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Home My WebLink About2606 VIA BOCAS; ; 84-582-492; Permit.,, z 0 ;:: < CIC < .j 0 "' 0 CIC I[ 0 0 CIC "' 0 .j 5 • ii: "' z ! z 0 ;:: ~ z "' ... 2 0 0 .,, a: w >< CIC 0 ~ il D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. Lie No ______ Class I hereby alhrm Iha! am exempt lrom lhe Contrac· tor's License Law !or the I011ow,ng reason (Sec 7031 !> Business and Protesst0ns Code Any cIIy or counIy wtuch re· quires a permit to consuuct, aller improve, demohsh. or repair any structure pnor to IIs issuance also requires !heap· p1,can1 tor such permit to hie a sIqned statement thaI he ,s ticensed pursuant 10 the prOYIs•ons of the Contrac1or • s License Law (Chapter 9 coounenc,ng with Section 7000 ol 0w1s1on 3 of the Business and PrOfesSJOns Code) or lhat 1s ex- empt therefrom and !he basis far the allegeo exernptron Any v1olat10n ot Sectlan 7031.5 by an applicant !or a permt sub· Jeers the apphcant to a c1v1! penalty of not moce than five hun· dred dOllars ($500). J I. as owner ol the property. or my employees w·th wages as their so1e compensahon. will do the wOfk and the strut· ture Is not mtended or offered tor sale (Sec 7044. Business and Protess1ons Code The Con1rac1or's license Law does nol apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided lhat such 1mprovemen1s are not intend- ed or ollered !or sale 11, however, the bUtkhng or Improve-menIIs sok1 withm one year of complellOn, the QY,Jner·bu1tder will have the burden of proving that he did n0I build Of im- prove for lhe purpose of sale) r I, as owner of lhe property, am exclusively con1tactIng w,th hcensed conlractors to construct the proiect (Sec 7044 Business and Professtons Code· The Contractor·s license Law does not apply to an owner of property who bmlds or un-proves !hereon, and who contracts for each pro,ecIs w,th a contractorfs) hcense pursuant 10 the Contractor's License Law) D As a homeowner I am 1mprovmg my home and lhe follow mg cond1110ns exIs1 1 The work is bemg performed prlOf lo sale 2 I have hved m my home tor twelve months r':v~ ~:p~~~f II~iI: ::~pl1on durmg lhe lasl three years ~r 11h~~,:~1 under Sec _____ _ B&PC 0 I hereby affirm that I hao1e a certificate or consent 10 sell insure or a cert1t1ca1e ol Workers Compensation Insurance. or a cen,r.eo copy lhereot (Sec 3800 Labo< Code! POLICY NO COMPANY □ Copy IS Meo with lhe city O Cen1he<:1 copy 1s hereby lurn1shed CERTIFICATl OF EX~MPTION FROM WORKERS COMPENSATION INSURANCE (This section need no! be complete<l 11 the permII is tor one hundred OOllars (S 1001 or IessI O I cen1ty 1haI 1n lhe pertormance ot the won< tor which lh1s perm11 1s issued I shall not employ any person m any manner so as to beeome subJeCI 10 !he Workers Compensa11on Laws of Ca11torn,a NOTICE TO APPLICANT II afler makinJ tnIs Cer11 ttcate of Exemption, yOo should become subIect ,., lhe Workers' Compensation prov,s,ons ot the Lat>or Cooe. you must lorth'fttlh compt~ w1lh such prov1s1ons or this permit shall be deemed rewoke<J D I hereby affirm lhal there Is a cons11uc110n 1en<11no agency 101 !he perl()(mance 01 the -NO"" 10, which this permit ,s ,ssueo 1Sec )097 C1v11 COCeI Lenders Name ___________ _ Lenoer s Ac>oress __________ _ USE BALL POINT PEN ONLY & PRESS HARD "' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I I CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT I JOB ADDRESS 01-1--IB'Oc,A,s AV ST RD NEAREST CROSS ST 1 °/~ 0 4:Lle£1 BUSINESS LICENSE # VALUATION PERMIT NUMBER ' c!) & 0 0 fo<Js-~v I ;), _, g4'' sS~;;i_ 1 mz BLOCK I r I SU'4801V StON I' ~-::i 5 I ASSESSOR PARCEL NO d) lv141 ;).y.4 CONTRACTOR OWNER'S NA.ME I OWNER"S PHONE I 7/le /-/ I <1 A lru''\ d Co CONTRACTOR"S ADDRESS ' -! OWNER'S MA,L Na..,l'QORESS I . ,.. -. I , OESIGNER I , . I OESCR•~T•.O OF WORK/\ I / -nu,ri Dll~v::> Pfr1./\.) -~A OES IGNER"S ADDRESS I 1---F p FLRELEV I vO NO ---I I CENSUS TRACT I GP LAND USE I p1/~DACE I AES UNITS I GRACING PERMIT ISSUEO I REDEVELOPMENT AREA ' YO N 0 vO r-.0 I .. , I QTY. PLUMBING PERMIT · ISSUE . QTY. MECHANICAL PERMIT· ISSUE . I ~ I EACH FIXTURE TRAP -.. .• INSTALL FURN DUCTS i.JP TO 100.000 BTU -I EACH BUILDING SEWER I ., __ OVER 100.000 BTU I EACH WATER HEATER ANO OR VENT -BOILER/COMPRESSOR UP TO 3 HP . I -BOILER/COMPRESSOR 3 IS HP EACH GAS SYSTEM 1 TO 4 OUTLETS ,,.. ;---- EACH GAS SYSTEM~ OR MO RE I METAL FIREPLACE EACH INSTA~. ALTER. REPAIR WATER PIPE -+-VENT FAN SINGLE DUCT ----EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN (INSIDE! I TQTJ;L MECHANICAL TOTAL PLUMBING I t~~ -QTY. ELECTRICAL PERMIT -ISSUE :,,, ..... QTY. SOLAR • ISSUE NEW CONST EA AMP SWT 8KR ~ . COLLECTORS 1 PH 3 PH STORAGE TANKS EXIST BLOG EA AMP,SWT BKR ROCK STORAGE I PH 3 PH PUMP REMODEL ALTtR PER CIRCUIT PLAN CHE:CK FEE TE"1PPOLE 100 AMPS OVER 100 AMPS TEMP OCCUPANCY 130 DAYSI lOTAL ELECTRICAL I -TOTAL SOLAR ~ I CONTRACTORS PHONE • ZONE ; LICENSE NO PLAN 1.0. # BLDG USE CODE '-.. LICENSE q STANOARD PLAN# BUILDING SO. FOOTAGE J'-14 ~ DESIGNER'S PHONE 111..Jl-.u,.._~wl ~-... , . .• .L.. _ ... ..; •• NO OCC GP EDU STORIES TYPE OCC LOAO FIRE SPA CONST YO NO Noc Valid Unless Machine Cerllfted SUMMARY/ACCOUNT NUMBER ' --BUILDING PERMIT 01 ·00-00-8220 f - SIGN PERMIT 01·00-00-8221 ·-.... :_.,. I PLAN CHECK 01·00-00-8806 - TOTAL PLUMBING 01 ·00-00-8222 '-I. , . -- ELECTRICAL 01 ·00-00-8223 --~ < ~ -I . MECHANICAL 01 ·00-00-8224 r - MOBILEHOME 01·00-00-8225 MOBILEHOME PARK INSP SOLA_B 01:00-nn.o??~ ~TRONG MOTION 80-92-33-0519 -----' --FIRE SPRINKLERS 01 ·00·00·B227 PUBLIC FACILITIES FEE 32-00-00-893) BRIDGE FEE SCHOOL FEE • DISTRICT Carlsbad 80-92-21-0519 Encinitas 80-92-22-0519 San Oiegu,to 80·92·23·0519 San Marcos 80·92-24-0519 LICENSE TAX 01-00-00-8162 I ~ I -· MFF 80-92-57-0519 f \, \, -. t' CREDIT DEPOSIT -0 - TOTAL FEES PAYABLE I = r I I t I I I I I I r I I I I I I I t i I I I I I I I I f I I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'" ANO DO HEREBY Exp1rahor, E\lery permit issued by the Bu1ld1ng Ofhc,al under the prov1s,on5 of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ' I ' I J CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB1LITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Code snail expire by hmttat,on and become null and vo,d It the budding or work 5· o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by such permit Is not commenced w1th1n 180 days from the date or suet\ ~~~'::~n~ 1!1 t=~y ~~~: 1le~;h:~~,:~!hco~~:1e:te~~~~ ."8~~~1~,sr:r;.~~ or STRUCT\JRES OVER 3 STORIES IN HEIGHT APPLICANTS SIGNATURE • OWNER □ CONTRACTOR IJ APPROVED BY DATE • ' ,., J BY PHONE 0 I ,.._..r" /. ,. ,. -;'-."_-~..;:,r-- ~ u:: >-~ 0 a. E Q) 1-- "O 0 C) C ctS -~ a. a. <{ I .:,:_ C a:: 0 "' "' Q) "' "' <{ I 3 .2 a; :r "' (JI Q) u 0 a:: ctS ~ 0 ~ Q) u C ctS C LL C Q) ~ C) 0 0 Q) a. (JI C ;l; .c ~ ' TYPE I DATE INSPECTOR BUILDING f FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I r MASONRY i REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT ! I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME J SHEATHING D ROOF D SHEAR SOILS COMPLIANCE PRIOR TO FRAME j FOUNDATION INSP EXTERIOR LA TH \ ' STRUCTURAL CONCRETE OVER 2000 PSI INSULATION i PRESTRESSED INTERIOR LATH & DRYWALL I CONCRETE POST TENSIONED CONCRETE PLUMBING ' I FIELD WELDING SEWER AND BUCO DIPUCO UNDERGROUND D WASTE D WATER HIGH S1 RENGTH BOLTS TOP OUT D WASTE D WATER SPECIAL MASONRY TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR WAtER PILES CAISSor-.s i ELECTRICAL . ' D ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC I I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL f ' MECHANICAL I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS ' ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VB BEEN APf_ROv_EO. FINAL ' PLUMBING . . ELECTRICAL ~ -I -MECHANICAL I -~ . GAS ' ....... c::a.. \ '-J-r BUILDING f .... ,--SPECIAL CONDITIONS I "-~ '-''\ - I I CITY OF CAIU.SBAO INSPECTION RECORD ADDRESS:c7k P'& ~ ~ BUILDING. FOUNDATION \ ' \I a~f?~ REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME HEATHIN FRAME INSULATION .$•2-2, i:::~ EXTERIOR LATH , -)j-8S-~ INTERIOR LATH & DRYWALL 3 ·Z,7·8'~ FINAL ------------- PLUMBING ( ) SEWER & BL/CO ( ) PL/CO UNDERGROUND (v{ ~h ( ) WATER TUB & SHOWER PAN GAS TEST ( ) WATER HEATER ( ) SOLAR WATER FINAL ------------ ELECTRICAL ELECTRIC UNDERGROUND ( ) OFFER BONDING ( ) POOL FINAL ___________ _ MECHANICAL () DUCT & PLEM., ( )REF. PIPING HEAT -AIR CONO. SYSTEMS VENTILATING SYSTEMS FINAL ------------ COMPLETE BUILDING FINAL DATE: 2· ZS, 8:S&.-- CLEARED WITH GAS AND ELECTRIC DATE: -------- NOTES ON REVERSE SIDE ..... .