HomeMy WebLinkAbout2892 SANFORD LN; ; 83-135-35; PermitIll z 0 ;:: ,c IC ~ u "' 0
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
full force-'°g_ eJf,t_eJ.
Lie No _LL_Lb/jb._ Class -,B.-=c,,1----
I hereby allirm that I am exempt trom the Contrac· tor's License Law for the following reason (Sec. 7031.S Business and Professions Code: Afr/ city or county which re-quires a permit to construct, alter, improve, demolish, or repair an_y structure, prior to its issuance also requires the ap·
pllcant for such perm,! to file a sigrMKI statement that he is
11eensed pursuant to the pravisKms o1 the Contractor's License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and PrOfessions COde} or that is ex· empt therefrom and the basis lo< the alleged exemption. Any violation ol Section 7031 .S by an apolicant for a permit sub· jects the applicant to a civil penalty ol not more than l,ve hun·
dred dollars (SSOO).
O I. as owner of the propeny, or my employees with wages
as their sole compensation, wfll do the work, and the struc-ture is not intended or ollered tor sale (Sec. 70-4~. Business
and Prolessions Code: The Contractor's License Law does r:~,:::n~0 :~o 10:' s:~:~~et~ir::, ~~i~::ot~r::~
employees, provided that such improvements are not intend· ed or offered fo, sale If. however. lhe building or Improve-
ment ,s sold within one year of cornpfetton, lhe owner•buikler will have the burden of proving that he did not build or im-
prove lor the purpose of sale).
□ I, as owner of the property, am exclusivety contracting with licensed contr,ctors to construct the project (Sec. 70-44. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-
proves thereon, and who cootracts tor each pro;ects with a contractor(s)' license pursuant to the Contractor's License Law).
0 As a homeowner I am improving my home. and the !ollow· ing conditions exist: t. The work is being pertormed prior to sale. 2. I have lived in my home tor twelve months
prior to completion of this work. 3. I have not claimed this exemption during the last three years.
0 lamexemptunde<Sec. ______ , B&P.C. lor this reason ____________ _
□ I hereby affirm that I ha.-e a cen1tica1e of consent to self-insure, or a cert1t1cate of Workers·
Compensation Insurance. or a cen1hed copy lhereol
(Sec 3800. Labor C<><le)
POLICY NO lU:llL 2.65--9 2 -5D
COMPANY Eireme~s... Fund
□ Copy IS hied with the city
□ Cerllf1ed copy 1s hereby turmshed
CEATIFICAH OF EXEMPTION FROM WOAl<ERS· COMPENSATION INSURANCE
(This section need not be compleled 1f the peITT!Jl
1s tor one hundred dollars ($100) or less)
0 I certify that '" lhe performance ot the work fo,
which th,s permit 1s issued, I shall not employ any ,
pet"son in any manner so as 10 t>ecome subtect 10
the Workers· Compensation Laws of Callforn,a
NOTICE TO APPLICANT II. alter makin1 thlS Cert,
t1ca1e of Exemption. yoo should become sub1ect t? lhe WOOl:ers· Compensation p,ov,s1ons ol lhe LabOr Code. you must forthwith comply w11n such
PfOVISIOOS Of' this permtl shall be deemed revokeo
O t tiet"eby alfum lhat there 1s a const,uc11on
lending agency tor lhe performance ol the woOI. 10,
which ltus perm11 1s issued tSec-3097. C1v1I Code)
LenoersName Union Bank
Len<>ersAddre«525 B Street
SD, CA 92101
USE BALL POINT PEN ONLY & PRESS HARD u .... -· -~ -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT . 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.I DATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER
AD. -
?AO? ~ ... ,..,fnrrl T.<:>no l'J/lf,/A':l. l7H\ £3 c) '7 .3 '.? ::h
OW,,R'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE I ZONE --; I,; -
reetops Unlimited 299-5100 Pacific Scene, Inc 292-5100 i ,,.
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
1qoo J.fo..-no'1 ~t-I C',,:in n; <>On rA Q?ll() -:i.ann u~---c .. / en r,~ ,.,,.,,,n 'l"7"'" n,-
LOT I BLOCI( ~~SU801V1S10N l A SSESSOR PARCEL NO DESIGNER J
. .,. _____
--LICENSE#. STANDARD PLAN# BUILDIN~~OOTAG
':l. c; ,1 ..... ___ u; 11 r'T' A? _e L.0. Chrisman/ Architect C-9239 ~ OES1.AIPTION OF WORI(
2 duolex with lot line DESIGNER'S ADDRESS DESIGNER'S PHONE /f?r7
Plan #3h I r.,, ~ 7 ~ "b G VU 9939 Hibert St/San Dieqo 695-3830 . fZ!201pS :~ -----. --F/P FLA ELEV. NO OCCGP EDU I _J,
1537 Living 59.5 Storage vO NO
~RIES Pi-:3 l
CENSUS TRACT I GP LANO USE I PAAKl~ACE AES /NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA
Ct:J5fr" YO ND v0 N~ vO~ Not Valid Un~s Machine wrtifiM
I
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE ~ -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP r'/ .s-u INSTALL FURN. DUCTS UP TO 100.000 BTU '-I . -BUILDING PERMIT 01-00-00-8220 7.,7~-
EACH BUILDING SEWER '2,o--OVER 100,000 BTU . SIGN PERMIT 01-00-00-8221 -c, . s < '2,//--ZS EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS ']..... s-c BOILER/COMPRE.SSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 '-fCl-
EACH GAS SYSTEM~ 0 R MO RE 2.sc METAL FIREPLACE 3 .-ELECTRICAL 01-00-00-8223 ~.,-
EACH INSTA~ .• ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT '-i . -MECHANICAL 01-00-00-8224 N -
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) /If .-SOLAR 01-oo-on-R2?n
TOTJ.L MECHANICAL STRONG MOTION 80-92-33-0519 '-l-'f2 --... -~, 4q.-TOTAL PLUMBING I •·. . 1.. • FIRE SPRINKLERS 01-00-00-8227
QTY. QTY. SOLAR -ISSUE I PUBLIC FACILITIES FEE 32-00-00·8923 / "J. t.2 -
ELECTRICAL PERMIT -ISSUE 5° 6 G -. . BRIDGE FEE
NEW CONST EA AMP/SWT18KR JDO "2.C _c.. COLLECTORS ' ' SCHOOL FEE -DISTRICT -
1 PH 3 PH STORAGE TANKS L ' Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE } ' Encinitas 80-92-22-0519
1 PH 3 PH i PUMP San Oieguito 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE .,,,,,,,,-,-,-/. San Marcos 80-92-24-0519
TEMP POLE 200 AMPS . / fl ,./1-'"' u'-'\ 7 -' -
OVER 200 AMPS • I I" 1/JJ/ I ,-U /
TEMP OCCUPANCY (30 DAYS) ll.//./\ /
\ .../_/"" C II -D~()o;s,-_/. L '2 t. -s ,.S-'/5 /
TOTAL ELECTRICAL I;---3 6 . -1--TOTAL SU[AH TOTAL FEES PAYABLE I f J b 32.-0 ? .. . . ~-
E•ptrahon Every permit issued by the Bu1ld1ng Offlc1at under the prov1srons oftn,s -I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY * AN IS REQUIRED FOA EXCAVATIONS O\IER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tat10n and become null and vo1d If 1he budding or work 5· o·:~ DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit ,s not c!~th1n 1 BO days from the date of such STRUC S O\IER 3 STORIES IN HEIGHT _ permit, or if the ~!nH or work onz by such permit ,s suspended or
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· abandoned at anv ti ter the w is co enced for a oenod of 1 BO dau•
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANZUA% /A OWNER D CONTRACTOR 0 APPROVE~ (o/3/~ 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
•~-A~~ BY PHONE 0
GRANTING OF THIS PERMIT.
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING '5):\£:A:t.. ;,l ,
FRAME
EXTERIOR LATH lNSULATIONr-~•S~
INTERIOR LATH & DRYWALL
PLUMBING
SEWER ANO Bl/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT ,
TUB ANO $HOWER PAN Ivy 11 1 r 1:J
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
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
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
.. -. ' --'\ .... -·...._
C .
FIELD INSPECTION RECORD ...
REQUIRED SPECIAL INSPECTIONS
INSPECTION -REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO ,. FOUNDATION INSP ' .
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -
HIGH STRENGTH ,,.
BOLTS
SPECIAL MASONRY
PILES,CAISSONS
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INSPECTOR'S NOTES
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