULATION I
INTERIOR LATH & DRYWALL I
'
PLUMBING j
Q-""'"SEWER AND BL/CO .ErPiUCO '-J•·i7 ~
UNDERGROUND □ WASTE q WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ' 1
GAS TEST l
J
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL !
□ ELECTRIC UNDERGROUND OJ UFFER
ROUGH ELECTRIC J
I
□ ELECTRIC SERVICE □ TEMPORARY
D BONDING D POOL !
!
I
MECHANICAL j
□ DUCT & PLEM., □ REF. Pl~ING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS !
-I
CALL FOR FINAL INSPEC'flON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
g--7 .. 77
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ==-=-~=-~==--===p=~-~~-~-=--.-~~-----1 t====================-============i
' REQ IF I INSPECTOR s DATE ~ INSPECTION CHECKED! APPROVAi
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CVER ?000 PSI ; :
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AP OVEu
By_-\-i-+----
FE 3 -1987
City of CARLSBAD
BUILDING DF.:~1-.
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