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Home My WebLink About1933 PALOMAR OAKS RD; ; 82-187; PermitUSE BALL POINT PEN ONLY & PRESS HARD n I hmVf 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. Lie. No Class I hereby afftrm that I am exempt from the Con tractor's License Law for the following reason (Sec 7031 •) Business and Professions Code: Any city or county which requires a permit to construct alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Con tractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Pro fessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects tne applicant to a civil penalty of not more than five hundred dollars (S500). Q I. as owner of the property, or my employees with wages as their sole compensation, will do the wor1(, and the structure is not intended or offered for sale (Sec 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale If, however, the building or improvement i$ sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Q I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for each projects with a contractorts) license pursuant to the (^ntractor's License Law). O I am exempt under Sec .B 4P.C. for this reason n I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800. Labor Code) rCopy IS tiled with the city O Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit IS for one hundred dollars ($100) or less) G I certify that in the performance of the work forwhich this permit is issued. I shall not employ any pierson in any manner so as to t)ecome subject to the Workers' Compensation Laws of California NOTICE TO APPLICANT If, after making this Certi ficate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked G I hereby affirm that there is a constructionlending agency for the performance of the work for which this permit is issued (Sec 3097. Civil Code) Lender's Name Lender's Address — CARLSBA^UILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICANT T^ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. aWiCATION & PERMIT <=L C- AV. ST. DATE OF APPLfCATtON «D. ^ OWNER'S PHONE B PRJ^ CONTRACTOR -BOM OWNER'S MAILING ADDRESS ?MA LOT 1 BLOCK SUBDI VISION ASSESSOR PARCEL NO. DESCRIPTION OF WORK CONTRACTOR'S ADDRESS DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS yD nD GRADING PERMIT ISSUED REDEVELOPMENT AREA y □ N □yD nD PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAI... ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT/BKR EXIST BLOG EA AMP/SWT/BKR REMODEL/ALTER PER CIRCUIT TEMP POLE 700 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY 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 ISISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 7^50 fOTY. MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/OUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL 2.00 SOLAR-ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PLAN CHECK FEE TOTAL SOLAR PERMIT NUMBER NO STORIES 3.00 CONTRACTORS PHONE# 74hlB'iS ^LICENSE NO, STATE LICENSE # DEStGNER'S PHONE OCC LOAD FIRE SPR PLAN I.O. # I STANDARD PLAN # 1^1 BLDG USE CODE BUILDING SO. FOOTAGE^ 0 yO nD 5^,13/82^1763 OUO|ii7S5 5/13/0^3 Not Valid Unless Machine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT PUN CHECK TOTAL PLUMBING MECHANICAL MOBILEHOME MOBILEHOME PARK INSP SOUR STRONG MOTION FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad Encinitas San Oleguito San Marcos 01-000-4220 01-000-4222 01-000-4225 ~0i-0^-4226 65-640-0519 01-000-4227 25-000-4933 65-623-0519 65-624-0519 65-625-0519 65-626-0519 TOTAL FEES PAYABLE Expjration. Every permit issued by the Building Official under the provisions ofthisCode shall expire by limitation and become null and void. If the building or workauthorized by such permit is not commertced within IK) days from the date of suchpermit, or if the tHJilding or work authorized by such p^mit is suspended orabandonedat^ny time after the work is commerced for a period of 180 days.~APP^ OSNttVK^ CONTRACTObAL BY PHONE □ * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER S' O - DEEP AND OEMOLfTION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT I APPROVED BY ^DATE - J o INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNiTE OR GROUT FLOOR & CEILING SUB FRAME . SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT ' TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING 1 G. F. L - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS J y 1 BUILDING SPECIAL CONDITIONS X (y CERT OF OGfiUPANCY ISSUED X IT FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PS! PRESTRESSED CONCRETE POST TENSiONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS , V • .V • • n