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1370 KNOWLES AVE; ; 82-411; Permit
.. i!i ;:: : :5 ~ "' il 0 (.) "' "' 0 :! :, l "' z ~ z 0 ~ z "' .. ,. 8 .. <C w "' "' 0 ~ O J hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division J of the Business artd Professions Code, and my license is in full force and effect. L,c Ne Clo\s _ I hereby affirm tnat I am exempt from the Contrac- lor s license law for the following reason [Sec 7031 5 Business and Pro1ess,ons Code· Ary c•ty or cou~ty which re- quires a permit 10 construct. alter. ,mprove demolish, or repair any structure. prior to ,ts issuance also requores the ap- ol1cant :or sJch permit to hie a signed statement that he ,s 11censed ~ursuant to the prov1s1ons of the Contractor's L,cense Law :Chapter g commencIng w1lh Section 7000 01 D1v,s1on 3 01 the Business a~d Professions Code) or that is ex-empt therefrom and the basis for the alleged exemp1Fon. Any v1olat1or of Section 7031.5 by an applicant for a permit sub- 1ects the aopllcant to a cIv1I penalty of not more than five hun-dred dollars ($~00) ,7 I, as owner of 1he property, or my employees with wages as their sole compensation. will do the work, and the struc-ture Is not intended or offered tor sale {Sec. 7044, Business and Professions Code ne Contractor's License Law d11es not apply to an owner of property who builds or improves thereon aM who does such work himself or through his own employees. provided that such improvements_ are no_! intend- ed or _offered for _sale. If_ however, the bu1ld1ng or Impr_ove- ment rs sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or im- prove for the purpose of sale) C I, as owner of the property, am exclusrvely contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of properfy who builds or im-proves thereon_. and who contracts tor each projects with a contractor(s) 1,cense pursuant to the Contractor's License Law). D As a homeowner I am improving my home, and the 1ollow- 1ng conditions exist 1 The work IS being pertooned prior to sale 2 I have lived in my home for twelve months prior to completion of this work 3. I have not claimed this exemption during the last three years 0 I am exempt under SllC _______ . B & P .G for this reason □ I hereby affirm that I ha~e a cert,t1cate of consent to self-insure. or a cer1,l1cate of Workers Compensa1,on Insurance. or a cer1,toetl copy thereof (Sec 3800. Labor Code) POLICY NO _ COMPANY 0 Copy ,shied w,th the city D Cer11!1ed copy ,s hereby furnished CERTIFICATE. OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE 7h sec!1on need not be completed 1/ the permit 1s for one hundred dollars (SHJOI or less) cer11fy that 1n the per1ormance of the wor1<. lor which this permit ,s rssued. I shall not employ any person in any manner so as lo become sub1ecf to the Worl<ers· Compensat,on Laws ot Ca1,1orn,a NOTICE TO APPLICANT 11. alter maktnJ thrs Cert, t.cate of Exemption. you should become sub1ect I~ the Worl<ers· Compensation prov,s,ons ot tne Labor Code. you mus! lor1hw,n, comply w,th such prov,s1ons o, this perm11 shall be deemed revoked 1.::e,, /;f~dc:✓• CZ/ i[ LenCler s Name __________ _ ...I Lender's Address __________ _ 0 I 11ereby affirm That there ,s a cons1ruc110~ lending agency for tne performance ol ttie wo,.._ lor which th•S pe,m1t 1s 1ssueC1 rSec 3097 C•v1I Codei USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD ------=----------------,1 L DING DEPARTMENT A~. LICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525 JOB AooAess % 13 'JP _ ~r-J_l)W 1_F5. •~iT·~17,EzJi:~<m _7'~:"tl~k V 1m:01PiNE CONTRACTOR (')\IJ~ BUSINESS LICENSE # CONTRACTORS PHONE # tJAL§,'z-1 ~M~T:;iERj ~~~,.- OWNER'S MAILING ADDRESS CONTRACTOR's° AOOAESS LICENSE NO. PLAN 1.0. # BLDG USE CODE 1~11 t3UeNlt VJ,11:t WfK ~. GltfM LOT ... I BLOCK I SUBDIVJSION ·srJ;E~CPJ~ -'f-'1-oD DESIGNER LICENSE # STAN DARO PLAN# BU,LsJ 6-00Tr/iE DESCRIPTION OF WOAI< OESIGNER"S ADDRESS DESIGNER'S PHONE 1--------------------~---~--------.. ,l~ (~~ ~ . I I", "' FLA ELEV. v □ r-.O NO STORIES { OCC GP EDU f-.1 CENSUS TRACT I GP LAND use I PARK1NG SPACE RES UNITS I GRADING PERMIT ISSUED y~ Ny/ l REDEVELOPMENT AREA L/ vQ NYJ TYPE ace LOAD °{J:JJ FIRE SPA vQ Nrv Not Valid Unlers ~chine Certifi«J QTY. PLUMBING PERMIT· ISSUE 7~11QTY. l I MECHANICAL PERMIT· ISSUE EACH FIXTURE TRAP I INSTALL FURN. DUCTS iJP TO 100,000 BTU EACH BUILDING SEWER ' ,...o -,-I SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 , 0z.,::2u EACH WATER HEA~ A~/OR VENT=·--=--1 = OVER 100.000 BTU SIGN PERMIT ------□1-0□-~rr-t =tBOII.ER/COMPRESSORUPTOJ HP----PLANCHEC~,05-_e<to1~~--- EACH GAS SYSTEM 1 TO 4 OUTLET~ ____ +-_ . _ _,_ __ ~l_:L_:E_R _ _:/C_:O_:Mc,P_:R_:ES_:S_:O_R_J_J_S_H_P~------+----'---+--T~OT_:A_L_P~LU~M_B_l~NG__ 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE I--+------------ --EACH INSTA~ .. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER -----------~-------+- WATER SOFTNER EACH ROOF DRAIN /INS1DE) METAi FIREPLACE ELECTRICAL Q1.J)0 00 8223 __ ---- VENT FAN SINGLE DUCT ----+----t--·---MECHANICAL _-,_010-.,,00,·Ds-0,,·8-,2°'24'---'----~------1 MECH EXHAUST -H □OOIDUCTS ----+----+-------------MOBILEHOME 01-00-00-8225 1---~--------1 RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ----------r : L SOLAR OLDOcilfr82261 Qj ~ _ _J --_1_----._ TOT SL MECHANICAL I STRONG MOTION_ -~-80-92:33-0S_lg_ -_ --25 TOTAL PLUMBING ____ · ~-----------..!a.-_,.,-----~~FIRESPRINKLERS 01-00-00-8227 ~ ---------------------~ QTY. ELECTRICAL PERMIT· ISSUE EXIST BLDG EA AMP/SWT:'BKR .J. ~ SCHOOL FEE_:__Qj_STRICT_ ------;-r------=---__ . ,_ .... ;,,_.,-----I ---_80-.Q.?-~_0SL -£-. ·=-i---COLLECTORS _9cls_Qad --~-()2_22·051_9_ ----. -. _ --STORAGE TANKS ----T-· --80 92-23 051IT ------ i---lNEJN CONSSTr_JEA AMP·swT BK --------------- r NEW CON 3 pH-__ _ _ _:__ ---SQ:92:_24·0519 _ - J PH QTY. SOLAR · ISSUE ~UBLIC FACILITIES FEE _ _ 32-00-00-8923 ---+----------------i~ _BRIDGE FEE __________ _ ROCK STORAGt ----- -----J . ~ ( I REM□□E~_:u r~_R P~R TEMPPOLE 200A ---t-,------+~□VER 200 AMPS __ -t---TEM~C~LJP, NCY 130 DAYSI CUIT ----+- IPH - PUMP _5_ot5t--=--~~ CHE2~ FEE - --~ - --- ---t-- --JI-- Encinitas Sari Marcos ---- ----+-----------jJ---- ~n D_!_e_g_u1t_Q_ ------ ------+----·-----+- ------+-------II---·---- --- --~---- -- __J ------,L------ TOTAL ELECTRICAL - /1..,.00 - I TOTAL SOLAR --+----Ii I I 03,QO J TOTAL FEES PAYABLE t ,ffirVE CA,AEFUL1. Y ExAMINEO THE COMPLETED ··APPLICATION AND PEAMIT'' AND DO HEREBY ExpiraliClf'I. E~ry per.mi_t issued bythe8uUdlngOfficialunder1he provisionso(this CERTJFY UN DEA PENAL TY OF PEAJUAY THAT ALL INFOAMAT!ON HEREON INCLUDING THE Cocte ~hall expwe by Jim.rtatton tlfld become nuff and void<, If the building Of work DECLARATIONS ARE iRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lF A PERMIT IS aulh<~nzed by such permit rs not commenced within 180 days from the date of such * AN OSHA PERMIT IS REQUIRED FOA EXCAVATIONS 9VEA 5' o•· DEEP ANO DEMOLITION OR CONSTRUCTION if. STRUCTVA£S OVER 3 STOFIIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-=~~ 1~11:: ~r:i~:~orkr 8lJthOnzed by such permit 1s suspended or STRUCT!ON, WHETHER SPECIFJEO HEREIN OR NOT. l ALSO AGREE TO SAVE INDEMNIFY ANO 'c':;':'::c;''::''c:~:':'"::,'':'='-"'!..?W0!2!!k!_!!"~'~om~menc,d!!!!!E!!!..!lfo~,~•~~"~odS.,o~f1f80!!Q.!!llL----f"~~~,.,.~--. ... ---------------~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO APPLICANT'S SIG~NATURE ~.. OWNER CONTRACTOR O DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE _A , ,. '1'+/11\MJ.IJ\I ,· t 2A L'J,,,, GRANT!NGOFTHISPERMIT. .. ~/ _ "£. __ ~ BYPHONE □ . 1 ,z,,,vve- !!! u: >, :;; 0 a. E " >- -1 ;o 0 CJ C m ~ a. a. ., I ~ C a: 0 "' "' " "' "' ., I 3: 2. ,; >- "' "' ., " e a. m -:;; 0 ~ " " C m C u: ,::_ C " i" CJ 0 13 " a. "' C ~ ~ :;: ···-· --··-·· ©---f I I BUILDING ~ FIELD INSPECTION RECORD "-1-,i?Z. FOUNDATION ..... A l"ll,.,. REINFORCED STEEL / .,. I 1· REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION REO IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL ' GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI PRES TRESSED EXTERIOR LATH INSULATION CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING FIELD WELDING SEWER AND BL/CO HIGH STRENGTH PLUMBING UNDERGROUND BOLTS PLUMBING TOP OUT SPECIAL MASONRY TUB AND SHOWER PAN GAS TEST PILES CAISSONS 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 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. ·----· JOB SITE FINAL . PLUMBING ELECTRICAL MECHANICAL ·--- GAS ~ ···-BUILDING 11(,,,?_y,._• ' ' SPECIAL CONDITIONS • . CERT OF OCCUPANCY ISSUED INTERDEP/\RTMENIAL INFORMATION SHEE.I. lECEIVED B.UlLDJNG DEPARTMENT DATE: ------ BUILDING ADDRESS: \370 \q-lOW\..£:& NOV 291982 A. P. N: .. __________ C. T =----------P.fPf--Ht--f::i;AH'!::MMAH--~ CITY OF CARLSBAD KD** * ·'s * ** * * * * ** ** * * * * * * * * ** i~Gi.t....** * t ** * ** ***.il.:J;.};* * * * *** * Atitklhltl ~,r PLANNING DEPARTMENT ZONE: SCHOOL fEES: SAN DIEGUITO SAN MARCOS -------------- ENCINITAS CARLSBAD ------ UNITS REQ' D: __________ PROVIDED: _____ \1-+-} _____ _ % COVERAGE ALLOWED: . PROVIDED =--~-+----1li~-«~----- PARKING SPACES REQ'D: PROVIDED: \ ----+--+-------- BU IL DING HEIGHT REQ'D: PROVIDED: --------- FRONT SETBACK SIDE SETBACK REAR SETBACK PROVIDED: ALLOWED, ~i INTRUSIONS: 3 . 'e Q\6 RE-DEVELOPMENT APPROVAL REQ' D: ~ 1\ f\, LANDSCAPE & IRRIGATION PLAN COMMENTS: 7S ,' --~------------ ENVIRONMENTAL PROTECTION REQ: f; '{_i?; IVCV \ --~--~~------------ ADDITIONAL COMMENTS: ----------------------- "A.iui3i3i..'t X -l-z; * * * * * ·1• * i:· * * 7S' U t * i· * * ;; * * * * * * * * * * * * * .1, * * Z· * -~ * * * * * * ·k .!, * * * ~ * * * * * * * * ENGINEERING DEPARTMENT R. 0. W : ______ IMPROVEMENTS_: ________________ _ PUBLIC FACILITIES FEE:_· __________ SEWER CONNECTION: ___ _ DRIVEWAY LOCATION(S) : ________________ .- GRADING PERMIT: -------------------------EASEMENTS: _________ DRAINAGE: _____________ _ LEGAL DESCRIPTION: _______________________ _ _ ADDITIONAL COMMENTS: ______________________ _ *,'!ECK IF ENC~G IN SPECTION REQ'D. ON FINAL: C TO ISSUE: DATE ~(-)6-Dl-p\fl:_, ___ OK TO FINAL: ____ _ DATE: ____ · * IF TIITS ITHI TS NOT CIIECKED, BUILDING DEPAl!TMENT WILL MAKE FINAL INSPECTION.