HomeMy WebLinkAbout2679 OCEAN ST; ; CB880145; Permit.,,
z 0 ;::: < IIC < _, u Ill 0
It
I[
0 u
IIC "' 0 _,
3 I Ill z ~
z
0 ;::: < Ill z Ill 0. :I
0 u .,,
ic Ill •>' IIC 0 3
i[
O I hereby affirm that I am licensed under
provl1lon1 of Cnapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaelons Code, and my license is In
full fore• and effect.
I hereby alhrm lhat I am exempl trom the Contrac-
tor's License Law tor lhe lotlowmg reason (Sec 7031 5 BuStoess and Professions Code Any city°' county wt11c.t. re-
quires a permd lo construcl, alter. improve demohsh. Of
fepa,r any structure. prlOf to ,ts issuance also reqmres !heap-
phc.anl for such perml! to hie a s19ned statement thal he 1s lttensed pursuant 10 lhe prov1s1ons of lhe con1rac10( s
Ltcense Law (Chapter 9 commencing with Sechcm 7000 ol Oiv1s1on 3 of lhe Business and ProlesSIOOs Code} or lhal 1s ex~
empt therefrom and lhe basis lor the allegeo e)l'emp11on Any v1olat1on of Sechon 7031.5 by an apphcant lor a perm1I sub•
1ects the apphcan1 10 a c1v1I penally of not more than five hun-
d1e<1 dolla1s ($5001
t 1. as owner ol tne property, or my employees with wages
as 1he1r sole compen.sat1on, WIil do the w0<k. aoo !he struc·
lure ts not intended or offered tor sale (Sec 7044, Business
and ProtesslOfls Code The Con1rac1or's License law does 001 apply to an owner ot property who builds °' 1mp<0ves
lhereon and who dOes such wock h1msell or through his own
employees, pnwieled that such improvements are 001 intend-
ed or offered tor sale II, however the ttu,11:ting or 1mprave-
men1 ,s sold w,lhm one year of comple11on. the owner-bu1lde1
will have lhe burden of proving !hat he did not bmld or 1m-
p,ov1 lor Ille purpose ol sale/
I, as owner of the property, am exclusively conlrachng
wllh ltcensed contractors to conslrucl the proteel (Sec 7044. Business and Professions Code The Contraclor's License
Law does not apply lo an owner ol property who builds or tm• proves !hereon. aoo who con1rac1s tor each prasects with a
contractOf(S) lteense pursuant lo the Con1ractor's License Law)
11 As a homeowner I am 1mprovmg my home, and the lotlow
,ng cond1hons e,ust I The work ,s being perlormed pnor 10 sale
2 I have ltved in my home lor twelve months
pr101 to completion ol lh1s work
I have not clauned lh1s exemphon during lhe last three years
D famexemptunderSec ______ .B&PC
tor lh1s ,eason -------------
0 1 hereby aflum that I have a cer11ticate of consent to
seU-msure. or a cert1l1cate of Workers' Compensat,on In-
surance. or a cert1hed copy thereof (Sec JP· Labor Code)
POLICY NO 2. 0 • }.. q -3 'f"
COMPANY C-.6 ,\
fcopy 1s filed with the city
D Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
jTh,s section need not be completed 1f the perm•!
is tor one hundred dollars ($1CI0) Of less)
0 I certify that in the peJformance of the work for which
this perm11 1s issued. 1 shall not employ any person 1n any
manne, so as to become subJect to the WOfkers Compen•
sation Laws of Cahforn,a
NOTICE TO APPLICANT II. after makmg this Certificate
of Exemption. you should become subject to ll'le Workers
Compensation PfOvis,ons of the Labor Code. you must
lorthw1lh comply with such provisions or this permit shall
be deemed revoked
D I hereby affum that there 1s a construction lending
agency for the performance of the work tor which !his per•
mtl IS tSSued {Sec. 3097. Civil COde)
Lenders Name __ _
Lender·s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ," 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV ST RO. THOMAS BROS NO. I DATE OF APPLICATION SUSINESSv• VALUATION PERMIT NUMBER
141'1 or• .A..tJ ~ r--a"'1 .., -,A,D /-Z'l-88 '1/~ c,:,~ic 1q, LOT BLOCK I SUBOIVISION I ASSESJ~~~~ ~" 17?-~:;;:;oRPocs L.
CONTRACTORS PHONE• ZONE
OWNER·s NAME I ~8 ::;E,; ;HONE
:t.uc.. 1/ff .,"3000
l2_u S S ii.J-L Gn..oes(. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
u), ~o, I tJ, Ml~ S , oJ .._ .. , ?.$cml ;'L-s-9'/6 CS) OWNER'S MAILING ADDRESS
!5B5o ~..,,\, A..A /J,.1.l'A_.ol,l'I.C. ~A DESIGNER OESIGNE R'S PHONE
c,__.,,~
DESCR•PTION OF WORK Pv-r. -=:::;;;;pA -~f?-m DESIGNER'S ADDRESS STATE LICENSE NO.
7 0010 02/02 0101 O~BldPrit 55.c
F/P FLRELEV NO OCC GP EDU
STORIES
vO NO
~ -. I CENSUS TRACT I PARKING SPACE RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TVPE OCC LOAD FIRE SPR
AREA CONST
y D ND vO "'O vO NO Not Vdlid Unlnr MJchine CertdiM
QTY. PLUMBING PERMIT -ISSUE ) fl) QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TD 100.000 BTU BUILDING rtHMIT 001 -810·00·00·8220 ..J.'5.d-iJ
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810-00-00·8221
I EACH WATER HEATER AND OR VlNT ., .St:> BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 /C,.,?$
I EACH GAS SYSTEM I TO 4 OUTLETS ,. 6c BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810-00·00·8222 ,~ .. ;:)
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810-00-00·8223 I<.. u -'
EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001 ·810·00-00-8224
I EACH VACUUM BREAKER 'l.. ~'> MECH EXHAUST HOOO'OUCTS MOBILEHOME 001 ·810·00-00-8225
WATER SOFTNEA RELOCATION Of EA FURNACE/HEATER SOLAR 001-810-00-00·8226
EACH ROOF DRAIN (INSIDE! DRYER VENT STRONG MOTION 880-519-92·33 <:;/)
TOT kl MECHANICAL &~1 IL,,,t~ FIRE SPRINKLERS 001-810-00·00·8227
TOIAL PLUMBING I JS . .eO PUBLIC FACILITIES FEE 320-810-00·00-8740
MOBILE HOM~~TUP IS>~ BRIDGE FEE 360-810·00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE ,. QTY. ~ 6 ,de) rro 1-HI PARK-IN-LIEU (AREA l
NEW CONST EA AMP SW! BKR CAR PORT ;~ .. --_.., V\I -~ 312-810-00-00·8835 "•·"" TIF
I PH 3 PH AWNING ~"' UTYt,· 0 •· .•-"' LA COSTA TIF 311-810-00·00·8835
EXIST BLDG EA AMPISWT BKR GARAGE ,~ ,r,.Jl, • . ,, ..:.c,.;/ FMF
l PH 3 PH , .. .,.,, .. ":"./ LICENSE TAX 001·810·00·00-8162
7 REMODEL ALltR PER CIRCUIT l ~ . ,.,,. ~n __ o_,..;;,-. MFF 880·519-92·57
TEMP POLE ?00 AMPS ~ozst. ~\,~ ~
OVER ?00 AMPS
.
TEMP OCCUPANCY (30 OAYSI
CREDIT DEPOSIT <: l~1~.S>
TOTAL ElELlRl[Al I t 1 I 1< TOTAL TOTAL FEES PAYABLE 5-![ . .5 D _(Pf:>
I HAVE CAREFULLY E_XAMINEO THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY hp,rat,on Every permit •Hued by the Building Off1c1al unde, the p<ov1S1ons of tl'l1s * AN OSHA P£1W:T IS IIEQUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,tahon ano become null and void II the building or wo,_ 5· o· DEEP ANO OEMOllTION OR CONSTRUCTION ~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!, '"t""''zed by such permit '1 not commenced "''th'n t80 days l,om the date"' such STRUCl\JRES OVER 3 STOfllES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~':.';:;,n~t':~v '::'~'~e~~h=~~,:~ti~~~e:z~~~~ :-:.::,,•~,s~;r;.~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~ ,. .. [Jr ,/.CONTRACTOR [l'J"' APPROVED BY /) ' DATE !<EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS ANO APPL! rs SIGN~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE n Jf1 /4-I v-~ I ?--r ~ef GRANTING OF THIS PERMiT _ • _
I ,
'
2
u.
>-;;;
0 C.
E Ql 0 ....
I
"O
0 0
C «I u
a. a. <t
I
-"' C a::
0 en en Ql en en <t
I
i: 2
ai >-
Ql u C «I C
u.
:::.
C
Ql ~
0
0 u Ql C. en
C
Ql
.c ~
' TYPE l DATE INSPECTOR
BUILDING I
FOUNDATION I A " hd [I /.
REINFORCED STEEL I IV•O • '• ,, C,'l I.
MASONRY I
GUNITE OR GROUT ' I
SUB FRAME □ FLOOR □ CEIUING
SHEATHING □ ROOF D SHEAR
FRAME I .
I
EXTERIOR LATH I , -
INSULATION I
INTERIOR LATH & DRYWALL I
I -
PLUMBING I
□ SEWER AND BUCO CJ P~/CO
UNDERGROUND D WASTE □ 'WATER
TOP OUT □ WASTE □ WATER -
TUB AND SHOWER PAN I
I
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMP<DRARY /)
~ONDING CV POOL I ll. .f».~ frtfi
' ' MECHANICAL I
□ DUCT & PLEM., D REF. PIPING -
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC~!ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA vE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP ~-STRUCTURAL CONCRETE ,-: , OVER 2000 PSI ,.;
PRESTRESSED
CONCRETE
POST TENSIONED I • CONCRETE
FIELD WELDING L·
HIGH STRENGTH \ .. BOLTS --~
SPECIAL MASONRY r,-.
' -
PILES CAISSONS
. .
-
~
. . .
r . ..
-..
' . .
, ·--
.
C,8~~ 0\Y:5 -. ~
.
INSPECTOR'S NOTES
A,c--f:,.Jt, ,.z.,,f~ . ..
-
-
.... --, -· -..... -· . "• ~, .. . ,,_ -~ ·,
. ·, I ..r;,.. ' . ~
♦-I ,,,
. _J! -· / -. -~ r,..
,"?/ ~ •· l'l ,
Q,-,,,·
.. •:Q -..
. . -. ' .,,, ' -· I
~
-
l -. . -· -----
-C
r -'i -.. . __ _:·
-
'
'
--c.:::: C:.~: C~T C:.:~oi l".:i •L
. ' . . . . T
~ •,
' . ..