HomeMy WebLinkAbout2273 RUTHERFORD RD; ; 82-356; PermitIll z 0 j::
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0 I hereby attlrm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
L,c No ___ _ Class __
I hereby afhnn that I am exempt from the Con-~~o;·~~;~~;:: ~w ~,~r:~~~r~1~
county which requ1res a penmt to construct
altet, improve, de~1sh, or repair any structure, pt'lor to its 1ssu.ance also requires the applicant for
such permit to hie a signed statement that he 1s hcensed pursuant to the prov,s,ons of the Con-
tractor's License law (Chapter 9 commencing with
section 70CX) of 01v1St0n 3 of the Business .ind Pro,. tess,ons Code) or that 1s exempt therefrom and the
basis for the alleged exemptt<>n Any vK>lat.on of Sechon 7031 5 by illl ~phcant lo, a penn,t subfects
tne applicant to a c1v11 penalty of not more than live hundred dollars ($500)
0 I, as owner ol the property, 0< my employ""5
.,,,th wages as their sole compensat,on, will do the
wOf'k, and the structure ,s not intended or offered fOf'
sale (Sec 7Q4.4, Business illld Profess,ons Code
The Contractor's License Law does not apply to an
owner of property who builds or improves thereon
and who does such work himself 0< through his own
employees. provided that such improvements are
not intende1 or offered for sale If, hOwever. the
building or improvement 1s soki within one year of
complehon, the owner-builder will have the burden
of proYmg that he dtd not build or improve tor the
purpose of sale)
[J I, as owner of the property, am exclus1Yely
contract,nQ with hcensed contractors to construct lhe pro1ect (Sec 70,U, Business illld Professions
Code The Contractor's license Law does not apply to an owner of property who builds or improves
~~~it;~ ~~nc:'~:!~~~~ ~6c~t!r~\~;:~.;
L•cense Law)
D I am exempt under Sec
for this reason
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C] I hereby affirm that I have a cert,hcate or consent
10 self-insure, or a certificate ot Workers·
Compensation Insurance. or a certified copy !hereof
(Sec 3800, Labor Code)
POLICY NO g COMPANY ~ ~· Med With the Clly ~
~ D Certified copy 1s hereby furnished
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CERTIFICA Tl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This sect,on need not be completed 1f the permit
,s tor one hundred dollars ($100) or less)
0 I certify that 1n the performance of the work tor which 1h,s permit ,s issued. I shall not employ any
person in any manner so as to become subJect to
the Workers· Compensation Laws of California
NOTICE TO APPLICANT II. afler mak1n1 this Cer,1
t,cate of Exemption. you should beeome subJect ttJ the Workers· Compensation proY1s1ons of the Labor
Code. you must for1hw1th comply with such
proY1s1ons or th,s permit shall be deemed revoked
0 I hereby affirm lhat !here 1s a conslrucllon
lending agency tor the performance of lhe work lor
which this permll 1s issued (5ec 3097. Cw,I Code)
Lenders Name __________ _
Lender'! Address ----------
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
%~13
I OWNE A'S PHONE PRIME CQNTRACTOR
71h,,-ba u
OWNER'S MAILING ADDRESS CONTRACTORS AOORESS
?:,3~ S-~,~
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER
DESCRIPTION OF WORK • • --A /J-
1---~GZ,~~~:!,!~4~.C..~"1.L~~-=-,.,._::.:~r~~=-___.'.-::::~'-':::~:.:.:n«,_~==:_--------1 DESIGNER'S ADDRESS
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I
QTY. PLUMBING PERMIT -ISSUE 2.~
EACH FIXTURE TRAP
EACH BUILDING SEWER ~---+------------------
EACH WATER HEATER ANO/OR VENT
EACH INSTAL ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
-LJ 1-TOTAL PLUMBING
QTY. ELECTRICAL PERMIT· ISSUE ,.J,od
I NEW CONST EA AMP/SWT/BKR /d}g!.";11;;._ n5!; av
I 1 PH 3 PH , -
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER PEA CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 OAYS)
F/P FLR ELEV.
vO NO
GRADING ~ERMIT ISSUED REDEVELOPMENT
AREA
YO ND
QTY. MECHANICAL PERMIT -ISSUE
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
MET AL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTt.L MECHANICAL
QTY. SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I-
APPLICATION & PERMIT
NO
STORIES
TYPE
CONST
,..?,oo
VALUATION PERMIT NUMBER
UCENENO. PLAN 1.0. # BLOG USE COOE
STATE LICENSE # STANOARO PLAN# BUILDING SO. FOOTAGE
z:z..1 .744-
DESIGNER'S PHONE
7.0 OCC GP EDU
B/15/82198! ··--.
OCC LOAD FIRE SPA
vO NO Not Valid Un/ns Machine Certififtl
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·000-4??n
SIGN PERMIT 01 ·000-4221
PlAN CHECK 01 ·000·4806
TOTAL Pl.UM BING 01-000·4222
ELECTRICAL 01-000·4223
MECHANICAL 01 ·000·4224
MDBILEHDME 01-000·4225
MOBlLEHOME PARK INSP
SOLAR 01 ·000-4226
STRONG MOTION 65-640-0519
FIRE SPRINKLERS 01-000·4227
PUBLIC FACILITIES FEE 25·000-4933
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 65·623-0519
Encinitas 65-624-0519
San Dieguito 65-625-0519
San Marcos 65·626-0519
-~----+---------....... -·~~-~~-·~------------~-~~~----11----------------------+~-----------I
TOTAL ELECTRICAL
I TOTAL SOLAR TOTAL FEES PAYABLE I
BYl'HONE 0
/
* AN OIHA PUIMff IS AEQUIAEO FOR EXCAVATIONS OVER
5' o· DEEP ANO OEMOUTION OR CONSTAUCllOH OF
STRUC1\IM.8 OVER 3 STOAIO IN HEIGHT
APPROVED BY DATE
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INSPECTION TYPE I DATE INSPECTOR .
BUILDING
l FIELD IN SPECTION RECORD
FOUNDATION
REINFORCED STEEL I REQUIRED SPEC IAL INSPECTIONS INSPECT OR'S NOTES I
MASONRY i INSPECT ION REQ IF IN SPECTOR'S DATE \\ \ ' CHECKED APPROVAL
i GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME I PRIOR TO
SHEATHING I FOUNDATION INSP
'
STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION I PRESTRESSED
I CONCRETE ,
INTERIOR LATH & DRYWALL POST TENSIONED --. CONCRETE
PLUMBING J . ·, --
. FIELD WELDING
-----~ SEWER AND BL/CO j HIGH STRENGTH
PLUMBING UNDERGROUND ! BOLTS ---------
PLUMBING TOP OUT i SPECIAL MASONRY
TUB AND $HOWER PAN I
GAS TEST I PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER '
I ,-. -_, 'j. ·-
ELECTRIC UNDERGROUND . -·-----
ROUGH ELECTRIC
ELECTRIC SERVICE l
~ ! -
BONDING ·-·
G. F. I. -SMOKE DETECTOR
MECHANICAL ' ·--------
I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. -
JOB SITE FINAL / , --------
PLUMBING / // 7
ELECTRICAL t/ A IA / ~
MECHANICAL V ~-lu---V-"('. ~-
GAS (/ W /'-1/11 a A'/""' _/ ---... '
BUILDING ,/( ~ ~,,-, -, 7'# _,... t-r
--' --~
SPECIAL CONDITIONS ! \. v,
CERT OF OCCUPANCY ISSUED !