HomeMy WebLinkAbout1848 Lotus Ct; ; 84-616-42; Permit.. z 0 ;:: .. "' :l u "' 0
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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
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I hereby afl1·rn thal am exerrpt from the CJnlrac-
10• s L,cense Law tor The follow,nq 'easo1 (Sec 7031 5
Bus,ness and Pro'ess1ons Cnde An·1 c11y or county ,...o,cr; re ~u res a perm,t 18 corst•ucl alter ,,.,p·o,e cte11ol,sh or -eoa.r any srrucru,e pr,ur 10 ,:s ,ssuar~e al~c requires '.he op
pl1can1 lor such prn,r 10 file a s,g1er1 sraternest that tie ,s
l.censed pu-s~ant to the orov.s,ons of the (.;on1rac10< s
License Law 'Chapter 9 commenc,ng with Sec on 1000 ot c,,,,s,oo 3 o' tre Business anC Profess1or.s Cade, or thot sex
e~pl 'herelrom anc :he basis for !he allegeo exemption ~ny
v1olat on ot Sert1or 7031 5 by an applicant 10, a permI1 suo Jects l~e apol,canr to a civil pena.ty or not more than five ",un
:f•er. dol.ars :$50()1
I. as owner oi the property, or my err.ployees wI1•• wages
as 'heir sole compensa:1on will do the work and The struc
tu0e ,snot intended or offered tor sale !Sec /04~ Business
and Profess,ons Code The Contractor's License Law does
not apply to an owner of property who bu1lds or improves
thereon and who does such work h,mself or througr ~1s own employees. provided that s~ch improvements are not ,ntend
ed or o'tered for sale If, however tne bu,ld1ng or Imoro'/e-ment Is sold w,tnIn one year of complelron the owner-builder
w,11 have the bu'den of proving that he did not build or Im•
prove for lhe purpose al saleJ
1 as owner of the property am exclus,vely contracting with licensed contractors to conslruct the pro1ec11sec 7044
B~s1ness and Professions Code The Contractor"s License Law does not aoply lo an owner of property wr.o b"1lds or ,m
proves thereon. and who contracts for each pro1ec1s w,th a
contractor{s) license pursuani to the Cortracto, s License Law)
As a homeowne, I am ,mprovIng my home. anc the follow
Ina cond1t1ons exist " The work ,s being performed pr,or to sale
l 2 have lrved In my home lor twelve months
prior lo completion ol this work
3 rave not claimed this exemp1,on durrng the last three years
!Or ,:h~~ r~::~it under Sec ______ B & P C
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D I l1eretJy affirm tl1al I nave a cer1d1cale of conserr
lo self insure or a rert,!1cate of WorSers
Compensation lnsuraroce. or a cer1'f,e<:J cop !hereo'
!Sec J80J Ubor Co<lel
POLICY NO
COMPANY
0 Copy IS filed .,..,,r lhe Ct1y
D Cer11!1ed copy Is heretJ', +urr-,she<:l
CERTIFICA Tl OF EXEMPTION FROM
WORKERS COM PENSA TIO"J l"JSURANU
(This section need not be completed ,t "h<' ~-e,m,· ,s •o, one r.unC!red dollars rs1001 ur ,esoI
0 I cer11fy tha1 In 1he performance o• the wGr'-•0r which th,s pe,m,1 Is issued I shan no: efT'pl-;,. ,ir,,
person In any manner so as 10 becomp ,ut,,ec' 1,
lhe Worl<ers Compens.at1on u,ws of C.aI1torn1a
NOTICE. TO APPLICANT If afte< mak:n:, •,-,15 Cen hca!e of Exempt1or you shov1d t,,>come svt:>1e,-1 ,,
lhe Wor1<.ers Compensa11on prov,sIons o• the Laoo, Code you musl for,11,.1111 c-omply wItti Suen
pro,is,ons o, 111,s perm,t sr,al' be r:Jeer-e~ ,,,,nkP<l
0 I hereby af'•rm lhat 1nere ,s a rc,r,struct,•J :end•ng agency to, 1,-,e ;wnu,rr,an,.e 0' ""e ,.,,y, ,,,,
wr.,cr 1nIs perrr,,t -~ -~sue<J ,s,,, l09I C., Cu<Jt>
\enders Name ___________ _
Lenoe, 5 Aod,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
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' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 ,1------------.;.;. ..... ;...;....,..,_,..., .......... _,,..;.;.;.;...;.;.;.,..,.,, ..... -"".;.;."--------~~.,...,.,...,---==,...---~-----,.__ _______ ~_~_=-----c-=c---, JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. DATE OF APPLICATION! BUSINESS LICENSE tt VALUATION PERMIT NUMBER
: /~llfr /, ".,r (!,/, El Camino Real & Arenal Rd. 11/30/84 J 714/962-6683 Sl23 %5.00 1
LOT BLOCK · sue-□1v1s10N [ ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE 34-616-42 1 ti? .. 10_4 ,..... ... -1., -same--same-1 I OWNER"$ NAME OWNER'S PHONE R-
CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. :t BLOG USE CODE
Ne•-ort Shores Builders 714/962-6683 -same-328559 2220
OWNER'S MAILING ADDRESS
h A 92648 DESIGNER LICENSE" STANDARD PLAN# BUILDING SQ FOOTAGE po. Box Drawer A, Huntington Beac, C 2220 □Es.cR1PT10N oF woRK Blair Ballard & Assoc. C-7386
~---------------------------------1 DEslGNER"s ADDREss Laguna Beach DESIGNEA's PH□NE
850 Glenneyre St., Ca. 92651
I;;-;--~-:;:;-· -------------------------··--· F.P FLRELEV NO OCCGP EDU Single Family Model 2220 sroR1Es -
,CJ ,□ 2 . R-1 1
CE.NSUS TRACT I GP LANO USE I PARK•NG SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR
AREA CONST
485 1 v QC~ D • C .._Kl UN vO N~ Not Valid Unless Miichine Cert1l1ed
! "1 QTY PLUMBING PERMIT -ISSUE ,, QTY MECHANICAL PERMIT-ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
13 EACHFIXTURETRAP ,}-.,7.50 1 INSTALLFURN.OUCTSUPT0100.DOOBTU 4.QQ BUl~OINGPERMIT \.,,_01-00-00-8220 493.Q0
1 EACHBUILlJINGSE'NER 1 \.32.50_ _ _ OVER 100.000BTU SIGN PERMIT \ ,\ 01-00-00-8221 _ ·-
1 EACHWATERHiATERANDORVFNT-·e6.50 -----!-B□1-~0M-PREis-□RUPT03HP --f-----PLANCHf'CK ----..._ \-□1-00-00-8806 -;~ 45_ __ -
__l_l"-~ACH GAS SY-STTM-1 l~-E_TS --~----~-~2 ._50. ~iDILE_R~_CQ~~E~-;o_R} 15 HP -------TOTAL PLUMBING '\) ~)1·00-00-8222 51.50 -~
µ __ ~AC_::{GASSYSTEM50R'v10RE ------;.-~-Z~~·--_2_ I ME!-~_FIR~~~CE _ ___ ____ 6_.___00 ELECTRICAL __ t-l \01-00-00-8223 =,..., r.r.
~~~~ INSTA~ -~E~,_R!PAIR WATER PIPE t -----_i_ ,~~N~AN SINGLE o~~T ----_ -----__ _2__._00 MECHANICAL ~ -'t 01-00-00·8224 1 c; 00
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME "\, ,;.__01-00-00-8225
·,NATER SOFTflJER I RELOCATION OF EA ~URNACE-HEATER MOBILEHOME PARK INS"lt.... '-'-
.---FAC'""' Rr):)F 1R-'<,'.; '.;; .lf :J ___ $0~A_R 01-00-00-B-226 -t-----_
____l_ ;1 TOH L ME CHAN I CAL STRONG MOTION 80-92-33-0519 _ 8. 6 7
f---~--1-u_r_A_l P1 uMHINL ---T 51.50
1
! 15 .o_o FIRE sPRl~JKLrns 01-00-00-3227
I
i PUBLIC FACILITIES FEE 32-00-00-893] QTY ELECTRICAL PERMIT. ISSUE 5 OO
1
, QTY. SOLAR -ISSUE lf--~=~==~0 -~~=~ -~ ---
• ., BR01D~G~E~F~E~E ____ _
NE\'11 CONST EA AMP SW! eK R 100 25 .oo -J c:1 FCrJPS SCHOOL FEE. DISTRICT______ -+-------
1 PH ·3 PH _ --~---_ _ Sl()Rt;[;E TA\~S Carlsbad Ltr_. 80-92-21-0519 -,-----------,
EXIST6l0GEAAMPSWT8KR I RO:'.Ks-,:,q;.,:,E --------+------Enc1n1tas 80-92-22-0519 -----
1 PH ] PH ~U}P San 01egu1to 80-92-23_0_5_1_9 _,_ _________ ---j
REr.100EL ALTtR PER ['R[Ull J[(,'·. U-!f:·'::~ "F~ ~---San Marcos 80-92·24-0519 r-,Hr,~P-F'□1F 21)0AMPS tr ______ --i -----------~---t---------
OVf.R 2lJll Ml'1PS I -LIC~~SE_TA~~2-oo-oo-s1e2 2. 4 79. o{f -~
,----,--T-E_M_P __ o_cr_UPANCY '30 lJAYSI ~ -------------t-----MFFB0-92-57-0519 1 ~ 880 88_0.00
--'-------------,--~-----+-----,--------CREDIT DEPOSIT -(200:00-) -
TiJTAl ElU.lRII.Al I TiJTAl SQ;_,\R ~ TOTAL FEES PAYABLE
r 30. 00 I i 1.x1)0 4 n77 f.?
I HAVE CARE FULL y EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT'" AND DO HEREBY Expiration. Every pe. r_mit issued by the. Bu1ld1~~. Olf1cu:11 under the prov1s,ons of this * AN os.6 PE~I IS REQUIRED FOR EXCAVATK>NS OVER
CERT FY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by hm1lal1on and become null and void If the bu1ldmg or work 5. 0 .. DEEP AN uru ITION OR CONSTRUCTION OF 1 . authorized by such permit 1s not commenced w1thm l80days lrom !he date of such _...._ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S permit or 11 the building or work authorized by such permit is suspended or STRUCTURE ER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-aband0ned al any time after the work 1s commenced for a period o! 180davs ~
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP~UCA IG TURE If. g . A □ C C O APPROVED BY~ D
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS. COSTS AND t%,, ,;;·1 OWNER ,ONTRA TOR 1/~'½
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ // :.j -• • BY PHONE □ I '~ ,,-
GRANTING OF THIS PERMIT ~_A . ·, ~ ,\ . ; ' -0 ~
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TYPE I
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME 1
SHEATHING □ ROOF D SH_SAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
I
I
~
SEWER AND BUCO DIPUCO 1
UNDERGROUND □WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST
□ WATER HEATER □ SOLAR WAfER
ELECTRICAL _j_
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPOfllARY
□ BONDING □ POOL
MECHANICAL 7
_j_
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ;
VENTILATING SYSTEMS 1
I
I DATE I INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED.
FINAL I
PLUMBING I JI
ELECTRICAL ' I II ' MECHANICAL "---I I I_/ .,
GAS ''. ,,-,,,. .
BUILDING " I i
SPECIAL CONDITIONS I "
I
84-(p I fe, J 4-2--' -__________ ,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL . -.
SOILS COM~'' :ANCE
I PRIOR TCJ
FOUNDATIOr,.,. 1r-..SP I
-----,.I-
STRUCTURAL ('(_1NCRE~E ---+----------------
;_")VER 200G PSI
PRfSTRESSEC
::-:ONCRETE
POST HNS.Or-.ED
CONCRETE --,L.._._ ·-
FIELD VVELOINCi
-------------------ril(JH STRE"JGT~<
ao: Ts
s.;PECIAL 'v'ASDr\;~v
-----
P,. ES CAISSOr-..~
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