HomeMy WebLinkAbout2808 STATE ST; ; CB891360; Permit.., z 0 ;:
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O I N<eby afllrm that I am licensed under
p,owlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfHalona Code, and my license Is In
full force and effect.
I hereby allim, that I am exempt from lhe ConlJac· 10<'s LJCense Law lor lhe tonow,ng reason (Sec 7031 ~ Business and Professions Code Any city or coonty whIa, re·
qutres a permit lo construct. alter. m,prove. demohsn, or
repa,ir any structure. poor 10 ns issuance also requires !heap· plant for such perm,1 to hie a ~Qned statement thal he ,s
kcensed P')rsuant to lhe provisions ot the c;oniractor s License L•w (Chapter 9 commencing w,tn Sect,on 7000 at Otv1s10n 3 of lhe Bustness arki Professions Code) or lhat ,s e,• empt therefrom and lhe basis lor the atlegeo exemphon Any
viotation of Sec11011 7031.~ t>y an apphca11110f a permrt sub• ,eels 1he apphcant 10 a c,vw penalty of not fflOfe than ltvt hun-
dred dollars ($500)
I 1. as owner ot lhe property, or my employees w1lh wages
as thetr sole compensatM)O, wtll do the work arid lhe struc•
lure tS nol intended or oflered fOf sale ( Sec 7OU Business
alld PfotessK>fl!. Code. The Conll'actor's License law does not apply to an owner of properly who builds Of ImprMS
thereon and who does such WOfk h1msell or lhrough his own employees. provKled lhat such improvements are not inteno•
ed or ottered lor sale 11, however the bu1k!tng or improve-ment Is sok1 w1lh1n one year of complel1on. the owner·bu16der
will have tne burden ot p,ovmg thal he did not build or 1m· prove lor t11e purpose 01 sale!
L I I. as owner of the praperty, am extlusIvely contracting wrtn licensed con11actors 10 consuuct the proiect (Sec 7044.
Business and Proless1ons Code The Conlrac!Of's l,cense Law does not apply to an owner ol property who builds Of im•
proves thefeon. and who contracls tor each proiects wtth a contractOf(S) lteense pursuant to the Contractor's L,cense Law)
I J As a nomeowner I am ,mp«Mng my nome. and ttie 1ollow Ing condthons exist· 1 The work Is being pertormed pnor lo sa)e
2 I have hved 1n my home !Of twelve montl'ts prt0r 10-comptetK>n tJf 1h1s work 3 I have not claimed tn,s exemptlOl"I duong the last three years
D I am exempt under Sec ______ . B & P C. lor .nus reason ____________ _
0 I hereby affirm that I have a certilicate of consent to
self-insure. or a certificate ol WOfkers· Compensation In-
surance. or a certified copy thereof (Sec. 3800. LabO, Code)
POLICY NO
COMPANY
~ Copy 1s tiled with the city
D Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSU.RANCE
ITtus section need not be completed if the permit
is for one hundred dollars (S 100) or less)
D· I certify that in the performance of the work lor whieh
this permit 1s issued. I shall not employ any person In any
manner so as to become subject to the Workers· Compen•
salton Laws ol Cahfornia
NOTICE TO APPLICANT. If. after making this Certificate
of Exempfion. you should beeome subject to the Workers'
Compensalion provisions of lhe Labor Code. you must
torlhwilh comply with such pr~ls1ons or this permit stiall
be deemed revoked.
0 I hereby affirm that there is a construction lend1~
agency for the performance of the work for which this per•
m11 is Issued (Sec. 3097. Civil COde)
Lenders Name ____ _c _______ _
tender·s Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I t 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1 161
I JOB ADDRESS AV.ST.AO, I q::~A=L~AGI
BUSINESS LICENSE • 7~ PERMIT NUMBER
I THOMAS BROS NO.
I -::l._c~o~ ~· ~<. >1-C 'l\V..l SR J4 0 rt1... C,lcic,(
I ., .I ~-I UD ) LOT BLOCK ) suao1v1s10N I ASSESSOR PARCl:L NO CONTRACTOR CONTRACTOAS PHONE• ZONE CJ>
I : 1;~:~~ rn 'A\<. ,\ ,,V\. ,. I , ~q~R~~~;E CONTRACTOR'S ADDRESS STATE LICENSE NO. BUl~AGE
I ovlN-ER0S .,.,.,L•NG ADDRESS 9653 09/08/P,9 'l0<\1 A -
: \l.\.l /;L \Jo.\\t ff\Or.\-t~..\-c\ DESIGNER DESIGNER'S PHONE C-PRHT 25.)
I DESCRIPTION OF WORK \ .
I DESIGNER'S ADDRESS STATE UCEN-S-E NO.
I S/~ I
I F/P FLA ELEV. NO OCC GP EDU
I STORIES
I vO NO --,
I CENSUS TRACT I PARKING SPACE l RES UNITS I GRADING PERIAIT ISSUED I REDEVELOPl\,4ENT TYPE OCC LOAD FIRE SPR
AREA CONST
I . y D ND vO NO Nor Vahd Unl#!rs ~chine Cerlifird vO NO
QTY. PLUMBING PERMIT -ISSUE r;STJ QTY. MECHANICAL PERMIT · ISSUE ;soo SUMMARY/ACCOUNT NUMBER ~ I
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100,000 BTU tlUILUIN\, 'tMMIT UUl·HlU·UU·OO·oau /~
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001 ·810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·B891 /(~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222
E-ACH GAS SYSTEM~ OR MORE MET AL FIREPLACE ELECTRICAL 001-810·00·00·8223 '
EACH INSTAL . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUSl HOOD 'DUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001·810·00·00·8226
EACH ROOF DRAIN !INSIDE I DRYER VENT STRONG MOTION 880·519·92·33
TOTM MECHANICAL FIRE SPRINKLERS 001 ·810-00·00·8227
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810-00·00·87 40
,,. oo BRIDGE FEE 360·810·00-00-87 40
' QTY. ELECTRICAL PERMIT · ISSUE !J QTY. MOBILE HOME SETUP
I PARK·IN·LIEU (AREA )
I NEW CONST EA AMP SWl BKR CAR PORT TIF 312-810·00·00-8835
I
I I PH 3 PH AWNING LA COSTA TIF 311-810·00·00·8835
I EXIST BLOG EA AMPISWT BKR GARAGE FMF
I
I 1 PH 3 PH LICENSE TAX 001-810·00·00·8162
I REMODEL ALHR PEA CIRCUIT MFF 880-519·92·57
I
I TEMP POLE 700 AMPS
I OVER 100 AMPS
I TEMP OCCUPANCY 130 DAYSI I -
I CREDIT DEPOSIT r')U
lOTAL ELELlRICAl I TOTAl TOTAL FEES PAYABLE I !}~/
V
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exporat,on Every perm,1 IUued bylhe Bu,ldlngOll1c,at uncle< lheprovts,ons oflhtt * AN OSHA P£Not:T 1$ ~ FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•pore by hm,w,on and become null and YOld II tlie building or work s· o·· DEEP ANO DEIIIIOUTIOIII OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A P.ERMIT I~ autllortzed by such pe,m,t IS not commenced w,ttun l80 days from 111• date of SUCII STAUCTURES OVER 3 STONES IN HEIGHT perm,t. Of' ,t the b1..11tdl~ work aulhor•zed by such pe,m,t 11 suspended or ISSUED TO COMPLY WITH ALL CITY.COUNlY AND STATE LAWS GOVERNING BUILDING CON abandOnad at any trme a the worll 1s com __ ;..,. for a nArtod of tllil A•u• -
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND "l. t CONTRACTOR 0 APPROVED BY~ J;:;c;;:;17r/ rt KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ;,, tCANT S NATURE • ' OWNER 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE m 'ill_ BY PHONE 0 GRANTING OF THIS PERMIT ~-.D ~ _,,_. • • 1
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TYPE I DATE INSPECTOR I
BUILDING I
·,, '\ ~-.-. . . -.. ' . -·
; ~~Jo~~"-, -.\ \ ,,., \''•• ' . ·-\ .
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE \ -CHECKED APPROVAL .. \ ··-......_
SUB FRAME □ FLOOR □ CEILIN~ -' ' ~
SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR
FRAME ' EXTERIOR LATH I
I
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE .
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ PUCP
UNDERGROUND D WASTE D W.t(TER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WAliER SPECIAL MASONRY
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UfiFER
ROUGH ELECTRIC I
I
"-.:~
D ELECTRIC SERVICE D TEMPORARY \ :~-..·
D BONDING D POOL I ' ''--.:.-...__
t ·-
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING,
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I ....... ~ ,-·-, ,., .... '\;
---
I I ~ -
CALL FOR FINAL INSPECT/01 WHEN ALI,. APPROPRt~ff,! ITEMS ABOVE HA VE EEN APPROVED." ' .
I . . ,•· . -
FINAL I I J1V'
PLUMBING I -n ' UV" .; I
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ELECTRICAL I ,..., J/ 't,' I' \ / .... .
MECHANICAL I /l' ,f l/
GAS ,,1µ ,• ~ ~ • I ~ . i#,W ~
BUILDING {JI ,[V I <JJJ I
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SPECIAL CONDITIONS I I.A -
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