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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is in
lull force and effect.
Lie No ______ Class
I hereby affirm lhat I am exempt fr001 lhe Conirac• lor s License Law for lhe lotlowmg reason {Sec 7031 5
Busmess and Protess1ons COde Any city or county wh1cn re• quires a perm,1 to conslruct. alter, improve, demohsh. or repair any structure, pr,or 10 us issuance also requires !heap• phcant for such perrrut to file a s19ned statement !hat he 1s
l,censed pursuant to lhe provIstons of lhe ton1rac1or·s License Law {Chapter 9 commenong w1lh section 7000 ol
Division 3 of ll'le Busmess and Protess100s Code; or lhal 1s ex· empt therefrom and lhe basis tor the altegeo exempt10n Any
viotat+on ot Section 7031.5 by an apphcant Jo, a permI1 sub-Iee1s the appllcan1 to a civil penalty of not ITIO(t than hve hun·
dred dollars ($500)
r I. as owner of the property or my employees with wages
as their sole compensation. w,11 do the wOflc: _ and the slruc-rure 1s not intended °' otlered tor sale (Sec 7044 Busmess
and Professions Code Tne Contrac1or·s License Law does
not a_pply 10 an owner of property who builds or improves !hereon and who does such wock himself or through his own
employees, provided lhal such 1mprovemen1s are not intend-ed or offered for sale If, however, the butldmg or improve-ment ,s sold within one year of completion. the owner-builder
wIU have the burden of proving thal he dtd not build or im-prove tor the purpose of sale)
'J I, as owner ol the property, am exclus,vely contract mg with hcensed contractors to construct lhe project (Sec 70'44,
Business and Profess,ons Code The ContractOf's Liunse Law does not apply to an owner ol property who builds or im-proves thereon, and who contrac1s for each protects w11h a
contractor(sl hcense pursuant to the Contractor's L.unse Law)
p As a homeowner I am improving my home. and the fo(low Ing cond1tIons exist 1 The work is being performed pnor to sale
2 I have lived in my home lor twelve months pnor to complett0n of this work 3 I have not claimed th,s exemption during lhe
las! three years
g :h~;,:=it under Sec ______ , B & pc ----------
0 I hereby allnm lha1 I ha"e a cert1f,cate of consent to self insure or a cert,1,cate ot Wor1'.ers
Compensatton Insurance, Of a cen,lled cooy thereof !Sec 3800 Laoo, Code)
POLICY NO
COMPANY
□ Copy IS hied with lhe c,ty
0 Certified copy 1s hereby lurn,shed
CEATIFIC4 Tl OF EX~MPTION FROM WORKERS COMPENSATION INSURANCE
(This section need not be completed ,I the perm11
,s lo, one hundred dollars tStOO) or less,
0 I cemly that ,n the performance or tne .,,,on: tor
which this permit 1s issued I shall no! employ any
person ,n any manner so as to beeome suo1ec1 10
the Workers Compensation Laws ol Ca1,tom,a
NOTICE TO APPLICANT It after makm1 this Geri,
l,cate of Exemp11on you shOVld oecome sut11ec1 10 the W~ers· Compensat,on prov,s,ons ot the Laoor
COde you must lorth""'1th comoty with sucn
p,ov1s1ons or ttus oerm1t sha,11 De deemed revOke<J
0 I hereby alllrm that ttiere ,s a cons1ruc11on
lena,og agency ror 1ne performance ol !he wOr'k 101 wrucn 1n,s permit ,s issued tSec "J/:137 C11t1I COC1e1
Lenders Name ___________ _
Lenoer s AOdress __________ _
_IJ~E_!_All POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
f
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
BUSINESS LICENSE# VALUATION PERMIT NUMBER
/-4--04-79(:,4-o 84--S8Z-
JOB AOORESS
~61/
I/. ,0 A V ST.AO. NEARESTCROSSST
I/ I 0:, 'C)OC...:> .:s
, ...::.::=.._::.=...=.._::_-;--"'.==~-;;--:;-;~;-;:;:~-------,1 ---;:;;;:;;;;;;-;;~0A--'-.!----'--~-~ croAs PHONE. zoNE 4-BB ..,. ASSESSOR PAACf:)NO, ,_ CONTRACTOR ,/7 ~
,~7 4 '('u rD 'hd co. 4. 'H..~L,..----=---1._.L~:..:.:!!!i~~_l. _ ___.!.~....:_-.----;:O;:W;,::N;;E';R:;;.S-;;P:;:;H;;-ON;;E~· PLAN 1.0.-# BLDG use CODE
r.:,,1d Oo. 434 4594 cd.:,r/.::sba,d tl.A 4,.:J407
' ""' ~ l:s.fud ;;:;;",..,,nrnen+..:.llb· ,.., (2;:;q•g '""o"o'""' ~'/7~0"'
DESIGNER'S AOORESS DESIGNER'S PHONE f /U/ /f:l
1-.L-.LJ.~ZJ.L:ll.l.4:..L..\~__L____L!i.~~,=...=.~""'----,~ in i -fbl .s,, CJ.I} 94-c:J~ 6~ ouo 12 087
t-NO 1107 3
Sl.i7 F p FLR ELEV. OCC GP EDU
v□ r,Q/7~ 12-3. I
CENSUS TRACT l GP LANO USE I PA~P;E RES T ITS j GRADING PERMIT ISSUEO
y D ND l REDEVELOPMENT
AREA '-..,
vO "'~
s;;;;;
TYPE OCC LOAO FIRE SPR ,/;t vO ~ Not Valid Unless Machine Cert//ied
QTY.
QTY.
PLUMBING PERMIT -ISSUE 7,i!J _ II QTY. MECHANICAL PERMIT · ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
..:.,_7 .. ~ol /____l1~rALLFuRN.oucTsiJPT0100000Brn 1 4---:-1 BuILoINGPrnMn 01-00-00-0220
~ OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 _
..::;__._6_ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00-8806 ~,4..,:J _ 4-S
....:3 7..;J.-
EACH GAS SYSTEM I TO~ OUTI FE
EACH GAS SYSTEM 5 OR MORE
·-··--·~·--·----I c;:/ BOILER/COMPRESSOR315HP TOTALPLUMBING 01·00-00-8222 ~46_,S-Q r---__J --,,----,,-_i_ METAL FIREPLACE _ _ ELECTRICAL 01·00-00-8223 ~0 -=13-EACH INSTAl. ALTER, REPAIR WATER PIPE -+ VENT FAN SINGLE DUCT -. MECHANICAL 01·00-00-8224 I / ~ -
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS I II MOBILE.HOME 01·00·0.Q-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I H MOBILE.HOME PARK INSP
EACH ROOF DRAIN IINSIDEI ---
TOTAL PLUMBING cU:,.5c
SOLAR 01·00·0i1·8226 I I ......... ·-·-·• TOT 1'L MECHANICAL STRONG MOTION 80·92·33-0519 ...s:.s 'J
I~-:--FIRE SPRINi<LERS 01·00-00-8227
ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP SWT BKR / ODA
I PH 3 PH
EXIST BLOG EA AMP SWT BKR
1 PH 3 PH
REMODEL ALTER PER CIRCUIT
TEMPPOLE 100AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELECTRICAL l J
..S--QTY.
o:J.S-
~o-
SOLAR • ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLA~ CHECK FEE
TOTAL SOLAR
PUBLIC FACILITIES FEE 32-00-00·893)
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad ✓ L --r1<, 80·92·21·0519
Enctn1las 80·92· 22·0519
San Dlegu110 80-92·23·0519
San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-8162
MFF 80-92-57-0519 / @ BR Q
CREDIT DEPOSIT
TOTAL FEES PAYABLE J
/.S.!l._3-
BBo-+-
~183.5:L
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"" AND DO HEREBY Exp,ra11on Every perm,t ,ssued bytheBu1ld1ng Off<c1al under theprov,s1ons ofthrs
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lrmttat,on and become null and vo,d If the budding or work * REOU!ffED FOR EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit IS not commenced w,thrn 180 days from the date of such
ISSUED TO COMPL y WITH i'LL CITY COUNl y AND STATE LAWS GOVERNING BUILDING CON permit or ii the budd1n~ or work au1honzed by such permit is suspended or
STRUCTION, WHETHER SPECIFIED HEREIN QA NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned at an time a er the work ,s commenced for a nod ol 180 da .
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPLICANTS SIGNATURE If. OWNER□ CONTRACT~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~-z-...:. ,.,,::::::> .i~-f~~
GRANTING OF THIS PERMIT ~ / / /~ JC_ ~ BY PHONE 0
MOllTION OR CONSTRUCTION OF
ER 3 STORIES IN HEIGHT
APPROVED BY~ ~--~
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TYPE I DATE INSPECTOR I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHeAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING l -
SEWER AND BUCO D IPUCO I
UNDERGROUND □ WASTE □ V'fATER
TOP OUT □ WASTE □ W,4TER
TUB AND SHOWER PAN i
GAS TEST I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL i
□ ELECTRIC UNDERGROUND □ l,JFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN(3
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE1 BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL '
GAS
BUILDING
SPECIAL CONDITIONS
g4,, s if d---_, Lt fsg -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE 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 . .
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