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1855 Lotus Ct; ; 84-616-37; Permit
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" "' 0 3 L ![ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proless!ons Code, and my license ·1s 1n full force and effect l1( No~----(la\l I hereby at1Irm that I am exemot from lhe Cont·ac- tor·s License Law tor lhe following reason (Sec 7031 5 Bus,ness and Profes~1ons Code Any city or cocnty wh,;~ re-q1Ires a oerm,r to corstruc: al:er ,morove. demol•sh :r "epair any strucIure. prior to ,rs issuance also requires !heap plrcant 1or such perm,t to t,le a s,i;ned slatemenr that he ,s 11ce~sed pursuant to the wo·11s1or.s ~I \he Contracwr s !_rcense Law 1c~apter 9 commencrng wrrn Ser.t,on 7000 :-• Devrs,on 3 ol ·he Business and Proless,ons Code1 O' i~at ,s e• em~t therefrom anC the bas,s 1or :he aIIegea e,empt,o.o Any vI0Iatron 01 Section ?OJ I .5 by an appl;cant lor a pe,m,1 sub Iects the apPlIcan1 IO a c,v,I penalty of nol more than t,ve hun dred dollars ($500., I, as owner of the oroperty. or my employees w1Ih wages as their so\ii compensar,on. will do the work ana The strut lure ,snot ,ntended or altered 1or sale !Sec 7044. Business and professions Code. The Contracior·s License Law does not apply to an owner of property who tlu1lds or ,mproves thereon and who does such work h,msell or through h,s owr employees, provided that such improvements are nor ,~lend ed or ottered for sale If, however the building or improve ment ,s srnd w1th1n one year of completion, the owner-builcer w,II have The burden 01 proving that he did not build or ,m- o·ove lor lhe purpose or sale) I. as owner 01 the property, am e~cIus1vely contracting with licensed contractors to construct the proIec1 (Sec 7044 Busrness and Protess1ons Code The Contractor's License Law does not apply to an owner of property who builds or lf'l· proves thereon and who conJracts to, each proIecIs w,th a contractor(s) :,cense pursuant to the Contractor's L,cense Law) • J As a homeowner I am ImprovIng my Mme. anC tne follow ,ng cond,I1ons ex,sl 1 The work Is being performed prior to sale 2 I have livea In my home tor twelve months prior ro compIet,on ot this wo,k I have not claimed th,s exemptI0~ auri~s th~ las! three yea,s lor jh~: r~~~~~t uMer Sec _____ _ B&PC D I heret,y affirm thal I ha•e a ceri,hcate or conser• to sell ,nsure or a cert,t,cate of Wo,~ers Compens.a11on Insurance_ or a ceri,l,ed copy thereof (Sec 380:) Labor Code) POLICY NO COMPANY D Copy ,s filed with 1he cr1y 0 Cer11f1ed copy ,s hereby lurn1shed CERTIFICAH OF EXE:.MPTION FROM WORKERS COMPENSATION INSURANCE:. (Th,s sect,on need not be completed ,, lhf' .:,erm·t ,s •or one nunc!red dollars iS100! or Ie~s;·, O r cer1•1y !hat ,n !he per1ormance of the "'Ori< to, ..,n1ch Th,s perm,1 ,s ,ssued. I shall not emPlu, any persor ,n any manner so as lo Df'come sub,,ec.• t, The Wori<.ers Compensat,on L.a .. s o• CaIdorn,a NOTICE TO APPLICANT 11 after maio.cn. 1ri,s C<'rt, f,cale ol E,emp1,on you should become sub1ect "' lhe Wori<.ers Compensat,oro prov,s,ons ol the L.at.>or CO(le you must lorth,.,,1h comp•; w,ih suer prov,s,ons or th,s perm,t shall be Qpemeo rev,_,kPC O I hereby a11,rm Ir,;i1 ,rerP ,s ;, Iend1n1, agency •c-r the uer!()rcran, e ,,1 the WU'' ,.>,,er, In,s perm,t s -~sued ,,s,,, J,09? C,v,, CoclP Lender 5 Name ___________ _ Lenoe, s Address __________ _ , USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm. Carlsbad. California 92008·1989 (619) 438-5525 I AV. ST.RO. NEAAESTCAOSS ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION J PERMIT NUMBER '1--z..;,.y... El Camino Real & Arenal Rd. 11/30/84 714/962-6683 ' ~-,·~•~,-,~·· 1 n t, 1 1 84-616-37 l ASSESSOR PARCEL NO. CONTRACTOR I CONTRACTORS PHONE# -----~ 1 ---same--same- ZUNt R-1 , ,.,,.,.,.-~·<' .. ~.... -----------OWNER"'"'"''"'" OWNE R"S PHONE I CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE 1 ers 714 962-6683 ?01,7 1 OWNER·S MAILING ADDRESS -same-328559 --.. 1 _ _ _ _ _ __ _ -• ~~-•n • DESIGNER UCENSEll' --···-·---P.O. Box Drawer A, Huntington Beach, CA 92648 BUILDING SO. FOOTAGE ::, I ANUAMU !'LAN"< 11 DESCRIPTION OF WORK I I Blair Ballard & Assoc. DESIGNER'S ADDRESS 850 Glenneyre ~~--¥-------M<ie-1-~ ·-------1 F p FLA ELEV.I I NO ---Sj,n~l.._ famil¥---" ' ' ~n, , S Laguna Beach t.' CA 92651 I STORIES I yLJ "-'D --- C-7386 DESIGNER'S PHONE 714/494-8093 OCC GP EDU 1 CENSUS TRACT GP LANO USE-PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST 1 N D , D ~ YO "<O Not : QTY PLUMBING PERMIT -ISSUE , $ 7. 50 " QTY f MECHANICAL PERMIT -ISSUE $3. 00 SUMMARY/ACCOUNT NUMBER 2047 I 13 EACH FIXTURE TRAP 32 • 50 1 INST Al L FURN. DUCTS iJP TO 100 000 BTU 4 •. 00 BUILDING PERMIT 01-00-00·8~0 c:., 1. r n ....00- I 1 EACHBUILOINGSEWER 6.50 ' OVER100,000BTU SIGNPERMIT 01-00-00-822', --- : t--r-EACH WATERHEATERANO OR VEN-1----+-2 .so----+ B01LER:CUMPREss-□-R-IJPTci-3 HP -----_J.___ ---. PLAN CHECK -o;.oo~O~B806-l----~~Js-- 1 1 EACHGASSYSTEM-IT□4uUll_ETs_____ 2.50 GD1LER:COMPRESSOR315HP TOTALPLUMBING -01-oooo-s222 30.00 1 EACH GAS sys~ Jo R MDRE ---~ -_ -----11-1;:,[ i-Ac FIRE_P_LACE ------------------I-3 •. oo ELECTRICAL-----01-oo-oo-s223 f4. oo -I 1--------1-------------·----------------+--------~ ------------I---------- ,,_ i.!~CHl~TA~-~E~~R~PAl~~'ATERPIPE -~ __:_ __ 4 ___ 2_ V~N~ANSINGLE~~T__ _ ___ 1 ·~~_:00 __ MECHANICAL I EACH VACUUM BREAKER ' MECH EXHAUST HOOD DUCTS MOBILEHOME 01-00·00·8225 01-00-00-8224 --- I WATER SOFTflJER I JI RELOCATION OF EA FURNACE,HEATER MOBILEHOME PARK INSP 1 1 1 -] r,c~ R ,_ 1""' •,s C', --_~--f · II I TOT ta MECHANICAL I I i _SQl_AR_ - 01-00-0Q:82.2_6 _ STRONG MOTION 80-92-33-0519 Z.94 -- ,~ -TOIA1Plur.-;-B1NL ----1---$51~$u--jl I I QTY. ELECTRICAL PERMIT. ISSUE Ii QTY I SOLAR. ISSUE PUBLIC FAC_!llT~F~ _ ~ _£1~PRIN!\LERS 01·00-00-8227 t ! 32·00-00-893) ----- I 1 NEW CONST EA AMP SW J l:l KR 100 . L________a_s. 00 '.: roL1 ECTllC::~ BRIDGE~_ _ --j -------1 SCHOOL FE~ISTRICT ---;--_ I ~-L -~_!,,,/__-----I+-----~~-~--~~-~-~+-~~~-~ 1 1 PH J PH ')r;:: ()(l 1lfc, TCJRAGF -:-A,'·JKS 1 0:,IST tlLOG EA AMP SWT flt<H I j :cK s1~;RA_(;[~-~-~~--~--~_,j_-~~ _ ___f_arlsbad _X LTR ____ 80·92-21-0519 1 Encinitas j 1 PH ~~ j I,' PJr·,1P ------------t---------l,/ San D~u~ 80·92-22-05~-- ------80-92"23-0~ -- 1 REMOOtl ALTtR PER CIRCUIT ru,-;-;PQLE/DIJ,H1PS-------r--~~--~r-1-·---PA\ C',FCI< "t" San Marcos ~----+-----,r--80-92-24-051 09'--jf---~-~-~- -------------- I~ OVER llJU AMPS ~--------------+--------J,~-LICENSE TAX _D1_-00-00-8162_ _ 2 268. 00 I I TE!'1PO[CUPArvCY 1300AYS1 ~----+-__ ,___----!-~-----------+---MFFB0-92-57-0519 ~·------__ 880.00 __ ~-~--------tti------11-CREDIT DEPOSIT 200 • 00) TflTA,, riru111LA'. $30.00 (1 TCTA1 so,_AR TOTAL FEES PAYABLE $3,823.64 I HAVE CAREFULLY EXA~INED THE COMPLETED ··APPLICATION AND PERMIT" AND 00 HEREBY E1tpiration. Every per_m1t issued bythe8u1ldmg Official undenheprov1swnsofth1s * AN OSHA PERMIT IS REOUlftEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL !NFORMA TION HEREON INCLUDING THE Code shall &ll.pire by flm1tat1on and become nutl and void lf the building or work 5· 0•· ~...-OllllOEMOLITION OR CONSmUCTION Of: 0 A A IS authonzed by such permit 1s not commenced w1th1n 180 days from the dale of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AN AG EE IF A PE MIT permit, or ii fhe building or work authorized by such permit is suspended or ST ER 3 STORIES IN HEIGt-lT I ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at an after the work 1s commenced for a enod of 180 da ;1:~c:~~~L~~i~~~Rc~:YEgl:lif R~~=!t A~:~~~ Allrll~~B~i~f~~.TJ~i~~~~~~~~i~~~ :~g ~,i:e~P~l~l~C;;A;;N~<~~;1)~;;,~;-'""'-'-''-"~"°'~~W:.N~E~A~□'f~c;.O~N:T~A~A~C~T~O;A;r□'i7j.ee~~o";;-rl-~-•--------~~r.;::r---1 I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE O I GRANTING OF TH!S PERMIT ,-_ _,,---,,,-, , ~ /3Y P.HO!'E I I I .'!' LL c ~ 0 0. E © f-- u 0 CJ C m -~ Q. D. <,: I ~ C a: 0 w w © w w <,: ~ 2 w >- '" w © u 0 a: m rn 0 '.]: © u C m C LL s C © ~ CJ 0 u © D. w C © ~ ~ ,: TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING D ROOF D SHBAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO □1PL/CO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D W~TER TUB AND SHOWER PAN GAS TEST D WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D QFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMPOFIARY D BONDING D POOL MECHANICAL D DUCT & PLEM., D REF. PIPIN_@ HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE, BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS I I "?t/ ~ u, I~ -57 -----------_, - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -- INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL - SOILS cor-.1r1_.A'\jCE I PRIOR TO f-OUN□ATIOl\o 11\.SP -------------------------I.------- STRLIC TUF1.AL cn•,1cRETE OVER 200() >'S• ----PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING ---.--------·--,.__ ______ rJ,(_1H Sl RENGTH BOLTS ':i~'EC1Ai.. MA.SONRY : ---r I ~---- P1,.ES CAlfSOr--,~· I ~ ---------------+--------f---------- --~ ------ --,--.. -----,--.-------1-- ----~------I------- --·-----,--. ·-----i---------- ' ------.J._ ___ I ~------------------~ ~-----i