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Home My WebLink About2516 VIA ASTUTO; ; 81-449; Permitu, z 0 .: C Cl: C .., 0 .., 0 IC I[ 0 0 a:: .., 0 .., 5 !!! a:: .., z 3 0 z 0 .: C u, z .., Q. :lE 0 0 u, ic .., " Cl: 0 3 ll 0 I hereby\. ., m that I am llcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my llcense Is In full force and effect. lie No _______ Class I hereby all,rm thal I am exempt from lhe Con- ~~<>;'~~~:sS: ~ ~f=l~,~~(~~I~ county which requires a permit to construct alter. 1mpror,e, demohsh, or r~r any structure, pno, to its 1ssua'\Ce also requires the applicant foc such pe,m11 to hie a signed statemeot that he ,s lteensed pursuant to the prov,s,ons of the Con· tracto,'s License. Law (Chapter 9 commencing with Secteon 7000 ot 01v1s10t\ 3 or the Bus,ne~ &nd Pro- fess,ons Code) or that ,s exempt therefrom and the basis tor the alleged ezemptton Any v1olahon of Sectton 7031 5 by an apphcant to, a perm11 sut>tects tne apphcant to a c1v1I penally of not more than five hundred dolla'3 ($500) D I, as owner of the property or my employees -.1th wages as then sole compensation, will do the wOf'k. and the structure Is not Intended Of offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such wOf1il h1mseU or through his own employees. provlded Ulat such 1mproveme;its are not 1ntende1 Of offered for sale II, however. the bu1ld1ng or 1mp,ovement ts soki wnhin one year of completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose ol sale~ □ I, as ownet of the proper1y, am exclusively contract1ni with hcensed contractors to constn.,ct the proiect (Sec '1044. Business and Professions Code· The Contractor·s License Law does not apply to an owner ol property who builds or improves ~~~.~~ ~:nc~~~!~!~ ~fh~,~~~~;:.: License Law) . D I am exempt under Sec tor this reason ___ ,8 &PC D I hereby affirm that I ha·-1e a cer1,hcate of consent to self-insure, or a cer11hcate ol Workers Compensation Insurance. or a certified copy thereof (See :wio. ~~ Cooe) POLICY No wvCo-:....3az-~3~ COMPANY Ql//0 (!/15{)/Jl,i{: ~y IS hied Wtlh the Ctly □ Cer11fled copy ,s hereby furnished CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t the permit ,s tor one hundred dOllars ($100) or less) 0 t certify that ,n the pertormance ot the work tor wtnch this pemut ,s issued. I shaJI not employ any person in any manner so as 10 become sub1ec1 to tne Workers· Compensation Laws of cahforn1a NOTICE TO APPLICANT If. af1er mak,n~ ttus Cer11 ftcate of Exemption. you should oecome sub1ec1 t? the Workers· Compensation prov,s,ons of the Labor Code. you must IOr1hw1th comply with sucn prov1s,ons 0< this permit shall be deemed revoked O I hereby athrm 1na1 there 1s a construchon 1end1ng agency tor the performance of ll"le work tor wn,ch 1h1s perm11 ,s ,ssued (Sec 3097 C,v,t Coctel Lenders Name ___________ _ Lenoer·s Address __________ _ USE BALL POIN! PEN ONJJ....& PRESS HARD r ~ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANr .. l:CLARATIONS. ..... _,, CARLSBAD BUILDING DEPARTMENT \. ) APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB AO0RESS V/A A~i.T· 1 oj~:i~~cg/NI BUSINESS LICENSE # VALUATION PERMIT NUMBER ;;_c; It, /k,ru,o ~3'i7S-9.l~Y1 OWNER'S NAME llo/.Jr,:L lt13qW.:J;~N7 ~;:_,NT~//fe Prodn~k CONTRACTORS PHONE , ZONE mnR>" L. A ~ ~ -.;;i .;i.;J.I OWNER'S MAILING ADDRESS CZ3iOR'5R/~E;tda le LICENSE NO. PLAN 1.0, # BLOG USE CODE s~ .S, ), 39~G,2-3 LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER , STATE LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE 6P£?0Nm~ ~-(!,lfmJqe__tr}ff 0ESIGNER•s ADDRESS DESIGNER'S PHONE I 1.0/ 15/8 I ~16 10.11, ---. -. F/P FLA ELEV. NO OCC GP EDU 0001 !i 16 10115/81 STORIES ti1.'1 vO NO -- CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND v O NO vO NO Not V~lid Unlt!ss Machine ~rtifil!d QTY. PLUMBING PERMIT· ISSUE ?-,sD QTY. MECHANICAL PERMIT· ISSUE -~. l)O SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. 0UCTS UP TO 100,000 BTU .RUILDING PERMIT EACH BUILDING SEWER OVER 100,000 BTU -. ./ SIGN PERMIT I EACH WATER HEATER ANO/OR VENT l--o1 ~ BOILER/COMPRESSOR UP TO 3 HP L--i". PLAN CHECK EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP J. TOTAL PLUMBING /4--~ EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE -<' EL~RICAL ---.,_::, -_,/4,ECHANICAL EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE 0UCT r/' EACH VACUUM BREAKER MECH EXHAUST -HOO0/0UCTS /\.. r'-.,. .. f7 MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER X \ MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) I\ <:L... \ I SOLAR - TOTt.L MECHANICAL A......, d V _r{. STRONG MOTION TOTAL PLUMBING I Jo .-,..\ J ,~ \ FIRE SPRINKLERS ,:J. ()/) SOLAR • ISSUE \) \ ~\ n v PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. BRIDGE FEE NEW CONST EA AMP/SWTi BKR COLLECTORS '-K SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San D1egui10 REMO0ELIALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS . OVER 200 AMPS - TEMP OCCUPANCY 130 OAYS) - TOTAL ELECTRICAL 1-TOTAL SOLAR TOTAL FEES PAYABLE I /6 . -- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT"' ANO DO HEREBY Expiration Ew,ry perm,t mued by the Bu1ldtng Off1c11I under the prov1s1on1 of this * AN OSHA PERMIT IS REQUIAED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shatt exptre by hm1t1t1on and become null end void If the bu1ld1ng or work 5' 0" OEEP ANO DEMOUTION OR CONSTRUCTION Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such perm,t 11 not commenced vw1th1n 180 days from the date of such STRUCTUMS OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUN~ AND STATE LAWS GOVERNING BUILDING CON-~~:i'o!., l~I 1:~Y 2:r.:::•J.,°';,,:'!,~,:~!':~~.:J~~~7 ;"':0;:,i'~t"~~~ or STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , T~ 0 CONTRACTOR ti-,,.APP~ 1/;-,s--!/ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AN:~APPLIC:NT S SIGNATURE 0,NER EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE A , A'.KL J BY PHONE 0 GRANTING OF THIS PERMIT. 'J A ~ ~ ~/7 0{7r' -u ~ LL >-;;; 0 a. E Q) f- l 'O 0 CJ c (1) 0 '5. a. • ct: .:,,:: C a: 0 "' "' Q) "' "' ct: I ~ 0 -a; >- ,,; "' Q) 0 0 ct (1) <ii 0 ~ Q) 0 C (1) C LL C Q) ~ CJ 0 u Q) a. "' C ~ .c. s: