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Home My WebLink About2604 VIA BOCAS; ; 84-582-493; Permit.,, z 0 ~ a: • _, 0 "' 0 II: I[ 0 0 a: "' 0 ... 5 • ii "' z ~ z 0 .: < .,, z "' 0. :I! 0 0 .,, a: ... " a: 0 3 tl O 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. Ltc No ------Clm I riereby affirm that I •m exempt from 1he Conlrac· tor's LJcense Law tor the lollowing reason (Sec 7031 S Business and Professions Code. Any city or county which re· Quires a permI1 to construct aller improve. demohsh, or r·epair any structure. pnor to 11s issuance also requires !heap~ phcanl for such permit to file a signed statement tha1 he ,s licensed pursuant to the prov1St00S ol lhe Contractor's License Law (Cnapter 9 commencing with Section 7000 01 o,v1s1on 3 at the Business and ProfesstOns Code} or I hat 1s ex· empt therefrom and lhe basis for the allegeo exemption Any v.otat1on of Sectt<tn 7031.5 by an apphcant lor a permit sub· iects lhe apphcan1 lo a c1v1I penally ol no! more lhan ftve hun- dre<l dollars ($5001 I. as OW"ner of lhe property, OJ my employees w11h wages as their sole compensal.lon. will do the work. and the struc- ture Is not intended o, offered lor sale (Sec 7044, Business and Professt0ns Code The Contractor s license Law does not apply 10 an owner of propeny who builds or improves !hereon and who does such work h,mseU or through his own employees, provided that such improvements ace not intend- ed or oUered for sale If, however. the building or improve-ment Is sotd w1th1n one year of compteflOn, the owner-builder will have the burden of prOV1ng Iha! he dK1 no! bu1kt or im- prove for the purpose ol sale) J t, as owner of the propeny, am excluS1ve1y con1rac11ng wnh licensed contractors to construct !he projecl (Sec 7044. Busmess and Professions Code'. The Con1rac1or's license Law does no! apply to an owner ol propeny who builds or im-proves thereon. and who con1racts !or each proiecls with a contractor(s) license pursuant to the Contractor s license Law) D As a homeowner I am improv,ng my home. and the loflow mg cond1t10ns exist t. The work ts being performed puor to sa~ 2 I have lived m my home tor twelve months poor to completion of this work I have not claimed !his e.xempt1on during the tast lhree years D I am exempt under Sec _____ _ B & PC. for this reason ____________ _ D I hereby affirm 1ha1 I ha.;e a cen1t.ca1e ol consen1 10 self insure, or a cer11f1ca1e ol Workers Compensation Insurance or a cenif1ed cooy thereof (Sec 3800. Labor COdel POLICY NO COMPANY D Copy ,s flied w11h the city D Certified CoPY ,s hereDy lu,n,shed CERTIFICATl OF EXtMPTION FROM WORKERS COMPENSATION INSURANCE (Ttus section nee<l not t>e completed 1t tne permit ,s to, one hune!recl dOllars IS 11:X)I or less) O I cen,ty 1hait 1n 1he performance ot 1ne *Of'k ror •hlCh !hi$ perm,1 1$ ISSU~ I sllall nol employ any person m any manner so as 10 become sut>1ect lo the Workers Compensa11on laNS 01 Ca11torn1a NOTICE TO APPLICANT If a.lier mak1n1 this Cert, hcale ol Exemp11on. you should become sut>1ec1 t? !he Workers· Compensation prov1s1ons of !he LaOOr Code you must torth1A 11h compl'r' w11h sucri prov1s,ons or iri,s perm,1 snau De deemed ,e.,,okeo O I hereby aftum lhal there ,s a cons1ruc11on 1endmg aoencv tor !he performance ot 1ne wo~ 10, wh,ctl m,s permit ,s •ssued ,Sec 3097 c,y, Cooe1 Lencter s Name ___________ _ Lenoe, s Aoo,ess __________ _ USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Calrfornra 92008-1989 (619) 438-5525 t ; I I I I I I I I I : ~ AZo1/-\/, 4 150 c,~ AV ST AO NEAREST CROSS ST. 1°;~4:LleT?I BUSINESS LICENSE" 7vqu~7:; {) PERMIT N;s; / , ,!--P..Z'.2 BLOCK I ~eo, v•s•g,,N I AssEs~R PARCEL NO. _,.,.... CONTRACTOR CONTRACTORS PHONE. zoNE 9H '5~ • °Mr;;f-= I'-/ -.,,,/. =:> I(; / '-4 \,;}. '18t Q'5 7 NJ ' ~,, : OWNER"S NAME 1 OWNER'S PHONE ,/ : ~ ,,,::, /..f Id A I CJ,,.,/) J Co I / ' CONTRACTOR'S ADO RESS ~, LICENSE NO PLAN 1.0.,; BLOG USE CODE , OWNER'S MA , NG "'""RESS I · ', ,.-,-1 OESIGNER LICENSE ~ STAN DARO PLAN# BUILDING SQ. FOOTAGE I ,, ,! -• ,. /l--1 /_ ::::-"I 1 OESCR~N OF WOf}K ,;7 , -< I <. L " •• • { (P (.__,I 1 / -, n,, ,f\ nru, :5.P ,-}/ ,/i.AI'\., WA-,€_ oEsrGNrn·s AooREss □EsrGNER's PHONE " ... ,. r ·rr I ... L __________________ ..,. ________ _ I --F'P FLA ELEV. NO OCCGP EDU STORIES 1 vO NO --1,_ _____ ,.... _______________ .,.. _____ ...._ __ ~..:::....__.:..::::...._ __ --l_------+----+----+-----..J I j_J / J AREA CONST CENSUS TRACl I GP LAND USE I PARKING SPACE 1 RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPP '7......, 1) y O N O vO ,.Q -v□ NO Not Valid Unless Machtne Certified I I QTY. PLUMBING PERMIT. ISSUE ,;;,:_ QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER I --~~ I EACH FIXTURE TRAP ':_ .. ,_f. INSTALL FURN DUCTS uP TO 100,000 BTU BUILDING PERMIT 01-00·00-8220 , .-~ I EACH BUILDING SEWER (,.. OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 1 i EACH WATER HEATER AND OR VENT _,, 801LER/COMPRESSOR UPTD 3 HP PLAN CHECK 01-00-00-8806 •• "'-' ·_,,.. ,_\-_- I EACH GAS SYSTEM 1 TD 4 OUTLETS ":,, , BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 -'-" ( • r I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 ' ., I - : EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SING LE DUCT I MECHANICAL 01·00·00-8224 f -• J I I I EACH VACUUM BREAKER --MECH EXHAUST HOOD DUCTS MOBILEHOME 01·00·00·8225 1 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP • I I t I I EACH ROOF DRA,N (INSIDE! SOLM.._ _Ql·00·0.0-<l.lo,o~o•--1------------,...I 11---~-------_______ _.__ _____ _,, TOH,L MECHANICAL STRONG MOTION 80-92-33-0519 .., / : TOlAL PLUMBING I r I" ~ -FIRESPRINKLERS 01-00·00-8227 ---- 1 PUBLIC FACILITIES FEE 32-00·00·89ll ' r ' QTY. ELECTRICAL PERMIT -ISSUE -QTY. SOLAR -ISSUE , ~ BRIDGE FEE ' I ', NEW CONST EA AMP SWT BKR • ~ COLLECTORS SCHOOL FEE -DISTRICT :f----t---1 _P_H _________ 3 _P_H ____ --+----------l!--+S_TO_R_A_GE_TA_N_K_S ___________ -+-___ ...:..__~1---C:::a::.:rl.:::sba:::.::..d ______ , _ _:8~0:..:·9~2c..!·2:..:_1___::·0:=.5.:..:19'........I ________ -J 1 EXIST BLDG EA AMP SWT BKR ROCK STORAGE Encinitas 80-92·22-0519 I I I I t e I I I I I I I I I I 1i----t-------------::-:,--------t------,l------t-----------------+--------11----==:..:c.:::.:._ ______ __:.:....:.:....:.:....:::..:.:::.....j ________ ---J : 1 PH 3 PH_ __ PUMP San Dreguilo 80-92·23-0519 ; REMODEL ALTER PER CIRCU1TLlL.~ ,-•i .lC: V PLAN CHECK FEE San Marcos 80·92-24-0519 ! TEMPPOLE ?OOAMPS ....... v VVI I I OVER 700 AMPS • -LICENSE TAX 01-00-00-8162 '.1 ' I I I I _l___ TEMP OCCUPANCY 130 DAYSI MFF B0-92-57-0519 "< - CREDIT DEPOSIT -~. -, ')° TOTAL ElELlRICAL I -. ' • TOTAL SOLAR TOTAL FEES PAYABLE I ' • I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Exp1tat1on Every permit 15sued bylhe Butldtng Offtctal und"' lhe prov15,ons of th'5 * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE ;~~~r~~:~' i;~~~hb~~,';,'IIII~;•~~I8c"odmi:n~~.;';,~ r:.:~~nn~&"o°d~yl~ /,';,",,,b1':;~d~~?e ~t ;i~~ 5 o· DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,r or ,f the butldtng or work aulhonzed by such perm,t ,s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON ~•b!!!a~n~do:!!n'.!ed=••~•~n~v1t:!.!m~e~a:!.!fte!!r..!th!!!e;_.:w~o:!!r~k..!:1s..!c~o:'.!:m!!!m~e!!!nc:!:e~d..!!fo:!!r..!ac.1o~•e:!.!nod~o~lc..!l.280~d•!l'"'.i..._<_--1,---------------------""""'1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . 0 Q APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANTS SIGNATURE • OWNER CONTRACTOR ' DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE . BY PHONE D I GRANTING OF THIS PERMIT ,-/ , ,-,. , • ? r - Q) u:: >-~ 0 a. E Q) I-- I "O 0 0 C: "' u a. a. <I: I -"' C: a: 0 (/) (/) Q) (/) (/) <I: I i: .2 a; >- (/) (/) Q) u 0 a:: "' iii 0 ~ Q) u C: "' C: LL C: Ql ~ 0 0 u Q) a. (/) C: ~ .c. ~ TYPE i DATE INSPECTOR BUILDING l FOUNDATION I REINFORCED STEEL : MASONRY l GUNITE OR GROUT l I FLOOR & CEILING SUB FRAME I SHEATHING □ ROOF □ SHEAR FRAME : EXTERIOR LATH ! ' INSULATION ) INTERIOR LATH & DRYWALL : PLUMBING r SEWER AND BUCO D IPUCO ' UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN ' GAS TEST I □ WATER HEATER □ SOLAR WATER ' ELECTRICAL ' □ ELECTRIC UNDERGROUND □ l!JFFER ROUGH ELECTRIC ' I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING D POOL I ' ' MECHANICAL f □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS ! I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VB BEEN APPROVED. FINAL ! I PLUMBING f ELECTRICAL I ~ ~\.) MECHANICAL l --~ GAS I \~ ! ..... ~ BUILDING I . "- SPECIAL CONDITIONS ~ V) -" FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ 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 SOL TS SPECIAL MASONRY PILES CAISSONS CITY OF CARLSBAD LOT # £/.9-3 INSPECTION RECORD ADDRESS: 77 2 !d?q/~ ~ BUILDING. FOUNDATION t • \la:@< • IU:INFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME SHEATHIN FRAME INSULATION '3 •Zt·8~~ / EXTERIOR LATH cf• f ~c;~,a; INTERIOR LATH & DRYWALL 3·7.1·!€~ FINAL -------------· PLUMBING ( ) SEWER & B PL CO TUB & SHOWER PAN GAS TEST ( ) WATER HEATER ( ) SOLAR WATER FINAL ------------ ELECTRICAL ELECTRIC UNDERGROUND ( ) OFFER BONDING ( ) POOL FINAL ------------ MECHANICAL () DUCT & PLEM., ( )REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS FINAL ------------ COMPLETE BUILDING FINAL DATE:7.z5•~~ CLEARED WITH GAS AND ELECTRIC DATE: -------- NOTES ON REVERSE SIDE ..... .