HomeMy WebLinkAbout2860 HOPE AVE; ; 83-368; PermitIll z 0 ~ a: < .. u w 0
a:
I[
8
a: Ill 0 .. 5 • ii Ill z ~
..
<#
z 0 ~ < Ill z w a. :I 0 u
Ill iz:
Ill " a: 0 3
i[
O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
!ult force and effect.
Lie No _______ Class
I hereby affirm that I am exempt from the Contrac-
tor" s License Law lor the lollowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a perm11 to construct, alter, improve, demolish, or
repair any structure, prior to its issuance also requires the ap-
plicant lor such permit to lite a signed statement that he is lteensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commencing with Section 7000 ol Division 3 of the Business and Professions Code) or that Is e:a:-
:~g\i~~~1~tfo~d :~31~5~y ~~ 1~;~,\~:~~~i s~":.
;eets the apphcant to a civil penalty of not more than frve hun• dred dollars ($500).
□ I. as owner of the property. or my employees with wages as their $018 compensaUon, witl do the work, and the s1ruc·
lure Is not intended or 11ftered tor sale (Sec. 7044, Business and Professions Code: The Contractor's lk:ense law does :r:&f:n~0 :~o C:,W~rs!f~tti;:;, :~~~~~~fs":~
employees, provided that such improvements are not intend· ed 0t offered lor sale. II, however, the building or improve· ment is sold within one year of completion. the owneH>uilder will have the burden of proving that he did nof build or im·
prove tor the purpose of sale).
□ I, as owner of the property. am exclusively contracting with licensed contrzctors to construct the project (Sec. 7044.
Business and Professions Code: The COntractCN''s License Law does not apply to an owner ot property who builds or im·
proves thereon, and who contracts for each prOiects with a contractor(s) ficense pursuant to lhe Contractor's license Law).
D As a homeowner I am improving my home. and the toflow· ing condittons exist: I. The worl< is being pertomlO<! prior to sale. 2. I have lived in my home for twelve months
prior to completion of this work.
3. I have not claimed this exemption during the last three years.
□ I am exempt under Sec. ______ • B & P.C. for this reason ____________ _
□ I hereby affirm that I na11e a certificate of consent
to self-insure. or a certificate of Workers·
Compensation tnsurance, or a cert1!1ed copv thereof
{Sec 3800. LabO< Godel
POLICY NO _
COMPANY
D Copv 1s hied w1tn the city
D Cert1t1ed copy ,s hereby furmshed
CERTIFICATE OF EXEMPTION FROM
YX)RKERS· COMPENSATION INSURANCE
his section neeo not be completed 1f the perm,t ,s for one hundred dollars (SH>O) or less)
I certify that In the performance of the work tor
ICh thtS pemul IS ,ssued. I shall not employ any
pe"""'n m any manner so as to become subIec1 to the Workers· Compensatton Laws ot Cailforn,a
NOTICE TO APPLICANT tt. at1er makm~ this Cert1
he.ate ot Exempllon. you shouk:i become sut>1ect l'J
the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such
prov1s1~1s.qerm1t shall be c,e,emed revoked
'
D I hereby affirm !hat !here Is a construct,on tending agency tor the perlormance of the wort( tor
which ttus perm11 Is issued (Sec 3097. C1v11 Code)
Lenders Name ___________ _
Lender·s A<Jdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
,7~~£:0 \1,~E A~cr• 11: 21:tsN1 # VALUATION PERMIT NUMBER
0 -
o§;~~M\')\L~J~ _ 1,-zs~~.:;,~ri~ . CONT ZONE 36:?
OWNER'S MAILING A DDRESS
~,rie.W . ~~ilL-a..._92-eze 241r~~ LLJ . tz£<1~~e.8 -. . . . -
PLAN 1.0. # BLDG USE CODE
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
f )Vl-\-~E. lllf'\Al\..' ~ ~.'r-M ~l\t(c::.. DESCR~IS),I'< OF WORI( \ I\ & ...._ t::::. ~
DE~tGNER'S ADDRESS
~ _t~f¾v\~ F/P FLRELEV.
vO NO
CENSUS TRACT I GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT • AREA
YONO vO NO
QTY.I , PLUMBING PERMIT . ISSUE
1
1 z_~ QTY.,~CHANIC~L PERMIT. ISSUE
EAC&TURE TRAP I . i-T INSTALL F~UCTS i.JP TO 100.000 BTU
~
STORIES
T YPE
CONST
DESIGNER'S PHONE.
OCC GP EDU
OCC LOAD FIRE SPR
vO NO
8/0 I s.3e o ,,a, 6/0 I I ~3
Not Valid Un/Ms Machine Certifi,t/
3-SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·B220
I I -·-··. ~ ....... SIGN PFRMIT 01 ·00-00-6221
PLAN CHECK Ol·OO·OO·B806
TOTAL PLUMBING EACH GAS SYSTEM 1 TN,.unn s j i I BOILER/COMPRESSOR 3.15 HP ~
EAC H GAS SYSTEM 5 OR MO~ I ! I METAL FIREPLACE t--,....._
EACH INSTA~. ALTER. REPAlRWATE~ VENT FAN SINGLE OUCT
01 ·00·00·8222 I
311~ ELECTRICAL 01·00·00·8223
MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER ~ ~ I MECH EXHAUST -HOOO/OUCTS
WATER SOFTNE R '-RELOCATION OF EA FURNACE/HEATER
MOBILEHOME 01·00·00·8225
MOBILEHOME PARK INSP --
EACH ROOF DRAIN (INSIDE) SOLAR 01·00·QQ·f!226
TOT/;L MECHANICAL STRONG MOTION 80·92·33·0519 L--
TOTAL PLUMBING l FIRE SPRINKLERS 01-00-00-8221 I
QTY. ELECTRICAL PERMIT · ISSUE ~ QTY. I SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
ld-6 NEW CONST EA AMP/SWT/BKR ~ J_ COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San Oieguito 80·92·23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK fEE San Marcos 80·92·24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ~
TOTAL ELECTRICAL l ~~./ TOTAL SOLAR TOTAL FEES PAYABLE I ~!!!-
30,0
:n.,
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT .. AND DO HEREBY * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE S' O" DEEP ANO DEMOlfTl()tj 0A CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS STRUCl\JR£S OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-L~~~!!!:;~!!!l.!!!!!!....!!W!~\!-!!.2.!!~.£!?!!!!!!!!!!:!!:!..!!!!..!.~~L2!..l§!LllW~--;:11""!'!~~~~~-,(------------~'-T"---~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UASILITIES, JUDGMENTS. COSTS AND ~ r
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF T BY PHONE O • • 3
GRANTING OF THIS PERMIT ~ ________ _. ~ / _
1 • 7 -,
~ u::
>, ~ 0 C. E
Q) t-
i
-0 0 (!)
C ct! .!:? a.
C. ~ 'i:, .><
£it.·
0 "' "' Q)
"' "' ~
I
~ .2 a; >-
ui "' Q) 0 0
ct
ct! <ii 0
§:
Q)
0 C ct! C u::
C Q)
~ (!)
0 0 Q)
C. "' C
~ .s:: ~
----------INSPECTION TYPE DATE -INSPECTOR ---
BUILDING
FOUNDATION
REINFORCED STEEL ----
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME I
EXTERIOR LATH lNSULATION '
INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT I
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
lfEMPORARY POWER
1:LECTRIC UNDERGROUND ,.--
~OUGH ELECTRIC ,'c' ~
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR CONO. -SOLAR SYSTEMS
VENTILATING SYSTEMS -~· ,-·
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL r ( ◄ ,.
PLUMBING -
ELECTRICAL 1:
MECHANICAL
GAS l
f '. BUILDING
SPECIAL CONDITIONS -
CERT OF OCCUPANCY ISSUED
-
r j ) i.1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO. IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES•CAISSONS
-•
~'f,--"
' ~
.. ..,-.. ,-11o, • ,-• ~ ;.._
... -~-
' -' .... . .
,__.
~I(.'. ' ~---',, . . ..
-.. -· . . . • . ' 03-5&~ I, ' . ~ -
INSPECTOR'S NOTES
DATE
~
"'
~~ "
.,. -. -' .~
-
,, ,.
'
·---.,
'4i.r .. 1 t, ~,:_~-:, G '-'-" I .. ,, -...r
iC\ r. I'\ r,·: ~r-~-:,
... -~, " .. ' T -, '"'.-co ,_-r_~, .. ·.
I" ... ~ -' -~,
' ' -.. -• . ,-.. -
' ~ n ,· ,,~i-= -• :t I.! I •