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1088 LAGUNA DR; ; 86-488; Permit
r en z 0 j:: C a: ~ ~ 0 - II: e [ ...J7i I hereby affirm that I am licensed under U ~lslons 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. (,) i 3 I z ~ z 0 a z f 2 0 " ,n « LAI lt oc 0 I 1 ll I hereby affirm that I am exempt from the Contrac- tor's License Law for the following reason (Sec. 7031.5 Business and ~rofessions Code: Any ~ity or county which re-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires !heap-plicant tor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex· empt therefrom and the basis for the alleged exemption. Any violation of Section 7031,5 .by an applicant tor a permlt sub-Jects the applicant to a civil penalty of not more than five hun- dred dollars ($500). r l I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc- ture is not intended or of1ered tor sale {Sec. 7044, Business and Professions Code: The Contractor's license law does not apply to an owner of property, who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend- ed or offered for sale. If, however, the building or improve-ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or im-prove tor the purpose of sale). D ~. as owner of the property, am exclusively contracting with licensed contractors to construct the projec1 {Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or im- proves thereon, and who contracts for each projects '."'ith a contractor(s) license pursuant to the Contractor's License Law). D As a homeowner I am improving my home, and the follow-ing conditions exist 1. The work is being performed prior to sale. 2. I have lived in my home for twelve months prior to completion of this work 3. 1 have not claimed this exemption during the last three years. D 1 am exempt under Sec. _______ , B& P.C. for this reason ____________ _ ~ I hereby affirm that I have a certificate of consent to selt-msure. or a cert'1ticate of Workers· Compensation In- surance. or a certified copy thereof (Sec. 3800. Labor Code) POLICY NO. 'C'").. "i !> ~'=- COMPANY .p-e,_\.~ ~Copy is tiled with the city 0 Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less) D l certify, that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compen- sation Laws of California. /\foTICE TO APPLICANT: If, after making this Certificate or exemption. you should become subject to the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this per· mit is issued (Sec. 3097, Civil Code) Lender's Name __ ~---------~ Lender's Address ____________ _ USE BALL POINT1 PEN ONLY & PRESS HARO CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-4859 QTY.I PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER -Z, J EACH WATER HEATER AND/DR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTA~. ALTER, REPAIR WATER PIPE 2-I EACH VACUUM BREAKER • WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING QTY. ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP/SWT•BKR 1 PH 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH 3 PH REMODEL!ALTER PER CIRCUIT TE MP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTAL ELECTRICAL -:,;Vj QTY.I ---11 ---. -< (JO QTY. zo- y D ND YO NO REDEVELOPMENT AREA YO NO MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER DRYER VENT TOH,L MECHANICAL MOBILE HOME SETUP CAR PORT AWNING --GARAGE APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. VALUATION PERMIT NUMBER t/l{).£0 S648f5 BUILDING SQ. FOOTAGE ~ u::: >-~ 0 uuu5 uui u71~~1~o~Kn1 i56.J9E TYPE CONST OCC LOAD I FIRE SPA YO NO Not Valid Unless Machine Certified. SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 001-810-00-00-8220 SIGN PERMIT 001-810-00-00-8221 PLAN CHECK 001-810-00-00-8806 TOTAL PLUMBING 001-810-00-00-8222 ELECTRICAL 001-810-00-00-8223 MECHANICAL 001-810-00-00-8224 MOBILEHOME 001-810-00-00-8225 SOLAR 001-810-00-00-8226 STRONG MOTION 880-519-92-33 FIRE SPRINKLERS 001-810·00·00-8227 PUBLIC FACILITIES FEE 320-810-00-00-87 40 BRIDGE FE£' PARK-IN-LIEU (AREA TIF 001-810-00-00-8835 LICENSE TAX 001-810-00-00-8162 MFF 880-519-92-57 CREDIT DEPOSIT 7_2,_ 9 ~.,,?3~ Q) ~ I -0 0 (!J c (1) u Q_ Q_ <I: I -"" C C: 0 en en Q) en en <I: I 3 0 a3 >- Q) u C (1) C u::: ~ I C Q) ~ (!J 0 ti Q) Q_ en E: I 2 .c ~ TYPE BUILDING OUNDATION EINFORCED STEEL F R M '!).G IASONRY ~UNITE OR GROUT ,UB FRAME D FLOOR s SHEATHING D ROOF Ti ::RAME :XTERIOR LATH INSULAT10N I I I I ' I I I D CEl~ING D SHEAR ' l I I INTERIOR LATH & DRYWALL I I PLUMBING I D SEWER AND BUCO < D P~/CO UNDERGROUND !_ 0 WASTE 0 1WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN ' I GAS TEST I D WATER HEATER D SOLAR WATER I I ELECTRICAL I ' D ELECTRIC UNDERGROUND q UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMP©RARY D BONDING D POOL ' I I MECHANICAL I D DUCT & PLEM., D REF. PIP{NG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I .. I . DATE INSPECTOR ~ • Jo , ~ ' '' -~ CALL FOR FINAL INSPEC71/ON WH_EN ALL APPROPR/A TE ITEMS ABOVE HAVE BEEN-APPROVED. -. . FINAL I PLUMBING I -A I A ELECTRICAL I q I I, n lr"Y MECHANICAL I .. ~Iv 1lf V I L, T,l GAS ~' I BUll,.DING I \ SPECIAL CONDITIONS I I I ------ "' ,_ ----- ·: .. _ ~~ ./'-f~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .sU ~ 6 -ll~ ~ __I/ ·PJ:. ·. ,, REQ. IF INSPECTOR'S j INSPECTION CHECKED APPROVAL DATE --,-~ ~ ........ --,) rl /JO -~ . 9" M.L..1\.. SOILS COMPLIANCE PRIOR TO " FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDl~G HIGH STRENGTH BOLTS SPECIAL MASONRY •. PILES CAISSONS . ' '. . . \ •. ,_· .. . -' ~,-.... ----.... ~ . . --. --- . . -~ .. , ·-,. ~,. --. --. ', -- , .. , ~~ ~ ••• h .. . . ,.._ ·-. --. . ,. .. ' . ,, . . I \.:-"l .._ ·'' City of Carlsbad 1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 r ~~~ress \ Q t) B L-0..9'\JIIV>--D'<"- Ownr\u: ~ '<' D-e ~ -e\J, Co. ~;~i;;is 5' l ·s (o Co.._'< l(c)~ \ LJ;L \A'--' OV"-Rd. City s, \) It,-). \c}_I j Tel. I Contractor Sa_'A_d..(-)to.ex-?CJc)l .5 . Address d--()O S-So. 72S CO\.J O l t)O BL. City [?SC.ot-J Dl (Jo l21rtt~oJ~ (&l<tJ 1-f,/39---&3).8 State Lie. City 4 ~J.O S. Classif. c.-$3 43l997 Lie. No. / 0 COMPLETE FOR PLAN CHECK ONLY LEGAL DESCRIPTION Lo~ Tra.0-t l l l M t\? ~ I 0 k \ ASSESSORS PARCEL NO 'l..a '.> -l 's o - DESCRIPTION OF WORK S el('(\, -DvT-{µ(50 ( ~s~ I \ ' / 4'34 ¢ -I PLAN ID NO. ?{,-Lfpf DESIGNER ADDRESS PHONE ( ft,(9) (gl:f 7-b r;;-5:3 coNTAcT PERsoN Ah-to"'-~ o N O°Y'\. --t-~ MONT\ Dl<-A--nl N6-+-PERKlt5 Signature of Applicant Or~ Date t( /S'fab \... MISCELLANEOUS RECEIPT ~ MISCELLANEOUS FEE RECEIPT .,,,...-- D • PLAN CHECK FEE 001-810-00-00-8806 -7v , D VALUATION D DEMOLITION D HOUSE MOVING D PARKS AND RECREATION FEE D PUBLIC FACILITIES FEE D SCHOOL FEE · DISTRICT ,0 Carlsbad iiuiil -uui ir9tt;J/01: . --n.1::;1., {.:::. ~ D Encinitas D San Diego D San Marcos D CERTIFICATE OF OCCUPANCY n 0oA-#b40 ~6/ , n /~.~'YO --I • _:_----:-n /i &./ ~v n , n n D D D ~ D D _,,,.. TOTAL FEE $ ?v· ,, *WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED. ARE FORFEITED TO THE CITY. COMMENTS: ~ White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor PLAN CHEfK NO! 1'_,,'/!K ADDRESS /di"/~ I!\ . . PLAN~ • ZONE: ii, :J TYPE Of PROJECT AND USE~~·---------- DATE%~ -::,--+~ 0 w 0:: V) z 0 I-I., u (1) w ;i: 0:: (l) 0:: ·-(1) 0 > .... (1) ca u 0:: Q I ,/ -<- .. J IJ X -J '::J IJ -~ J) ~ :) ~ __) !... (1) lj ;i: -,,: (1) ~ > (J) =) .... (J) ca _) 0:: 0 SCHOOL DISTRICT: SAN DIEGUITO _ ENCINITAS_ CARLSBAD~ SETBACKS: FRONT ~ SIDE t01G-REAR DISCRETIONARY ACTIONS:_0.,..\ _____________ .,.._ ________ _ REDEVELOPMENT PERMIT REQUIRED:0.,..t.)V ___________________ _ LANDSCAPE PLAN coMMENTs: oP ------------------------ ENVIRONMENTAL REQUIRED: cf\J -------------------------- ADDITIONAL COMMENTS:_t, __ P ________________________ _ ENGINEERING LEGAL DESCRIPTION VERIFIED? ~ APN CHECKED?~---·------- PARK-IN-LIEU QUADRANT: /0/f.t , FEE PER UNIT:---=:::::=-TDTAL FEE:-===:=__;:.__ __ P .F". F.: tJ/(cr: TRAFFIC IMPACT FEE PER .. UNIT :~fr_ TOTAL FEE:::===:::: __ FACILITIES MGMT. FEE:,,..vi,,.~ fir/fl, BRIDGE & THOROUGHFARE FEE: ~-_..,._,,._ IMPROVEMENTS: /J/f?r __________________ _ -------------·----------·------------------- FIELD CHECK DATE & INITIALS: ______ RIGHT-OF-WAY:__&lj~. ----·- DRIVEWAY:_ A)/Rs:-EASEMENTS: ~ ~~---- / t ~~ E.D.U.: Njk SEWER: '},.//K _:__ LATERAL: ~&r. -- INDUSTRIAL WASTE PERMIT: 1/1//ps DRAINAGE: ;J~ ~ ~1-f--/ -------- GRADING PERMIT: J.J/J?r: GRADING COMPLETION CERTIFIED: -r----· ADDITIONAL COMMENTS: ------------·----------· --·------ ---------------------- ------ ----···------- --------------------------·---~---- OK TO l~::=:i:/41=::'.-====== -APD2:DPD6:07/17/86 llri.. / J)ATE:_${~-- r , < ~ ~~~~iM~~/~~ ~;!~~H SERVICES • ~'~ -•' Division of Environmental Health Protect;~· 1700 Pacific Hwy., San Diego, CA. 92101 ~J ( 619) 236-2243 .,,-o -~ · /j V C!f [Zb-r;;!! PLAN CORRECTION SHEET •· . I J, OWNE~:llrtePr.{2.. Dev. (lo . (VJ~/;J DATE: 1tlt6?ifb . ···~ f ADDREss, S-/8ld1 ee P6. l L Cy,,i 12 o. f/;if 4 I PHONE, & 7" -r,.,'5"s-;, ; J) 6° CONTRACTOR: s ft7!J D P.1 PE B. [!oo u; PHONE: 98"'.7-~.:5ca..Y · w cl A~dress of Proposed. or. RemodeledAf,;{t c,, L ""-\ It O o,r Ar..?\ r// , )f"' Health Regulated Building; U a. Ll' L-F) /,<f:><l/VG . iJ TYPE OF BUSINESS: A '.S, D. RECHECK REQUIRED f,.)('_,,) CHECKED BY: y ,A; /la.A I D ~ . LU CL'\ -\,-'l.,_..r· PLAN CHECK), f:.-!5 & 'Jbdi) PAGE ( OF I -'---- APPROVED.,· '--/ t: -~~- , ITEMS ,, REC scr 1 s 1986 OF CARLSBAD Building Depar me DHS:EHP-886 {4/84} . r . ·~·· . . . . f'-' .