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fJ I he<eby affirm that I am licensed under
iifovl1lons of Chapter 9 (commencing wlih
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full fore. and effect.
Lie No -29li215 Clm --13=1-
I hereby affirm that I am exempt trom the Contrac• tor's License Law tor the following reason (Sec 7031 5
Bus,ness and Protessions Code: Any city or county which re-quires I penmt to construct, aher, tmprOYe, demohsh, or
repair any structure, pnor to its issuance also requires the ap-l)lant tor such permit to file a signed statement 111,1 lie Is
licensed pursuant to the provls,ons Of the Contractan l.Jttnse Law (Cllopte, 9 commencing with SectJon 7000 al
0ovis,on 3 ol the Bus,ness and PrOfOSSIOOS Code) or that 11 IX· empt therefrom and the baslS tor tile al!Oged exe~t,on Arty =t: ~~'i:~3~ ~.!'It;~~~ ti:.i;: ~
dred dollars ($500)
0 I. as owner al the propeny, or my emplayees wdh wages
as th_.,, so,e compensation. will do the -k. and the struc-ture 1s not intended or ottered tor sale (Sec. 7044, Business
and Prolessions Code: The Contractor's License Law does not apply to an owner of propeny who builds or 1~r0Yts
thereon anct who does such work himself Of through his own employees, provided thal such improvements are not Intend· eel or ottered tor sale. 11, -.Ver. the building or imp,O'ltt-
ment is sold within one year ot comp4etion, the owner·bu,klef will have the burden Of prov,ng that he did not build or ;,n. prDYe tor the purpose Of sale).
0 I. as owner of the propeny, am !Xtluslwly contracbng with licensed contr,ctors to construct the projlc:t (Sec 7044
BuSIOOSS •nd PralesSions Code: The Contractor's License Law does not apply to an owner of property who builds or ;,n. proves lheroon_, and who contracts tor each p,qec:ts With a con1rac:tor(s) license pursuant to the Contractor's License Law).
~~~'::::::;I am improving my home, and the follow·
t. The -k is being pertormed prior to sale. 2. I have lived In my home tor twelve months
rriof to tompleUon of this work.
3. las~tti"ree"°;.Jrtmed this exempt,an during the
□ 1,mexemptunderSet. ______ ,e&P.C. for this reason ------------
1 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
2 4o Wat
0WNE R"S NAME OWNER'S PHONE
Standard Pacific of San Die o 27 -2042
OWNER'S MAIL•NG ADDRESS
San Diego, CA 92111
~ 74-0~
AV.ST. DATE OF APPLICATION
RD.
CONTRACTOR
Standard Pacific of San Die
CONTRACTOR'S ADDRESS
Same
DESIGNER
488
vO NO
CENSUS TRACT GP LAND use GRADING f'.ERMIT ISSUED REDEVELOPMENT
AREA
YO ND
QTY. PLUMBING PERMIT -ISSUE QTY.
CONTRACTORS PHONE •
-2042
294215
LICENSE "
EDU
I
Fl RE SPR
EACH FIXTURE TRAP -BUILOING PERMIT INSTALL FURN. DUCTS iJP TO 100,000 BTU
OVER 100,000 BTU EACH BUI LO ING SEWER SIGN PERMIT
EACH WATER HEATER ANO/OR VENT PLAN CHECK BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 1 TO 4 0 UTLETS TOTAL PLUMBING I I EACH GAS SYSTEM 5 OR MORE ELECTRICAL METAL FIREPLACE
VENT FAN SINGLE OUCT ) EACH INSTAl . ALTER. REPAIR WATER PIPE MECHANICAL
MECH EXHAUST -HOOO /OUCTS ) ~--1-E_A_C_H_V_A_CU_U_M_B_R_EA_K_E_R _______ -4--___ .:...._-11----4----MOBILEHOME
RELOCATION OF EA FURNACE/HEATER
PERMIT NUMBER
ZONE
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN# BUILDING SO. FOOTAGE
340 1725
I I. ., •
Not Valid UnMs Mlchint Ctrtifitd
01-00-00-8220
01-00-00-8221
01-00-00-8806
01-00-00-8222
01-00-00-8223
01-00-00-8224
01-00-00-8225
-\\'
l WATER SOFTNER M0BILEHOME PARK INSP
EACH ROOF ORAIN (INSIDE) SOLAR 0 00-0(1 hereby alt,rm that I ha·,e a cert1l1Cote ol consent f---+---'--------''---..:....---------4--------1--_J----.==,-;c====,.,--------.---,;\IC~~-rLJ~--l---'""-'""-'---'---------=·====-+------.--==-....-1
10 self-insure. or • cen1t,cate of Wooers STRONG MOTION 80-92-33-0519 TOTJ;L MECHANICAL
QTY. ELECTRICAL PERMIT -ISSUE
Compens.att0n Insurance. or a certified cooy !hereof l (Sec 3800,Labo<Codel TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
POLICYNO vJ -233-02-48 _ PUBLIC FACILITIES FEE 32-00-00-8923
COMPANY _:Fi reman' s Fund In BRIDGE FEE I r--t-------------.--+----=-=;---+--+----------·--+------l-~~~---------1--------1 ~ QTY. SOLAR -ISSUE
cj Copy IS filed w1lh the city
0 Certified CoPY 1s nereby furnished
CERTIFICATl OF EXEMPTION FROM
WOR~ERS' COMPENSATION INSURANCE
(This sec11on need nol be completed 11 IM permit
,s fOf one nundred dotlars (S 100) Of less)
CI: I cen,ty that in lhe pertormance of lhe work fOf
*l'ucn this pen-rut ,s issued. I shall no! emp~y any
person in any ~ner so as 10 become sub1ect to
lhe wor,.e,s· Compensahon Laws ol Clhforn,a
NOTICE TO APPLICANT If. after ma.kin, 1h15 eeri,
hcate ot Exemption. you should become subJect t? the Worll.ers' Compensation prov,s1ons ol 1he Labof
Code, you must forthwith comply w11h such
prov1s,ons or this permit shall be oeemed revoked
L afhrm thal there ,s a construchon
1end1ng agency tor !he pe,10,mance ol the wQOI. IOf
wh,ch trus pemut ,s issued (Sec 3097 C,v,1 Codel
Lendef s Name Erocfiir ~ank
Lendef s AOOress Q S g e S S
I NEW CONST EA AMP/SWT/BKR SCHOOL FEE -DISTRICT
I 1 PH 3 PH Carlsbad -COLLECTORS
STORAGE TANKS 80-92-21-0519
I EXIST BLOG EA AMe/SWT/BKR Encinitas ROCK STORAGE 80-92-22-0519
PUMP 1 PH 3 PH San Dieguilo 80·92-23-0519
REMOOEL ALTER PER CIRCUIT San Marcos PLAN CHECK t'EE 80-92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYS)
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE ..-e
* AN OSHA PEMIIT IS AEOUIAEO FOR EXCAVATIONS OVER
!I' O" DEEP ANO DEMOUTlOtl OR CONSTAUCTION OF
STRUCTUMS OVER 3 STORIES IN HEIGHT
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INSPECTION TYPE DATE INSPECTOR
BUILDING r
I /
FOUNDATION
REINFORCED STEEL
MASON RY I
GUNITE OR GROUT J
FLOOR & CEILING SUB FRAME 1
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERI OR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND !:;HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
!
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HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
.
~ ITEMS ABOVE HAVE BEEN • .APPROVED. /
JOB SITE FINAL , ~
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING y '. -
SPECIAL CON DITIONS
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
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTES --..
DATE
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