HomeMy WebLinkAbout2766 Inverness Dr; ; 81-503-78; Permit\
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0 I hereby affirm that I am licensed under
provisions ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
L,c No ~-7~-Class _g_,.,_1
I hereby afhrm Iha! I ¥Tl exempt from the Con-
V:,tcr~~~~i;sS: ~; i7i,~:!~~~~'.~~;~;
county which requires a permit to construct
al!er. ,mprove. demolish, or repair any structure.
proor to ,ts issuance also requ,res the applicant tor
such perrmt to hie a signed statement that '1e ,s
licensed pursuant to the prov1s1ons of !he Con
tractor's License Law (Chapter 9 commencing with
Sect,on 7000 ot Orv,s1on 3 al the Business and Pro-
fessions Code) or that ,s exempt therefrom and the
has•~ for the alleged exemption Any v,olat,on ol
Se<.t,on 7031.5 by an apphcant for a pemut subJects tne applicant 10 a crv,I penalty o1 no1 more than live
hundred dollar& ($500)
D I. illl owner of the property, or my employees
with wages as the1r sole compensat•on, will do the wol1<.. and the structure ,snot intended or oliered for sale (Sec lo«. Business and Professions Code
The Contractor's License Law does not apply to an owner of property who builds or improves thereon
and who does such work h1mselt or through hrs own employees. provide<! that such ,mproveme.its a.re
not 1ntende1 or ottered tor sale 11, however, the
bwld1n9 or improvement 1s sold w1thm one year of completion. the owner-builder will have the burden
of provmg that he did not build or improve lor the purpose of sale1
D I, as nwner ot the i:i,operty, am exclusively con1ract,n9 with licensed contraclors to construct
the pro1ect (Sec 7044 ausmess and Professions
Code The Contractors License Law does not apply
to an owner of property who builds or improves
thereon. and who contracts for each pro1ects w,th a contractor1s1 license pursuant to the Contractor's L1cense Law)
D I am exempt under Sec
for1h,s reason
, 8 & PC
D I hereby affirm tha1 I ha-.-e a cert1!,cate ol consent
to sel!-msure or a cer1,f1cate of Workers Compensation Insurance. o, a cert,l•ed copy thereof
(Sec 31n'.l. Labor Code)
POuc, NO WP 2321_940
coMPANY __ F j reman I s Fund
D Copy ,s filed w1!h the city
0 Cert,!1ed copy rs hereby !um1shed
CERTIFICATE. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sectmn need not be completed ,1 me perm,! ,s !or one hundred dollars ($100) or less)
0 I cert,ty that 1n the per1ormance o! the worl< for which this perm,! is ,ssued, I shall not employ any
person ,n any manner so as to become sub1ect to
the Worl<ers Compensation Laws al Cal,lorn,a
NOTICE TO APPLICANT If. after mak1n;i th•s Cert,
!1cate of Exemption_ you should beCome sub1ect t0 the Worl<ers· Compensat,on prov1s,ons of 1he Labo,
Code. you mus1 !orthw,th comply with such prov,s,ons o, this perm11 shall be oeemed revoked
0 I he,eby a!!,rm that there 1s a construction
:Pnd,ng agency lor the performance 01 1he woJ'lo; for whocr-> 1h•s perm,! 1s issued (Sec 3097 C,v,1 Code)
LendersN<1me l]Ri9R liaAk
Lender s Aoo,e6 2 5 1 1 B 1 1 SJ
San Diegg CA
USE BALL POINT PEN o~· , PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AN~ -:CLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
~~~<}:· ·. .. . T ,AV,ST~ DATE OF APPLIC~TION BUSINESS LICENSE # VALUATION PERMIT NUMBER ;J,f~s ·.·· -·:rhf~", Carlsbad, ell. 92008 RO., 3/25/82 7£ S'?o 23592 7f QW~ER'S·"f~'V 'r'.'.;'«--,' ~ ,, I OWNER'S PHONE PRIME C()N'TflACTOR CONTRACTORS PHONE# ZONE 7 ',"".""'' ' ',"':,",/?:,:',:,-+ ,,, ' 81-5o3-~7 ~E~'FG~~:;-11+tT£P 299-5100 Pacific Scene, Inc. 299-5100
0'.fiNE R'S MAt.LlNC AOJ)R£SS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE 1·)~0 Harney'street, San Diego, CA 92110 3900 Harney ST. SD CA 272686 i!i -So3-3 ~ .... BLOCK [-$UfiOIVIStON l ASSESSOR PARCEL N0.
71
DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE 1e . Calavera Hi ls 6-12 Buzard I Henning & Assoc C 4729 I 705 ~(/RIPTiON f WOJ<K . ng e am1Jy ~etached OESIGNEA'S AOORESS DESIGNER'S PHONE '.':.!/23 /J;,-' i
PLAN 3B Jab 10';1. .%LOG> 488, Ronson Ct. SD CA 278-6855
.. ' "' F LR ELEV. NO ace GP EDU
-:,*ii j ': f; ~'~ . :·, ' ' STORIES /i..'3 vO NO I
CENSUS TRACT I GP LAND USE I PA:z;<;t RES UNITS l GRADING f'.ER~l~SUED I REDEVELOPMENT ~v/ ace LOAD FIRE~ AREA >,J'i.
'D N ,o /--/tJ ,o N Not Valid Unless Machine Certified -, ' QTY. PLUMBING PERMIT -ISSUE "'l;,50 QTY. MECHANICAL PERMIT -ISSUE ~ ... t)iJ SUMMARY/ACCOUNT NUMBER
fl EACH FIXTURE TRAP .... -, <. INSTALL FURN. DUCTS iJP TO 100,000 BTU L/ A(J BUILDING PERMIT _ --_J)J_:_000·4220 -:,,./LU~ ~ j EACH BUILDING SEWER ~. h,So OVER 100,000 BTU I ,
SIGN PERMIT 01-000 4221 -Lf ---___ r ------··-----
., 7:> /' /N' EACH WATER HEATER ANO/OR VENT ~-~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 -----· ·--~ --------------EACH GAS SYSTEM 1 TO 4 OUTLETS j BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 ~6-<""; ----------~
,.
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223 ;;).7_.._,=_ ~ ~--------------------'-------------------
EACH INSTA~. ALTER, REPAIR WATER PIPE / VENT FAN SINGLE DUCT .~cl, MECHANICAL 01-000-4224 -~ ---------------------, EACH VACUUM BREAKER 1:. -t MECH EXHAUST -HOOD/DUCTS £.£!__p_ MOBILEHOME 01-000-4225 ~ L --------------' ---------~ ·-WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP C--~------------. ----·-------- -EACH ROOF DRAIN (1NSIOE) ' ---'--+ SOLAR 01-000-4226 ~ ~-----------' TOT..C.L MECHANICAL //,rJtj STRONG MOTION -----~~0-0519 .'"I .-:JL L___ --------1 ~i.5oli -----TOTAL PLUMBING "-l---c -·== FIRE SPRINKLERS 01-000-4227 --
~dO j CTY PUBLIC FACILITIES FEE -----~~000~4933 QTY. ELECTRICAL PERMIT -ISSUE SOLAR -ISSUE BRIDGE FEE
/ ------·· -------------. ·--NEW CONST EA AMP/SWT,BKR . COLLECTORS SCHOOL FEE -DISTRICT
1 PH,7,V,,:) S-3?"'~--c:J,.{;o, STORAGE TA~
--------Carlsbad 65-623-0519 ROGK~E ---· EXIST""B"LOG EA AMP/SWTIBKR _,,
Encinitas 65-624-0519 -------------""""' ' _/,? ----------1 PH 3 PH
fl ' San Dieguito 65-625-0519 ------~------I~ ----REMOOEL'AL TER PER CIRCUIT pi ~Hrrl&" r7'r San Marcos 65-626-0519 -------------di / ------o~ ----------------------TEMP PO LE 200 AMPS ---------------, " -,/\ OVER 200 AMPS . - -
,
--------------v' / t ·D ----------- -TEMP OCCUPANCY 130 DAYS) ·~tz·· -------------
T ··-__ :.LL_ ------------·
~ ------
TOTAL ELECTRICAL TOT AL SOLAR I bt:t.r. t/-(p I I ~7,.0o TOTAL FEES PAYABLE
--, f " ,', , . "
Expiration. Every permi_tlbued by the Suilding Official under the provisions of this I -~Y-~l\i,~&~PlfTEO ~'APPLICATION AND PERMJT"',ANO DO HEREBY , * AN OSHA PE-.rr IS R:EQl,ltAEI),~ EXCAVATIONS OYER Pf UNDER PE."iALTY 'PERJURY THAT All INFORMATION HEREON INCLUDING THE Cod6 shat! e&pire by lim1tati0n and become null and void. If lhe building or work ·5'0"0EEPAND~ TRUCTIQNOF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by sucti permit ia not commtsnced within 180 days from the date of sucll STRUC1UMS OVER 3' IN HEIGHT permit. or if the ~ildi:X or work suthorized by such permit is suspended or ISSUED: TOctiMPLY WITH ALL CHY, COUNTY ANO STATE LAWS GOVERNING BUILOlNG CON-abandOIUl(:I at ·--time a er the work is commenced for a Mriod of 180 da"s. '~TRUCTJON,_,WHETHER $P~QFtED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APPLI~ 6 URS~•/ OWNERD CONTRACTOA XJ 14~ DATE KElP~:Jtiff~ OF, CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND -~-=:ar,,ff'f ~¥& WAY AC<;::RtJE AGAlNST SAID CJTY IN CONSEQUENCE OF THE '-' tif~ BY PHONE 0 I 3-tfa·9'l-' ' ' ,·' ' ~"-:,, ~' '
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INSPECTION TYPE DATE INSPECTOR
BUILDING 1-----
FIELD INSPECTION RECORD .t , Lr. -----FOUNDATION -
/ -. . . REQUIRED SPECIAL INSPECTIONS
REINFORCED STEEL
MASON RY -.:-:': J?--/J .A L.-' -----~ C' .,... _r-c-. I.:,..~ INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO
FOUNDATION INSP
SHEATHING ----·-~,1'2-v ,.Q;h{ STRUCTURAL CONCRETE
FRAME OVER 2000 PSI .. PRESTRESSED
EXTERIOR LATH lNSULATION CONCRETE --------I-------------~-
INTERIOR LATH & DRYWALL POST TENSIONED
CONCRETE
PLUMBING I Fifi D WELDING -
SEWER AND BL/CO ~------
I :<k,H STRENGTI---'
PLUMBING UNDERGROUND BOLTS --
PLUMBING TOP OUT ~.,-.:~ ~;(' SPECIA;_ MASO/\JRY
.. ---· ! TUB AND $HOWER PAN -------------------------..
GAS TEST Pie.ES CAISSON'.-.'
ELECTRICAL ------------~------~----
I
TEMPORARY POWER ·--
ELECTRIC UNDERGROUND '
I
ROUGH ELECTRIC :S, 1"7 .~ ~' r ----
ELECTRIC SERVICE ' . I ·-------' I BONDING
--1-----·--· ---G. F. I. -SMOKE DETECTOR
MECHANICAL ----·-~ "
DUCT & PLEM., REF. PIPING I c::::: . , -:, lie-: L, \,Qr.I I .
HEAT -AIR COND. -SOLAR SYSTEMS
YENTi LATI NG SYSTEMS : --~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE '
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL ·-
PLUMBING ;
ELECTRICAL !
MECHANICAL .
L GAS 1----------
1 BUILDING =----SPECIAL CONDITIONS e-----
CERT OF OCCUPANCY ISSUED
..
DATE
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I---------
·-
1-----
8' I -!>--V 3 -7 'r{ . -·
INSPECTOR'S NOTES ·~
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« ~ ~ CT:t~rttfiratr 11f Q)rr1t1.ta1tr!J ; ~ ' > ~ CITY OF CARLSBAD ~ ~ > ~ This Certificate issued pursuant to the requirements of Section 306 ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City > ~ regulating building construction use. t
~ .. . Single Family Dwelling 81-503-78 l j Use Closs1f1cot1on Bldg. Permit No. V ~ G,oup Type Const,uct;on F;,e Zone Use Zone f
4 Occupont Load ~ ~ Owne,ofBuHd;nt. ;r.reetops Unlimited,Mdms 3900 Harney· St., San Diego f
<ii Bu;ld;ng Add,ess ·.!, ·' 2T66·· Inv:erness LocclHy Car sbad, CA. 92008 t ~ .~ -~ ~ f ~ ~ ~ ~
~ ~ ~ > ~ (Post in conspicuous place) »
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