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1859 Lotus Ct; ; 84-616-38; Permit
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" a: 0 ~ ,r D 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 1s m tun force and effect L,c No ___ _ ll.i11 I hereby afJ1,rn that I am exer",p! trom lhe Cortroc- lor s License Law for the lallow•ng reason 1sec 7031 s Business and Profess ors COde Any c;t1· or ~ounty wn•,cn re qu,res a permit 10 canstruc! a11e· ,.,.,o,ove dereo1,,n. or reoa,r any structure pr.or to ,ts 1ssJa~ce al~o requires the ap- 0I,cant for such permit 10 'ilea s,qned staierr,ent that he s 1,censed pursuant to lhe .irov1s1ons vi the L.oniractor s License Law 1ChaQter g commencing w,th Sec11on 7000 Jf D1·;is1on 3 ol !he Business and Proless,ons Coae; G' Iha: 1s ex em~: therefrom a~rj t~e basis fo0 !he a!'egea e,ecr,pt,on any ,,olat·on 01 Sect1or 7031 S by an applicant 101 a perm•,t sub 1ects The app'Icant toa c1v1I penalty ot not more lhan five hun- dred dollars ($500! I as owner o! the properly or my employees w·,Th wages as their sole compersat1on will do the work. and lhe sl·uc tu·e ,s no1 In1ended or otfered lor sale (Sec 704A Business and Professrnn~ Code The Contraclor's License Law does not apply to an owner ol property who builds or ImP'oves !hereon ard whO_ does such work h,mself or \h'ough his own emoloyees. provided that such improvements are not intend ed or offered lor sate 11. twwever the bu1ldmg or improve ment ,s sold w1th1n one year ot completion the owner·bwlder will have the burden Of proving that he did not build or Im prove for the purpose Of sale) as owner of 1ne property. am exclusively ccntractIng w,th I,censed contraclo,s to construct the prorect 1sec 7044 Bus,r.ess and Proless,ons Code The Contractor's License Law does nol aoply to an owner ol prooerty who bu11ds or Im proves 'hereon and wnc contracts 1or each pro1ects with a contractor(s) license pursuant to the Contractor's L•cense Law) -As a homeowner I am ImorovIng my home. ana The lollo;i Ing condItIons e,,st • The wo,k is he1ng performed pr,or to sale I have l1Ved In my home 1or twelve months orior to completion of lh,s wor~ I have Ml claimed this e,emptIon during the last \hree years lor !h~~ r~~~~;I unaer Sec _____ _ B&PC D I hereby alhrm tha1 I 11a,e a ct'rt1!1ca1e o' ;-u"sent to se1t insure or a cert1t1cate of Workers COmpens.a,1,on Insurance or a :ert,f1t>d cop, 1hereof tS-ec 3(0), Labor Code1 ?OUCY NO COMPANY 0 Copy ,s l,1e<:1 with The city 0 Gert,hed copy ,s here0y tu,n,shed CERTIFICATl OF EXE:MPTION FROM WORKERS COMPENSATION INSURAr-.Cf (Th,s s.ec1,on need not be compleleC ,1 ,.,., :wrrr,,I ,s tor one hundrE'd dolla'S ;$100> '" Iess, 0 I ceri,ty that In the periormance o• the won< TC·' which th,s perm,t Is issued I shall n()t empI,,, an, pe,son ,n any manner so as 10 t,ecome ~ubIe, t " Ille Workers COmpens.a.1,0,--. Laws ol Cdl1tor~.,d NOTICE TO APPLICANT If, atte, ma~ena this C.en l,ca1e of E,emp1,on you should t,ec0m(> subIe' ! v 111e Workers COmper-s.a.1,on pm.is,ons ot 11"1e Laoo, Code you musl !orth,.,,!h comp•, w,11-s~, t-p,011Is,ons 0' 1r.,s per.-n,t ~t1a11 be dee,--,·.ed ,.,,,_;seo 0 i he,eby aflirrr That Thf>•e s a cor,slru• I"" ,enO,n1, alle"C)" to, !hf' e>f>'1",rran," ,,1 rh., w'.lr1< ,,,, wt11cl-t~,s perrr.> ,s ~Sut'd .s,,r lO'll l, C.o<l~ Lenders 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 1200 Elm, Carlsbad. California 92008·1989 (619) 438-5525 I JOB ADDRESS AV. ST.AO. NEAREST CROSS ST. j DATE OF APPLICATION) BUSINESS LICENSE# VALUATION PERMIT NUMBER I 1 El Camino Real & Arenal Rd. 11/30/84 714/962-6683 I ASSESSOR PARCEL NO. CONTRACTOR 1 'Jo 71 5-0 5 I -0 I _____ -same- I ~--•-R•~ <--Vl'I, .,,..., TORS PHONE # -same- I 1 • CONTRACT◊-·-----. ·--··--··- ·o'\VNER·s NAME OWN£ R'S PHONE ~'S ADDRESS LICENSE NO. 104,220. ZONE R-1 84-616 wr 38 BLDG USE CODE I ilders 714 962-6683 1837 I OWNE A"S MAI LI NG ADDRESS 1-----..:-::Jia!Jje;-=------------1-_;UQ.:[.l::t.._-,-----l--=-:..::..:._ _____ -+-,--------c-CC::--,=ccc-cc----1 I DESIGNER LICENSE ,; 1 each CA 92648 Blair Ballard & Assoc, C-7386 /I.LJJ- oescR1PT10N OF WORK ·~====~===------------l---,--,,==-===--¼--f.\---=V''---+-4 ~ •7. '. _________________________________ 4 rOESIGNEA'SADDAESS L B h oes1GNER'SPHONE I r aguna eaC (\ 850 Glenne re St., 714 494-8093 ~ -------S-ing-le-F-amily-----------· F p FLA ELEV occ - MDEL 1837 ,0 ,□ __ ~ •~ :;p EDU _ .'llES I ~ 0~ 1 I CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ~--nr ,-,.~~ I AREA 495 1 oci , □ , □ ,xi VN ',,.,: / v<.,<., LOAD FIRE SPR CONST YO rs.CJ I I IQTY PLUMBING PERMIT -ISSUE I 7 _50 : QTY. MECHANICAL PERMIT. ISSUE 3.00 • SUMMARY/ACCOUNT NUMBER :1,.., EACH FIXTURE TRAP 30.00 1 INSTALL FURN DUCTSUPT0100000BTU 4 • .00 l BUII_DINGPERMIT OJ.0D-00-822~--{ 445.S_0 ___ J I 1--------EACHBUILOINGSEWER -· _____ J____6_._ _ _5_Q__ "---+---_ __ ---~~ER_l~O.OOOBT~---..____ I SIGN PERMIT 01-00-00-8221 1[7 EACHWATERHEATERANU OR VENT ') C::.f'l BOILER-COMPRESSORUPT03HP • 1 PLAN CHECK ;11 EACHGASSYSTEM11041.J-LllLETS-----==-_ • 2.-50 1------+-~Ol~~R_'.CQMPRE~SO~J15HP ______________ _____._ ______ · __ TOTALPLUMBING __ _ . __ ,1 ,o-oo 88□6--r---289. 60~ 01-00·00-8222 49. 00_ 1 E.ACHGASSYSTEM5DRMORE , 1 METALF19EPLAC~ 1 ,__ _ EAcH 1Ns~~-1. ALT ~R R~AIR li','AT ER P1PE -~ ----__ _ ---2 ~~N! _F_~NSING~TOuc1 l.cQ ELECTRICAL . _____ 01-00-00-8223 30, 00 I 4 .-00 MECHANICAL 01-00-00 8224 14 • 00 >------. ----·· ---- I EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILE.HOME 01-00-00-8225 1 r---+-W_A_l_ER_S_OF_!_N_E_R ___ ---· RELOCATION OF EA FU RN ACE HEATER MOBILEHOME PARK INSP I ' I FM.>-1 f1(Jljl r_,K"-·,, -;::,I,:t r-~-+----------- Tll!Al P1 ""o,~•-' --,- ' _L 49.00 TQH;L MECHANICAL 14.00 ,u,...,,,,u,.,u,,,u .. ..,.vv L 1"'"~T'~~~~~~~~~~~~~~-~~-~~-~-1F~ac,~-~~-~-----~--~--T"---~-~11 - SOLAR STRONG MOTION FIRE SPRINKLERS PUBLIC FACILITIES F~ Q1-00-00-8_2_2.6. 80-92-33-0519 01-00·00-8227 _ 32-00-00-89ll -+-- ----~ 7 .3Q_ :JmY 5 00 I: QTY.I SOLAR -ISSUE I ' . ~ l~l~E~---------~-------~ 1 NEW CONST EA A~P sw1 tJKR l~O --~~ co·"IF:-:1,:1~s SCHOOL F~E-01srn~ __ _ 1 PH J PH , II STClRAGF T~'JKS ELECTRICAL PERMIT· ISSUE ---t--- I --- FXIST tltlJG EA AMP SWT flKR I ROCK Sl~RA3L f-----Carlsbad ___X__J,.1l1B.___ ~92-21-0519 -+----------1 Encinitas 1 PH 3 PH I 1' P'Y•.'P ~-~---I San Diegu1to _ -f-~-~MO~~A~---p~~-~IR~UII --4---_ --PL,\\ ,::-n:(V_~:_L -------_ _ _ ---f San Marc~s--_-- TEMP POi E :/Q0,1,\1PS , c---80-92·22-0519 -·----+---- B0-92·23-0519 ---- 80-92-24-0519 I OVlR /00 AMPS I It-LICENSE TAX 01-00-00-8162 2084. 00 - - -- I -_TEMP OCCUPANCY ]II [JAYS, I =t' I . -MFF 80-92-57-0519 1C880___ __Jl_80. 00 i I CREDIT DEPOSIT ( 200. 00 ) ----, -----+- -- I, l1llAL Ett.LTRILAL ' 1 lCllAL SCJ!!IR TOTAL FEES PAYABLE 3599.40 , I 30 .00 I ' I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLlt.;AllUN ANLJ 1-'1::HM!I ANU UU HtHt:tH CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED. TO COMPLY WITH A.LL CITY. COUNIY AND STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT _______ •. ----••--• •••---., ____ ,, C:wn;,.,.,;,.., ,:;,.~,_,...,.,_a,,66<>A-' .. ••• .. •C •••-•--•••••-•-•••-~•-•---•-•·--•-••-·• • ---••------•·---___ -••-••••------•---,:;1<p1ra11<.m. every p<:1rm11 ,ssueo oyme tsuildmg Ofltc1el under the prov1s,onsotth1s Code shall expire by lim1tat1on and become null and void If the build,ng or work authorized by such permit 1s not commenced within 180 days from the date of such permit. or it the building or work authorized by such permit ,s suspended or abandonea at.Pt time after_!!le wo_!k_ is commenced tor! per,od of 180 days * AN OSHA~RM OUIREO FOR EXCAVATIONS OVER 1 I APP~ OWNER □ CONTRACTOR 0 j31f._PHONE .□ s· O"' DEEP rTK>N OR CONSTRUCTK>N OF STRUC O R 3 STORIES IN HEIGHT • APPROVED BY ~\ r-1 ?/ftt ~ u:: ~ :, 0 0. E © f- D 0 ('.) c ro 0 0. 0. <{ I ~ C Cl. 0 w w © w w <{ 3 .<2 w >- ,,; w © 0 0 ,t rn ;;; 0 ~ © 0 C rn C "- ,:: C © ~ ('.) 0 0 © 0. w C ~ L ,:: TYPE I DATE INSPECTOR -------------___ --~--------------8<.J-le,(p -3~ BUILDING I FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY I GUNITE OR GROUT I REQUIRED SPECIAL INSPECTIONS INSPECTOffS NOTES INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME I SOILS CCJMPl ;AN,-f SHEATHING D ROOF D SHE;AR PRIOR TO FRAME I EXTERIOR LATH I ~OUNDATION INSP I ---------i--------J --~ STRUCTLlfiAL C0r-.CRETE OVE'R 200D PS1 INSULATION I PRESTHESSED INTERIOR LATH & DRYWALL I CONCf1ETE POST TEN:'=,10,'\JED I CONCRETE --- PLUMBING I l'"IELD '•..VELDII\JG SEWER AND BUCO □IPL/CO I UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER -~-- ~---------·~ c01c;rl STRENGTr-' 90,_ Ts SPECIAL \1ASO"J8Y ----- TUB AND SHOWER PAN I I GAS TEST I . D WATER HEATER D SOLAR WATER I . ELECTRICAL I ~--- PIL_E'.::: CAl'.'=.SO,",~- ~-----------~--t---- -f----------.~ D ELECTRIC UNDERGROUND DUFFER -~ ROUGH ELECTRIC I ----~ D ELECTRIC SERVICE D TEMPORARY , ___ ---------~--------J ------ D BONDING D POOL I I -- MECHANICAL I ----------------------f------- D DUCT & PLEM., D REF. PIPIN\3 ---- HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE I • ITEMS AB<JVE HA VE' BEEN APPROVED FINAL I PLUMBING I ! I ELECTRICAL ' I n MECHANICAL ' I I , ...., GAS '-• I l'lJ/1" I BUILDING '""'-I ' I I __J SPECIAL CONDITIONS I I