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Home My WebLink About167 Maple Ave; ; 83-328; Permit.. z 0 ~ a: .. ., u .. 0 I[ .. z 0 u D 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 __ _ a: .. 0 ., 3 ~ .. z ~ z 0 ~ z .. .. " 8 "' 1c .. " .. 0 3: I hereby affirm that I am exempt from the Contrac- tor's License Law for the following reason (Sec. 7031 5 Business and Prolessrons Code. Any city or county which re- qu,res a permit to construct, alter, improve. demolish, or repair any structure, p_rior torts rss_uance also requires the a~- plrcant for such permit to Ille a signed statement that he rs licensed pursuant to the pr1J11is1ons 01 the Contractor s License Law (Chapt_er 9 commencing wrth Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that ,sex· empt _therefrom and the basis for the alleged exemption Any v1olahon of Section 7031.5 by an applicant for a permit sub· 1ects the applicant to a c1v1I penalty of not more than five hun· dred doliJrs {$500,1 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 offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to alwner of property who builds or improves thereon and oes such work h1msel1 or through his own employees, led that such 1mprove.ments are not intend- ed or offl'.{e f It, however, the bu1ld1ng or improve- ll e year ol completion, the owner·bu1lder 1 of proving that he did not build or 1m- e 01 saleJ I '.J I, as owner o1 the property, am exclusively contract<ng with licensed contr2ctors 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 projects with a contractor(s) license pursuant to the Contractor's License Law) i{ C As a homeowner I am improving my home, and the tollow- 1 Ing cond1tIons exist 1. The work is being performed prior to sale 2. I have lived In my home for twelve months prior to complehon of this work f 3 I have not claimed this exemption during the [ last three years D I am exempt under Sec ______ , B & P.C for this reason, ____________ _ D I hereby a!ltrm lhat I ha,e a certificate of consen1 10 sell-insure, 01 a certificate of Workers· Compensation Insurance. or a cert1f1ed copy thereo1 (5ec 3800, Labor Godel POLICV NO COMPANY □ COpy IS !1led With the city D Gert1f1ed copy Is hereby fu1rnshed CERTIFICATE. Of EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Hus section need not be completed ,f the perm,t ,s !or one hundred dollars 1s1001 or less! 0 I cert,ly thal m the performance ot the won<. lo, which 1h1s permit ,s issued. I shall no1 employ any person in any manner so as to become sub1ect to !he Won<.ers· Compensation Laws ol Cali!orn,a NOTICE TO APPLICANT If. alter mak1n1 th,s Cert, !1cate of Exemp!,on, you should become sut>1ect t') the Wori<ers Compensation prov1s,ons ol the Labor Code you must !orthw1lh comply with such prov,s,ons or 1h1s permit shall be deemed revo~ed i[ 0 I hereby a1t1rm 1hat there ,s a construction Iend1ng agency Tor the performance ol \he wori< lor wt11ch !his perm11 ,s rssued 1Sec 3097 C,vrl Code) Lenders Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT X>BA°;°':~· 7·.·'11ia ale itJIP uJ;M>111-·P th Pttd'Jti 11 )-;Nr:;.;~ A;V/2ST. 'RQ_., o:-r: ~A~~1~~;r: t .. l ·b·-~ A -?;,::"A~ CONTRACTOR ~A:, 8"~E!-M!T NUMBER r-1 CON=TI!AC~. ~, "'TORS"'-,--PHON---,-.-+1-=-zoccN,=E-------j1 3 J__ 2 BUStfliESS LICENSE # <vc2 13:os-5:Ls;,½ at{ f-2?1:z e CONTRACTOR'S AODREr~ LICENSE NO. PLAN 1.0. # BLDG USE CODE LOT f BLOCK f sueD1v1s10N j ASSESSOR PARCEL N.O. DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE OE • 0 () ~-PESIGNER'SAOOAESS , OESIGNEfl'S PHONE ~a L ) V { 'n 4 __ q Cf_l(_J,-fi!" .S '" "" HEV NO occ Ge EDU /i ---_L I) _~,4 STORIES ~-c.,..(..;;. YONO CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE CONST DCC LOAD j FIRE SPR . AREA ¥ D N D YO NO vD NO NfJ/lj'/iJµvfi!JF./licfijpe Certified QTY. PLUMBING PERMIT· ISSUE ?-So QTY. ~CHANICAL PERMIT· ISSUE ,?,ot1 suMMARYtAc'6~u~3tJdMB~t3ci '' EACH F1XTllRE TRAP INSTALL FU DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BU!LDING SEWER ---OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 PLAN CHECK 01-00-00-8805 :; !; 17 -:::p EACH WATER HEATER AN □,-OR VENT 1---+---_ __, ________ _, EACH GAS SYSTEM 1 TO 4 OUTLETS TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE ------_:_____________- EACH INSTA~ .. ALTER. REPAIR WATER PIPE METAL FIREPLACE ELECTRICAL 01-00-00-8223 VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER WATER SOFTNER --~~~---~ I MECH EXHAUST -HOOD.'DUCTS _ MOBILEHOME 01-00-00-8225 RELOCATtON OF EA FURNACE/HEATE'R MOBILEHOME PARK INSP ---EACH ROOF DRAIN (INSIDE) SOLAR STRONG MOTION TOTkL MECHANICAL 01-00-00-822_~6---j--- r-I ;-a-.-------------~[ ---T~~---~~-~-I ~ FIRE SPRINKLERS 1 PUBLIC FACILITIES FEE TOTAL PLUMBING 80-92-3~0_5_19_1-I ----- 01-00-00-8227 32-00-00-8923 QTY. ELECTRICAL PERMIT· ISSUE --,_j ;C}e,) QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP-'SWT BKR COLLECT\RS I O SCHOOL FEE • DISTRICT -+---·· 1 PH ~------_2_PH t--Carlsbad 80-92-21-0519 EXIST BLDG E~ ~--'------+-Encinitas 80-92-22-0519 ----;-----------, --+------- lPH ' REMODEL'ALTER f----+---PER CIR TEMPPOLE 200AMPS r=r~ER 200 AMPS __ _ TEMP OCCUPANCY (30 DAYS) TOTAL ELELTRICAI 3 PH IT -1 I ' -- PUMP -"-,---------t------JI---::~===---80·92-23-0519 -.,.... ..z;;;;; , " u ----PLAN CHECK FEE ---+------jl,' ~-24-.0519 ----. ·-----=~----+-____:__~~----N!,,J_' )_ --------- --------+--- +--1_ c--;6 c.J TOTAL SOLAR TOTAL FEES PAYABLE l ""'-~ -~ A~ =t,, ' Ell{iration. Every perrtm ·~ by the BuffdinQ,()fflctel~;derihe·p~OYlai~s~ Cc:Mw~•U expire'by linritauon and beet)ff\e Outl and YO!d. If the buffding"_l,r ~ authonzed by such permit is not oommenced'withirt t80da"-tram the date of sucti permit, or if the building or ;,on; author' -,by such permit is .svs~ or * ~~~P£f"IT IS REQUIRED FOIi ~V~TKlNS OVER ·O"' 0-llfiJP ""° 0£ll<ll.m0N 0A CONST1lUCTION o, STAUC:fUR!lt~) STORIES IN HEIGttT , !!! u:: >, :. 0 C. E ~ I 'O 0 e, c ro 0 C. C. ., I ~ C o; i, T[. 0 00 ~ 00 00 ., I ,: .Q o3 >- 00 00 " 0 0 0:. ro <ii 0 ~ " 0 C ro C u:: C " " i5 0 u " C. 00 C ~ ! H~VE CAREFULLY"EXAio11t,tEO THE-'COMPLETEO '.'APPLICATION ANO PeRMtT" ANO 'oo HeflE~y Ql;ATIFY UNDER ~19ALTY OF PERJURY THAT _AL!-INFORMATION HE{EON INCLUDING THE DEOLAAATIONS ARl: TRUE AND CORRECT ANO J .fURTH-ER,,CERTtFY ANO;AG.REE IF A PERMIT 15 , !$SUED: TO COMPLY'WfTlt ALL CITY, COUNiY ANO STATE LAWS GOVERNING BUILOING CON- , STR\JCJl()N. WHETHER SPECtFtEO HEREIN OR NOT. I A,LSO AGREE TO SAVE INDEMNIFY AND t<etP, ~t,B$8 THE,cJTY,,OF CARLSBAD AGAINST ALt..t.lABIL1TtE:5, ,JUOGMENTS. COSTS AND ~PENSitS WH~ MA:'f 1H-ANY WAv· ACCIWE AGAINST SA.ID CITY ]ft\ OONSE®ENCE OF THE GRANTING 0~ THIS l'E)l!,m; ·. . ( ~ at any um. afhN'1he ~·" • ·oit o1,,t:1n_ -- . ,;cr-·ss,°" .. A·.·T""". ..,..,..,,,,, 'o~l:J• coor.•"Y"'!'.P .Jrf Cit, LAAA ' .. ..:.oin, 0 ~-~~~ APPROVED BY~• it'-Jo-J-'4 ~ INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME 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 T~PORARY POWER ELECTRIC UNDERGROUND RElUGH 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 HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED ' . FIELD INSPECTION RECORD - REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL r SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSEO CONCRETE POST TENSIONED CONCRETE FIELD WELDING . HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS 1i::-• . ' ---- ' --~-- --. ('.itp at ('.arlsbab • • REQUEST FOR INSPECTION RECORD 0 1NsPEcToR ___ _,.L~c~~~-'---'--✓~--PERMIT No. BUILDING [J FOUNDATION □ REINFORCING STEEL IJ MASONRY [.I GROUT -GUNITE [l FLOOR AND CEILING SUB FRAME ll SHEATHING □ ROOF D SHEAR ll FRAME □ EXTERIOR LATH [J INSULATION □ INTERIOR LATH OR DRYWALL IJ FINAL PLUMBING □ UNDERGROUND PLUMBING Cl SEWER AND PL/CO 0 TOP OUT PLUMBING Cl TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER [l SOLAR WATER D FINAL 3 ;)_~ TIME:~-- ---~-~---DATE: ~ -,? 0 -YJ PHONE NO. '.'22.,_9'-/),,.? 7 -di? PERSON T;KING REPOR; __ z-4~-- ELECTRICAL [J TEMPORARY SERVICE □ UFFER GROUND □ ELECTRIC UNDERGROUND Cl ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D FINAL MISCELLANEOUS CONDITIONED AIR SYSTEMS □ PATIO [l POOL [J SPA □ SIGN D GRADING D DRIVEWAY [l FINAL SPECIAL INSTRUCTIONS ____________________________ _ Ready For Inspection: D Monday □ A.M. D P.M. 0 Tuesday,' D Wednesday D Thursday [J Friday