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Home My WebLink About2122 VUELTA CT; ; 83-560; PermitII) z 0 ~ a:: C ..J 0 .., a IC "M I hereby affirm that I am licensed under o _Aslons of Chapter 9 (commencing with t; [ Section 7000) of Division 3 of the Business c and Professions Code, and my license Is in ~ full force and effect. C.... -./_ j ~ L,c No~ Class Iii 0 z 0 ;:: C II) z .., IL 2 0 0 II) i'c .., " a:: 0 3 I hereby attmn thal I ~ exempt from the Con- ~~o;·:;~~:;:: ~w ~f~~.~~1:W~~8t~i\~r county which requires a permit to construct alter, ,mp,o...e, demohsh, or repa.1r any structure. pnor to its issuance also requires the apphcant for such pemut to hie a signed statement that he ,s hcensed pursuant to the prov1s1ons of the Con-tractor's License Law fC~ter 9 commencing with Sectt00 7000 of 01v1s1on 3 of the Business and Pro. fess,ons Code) or th.at Is eiutmpt therefrom and the basis for the alleoed exemphon Any v1olat.on of Section 7031 5 by an a,pphcant tor a permit subJects tne applicant to a cIvII penalty of not more than five hundred dollars ($500). 0 I, as owner of the propeny, or my employees ... ,h wages as their sole compensa.t,on, will do the work, and the struclure Is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner or pr()perty who builds or improves thereon and who does such wOOC. himself or through his own employees. provided that such Improveme;its are not intende-1 or offered for sale If, however, the building or ,mprovemenl Is sold within one year of completion, the owner-builder will have lhe burden of prov,no that he did not build or improve tor the purpose of sate). O I, as owner of the property, am excluswely contracting with ticens.ecl contractors to construct the pro1ect (Sec 70U. Business and Profess,ons Code: The Contractor's License Law does not apply to an owner of property who builds or improves J thereon, and who contracts fOf each proJects with a contractorts) hcense pursuant 10 the Contraclor's License Law). 0 lamexempl underSec _____ ,B &PC fOf' this reason ___________ _ ~-□ I hereby affirm that I ha,e a cen,ticate of co!n, to self.insure. or a cemt,cate of Workers· Compensa11on Insurance. or a certified copy the,eof {Sec JBOO. Labor Code) POLICY NO i=Tf 'gfJ: 24:S7 COMPANY ,:;; S _r-J,lNJ) X Copy ,s hied with the city O Certified copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be comple1ed 11 lhe permit ,s for one hundre<J dollars {S 100) or less) D I certify Iha! In the performance of the w()OI. lor which this permit Is issued, I shall not employ any person ,n any manner so as to become sub1ect 10 1 the Workers· Compensation Laws ol Cahforn,a NOTICE TO APPLICANT II. alter makmJ lhts Cen, ltcate ol Exemption. you should become sub1ect I".> lhe Workers' Compensation prov,sIons of the Labor Code. you must forthwith comply w 11''I such provisions or u·us permit shall be deemed revokea ,0 I hereby affirm lhal there Is a consIructIon 1end1ng agency tor lhe performance of the wo~ lo• wn,ch 1h,s permit ,s issued 1sec 3097, C1v1I COde} Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT j 'I JOB ADORESS 1J i-tAL TA. OWNER'S NAME OWNER'S MAJ LING ADQRESS LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESCRIPTION OF WORK CENSUSjt' RACT G"' LAND USE I PARKING SPACE QTY. PLUMBING PERMIT· ISSUE "~ACH FIXTURE TRAP E~ BUILDING SEWER EACH ~ER HEATER AND/OR VENT RES UNITS I 7.50 PRIME CONTRACTOR I NSlA LLIJ..TIOIJ..S CONTRACTOR'S ADDRESS 'it '3' EM,TMoN, T PL DESIGNER ----DESIGNER'S ADDRESS ------F/P F LR ELEV. GRADING J'.ERMIT ISSUED YO ND I REOEVELOPMENT AREA YO NO QTY. MECHANICAL PERMIT -ISSUE l~TALL FURN. DUCTS UP TO 100.000 BTU "-. OVER 100,000 BTU BOILER71)Q,,.MPRESSOR UP TO 3 HP BOI LER/CO~SSOR 3-15 HP TYPE rliNST T. ,, ~ ----,. __ 3.00 EACH GAS ~TEM 1 TO 4 0 UTLETS EACH GAS SYST1'M._,5 0 R MO RE METAL FIREPLACE ............ -----+---------,t----+--VENT FAN SINGLE DU~ EACH INSTAl .. ALTER,"RzyAIR WATER PIPE EACH VACUUM BREAKE~ MECH EXHAUST -HOOD/O"lx,TS WATER SOFTNER "-. RELOCATION OF EA FURNACE~TER EACH ROOF DRAIN (INSIDE) ' TOT.I.L MECHANICAL TOTAL PLUMBING I QTY. ELECTRICAL PERMIT· ISSUE 2.00 QTY. "SOLAR • ISSUE NEW CONST EA AMP/SWT/BKR COLLECTOR' 1 PH 3 PH STORAGE TANK~ EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE "-.. 1 PH 3 PH PUMP , I REMODE L/ALTER PER CIRCUIT PLAN CHECK FEE ' TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL 7 ()0 TOTAL SOLAR ;\ ....-~-2.--=.&_ESS_,_5'1----_LI-C~E-N_S_E_#---ll---V-A-LU_A_Tt_O_N __ --1jr3;:;(}TNUMBER CONTRACTORS PHONE • ZONE _;;, {t:11 71-/-o~ II LICENSE NO. PLAN 1.0. # BLDG USE CODE ST A TE LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE '--- DESIGNER'S PHONE ----OCC GP EDU OCC LOAD FIRESPR Noc Valid Unlffs Machine Cl!rtifi«J SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT PLAN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILEHOME MOBILEHOME PARK INSP SOLAR STRONG MOTION FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE • DISTRICT Carlsbad Encinitas San D1eguito San Marcos TOTAL FEES PAYABLE I 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 AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 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 GRANTING OF THIS PERMIT. E,c;p1rat1on Every permit issued by the Building Ofhc1et under the prov,sIons of this Code shall expire by lim_1tat1on and become null and void It the buIldIng or work authorized by such permit Is not commenced within 180 days from the date of such * AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS OVER 5· 0" DEEP "NO DEMOLITION OR CONSTRUCTION OF STRUC~S o/ER 3 STORIES IN HEIGHT ~:~n:, '!t t~~y ~~!'~H.~;h:~~r:~!h~!~e:leJ~~~ r~~~'~,'~~".~ or APPLIC ... NT'S SIGNATURE If. OWNER O CONTR ... CTO~ ~ ~, -./ BY PHONE 0 ?(__t~ rv. ,-\.. ~ APPROVED BY ~ , 2 u:: >-oi 0 a. E Q) I- I 'O 0 (!) . ~ . a. a. <( I -" C a: 0 "' "' Q) "' "' <( I i: .2 ai >- vi "' Q) (.) 0 it Ill <ii 0 ~ Q) (.) C Ill C u:: ~ C Q) ~ (!) 0 0 Q) a C/) £ ~ ~ ~ --- INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION . REINFORCED STEEL : - MASONRY ' GUNITE OR GROUT FLOOR & CEILING SUB FRAME I SHEATHING J FRAME EXTERIOR LATH lNSULATION ' INTERIOR LATH & DRYWALL I PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC I ELECTRIC SERVICE I BONDING A 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 HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE C HECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI - PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS e - SPECIAL MASONRY I PILES CAISSONS .. , -· \ -- , at'·,t r;· 'i. va ,u ,-~,H.,~ :t - - - -