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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 affirm lhal I am exempl lrom lhe Conlrac· 1or's License Law lor the loflowmg reason (Sec 7031 5
Busmess and Pro!ess1ons Code Any cuy or cOtJnly whtth re· quires a perm,! 10 construct alter. improve, demohsh, or
repair any structure, pr,or to 11s issuance also teqUtres !heap·
phcant tor such perm,t to ftle a siqned statement lhat he 1s 11cer.sed pursuanl to lhe provisions of the Gontrac1or s License Law (Chapter 9 convnenc1ng w11h Sectton 7000 ol
D1V1s1on 3 of lhe Busrness and Professions Code) or that ,sex-empt therefrom and lhe baSts 101 lhe allegeo exemp11on Any violahon ol Sectt0n 7031 .5 by an appltcant !Of a pe1m,1 sub 1ecls the apphcanl to a CNII penalty ol not more than IIV!. hun· dred dollars ($5001
I. as owner o! the property. Of my employees w1lh wages
as their SO,e compensat10n, will do !he work. and !he struc-
1\ite ts no1 inlen<led or offered lor sale (Sec 7044 Business
and Protesst0ns COde The Con1ractor' s Lk:ense Law does not apply to an owner ol property who builds or improves
thereon and who does such work h1msell Of lhrough his own employees. pro\llded Iha! such improvements are llOt 1nlend-
ed or ottered for sale II, however, lhe bu1khng or 1mprove-
men1 ,s sold w1th1n one year ot comptehon, the owner-b1.nlder will have the burden of proving tl'lat he did not bu11d or mt-
prove lor lhe purpose of sale)
D I, as owner ol the property, am exclus1vety contracting w,th lieensed con1ractors to construct the profect (Sec 7044,
Business and ProfesstOns Code The Contractor's License Law does not apply lo an owner ol property who bu1kis or 1m• proves thereoo, and who contracts !or each prOfeCls wllh a contractor(s) hcense pursuant to the COntracta<'s License Law).
t1 As a homeowner I am improving my home, and the follO'N mg cond1hons exist
1. The work 1s being performed poor 10 sale 2. I have hved m my home !or 1wetve months pnor lo compleoon of this work
3. I have not claimed this exemp1t0n durino the last three years
D I am exempt under Sec _____ _
for this reason B&PC
0 I hereby .affirm th.a; I ha-,e a cen,ticate of consen1
to self-insure, or a cer111,ca1e of Worll.ers
Compensation Insurance. Of a cert1lied copy thereof
!Sec 33JO Labor Godel
POLICY NO
COMPANY
□ Copy IS file<J Wllh lhe City
D Cert1t1ed CODY 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not C>e completed 1t lhe perm11
1s tor one hundre<J dollars IS 1(X)) or less)
D I cer11ty that in lhe per1ormance ol 1rie wol1!. tor
which lhlS permll IS issued I Shall nol employ an.,.
person in any manner so as 10 become sub1ec1 ro
the Wor1ters· Compensai.on l.Aws of Cahtorn,a
NOTICE TO APPLICANT If after mak1n1 H'IIS Cert1
t1cate ot Exemphon you should t>eeome suo,ec1 I'>
the Wooters Compensa11on pro¥1s1ons ol ine L..001
Code you must tonh.,_,tth comply w11h such
p,0¥1s,ons o, trus perm,1 shall be deemed revokeo
0 I hereby athrm Iha! mere ,s a cons11uc11on
1enc,ng agency tor the perto,mance o' !he wono. 10,
which 1t11s perm11 ,s issueo 1Sec 3097 C1v,1 Coc>e1
Lenders Name ___________ _
Lenoer 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 AV. ST.RO. NEAREST CROSS ST
I D:;;..;;;;;1
BUSINESS LICENSE d VALUATION PERMIT NUMBER,'
I ...2714-'Vi.:, P/-7:l -i-o 8860 7CJh4o ~~~~ : '4-4.aBLOCK 1
574:.:,Es I ASSESSOR PARCEL NO. 4-ou CONTRACTOR CONTRACTORS PHONE • ZONE
,,~.., ~ i~ s-: -rhe J-/✓·9), /..::J.nc::I C!o. 4-d4-469~ I OWNER'S NAME
14-d ;;;;;N~ I r;,~ Hl11h /..;:Jrtc:;,/ Co. CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0 . /, BLDG use OOOE
I ~rl~~d;~,4 34-.:24-07
I OWNER'S MA•LING ADDRESS
I I 015 C!.A.-..:s-/nu+Avt:!' 83 C}-:, r-1.s 6-:Jd DESIGNER Env;ror1 n;cn-,/,,,s. I LICENSE" STANDARD PLAN# BUILDING SO. FOOTAGE
I e:/'Ja; r, / ..f ..J:S Z)e .:5;'q n C! 1798 /7~0 DESCRIPTION OF WORK P,)/_ / "To, -•.,... ), .,.. , --~,.. L .,,.., ~ DESIGNER'S ADDRESS DESIGNER'S PHONE
&,c;,; n /-/b:J .:s, C!A-94-2~26Z
~--F/P FLA ELEV NO OCC GP EDU o/~(dl:i=3□'.; I 3 163 ~5~ ~
vO NO /10-!i S~ES /<-3 I
CENSUS TRACT t GP LANO USE I PA;;:;;:;;E I RES;NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TY PE OCC LOAD FIRE $PR
AREA CONST v□ N'fi vo ND vO NV v/\J \ fiet Valid Unlns Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7 ,So QTY. MECHANICAL PERMIT· ISSUE J-SUMMAR~ t c~ ~NUMBER
II EACH FIXTURE TRAP _.., 7 <ri I INSTALL FURN DUCTS UP TO 100,000 BTU J..~ BUILDING PERMIT ~ Ci ·O ·M 8220 ~7-~-
I EACH BUILDING SEWER /,... .<,-, OVER 100.000 BTU SIGN PERMIT , ~~ ·00·8221 I ..J
I EACH WATER HEATER ANO OR VENT -1 ~~ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK \\. "11 I'! loo-'bo-8806 ~4e:l-~
I EACH GAS SYSTEM I TO 4 OUTLETS ~'? -~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING \\ \f ~-00·00·8222 ---zz.sn
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL .... v ... Oh00·00·8223 .... ~r"\-
EACH INSTAl . ALTER, REPAIR WATER PIPE ~ VE NT FAN SINGLE DUCT /4.-MECHANICAL \\ \a)Co0-00·8224 /.3--'\..} 0~00·00·8225 EACH VACUUM BREAKER MECH EXHAUST HODO DUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DR/\IN (INSIDE! SOLAR 01:.on-nn.oooc
TOTJ;L MECHANICAL STRONG MOTION 80·92·33·0519 ~._5.:2_ I.B~ --
TOTAL PLUMBING I ~-SC FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE S-QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 32·00·00·893)
BRIDGE FEE
NEW CONST EA AMP SW1 BKR /OOA c:i.~-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
I PH 3 PH PUMP San Oleguito 80·92·23·0519
REMODEL AL Tt R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 700 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 J<a.~-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 / (! QJ:lt""J _ ~o-
I CREDIT DEPOSIT
I TOTALELECIRICAL I do-TOTAL SOLAR I TOTAL FEES PAYABLE ....::i'IB.3. 5L I I
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration. Every permn issued by the Building Ott1c1a1 under the provisions of rh•s * -~-,.,:TIS REQUIRED FOR EXCAVATIONS O1/ER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm,tat,on and become null and void If the building or work 5 o· DEEP DEMOLITION OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,s not commenced within 180 days from the date of such STRUC S 0\/ER 3 STORIES IN HEIGHT~
I ISSUED TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON :~~::On~ 1
!1 •=~y ~~:•~e~~h=~~,:~!hco~~~e:ted~~~ r~~~1~fs~:rc,~~~ or
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I STRUCTION. \'./HETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE If-OWNER□ CONTRACrofl"ji( APPflOVEr Y i_
~}/iJ-1 I KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ---~ ~ ~~y PHONE 0 I GRANTING OF THIS PERMIT '1/'/4 I 7"'r 1-
~
c:; . 7
TYPE I DATE INSPECTOR . \
.._ ·\. \ ~
\
BUILDING i
FOUNDATION I
~ ... 51(;,.!. l/'-{, ")_ ,-l ,~1-' \ \ \ .. FIELD INSPECTION RECORD ' REINFORCED STEEL I
MASONRY I ··-REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF □ SH6AR
SOILS COMPLIANCE -~ PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH i STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPUCO I HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOLTS
TOP OUT □ WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSO!'." □ WATER HEATER □ SOLAR WATER \
I ~ I I I -ELECTRICAL r
□ ELECTRIC UNDERGROUND D ~FFER
ROUGH ELECTRIC I
... t~ '·' } I F I :
, ' i ,,f / -
□ ELECTRIC SERVICE □ TEMPORARY r , 1,/,~ , •·, ~
□ BONDING □ POOL I
I
/1 . l i" f /, . ' ~ i
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' ' ,. • I .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE!. Bf EN APPROVED. ~
FINAL I
PLUMBING I .'p( .n ~ .
ELECTRICAL I ,'Jr'1' ~· ~
MECHANICAL I '"/ ,v ,.....-----GAS -<-,.a ,-I
BUILDING I L--
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' SPECIAL CONDITIONS I
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,r-·, -INSULATION CERTIFICATION • ·;
> ~ This is to c ertify that insulation has been ins talled in confonnance with the :-
' current energy regul ation, California Administrative Code, Title 25 , State of •
• California, in the building located at: ~:
. SITE ADDRESS ~1] \4 Via Plato , Carlsbad, CA •. '-
CEILINGS Owens/Corning 6}11
,
Certain Teed 6 11
(-1«~ Ba tts : Type Fibe rgl ass Manufacturer Manville Thiclmess 6½11 R-Value 19 ~~
' ~~-. '
: Blown: Type _____ Manufacturer _______ Thickness ___ R-Value ___ ~~
EXTER IOR WALLS Owens/Corning 3 11 ~~~ ~
CertainTee d 3 11 1/. <-' Type Fi berglass Manufacturer Manville Thickness 4 11 R-Value 11
FLOORS Type _____ Manufacturer _______ Thickness ___ R-Value ___ f :'
General Contractor License# I
----------------
I , By _____________ Title __________ Date ________ _
, Schmid Insulation Contractors, Inc. License# 221517 C-2 __ __:::..::..:::..=..=c.:..._=--=--
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Title Vice Pres ident Date --------------------