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1052 Knowles Ave; ; 85-824; Permit
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"' z "' .. ,. 0 u "' "' "' "' a: 0 3 ![ D I hereby affirm that I am licensed under provisions of Chapter 9 1commenc1ng with Section 7000) of Division 3 of Hie Business and Profeas!ons Code, and my license 1s 1n lull force and effect ll( No ____ _ C1a\, I hereby afl,rrn lhat I dm e,ernpT •·er tor'~ License I aw lor tre blowing reasvn 3us1ness and Proless,cns CMe A0y ,·,·y ~r ·,:. 1"ty w~1c" re cuires a pwmit TD COTWuC' d,'ec ,,.,~,c,,•e demol,sh or ·eaair an) stc,,cluce ~r ',r :· ,:, 11;";·:t ,;,,, ~l,carl lor such oerm,t :J 'ilea s.qoec sta·emenT 15 ;icenseo 8~rsJan: to 1he pro,is,ons o' The Conrractor, L,cense Law ,c•,apter 9 comrienrinq ,,.,,h Sr.r•·:;n 7!JriG o' Ill\'$ ,Jn 3 o• :ne Bus.ness and PrGless ons LO~e. or lhO' 10 ex e"pt trerel'o"' a1~ :he has,s for the ol!egea e,e-pt,on Any ,,01at1M c• Sect1or, 7·J31 5 by ar ~Opl1cant for o oerrr_,, outJ r~e applicant to a c,,,I ~enal'.y o' rot "'are than live -un dollars !SSOO, I as o;.•ner of the propect) or "Y er,ip1o-.ee, w,ir wages as •he,, sJ·e cn11pe%J'1on will de the wJrS a~c tre struc twe ,snot 1rter,ded er vflered for sdle ,Sec ?G4a 8Js111e<,s and P·otess10.1s Code The CornraGTor ; L-lense Lo" doeo 1101 JPely to an owner o' prooert~ who bu,lr.s or ,mp'o·,es :r.ereon and who does scch work h1mselt or lh'o•"gh his own emp101ees orcv,ded tha: such ,m~ravemerts a·r. nm •ntenc- ed or otfe•ed 'or sa;e ,t howevw tM bu1ld1ng or improve me~! ,s sold w1th1n one yed' ol cam;i•et1on lhe owner-budder wil· have tre bwaer at orov1og lhi!I he did ~ot ~u,ld or ·m ~rove for \he pucpose of sale-, as owner al the ~ro~erry, am exclus,v~ly cor-!'ae' rg with l•Lensed co0 :ractars :c construct the pro1ec1 1 Sec 7044 Aus,ness a~d P•ofess·or.o Cor.e The Contractor's llceroe Law does not apply 'o an ow~er ol ;ircperty who tiu,lds or 1r", proves ttiereon. and who cnnvacts for eac~ oro1ecT<; w,!h a contractuqs) i,cense pursuan• 10 the Contractors 1,cense Law! As a homeow1er I am lr",P'Ol''ng n1y home a~d lhe 'ol ow 1ng cond1t1ons exist I The worK ·s being performed pr,o, to sale 2 ha,e lived ,n rny ~ome for :we ve monll1s prior •o comrlet,on ot this work ' have 1101 claimed t~,,s e,em;J:•on during the 'ast th·ee years : am exempt unoer Sec _____ _ B & PC lor this reaso~ ____________ _ I hereby atttrm :hat I ha,e a ~ert1'1cate of consent ro se I insure. or a certil,cate of Workws Compensat,o~ In surassp or a :ert.f1ed copv there~! iSec 3800. Labor Code! POLICY NO COMPANY Copy 1s hied "':th the city cw,d1ed co;,y 1s he,eby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1Th1s sect,on neeo not be completed If the permit 1s •or one hundred dodars 1$1001 or less1 _ I cert,ty that ,n the performance of the work for which this permit 1s issued. I shall not employ any person ,n any manner so as to become sub1ec1 !O the Workers Com pen sat,on Laws ol California NOTICE TO APPLICANT If, alter mak,ng this Cert,hca1e of Exemption. you should become subJect to the Workers Compensation pro.is,ons of the Labor Code. you musl fort~w,th comply with such prov1s1ons or th,s perm,1 shall be deemed resoked C.: I hereby aflirm that \here 1s a construct1or lending agency •or the performance of the work lor w~•ch This per m,t ,s issued (Sec 3097. Ci.ii Code, Lendei's Name Lender's Address 1 USE BALL POINT PEN ONLY & PRESS HARO Al-'1-'Ll(.;AN I I U t-lLL 11\1 ll\lt-UHMJ.\ I IUN YYI I n1N .'.>nl-\ucu Mn CM 1-\l'IU UC\,,,L11,n11.11v1'1~- 1 j I I I. --··· ·~ .. ---- CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT :t-,~,O~B~A~O~D~R~E~S~$,-------•.--~,-----~.~V~.~S~T~.~R~D~.-,-N:::,EA~R=E=S=TC':C~RQ~S5~S~T~.-------------,~~"""-~""""~~T~l~O~NT°--:B~U~S~l~N~E~SS,...L~l~C~E~N~S~E~#:""'~--:V7Ac,-L~U~A~T~IO=N:----,---::,:,~,S,:CM::,C"C-:-N7u~M7B~E~A;:--~ : ,at 0 ~"-· sueo,~~N :SSESSORPARCELNO(.)...~ ':::; \ CONTRACTOR I i 8;.S CONTRACTORSPHONE• ZONE ~~ , IS'5 :J.5/ J!!,Ov O _,. I OWNE A'S NAME ·-,_ · 1-:~s~~~,!:;/=.,~'=;-:=:-:c:-'1:.....:!..!,....,,_ _______ l-,c,;;c:,:,;,-"":----~-:,c-;-:,-c-;::-,:------+-;:;-:::-::::,:,-:"c--:,::::::::-;:c,:-7 I ~r1~ fl~ (4:j$~ i-••~-~ CO LICENSENO. PLANl.0.# BUILOINGSQ.FOOTAGE OWNER"$ IVIA!LfNG ADDRESS ~ Q4 ~ DESIGNER DES~he-:Ete..RK will ~iaJ 0 o... SIM.~ J ::[ DESIGNER'S ADDRESS r.t~~~mt~~~ ' ' YC .... c FLA E~EV CtNSUS TRACl !JP LANDU AES UN,TS G ING PERMIT ISSUED AEDEVELOP'v\ENT AREA NO STORIES TYPE CONST DESIGNER'S PHONE LICENSE NO. DCC GP I EDU ace LOAD I FIRE $PP II/OB/R8col6 ODU15~ I B I I /OB/ 96 ; YO f. 0 , =:; -.C v □ NO Not Valid Unless Milchrne Certified SUMMARY/ACCOUNT NUMBER ro ;rn, I O~□c: : QTY I PLUMBING PERMIT. ISSUE 1 --, ~ j! QTY.I MECHANICAL PERMIT. ISSUE 3 _ : EACHFIXTURlTRAP ~ I / u iINSTALLFURN.lJUCTS:JPT0100000BTU BUILDl'l!GPERMIT ooa-810-00-00-8220 ! _j I EACH BUILUING SEINER I OVER 100.000 BTU SIGN PERMIT oo;-81G-D0-00-8?21 '---· --------t---e-,-_____ ---I-------------- 1 EACH VvATEK HEATER ANlJ UR VENT . tBOILER.COMPRESSOR UP TO 3 HP • PLAN CHFCK 001-810-00-00 8806 : 1 _EACH GASSY_SJEM i __ TJ.2._:_~TLFTS -----:-----__ 801~-ER.C~M~~E~SOR: 15 HP _________ _:_ __ 1--. TOTALPLUM8 1NG ___ 001-810-00-00-8222 I EACHGASSYSlEMSORrv □RE lt.'rlt.l~REPLACr ELECTRICAL 001-810-00-0D-8223 IL__ ____ 1...--____ ---------------+-------+--------------· ~----· t EACH INSTA~ ALTER. REPAIR 1-';ATER PIPE" ! VENT fAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 L___ • t -------.. -• - I EACH VACUUM BREAKER , MECH DHAUST HODO DUCTS MOBILEHOME 001-810-00-00-8225 I /o.7" 1 1~AlER SOFPIJER 1 1 RELOCATION OF EA FURNACE HEATER MOBILEHOME PARK l'JSP ] l ----- SOLAR 001 -81 0-00-00-8226 880·519-92-33 +------ : 1 / --S:" ~JQF c,c,.:;~' ;~~{?._-·-·. I .,__ i~ .L, 1 TQTi;l MECHANICAL I I :-I 1 TU l Al Pl U\Hl1N(, 1 /c) . ~ STRONG MOTION FIRE SPRINKLERS 00_1-81 0-00-00-~82~2~7-+-----------j : QTY I ELECTRICAL PERMIT. ISSUE J .5'"-· :I~ SOLAR· ISSUE l~BLIC FACILITIE~_!~~---_ 332-810-00-00-8930 ---------+--- NEW CONST EA .'.lMP C::.Wl kKfl t-Xl'.:.I tlLULi tA AMP SWT 8KR : I I ;~~ 00. -• • I_P_H _____ _,__ COi L ~ (; JCi RS --------+--------tt~0_L_~E_E _·_D_,S_T_R_I C_T ___ _ SlDRAGr "A';a;s ROCK STC19AG~ Carlsbad Encinitas ------------l-------+l __ 0S0a-~n D1egu_t1_c_--_------ San Marcos I 1PH lPH I !1 ]oGfn -----------+----- ------~ .__ _ _j__H_cE:_,_rn. 0 E l A L H R P FR C I R C U I T ___ .ii---~l ,V< UffCf< ~FF TEMPPOLE !OOAMPS I LICENSE TAX 001-81 0-00-00-8162 - : OVER 20ll AMPS 1 11 ! TEMP UCCUPANCY 130 OAYS_1 ____ _ MFF 880-519-92-~5~7 +---------! ----r- 1 I CREDIT DEPOSIT TrlTAL FlfLTHILAI r I !Odil S:)l.'..R TOTAL FEES PAYABLE ~ ~ ! HAVE CAREFULL y EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'' AND DO HEREBY E11ptratroo. £very perrnJ! issued bytheBuHdingOffic1a!underth8pw111smnsofth1s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by ltmitation 8nd become null and void If the bui!dmg or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION Of 1 DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auttionzed by such permit is not commenced wilhm 180 days from the elate of sucn STRUC OVER J STORIES IN HEIGHT 1 _ , . permit. or 11 the building or work authonzed by such permit 1s suspended or I ISSUED. JO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILOlNG CON-c_;•~•c•cn2doned~!!!!_!•!.l !"'!!l'..~h~m~•Ll•~•;;i_;1~h!e!w~o[c~k.!"!..£'O~m~m~e[n~c!•2dllO£s.' !'-'!'!~nso2dJO[IJ1<80!'-'daa,.,_-;:::"1i--:~~::'.':':':'::!-t-----------~~..,'"":,---::--, STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO APPUCANT'S OWNEA'fiit CONTRACTOR O .. EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE Af-"'."7.,J , ;;,~.,__, ..-··• -~ BY PHONE 0 GRANTING OF THIS PERMIT - © u: ~ ~ 0 0. E w f- D 0 CJ IIP u ~L 0. <C I ~ C CL 0 m m © m m <C ~ 0 o3 >- '" m © u 0 ct m '" 0 CT ill u C m C u. ::; C 0 ~ '" 0 u ill 0. m C ill ~ ,: TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL I I MASONRY I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEl~ING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING C:: SEWER AND BL/CO --P~/CO UNDERGROUND □ WASTE □ MiATER TOP OUT □ WASTE □ WATER ~ --------------------------------~ ~~ I ·• .... FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS C0!\1FC C\\J,-E pq•OR TO FOUNC,'\~10r--.. 1'.SP STPL,CT1_19.A.L CC'":-=:.it:= 1 E: OVER :?C·UU ~'SI ~'HE:STRESSE~: REO IF INSPECTORS DATE CHECKED APPROVAL -·------*--~ ! --i---··· ' -----1----- CONCRE~E -...j--------+---·---- PCST TEN:=:.ID'..iE:.:; CU'.CRETE >'IE'.[) v'./E'...DING INSPECTOR·s NOTES -+-----------+------, r------------------------------j •1,;·;17 :;TF<E/\;Cl-H _________.j ao, T~- --.:H:C::IAL ,\,lA~il_)NRY I TUB AND SHOWER PAN I I I i~---· -------+---1--------+---GAS TEST . 1-----------------------------l □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □, UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPC)RARY □ BONDING □ POOL I MECHANICAL □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS ~ VENTILATING SYSTEMS CALL FOR FINAL /NSPEcnoN WHEN ALL APPROPRIATE ITEMS ABOVE HA 1,/E BEEN APPROVED. FINAL 1 PLUMBING I ELECTRICAL I MECHANICAL I GAS BUILDING I SPECIAL CONDITIONS I j F·1 1:S CJ\lc',S(;,~,,-e---- ! ----r------+---- ~---' ----------1------~-----+ ------- -+------ ---- ' ~ I -+----- f------+----+------- 1-------------+------------.--+--·; L _______ L_ I _j I