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O I hereby affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license Is In full force and effect.
lie No------Closs
I hereby alfirm lha1 I am exempt !rom the Conuac· tor·s l,cense Law tor the IOllowlng reason (Sec 7031 5
Business and Professions Code Any city or county wh1Ch re• Quires a permit to construct. alter, improve, de.mohsh, or repair any structure pnor lo its issuance also requires !heap·
phcanl lor such permit to rue a signed statement that he 1s
hcensed pursuant to the prov1s1ons ot lhe Contrac1or s License law (Chapler 9 commencing wilh Sechon 7000 of
01v1s1on 3 of the Business and ProtessMlns CodeJ or !hat ,sex· empt therefrom and lhe basis !or lhe a11egeo exemption Any
v1ot.1t1on ot Sect;on 7031 5 by an apphcanl lor a permit sub-1ects the applicant to a CIVIi penalty of nol more than hve hun·
dred dollars ($500)
I. as owner o1 the property, o, my employees with wages
as their sole compensation. will do lhe work. and the struc·
lure Is not intended or oflered fOf sale (Sec 7044 Busmess and Professions Code The Contractor· s license Law does not apply to an owner ol property who Dtnlds or 1mp,oves
!hereon and who does such work himself or through his own employees, provided thal such 1mprovemen1s are not intend-
ed or offered tor sale. !I, however, the budding or impcove-menl is sold within one year ol comptelt0n. the O'Nner·bu1lder
will haw !he burden of provmg that he did not build or im-prove lor the purpose ol sale)
□ I. as owner ol the property, am exclusivety conuactmg With licensed contractors to construct the prOftcl (Sec 7044,
Business and Proless1ons Code: The Contractor's license Law does not appty to an owner of property who but6ds Of 1m• proves thereon., and who contracts for each protects with a contractor(s) license pursuant to the Conrractor·s Uamse Uw).
C As a homeowner I am improving my home, and !he lollow mg conditions exist· 1. The work Is being pe~ormed pr,or 10 sale
2. I have lived In my home IOI' lwelve monlhs pnor 10 complehon of this work.
3. I have not claimed this exemption during lhe last three years
□ I am exempl under Sec ______ . B & PC
fOf this reason
D I heteby affirm Iha1 I hav"e a cer11t1ca1e ot consenr 10 self-msu,e. o, a cer11t,cate ol Workers
Compensation lnsu,ance. Of a cer1111ed copy tf\e,eol
(Sec 3800. uoor Code)
POLICY NO
COMPANY
□ Copy IS hied Wlln tne city
D Cert1l1ed copy 15 hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(Hus section neea not be compleled ,t fhe perm11
1s tQf one hunc'1ed dOllars tS H)OI o, iessl
0 I cen1ty thal 1n the performance ot !he work tor
which ttus perm11 15 issued I shall no! employ any
person ,n any manner so as 10 become subIec.1 w the Wor11;ers Compens.a11on Laws or Cal1lom,a
NOTICE TO APPLICANT It, alter makm1 !his Cer,1
l,cate ot Exemp11on you shoulO become subJecl t?
the WOOl.e,s· Compensalton prov1s1ons ol lhe Labor
Coae you must torthv.lth comply with such p1ovIsIons Qf 1h15 permit shall be deemed ,,.,.o;..eo
0 I hereby athrm 1hat there 1s a cons1ruc11on
Iena,ng agency tor the per1ormance ol the wo,.,._ lor
which 11·11s permit ,s issuea (Sec .3097 C1v1I Code1
Lenaer s Name ___________ _
Lencter s Aeklress ---'--------
USE BALL POINT PEN ONLY & PRE~S HARO .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 El m, Carlsbad. California 92008·1989 (619) 438-5525
APPLICATION & PERMIT
JOB ADDRESS AV ST.AD NEAREST CROSS ST
I
DATE OF APPLICATION! BUSINESS LICENSE = VALUATION PERMIT NUMBER
...<704 'Vi~ Pl-->+o 4--29-BS $85o 79~40 fr~
./
447BL0CK I SU80I4I IQ~ I ASSESSOR PARCEL NO 5' CONTRACTOR CONTRACTORS PHONE • ZONE 7 -~~ ?~, ~,~ °l Ou The J-/; ah /.,;;,nd <lo . 4..:34-4594-OWNER·s NAME I 4.d4-";.S94--rA c:: I-It qh/..:,nd Co. CONTRACTOR0S ADDRESS LICENSE NO PLAN 1.0 . .It BLDG USE CODE
Q....:,r/ ::s h.,;;)d, cq ~4-.:24-o 7 OWNER'S MAIL NG ADDRESS
/015 C!h~.sfnuf Ave ..8:3 ~r-1.s~d DESIGNER LICENSE a STANDARD PLAN# BUILDING SO. FOOT AGE
Giv/ro.nme.nf.,;, I i):.si._9ri C!.1798 1760 DESCRIPT•ON OF WORI<
I '7'o,~J.,..J,~~ ✓-~-P / .. ::v, ~o .q~ DESIGNER'S ADDRESS DESIGNER'S PHONE
6,c,'r,;~4 C!A 94-.:i I 1J .:J t _li.;utr:-~Ji..__;I 3 IC3~• ~ -F IP F LR ELEV. NO OCC GP EDU
vO NO /?0-9
STORIES -< ,,Q-3 I
CENSUS TRACT I GP LAND USE I ·44-s;CE I RES,NITS j GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
v □ ND ,□~ Y/11 v□ N'rif. Not Valid Unlt!Si Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7 So QTY. MECHANICAL PERMIT -ISSUE ..3-SUMMA1YIACCOUNT NUMBER
JI EACH FIXTURE TRAP _::,, .:Sc I INSTALL FURN DU CTS uP TO 100.000 BTU 4-.-BUILDING PERMIT I 01-00-00·8220 ~7:::1-
I EACH BUILDING SEWER &J.sc OVER 100,000 BTU SIGN PERMIT ir 01-00-00·8221
I EACH WATER HEATER AN010R VENT o25a BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK I V cA. 01-00-00·8806 o).4..:).~
I EACH GAS SYSTEM I TO 4 OUTLETS f-« .SC BOILER/COMPRESSOR 3 15 HP TOTAL PLUM BIN ll 1 ~..., 01·00·00·8222 <'J-h 5c
EACH GAS SYSTE M ~ OR MORE METAL FIREPLACE ELECTRICAL " I\ j\ 01-00·00·8223 -.....:50-
EACH INSTAl . ALTER. REPAIR WATER PIPE ....:3 VENT FAN SINGLE DUCT ~--MECHANICll -JI 01 ·00·00·8224 1...:3--,-
MOBILEHOME (\I EACH VACUUM BREAKER ME CH EXHAUST HOOD DUCTS 01-00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK ~SP
EACH ROOF DRAIN !INSIDE! SOLAR 01 ·00·00-A??~
TOT.l.L MECHANICAL STRONG MOTION 80-92·33·0519 ..S..s, Id-:-I-TOIAL PLUMBING I ~-SC FIRE SPRINKLERS 01 ·00·00-8227
QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00-89ll QTY. ELECTRIC AL PERMIT -ISSUE s-BRIDGE FEE
NEW CONST EA AMP SW! BKR IOOA ~:S-COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE r AN KS Carlsbad 80-92·21-0519
EXIST BLDG EA AMP•SWT BK R ROCK STORAGE Encinitas 80-92· 22-0519
I PH 3 PH PUMP San D1egu1to 80-92· 23-0519
REMODEL Alll:R PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 I .s 9.:8-
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 /<£880-880-
CREDIT DEPOSIT
TOTAL ELECTRICAL I ~0-TOTAL SOLAR TOTAL FEES PAYABLE I ~IB.3.6',2,
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HERES-( Exp,rar,on Every permit issued by the Bu1ld1ng Ofhc11I under the pcovIs1ons of this * AN OSHA l'EBM,'T IS AEQU!ftED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e>tptre by tim,rat1on and become nuU and void If the bu1ld1ng or work 5· O' Dt:tt'rND MOLITION 0A CONSTRUCTION OF authonzed by such permit ,snot commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
~~'::~n°.:d '!1 ':~v ~~~~•;ft.i~h:~~,:~!~0~~~e:JeJ~~7 ;>9~~~ ~,S~;ged~~~ or
STRUCTVR£ EA 3 STOAIES IN HEIGHT ~
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFrED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT°$ SIGNATURE Jf. OWNER □ CONTRACTOR K APPROVED Bl»--Dq~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~~_/d .. ~ ___ BY PHONE 0 I f.J--GRANTING OF THIS PERMIT
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' TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL i
MASONRY I
GUNITE OR GROUT i
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH6AR
FRAME I
I
EXTERIOR LATH t
INSULATION ' I
J
INTERIOR LATH & DRYWALL i
I
PLUMBING i
SEWER AND BUCO □\PUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
' □ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPIN'G
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE!. BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
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PILES CAISSQr-,.o::
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INSULATION CERTIFICATION •
This is to certify that insulation has been installed in confonnance with the
current energy regulation, California Administrative Code, Title 25, State of
California, in the building located at:
SITE ADDRESS ---=~~1---"O'--4.___V~i~·a.._P~l~a-t.>L.W.o+,__.._C~a~r~J~s~b=a~d4,__,_C~A,__ _________ _
Owens/Corning 6¼ ti
CertainTeed 6 ''
Type Fiberglass Manufacturer Manville Thickness 6½tl
CEILINGS
Batts : R-Value 19
Blown: Type Manufacturer Thickness R-Value ------------~---Owens/Corning 3 ti
CertainTeed 3 '' EXTERIOR WALLS
Type Fiberglass Manufacturer Manville Thickness 4 " R-Value 11
FLOORS Type _____ Manufacturer _______ Thickness __ R-Value __
General Contractor License# ------------------------
By Title Date -------------------------------
Schmid Insulation Contractors , Inc. License# 221517 C-2 ----==.::c.=...'---""--='---
Title Vice President Date ------------------
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