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Home My WebLink About2504 VIA ASTUTO; ; 82-339; Permit~ II) z 0 ;:: C C j irl 0 C I[ 0 0 C Ill 0 ... 5 ~ Ill z ~ z 0 ;:: C Cl) z Ill IL :::E 0 0 II) ir: Ill ><: C 0 3 i[ 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 full force and effect. Lie No _____ Class I hereby atfirm that I am exempt from the Con- ¥:~'f 8~~~= ~ ~f=~~~~i~ county which requires a permit to construct alter, improve, demohsh. or repair any structure, prior to ,ts issuance also requires the appheant for such penmt to file a signed statement that he ,s licensed pursuant to the pr0Y1s1ons of the Con· tractor's License Law (Chapter 9 commencing with Section 7000 of Div1sioo 3 of the Business and Pro- fessions Code) or that ,s exempt therefrom and the basis for the aueoec, exefflption. Any violation of Section 7031.5 by an applicant 10< a permit SYbjects me applicant to a c1vII penalty of not mo,e than five hundred dollars ($500). 0 I, as owner of the propeny, o, my employees .,,,th wages as their sole compensaition, will do the w0f1c., and the strvcture is not intended Of offered for sale (Sec. 7044, Business ano Professions Code: The Contractor's License Law does not apply to an owner of property who bu•tds or improves thereon and who does such wo,11; himself or through his own employees, provided that such imp,oveme;its are not inlende1 0< ottered f0< sale. If, ho...,_, the building or improvement Is sotd within one year of completion, the owner-builder will have the burden of proving that he dtd not butld or improve for the purpose ol sale). □ I, as owner of the property, am exclusively con1ractif\9 with tscensed cont~tors to construct the ptOteet (See. 7044, Busmes·s ~ Professions Code: The ContractOf's License Law does not apply to an owner of pr()perty who builds or improves ~~~i~ 7i~nC:~~!~~ ~~~~r~~~;::.: License Law). D I am exempt undef Sec. _____ , 8 & P.C tor th1s1eason ___________ _ 0 I hereby affirm that I have a cen1t1cate of consent to self.insure, or a cer11f1cate ot Worke1s· Compensation Insurance. or a cert,hed copy thereof (Sec. 3800, l.abO< Code) /. POLICY NO (i.)_(_~, _ -_ ~ • {JfPANY fl/ Copy IS flied with the ~ 0 Cen1t1ed CoPy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed ,I the pemut 1s for one hundred doUars ($100) or ~ss) 0 I certify that in the performance of the wortf. '°' which this pemut Is issued. I shall not employ any person in any manner so as to become subIect to the Workers· Compensation Laws of Cahtorma NOTICE TO APPLICANT If. alter mak1n1 th1s Cert, hcate of Exemption. you should become subJect t'l the Won(ers· Compensation provisions of lhe Labof Code. you must forthwith comply with such provisions or lh1s perrmt shall be deemed revoked 0 I hereby afhrm that there ,s a constructIon lend,no agency tor lhe performance of the wonc IOI' wtuch this permit 1s issued (Sec 3097. C1v1I Code) Lenders Name ___________ _ Lender's Address __________ _ 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, Callfomla 92008 {71-4) '438-5525 JOB ADDRESS V ,' I+ /dsrtA. To A~;T-1 Dx:.Oi JPJ;:;N1 zNi.itei~f VALUATION PERMIT NUMBER Z-50 t/ i:;-owi'ir . (l n I /1 °AJ..s l12.~:j;73. :5 :i;:;3; 1 ~, -f6i::lt, A* CONTRACTORS PHONE • ZONE 33/ 2i~-2?.3l: 0WN:S7/m";_RESS ~~R·sZ':ier-da /eJf~ UCENSENO. PLAN I.D. # BLDG USE COOE 39<ot,23 LOT BLOCK I SUBDtVISt~N I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE # STANDARD PLAN# BUlLDING SQ. FOOTAGE ., °/7~ ~ ,()Ill ,~ +f];.,n =ct~ cha_A)_q(!!.. Ou I DESIGNER'S ADDRESS DESIGNER'S PHONE ----F/P FLA ELEV. NO OCCGP EDU STORIES vO NO -- CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO lfJ'l "<•IW'fm l'f.,C~ine ~rtifi«I J n ( ']r <7 { ,Jt -QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT OHl00-4220 EACH BUILDING SEWER DVE R 100,000 BTU SIGN PERMIT OHl00-4221 I EACH WATER HEATER AND/OR VENT ) '7, BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS .._,,_ -BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 /0• 0-V EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000-4223 --EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000·4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01 -000-4226 TOTJ.L MECHANICAL , STRONG MOTION 65·640-0519 TOTAL PLUMBING I /0'0-V FIRE SPRINKLERS 01-000-4227 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519 1 PH 3 PH PUMP San Dieguito 65-625-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /cJl'(}r) IHAVECAREFULLYEXAMIN£1>THECOMPLETED'W'PI.ICATIOJfAliOPEAIIIIT"'ANODO , •. -~&w.ypen,litlUuecl~llle8uilding0fflcialunder .. ,-ilioMo(tllia * AN 0IHA P£AMR 18 IIEOIMED FOR EXCAVATIONS 0Y£A CERTIFY UNDER PENALTY OF PERJURY THAT AU. INFORIIIA-noN H1!AEON INCl.lJDING .. ._. .... ..,.. ~ lllnllallGft and._ null and VOid ff Ille =c:or wofll .5• tr DEEP ANO DBIOUTION al CONSTIIUCT10N OF DECLARATIONS AR£ TftUE AND CORAECT ANO I FURTHER CSQ'IFY ANO AGREE IF A ~IT 18 1rauc11 pefflllt ,a not -witl!tn 180 days front Ille ol ~ STII.IC1'I.IIES OVER 3STORIES .. HEIGHT VERN • ........ or .. ~Of WM< IIUlhM;z.cj ~ IUCh permit .. or ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GO ING BUILDING CON-.....,_ •-11111e 111e-•-tor a -or tall-. - ~ u::: >-(0 0 a. E {!!. I -0 0 (!) C: nl -~ a. a. <( I ..>< C ~ 0 (/) (/) Q) (/) (/) <( I 3: .Q a> >- "'" (/) Q) 0 0 ri. nl -;;; Cl ~ Q) 0 C nl C u::: C Q) Q) ci 0 0 Q) a. (/) C ~ .c. STRUCTION, WHETHER $P£CIFIEO HEREIN OR NOT. J ALSO MiAEE TO SAVE INDEMNIFY AND a--a.-SIQNATL WNER O CONTRACTOR 0 APPROVED~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU. LIA8IUTlflS. JUDGMENTS, 00Sl8AND ·--z O I f-(£,o~· EXPENSES WHICH "AY IN ANY WAY ACCRUE AGAINST SAIO QlY IN OONSE0UENCE Of 1'MI: ~-11 / .-BY PHONE 0 GRANTING OF THIS PERMIT. -~ I ,-V v ---, .. INSPECTION TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY ' .- GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ~OUGH ELECTRIC ; ELECTRIC SERVICE ' ... 1 BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING ~ I I I I j I . I I I I I I HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS DATE INSPECTOR CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUEQ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECT IONS INSPECTION REQ IF INSPECTOR S 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 CAISSONS - ' ... \ --- ' ' ~ ' ' ' I ' .. ' ,__ \; ~ I ~-" ' ~J-,3 37 INSPECTOR'S NOTES DATE . -"'. ' ' . -_, ' , . ,,,\_1,, ' ,·= ~ ~ ~ .;::~ ,X a --~ _, ,. . -,, • _,I . -' ,. :::; --,, l '\. r\ •• ;t .,. "" ' ' -,.