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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleoolons Code, and my license is in
lull force and effect.
Lie No ------Class
I hereby athrm that I am exempt from tile Contrac-1of's license Law tor the lollowjng reason (Sec 7031 5
Business and Professions Code Any city or county whtGh re-qwres a permit to construct. alter. tmprove, demohsh. or
repair any structure. pnor 10 ns issuance also requires the ap·
plicant for such permn to lite a s1Qned statement that he 1s ticensed pursuant to the provisions of the Con1rac10( s license Law (Chapter 9 commencing with SectlOn 7000 of
D1vIsIon 3 ot the Business and Protessrons Code} Of 1ha1 ,sex-
emp1 therefrom and the basis 10< the alleged exempt.on Any violation ol Sechon 7031.5 by an applicant lor a permI1 sub~
,eels the applicant to a ctvII penalty ol not more than hve hun· dreo dollars ($500).
I. as owner ol tl'le property. or rrr, employees w1tn wages as 1heIr sole compensatton, will do tne work. and lhe slruc-
lure Is not mtended or offered tor sale (Sec 7044. Business
and Prolessions. Code The Contractor·s l+cense Law does not apply to an owner of property who builds or Improves
thereon and who does such work himself or through h,s own
employees, provtded thal such unprovements are no1 mtend· ed or olfered tor sale. II. however. the building Of Impro..,e-
men11s sold w11nin one year of compleoon. lhe owner·bU1lder wtll have the burden of pr0V1ng thar he did not build or ,m-prove tor the purpose of sale)
D I. as owner of the property. am exclusl't'ety contriilctmg with lteensed contractors lo construct the pro1ect {Sec 7044
Business and Proless,ons Code: The Contractor's License Law does not apply lo an owner of property who builds or ,m-
pro'les thereon. and who contracts tor each prOjects wnh a contractor(s) license pursuant to the Contractor's license Law)
r As a homeowner I am ,mprovmg my home, and rhe follow ing condtllons exisl
1. The work ,s being per1ormed prior to sale Z I have li'led m my home fOf twetve months
prior to comple11on of this work
3 I have not claimed lhIs exemp110n dunng lhe I.ls! three years
~ IIh~~r~~e;:1 untler sec ______ . B & P C -------------
0 I hereby affirm tllal I ha-1e a ce,i1hcate of consenl to self insure. or a cer11t,cate ol Workers
Compensation Insurance. or a ceri,tied copy lhereot
(Sec 3800 l.abOt CodeJ
POLICY NO
COMPANY
0 Cooy 1S ftled With the C1ly
0 Cet11l1ed copy 1s hereby furnished
CERTIFICATl OF EX~MPTl()N FROM WORI\ERS" COMPENSATION INSURANCE
{This section nee<J not be compleled ,I !he permit ,s lor one hundred dollars (S 1001 or less)
0 I cer11ly that in the perto,mance ot the won.. to, which this permit 1s issued I shall not employ any
person ,,, any manner so as to become subJeCI lo
1he Wolilers Compensation Laws of Ca1itorn1a
NOTtCE TO APPLICANT ti, alter mak1n, this Cer11
hcale ol Exemption. yOll shOuld become sut>1ec1 l'J 1~ Wor'l\ers Compensation prm11sIons ot lhe Labo1
Code. you must tot1h~1th comply wtlh such prov,s,ons or lh,s oe,mI1 shall be oeemed revO"-e<l
O I hereby atrirm !flat there Is a cons1tuction
1end1ng agency to, lhe oeno,mance ot the wor1o. 10,
which 1h,s permit ,s ,ssved tSec m1 CIVIi Code,
Lender s Name ___________ _
Lenoer s Address __________ _
USE BALL POINT PEN ONLY & PRE~S 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
JOB ADDRESS AV ST. RD NEAREST CROSS ST. BUSINESS LICENSE ~ VALUATION PERMIT N UMBER
<:>)6 o 9 V;...:> $occ:Js
ASSESSOR ~RCEL NO :-::--=-:~-1 -----;:;~:;-:::::::-:::-;:--_j_!_:_~~~:i_J s 8 Q 4-/ 0 LL' --,
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~~NAA~--:...L.:.:C:..:~~-L___.!.J:'r!i~ 14-#lol.~· ~8LC~U~ __ I CONTRACTOR '-:o~~~-;;;;:;;7-f--::::::~(O~O~:,;,;;J=~~~~ BA ,<"8 ., -I CONTRACTORS PHONE • ZONE ...,... -...,j ~
Tbe /-I; /, /-.Jnd (!_ J owNER's PHONE 4a4,4o9 4-B '?
j°;:+:BC;ONI
OWNER'S MAlci.c'£ess o.4..:3446 94 LICENSE NO
--• PLAN 1.0. #
~[i,_.=~s~~o0~wY;>,#f~;,s~-,f~)~uC!_../-::S/it-f:v.~e~#~~Q~Cb~r--:i_l..~..s~~~~~~~=---t.34.,,:2;14_~4-0~7~~~:;-;--lBL=OG~US-E CO-DE_J
...So"'1 ~,
LICENSE" STANDARD PLAN ii BUILDING SQ. FOOTAGE
14--9~
-Gnc; 11 if Q)S ~A ___ ___J__L_.I.~
F/P FLA ELEV I I NO
/IQ q ST,Q{IIES vO r.;0 ----e>t_
OCCGP
/23
EDU
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1'/1.Jl /bJ201:l 89
GRADING PERMIT ISSUED
YO ND
occ LOAD I FIRE SPA
vO ~
CENSUS TRACT GP LAND USE PARI\ING SPACE RES UNITS
44-o I l REDEVELOPMENT I I TYPE
AREA ,□ ~ VN Not Valid Unless MJchine Cerllfied ,
QTY.I PLUMBING PERMIT . ISSUE 1 7 !;!.. j QTY., MECHANICAL PERMIT. ISSUE I 3-SUMMARY/ACCOUNT NUMBER
11 1 EA CH FIXTURE TRAP I ca 7 c3a1 7 I 1NSTALL FURN . DucTs i.JP TO 100.000 BTu 1 4 -:--, BUILDING PERMIT 01 ·00-00-8220 .....34-0-
J I EACH BuIL□ING sEwrn ! ~ sol I ovER 100.000 Bru 1 1 sIGN PERMIT 01-00-00-8221
/ I EA CH WATER HEATER ANO OR VENT I -2 -~1 I BOILER /COMPRESSOR UP TO 3 HP I I PLAN CHECK 01-00-00·8806 ~c:;2/-I 1 1 EACH GAS SYSTEM I TO 4 OUTLETS BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00·82~
EACH GAS SYSTEM ~ OR MORE I . METAL FIREPLACE ELECTRICAL 01-00-00·8223
--4-b~~ -90-
EACH INSTAl . ALTER, REPAIR WATE R PIPE __ !_ _ VENT FAN SING LE DUCT -MECHANICAL
EACH VACUUM BREAKER ~ MECH EXHAUSl HOOD DUCTS MOBILEHOME
01 ·00-00-8224 /..3-
01-00-00-8225
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I II MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDEI I II I I U SOLAR
TOH,L MECHANICAL
l ~-Sc. /~
I-STRONG MOTION
FIRE SPRINi<LERS
__QJ_-00:Dl!:8226 I 4 a..o I 80-92-33·0519 ~--
TOT AL PLUMBING 01 ·00-00-8227
IQTY. ELECTRICAL PERMIT -ISSUE .5-;.... QTY. I SOLAR -ISSUE P_L)BLIC FACILITIES FEE 32-00·00·89l)
BRIDGE FEE
NEW CONST EA AMP SWl BKR / 00.i e:25-COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad L..77< ~ 80-92-21·0519
EXIST BLOG EA AMP1SWT BKR ROCK STORAGE Encinilas 80·92-22-0519
1 PH 3 PH PUMP San D1egu1to 80-92-23-0519
REMODEL ALTtR PER CtRCUll PLAN CHECK FEE San Marcos 80·92-24-0519
TE MP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /$7/-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 /(i) BBQ F3 J:.<ri __...+.
CREDIT DEPOSIT
TOTAL ELELlRICAL I ~--TOTAL SOLAR TOTAL FEES PAYABLE r cQ900--iO
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERM:T"' AND DO HEREBY E,piralton Every permit issued by !he Bu1ld1ng Off1c1al under !he provisions of this CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,pire by llm11atron and become null and void II !he building or work * AN _OSHA PERM:T IS REQUIRED FOfl EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorized by such permtl ts not commenced w1lh1n 180 days from the date of such 5 O ~-~"Y"'D DEMOLITIQN OR CONSTRUCTION OF
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ISSUED TO COMPLY WITH ALL CITY COUNl y AND STATE LAWS GOVERNING BUILDING CON permit. or ii the building or work authomed by such perm11 IS suspended or S OVER 3 STORIES IN HEIGHT
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned II an time after lhe work IS commenced tor a nod ol 180 da s .c
I\EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE lf. OWNER □ CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _ ,Z6_,~ ~-';"'7') _ _d
GRANTING OF THIS PERMIT ------~~ ~~ (/ \' I • ~
TYPE
BUILDING
OUNDATION
~EINFORCED STEEL
F
R
M
G
F
~ASONRY
UNITE OR GROUT
LOOR & CEILING SUB FRAME
I
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I
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I
s
F
HEATHING □ ROOF □ SHBAR
I RAME I
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO D IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
I
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
' I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPIN~
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I
DATE INSPECTOR
CALL FOR FINAL INSPECTldN WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
PLUMBING I ~
ELECTRICAL I r/,
MECHANICAL I ,.. \ / ). -
GAS I -'12 '(/_~
BUILDING I -\ .... -IX ..
SPECIAL CONDITIONS -I
I
' .. '
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTORS INSPECTION 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 CAISSor-.s
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8'-1-S J?.;\-~rs, 1
INSPECTOR'S NOTES
DATE
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