HomeMy WebLinkAbout1857 LILAC CT; ; CB890087; Permit,,, z 0 ;:: .. a: .. J u "' 0
0: ~ e l'l«eby affirm that I am Ucensed under
U[ provlalons ol Chapter 9 (commencing .with
: Section 7000) of Division 3 of the Bw!llness
~ and Profeaalona Code, and my license 1s in ~ full force and effect
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hereby .ill.rm tha1 1 am exemot from lhe contra,
tor's License Law tor The to11ow,ng re.ison :Sec 783' 'i Bus,ness and Proless,ons COOe Any c,1y or counly wh,u, re
qu,res a perm,t 10 ronstruC! alle: improve aemollsh. o, rep,N any structure ~roor ro ,ts ,ssuonce aiso requ,res '~.e ap
~1Ican1 fo, Such permit to file a s,qned sta1eme~1 •~al he ,s
,censed pu'suar1 lo me pro~IsIons of 1~e Loniracror 1
ucense Law ;Chapter 9 commenc,ng with Se~r,on 7000 ol o,,,,s,on 3 of The Busmess and Professrons CD!le, or 1,a11s ex
emol 1~erefrom and the bas,s tor the ailegeo e,emoraon Any
.iC'aTI,:r. :it Sect1m 7031 'J by an appJIcar1 lo' a perm,! ,,b
Iec1s The appl•canr to a c,vII oMal!y 01 not more than ltve h•Jn
~•ed doI il's ,ssoo·,
1 as owner of IM property_ or "'Y e"1plo·1ees w11r v,ages
as l~eir sole compensa1'on w1I' oo r~e wo-, aod the Sl'uc
ture Is no1 1nlenoed or olfered tor sale ISe~ 7044 Business
aM Pro•ess1ons Cooe The Con1ractm s L•rense law does
~ot apply to an owner o1 oropeny who bu11d~ or ,m~roves
thereon aM who does such work h1mselt or thrc-ugh hI~ own
emoloymis provided lhat such ,mprovements are not ,nrend
ed or o!fered for sale 11. however. the bu1ld1ng or ,mprove
menl rs SOid w1th,n one year of comp1et1on, the owner-builder
wirl have the burden ot provmg thal he d•d nor build or 1m-~rove lor lhe purp.ose 01 sale!
1. as owner or the pro;ier!y am exnus1vely contracting
w11n I,censed contractors !o construe! the pro1ect (Sec 7044
Business and P•o1ess•ons Code Tne Contractor s License
Law does not apply 10 an owner of properly who builds or ,m-
proves 1nereon. and who conlracts for each pro1ects wI:h a
comractor(s) l,cense pursuant to the Conlrac!or's LIcen~e Law)
As a homeowner I am ,mp roving my home and the follow
,ng cond,1'ons exIsl
1 The work 1s being performed prior to sale
2 I have l1vffi 1n my home for 1welve m□nms
prior to completion ol tn,s wor•
I have nol clarmed this e,ernpt,on dur,ng the
last lhrmi years
'1 I am exempt uMer Sec _____ _ B & PC for th1s reason ____________ _
' '· ~ I hereby affirm !ha1 I have a cer1'11cate of consen1 to
-insure or a cert,f,cate o! Workers Compensation In
ance. or a cer1,f,ed copy tne,eol 1Sec 3800 Labor Code! 1
POL,CY NO cJC.~D:"'.v'3-_✓Y~~ I
COMPANY0/2'1.c> e,1S"~-.,.!-c ✓-y :-
~opy ,s f1•ed w,th the city
Cert,f,ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th15 section need not be completed ll troe perm•t
,s for one nunclred dollars i$100l or l<css)
_ I certify that ,n me performance o1 the work for which
tn,s perm,t ,s ,ssuecl. I snali nol employ any person In any
manner so as to become sub1ect to the Workers· Comoen
sat,on Laws of Cal1for~,a
NOTICE TO APPLICANT H. al1er making this Cert,t,cate
of Exempt,on you should become subJect to the Workers J ·
Compensation provisions of ttie Labor Code. you must
for1hwHl1 comply wI!h such prov,s,ons or th•s perm,1 shall
be deemed revoked
![ ·t.-~•eby atfirm that there ,s a cons1ructIon lending
;)li'"ncy for the performance o11he wor~ lo, wh,ch th,s per
m,t ,s ,ssued 1Sec 3097. C•vol Code!
Lenders Name
Lencler s Acldress .,,,-j/.A
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADDRESS-
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
AV. ST.AO. THOMAS 8ROS NO.
APPLICATION & PERMIT
BUSINESS LICENSE tt I VALUATION PERMIT NUMBER
/S5 L./lk a-, ,{)()/1--S ,:}a~g '1tf'r0
• . . ASSESJ! "PAR CONTRACTOR COJi4.TRACTdRS PHONE'."• ZONE ca O O t 7 LOT BLOCK SUBDIVISION ,:;;,J/ -. J -, <""" t\ l ~ ~~ ~-✓~
OWNEA'S NAME , I STATE LIC!5~ BUILDING SQ FOOTAGE
//ILL.vt'7EJUV m~t!.£.o/Lv 9~1-2.~8~ '3<77;--Jq 4443 01121,109 0001 01 OWNER'S MA!{_ING ADDRESS
:::...ltm;-, ' ,
DESIGNER
~lfRJ£eifl..
oES}GJ!EA'S~Hp~e I BldPmt.
G,-if, I <,/t,&. ~SJY/
02 ~ ~
148-0 ~
L
J:r\ I DESIGNER'S ADDRESS ' • r•scs,n,ONOFWORK jvr '&<:>~ WO 'a,s14 ~(t:J~A1-t-Jf-
CENSUS TRACT PAF'K1NG SPAC~
QTY PLUMBING PERMIT. ISSUE
EACH ~IXTURE TRAP
I EACH BUI LUING SEWER
I EACH WATER HEATER AND OR VENT
I EACH GAS SYSTEM I TU 4 OUTLETS
EACH GAS SYSTEM 5 OH MORE
EACH INST AL ALTER, REPAIR WATER PIPE
I EACH VACUUM BREAKER
l WATER SOf TNER
fACH R00~ QR!'\ \i ' \SJ)[ 1
IUlAl P!lJMBINL I
QTY. ELECTRICAL PERMIT. ISSUE
NEW CONST EA AMP SWT l:ll<R
IPH I PH
EXIST l:ll UG EA AMP swr BKR
1 PH 3 PH
~7-REMOOEL Al Tt:R PER ['.IHUIT
TEMP POI E /00 AMPS
OVER 2UU AMPS
TEMP OCCUPANCY 130 DAYSI
l1lTAl ELELTRICA! [
RCS UN,-S I
75D
s.oo
' ' FLR ELEV
,Q ,-.□
GRADING PERMIT ISSUED l !'lEDEVELOP~Ef\/T
AREA
~ 0 ~ D ,~ ',□
QTY MECHANICAL PERMIT· ISSUE
!NSTAL L FURN DUCTS iJP TO 100 000 BTU
OVER 100,000 BTU
BOILER1COMPRESSOR UP TO 3 HP
SOILER;COMPRESSOR 3 15 HP
METAL ~IAEPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE-HEATER
DRYER VENT
TQT~MECHANILAL
QTY MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOT Al
NO
STORIES
TYPE
CONST
;S.Q'.?
STATE LICENSE NO.
I!€ ?&,?I
ace GP EDU
Ar"> n•1}kE:t-F \.; l.)
vO "-0 Not V.1/,d Unless M•chme Certd1ed
SUMMJIRYIACCOUNT NUMBER
'"' ,.g,-cs ~~~:.:Al
SIGN PEfffir"r-_., ·.:,••.....:....:..:.c.~-::' PLMll:CH-Ei::J'(
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
PARK-IN-LIEU !AREA
Tlf
LA COSTA TIF
FMF
LICENSE TAX
Mff
CREDIT DEPOSIT
~ ~ ;fl(}1-i310-00-0.0-822,
001-810-00-00-8891
oo·, s10-oo-oo-8222
00 1-810-00-00-8223
001-81 0-00-00·8224
00 1-8 1 0-00-00-8225
001-81 0-00-00-8226
880-519-92-33
001-810-00·00-8227
320-8" 0-00·00-87 40
360-810-00-00-8740
312-810-00-00-8835
3'11-810-00-00·8835
00, ·S i.J-C,0-,J0·ill 62
880-519-92-57
TOTAL FEES PAYABLE
TL7
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! HAVE CAR£.FUlLY EXAMI.NEOTHE COMf>t,.ETED "APPLICATION AND PERMIT"' ANO'D0 HEREBY Expiration E~permtfil$Ued~Bu-llding0fttcialunctertt,eprowsmnsotth1s * AN OSHA PEFlilfl' IS REQUlR£O FOR EXCAVATIONS OYER
CERTIFY UNDER PENAL TY OF P"ERJUAY THAT All INFORMATION HERl;ON INCLUDING THE COde Shafi expn-e by ttm!tatron aM become n~II and VOid II the building or work 5·0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF
DCC' ARATIONS ARE TRUE ANO CORRECT A/'lD I FURTHER CERTIFY .AND AGREE IF A PERMIT 15 801h~rtzed by such ~m•t IS not comm.eru:ed Within t80daysfrom the date Qt SUCh sr---· ~eR 3 STOA'll::S IN HEIGHT .,, .,. · , P61'mil, or If the Dlfflding or Worlt -aulhonzed by such ·permit ,s sus~ or """"'-••0 • ~
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-L~•~b,n~dO~-!!!, .. ;;•!!!,!~•~mo~•~•·~•~'l°'~•~w~o~ri<!;-!•~-!!!!)-!!!!!l!,!!2..!fo!•~•~~iod~o~f~l~80!lJ~· Lt,...P'!~~~7.~-~:--fl~-----~--------11 STRUCTIQt,j, WHETHER SPEC.!FtfO tte.~t~ Off NQT. I ALSO AGA£E TO SAVE lNDeMNIFY ANO , '"--, O
KEEP HAflM. LES$-TttE CIT)' OF. C.',lll,S. jlA. Q ". ~AJNST ALL UABIUT.IES;JU:~NTS, COST&-A.Nll ~PUCA.NT S SI A.TUR£ ' OWNER DA TE
~;)!:PE~ WH)G\j j\AY0 1t:t~t,Y ~f\'y ·A~~ AGAJNST SAID CITY If\! pqNS~QUEN(?E OF THf:, L ,:,a;~:,:~..._ , r-C
GRANTINGOFTHIS,PEAMtT. -,-~---,,> , · ., '· , , IP I I-?' _V'
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TYPE ' ' DATE INSPECTOR CR:.3"io0a,
BUILDING I
FOUNDATION I ' ~ ~ FIELD INSPECTION RECORD
REINFORCED STEEL ' '"i' \I" ' MASONRY
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION RED IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl~ING SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME '
FOUNDATION INSP
EXTERIOR LATH ' '
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ' PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I
I POST TENSIONED \ 7'l CONCRETE -,
PLUMBING ' -/( /
•
.~
FIELD WELDING
□ SEWER AND BUCO □ Pl-lCO
UNDERGROUND □ WASTE □:WATER
TOP OUT □ WASTE □ WATER
HIGH STRENGTH tJ r-,\(fo BOL is
SPECIAL MASONRY \i ~
• TUB AND SHOWER PAN I
GAS TEST ' ' PILES CAISSONS
□ WATER HEATER □ SOLAR WIii.TEA
' I .
ELECTRICAL I
□ ELECTRIC UNDERGROUND DUFFER .... ,.'(ct ~ .. a -
ROUGH ELECTRIC I
□ EU.CTRIC SERVICE □ TEMPORARY
i--r'BONDING □ POOL I I.•( •\''I. ~
MECHANICAL '
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I
CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE
IT~MS ABOVEf/A\I_E BEEN APPROVED.
FINAL ' I
PLUMBING ' I I
I ELECTRICAL ' /)o' .vi I
MECHANICAL ' ~ ~"
GAS ' { I ' BUILDING ' )
SPECIAL CONDITIONS '
I