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Home My WebLink About2607 VIA BOCAS; ; 84-582-486; PermittJI z 0 ~ a: C .j u w 0 IC i[ 0 u a: w 0 .j 5 I w z ~ z 0 ;:: C tJI z w ... :I 0 u tJI ix: w " a: 0 3 il 0 I ,..,eby affirm that I am licensed under provlslona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No------Clm I hereby athrm lhal I am exempl trcrn lhe ContrK· tors L1Cense Law tor lhe tallowing reason {Sec 7031 5 Business and Professions Code Any city or county whicl'I re· quires a perm,, to construc1 auer 1m1»ove_ cemohsh. or repair any structure pnor to its issuance aiso requires :heap· phcant for such perm,t to hie a signed statement that he 1s lteensed pursuan1 to the prOVisoos of the Contrac1or s Lanse Law (Chanler 9 commencmg w,lh Sec1,on 7000 at Orv1s10n 3 ol the Business and Prolessions Code) or 11\al JS ex empl lherelrom and ltle basis tor the allegeo exemption Any v1olalo0n al SechOn 7031.5 by•• appltcanl lor a perm,t sub iects the app1can1 lo a c1v1I pen.alty of nol P'IDft tNin live hun drea dollars {S500) I_ is crNner of the property. 01 my emptoyees 11,11h wages as lheir sole compensa110n. 11,,'I do lhe wooc and !he s1ruc• lure 1s not intended or Dfleted tor sale (Sec 70'4. Business and Proless,ons Code The Coorracto{ s lttense law does n01 apply 10 an OW"tr al orope<ty who builds or ""P""'" lheteon and who does such work himsett or through h,s own employees provided Iha! such tmprovements are no1 intend· ed o, ottered fOf saJe 11, l\owtvef. 11\e bu11d1ng °' 1mpnwe ment 1s SOid w1th1,, one yea, ot complehon. lhe ow~·burtder w,n have !he burden of proving that he did nol bu,ld or 1m• prove for the purpose DI sale} ri I. as owner of lhe p,ooerty, am uclusrvely con1rac11ng with hcensed contraclors to cons1ruct the pro1ec1 (Sec 70◄4. Business and Professaons Code The Contractor's Lanse law does nol apply 10 an owner 01 proper1y ,.ho builds or ..,. proves thereon, ano who contratls tor each p,o,ects with a t":!)actor(s) license pursuant ID the Contractor's Ltcense LI As a nomeowner I am unprov,ng my home. and lhe lollow mg cond1llons exist t The work ,s t,e,ng pertormeo pr'°' 10 sale 2 I hio1e 11ved in my home I« t"wetve months 3 rr:11~ =~~::: 11~ 1 : =~phon duong the last three years D I am exempl under Sec ______ B & P C for this rwon ____________ _ D I hereby affirm 1hat I hao1e a cen11,ca1e ot consent 10 sell insure. or a cen1t,ca1e ol Workers Compens.ahon Insurance 01 a cerhf,ed copy thereof (Sec 3l!OO l.aDor Codet POLICY NO COMPANY O Copy IS hied with lhe city D Cen1hed copy ,s hereby lum1she0 CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need no1 be comoIe1ed ,, lhe oermr1 ,s fo, one hundred dOllars tS 1())) o, Iess1 D I cen1ly that in lhe performance ot the wor'K tor ...,h,ch this c,enrnl ,s i~ued I shall nol employ any pets.on '" any man~, so as 10 beeome sub1ec1 h the Workers Compens.a1.on u ws 01 Cahtom,a NOTICE TO APPLICANT It afler mall.in~ ltHS Cen1 he.tte ot Exempt~ you shOuld become subje<:t ,, the Wortl.ers Compensation pr0'111s1ons ol the ubor Code you musl l0t1h~1lh comply w11h such orov1s1ons or this permit sh.i!I be oe-emeo re-.okeo D I hereby aft1rm lhat there 1s a cons1ruc11on 1eodIno agency tor the perto,mance ot the won. 10, which lh•s permit s ssueo ,Sec )097 c,.,, Cooe Lender s Name ___________ _ Lenders AOdress __________ _ USE BALL POINT PEN ONLY & PRESS 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 -2"07 v; c.:, Boc..;).S AV ST RO. NEAREST CROSS ST I 0 /~4P~85°Nl BUSINESS LICENSE ti VALUATION PERMIT NUMBER .5804-~0.552.J 84--saz - -CONTRACTOR 7~::•0N s ASSE,5i~'1r5ts.o~~co Oo ~4594 I owNe R'S PHONE • PLAN 1.0 .,. BLDG use cooE 1-z-;i,... Hr 9h /.;;Jn d C! 0 • 4-3 4--4-6 9 / OJ 5 C.ne .s,.. n,rl• """ "'""'"" '"" . w,co,_G"' ""'""' ~)BLOCK OWNER·s NAME CONTRACTORS PHONE• ZONE 48 ~ OWNER'S MA"-NG ADDRESS _/1 1'J. /)_ DESIGNER • LI " / 4-9~ 10/.S ~he..:sf-nwl rtve <..iJrl~fucd Giv,ronmen-1"..JI Des, ~ C!.1-?'18 :::;:~~:;.., ....SO.BR DESIGNER'S ADDRESS OESIGNER'S PHONE . . IL-,~WL.'.l.lJ.c:';J...U,..-:i.ll::;.____.c::.....L.~~~=-='---"'------7 9.~ ~.cil~ IE/>C;n;f--1.s CA CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS 1-4-o I QTY. PLUMBING PERMIT· ISSUE II EACH FIXTURE TRAP ::; I EACH BUILDING SEWER / EACH WATER HEATER ANO OR VENT I EACH GAS SYSTEM 1 TO 4 OUTLETS ----EACH GAS SYSTEMS OR MO RE 1- I EACH INSTA~. ALT ER, REPAIR \\'ATER PIPE 1----+-------------- EACH VACUUM BREAKER WATER SOFTNER EACH ROOF ORM, I NS;DEI TOIAL PLUMBINC, l ~~t, -~ QTY. ELECTRICAL PERMIT -ISSUE :,- NEW CONS TEA AMP SWl BKR /()() ,q d:). ~ - ) PH 3 PH EXIST BLOG EA AMP SWT SKA I PH 3 PH REMODEL Al TtR PER CIRCUIT TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) TOTAL ELEURICAL I ~o- GRADING PERMIT ISSUED YO ND F p FLR ELEV v□ NO /10.9 1 REDEVELOPMENT AREA vO ,.,'t:f... MECHANICAL PERMIT • ISSUE INSTALL FURN DUCTS UP TO 100.000 BTU OVER 100.000 BTU ----BOILER/COMPRESSOR UP TO 3 HP BOILER COMPRESSOR 3 lS HP VENT FAN SINGLE DUCT MECH EXHAUST HOOD DUCTS RELOCATION OF EA FU RNACE,HEA TE R Tot;;l-MECHANICAI QTY. I SOLAR· ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP Pl.AN CHECK FEE TOTAL SOLAR NO - STb S TYPE cl/N ~-4._- ~-- 1a..-:-· OCC GP EDU ~3 I OCC LOAO FIRE SPA vO N)( Not Vaild Un~s Machine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT PLAN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBtLEH0ME MOBILEHOME PARK INSP 01-00-00-8220 01-00-00-8221 01-00-00-8806 01·00-00-8222 01 ·00-00·8223 01-00-00·8224 01 ·00-00·8225 --34-0- -~ol.J- _!!1-~--:.So ~o-_ 1,- SOLAR STRONG MOTION FIRE SPRINKLERS 01-00-00·8226 I== ~ 80-92-33-0519 4-,,_8 Q 01-00-00-8227 P_UBLIC FACILITIES FEE 32·00·00·89ll BRIDGE FEE SCHOOL FEE • DISTRICT Carlsbad L TR l/" B0-92-21-0519 Encinrtas 80-92-22·0519 San D1egu110 80·92-23-0519 San Marcos 80·92-24·0519 LICENSE TAX 01-00-00-8162 MFF 80-92-57-0519 /@ S 8 Q CREDIT DEPOSIT TOTAL FEES PAYABLE I 7 .S'o/1-<!.,Ly.,, -so - ~9C¼>.\30 I HAVE CAREFULLY EXAM1t,ED lHE COMPLETED APPLICATION ANO PERMIT' ANO 00 HEREBY Exporahon Every permit issued by the ButldingOtl,ci■I under the provisionsoflhis * AM:l IS REQUIRED FOR EXCAVATIONS OVER ~ u:: >-0} 0 a. E Q) I- I -0 0 CD C: nl ~ a. a. <{ I, .><. C a: 0 rn rn Q) rn rn <{ I 3 .2 ai >- rn rn Q) (.) 0 a:: nl iii Cl ~ Q) (.) C nl C u:: :::. C Q) ~ CD 0 0 Q) a. rn C CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shall exp1te by hm,talion 1nd become null 1nd void If the building or work ---=-.. ·-o DEMOLITION OR CONSTRUCTION OF T . • , authorized by such perm,t ,s not commenced within 180 days from the date o1 such Q.> DECLARATIONS ARE RUE AND COR. RECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or if the building or work authonzed by such permit ,s suspended or S OVER l STORIES IN HEIGHT _ ., 1 ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at an tune after the work ,s commenced for I nod of 1 a 5 i5. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE • 0 S: KEEP HARMLESS T>,E CITY 0~ CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS A~~• ~~OWNER EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST $AID CITY IN CONSEQUENCE OF THE ,,_._ _ GRANTING OF THIS PERMIT -~' • _·__ _ ------1 I