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Home My WebLink About1839 LOTUS CT; ; 87-404; Permit.. z 0 ;:: .. a: .. J " .. 0 §L : ... z 0 " a: .. 0 J 5 ~ .. z ! z 0 ;:: .. .. z .. 0. " 0 " "' ir w " a: 0 3 ![ O I hereby ■lllrm that I am licensed under proylslona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfeHlons Code, and my license is in full force and effect I hereby alhrm that I am exempt from the Con1rac lor , License Law tor lhe 1011ow,ng reason !Sec /031 5 Bus,ness and Protessrons Code Any c,ty or counTy wh,r.r, re qu,,es a oerm,t 10 construct. alte,. improve demolish or repa,r any struclure. orior to ,ts ,ssuance arso reuu,res '.he ao plrcant tor such permit to hie a s,~ned s1atemen'. lhal he rs 1,censed pucsuant to the prov1s1ons ot the LontraclOr s L,ccnse Law !Chapter 9 commenc,ng w,th Sect,on 7000 or D,v,s,on 3 ol 1ne Busmess and Pro!ess1ons Code; or Iha! 1s ex empl lherel!om .iM lhe b.is,s for the allegeo exemption Any v,olahon of Section 7031 5 by an .ippl1canl lor a perm11 suo 1ects the applicant to .i c,v,I penally ot not more than 1,ve hun d,ea dollars ($5001 1. as owner of me properly. o, my employees w,Th wages .is theor sole compensa1mn w111 do the work ana the struc ture ,snot 1ntendea or olfered for sale 1sec 7044 Business and Professions Code The Contraoor·s LKense Law does no1 apply 10 .in owner of property who builds or improves thereon and who does such work h,msell or lhrough h,s own emp1oyees. provided th.it such improvements are nol 1n1end ed or ottered 1or sale If, however. The building or ,mprove- ment 1s sold w1th1n one year ot completion. 1he owner-Ou1lde, will have the burden of proving lhal he dtd not build or 1m prove tor tile purpose of sale1 1. as owner 01 !he property_ am exclus,vely contracting w1tll l1censed contractors to consl!ucl the oro1ec1 (Sec 7044 Business and Pro1ess,ons Code The Contractor's License Law does not apply to an owner of properly who bwlds or 1m proves !hereon. and who contracts for each pro1ects w<th .i contractor{s) license pursuant to lhe Contracror's license Law) I As .i homeowner I am improving my home and the fo•low mg cond1t1ons e~1st 1 The work 1s being performed prior to sale 2 I have l1vea 1n my home lor lwelve months pnor lo completion 01 th,s work I have not cla,med this exernpt,on during the last three years t& t'h~: r~~~~t under Sec _____ _ B & PC _ I hereby affLrm thal I ha,e a certil1cale of consent lo self-insure or a ce<11hcate of Workers Compensa11on In surance or a cer1,f1ed copy thereof 1Sec 3800 Labor Codel POLICY NO COMPANY Copy ,s filed w11h the crty Cert1t1ed copy 1s hereoy furn,shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Th1s sect,on need not De completed 1f the perm,1 1s tor one hundred dollars 1$1001 or l~ssl _ I cert1ty Jhat m the performance of the work for which lh1s permit 1s issued. I shall nol employ any person 111 any manner so as to become sub1ec1 to the Workers Com pen sat.on Laws of California NOTICE TO APPLICANT If after making this Cer11f1cate of Exemp11on you should become sub1ect to ltle Workers Compensat,on pro-,s1ons of the Labor Code you must !or1hw,th comply w11h such prov1s,ons or this permit shall be deemed ,e,o~ed I hereby affirm thal there 1s a construction 1end1~g agency for the performance of t~e war>: for which th•s pe, m1t ,s issued (Sec 3097 Ci.ii Codel Lender s Name Lender s Address USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT .,.....J, I VI APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad. CA 92009-1915 (619) 438-1161 JOB ADDRESS AV, ST.RO. T~~R0,7$ D;i~~~AT,DN eusrr, ACENSE # VALUATION ~ 1i3q Lo+u.s 0-t-~;),D lOT B!.OCK I SUBOIV-l5-10N i AS~R PARCEL NO. _;J 3 CONTRACTOR~ CONTR V 011S PHONE# ZONE 12-I 1/~ _:rJO Ow(le.V OWNER'S NAME 14:oi D~n;;50NE de¥1"vl tt'()vMmf CONTRACTOR'S ADDRESS STATE LICENSE NO. BUl5z;~TAGE OWNER's-<itAILING ADDRESS ;{~?A, .~JMs Cr w I:.. 'II' 4~ -I 9.oo _ DESIGNER OESIGNE R'S P-HONE , - ~~~of ~O~K--- -#OEStGNER"S AOOFIESS -57 ATE LtCENSe NO. 0008 08/06 0101 02E:ldPmt -~ " , -- ..Ifs_,. ,, ., ' __ , ---. . ' ---, --" FLA ELEV NO OCC GP EDU STORIES •,' , -' --v □ "u ! CENSUS TRACT ! PAPKINGSPACE RES VNITS I GRADING PERMIT ISSUEO l REDEVELOPMENT TYPE ace LOAD FIRE SPF> AREA CONST ,o 'D y~ NO vO NO Not Valid Unless M;1ehme Certtfied QTY. PLUMBING PERMIT -ISSUE I?-~ QTY MECHANICAL PERMIT· ISSUE Is~ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU wrtuilh) n:n1v1II UU1 ·tl 1 U-UU-U0-8U0 .,7 EACH BUILlJING SEWER -OVER 100 000 BTU SIGN PERMIT 00 1-810-00-00-8221 EACH WATER HEATER ANU OR VENT -BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 ,§7 EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER,COMPRESSOR 3 15 HP TOTAL PLUMBING oo;-a10-oo-oo-8222 EACH GAS SYSTEM 5 OR MORE. METAL FIREPLACE ELECTRICAL 001 · 810·00-00-8223 EACHINSTAL 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 FURNACLHEATER SOLAR 001-81 0-00-00-8226 FACH ROOF DRA'N 1 :fJ:;.m DRYER VENT STRONG MOTIOr-.; 880-519·92·33 -~ TOHiL MECHANICAL FIRE SPRl"Ji<LERS 001-810-00-00-8227 TU I Al Pl UMHINL I PUBLIC FACILITIES FEE 320-810-00-00-87 40 --s&,,.-, BRIDGE FEE 360-810-00-00·87 40 QTY. ELECTRICAL PERMIT -ISSUE . ..) QTY MOBILE HOME SETUP PARK-IN-LIEU tAREA I NEW CONST EA AMP SW! 8KR CAR PORT TIF 312-810-00-00-8835 I PH I PH -AWNING LA COSTA TIF 311 ·810-00-00-8835 FXISI Bl OG EA AMP SWT BKR GARAGE -FMF I PH 1 PH LICENSE TAX 001-810-CO C0-8162 REMODEL AL TtR PfR (!R(UII -MFF 880-519-92-57 IE"'1PPOlf 200 AMPS -It.. OVER !lJU AMPS --I / TEMP OCCUPANCY 130 DAYSI -,{I./ --CREDIT DEPOSIT ., \ .-SI/ lll!At Ell'URILAI I TOTAi TOTAL FEES PAYABLE ~·1, ~ I -c..,_/ ( I HAVE CAREFULLY EXAMJNED THE COMPLETED ··APPLICATION AND PERMlr AND DO HEREBY Expiratio~_ Efff)'JN1rm1t 1nued by the Building Ofhc1a1 under the prov,s1ons of this * AN OSHA PERMIT tS flEQtJIFIEO FOR EXCAVATIONS OVER CERTIFY UNDER PENAUY Of PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall exp1Ut by lim_1tat1on and become null and ~01d lf the bu1ldmg or work s· o·· DEEP ANO OEMOl.fllON OR CONSTRUCTION OF authonzed by such permit is no! commenced w,th1n 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT t& permit, or ii the buildiJ or work aulhonzed by such perm1I 1s suspended or STRUCTUMS OVER 3 STORl£S IN HEIGHT ISSUED; TO-COMPlY WITH ALL CtlY. COlJNlY AND STATE LAWS GOVERNING BUILDlNG CON· abandoned al ·an" time a er the work 1s commenced for a =nod ol 180 d8"" STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO A.GREE TO SAVE INDEMNIFY A.ND APPLICANTS SIGNATURE ~ER IM-. CONTRACTOR 0 APPROVED BY ._fj 1°~7 KEEP HARMLESS THE CfTY OF·GARLSSAO AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND 0 . /"I ct:1--i ~ ' ~' "'!""" [J EXPENSES WHlCH MAY If.I ANY WAY ACCRUE AGAINST SA!D CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ~ LL >, ;;; 0 a. E w f- l "O 0 CJ C rn u 0. 0. "' ~ C a: 0 w w w w w "' ~ 2 w >- w u C rn C LL = C w ~ " 0 0 w 0. w C ~ "' :;: TYPE T I DATE I INSPECTOR '6'7-</O<j BUILDING FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL . SUB FRAME □ FLOOR □ CEl~ING SOILS COMPLIANCE SHEATHING □ ROOF □ SHEAR PRIOR TO FRAME FOUNDATION INSP . EXTERIOR LATH --1 ---~ ,------------~ STRUCTURAL CONCRETE OVER 2000 PSI INSULATION PRES TRESSED INTERIOR LATH & DRYWALL CONCRETE POST TENSIONED CONCRETE _i PLUMBING FIE!_O WELDING □ SEWER AND BL/CO CJ PL/CO --------1----j!GH STRENGTH UNDERGROUND □ WASTE □_;_WATER TOP OUT □ WASTE □ WATER BOc is SPECIAL MASONRY TUB AND SHOWER PAN GAS TEST PILES CAISSONS □ WATER HEATER □ SOLAR WATER . ----- ELECTRICAL □ ELECTRIC UNDERGROUND □' UFFER ROUGH ELECTRIC , □ ELECTRIC SERVICE D TEMP(;>RARY □ BONDING □ POOL MECHANICAL I ,. [] DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS 1 VENTILATING SYSTEMS _i CALL FOR FINAL INSPEcnoN WHEN ALL APPROPRIATE _ ITEMS ABOVE HA.J!..E BEEN APPROVED. FINAL PLUMBING I ELECTRICAL I MECHANICAL I GAS BUILDING SPECIAL CONDITIONS ·- .,, z 0 " .. a: ~ u .. Q " ![ 0 u a: .. 0 ~ 5 ~ .. z ~ z 0 " ~ z .. .. ,. 0 u .,, ir '" "' a: 0 3' ![ 0 I hereby affirm that I am licensed under provlalona ol Chapter 9 (commencing with S.Ctlon 71XlO) ol Division 3 of the Business and Professions Code, and my license 1s in lull force and effect 1 hereby alf1rm Iha! I am eiemDI 1,om lhe Con11ac 10, s License Law lor Ine follow,ng reason ISec 1031 5 Business aM Proless,ons COde Any c1ly or county whrc~ 'e quires a perm,t to construct alter ,mprove demol•sh or repair any strucTure prio, to ,ts ,ssuance also requires 'heap pl1cant for such permit to hie a StQned statement thal he ,s I,censed pursuanl to the prov,s,ons or The LonI,ac10r s L,canse Law !Chapter 9 commenc,ng wrTh Sect,on 7000 ol D,v,swn 3 of the Bus,ness and Pro1ess,ons Codei or thal 1s e, ernpl lherefrorn and 1he basis tor the altegeo exemphon Any v,olaloon ol Sectoon 7031 5 by an applicant for a perm,! sub 1ec1s lhe applicant to a cov,I penalty ol not more lhan tive hun dred dollars iS5001 as owner ot lhe properly. or my employees w,1h wages as their sole compensal,on will do the work and the struc lure 1s not rntended or of1ered !or sale (Sec 1044 Busoness and Proless1on~ Code The Contractor s license law does not apply to an owner o1 properly who builds or improves thereon and wno does sucn work himself or 1hrough his own emoloyees. provided tha1 such 1mprovernen1s are not ,ntend ed or o11ered for sale 11 howeve, IM bu11dmg or improve menl ,s sold w1th1n one year ot complehon. the owner-builder w<II have the burden 01 proving thal he did nol build or ,m prove for 1ne pu,pose 01 sale1 I_ as owner ol the property, am exclusively con1rachng wolh licensed conlroclors lo construct 1he pro1ec1 (Sec 1044 Business and Protess1ons Code The Conrracto,·s license Law aoes not apply to an owner 01 property who tJu1lds or ,m proves thereon and who con1racts for each pro1ec1s w,th a contractor(s) license pursuant to lhe Conrracro,·s license Law) As a homeowner I am 1mprovmg my home and the lollow ,ng cond1t1ons exisl ! The work 1s being pertormed prior lo sale 2 I have lived 1n my home lo, twelve months prior to comple11on of !his work I have not claimed this exemption during the lasl three years for 11h~:r~~~~t under Sec ~-----B & PC I Mreby afhrm ttiat I have a cert,t,cate of consent to sel' ,nsu,e or a cen,t,cate of Wor~ers· Compensat,on In su,ance or a cer1,f,ed cooy thereof 1Sec 3800 Labor Code) POLICY NO COMPANY Copy ,stiled with the city Cert,f,ed copy 1s he,eby lurn,shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Th•s sec1,on need not be completed ,! the perm1I ,s !or one hundred do'lars 1$tOOI or less! ~ I certify that ,n the performance of tne work for wh1cn tn,s perm,11s ,ssueCI. I shall not employ any person ,n any manne, so as to become sub1ect lo the Workers· Com pen sat,on Laws of Cal,!orn1a NOTICE TO APPLICANT If alter makong this Cerl1hca!e of Exempt,on. you should become subJeCI to lhe Workers Compensation pro,os,ons ot the Labor Code you must lorthw,th comply w1lh such prov,s1ons o, 1n,s permit shall be deemed revoked L I hereby affirm that there ,s a const,ucllon lending agency for lhe performance ot the work for w~1c~ t~,s per m,t ,s ,ssued (Sec 3097 C,v,1 Code) Lender s Name Lenders Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr .• Carlsbad. CA 92009-1915 (619) 438-1161 ~ J08 ADORESS AV. ST.RD. THOMAS BROS NO. -,DATE OF APPLICATION ~SL/NSE# 'nu7J. PERMIT NUMBER JY.31 Le>•rt.>J Cr; II -1,$1-8''1--fl~fl{);/Ai, ~ LOT elocK SUBO!V!SION : .I AS.:E~B PAB,CEL _N~ ) -, CONTAA(iT<1A c777; PHONE• ZONE --. JS--,--z, .,. -. .-.w-p:-,.., OWNE R·S NAME PKoi/4-'16-1:L ' OWNER'S PHONE .:..re-'1:l.il.Y ' ~r-r~~ CONTRACTOR'S ADDRESS STAT! rr NO. BUILDING sa FOOTAGE ' OWNER"~MAH .. l_'NG ADO.RES$ ' • ' -/ i'::J;;f,,~ of ,:-.;,_ _~,_•-OEStGNER DESl'CiNEA'S PHONE -~-'.-" -' r-:,.,.&_ t!,.r; ----,, 0009 08/28 0101 02Bldf'mt 5.0 DtS~~~~~ ,.:F.~• I(\ . _,. ., .• ~5 , -----..-,ii\:..: iF<' ;., r,.:,..-,/_ ----DESIGNER'.$ AOORESS -cc . STAT£-UOENSE NO. . -., --·-'.F --. ;. _\, ' ": " . ., ' ---. i,_ . -" "" -. . . '•-'< -' '-------. NO ',, ,. ' . -; --•. ----' ' FLR ELEV DCC GP EDU , -~ l } ..; '. STORIES -.... ,-. ---. -yc_J r--.0 I CENSUS TRACT I PAPKING SPACE RES UNITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD FIRESPP ARE A CONST ,o 'D ,c "-□ vO NO Not Valid Unless M~chine Certd1ed QTY. PLUMBING PERMIT· ISSUE 7 S"<:-QTY. MECHANICAL PERMIT· ISSUE ;s= SUMMARY/ACCOUNT NUMBER ' EACH FIXTURE TRAP INSTALl FURN DUCTS UP TO 100 000 BTU oull_ ,,,vnRrvl1 v, 1-010-00-00-ottV ., 0 - EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810 00-00-8221 EACH WATER HEATER ANO OR VENT BOILER.:COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0-00-00-8891 EACH GAS SYSTEM l TO 4 OUTLETS SOILER,COMPRESSOR 3 15 HP TOTAL PLUMBING oo ·, -a 10-00-00-8222 E.ACH GAS SYSTEM~ OR MORE MET Al FIREPLACE ELECTRICAL 00 1-810-00-00-8223 EACHINSTAL AL HR.REPAIR WAT ER PIPE VENT FAN SINGL~ DUCT MECHANICAL ·JO 1-810-00-00-8224 EACH VACUUM BREAKER MECH fXHAUSl HOOD DUCTS MOBILEHOME 001-810-00-00-8225 WATER SDFTNER RELOCATION OF EA FURNACE:HEATER SOLAR 0() 1-810-00-00-8225 EACY RO()~ '.1RH \I !:'JC.ID~, -DRYER VENT STRONG MOTION 880-519-92-33 TOTt:.L MECHANICAL FIRE SPRl~JKLERS DO 1. 81 0-00-00-8227 TOI Al Pll!MBINL I PUBLIC FACILIT1ES FEE 320-810-00-00-87 40 _,-,.4 BRIDGE FEE 36D-810-00-00-87 40 QTY ELECTRICAL PERMIT· ISSUE 0 ·-QTY MOBILE HOME SETUP PARK-IN-LIEU !AREA NEW CONST EA AMP SWl tlKR CAR PORT TIF 312-810-00-00-8835 I PH 3 PH AWNING LA COSTA TIF 311-81 0-00-00-8835 DIST f:!lllG EA AMP SW! fJKR GARAGE FMF I PH J PH LICENSE TAX oo 1-s 1 o<,J-:•o-s1 s2 REMODEL Al ltR PER CIRCUIT MFF 880·519·92-57 TE\tiPPOlt /(JU AMPS OVER ?[JU AMPS rt MP OCCUPANCY 130 UAYSI CREDIT DEPOSIT lil!AL flfURILAI I 1orA1 TOTAL FEES PAYABLE I $ 0-C.. ---Expirafion: Eve!Y permi,t issued by the Bu_itding Qff 1c1al un<!!f .U'l·•.P".ovtS1~mJ of 1tus l .HAVECt\,REFULLY EXAMiNEO THE COMPLETED '·APPLICATION AND PERMI,:" PiND DO HEREBY *. AN OSHA PfRMrt 1$ REQUtAED.FQRQ:CAVATIONS OVER CERTIFY UNDER PENALTY Of PERJUR¥ 1HAT ALL 1NfORMA.TlpN HERE.ON INC,!-UD!NG THE Code shalr eXf)lre by fim1tal1on and become null aod void II the budding or work s· O" DEEP ANO DEMOlrTION Oft Q)NSTRUCTK>N OF author12ed by such-permit 1s not commenced w1th10 180 days from the date of such DECLARATIONS ARE TRUE' AND CORRECT AND I FURTHEFI ctRTtFY AND AGRl:E'IF A PEAMH !$ permit. Of if the buildi:;ft. or work authOl'iZ&d by such permit 1s suspended or STTl.lCT\JRES OVER 3 STOAIES 1H HEIGHT ISSUED: 'TO COMPLY WITH ·ALL-CIT¥~ COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at an" limt r the work Is commenced for II ,:._riod of 180 -:..a:.: ------r STRUCTION WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TD SAVE INDEMNIFY ANO ,17 """----'''j; ' ~I 1~r7 KEEP HAflMLESS-THE CITY·QF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO APf>llCANT SIGNATURE Jf-....-2, OWNE CONTRACTOR 0 EXPENS~ Wti!CH MAY!~ ANY.WAY ACCRUE AGAINST SA10 CITY IN CONSEQUENCE OF THE A A '"'Z.A, , ,., .J... ' PI-IDNE O. ~/ ..dlAiJ"' GRANT! -OF THIS PERMlT 7 _,, _,,,,,_ . -w --___,, -' , , ✓, . ~ ii: c rn 0 Q. E m f- l "O 0 CJ c ro u Q. Q. « I ~ C a: 0 m m m m m « ~ .2 " >- m u C ro C ii: C m ~ CJ 0 u m Q. ~ C m "' s: TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR SHEATHING □ ROOF FRAME EXTERIOR LATH INSULATION ' _[ □ CEfj:"ING □ SHEAR I 7 ! I ' INTERIOR LATH & DRYWALL I ' .J. PLUMBING I DATE INSPECTOR ~7-t./-04 R_R.-1..) r------------~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPL.:ANCE PRIOR TO FOUNDATION INSP REQ IF I INSPECTOR s CHECKED APPROVAL DATE STRUCTURAL CONCRETE I ·--~-t ------+ --·--- OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE INSPECTOR'S NOTES --, [J P, _/CO I I I I HIGH S1RENGTH --t· ---+--------+-----' f--------------------------------1 JCJELD WELDING UNDERGROUND □ WASTE □:WATER 1 1 ' 1 BOLTS TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC D ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL MECHANICAL []_ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS 1 VENTILATING SYSTEMS CALL FOR FINAL INSPEC7lON WHEN ALL APPROPRIATE _ ITEMS ABOVE HAVE BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL ' ~ I MECHANICAL I ft)' GAS I ' /) BUILDING I /Of1A/ln r SPECIAL CONDITIONS I • ~ SPECIAL MASONRY PILES CAISSOr-..:· \ ,7 '•of' r ,,-/ ~-6 /, V/ --+-----+-------C------ ,,, z 0 ;: .. "' j u w 0 ~[ : >-z 0 u "' w 0 ~ 3 I w z ~ z 0 ;: .. ,,, z w .. :Ii 0 u ,,, ir w " « 0 3 ![ O I hereby affirm that I am llcensed under provlalon1 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profesalons Code, and my license is m full force and effect I hereby alf1rm that I am exempt from lhe Contra[ tors License law tor the !ollowmg reason iSec 7031 ~ Business and Proless1ons GClde Any city or county wh,co 'e qwes a perm,t to construct, alter. ,mprove. aemol,sh O' repair ony slructure. pr,or 10 ,1s issuance also requires !heap P"canl lor such perm,t to hie a Sl!Jned statement thal ~e Is licensed pursu,m1 to the pr0'/Is1ons of the con1racor s L,cense Law (Chapter 9 commencing w1lh Section 7000 o' o,v,s,on 3 or the Business <ind Pro!ess,ons CDdeJ or thal ,s e, empl therefrom and the basis for 1he allegea exe,nptIon An1 ,,0Ia1Ion ot Section 7031 .5 by an applicant for a perm,1 sub 1ects lhe applicant 10 a c1v,I penalty of nol more than fi;e hun d'ed dollars 1$'.>001 I, as owner of the properly, or my employees wI!h waqes 1 as their sole compensation. will do the work. and lhe s!ruc ture Is not intended or oHered for sale !Sec 7044 !lus,~e,s and Proless1ons Code The Contractor's License Law does not apply lo an owner of property who builds or improves thereon and who does such work h,msell or through hIs own employees. provided that such improvements are not ,ntend ed or o11ered for sale If. however, the bu1ldmg or Imp,ove ment ,s sold w,thIn one year 01 completion. lhe owner-builder will have the burden of proving lhal he did not build or ,m prove for the purpose of saleJ r I. as owner of the property. am exclusively contracl1ng with licensed contractors to cons1ruc11he pro1ect (Sec 7044 Business and Professmns Code The Contractor's License Law does not apply to an owner of properly who builds or 1m proves thereon. and who contracls for eoch pro1ects w,th a contractor(s) I,cense pursuant to !he Contractor's License Law) ;-As a homeowner I am improving my home. and the lollow Ing condrt1ons exist I The work Is being performed prior to sale 2 I have lived In my home tor twelve months prior to complehOn of this work I have not claimed this exemption during lhe last three year~ I I am exempl under Sec ______ , B & PC for this reason ____________ _ I hereby aff.rm that I have a cert,hcate of consent to f se:f ,nsure or a cert,f,cate of Worl<e,s· Compensation In-I surance. or a cert,1,ed copy thereof (Sec 3800. Labor Code I ! POUCY NO COMP,:,,NY Co:iy ,s hied ,,,,th the c,ty Cerhlied copy ,s hereby fum,shed CERTIFIC,:,,TE OF EXEMPTION FROM WORKERS' COMPENSATION INSUR,:,,NCE 1Th,s sect,on need nol be completed Ll the permit Is for one hundred dollars ($100) or less) I I ,.-rt,tv thM ;n lhP nPr1mmanc? nf th? work lor which I this pe,m,t ;s ,ssued. I shall not employ any person In any I manner so as to become subject to !he Workers Compen sat,on Laws of Callforn,a I ~f~T~;!P~~::~~ 1;n~~;d ~~:~~~ :ua~1';J1 :~ I:h;~~:I ~:,~e l Compensation prov;s,ons o! the Labor Code. you must I lorthw1th comply w,\h such provis,ons or this permit shall be deemed revoked I hereby affirm that there Is a cons1ruct,on le0 d,r,g I a~ency to,the per1ormance of the work for v,,hIc~ th,s per m,t ,s ,ssued 1sec 3097. C1v1I Code! Lerder s Name ___ _ Lercer s Address U.JC U"LL ru1n1 rcn UffLI GI rllC,),) n11111u I/ .../" I -... CARLSBAD BUILDING DEPARTMENT A ~ 'i} APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. DATE OF APP ICATlON BUSINESS LICENSE # VALUATION PERMIT NUMBER l'l<' A ,· h+. IC' ('l "'111_.Y'+ A\ao.. /(la.mine R,.,,. \ 5/ol7 87 11:z_ COT BLOCK . ,· ~ SU80IV15IOJ\I I ASSES~R PARCEL NO - In ;;~RA,3;; va..nsoJ(c,w~ CONTRACTORS PHONE # ZONE -,s--sr-3"' OWNfA"S NAME OWNER'S PHONE I P.l'Ttl ~, \11 d;'th tt'o vQ.,f\SoU ~l'1CS" CONTA~"S ADDRESS -/ ST ATE LICENSE NO. BUILDING SQ FOOTAGE OWNER'~LING ADDRESS L""\ 1io9 Lo~ C::r. DESIGNER OESIGNER"S PHONE ~{~27 0~ ~ldPmt ) DESCRIPTION OF WORK 10-0 DESIGNER'S ADDRESS STATE LICENSE NO. ~ c,Q:, ,g,flf' ~ Ad,1!/-s _ ~ ... ~Qi-u,:~_bec&...-,..,,, ·,) ' ')<, ~~~ ' ' FLR ELEV NO OCC GP ED" ~-,;; ' STORIES ' 1?' 6 "c N[J 0 .·· ' C, 0 I I PARKING SPAC~ RES UNITS I GRADING PERMIT ISSUED I RE:OEVELOPMENT TYPE OCCLOAD FIRESPfl ~ <>.~ AREA CONST () t,.., ,□ ' D ·C ....,0 vO "'□ , .. ~ Nd:,..1al1d Unless Machine Cert1f1ed 1: is--~.::--~f -~ QTY. PLUMBING PERMIT -ISSUE 7~_3J, QTY. MECHANICAL PERMIT· ISSUE SUMMARY. ,,tSl:,UNT NUMBER A --=---- fACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BLJ:L□!NG PERM·T ~310-00-00-8220 / o___-_ --- EACH BUILDING SEWER ! I OVER 100.000 BTU S'GN PERMIT JO 1-8' 0-00-00-8221 ------,_ -------e----------+---------------------------· EACH WATER HEATER ANO OR VENT ___ t.BOILER,CUMPRESSOR UP TO 3 HP _____ PLAN CHECK 001 ·81 0·00-00-8821 --_J__ ----- EACH GAS SYSTEM I TU41JU1LETS 8UILER·COMPRESSOR 31:J HP TOTAL PLUMB'IJG 001-81 C,-00-00-8?22 --------' ---· -------------------------- EACH GAS SYSTEM J OR MOF!E I MF~A: FiREPIACr ELECTRICAL oc 1-3 0-00-00-8223 -------t -------· __ f----------------------~ EACH INSTAl. Al TER. REPAIR WATER PIPE j VENT FAN SINGLE DUCT MECHAN·CAL :JO 1-8 '0-00-00-8224 ----------l--------- EACH VACUUM BREAKER I MECH EXHAUST HOOD DUCTS MOBILEHOv1E 001-8' 0 00-00-8225 WATER SOFTNER I RELOCATION OF EA FURNACE.HEATER SOLAR 001-8 1 0-00-00-8226 ~------ [-_ACH q,')0~ 7RA11, · \,C:,1:JF 1 DRYER VENT STRQ"!G MOTIOr. 88D-S 19-92-33 ----- I TOHiL MECHANICAL ----f-------- I F'RE SPRl~Ji<LERS 001-310-DO-00-8227 ------- T[l[AL PLlJM81NL I PUBLIC FACILITIES FEE 320-810-00-00-87 .:o -- s~laTYI BRIDGE FEE 360·810·00·00·87 40 QTY ELECTRICAL PERMIT -ISSUE MOBILE HOME SETUP PARK-IN-LIEU IAREA ---- NEW CONST EA AMP SWJ 8KR ' I CAR PORT TIF 134-810-00·00-8835 L ------ I PH J PH 11 i AWNING -LA COSTA TIF 133-810-00-00-8835 -----.I--,, . . -- EXIST 8lllG EA AMP·SWT 8KR I .I GARAGE FMF ~ -------I PH J PH ,, ' LICENSE TAX 001-810-01)-00-8162 ----------- REMODEL Al HR PEH ( 11cu1T MFF 88,'.J-519-92-5? ---+ ---------------------- H\i1P POI F ]00 AMPS -- OVER 200 AMPS ,1 ---- TEMP UCCUPANCY 130 DAYSI I -----r ---------- CREDIT DEPOSIT >~L- ! - liJIAL UELlHICAL I ' TQT 41 I /o (t"O I I TOT AL FEES PAYABLE i ; I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT'' AND DO HEREBY Exp+ration. Every permit issued by the Bu,ldmg Olllc,a! under the prov1s1ons ol th1s * AN OSHA PEAMtT lS REQUtAEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code'"'" e,p,,, by 1,mitol,00 ood becom, """ aod •b~>h• '"'"'"9 o, wo,k ~· O" DEEP A.NO DEMOUTION OR CONSTRUCTK>N OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,s not commenced w1thm 1 80 s from the dale of such STRUCTVR£S OVER 3 STORIES IN HEIGHT perm,t. or if the buitdin~ or work 11uthor1zed by such rm,! ,s S1Jspended o, ISSUED: TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv lime a ter !he work is commenced lo, a nod of 180 da s STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND T' ::~' gB~ ,/,J~l$t/f7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPUCAN S SIGNATURE .. Q O~l~ CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE v ~A 11 ~'1-llA ;,LJ;,13(1, om: a GRANTING OF THIS PERMIT. 'j • ~ _ H , ,v ~ U: > :;; 0 a. E ill f- l TI 0 ('.J C ro 0 a. a. "' ~ C ii: 0 ' ' ill ' ' "' ~ .2 ,; >- ill 0 C ro C u. :::. C ill ~ ('.J 0 u ill 0. ' C ;" re s: TYPE I DATE INSPECTOR <i:7-'{'7:;i." BUILDING . FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY ' GUNITE OR GROUT REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ··- INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SUB FRAME □ FLOOR □ CEI _ING SOILS COMPLIANCE SHEATHING □ ROOF OS EAR FRAME ' PRIOR TO J FOUNDATION INSP I --- EXTERIOR LATH . I INSULATION : INTERIOR LATH & DRYWALL ' ' 1~ STRUCTURAL CONCRETE: l I I I OVER 2000 PSI . PRESTRESSED l~\O• ,v 1z..' ' CONCRETE ·1 . ,,. POST TENSIONED ~°j.,(,-n .. n-&~h CONCRETE PLUMBING ' □ SEWER AND BUCO D RUCO FIEL.D WELDING ~L-"ti:, (JI; " Ii'° r-·--HIGH STRENGTH UNDERGROUND □ WASTE [1 WATER BOL.TS TOP OUT D WASTE □ WATER SPECIAL MASONRY --- TUB AND SHOWER PAN I GAS TEST I PILES CAISSON::": □ WATER HEATER □ SOLAR yVATER ___ L_ ---- ! ELECTRICAL I □ ELECTRIC UNDERGROUND LI UFFER ROUGH ELECTRIC ! □ ELECTRIC SERVICE □ TEMPPRARY -. ---- □ BONDING □ POOL ! -' MECHANICAL I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS ! -VENTILATING SYSTEMS ' I . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ocs:-C2 ·\..:;.:, o~ ,_. ~ (:._.,~ .. : ; > ..... . ,_ --~IT~EMS ABOVE HAVE BEEN APPROVED FINAL I PLUMBING I ' 1 -. -. ELECTRICAL I l: \ . .,,., ' MECHANICAL I . " \\,- GAS I '_Y] ~ .-~ BUILDING ' \a ' ~ I SPECIAL CONDITIONS ' ~ ' -I QC itp of QI:arl~bab July 29, 1987 87-404 Please provide front elevation of deck showing guardrai l, length of posts to ground and foundation size. Please show plan of gi rders and floor joists and size and spacing of them, or whatever other co nfi guration you are contemplati ng. Please show maximum height of deck from gr ade. What is coveri ng of deck. Please detail attachment of deck to house. 7/29/87 You will have to make notation on your plans before permit can be issued .... \ ' I l ro? ✓,;.: vJ /D Jo1.S~ 2 Jl ,L~ 4 ;z___"T - I l j i/~ ~ I I :1-· ,f--·t:r ~! , I I I \.\ 1[);;-Vu: W i i.~!-!--1 I -i /4-' - y' ::_,;11lk A-d..;;d cor-i, h ~c -,. ,, 1/f JI. ,,i._ i Y.P HJ>i,./fl €- .S1 '1t". TA fO \ l ;...{"1:, •; 2x i~ ,•)'Tj'1/},· ,•.., • .. / l I ' ~ • ,. ; ,, .. , ~-,.,. ... \ ,,•f I} _••• r: (. ~ ,•1---, -· . . ~ l,, . . I .·-----' ~-" ~ I . /I ./ -Sr f"1S. fn / i ,, ,, / , I ?:if" ,,Z,do 1/ y 4- ~a ~1-.s 1· --::.t·'l tf-l.b ,, C6 f.J~tfT &-j ,;?.[,f>v"/oo v ~t A -~ I 2. ~,ot= r-:.y s1D£ ! ! 2 , ~· rr?. 1/-.P ;y A. r -SI '1 r', µ. !) ,:._ ,': / .. j 'I . . / --=--4•· =--= ·_. r /' ..s r 12., ,Jr,£;:.. , l -~~ , , "',r ,1 l i/2--~ :s z1-- L..A-f,..., ' , I' I 2. .. ,z,,10 ~m _,. . TO L.4All)JJUq ·~ h_fa:-1""2- TY?, ~~N~~ . ~,~vE K ~,f11?. ' I 6/<--(o I ras -r· C RJ:>s::. (),~(17 ,-0 Vi'E.-16jl+1 l~ e.,-A'-67 c oJ. lH....k~ ry"i>. sv--i,~ w?1J:z_:'.,,,_3" L~ > -· .. . JJ<ti.' -3 ___ J ~tr1 !-~1 ~x . \ .L., ,. ~, ,;Q)t.-l"L, ,· {,1rt.bi ~ hxJ. Or2..t9 N-r B K.'-t.~ Vt Evl ~f .. J , • . I h t.(.. I ?o~•· ( f I F-Ro1'J T ;4~~ u , . ...____ v?i?.l~)f--.,--i)R.-A-<.E: ,-b I Sf "'-1Ur,t; tz.. ~ 1/,z.,~V" LA-'7-s ~ Po ~, cotJ, i· cs I r11-~~dj11-rA-c.~ 1 hl-f.wfz.~ ry1. s1-1P. G_ --. ~.,-C0 M ?•1,tlr w/ Yz_',l. 3 L.4--e:,S J 32..1(_3~,-,s-} . •••• --• -• --L- ( f1<1tt1p1'-,. ~ Be t>o 1Jb, , Htc..._ !I 2 o ,. , ~(;I• Foor1J1 c...fi:1'1 <)2-</64 !?.l.8/ ATTENTION PROPERTY OWNER: An "owner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the P:Oposed property improvement ~or no) 2. I ~ave not) -------signed the application for a building permit. 3. I have contracted with the following person (fi rm) to provide the proposed construction. Name Phone ---------------------------Address Contractors License No. -------------- City --------------- 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work . Name Phone ---------------------------Address Contractors License No. --------------City _____________ _ 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of ~/ork Social Security Date: EACH SUBCON TRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LI CENSE AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD. Initials DEVELOPMENTAL SERVICES BUILDING DEPARTMENT Dear Property Owner: ~itp of ~arl~bab 2075 Las Palmas Drive CARLSBAD, CALIFORNIA 92008-1989 (619) 438-116 1 An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as 11 owner-builder11 you are the responsible party of record on such a permit. Building permits are not required to be signed by the property owners unless they are personally performing their own work. If your work is bein9 performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City of Carlsbad. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and pro- tection. If you employ or otherwise engage any persons other than your immediate family, and the work (including material and other costs) is $200 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income withholding, federal social security taxes, workers ' compensation insurance, disability insurance costs, and unemployment contributions. There may be financial risks for you if you do not carry out these obligattons and these ttsks are especially serious with respect to workers' compensation insurance. For specifi c information about your obligations under federal law, contact the Internal Revenue Servi ce (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons profess ing to be contractors is to secure an 11owner-builder11 building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Informa- tion about licensed contractors may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95 814. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER-BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WI LL NOT BE ISSUED UNTIL THE VERIFICATION IS RETURNED. Very truly yours, Building Department City of Carlsbad