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Home My WebLink About2611 VIA ECO; ; 83-298; Permit"' z 0 ;:::: C GC C ~ u .., 0 C I[ 0 u GC ... 0 ~ 5 ~ ... z 3 0 z 0 ;:::: ~ z ... IL 2 0 u "' a: .., >' GC 0 3 ir 0 I hereby affirm that I am licensed under p,ovlalona 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 alflrm that I am exempt from the Contrac· tor's License Law lor the following reason (Sec. 7031.5 Business and Profes5jons Code: Any city or county which re-quires a permit to construct, aJter, Improve, demolish, or repair any structure, prior to its Issuance also requires the ap-plicant 10< such permit to 1,11 a signe<I statement that he Is licensed pursuant to the provisions o1 the Contractor's License Law (Chapter 9 commencing with S.CllOn 7000 ol Division 3 of the Business and PrOfassions Code) or that is ex- empt therefrom and the basis lor the alleged exemption. Any vIolatIon of Section 7031.5 by an applicant fo, a permit sub- jects the appf,cant to a civil penalty ol not more than live hun· dred dollars ($500) D I. as owner of the ptoperty, o, my employees with wages as their sole compensat,on, will do the work. and the struc- ture Is not Intended or ottered Jo, sale (Sec. 7044, Business and Professions Code: The Contracto,'s License Law does not apply to an owner ol propeny who builds 0< Improves thereon and who does such -k himselt o, ttvoogh his own employees, provided that such imprOYements are not Intend- ed 0< ottered tor sale. II, however, the building o, improve-ment is sokl wilhin one year ot completion, the owner-builder will have the burden of proving that he dtd not build or im- ptove for tile purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Con1ractor's Lk:ense Law does nol apply to an owner of ptoper1y who builds o, im-proves thereon. and who contracts lor each projects with a contractor(s) lttense pursuant to the Contractor's License Law). D As a h-ner I am Improving my home, and the follow· ing conditions exist: 1. The WOfk is being perl0<med ptior to sale. 2. I have lived in my home for twelve months 3. r~v~ :'~!~ t~i~ =~ption during the lasl three years. D I am exempt under Sec. ______ , 8 & P.C. tor this reason ____________ _ 0 I hereby affirm that I ha-.-e a cer11hcate ol consent to sell-msure, or a certificate ot Workers· Compensation Insurance, Of a certified copy tnereof (Sec. 3800, Labor Code) POLICY NO ______ _ COMPANY O Copy 1s hied w,tn 1he city D Certified copy ,s hereby furnished CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed 1f the permit 1s to, one hundred dollars {S 100) or less) D I cer11ty that 1n the performance of lhe woni. IC>f wh,ch th,s permit ,s issued, I shall not employ any person in any manner so as to beeome sub,ect to the Wot1c.ers· Compensalion Laws of Catiforn,a NOTICE TO APPLICANT If. after makin~ tn1s Cen1 hcate of Exemption, you snould beeome sub1ec1 t-:> the WOf'kers· Compensation p,o..,1st0ns ol the Labof Code. you must fO<thw,tn comply with such prov1s1ons or this permit shall be deemed revoke<J D I herebv athrm in.at there 1s a conslruchon 1end,ng agency tor the perlormance ol the wof°lt. tor which ll'HS perm,t 1s ,ssued ISec X87. C1v1I COde) Len<Jer s Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad_. California 92008-1989 (619) 438-5525 JOB ADDRESS ,7,~L_l 1//q £Co rs~. A~;T,I D6~F~~_;ON BUSINESS LICENSE # ,;/41 SI VALUATION OWNER'S NAME £0rSO\f\ Se. Cv,S>i-l <-f ;;~•s;;'l w v1r:T:CT6row ~ OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS s c;t il"C-L.2"9? S/qft! LOT 1 BLOCK I SUBDIVISION 1 ASSESSOR PARCEL NO DESIGNER I DESCRIPTION OF WORK G C\ .S t2. e 1 (2«; y--I DEs1GNER's ADDREss ---1 F/P F LA ELEV. vO NO CONTRACTORS PHONE • fJ /(,I u,/,, '"" 5f, -,,:;~se;;290 ~ STORIES LICENSE• OESIGNER"S PHONE OCCGP EDU ZONE PLAN I.D. # STANDARD PLAN # li~E:MIT NUMBER c21JJ BLOG use CODE BUILDING SO. FOOTAGE CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING ~ERMIT ISSUED LREDEVELOPMENT I I TYPE AREA CONST OCC LOAO FIRE SPA 6/~B ~l467'b 10~0 1-0 ~ 'J YO NO YO NO vO NO l fvo, ""id 'bmess Af,/H,~ ~rlin«I QTY.I PLUMBING PERM~SUE I -J e-! QTY.I MECHANICA~RMIT • ISSUE I -z.--SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP '\. I 7 I I INSTALL FURN. DU CTS UP~ 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 EACH BUI LO ING SEWER OVER 00,000 BTU SIGN PERMIT 01-()0·00·8221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 H EACH GAS SYSTEM 1 TO 4 OUTLETS 1'._ I ! BOILE.R/COM~RESSOR 3-15 HP =::::s: EACH GAS SYSTEM 5 OR MORE I "" . . I I METAL FIREPLACE ==:::'\.. EACH INSTAL .. ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT ' EACH VACUUM BREAKER I ....... , I MECH EXHAUST -HOOO/OUCTS """ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER 1, PLAN CHECK 01 ·00·00·8806 TOTAL PLUMBING 01 ·00·00·8222 ELECTRICAL 01 ·00·00·8223 MECHANICAL 01 ·00·00·8224 MOBILEHOME 01·00·00·8225 MOBILEHOME PARK INSP -- / ('J -- EACH ROOF DRAIN (INSIDE) SOLAR 01 ·QQ·QQ·8226 TOTt.L MECHANICAL STRONG MOTION 80·92·33·0519 TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00·8227 QTY. ELECTRICAL PERMIT · ISSUE s--QTY. SOLAR • ISSUE PUBUC FACIUTlES FEE 32·00·00·8923 BRIDGE FEE NEW CONST EA AMP/SWT/BKR I II I COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH I II I STORAGE TANKS Carlsbad 80·92·21-0519 EXIST BLOGEAAMP/SWT/BKR I II IROCKSTORAGE \ - 1 PH 3 PH I II I PUMP =:s:: Encinitas 80·92·22·0519 San Dieguito 80·92·23·0519 San Marcos 80-92·24·0519 -bzt--""""""'" .. , """" I s I I"" ,,,,.,EE ~ I ~ TEMP POLE 200 AMPS >: OVER 200 AMPS -------1-:s: _,/ • "-TEMP OCCUPANCY (30 DAYS) ~ TOTAL ELECTRICAL ,-/6,-TOTAL SOLAR TOTAL FEES PAYABLE ] /6 - I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'" AND DO HEREBY Eopirat1on Every permit•-byl"8Bu1ldingOfficiat underllleprov,a,onaofthlS CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhall expire by limitation and become null and void If Ille building or worll DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auth~,zed by such permit•• not commenced w,t111n 1IIO days from the date of IUCh ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· ::t• or •~t:.: r:.:::::x ~r work authorized by tuch permit 11 -ded or * AN 06ttA PEflffl IS AEQUalED FOA EXCAVATION$ OVER 5' O" DE£P ANO DEM0UTlON 0fl CONSTRUCTION OF STNJCTUflES 011813 STONES IN HEIGHT STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND a • tlMt worll lS commenced for a nOd oft • KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPi.i A T'S SIGNATURE If, OWNER 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r' L GRANTINGOFTHISPERMIT. ......,r,-<~1.. "-• ~~ _ BY PHONE 0 APPROVED BY x;t DATE I(, l -1 3 ~ u:: >, :a 0 a. E Q) f-- -0 0 (.!} c "' -~ a. a. <{ I ~-~l. 0 <IJ Ul Q) Ul Ul <{ I ~ .Q ai >- Ul Ul Q) 0 0 ct "' <ii 0 §: Q) 0 C "' C u:: C Q) ~ (.!} 0 0 Q) a. Ul C ~ :c ~ INSPECTION TYPE DATE INSPECTOR . ' BUILDING FOUNDATION REINFORCED STEEL r - I 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 I I ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR ' MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS lll••JC..._ • --- BUILDING -r • SPECIAL CONDITIONS 1 --• CERT OF OCCUPANCY ISSUED ' - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTfON 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 BOLTS SPECIAL MASONRY PILES•CAISSONS ' . • ,· . . ' ~ . - " --.:. } ..;.· - Ii j I , , INSPECTOR'S NOTES I .. C ' . ,, ~ ,· I ; . ' -· . . - ~-' I ' .,,._ - i~ ... ~,~ =. -.:;..-..:.:_ ~ I 1 --..... ' -· . ·~>:: '~ : :.. ' , -: • 11:?.1, -=: ,:-,ll. II:\'~= 1:.:./f~.~ - . . . ,, '5 ' ... ;:.• ••