HomeMy WebLinkAbout1839 LOTUS CT; ; 87-770; Permit"' z 0 ~ "' .. ... u "' Q
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Olvls1on 3 of the Business
and Proleaalons Code, and my license 1s in
lull force and effect
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I hereoy a!11rm that I am exempt lrom the Contrac
tors License Law lor the tollowmg reason 1sec 7011 5
Business and Profess,ons Code Any c,ty or coun1y wh,u, re
qut1es a permit to construct alter improve. demo11sh. or
repa,r any struclure prior to ,ts issuance also requires :heap
pI,canI lor such perm,I to l1Ie a s19ned staIemen1 that he ,s
1,censea pursuant 10 The prov,s,ons ol the Contracior s LIcanse Law (Chapter 9 commenc,ng with SecJ,on 7000 ol O,v,s,on 3 ol lhe Business and Proless,ons Cooe; or lhal 1s ex
empt theretrom and the basis tor trie alleged exemption Any violation o1 Se<:t,on 7031 5 by an apphcant lor a per<1111 sub 1eos the aop1,can1 to a c,v,I penalty of nol more than love hun
dred dollars ($500!
I as owner of lhe property, or my emplO'je€S w11n wages
as their sole compensation w,11 do the work. and lhe slruc lure 1s not intended or offered 1or s.ale (Sec 7044 Busmess
and Proless1ons COde Tne Con1rac1or's License Law does not apply lo an owner ol properly who builds or improves !hereon and who does such work himself or through n1s own
emoloyees provided lhat such ,mprovemenls are not intend-
ed or o!tered lor sale If, however the bu1ldmg or ,mprove-
menl 1s sold w1lh1n one year of complel>On. the owner-builde, will have the burden of orovmg that he did no1 bwld or 1m
prove tor the purpose of saleJ
I . .is owner of lhe property. am exclusively conrract1ng with licensed contractors to cons1rucl the pro1ecl (Sec 7044 Busmess and Pro!ess,ons Code The Contractor's License
Law does not apDly to an owner of prol)€r1y who bu,lds or ,m proves thereon and who contracts 1or each pro1ects wrth a con1ractor(s) license pursuant to the Contractor's L,cense Law)
As a homeowner I am 1mprov1ng my home. ano the iollow 1ng cond1t1ons exist
1 The work 1s being performed prior to sale
2 I have lived 1n my home 1or lwelve months prior to complelion o1 this work I have not claimed this exemDl,on during the last three years
: J I am exempt under Sec _____ _ B&PC for 111,s reason ____________ _
I hereby afllrm that I have a cert.t1cate ot consenl 10 sell insure or a certof1ca1e of Workers Compensation In
su<ance or a cert died copy lhereol tSec 3800 Labor Coder
POLICY NO
COMPANY
Copy IS •lied with the c11y
Cer1'11ed copy 1s hereby furntshed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
!This section need not be completed ,1 the perm•\
,s for one hundred dol!ars 1$100) or less) = I certify that 1n the oerformance of tM work for wh,ch th•s permit 1s ,ssued. I shall not employ any person rn any
manner so as to become sub1ect to 1he Workers· Corn pen
sat1on Laws of Cal1torn1a
NOTICE TO APPLICANT If after making this Cemhcate
of Exempt,on. you snould become sub1ect to the Workers
l Comoensat1on prov,s1ons of the Labor Code. you must forthw,1h comply w11h such prov,s,ons or this perm,t shall
be deemed re,oked
i[ I hereby affotm that there 1s a construct1on lending
agency to, 1he performance of the work for which th,s per
m1t 1s issued (Sec 3097. C,v,1 Code)
Lenders Name
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438·1161
,o/~%C/ .I ' r~:\ C, T:OMAS B~OS NO '$, (7 • ozr; ~ APP li:r BUSINESS LICENSE # v3:ro r PERMIT NUMBER
J ,-., YT l -::L s I 7-
LOT/ VLO't l SI. 8DtV1$1,0N A$SESSOR PARCEL NO.
_(°)iT:A,CT:\ .,,,. _(;I I I CONTRACTORS PHONE# ZONE 77D . . .
0 ~ R'S; NAME . 042,f ;;;,; .• , (2.' j ) , .. }-• L-• / Ir (Z.D1A CO~TOR'S ACORESS STATE LICENSE NO. BUILDING sa. FOOTAGE
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0 NEff5:~ ~INGAOP~~ ' ' I ' ,:zi· ' ,D,~ DESIGNER 0£S1<.,NE R'S PHONE ~~-..J V'.U·-1.L U.l.\).l 11,::r,,J._. •i!..-.1._., ~ -
iii <.; ~ •, i • ,_
!'! $~; -r'1! -~ !", .... ·• ,:,7. I\ ""'-."'i..lffi . 1 .. \ , "iJ --. --:,,,_. '·I!$:,'..~• . I -·OEStGNER'S ADDRESS· .. -·· -. STATE t:"-""'"""'"' NO.
. ;.; i ,~ ,.,]J, ,,~-~ ,,·•· Y-t _'.: "i'-,... ..,I). , .
" ' FLA ELEV NO EDU · .... · . .l J .• ·, . -,,:-..;.··' -. .. ace GP
STORIES
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YO -...□ I CENSUS TRACT PARKING SPACE AES UNITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD FIAESPP
AREA CONST
,□ ' D ,o -...□ YO NO Nor Vil/id Unless Milchine Cerrdied
-· ' QTY. PLUMBING PERMIT -ISSUE 7~ QTY MECHANICAL PERMIT. ISSUE 1.sc2 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU --wrr_Ull~'.l n:r11v 11 UU1 ·l:l 1 u-uu-Ull-ouu / ...
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-82 21
EACH WATER HEATER ANO OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891
EACH GAS SYSTEM 1 TO 4 llUl LETS BOILER,COMPRESSOR 3 IS HP TOTAL PLUMBING oo ·, -810-00-00-82 22
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001·810-00-00-82 23
EACH INST AL ALTE.R. REPAIR WATER PIPE VENT FAN SING Lt DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 00 1-8 1 0-00-00-8225
WATER SOFTNER . RELOCATION Of EA FURNACE:HEATER SOLAR 001-810-00-00-8226
EACH RUOf f)AAlf, : :',S !ll 1 DRYER VENT STRONG MOTION 880•J19•92-33
TOTi'...L MECHANlrAL FIRE SPRINXLER_r.,1 f ~Ol,,"81Q."'° I
TOI Al PlUMHINl, I PUBLIC FACILlfl(E':fFEt..., -~20-itcf-tti'-• I IJ I J . ·o
BRIDGE FEE =jJ•i~ii I
QTY ELECTRICAL PERMIT· ISSUE s-= QTY. MOBILE HOME SETUP PARK-IN-LIEU 1AREA -} ·, -
Nt:W CONST EA AMP SWl l:!KR CAR PORT TIF 312·810-00-0 · 1B
IPH I PH AWNING LA COSTA Tlf-r';"> j! f'•t J
EXIST BLOG EA AMP SWT fl KR GARAGE FMF~
.
I PH 1PH LICE '""'" -2
REMOOEl ALTt:R PrR CIRCUIT MFF --5
TE\IIPPOLE !00 AMPS
OVE: R 2UU AMPS
TEMP OCCUPANCY ·30 DAYSI
CREDIT DEPOSIT
TOTAL tlfLTRII.At I TO~A1 TOTAL FEES PFE V /~~
~ ' -~ "a ' , • a ' • " Exp1fat1~: EY$r)'.. permtt ifll.leCt bJ.tJi• huil<fing ptfi<:1J1I v.~~ tt1e Pti:>Y1SIOQ$ of UJis ·* AN~rt,IS~FOR
0
0<:AVAftOHSOYER " I HAVE CAREFULLY EXAMINED THE COMPLETEP "-AP~UGATION.AND PERMIT'" AND 00 HEREBY
CERTIFY ;lJNDEfl PENALTY·OF ,PEAJUfl:Y THAT ALL INFORMATION HEREON INCLUDING THE Code Shall 8Xptf9 by limitation and become nu+t and VOid II the building Of work 5' O" ~0 ~ITK>N OR ci)NsTRUCTION OF authonzed by such permit i• not commenced w11h1n 180 days from the date of St.lCh DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTiFYAJIIO·AGREl:IF A PERMIT I& permit. or if lht build1~ or work authorind by such perm11 is suspended or ST OVER 3 STORIES IN ttUGHT
tSSUED' 'TO eoMPt. vwrrt+ ALL-'CfTV. -COUNlY ANO STATE LAWS GOVERNING BUILDING CON· aban(k)ned Ill anv time. er lhe worli IS co·mmenced for a ---IOd ol ;;;;-:~~ /I . . . .
STRUCTI0N, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A N , % □ 0 APPROC '• irer/, /~7 KEEP HAAMLESS THE CITY OF GASLSBAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO --;r;;:., TS S!GNATU~ OWNER C~TRACTOR
EXPENS~S WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF THE hJ A_ l1 t:/J ..a A I' -rPHO,-..E CJ
GRANTiNG·OF THIS PERMIT. .... .. V,~ ·, , -, ' I
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TYPE ' DATE INSPECTOR i7-770 -
' BUILDING ' FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL ' REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
MASONRY ' ' INSPECTION REQ IF INSPECTORS DATE GUNITE OR GROUT I CHECKED APPROVAL
SUB FRAME □ FLOOR D CEIL/ING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FOUNDATION INSP . ,..,,, -,,,~t~.· •_;.;.a~: FRAME I -----------
EXTERIOR LATH ' STRUCTURAL CONCRETE '}t ,:trilWie,tl ,::.;.;.;~.~'}'
' OVER 2000 PSI .••. ------~· :IF-, -. •; ?: /•
INSULATION I PRESTRESSED . ~r• .
CONCRETE ,_:_..,:1~_1f't:,.-t . ·';,.,-, •; ' { _.; <;{.,X;.:
INTERIOR LATH & DRYWALL I POST TENSIONED ,;•~ ·-·, ·;. ;-.. ~·-~~:-::~.?;'·f'~ .. I CONCRETE
PLUMBING J FIELD WELDING ,,. .,· L~'d ;{ :::-I)
□ SEWER AND BL/CO CJ P~ICO HIGrl STRENGT,..., '-~-~I ,;;, ~
UNDERGROUND D WASTE □'WATER BOLTS
"' ~ □ WATER SPECIAL MASONRY ,, "{
TOP OUT □ WASTE ' ' --
TUB AND SHOWER PAN ' I
GAS TEST ' PILES CAISSON'.:
□ WATER HEATER □ SOLAR WATER ---~-------~--
I
' --
ELECTRICAL I
D ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC I
' □ ELECTRIC SERVICE □ TEMPORARY -----
□ BONDING □ POOL I
' ----.
MECHANICAL I --
□ DUCT & PLEM., □ REF. PIPING ._ .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I -
' I ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. .
FINAL I -PLUMBING I ,,
' ' ELECTRICAL I -.
MECHANICAL '
GAS ' £. ' BUILDING ' · //-cf-Ii 7 /(.,----.
SPECIAL CONDITIONS I V
' '