HomeMy WebLinkAbout2354 KIMBERLY CT; ; CB880336; Permit"' z 0 ;:: .. a:
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~I hftfeby affirm that I am licensed unde1
provisions of Chapter 9 {commencing witti
S.Ctlon 7000) of Division 3 of the Business
and Protuelons Code, and my llcEmse 1s in
full force and effect.
1 ~e,e~y alhrm maI 1 am exemDI lrom Ine Conrrac tor's License Law tor IM 1ol!ow,ng reasor (Sec 7031 :
Business and Profess,ons Cl'.Kle Any c,ty or county W"'''' ·e
auires a permit to construct. alter ,mpro~e. demol,sh or repa,r any sirucTure pr,or 10 ,1s ,ssuance a,so reau,<es !heap
pl,cant tor sucn perm,1 to file a s19ned siaterient that he ,s
,,censed pursuant 10 the provisions ot l~e Lonrracror s
License Law , Cha~Ier 9 commenc,ng with Section 7000 of
0iv,s,on 3 of lhe Business and Pro!ess,ons COde; or t~at is ex
emo1 1herefrom and the basis lor the alleged exemp1Ion Any
.iolahon o1 Secl1on 7031 5 by an applIcan: for a oerm,I sub
1eC1s lhe appl1ca~1 IQ a c,vII penalty ot not mo'e ·na". f1ve ru~
dred dollars fSS001
I as owner ot the property. or my employees wItr wages
as Their sole compensa1mn w,II do the work and The srruc
lure Is not intended o, oflered tor sale iSec 1044. Bus,ness
and Proless1on, Code The Contraclor's License Law does
not apply to an owner ol propefty who builds or Iriproves
thereon and whO does such work h1mseI1 o' through his own
emoloyees orov1oed mat such Impr0\•emems are not In1end
ed or olie'ed for sale If, however the tw1ld1ng or improve
menl Is sold w,tn,~ one year of cornplet1on. the owner-builder
w1I· have the burden ol proving That he did nor build or Im
prove •or the purpose ot sale1
I as owner o• the property, am exclusively contracllng
w,1n licensed coniraclors to construct the oro1ect /Sec 7044
Busmess and Proless1ons Code Tne Conrractor's License
I aw does nol apply 10 an owner of property who builds or ·'Tl
oroves Thereon and who contracts for each pro1ec1s w,th a contraclOrlSI license pursuant to the Conrractor's License Law)
As a homeowner I am ImprovInq my home. and the lollow
,ng cond111ons exist
1 The work Is tle,ng oerto,rned prior IO sa•,e
2 1 have lived m my home lor twelve monlt'.s
orior to c~mplet1on of Th,s wor.
I have r,ot claimed th,s e,empt1on durinc; the
asr 1nree years
I am e,empt under Sec _______ B & P C
lor 1h15 reason ____________ _
,.,,/_ I hereby al!,rm that I hase a cer\rf1cate ol conse~t to
se•f-1esure. or a ce,t1f1ca1e o' Wor~ers Compensa11on In
surance or a cert1f1ed copy Thereof ,Sec 3800 Labo• Code!
POLICY .. o
COMPANY
hopy ,s filed with the city
Cert1hed copy Is hereby lurn1sned
CERTIFICATE OF EXEMPTION FROM
WOR'<ERS COMPENSATION INSURANCE
,Th,s sect,on need nol be completed If the permit
Is 'or one hundred do"ars ,s,001 or lf'SSI
_ I cer11ty I hat In the performance of the wor~ for which
mis perm·t Is ,ssued. I shall not employ any oerson ,~ an)
manner so as to become sub1ect to the Worl<ers Comoen
sat,on Laws of Cal1fornIa
NOTICE TO APPLICANT If after ma~Ing lhIS Cenrf,ca!e
01 Exemption you should become sub1ect to the Workers
C0Mpensat1on prov,s,ons of the Labor Code you m~s\
forthwith comply with suctt provIsIons or this perm•l sha'
be deemed re,oked
I hereby a11rrm that lhere Is a cons\ruc1,on le~dIng
age~q for lhe pedormance of the wor~ lor which this per
mIt Is issued 1Sec 3097 C1vol Code)
Lender s Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS BAOS NO. ~A~ :i7:ilJN BUSINESS LICENSE. # VALUATION PERMIT NUMBEA
2.3-r'-/ /.;::-1 ,;/8 "L-v ~-11. J,,oO Co ff():,~$o
~" BLOCK ISE~~ I ASS"~"·f~/ -2-"1 CONTRACTOR CONTRACTORS PHONE.# ZONE
-.~ ... "11) f/,,11Lt..ft.:•-1 /'<JCtJ l.'b',Z.007 OWNfR'S NAME. I -; ?
0 ;_::;j;;; ,(),,,,--r~r1A<! CONTRACTOR'S AODAESS STATE LICENSE NO, BUILDING SQ FOOTAGE
?l'/-CJ-C h1;~4,,e.. . ~1J'r.:!.X OWNER'S MAILING ADDAESS
~ ~<"'/ ~,Ar4£.lt..'-Y c-~ DESIGNER DESIGNER'S PHONE. '-()(.6 ,)3 .. ~~.1. -:~·:1:::-./:.t.
DESCRIPTION I"'~ J'f',-___.,tv rs/'A i?Oc,IP DESIGNER'S ADDRESS STATE LICENSE NO.
' ' FLRELEV NO ace GP EDU
STORIES
vl:: -..□ ! CENSUS TRACT l PAf'K<NC, SPACE: RES VNITS
I
GRADING PERMIT ISSUED I REDEVELOP,,,,,ENT TYPE OCC LOAD FIRE SPP
AREA CONST
,□ '□ ,'.] ,□ YO NO Not Valid Unlt!fs Machine Cert1f1ed
QTY PLUMBING PERMIT -ISSUE ?.c;o QTY MECHANICAL PERMIT -ISSUE 0,CX SUMMARY/ACCOUNT NUMBER
EACH ~IXTURE TRAP INSTALL FURN DUCTS :JP TO 100 000 BTU tffiTT_Ulm.i n:nIv 11 IJIJ1 IH~·li0-00-8uu --< o,
EACH BUI LUING SEWER OVER 100 000 BTU SIGN PERM!T 001-810-00-00-8221
I EACH WATER HEATER ANll UR VENT . BOILER-COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00·00·8891 ,, ~"'
·1 EACHGASSYSTEMI 1040UTLETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING 00 ·, -8 1 0-•J0-00-82 22 ,,,, -
lACH GAS SYSTEM :0 OR MOR[ ME:! M FIREPLACE ELECTRICAL 00 1 -81 0-00-00-82 23 ✓-
EACH INST AL ALTER. REPAIR WATER PIPE VENT ~AN SINGLE OUCT MECHANICAL OD 1-3 1 0-00-00-8224
/ EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME OG 1-3 1D-OO 00-8225
'/,'ATER SOHNE.R RELOCATION OF EA FURNACE HEATER SOLAR 00' -810-00-00-8226
\ 11ry RiJU l~·R,'.\''J '!~ ''11 DRYER VENT STRONG MUTIO~ 88C·'.:19-92-33 ,, ,~
TOH<L MECHANICAL FIRE SPR ~I-<Li:RS 001-810-0C, D0-8227
TUI Al PLUMfllNL I IS 0 t'UBLIC FAIJJ..l.TJ.li.C:,..holii.l... -.--32J:l..ll.1n...;u;i.-~.1Q
S,00 BRIDGE FEI. _j l ..1 '" ... .aP ·•-Rl.rn
QTY ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-ltHIE.U IAREA I
illEW CONST EA AMP SW! bKR CAR PORT .....:;-n '>122 ~ Tlf 1111 "'12\fiCllllll-00-8835
I PH i PH AWNING /o.·"' . -,(_~ . LA COSTA TIF 13'11-81(f00•00-8835
f XIS l El\ DG EA AMP SW T R KR GARAGE / ~ If: v~'\ '~---------
I PH 1 PH ·~ -.,,no =!} LI nn .1i;,l,Q.Q-~C-il1;,.J_ -
Ji,1111' REMODEL Al TtR PER CIRCUIT "' fli\1\ ... MFF • • 80-51:J-92-5? -TEMPPOlE JUO AMPS . ~ --,~
0\/E: R }(JU AMPS . .:, (:\ c;1;1.L,'> ; .-:::,
TtMP OCCUPANCY ,JQ UAYSI ··;,. ~ ,, .~, .
<o. / CREDIT DEPOSIT LI""'.-; 7
TflfAl !.tt.l.1Rl(.t..l I 14 ,-0 "Z8 l'9'9'\'~:!Y"' TOTAL FEES PAYABLE l :,;;2. :2, 8' a-.:>
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT AND DO HEREBY Exp1rat1on Every permit ,ssued by the Buildmg Oll1c1aI under the provIs,ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limrlat,on and become null and ~otd 11 the bur!d,ng or work 5' o·· DEEP ANO OEMOl.lTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit Is not commenced w1lhm 180 days trom the date of such STRUCT\JR£S OVER 3 STORIES IN HEtGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-~~~~n~ 1~1 l:~11 t!~I~Pt.?;h:C:~r:~tc0i~~.:z~~~~ :~,.i;:~•~,s~:g~n.~.~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT ! ALSO AGREE TO SAVE INDEMNIFY AND APP/?J.~l~NA~~ OWNERn CONTRACT~ APPROVED BY f,) I/ DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE rJ J«tt5? v-I 3>-t¥--W GRANTING OF THIS PERMIT r -i ~
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION , "" l&
REINFORCED STEEL W'"I r-\'
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME --EXTERIOR LATH -.
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO D PL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST '-·'1·8 r .ue:s--
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER r -'1-,r/ ""' -ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
f1'i BONDING □ P£)OL 4.~'{~1 r ~
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECT/ON WHEN ALL "APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL ' PLUMBING ,l' /
ELECTRICAL . \vi
MECHANICAL \i .
\
GAS 1'1" \'I'
BUILDING -'
SPECIAL CONDITIONS
I " -,,Ut.,'-' -~JL ,
FIELD INSPECTION RECORD
-REQUIRED SPECIAL INSPECTIONS -_ INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTORS ~-v:~ CHECKED APPROVAL
SOILS COMPLIANCE "<2h PRIOR TO IV FOUNDATION INSP
--
STRUCTURAL CONCRETE
' r ~ ;,,, ·,-Cl I OVER 2000 PSI -' ;.. . ' •_~.:,' '•. . ' _·_ .....
PRESTRESSEO
"~ a--~-·-t..J \:-· ... -k;. ,_, ~ ~ -CONCRETE
POST TENSIONED "' ... .,, .,;:'( Ii CONCRETE '._. -_,. ... ·-_ ·/
·-~ ·-(e, ;. p ~ -y FIELD WELDING ~ • ' HIGH STRENGTH
' , f ; ' BOLTS , I
SPECIAL MASONRY
PILES CAISSON~'
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If FINAL BUILDING INSPECTION 0--:--? )' Ct-f (') 51Jlid f-/ PLAN CHECK NUMBER:
880336 7-5-88
DATE:
PROJECT NAME: ---------------------------------
2354 l'imberly Ct.
ADDRESS:
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT:
pool
_____________ NUMBER OF UNITS:
Robin CONTACT PERSON:, _______________________________ _
729-0309 CONTACT TELEPHONE: ______________________________ _
I J, I I
INSPECTED lJ . r ~ DATE i Ir l&f
BY:----~-~'-=--'-INSPECTED: __,_/-'-jy-'-(l. __
INSPECTED BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE INSPECTED: ____ _
APPROVED~ DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED __ _ DISAPPROVED __ _
COMMENTS: ----------------------------------
Rev. 1/86 WHITE: Suspense BLUE: Water Distri NARY: Utilities PINK: Planning GOLD: Fire