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Home My WebLink About2809 VIA DIEGO; ; 83-65; Permitu, z 0 .:: C a: C ·~ ... 0 IC I[ 8 a: "' 0 ~ 3 I "' z ~ 0 z 0 ~ z "' ... :IE 0 0 u, ii: ... "' a: 0 ~ 1[ 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 aflirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5 Busmess and Professions Code: Any city or county which re--quires a perrmt to construct, alter, improve. demolish, or repair any structure. pn0f' to_ its issuance also requires the ap- plicant for such permit to hie a 51gned statement that he is hcensed pursuant to the provtsions of the COntractDf's License Law (Chapter 9 commencing with Section 7000 01 Otv1s1on 3 of the Business and ProfessfOns Code) or that ls ex- empt therefrom and the basis for the alleged exemption. Any vlOlation of Section 7031.5 by an applicant for a perm,t sub-fetls the applicant to a civil penally of not more than fMt hun· dred dollars ($500). □ I, as owner of the property. or my employees with wages as their sot, compensation. Will do the -k. and the strut· ture Is not Intended or offered for sale (Sec. 7044. Business aod Professions Code: The Contractor's License Law does :r!:!~0 ::o ':rs~~t'=t~1~1 ~i~~:O~~fs":~ employees. provided that such improvements are not intend· ed or ottered for sale. If. however, the building or improve-ment is sold within one year or comi,ietion, the awner•builder will have the burden of proving that he did nol build or im- p,... tor the purpose of sale). □ I. as owner of the property; am exclusively contracting ~1~,:;'!'., co~!\~~~!• cc:'l:""{l,!heJ~::C/J~~~~ Law does not apply to an owner of property who builds or im-proYes thereon, and who contracts lor each proiec:ts with a contractor(s) license pursuant to the Contractor's License Law). □ As a homeowner I am Improving my home. and the follow· Ing conditions exist: • t f't:'~1~~ ~~ ~ f~ior !~"months 3. ft.!0 C::Pc':::ct°' t~l: :r!iptk>n during the last !hree years. □ I am exempt under Sec. ______ , B& P.C. for this reason ------------- 0 I hereby affirm lha1 I ha-..e a cert1f1cate of consent to sell-insure, or a cert1f1cate ot Workers :l::~nB',~~y .er I COMPANY~~ b(_Copy IS filed Wtlh the Ctty n~ D Cen,hed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (This section need not be completed ,f the pe,m,t ,s to, one hundred dollars ($100) or less} 0 I cen,ty t~t in the performance of the work fOf which nus perm,1 1s issued, I shall not employ any pe<son in any manner so as to become sub1ect to lhe Won(ers· Compensation Laws of Cahtom,a NOTICE TO APPLICANT 11. after makin, this Cert1 he.ate of Exemption, you should become sub1ect I? the WM ets' Compensation prov1s1ons ot the l...abot Code, you must forthwith comply With SUC!'l prov1s1ons or this perrmt shall be deemed revoke<l 0 I hereby affirm that there 1s a construction lending agency tor the per1ormance ot the work lor wtllCh th1S permit •S issued {Sec 3097 C1v1I COt1e) Lenders Name ___________ _ Lenders 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 (714) 438-5525 JOB AOORESS 7//40_.} ~ ~·o /.i,.{) AV. ST.I DATE OF APPLICATIONII BUSINESS LICENSE # VALUATION PERMIT NUMBER J<J.l)q RO. 21/19'1 ~;,, OWNER'S NAME /&.l>l'R_ G 7J'10:Nez;;;z3 ~~R~~ ~J/ft CONTRACTORS PHONE # ZONE &5 211/\..h 7 <J.//l ... 2,z~1 OWNER'S MAILING AOORESS Z3?itR'S2k,,A'A & ~. LICENSE NO. PLAN 1.0. # BLOG USE CODE <.Xld-m (J , ·2,q // tr Z3 LOT I BLOCK I su:D1v1s10N I ASSESSOR PARCEL NO. DESIGNER LICENSE# STANOARO PLAN# BUILDING SO. FOOTAGE 1icJn''T1):_0 RK/1..I Au A. J ("1 __ft tU1PY nt~ DESIGNER'S AODRESS DESIGNER"S PHONE V c. I ·,_ ,. ' .. --------------F/P F LR ELEV. NO OCC GP EDU STORIES vO NO I CENSUS TRACT I GP LANO use I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE ace LOAO FIRE SPA AREA CONST YO ND vO NO vO NO Noc Valid Un~s AA.chine C6rtified QTY. PLUMBING PERMIT -ISSUE -,e. QTY. MECHANICAL PERMIT -ISSUE -s(c!!_ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00·00·8221 [/ --=._,~~ EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00·8806 EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00·00-8222 j/) ~n EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 EACH INSTAl.. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00-00-8224 EACH VACUUM BREAKER MECH EXHAUST -HODO/DUCTS M0BILEH0ME 01-00-00·8225 - WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP EACH ROOF DRAIN (INSIDE) <'no AD 01-M-00-0 ""~ TOTI.L MECHANICAL STRONG MOTION 80·92-33-0519 -TOTAL PLUMBING I /V .~ FIRE SPRINKLERS 01 ·00·00-8227 QTY. ELECTRICAL PERMIT· ISSUE ?~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS I Carlsbad 80-92-21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22-0519 ) PH 3 PH PUMP San Dieouito 80-92-23-0519 REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519 TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) ' TOTAL ELECTRICAL l ~ TOTAL SOLAR TOTAL FEES PAYABLE I /0 . !;__0 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO 00 HEREBY Expfrat,on Every perm,t issued by the Building Ofhc,at under the prov,s,ons of !his * AN OSHA PERMIT IS AEQUIREO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and vo,d II the buold,ng or worl< 5' 0" DEEP ANO DEMOLITION 0A CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such permit 11 not commenced within 180 days from tne date of such STRUCT\JfES OYER 3 STOAl£S IN 11£1GHT ISSUED: TO COMPLY WITH ALL CITY, COUN1Y AND STATE LAWS GOVERNING BUILDING CON =~ '~, ·:~y ~,:::,~.~~,.:c:.'!,:~!"=.!:l:i~~ r..:.i::~·~·=-~ or_ STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ?.L , :!!,:-OWNER □ CONTRACTO;}fl APPROVE~ DATE , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO A?PLI ANT S}GNAT E .. I -r.. Jf .... ~J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ·-~ _.., BY PHONE 0 GRANTING OF THIS PERMIT. ~ , -II ~ u:: >, ffl 0 a. E Q) I- -0 0 C, C: <11 .2 C. a. <i: I -"' C ii: • I 0 u, ~ u, u, <i: I ~ .2 a; > ui u, Ql 0 0 a: <11 co 0 §: Ql 0 C <11 C u:: C Ql ~ C, ~ 0 Ql a. u, C , I ~ :c 3: ... -· .. .. ------INSPECTION TYPE DATE INSPECTOR - BUILDING r FOUNDATION - REINFORCED STEEL ' - MASONRY • GUNITE OR GROUT FLOOR & CEILING SUB FRAME I SHEATHING FRAME EXTERIOR LATH lNSULATION -INTERIOR LATH & DRYWALL I PLUMBING ' SEWER AND BL/CO ' I ' PLUMBING UNDERGROUND I ' . PLUMBING TOP OUT r. TUB AND $HOWER PAN I I GAS TEST I ' ' ELECTRICAL I -. TEMPORARY POWER I ELECTRIC UNDERGROUND I ROUGH ELECTRIC ELECTRIC SERVICE . . BONDING I 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 HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS -CERT OF OCCUPANCY ISSUED . ' '\ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION REO. 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 I BOLTS SPECIAL MASONRY PILES CAISSONS ' . I - V " -I ' . ~ ., -. r-- ' .. . , .. INSPECTOR"S NOTES ~ ' , •· - ' I -,_ - . ' .. .. ' \ .' . , -~ ' i~"""t> - ~ II " I . ... .. ~ - \ . ~ ,. ~ ·~ . I~ ,, •