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Home My WebLink About1289 FOREST AVE; ; 83-124; Permit.. z 0 : :5 irl Q .. I[ 8 ffi Q " ::, I .. z ~ z 0 ;:: ~ z .. .. ,. 0 0 .. ir .. " "' i ![ O J 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. Lie No Class I hereby affirm that I am exempt from the Contrac- 1or' s License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re-qulfeS a perm,t to construct. alter, improve, demolish, or repair any structure. prior to_ ,ts issuance also requires the ap-pl,cant for such permit 10 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 al D1v1s,on 3 of the Business and Professions Code) or that is e~- empl therefrom and the basis for the alleged exemption. Any v1olat1on ol Sectian 7031.5 by an applicant for a permit sub- 1ects the applicant to a civ1I penalty ot not more than live hun- dred dollars ($500) CJ 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 ottered 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 wtlo does such work himself or through his own employees. provided that such improvements are not intend- ed or oftered tor 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 for the purpose of sale) D I, as owner of the property, am exclusively contracting with license{! contractors to construct the project (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 pro1ects with a contractor(s) license pursuant to the Contractor's License Law) D As a homeowner I am impr!Wing my home, and the follow- ing cond1t1ons exist: 1. The work. is being periormed prior to sale 2 I have lived m my home tor twelve months prior to completion of this wOfk 3. I have not claimed !his exemption during 1he last three years 0 I am exempt under Sec . B & P C for this reason------------- 0 I hereby amrm that I ha~e a cen1l1cate o1 consent to sell-insure, or a cer1,1,ca1e of Workers Compensatmn Insurance. or a cer1,f1ed copy thereof (Sec 3800, Labor Code) POLICY NO COMPANY D Copy 1s f1l!!d w,th the c1 D Certified copy ,s hereb~ CERTIFICATE OF Ex"EMPTION FROM WORKERS" COMPENSATION INSURANCE (Th,s se.:1,on need not be completed ,f the perm,t 1s !or one hundred dollars {$100) o, less) D I cen,!y that 1n the performance of the worl< 101 wh,cr, 1h,s perrrnt ,s issued. I shall no! employ any person 1n any manner so as to become subiect 10 the Wor!<ers· Compensat,on Laws of Ca1,torn1a NOTICE TO APPLICANT If. alter makrnJ !hos Cen, locale ol Exemptmn. you snould become sub1ec1 to tne Workers· Compensat,on pro.is,ons ol tne Labor Code, you must forthwith comply with such prov1s,ons o, th,s perm,t shall be deemed ,evoked 0 I hereby aH,rm 1ha1 1nere 1s a cons1ruct1on lending agency !or the perfo,mance of the worl< lor ,..n1ch th,s permn ,s ,ssued !Sec ){El c,,,.,, Codei Lenders Name ___________ _ Lender's Address----------- I 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 XJS A00/.;?/9 hRes I A';;gT I DA¥/t'c5'0N SUSIN~E":E# ,1•GTL.. ""'"TNUMBER owNEs·s NAME;-~ ,e 'h. I ?J4:•;6)°7 . ~:cTLJ qq~ +J-CONTRACTOOS.,_,N.. ZONI i? r I~ OWNER'S MAILING A'OORESS ' " CONTRACTOR'S ADDRESS ~ UCENSE'NO. PLAN 1.0. # BLDG use CODE OI... " · I~ , ~-:S-'f o LO}' BLOCK I Sueo1v1s10N I ASSESSOR .!:'._~RCEL ~?-II.J DESIGNER LtCENSE # STANDARD PLAN# BUILDl,NG so_ FOOTAGE 1-0£-S_C_R.ll-PT-,-0-N-0-F-w<)-.-'.-~-------'--C... /.;:a ..... ,_JIZ ,-_ _.· J:,Uc..,Oe,_-_,a:,'),/"i<..-----1 to/ / , , QES[GNE!l'S ADDRESS OiSIG,NEll"S PHOfllaE ,L.r..\--~...c:.~~·""'·"!!t..,.,· ,___~"Z-pa, S ~ • · -r2A~J,.J..,... ulr.;'~f• "ie. 9,, ... C:..-'=-.;:.._ , F/P FLAELEV. NO OCCGP EDU 1.,~ {J/~j:3;/~J :;c STORIES I! YO 1\,0 CENSUS TRACT GP LAND USE I PARKING SPACE RES UNITS I GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA AREA CONST _ y D N D Y D NO v O ND Not Valid Unless !bchine Certified ,:t") QTY. PLUMBING PERMIT -ISSUE 7~., QTY. MECHANICAL PERMIT· ISSUE .3-SUMMARY/ACCOUNT NUMBER 1 -· __... ., EACH FIXTURE TRAP ' -, -{' INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 f.,,,. ,S ...\ t) } EACH BUILDING SEWER ---------------#-_k;__.:J:.(: OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -----=---- -EACH WATER HEATER ANO/OR VENT -r----. ---BOILER/COMPRESso_R UP TO~ PLAN CHECK 01-00-00-8806 LJ_l.J--r .J .--EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOfl ~---TOTAL PLUMBING 01-00-00-8222 -, I r"°.,... EACH GAS SYSTEM 5 OR MORE METAL FIREPL~ ELECTRICAL 01-06-00-8223 / /"J -- <---I-EACH INSTA~ .. ALTER. REPAIR WATER PIPE --VENT"F..Af(SING-LE DUCT MECHANICAi-01-00-00-8224 EACH VACUUM BREAKER ~H EXHAUST HOOQiQLJCTS M0B1LEH0ME 01-00-00-8225 t---+----·--------+ ------ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP 1---1-"-~ --. ~ EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-8226 '------_ _________ ______ ---_ r~ TOT/..L MECHANICAL STRONG MOTION 80-92-33-0519 I. ( 0 TOTAL PLUMBING I ~ ·-~ ~ FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERMIT. ISSUE 5-QTY. SOLAR· ISSUE BRIDGE FEE ' NEW CONST EA AMP/SWT·BKR COLLECTORS SCHOOL FEE-DISTRICT ·-------- 1 PH 3 PH --STORAGE TANKS_··· ---_ Carlsbad 80-92-21-0519 EXIST BLDG EA AMPISWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH --_ _____/"-PUMP ----San Dieguito 80-92-2i-o·519t- REMODEL.1Al TER ~~~1~c~il---=--=~---=---..._j_~------~~~~~EC~~~-----=-~---------SanMarcos ___ -----BQ-92-2~19---/-,--.,,--,--0' TEMP POLE 200AMPS -,. ' ~,., 7}, '°"'1-4 1----------OVER 200 AMPS ----__________ L_____ --__ ..___ 1------/ 0 . ~-----t T!~ ..... ;:;;j'"".:/~:;;:a~~~==t- TEMP OCCUPANcY"(30 oAYS) -------------------------------l\ ' ---------r----------------I _______ L__ __ L__ --------- --~'------T ___ l_ --- -----·----------------'---!1---------------,-...J----:::-----I TOTAL ELECTRICAL 1 / O . .,.,. TOTAL SOLAR TOTAL FEES PAYABLE J q /,. t,. 0 . . -~ ~ I HAVECAREFULt.'v;'~EO THE OOMPLEl'.ED ''APPLICATION AND PERMJT'" AND D0,HERE8Y c .. .,.rattOfl Everypermltis8uedbythe8uildinlJOfftcuiluodeftheprov,slonsOJthiS .• ,, "*# Hf ,~PEflMIJ 1.$~ f:Qft EXCAVATIONSQYER CER"J~ 'UN~ff PEtlAt.TV OF PERJUAY THAT ALL INFORMATION HEREON INCLUDING THE Code sNatf exp,te by limltauon-and beCOri'le mdl antt vOkt ff the btukffng or-wott , ·5:' o~ DEEP AND DblOt.fTlONOR CON$TRUC110N OF DECLARATION~f'ARE -lRUE,ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonze-d by such petrnlt is not co~~~ within ieb-day,i from the dafe Of sucn STRUC1UAES OY£R 3 STORIES IN HEJGHT permtt. or if the buikfmg o, wOtk _r.: .. ,or,ied by such-pe,mit 1s suspen<Sect or j fSSUED: TO COMP!.-Y WfTH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned•• 8Rv time llfter the wo com i.:;.:.:nOd of 180 -.· i STRUGTION; WHETHER-$PECAFIEO HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMN5tF£Y A:ND C {j . ~ 0 )JS APPRO D BY Jt,f'I'. JtyT,;, J;7$ · KEEP HARMLESS THE'C11Y Of CAALSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COS ND APPl~fCJNATURE Jf. 0 ER CONTRACTO ., • I D '-1- EXPENSES WHICH MAY tN ANY WAY ACCAUE AGA!NST SAID ClTY IN CONSEQUENCE O HE_,,,,,,.,.. \_.../ .,,)•l , BYPH"·NE("' \ ..._ • ~ 1 • • i /.,J-tJ12. GRANTING OF THIS PERMIT, /:,..; -,. , I "' ..... C . -I t) ,L ~ ~ . " ii >-;;; 0 0. E ~ I D 0 ('.) C <O 10~ u 0. ~~ ·'ft: ~ C a: 0 00 00 " 00 00 <( I i ,; >- ,,; 00 " 0 0 0:: <O .; D ~ " 0 C <O C ii C " !" ('.) 0 0 " 0. 00 C 2! i: s: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION c../o,83 ~ .. REINFORCED STEEL ~~y J~lSl/lAfl~ ID'6·Pr5 (1JI., ., GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME 5.2,7~ r. EXTERIOR LATH INSULATION 7,li ·R~ r-- INTERIOR LATH & DRYWALL nil4.1~ (, .... PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT I, ,\,B3 AA' TUB AND $HOWER PAN II GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ·n•11-Pa. ~ ELECTRIC SERVICE V/ BONDING 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 HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING X'\ I I\, ELECTRICAL • \ >I: )'V ·;....~,n -) MECHANICAL .,/,. , ...... ~ V ~ l GAS ' BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ' . -, . . x"3 -I d-''--f FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' ' INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL -·-------- SOILS COMPLIANCE PRIOR TO " -.,. FOUNDATION INSP ,· . - STRUCTURAL CoNq~ETE --- OVER 2000 PSI PRESTRESSED CONCRETE ---POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH SOL TS --- SPECIAL MASONRY . - ' ' ' f-- PILES CAISSONS . .. -~ . . -' , -· , . --- --- -.. ·• ~,; } .1 ;: ',, : : ''.:t' . .,,. ; · . . . ' .. . r\•··-~ ~•-C ..a.r • • ' ---- - - . --"------------ . INTERDEPARil100ALINFORMATION SHEEI 1E CE IVE D BU I LD I NG DEPARTf.1E.NI nAnMAR 31 1983 B uI Ln I NG AnDREss: /c) ~7 ~...,.,..~_;:c__,::__ ______ ...... cu...i1rv~·· """"'O.u:.F ....... c.lJAU:tR~Ls~s~A,I..ID- A. P. N: /S(r" //t) -·-a r:P_ c . T : _________ B_u_nd_ln_g_D_e-'--pa_rt_m_c;..e.;..;;..;:nt'--- *********ii*** t ** ****** ** * ** * * **i; * ** *** ** **** *** * * * * *******:Id****•'>***•~ e.L8NN 1 N{i_DEPARTMENT ZONE: l?-J · SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _ ENCINITAS CARLSBAD ------------ . UNITS REQ' D: ----------PROVIDED: -----Q+I-.J,~I_,,~"------- % COVERAGE ALLOWED: . PROVIDED: ---+---+--41-~__;;:=----- PARKING SPACES REQ'D: PROVIDED: BUILDI NG HEIGHT REQ'D: PROVIDED: FRONT SETBACK ALLOWED: ---(J~-..1 ) PROVIDED: (__ -----+--+--~-- INTRUSIONS: ------ RE-DEVELOPMENT APPROVAL REQ'D: SIDE SETBACK --------~....-- --------- REAR SETBACK (J (c LANDSCAPE & IRRIGATION PLAN COMMENTS: ---t'--'t-'-----------~~ ENVIRONMENTAL PROTECTION REQ: e)(8fJ\PT --"---'------------------...-;~ ADDITIONAL coMMENTs: s·1bE:'li't~.b SE.TBA(\<-o~ 'Z 'lc'' To BE. N\~ l Ni A IN Eh OK TO ISSUE: DATE: OK TO FINAL: DATE: ------------------ E~~iNE~Ri~G'DEP8RTMENT ..... *fr;:~'j·· ...... mmx••••= R.O.W: IMPROVEMENTS: -------·---------~ PUBLIC FACILITIES FEE:· SEWER CONNECTION: -------------- DRIVEWAY LOCATION(S) : ______________ _ GRADING PERMIT: --------------------------~ EASEMENTS: DRAINAGE: ----------LEGAL DSSCRIPTION: ------ ADDITIONAL COMMENTS: -------------------~--- *CHECK IF ENGINEERING INS1;//i!ON REQ' D. ON FINAL: OK TO ISSUE:~DATE: PWI:. OK TO PINAL: _____ _ DATE: · * IF THIS ITEM IS NOT CIIECKDD, I3U1LDING DEl'Alrf'MENT WILL MAKE PINAL JNSPDCTTON. J