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Home My WebLink About2608 VIA BOCAS; ; 84-582-491; Permit<h z 0 ;: < a: < _, 0 "' 0 IC I[ 0 0 a: "' 0 _, 5 • cc "' z 3 0 z 0 ;: < <h z "' Q. :I 0 0 <h a: "' " a: 0 3 ir O I hereby alllrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proleaalons Code, and my license Is 1n lull force and effect. lte No ______ Class I hereby afhrm lhat I am e~empl lrom lhe Contrac· tor's License law tor the IOltowmg reason (Sec 7031 5 Business and Professions Code Any c,ty or county wh1ct, re· Quires a perm11 to construct. alter. improve. demohsh. o, repair any struclure prior to its issuance aiso requires the ap-phcant tor suet, permit to file a s,pned Slalement fhat he ,s hcensetl pursuant to lhe pro1J1s10ns of lhe Contractor s License Law {Ch.apter 9 commencing with Section 7000 of O,v151on 3 ol the Business and Protessrons Code; Of tha1 1s ex empl lherelrom and the bas,s lor lhe al\egl?(l exemption Any v1olahon ol Sec11on 7031.5 by an applicant for a perm11 sub-- 1ects !he apphcant to a CIVIi penalty 01 not more than hve hun- dred dollars (S500) r· 1. as owner of lhe property Of my employees with wages as their sate compensat10n. wHI do the work. and the struc· lure is not intended Of offered for sale (Sec 7044. Business and Profess10ns COde The Conlraclof's License Law does not apply 10 an owner ol property who bwlds Of improves thereon and who does such work himself or lhrough his own employees. provided thal such improvements are not intend· ed or olfered for sale II, however the building or 1mprove-men1 ,s sold within one year o1 completion. the owner·bwk1er WlH have the burden of proving that he dtd not build o, Im• prove tor the purpose ol sate). r I. as owner of lhe property. am exclusively contractJng with hcensed con1ractors to consuuct !he pro1ec1 {Sec 7044, Business and Protess10ns Code The Contractor's Ucense law does not aop1y to an owner of property who builds or im-proves thereon and who contracts tor each prOjects with a contractOf{S) IICense pursuant to the Contractor's Lttense Law) 'J As a homeowner I am improving my home. and the follow ing cond1t1ons exist 1 Tne wort( ,s being performed prior to sale 2 I nave lived in my home for rwetve months pnor to complet100 of 1h1s work. I have not claimed lhis exempt10n Clunng the las! lhree years g /h~~r:~~il under Sec ______ , 8 & PC ------------- 0 I hereby affirm that I ha..-e a cen1f,ca1e ol consent to self insure. or a cer11f,cate ot Workers Compensation Insurance or a cert1f1ed cooy lhereot !Sec 3800 LabOr CO<lel POLICY NO COMPANY □ Copy IS hied w11h lhe city 0 Cen1hed copy ts hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 1I !he permit 1s 'or one hundre<J dollars (S 100) or less) 0 I cen,ty thal 1n the per1ormanc~ of rhe woOI. to, which this oerm,1 ,s ,ssued I shall not employ any person in any manner so as lo be-comtt sub1ec.1 to lhe Wo""-ers Compens.atton Laws 01 Ca1t1orn..a NOTICE TO APPLICANT II alter mai..,n1 irus Cert• l1ca1e of EJ11emp11on. yOu should t>eeome sut>1ec1 t? the WQnl.ers Compens.at1on provisions of lhe Laoor Cooe you must tonn.,,,.,lh compl) w1lh such p,o..,,s1ons or Ult$ permit shall be deemed revo~eo 0 I hereby affirm 1na1 lhere •s a consuuc11on 1eod1ng agency •or !he performance or 1he wof1o. 101 which lh•S pe,m,t 1S issued \Sec 3097 C,v,t COdet Lender -:.~ame ___________ _ Lenders Address .11~---------- I I I ' 0 I ! I I I I I I I t I I I I f • 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 AOORESS AV ST.RO. NEAREST CROSS ST. 1 D1E~F J:Ll;sNJ BUSINESS LICENSE # VA LUATION PERMIT NUMBER d-&09' \-'l.4 80(!,,A-5 6 6 S-52->14✓ 5'8;)_- W°t I BLOCK l 7q:•S~5 I ASSESSOR PA~El NO CONTRACTOR CONTRACTORS PHONE • ZONE 4or /~7 1;) <1-2>00 • I OWNER"S NAME I . , ' ✓ . .. OWNER'S PHONE ~ ' -Z-h-e /-ha/) I 1,,#\rJ Co CONTRACTOR'S ADDRESS LICENSE NO. PLAN t.O. # BLOG USE CODE . QWf\,EA'S MA1 LING ~O AESS ' ' - .... '< l DESIGNER LICENSE 11 STANDARD PLAN# BUILDING SO. FOOTAGE ' ~ I ,. < 'JI , /Ljq& DESCR~PT ON OF ~f..RK rp)/) A/ £1:J~ . ~ . l , , ~-in , n/1'• .<.P DESIGNER'S ADDRESS OESIGNE R'S PHONE 1/~ilL·--+ ' ~ --F p FLA ELEV. NO OCC GP EDU STORIES vO '-0 --- CENSUS TRACl I GP LANO USE I PARK ING SPACE I RES UNITS I GRAO>NG PERMIT ISSUEO I REOEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST YO N D vO '-P v□ No Nor Valid Unlt!Ss Machine Certrf1ed QTY. PLUMBING PERMIT -ISSUE ~ ., •. QTY. MECHANICAL PERMIT -ISSUE -·-SUMMARY/ACCOUNT NUMBER /-_( EACH FIXTURE TRAP 7 J. ~L INSTALL FURN DUCTS i.JP TO 100,000 BTU -~ BUILDING PERMIT 01-00-00·8220 .':..-c-c4,--r - EACH BUI LO ING SEWER I'-. "5"~ OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 EACH WATER HEATER ANO,OR VENT I J. $ B01LER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ·-·'...JI -• ~ EACH GAS SYSTEM 1 TO 4 OUTLETS ,-,.,,}_ !:. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00·8222 -<-1-,f·. ~~ EACH GAS SYSTEM 5 OR MORE . METAL FIREPLACE ELECTRICAL 01-00-00-8223 C; • :i - EACH INSTA~. ALTER, REPAIR WATER PIPE ----i-VENT FAN SINGLE DUCT t.· _.,-MECHANICAL 01 ·00-00-8224 , -I - 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 (,NSIDEI SOLAR 01 • 00-00-0??~ TOTt.L MECHANICAL STRONG MOTION 80-92-33·0519 ·-J. .. ,~-(~ ~--c---------TOIAI PLUMBING I 4-~-!'.: I . . . FIRE SPRINKLERS 01 • 00·00-8227 -QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll QTY. ELECTRICAL PERMIT· ISSUE :., -BRIDGE FEE NEW CONST EA AMP SW I BKR .... ~ i::::,-COLLECTORS SCHOOL FEE • DISTRICT I PH 3 PH ,f STORAGE TANKS Carlsbad ~ 80-92-21-0519 . -. EXIST BLOG EA AMP1SWT BKA I ' ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH PUMP San o,eguito 80-92· 23·0519 REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519 TEMP POLE lOO AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 /' J ~ TEMP OCCUPANCY <30 DAYSI MFF 80-92-57-0519 ~('"') ;;; ;::c 1-""_, I CREDIT DEPOSIT TOTAL ELELTRICAL I ' TOTAi SOLAR I .;·. -. .-1 '-~ -~ -TOTAL FEES PAYABLE I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exp1rat1on Every permit is.sued by tne 8ulld1ng Offtc1al under the prov,s,ons of th,s * AN OSHA PERMrT IS REQUIRED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code .shall ex.p1re by llm1tat1on and become null and \'01d ff the building or work 5· 0" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1th,n , 80 days from the date of such STRUCl\JRES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-~~~'::::On°:d 1!1 t=~y ~~~~';ffe~~h=~~r:~!hi~~~e~le~~~~ :6~':!~·~,sr:r;.~~ or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If-OWNER □ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAV ACCRUE AGAINST SAID CITY IN CONSEOUENCE OF THE C --GRANTING OF THIS PERMIT BY PHONE 0 I ' ~ LL c "' 0 a. E ~ I "O 0 0 C: m -~ a. a. <( I .x C a: 0 "' "' a, "' (/) <( I ~ .2 a, >- <Ii "' a, u 0 it ~ m 0 ~ a, u C m C: LL :::. C: a, ~ 0 0 ti a, a. "' C: ~ .c ~ TYPE ' DATE INSPECTOR I UILDING ' I -FOUNDATION I REINFORCED STEEL I MASONRY r : GUNITE OR GROUT I FLOOR & CEILING SUB FRAME ' SHEATHING □ ROOF □ SHBAR FRAME EXTERIOR LA TH r INSULATION I INTERIOR LATH & DRYWALL I ' PLUMBING I SEWER AND BUCO □\PUCO I UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE D WATER TUB AND SHOWER PAN ' GAS TEST i □ WATER HEATER D SOLAR WAl"ER l ELECTRICAL i □ ELECTRIC UNDERGROUND □ L)FFER ROUGH ELECTRIC I □ ELECTRIC SERVICE D TEMPORARY □ BONDING □ POOL . ; MECHANICAL i □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS . I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE;_BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ~4--Si:) -y4 I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS 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 CAISSON!: J CITY OF CARLSBAD LOT # /f 9/ INSPECTION RECORD BUILDING FOUNDATION ~ , \ (a •8,~ REINFORCED STEEL MASONRY GUNITE OR GROUT .. INSULATION 3 • 22 • ~~ EXTERIOR LATH ..,, • f -Y~ ~ INTERIOR LATH & DRYWALL "$ •Z.1 ·iS"~ FINAL ------------ PLUMBING ( ) SEWER & BL/CO ( UNDERGROUND ( E ( ) WATER TUB & SHOWER PAN GAS TEST ( ) WATER HEATER ( ) SOLAR WATER FINAL ------------ ELECTRICAL ELECTRIC UNDERGROUND ( ) UFFER BONDING ( ) POOL FINAL ___________ _ MECHANICAL () DUCT & PLEM., ( )REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS FINAL ------------ COMPLETE BUILDING FINAL ... r:,--___ DATE: 1-l,3.,8S-25' ~ CLEARED WITH GAS AND ELECTRIC DATE: --------. NOTES ON REVERSE SIDE ..... .