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Home My WebLink About2742 VIA TULIPAN; ; 86-349; Permit1/) z 0 .:: C er: j () "' 0 a: I[ () O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfHslons Code, and my license is in full force and effect. l.Jc No ______ Clm I nereby aft•rm that I am ex.emot tram !he COntrac:-I0< s Lttenso Law ID< lhe 10110, .. ng reaSOfl (Sec 7031 5 Business and Protessions Code Any city°' county whicr. re· qutres a permH to construe!. alter, improve, demolish, or repair any structure, pnOf lo its issuance also requires !heap· plaot fCM" such permit 10 file a sJQned statement !hat he Is hcensed pursuant to lhe prov,s)()RS of the contr~tor s Lttenso Law (Cha~le, 9 commenong w,lh Secl,on 7000 o1 Ow1st0n J ol the Bu5'ness and Protess.ons Coce, Of lhal ,sex empt therelrom and the basis lor the allegeo exempt,on Airy "olat10n ol SecI10n 7031.5 by an apphcanl lor a perm,I sub· Jetls the app1Icant to a clV?l penalty at not more lhan live hun ~ dollars ($500) as o-ne1 at the property. or my emolOyeeS 'Ill-1th wages ~ heir sde compensa1ion. w1N do tne work. ano the strut· o u e Is nol intended or olrered !Of sale (Sec 7044. Business ~ and Prolessions COde The Conlrac!Or' s license law does 3 not apply 10 an owner ot PfDpffll w~ builds or 1mpcoves I :;,;'e!snd p~::~~ucW:-!pr:!e~~"ar:~1 ~~:,~ "' ed or ottered lor siie 11, howevef _ the bU•ki•no cw Improve- Z ment ,s sold within one year of compleuon. lhe owner·bu•lder ~ w,U have the burden of prnving lhal he did nol build or Im-O ;rwe tor lhe purpcse of sale) z 0 .:: C 1/) z "' ... :I 0 () 1/) ic "' ><: CIC 0 3 • '-j I. as o..ner of the property. am exciusively contrxhng with hcensod contr.iet0<s 10 conslrucl the pro,ect (Sec 7041 8us,ness and Protessions Code The Con1ractor's License Law does nor apply to an owner ol prQpe<ty who builds or 1m• proves thereon. and who contracts lor each prOJects w11h a contractor(s) license pursuanl to the Contractor's Lteense Law). As a homeowner t am ,mpro,nng mv hone. and the 1o11ow 1ng con<fihons ax.1s1 1 _ The work IS being performed POOf to sale 2. I have lived in my home !or twelve months prlOf 10 comple!H)fl 01 lhis woc'k 3 I have not claimea lh1s exemption du11ng the Jast lhree years □ I am exempt under sec _____ _ B&PC tor this reason ____________ _ 7 I hereby altum tha1 I have a cer1,f1ca1e of consent to self-insure or a cer11hca1e of Workers' Compensation In• surance. or a eert1lled copy thereof lSec 3800. Labor Code) POLICY NO COMPANY L-Copy IS hied Wllh the city ,--. Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit 1s tof one hundred dOllars ($100) Of less) = I cerltfy that ,n the performance of the ""°'k for wh,cti 11,Is permit Is ,ssued. I shall not employ any person in any manner so as 10 become subject to IM Workers" Compen aauon Laws of California NOTICE TO APPLICANT. II. after making this Centhcate of Exempuon. you shoukf become sub1ect to the WotketS' Compensa11on provisions of the Labof Code. you must lorthw,th comply w1lh such provisions or lh1s perm,t Shall be deemed revoked i[ D I hereby atlirm that there is a construcuon lending agency for lhe performance ol the work for which thlS per• m,1 ,s ,ssued (5ec. 3097 C1vtl Code) Lender's Nam•----· Lender's Address ___ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB AOORESS AV. ST.RO NEAREST CROSS ST I ¥/1AP2•;"'20NI BUSINESS LICEI\ISE • VALUATION PERMIT NUMBER ~7</2. VIA tuL t p,4,/ LOT BLOCK l sueoIv,s,0N I ASSESSOR PARCEL. NO ow-.E R"S NAME CONTRACTOR CONTRACTORS PHONE • ZONE g1.:,- 3'/; fr ICJ,ll'r_flD CA(.~ d€ ctr ~.,3°~;&;;; CONTRACTOR'S AOORESS LICENSE NO PLAN 1.0.-# BUILDING SO. FOOTAGE OW ... lR"S I\/IA•L•NG AOORESS t;/Ol/Af; .. I . - i.s-,.1 A NA tlttlfRA CAR J..SflA o DESIGNER OE SIGNE R"S PHONE EIUOlb5BY Q1Dl I !ti OESCR•PT,Q" OF WORI( I OESIGNER"S AOORESS I QAs: P, Pt£ Ree•, Pe CENSUS TRACT GP LANO USE PARK ING SPACE AES UNITS GRADING PERMIT ISSUED F, p F LR ELEV vO "O REDEVELOPMENT AREA Ilia STORIES TYPE CONST LICENSE NO OCC GP OCC LOAO 000'! 669~ 01 EDU FIRESPR 'D ND ,□ ",□ vO NO Not Valid Un/Ms M~chine Certrfied QTY. PLUMBING PERMIT -ISSUE 1 50 -I QTY. MECHANICAL PERMIT -ISSUE J-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I i I INSTALL FURN DUCTS i.JP TO 100 000 BTU I I BUILDING PERMIT 001·810·00·00·8220 EACH BUILDING SEWER I OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221 ------- EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806 EACH GAS SYSTEM 1 TO 4 OUTLETS____ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 EACH GAS SYSTEM 5 OR MORE EACH INSTAl ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER I METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 -~- MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810·00·00·8225 RELOCATION OF EA FURNACE HEATER I U MOBILEHOME PARK INSP A,() 'tl-v , .. ·A I' W-7 1.110·11 SOLA] _QQ_l ·810·00·00~226-t----------t TOT 1.L MECHANICAL STRONG MOTION 880-519·92·33 QTY . ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP SWT BKR 1 PH 3 PH EXIST BLDG EA AMP SWl BKR 1 PH 3 PH REMODEL AL HR PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI "'2'.LZ::i.. ' l/ TOTAL ElEl,lRICAL l ' - ., I'\ • FIRE SPRINKLERS 001'810·00·00·8227 7 s -I QTY. I SOLAR · ISSUE I I PUBLIC FACILITIES FEE 332·810-00·00·8930 +-- COLLECTORS STORAGE TANKS II ROCK STORAGE PUMP PLM1 CHECK FEE TOTAL SOl AR l SCHOOL FEE • DISTRICT ~- Carlsbad Encm1las San Oie~u1,~10;-------------+----------I San Marcos LICENSE TAX 001-810-00·00-8162 MFF 880-519-92-57 CREDIT DEPOSIT .,, TOTAL FEES PAYABLE r /tf~ * "N OSHA PERM:T IS REQUIRED FOR EXCAV ... TIONS OVER s·o· DEEP ... ND DEMOLITION OR C~STRUCTION Of 2 u:: >-03 0 a. E Q) I- I -0 ~r C I~ a. a. <( I .:£ C a: 0 VJ VJ Q) VJ VJ <( I ?: .Q Q) >- VJ VJ Q) u 0 a.. <l:t co 0 ~ Q) u C <l:t C u:: C Q) ~ c.:, 0 u Q) a. VJ C I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS STRUCTVAlS OVl:R 3 STORIES IN HEIGHT EJ1i,tration. Every permit issued by the Bu,iding Ofhcial under the pro,,.I,sIons of ttus Code snail expire, by lim,1a11on a!'ld become null and ... a,d 1f the building or wotk authorized by such perm,t ,snot commenced ¥rtlhin 180 day~ from the dale of suet, permit. or 11 the bU1ld1ng or work author,zed b\-' such per t f! suspended or ISSUED TO COMPLY WITH ALL CITY COUNl Y AND ST A TE LAWS GOVERN ING BUILDING CON-~•~b:!a~ndo~n!!led!!!._•!!'c:'!!"!.l'...:t!!!•m'.!!!_e_!a'.',!!ft8!_< _!!lh~e!.:w~o!_!rk~•~•_!C:!;O~m'.!!m~e~n!!lc~e!Sd!.:f~o!!.itJ?f!.!!:•o<l!!1.._!o~l--tl_!80!!l.ld!!a~· ~s ___ .,.~~---------!!:"'-~--~---------,,----, STRUCTION WHE1'HER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APP!.~CANT 5 SIG ATURE .. CONTRACTOR C APPROVED BY If --~-~ /-Jt1 '"'ff----t ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~~✓ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE• / BY PHONE O - GRANTING OF THIS PERM'T X _A,.. ' 7 TYPE I DATE INSPECTOR I BUILDING I -..... ~. ~&>J 3 45 '' .. , . FOUNDATION i FIELD INSPECTION RECORD - REINFORCED STEEL I I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I GUNITE OR GROUT I I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SUB FRAME D FLOOR D CEIL)ING SOILS COMPLIANCE SHEATHING D ROOF D SHEAR I PRIOR TO FOUNDATION INSP FRAME I EXTERIOR LATH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRES TRESSED CONCRETE INTERIOR LATH & DRYWALL, I POST TENSIONED I CONCRETE PLUMBING ; I FIELD WELDING D SEWER AND BUCO D PVCO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER HIGH STRENGTH BOLTS SPECIAL MASONRY TUB AND SHOWER PAN I I GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER I I - ELECTRICAL I D ELECTRIC UNDERGROUND O1 UFFER ROUGH ELECTRIC I I D ELECTRIC SERVICE D TEMPQRARY " D BONDING D POOL I ! I MECHANICAL I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I ' ' ' ' L •.. I CALL FOR FINAL /NSPEc,1:oN WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. • i--: r r n .l FINAL I I PLUMBING I ,./ I ,, ELECTRICAL I ! u . 111 MECHANICAL I i (7f7, A ' lT GAS I I' ;vv lb \ BUILDING I l 11· \ SPECIAL CONDITIONS I I I I