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Home My WebLink About2805 VIA DIEGO; ; CB880237; PermitIC I[ 8 "' z 0 • ~ a: C ... () "' . 0 IC "' 0 ... 5 I "' z ~ 0 z 0 s z "' 0.. :f 0 () "' ilc "' ~ a: i i[ O I hereby affirm that I am licensed under provlalona 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 lrom Ille Contrac- l0<'s License Law 10< Ille following reason (Sec. 7031.5 Business and Prolesslons Code: Any city o, county which re-quires a pemut to construct, alter. improve. demofish, or repair any structure. prior to its issuance also requires the ap-plicant for such permh 10 file a signed statement lhal he Is licensed pursuant to tile provIs1011s DI lhe Contractor's License Law (Chapter 9 commenclnq with Secl,on 7000 of Oiv1s,on 3 of the Business and Proless,ons Code) or that ts ex-empt therefrom and tile basis for lhe alleged exemption, Any violalion of Sect,on 7031 .5 by an applicant for a permit sub-j<ols tile applicant to a civil penalty of not more than five hun-dred dollars ($500). □ I, as owner ot Ille property, or my employees with wages as their soie compensation, wttl do the work, and the struc- ture rs not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contraclor' s License Law does not apply to an owner ol property who builds or improves thereon and who does such work himself or through his own employees. provided that such Improvements are not Intend· ed or offered for sale. If, however, tile building or Improve-ment is sold within one year ol completfOn, the owner-builder will have lhe burden ol proving lhal Ile did no1 bulk! or im· prove tor the purpose DI sale). □ I, as owner of Ille property, am exclusively conlracling with licensed contr2clors to cons1ruct the project (Sec. 7044. Business and Professions Code: The ConIractor's License Law does not apply to an owner of propeny who builds or Im-proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the Contractor's License Law). □ As a homeowner I am Improving my home, and tile follow-ing conditions exist: 1. The WOfk is being perlormed prior ID sale. 2. I have lived in my home for twelve months 3. r~: :;'P:0\1::::l /1:/: :~plion during Ille last throe years. g :J:r:~1 under Sec. _______ B & P.C. ------------- □ I hereby affirm that I ha~e a cen1hcate of consent to self-insure. o, a cert1f1cate of Workers· Compensation Insurance. or a cer11f1ed c<>()y thereof (Sec 3800. Labo< Code) POLICY NO _____________ _ COMPANY 0 Copy IS flied with the Ctly □ Cer11hed CoPY IS hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit 1s tor one hundred dollars ($100) or less) D I certify that 1n the per1ormance ot the ,...,on,c lor which this pem111 1s issued. I shall not employ any person in any manner so as to become suD1ec1 to the Wor1(ers· Compensation U ws of ~lifom1a NOTICE TO APPLICANT II, after makm;i lhIs Cer11 he.ate of Exemption, you should oecome sub1ect t? the Workers' Compensatton prov1sIons ol ll'le Labor Code, you must for1hw,th comply w,tn such prov1s,ons or this permI1 shall be deemed revoked 0 I hereby attum that there ,s a construction lending aoency •or the performance ol tne work tor wh,ch this perm,1 Is issue<! (Sec 3097 C1v1I Code> Lenoer s Name ___________ _ Lenoe,·s Address __________ _ USE BALL POINT PEN ONLY ~PRE1S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -ti!' .. , CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ,/. 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST. I DATE OF APPLICATIONII B ---I~ /t VALUATION PERMIT NUMBER ~ ~-',' /)'/ fl /J1Et:;eJ AD. 1.2 •;).2 _ _, -·r= -·t5l5 OWNER'S NAME / 14~:~;~N:., CONTRACTOR CONTRACTORS PHONE # ZONE C~d\~z. IP)J111 Ja/iJ1 <! t;..,u Wo/-hkl ;/; J)/u>hb't74 R11av;( 7;.;i-3000 OWNER'S MAILING AOOAESS CONTRACTOR'S ADDRESS I pnC.., LICENSE Ni PLAN 1.0. # BLOG USE CODE <?AM?L /ZI,~ 55 A?// <Sf /151d~ c-, J./1-,:-,~L _LOT I BLOCK I SUBOIVISION I ASSESSOR PARCEL NO. DESIGNER LICENSE• STANDARD PLAN /t BUILDING SO. FOOTAGE DESC:'ltTIONlO,}.F WORK ,,::.';, _,.~ VHhrM ~-·-,l r-_~c.. I,; __ DESIGNER'S ADDRESS DESIGNER'S PHONE ------------ --------,_. --F/P F LR ELEV. NO OCC GP EDU STORIES 0002 02/22 0101 02BldPllt 10.0 vO NO -- CENSUS TRACT I GP LAND USE I PARKING SPACE I AES UNITS I GRADING ~ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Not Valid Un~s ~chine ~rtifi«I QTY. PLUMBING PERMIT· ISSUE 7.So QTY. MECHANICAL PERMIT· ISSUE 3-oo SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 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 AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 I EACH GAS SYSTEM 1 TO 4 OUTLETS J -.<O BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00-8222 /D---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 -HOOD /DUCTS MOBILEH0ME 01-00-00·8225 WATER S0FT~ER RELOCATION OF EA FURNACE/HEATER ~ ·:22~~ M0BILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) .r..r . ,.Q~ SOLAR 01-no-nn-•••~ /0 .. aJ TQTJ;L MECHANICAL 1o•· J~ ..,, ~ STRONG MOTION 80·92·33·0519 -.. FIRE SPRINKLERS TOTAL PLUMBING I -........... ,. 01-00-00-8227 .<oo ;; r D .Lvvu • DUBUC FACILITIES FEE 32-00-00·8923 QTY. ELECTRICAL PERMIT • ISSUE QTY. SOLAR • ISSUE ¥! f':lJI) I BRIDGE FEE ~-· ... ,.. ,-.,,n~ NEW CONST EA AMP/SWT/BKR COLLECTORS '~ CITY! r·-r!\.1LsBAD. 1 SCHOOL FEE -DISTRICT I PH 3 PH STORAGE TANKS \":a .., J,.,,. ,, rJ Carlsbad 80·92·21·0519 EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE ~b---< Encinitas 80-92·22·0519 1 PH 3 PH PUMP .... --~'Y' San Dieguito 80·92·23·0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ---San Marcos 80·92·24·0519 --TEMP POLE 200 AMPS OVE R 200 AMPS /, l L ✓ ~ -TEMP OCCUPANCY (30 DAYS) - TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I Jtl.66 I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every permit 1saued by the Building OHic1af under the provisions ot ttus * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by !Jm,tellon and become null and vo,d If the building or work !i' 0'" DEEP ANO DEMOl.lTl()fj OR CONSTm!CTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of suet, STAUCT\JR£S OYER 3 STORIES IN HEIGHT permit. or tf the build•~ or work authorized by auch permit ,s suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv lime a er the work Is commenced for a nar,od of 180 dava STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , OWNER □ CONTRACTORPf' AA!,iDBY '-~ DATE/ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND AP TS _/J,. ~SIGNATURE•~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,, BY PHONE □ )~ 1 w~ GRANTING OF THIS PERMIT _ ~ ~ 7 ,. , a, u: >, ~ 0 a. E a, ~ I " 0 (!) c Ill -~ a. a. <( I ..>:: C: a: 0 rn rn a, rn rn <( I ;;: 2 a5 >- ui rn <I) 0 0 a: Ill -; 0 §: a, 0 C: Ill C: u: :s C: a, <I) c'5 0 0 a, a. rn C: ~ .t:: ~ INSPECTION TYPE DATE INSPECTOR BUILDING : t FOUNDATION C REINFORCED STEEL ' .. MASONRY ' , - GUNITE OR GROUT --F-LOOR & CEILING SUB FRAME SHEATHING FRAME l EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING ·-- SEWER AND BL/CO I ,,, PLUMBING UNDERGROUND PLUMBING TOP OUT ' TUB AND ~HOWER PAN I -• !J ,# GAS TEST t-i1·»r f fd',, ELECTRICAL ' • TEMPORARY POWER ELECTRIC UNDERGROUND ' ~ .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 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 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 -'; . ' ·-~ . . . . '. ,., ' --- --. r '!.·. ··i ... ' r>A~o~3l INSPECTOR'S NOTES DATE ---~ • ' ~c~ ~~-'..A I j ., ' . I . \S l ,, It&. ,_-, V ., . ~ .~~ ........_-_..,..-::::.::,,,,,, ' -., . : -- r I f --' ~ - ,. r.F'...t/"--1-......-.. c,:--;--. #-;->'.&~ ,r-,....,...-;-~ L _• ' '-'""' .. -'--.-.I___. ........ ._., ~ J ' . " ' 'I ~ -' ' : ' ~ . -. (" ,,1 ' ' ' ~ .. ' • ' ., ,, \' ... ", ' ', '-·~ ' \I ' I --,--": " • -~~ .. 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