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• 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
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~~rce ,ra~f~8 Class C3 6
I hereby alhrm that I am exempt from the Contrac-lof' s L,cense Law ID< lhe lollow1ng reason I Sec 7031 5
Business and Professions Code Any c,1y or county wh1cli re·
Quires a permit to construct. atter, improve. demohsh, oc repair any structure. prior to its issuance atso requires the ap-
phcanl !OJ such permit to tile a s,qned statemenl ltlat he 1s lttenseel pursuant to the prov1s10ns ot the Con1rac1or·s License law (Chapter 9 commencing with Sectt0n 7000 of Oiv,s1on 3 of the Business and Prolesswns Code) or lhat 1s ex·
empt therefrom and the basis tor the al1egeo exemp110n Any v,CMahon of Section 7031.5 by an applicant for a perm11 sub· 1ec1s the applicant 10 a c1v1I penalty of not more than five hun·
dred dollars ($500)
I, as owner of the property, or my employees with wages
as thetr sole too1pensahon. wlll do the work. and rhe slruc-lure 1s not intended or offered tor sale ( Sec 704◄ Business and Profess10ns Code The ContractOf's Ltcense Law does
not apply to an owner of property who builds or improves
thereon and who does such work tumself or through his own employees. provided that such improvements are not intend·
ed or ottered for sale 11, however, lhe buikhng or improve-ment 1s sold w1lh1n one year of completion. !he owner-builder will have the burden ot proving thal he did not butld or im-
p,ove lor the purpose of sale)
D I, as owner ot !he properly, am exdus,vely contracting
with licensed contractors 10 construct the pro1ect (Sec 704◄, Business and Professions Code; The Contractor's license Law does not apply to an owner of property who builds or im-
proves !hereon. and who contracts lor each pro,ects w11h a
contractDf(S) hcense pursuant lo the Con1ractor's License Law)
n As a homeowner I am tmproving my home, and !he lollow ing cond11tons exist.
1 The work 1s being perfOfmed prior 10 sate 2 I have hved in my home for twelve months pnor 10 complellOn of !his work.
3 I have not claimed this exemption during lhe last lhree years
~r /h~:r:;~t under Sec ______ • B& PC ----------
CJXhereby affirm !hat I hao1e a cert1tica1e ot consent
to self insure, or a cert1t,cate ~I Wo ers Compensation Insurance. or a cert1t1eo c v e1eot
!Sec 3800. Labor Codet
POUCYNO 'K:621698048
coMPANY Mary land Cas 1 t y
(]}top., IS hied With the city
D Cert,hed copy Is hereby tum,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSAolON INSURANCE (Th,s sec11on ne,ea nol be completed 11 !he perrrut
1s to, one hundred dollars {S 11)0) or Jess)
D I certify that 1n tile performance of tne work ro,
which this pemut Is 1ssuect I shall not employ any
person In any manner so as 10 beeome subJeCI 10
the Woril.ers· Compensa11on Laws ot Ca11torn1a
NOTICE TO APPLICANT If. after makm:J 1t11s Cert,
ltcate of Exemptton. you snouI0 t>eco~ sub1ec1 I'>
the WM ers· Compensalton prQ'tlIsIons ol me Lat>or
Code you mus! lorth..,_,11h comply with such
provIs,ons o, this permit shall be oeemed relfokeo
O I hereoy affirm 1hal Ihere •S a consI,ucIIon
lending agency tor !he performance ot lhe won. 10,
which this permit 1S tSSue<l tSec 31YJ1 C1v1I COOe1
Lende, s Name None
Lenders Ad0ress __________ _
USE BALL POINT PEN ONLY & PRESS HARD -. --...... . •• -· -. -····---. ·-·· •• APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
. CARLSBAD BUILDING DEPARTMENT .. I APPLICATION & PERMIT ( I i?O
• , 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 ~
JOB AOORE~S AV ST RO. NEAREST CROSS ST IOATE OF APPLICATION I BUSINESS L1Cf1~ VALUATION ---•;,AMIT NUMBER
2813 Via Clarez • , Avd. Carrio 5/7/85 I 8177 1<f 5'::) ·1)
LOT I BLOCK_ I SUBOI VISION..... I ASSESSOR PARCEL NO CONTRACTOR • CONTRACTORS ~ONE. ZONE -, LU I
owNER·s NAME : . -..
1
owNER's PHONE Arlen ~oster Plurnbinq 697-4151 'f' -, 1
Randall Thill • ► \ 729-4604 CONTRACTOR s ADDRESS LICENSE NO PLAN 1.0.,; BLOG USE CODE
owNrn·s MA uNG AooREss 2819 Central Ave. 443348
2813 Via Clarez DESIGNER ucENsE,, sTANoARo PLAN" Bu1w1NG so. FOOTAGE
DESCRIPTION OF WORK water Heater Replacement DESIGNER'S AOORESS DESIGNER'S PHONE
►-----------------+----.,...------'! • -F/P FLRELEV. NO OCCGP EDU b/·1//bl ,&b 10.0· STORIES U ,. •· • . e • v□ NO --O~Ulbu~b ~121195 ~o~n ,__ _________ ....,. _____ ,.... _____________ ~-=--==-----+----+-----+----4--------1 " -
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPA ...
AREA CONST
y O N O v O NO v O NO Not Valid Unless Machine Certified t----,r--_.....,_ ____ __._ ____ ...,..._ ___ .....,__---, _____ __._ _____ __,___"""'T"" _ _.__ __ ___,_ ___ .....__ __ '----JL---------------.----i
QTY. PLUMBING PERMIT -ISSUE ff/ 5B--QTY. MECHANICAL PERMIT· ISSUE 5 -SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO )00.000 BTU BUILDING PERMIT 01·00-00-8220
EACH BUI LUING SEWER OVER l00.000 BTU SIGN PERMIT 01-00·00·8221
1 EACHWATERHEATERANOORVENT $2 .50 BOILER/COMPRESSORUPT03HP ~V PLANCHECK 01·00·00·8B06 -
EACH GAS SYSTEM l TO 4 OUTLETS 801LERICOMPRESSOR 3->5 HP ~ TOTAL PLUMBING 01·00·00·8222 $10. 00
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE __,,,..,,.. ELECTRICAL 01-00·00·8223
EACH INSTA~. ALTER, REPAIR WATER PIPE __ VENT FAN SING LE 0~ MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER MECH EXHAUSJ/'tiOOO DUCTS MOBILEHOME 01-00·00-8225
WATER SOFTNER RELOCATIOi'fOF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I ,NSIDEI SOLAR 01-00-0Q-An~
1---'-------------~---'-~ TOTJ;L MECHANICAL STRONG MOTION 80·92·33·0519
TOT Al PLUMBING I s1.~o -FIRE sPRIN~Lrns 01-00-00-8-22_1 ________ -i
~ PUBLIC FACILITIES FEE 32·00·00·89ll QTY. ELECTRICAL PERMIT • ISSUE _,, QTY. SOLAR -ISSUE ~ • BRIDGE FEE
NEW CONST EA AMP swr BKR COLLECTORS -SCHOOL FEE . DISTRICT
l PH 3 PH _,,..--STORAGE TANKS ~ Carlsbad 80-92·21-0519 ~
EXIST BLOG EA AMP·SWT BKR ~ ROCK STORAGE _/ Encinitas 80·92·22·0519
l PH 3 !!)Y"" PUMP / San D1egu1to 80-92·23·0519
REMODEL ALHR PER~CUIT PLAN CHECK FEE / San Marcos 80·92·24·0519
TEMPPOLE 70~S _/
OVER 200 ¢5 /-,,<----------+---LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI / MFF 80-92-57-0519
CREDIT DEPOSIT
TOTALHECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I $10 .00
I HAVE CARE FULL y EXAMINED THE COMPLETED • APPLICA T!ON AND PERMIT" AND DO HEREBY Expiration Every permit issued by the Bu1ld1ng Off1c1al under the prov1S1ons ol this * AN OSHA PE!WiT IS REOUlf!ED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm,lahon •nd become null 8nd vo,d If th8 Ouild,ng o, work 5· 0" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARA110NS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorized by such permit'" nol commenced wi!h,n l80days t,om lhe dale of such STRUCTURES OVER 3 STORIES IN HEIGHT permit. or 1f lhe building or wort< authorized by such permit Is suspended or
ISSUED TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON· L.!!ao~an~do:!!.n!!ed::!_!at~•~n~iv...!:lt:!!m!!e-!!a:!!fte!!r..!t~he~w!!:o~r!.k.!=,s~c~o:!!m~m!!!e~nc!:!e~d...!:fo~r..!.a~oe=1r1~0d~olc..:1~80=da!JIV~,s--,---r-------------,.-------,,-,----"""I
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND O 'Q' APPROVED BY ;! Di KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL· LIABILITIES, JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE Jf, OWNER CONTRACTOR 'f\
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE # . 4 /) I BY PHONE D I 1 f"'J
GRANTING OF THIS PERMIT )<:JL ,-r.-t "fr tC,.-rl .'Z~u / 1 • "'_ ··-'7', i/ ( 0
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TYPE I
BUILDING I
OUNDATION I
iEINFORCED STEEL I
AASONRY I
iUNITE OR GROUT I
LOOR & CEILING SUB FRAME I
F,
R
M
G
F
s
F
HEATHING D ROOF D SHEAR
RAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □IPL/CO I
UNDERGROUND D WASTE D \/¥ATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
DATE INSPECTOR
.
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE. BEEN APPRQVED.
FINAL I ' PLUMBING I ~· ' ELECTRICAL I ;\J \.V'-'
MECHANICAL I " \ '\. 4 \a
GAS I '" \ \\....\
BUILDING I'\. (' " -I
SPECIAL CONDITIONS I \~ " ' " I
g, s , Li'l.f '6
~ -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE "
FIELD WELDING
HIGH STRENGTH • BOLl'S
SPECIAL MASONRY
PILES CAISSONS
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