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Home My WebLink About2320 VIA CLEMENTE; MP; 82-204; Permitrn z 0 ;:: C a: C _, 0 UJ 0 a: t,1 hereby affirm that I am licensed under o lslons of Chapter 9 (commencing with t; [ tlon 7000) of Division 3 of the Business c and Professions Code, and my license Is In ~ full force and effect. z L,c No _______ Class 0 (,) a: UJ 0 .,J 3 ~ UJ z ~ z 0 ;:: ~ z UJ Q.. ~ 0 0 rn iz:: UJ :,,:: a: 0 3 ![ I hereby affirm that I am exempt from the Con- ~~o;·~~~~;:: ~w ~f~~,:~~~8:~1(~r county which requires a permit to construct alter, improve, demolish, °' repair any structure, prior to its issuance also requires the apphcant tor such perm,t to file a signed statement that he 1s licensed purs~t 10 the provisions of the Con· 1ractor's License Law (Chapter 9 commencing w ith Section 7000 of 01v1s1on 3 of the Business and Pro- fesst0ns Code) °' that ,s exempt therefrom ilOd the basis for the alleged exemptK>n Any v10la11on of Section 7031 5 by an appliC¥1t for a permit subjects tne apphunt to a c1v1I penalty of not more than five hundred dollars (S5001. □ I, as owner of the property, Of my employees .,,,1h wages as their sole compens.atron, will do the w()f1(, and the structure ,snot intended or offered for sale {Sec 704,,4, Business and Professions Code The Contrac1or·s License Uw does not apply 10 an owner of P(J?P8rfY who builds Of improves thereon and who does such w~ himself Of lhrough his own employees. provided that such 1mp<oveme;,ts are not ,ntende1 or offered for sale II, however, the building or improvement 1s sold within one year of complet,on, !he owner-builder w,11 have the burden of proving that he did not build or improve tor the purpose of sale) □ I, as owner of the property, am exclus,._ely contractin9 with licensed contr~tors to construct the proJect (Sec 7044, Business and Professions Code The Contractors License Law does not apply 10 an owner of property who builds or improves lherl!On, and who conlracts fOf each proJecls with a contractOf"{s) license pursuan1 to 1he Contractor's. License Law) 0 I am exempt under Sec _ ___ , B & PC tor this reason __ D I hereby atftrm th.at I h.a•e a cert1f1cate of consent to self-insure. or a cert1f1ca1e of Wonters· Compensation Insurance. or a cert1lted copy ttlereof (Sec 3800. Labor Godel POLICY NO COMPANY "1 Copy IS hied with the city ~ O Cert1fted copy 1s nereby lurni;:J,) CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 11 the perm,1 1s tor one hundred dollars ($100) or less) 0 I cen1ty that in the performance of the we>fk tor which this permit 1s issued. I shall not employ any pe<son in any manner so as to become sub1ec1 10 lhe Wor1'.ers· Compensation Laws ot Galltorn1a NOTICE TO APPLICANT If. afler makm~ 1n1s Ceni hcate of Exemphon. you should beeome sub1ec1 t') the Wor1'.ers· Compensal1on prov1s1ons ol 1ne UbOr Code. you must tonhw1th comply with such prov1s1ons or 1n,s perm,t Shall be deemed revoked 0 I hereby aft.rm 1ha1 mere 1s a constrvct1on lending agency tor the pertormance or !he wo<k for wl'l,ch lh•s perm11 ,s issued (5ec 3097 C1v11 Codel Lenders Name ___________ _ Lenoe, s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD --APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAL dUILDING DEPARTMENT Ai . l ,cATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS A~g_T., o~/;~j;;1cAT10NI BUSINESS LICENSE # VALUATION PERMIT NUMBER 2320 Via Clanente M~ 21268 g,;), -- OWNER'S NAME 1 OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE • ZONE ~+ Broadnx:x>r Hanes san Diego Div. 455-6200 Broaanror Hanes 455-6200 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE 3911 Sorrento Vallev Blvd. San Dieao 92121 Same 219975 ~-r, LOT I BLOCK I SUBDIVISION l ~Ga~tt0 1~, 1-5044a'.:: DESIGNER STATE LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE er 79-27 Frank Raanacher Associates 1110 DESCRIPTION OF WORK •• . • -,,..., el.,.,.+ric --nPrlestal DESIGNER'S A00RESS 0ESIGNER•S PHONE to irrigation cmtral.le:r 17722 Irvine Blvd., Tustin 714-832-1774 --.. --F/P FLR ELEV. NO OCC GP EDU STORIES vO NO 5/20/825220 27.□( CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I I REDEVELOPMENT - GRADING ~ERMIT ISSUED TYPE OCC LOAD FIRE SPR AREA CONST YO ND v O NO vO NO Not Valid Unless Machine urtified QTY. PLUMBING PERMIT -ISSUE 7-,S<:, QTY. MECHANICAL PERMIT -ISSUE 3~ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000-4?20 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806 '- EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000·4223 '/ ·t, uo ---· EACH INSTAL, ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT 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 __ I TOTAL MECHANICAL STRONG MOTION 65·640·0519 --1 - TOTAL PLUMBING FIRE SPRINKLERS 01 ·000·4227 QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25·000-4933 ,.:},()IJ BRIDGE FEE ■ .,_JI NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT Ill.I'.~ {t PH] 3 PH ,I/~ r:; ,oc. STORAGE TANKS Carlsbad 65·623-0519 -,,, II ffisT BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65·624·0519 1 PH 3 PH PUMP San Oieguito 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 -, -- i1~00 TOTAL SOLAR TOTAL FEES PAYABLE I ~7,e>o I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every permit issued by the Bu tiding Offlc1a1 under lhe prov1s,ons o( this * AN OSHA PERMIT IS RECIUIAED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shaJI expire by hm1tatton and become null and void If the bu1fdmg or work 5· 0" DEEP 4NO OEMOl.fTION Of! CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w1th1n 180 days from the date of such STRUCT\JR£S OVER 3 STOAIES IN HEIGHT ISSUEDc TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~~n~ 1~t 1:~Y ~~~•:ff e~=~~,:~!h~~~~[~~~~ :'0:~~1~t~:rc,".~ or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLl771iQ J /.WNER0 CONTRACTO~ 4.LAPPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND 1$-JL)fJ2 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 A~~nn GRANTING OF THIS PERMIT 1<1-.,,_ ' ·v 77 2 ii: >-ro 0 a. E Q) I- I -0 0 (!) c <II -~ a. a. <( I; .,,,_ C a: 0 en en Q) en en <( I ;;:: .2 a, >- ,,; en Q) (.) 0 a: <II co D ~ Q) (.) C <II C ii: C Q) ~ (!) 0 0 Q) a. en C ~ r:. s: INSPECTION TYPE I DATE INSPECTOR -I <3d -d()Y, ' BUILDING j I FIELD INSPECTION RECORD j FOUNDATION I REQUIRED SPECIAL INSPECTIONS INSPEC TOR'S NOTES REINFORCED STEEL j I INSPECTION REQ. IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL I GUNITE OR GROUT " SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP I SHEATHING ' STRUCTURAL CONCRETE FRAME OVER 2000 PSI . PRESTRESSED EXTERIOR LATH 1NSULATION I CONCRETE I " .... ~ POST TENSIONED INTERIOR LATH & DRYWALL I .! CONCRETE . PLUMBING I I ~ FIELD WELDING -' "" SEWER AND BL/CO I HIGH STRENGTH PLUMBING UNDERGROUND ' I BOLTS PLUMBING TOP OUT ! SPECIAL MASONRY TUB AND ~HOWER PAN I GAS TEST I I PILES CAISSONS ELECTRICAL TEMPORARY POWER ---. ELECTRIC UNDERGROUND " • ' ' ~ - ROUGH ELECTRIC ELECTRIC SERVICE BONDING ', .-_,__ ... G. F. I. -SMOKE DETECTOR I MECHANICAL ! DUCT & PLEM., REF. PIPING - HEAT -AIR COND. -SOLAR SYSTEMS . VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. J ,rd~ "" ---. JOB SITE FINAL I.. '"-PLUMBING r -/I_;,. """' ... :;""'7"0 J ELECTRICAL I ,-<\I ir,.,,... il'J-~ MECHANICAL rr. I/.½\· , ., - GAS \..,.. ..... r.,· y . . .,,_ - BUILDING /"\II ,; V SPECIAL CONDITIONS . CERT,.OF OCCUPANCY ISSUED .~--11 ,....-.. ' . ~ ~