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0 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.
L,c No -----Class
I hereby afhrm that I am exemj)t lro,n the Contrac•
tor's License Law lor the following reason (S.C 7031.5 Business and Professt00s Code: Any city or county w~ich re-qulfes a permit to construct. alter. improve. demohsh, or repair any structure. pno, to its issuance also requires the ap-~~~°'p~~~a:~• tt~h!~r!}~~ :a\~~~~!c~!:
License Law (Chapter 9 c«nmencing with Sectoon 7000 of Dlv1Slon 3 of the Busmess and Professoons Code) or that Is ex·
:g\:er~f~,~~ ~~1~1:n 1: 1~n~,;~~~m':t s~: jects the apphcant 10 a CIVIi penalty or not more than live hun-
dred dollars ($500).
D I, as owner Of lhe property, or my employees with wages
as their sole compensation, will do lhe work. and the struc· lure Is not intended Of offered for sale (Ste 70,44, BuslntSs
and Prol1SS1Dns Code The contractor's Locense Law does not apply to an owner of properly who builds or improves !hereon and who does such work himself or through his own
employees, provided that such improvements are not Intend•
ed or offered for sale. II. however, the bu1k1mg or imprO't't-
ment Is sold withm one year of completion, the owner·bu1k:1er will have the burden of proving that he did nof build or Im-
prove lor the purpose of sale).
D I, as owner of the properly, am exclusively contraciong
with lftensed con1rac1ors lo construct the pre>iect (Sec. 7CM4, Business and Professions Code: The contractor's License
Law does not apply 10 an owner of properly who builds or Im-proves thereon, and who contracts tor each prlJiects with a contractor(s} license pursuant to the Contractor's License Law).
D As a homeowner I am improving my home, and the follow· Ing condi1k>ns extst:
~. r~a~:~,::rl~g ~rl= r.,oor.:~emonths
prior ID c«nplelion of this work. 3. I have not claimed this exemption during the last three years.
O I hereby athrm that I ha"e a cen,heate ol consen1
to self-insure. or a cert1t,cate ol Workers'
Compensation Insurance. 0< a cer11fied cocy thereol
(Sec 3800. Labor Coclei
POLICY NO _
CO"'P"NY _
□ Copy IS flled With the city
0 Certified copy Is hereby lurn,shed
CERTIFIC"Tl OF EXE,,,PTION FRO"' WORKERS' CO,,,PENSA TION INSURANCE (This section need not be completed ,1 the permit
1s tor one hundred dollars (S 100) or less)
D I cen,ty that ,n the performance of the work '°' which lh,s permit ,s issued, I shall nol employ any
person in any manner so as 10 t>ecome subIec1 10
the Wor1ilers· Compensation Laws of ~hf0<n11
NOTICE TO APPLICANT II. alter makmJ lh1s Cert,
t1c.ate ol Exempllon. you should beeome sub1ec1 1?
the Workers· Compensation pmvIs1ons of the Labor
Code. you must lonhw11h comply w11h such
provIs,ons o, this perm,1 shall be deemed revokeo
D I hereby aflum lt\at there •s a cons1ruc11on
lending agency '°' the performance of lhe wonw. '°' wtuch this permI1 ,s ,ssved (Sec Y87. C1v,I Coc:,e)
Lenoer s Name __________ _
Lender'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 ~ 13 t A~;_T., D;:E; i P:LA~ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
1'0«.\< ~t> 1~1~ 8,Z,-25 OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE • ZONE
-ro""t A , f.,\.~ Cl.US l<..~ '-f34-3'i').. tb-JA.J~-ChJcL~
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
l...7 3, '-<o~ \'.lD
LOT I BLOCK I SUBDIVISION I f l:,,!~f-~~ DESIGNER LICENSE• STANDARD PLAN #
4t&SOq\OOTAGE
DESCRIPTION OF WORK . -... _,,....., <ct1"A .t. ,_ -,.~ "'£(0 C-D u6'4-DESIGNER'S ADDRESS DESIGNER•s PHONE -' jJ&.&15>£ -
2/1 I
l='l4~l,.#IM To~. A,, T~ Tb 0 lo ----F/P FLR ELEV. NO OCC GP EDU
STORIES 0 lo vO NO ---
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~ER,,,tT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND v O NO YO NO Not Valid Unkss ~chin• urtifi«J
QTY. PLUMBING PERMIT· ISSUE 7~ QTY. MECHANICAL PERMIT · ISSUE .z~ SUMMARY/ACCOUNT NUMBER -. -
EACH FIXTURE TRAP
,, INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·8220 .:)~ ,UC/
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 -
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 'l....tJ.\h
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING . 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 ----
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01·00·00·8225 -WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP -
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00·00-R??~
Ll TOTJ;L MECHANICAL -STRONG MOTION 80·92·33·0519 nO ----------i TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
~ QTY. SOLAR · ISSUE PUBUC FACILITIES FEE 32·00·00·8923 QTY. ELECTRICAL PERMIT · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San 0ieguito 80·92· 23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK rEE San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS / --\
OVER 200 AMPS I'\(. t\ --• ;;:,n: ~ .. \. t'-1 .'L-lJ )
TEMP OCCUPANCY (30 DAYS) --l -:;z, l, P-i~ ' ,
-------~-. . --
~
TOTAL ELECTRICAL -r-TOTAL SOLAR TOTAL FEES PAYABLE I 3-i...~
-Exp.ration. Every permit issued by the Bu1td1ng Offlc1al under the prov11Ions of ttus I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMIT IS REQUIRE() FOR EXCAVATIOMS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1t1t1on and become null and void If the bu1ld1ng or work 5' 0" DEEP ANO OEMClllTIOH OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit ,snot commenced wrth,n 180 days from the date of sucn STAUCl\JR£S OYER 3 STORIES IN HEIGHT perm1l.1~r the build:,~, or work 1utho11zed bl/ auch permtt 1s suspended or ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON abando any t,me a ter the work ,s commenced for a oenod of 180 ~ •••• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPL.~C NT SIG~·IJRE If, OWNER O CONTRACTOR 0 -~::;:y4t DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAIN~ID CITY ~ONE UENC OF THE VJ.-JU~-~ ~~H~ 1.z,1,8~ GRANTING OF THIS PERMIT. o,,'W\ .
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FR AME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR 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
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING j
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REQ UIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTOR'S
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
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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(? INTERDEPARTMENTAL INFORMATION SHEET lE CE IVE D
BU I LD I NG DEPARTMENT DA~N 31 1983
BUILDING,,1D:E_g , ~ ?,.V Y( Ne . . i~,~gE frARLsaAo
A . P . N. / 1. l -7 I --.L.d ~--_________ e~p_art-=m ..... e"'-&Jnt.____
***********************************************************************£
PLANN I NG.t11Ee,\RTMENT
ZONE: r-----•J · SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS CARLSBAD ------------
UNITS REQ'D: __________ _ PROVIDED:
% COVERAGE ALLOWED: .PROVIDED: ---------
PROVIDED: PARKING SPACES REQ'D: -------
BUILDING HEIGHT REQ 'D: ________ _ PROVIDED:
FRONT SETBACK
ALLOWED: NI
PROV-ID ED : ----+-lJ---il-'--l c_ __
INTRUSIONS: ------
RE-DEVELOPMENT APPROVAL REQ 'D:
SIDE SETBACK
-tjl~
------1,,-----+--,~-
G;(
"
REAR SETBACK
dJC
L ANDS CAPE & IRRIGATION PLAN COMMENTS: -~4----,1'---#--..-------------
ENVIRONMENTAL PROTECTION REQ =-------------------V31)13
ADDITIONAL
ENGINEERING DEPARTMENT
R.O .W: -------IMPROVEMENTS: -----------------
PUBLIC FACILITIES FEE: SEWER CONNECTION : --------------
DRIVEWAY LOCATION (S) : ___________ ....;.... ______ -·· ___ _
GRADING PERMIT: _________________________ _
EASEMENTS: DRAINAGE: ------------------------
LEGAL DESCRIPTION: _______________________ _
ADITITIONAL COMMENTS: -----------------------
*CHECK IF E~\~I NG I NS P ' 1 ·~~,f.EQ 'D. ON FINAL :
OK TO ISSU ~/DATE:~;:-~~l,1'..:...._;'J= PWI: _ OK TO PINAL: ____ _
DATE: ----
* IP THI S IT EM I S NOT CII EC KDU, BUILDING DEPARTME NT WILL Mi\KE
FINAL INSPECTION.
Pr