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O 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.
lie No ______ Class
I hereby afllrm thal I am exempt lrom the Contrac·
tor's L,cense Law for the lotlow1ng re>son (Sec 7031 5
Business and Proless,ons Code· Any city or county wn1cl'l re· quires a perm11 to coostruci, alter. improve, demolish, or
repalr any struc1ure, prior to 11s issuance also requires !heap-plicant tor such permit to hie a signed statement lhat he 1s
l.censed pursuant to lhe prov1sians of !he Gontracto(s license Law (Chapter 9 commencmg with Section 7000 of Orv1s1on 3 ol lhe Business and Professions Code) or Iha! 1s ex·
empt therefrom and the basis for lhe allegeo exemption Any
vIotatt0n of Section 7031 . 5 by an apphcant for a permII sub-
1ects !he apphc.ant to a c1vll penalty ol not more lhan five hun
dre<l dollars IS500)
)( 1. as owner of the property, or my employees w11n wages
as their sole compensa1,on. wllf do the work. and lhe struc-
ture 1s not intended or oflered lor sa1e (Sec 7044 Busmess and ProfeSSl()tl!> Code· The Con1ractor's llcense Law does
not appty to an owner of property who builds Of improves
thereon and who does such work tumsett Of through his own employees. provided !hat such improvements afe no1 lntend-
ed or ottered !or sale If, however. lhe bulldmg or improve· menl 1s sokj w1thul one year ol comph!:hort lhe owner·bu11der
will have the burden ol proV1ng that he did no1 build or im-
prove for the purpose o1 sale)
fl I, as owner o1 !he property, am exclusively contracting wtlh hcensed coniractors to conslrucl the protect (Sec 7044,
Business and ProtesstOns Code: The Contractor's License law does not apply to an owner of property who builds or im-proves thereon, and who contracts !Of each pro,ects w1Ih a
contractOf(s) license pursuanl lo lhe Contractor's Ucense law)
D As a homeowner I am improving my home, and lhe follow-ing cond111ons exist
1 The WOfk 1s bemg performed prK>J to sale
2 I ha11e hved In my home IOf twelve months pnor 10 completton Of this work
3 I have not claimed this exemption during !he last three years.
D I am exempt under Sec ______ • B & P C
!or this reason
0 I hereby affirm that I have a certificate of consent to
sell-insure. or a certificate of Workers· Compensation In-
surance. or a certified copy !hereof \Sec. 3800. Labor Code)
POLICY NO.
COMPANY
C Copy IS filed With 11'\e c,ty
0 Cettihed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This seclion need not be completed 11 !he permit
1s for one hundred dollars ($1()()) or less)
0 I certify that in the performance of the work for whieh
this permit is issued, I shall not employ any person m any
manner so as to become subject to the Wockers · Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become sub1ect to the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby alfirm that there is a constructron 1enamg
agency for the performance of the work for which this per-
mit is issued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ·-· --·-·-·-· . -. ·--··------·-----------------·------------·-·-------____ ...... -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT •' .: I• Carlsbad, California 92008-1989 (619) 438-5525
J08 ADDRESS AV ST.RO NEAREST CROSS ST. I 0Z~ ii:~f~ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBE R
\~2\ PAh,~~~~s ~-T~A"~c..~ <g(, ..
L!5TC. BLOCK . , r:;:so1 v1s,0N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE l.Rle I ----~ Pr
OWNER'S NAME I 17-°' ~W~E773NE ~~\~ P.. 1.\-M sr=oA..b CONn;:Rf ;O;::-\ X) • l :\1~ ( LICENSE NO. PLAN 1.0. # BUILDING SO. FOOTAGE -
OWNEA'S MAIL NG ADDRESS
\~II P1t1.., ~A.~e~ ~~-DESIGNER . DESIGNER'S PHONE
oEsc;:~~~~:RK t C, .... ~ ,-_ " r--,. -0 ... ---~ DESIGNER'S ADDRESS LICENSE NO.
' 6'l261B6t,6!!! ·10~00
~ ~.{hT10N f ee;Tac 00□-1 l769 . 6126/ 86 •j'o• oc
\ -FIP F LR ELEV. NO OCC GP EDU 00Dfl769 Di .•
STORIES s1as,
vO NO . . . ..-~ --.
CENSUS TRACT I GP LANO USE I PARK ING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
y D ND vO NO vO NO Nor Valid Un/ers M~chine Cerrified
QTY. PLUMBING PERMIT -ISSUE /~ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00·8220 /n~
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00-00-8221 -
EACH WATER HEATER ANO OR V ENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00-00-8222 -
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00-8223 -. -
EACH INSTA~. ALTER, REPAIR WATER PIPE _ VENT FAN SINGLE DUCT MECHANICAL 001-810-00·00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD DUCTS MOBILEHOME 001-810·00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 001·810·00-00-8226
TOT liL MECHANICAL STRONG MOTION __ 880-519·91·33 -
TOTAL PLUMBING I FIRE SPRINi<LERS 001-810·00-00-8227 ~--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332·810·00·00-8930
QTY. ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWl BK R COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS r . T 1?. A 1-1 1-4: 1 1 Carlsbad
EXIST BLOG EA AMPISWT BKR ROCK STORAGE ~-----Encirntas
I PH 3 PH PUMP .•. -,::, 1.c.a.6 San Dieguilo -,. -. ~-I ' ~,
RE MOOE L ALTER PER CIRCUIT PLAN CHECK FEE JUll tJ \I ll#gg ,-San Marcos f ........... l-r . ~
TEMP POLE 200 AMPS -·-.. ---Iii .. -...
OVER 200 AMPS '-l~J VI _ --! LICENSE TAX ' 001-810·00·00·8162 . -......
TEMP OCCUPANCY 130 DAYS) DEVELOPMENT f'll\H ·"''1n\l ~1 llY.>. MFF 880·519-92·57 ·-'
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR • ...
r TOTAL FEES PAYABLE 0 0 ID-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT'" AND DO HEREBY Exptration Every permit issued by the Building Ofhctal under the provisions of trll.s * AN OS!iA PERMIT IS REQUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sttall ex.p1re by J1m1tahon and become null and void If the bu1ld1ng or work s· o· OEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days lrom the date ot such STRUCTVA£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON ~~~~~n°~ 1
~t t=~Y ~~~'~H:;h:~~,:~!h~~~e:JeJ~~~ :8~~~•~t~~:~~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
AD;.NATi • / ~ OWNER°M. CONTRACTOR P APP~-
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 I ~-7 ~-£L GRANTING OF THIS PERMIT 'b~-J
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' TYPE I DATE INSPECTOR -
BUILDING I
\. .. ' . ' a:ft, ..... V) (o ( ' )''
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
FRAME I
EXTERIOR LATH I
_l
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTORS 'l_;_ I c;; IA
\ INSPECTION REQ IF DATE 5~.., ~ o+ b+~---: CHECKED APPROVAL
V '\J -SOILS COMPLIANCE '-J t
PRIOR TO D A£H'\ll#flllj ~ mrp,,,_. ,,
~~7_}'__, X I~ -:1:F b -rf B FOUNDATION INSP t:tri ft& , t,u,r~w ,, . -. STRUCTURAL CONCRETE
I ' OVER 2000 PSI r . I --INSULATION I
INTERIOR LATH & DRYWALL I
I
PRESTRESSED f Ff 11 .J I :.JI j I =Ft-'-t J.,:)tJWE::'l_~ CONCRETE
POST TENSIONED rrr:-'-I ll ·r; r ~ CONCRETE
PLUMBING I
-----~ .. .
FIELD WELDING
'
□ SEWER AND BUCO □ PJJCO
UNDERGROUND D WASTE □'WATER
TOP OUT □ WASTE D WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
I
-SAS TEST I
□ WATER HEATER D SOLAR WATER
PILES CAISSONS -
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ELECTRICAL I -· .
□ ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
' I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I l .. . . , r· I \ •
VENTILATING SYSTEMS I 1 i -l J, ,, . . ·,: . • L ', ) . ,, y I -
I
ff'•-. ,... • ,-,-, I' • 1 •• --·-""--._
CALL FOR FINAL INSPEC
1
1ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
.
FINAL I
PLUMBING I '
ELECTRICAL I t~
MECHANICAL I --_, \,\.'3--,J .
GAS ' \ ' I '
BUILDING I r---J ~~ _l ·=-~" '
SPECIAL CONDITIONS I
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