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Home My WebLink About1935 Palomar Oaks Way; ; 83-307; Permitc 0 u 1 Q d 3 O z UJ v> cc O POUCYNO USE BALL POINT PEN ONLY & PRESS HARD □ I \yr9hy affirm that I am licensed underprovlalons of Chapter 9 (commenoino with Section 7000) of Division 3 of the Business ar>d Professions Code, and my license Is In full force and effect.. Uc. No CUst I hsreby iftirm that I am exempt from tt« Contractor's License Law tor the fdfowmg reason (Sec. 7031.5Buslnessand ProJesslons Code: Any ctty or county whtcfi requires a permft to construct, alter, improve, demoflsh. orrepair any structure, p rlof to its issuance also r^u I res tie ap-^icant lor sudi permit to trie a signed statement that lu ItOcensad pursuant to the- provtsioni of the Contractor'sUcsnse Law (Chapter 9 commencino with SectlOQ.7000 olDtvision 3 of the Business and Professions Code) or that b exempt thsrefrom and the basis'forthealeged Qxamption. Any -vkHatKKi of Section 7031.5 by an applicant for a permit sab-jBcts the ippteinl to a cM] p^ty of not more than (rve hundred doflars (5500) □ I. as owner of the property, or my employees wttt) wagesas their sole compensation, wtf do me work, and the structure Is not intended or offered for sale (Sec. 7044, Business /.and Professions Code- The Contrector's Ucanse Law doesnot apply to an owner of properly who buMs or ImcJOiBSthereon and who does such work hhnsati or through hts ownemployees, provided that such fmpmnements are not Intended or offered for sale, tf, however, the bmlding or bnprme- -roent Is sold wUhin one year ot completion, the owner-builderwJf have the txmten of proving that he did not butd or tm-prore for ttis purpose of sale). □ I, as owiwr of ths property, am exclusivity cortracAntivnth hearsed contractors to construct the profect (Sec. 7044,Business and Professions Code: The Contractor's LfcensaLaw does not apply to an owner of property who bulds or kn-prores thereon, and who contracts for each projects with agr^addrfs) Hcense pursuant to the Contractor's License □ As a hotneowner I am improving rny borne, and the foloir-■Ing conddons exist- . : - .1. Tbe work-Is being performed orlor to sale.2. I hoite Dved In my home m twelve monthspnor to completion of this work. - -. 3,1 have not cUkned this exemption dunng thslast mree years. □ Ism exempt under Sec iJ ,B&PC.for mis reason Q I heret^y affirm that! have a certificeteof corxsentto salf-insure, or a certificate of Workers'- Compeneation Ineuraoce, or a certified copy ttweof(Sec 3800, Lja»r Code) □ Copy is filed witti^ the city. □ Certified copy is heretiy furnished CERTIFICATt OF EXEMPTION FBOM - WORKERS' COMPENSATION INSURANCE(This section need not t>e completed if tl%e perrrytts tor one himdred dollars (5100) or lass) Q I certify that in the performance of.the work forwhrch this permit is issued, I shall not employ anyperson In manrier so as to become subf^ tothe Workers' Compensation Laws ol California - NOTICE JO APPUCANT If. aft^ making this CertiIrcate of'Exemption. you should become subject tothe Workers' Compensation provisior^s of the LaborCode, you must forthwith comply with such.proviSKMis or this permit shall be deemed revoked Q 1 hereby affirm that tlvere is a constructKH-ilending agency for tl>e performance of the work lorwhich this penriit is issued (Sec 3097, Civil Code) Lender s Name_ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. Lender's Address . CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDRESS i ^AV. ST. RD. OWNER'S NAME j OWNER'S MAILir>IQ ADOR^A . LOT BLOCK SUBOl VISIO'N SESSOR PARCEL DESCRIPTION OF WORK CENSUS TRACT QTY, GP LAND USE ^3^ DATE OF APPLigA^ION Yf'-W-^ • OWNER'S PHONE , ^CONTRACTOR J i CONTRACTOR'S ADDRESS BUSINESS LICENSE # b AUUHhiK>_ 1 _ DESIGNER'S ADDRESS F/P FLR ELEV. yD nQ PARKING SPACE 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 QTY; 7^ GRADING PERMIT ISSUED Y □ ff □ ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/S'wf/BKR i5L-5- 1 PH 3 PH EXIST BL-DG EA AMP/SWT/BKR 1 PH 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS ■ .TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL if'Oo QTY. REDEVELOPMENT AREA yO nD MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPUCE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL QTY. NO STORIES TYPE CONST 3o(. SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR- CONTRACTORS PHONE # UCENSE NO. LICENSE # ( Z f DESIGNER'S PHONE EDU FIRE SPR yD nD VALUATION ZONE PLAN l.D. #fi^o/S3b: nnff I 7 STANDARD PLAN-i PERMIT NUMBER 37 y ^ 8LDG USE CODE footAqei 3 ln r-- gO'oOD Not VaSd UntKS Madiine CerO'fhd SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 SIGN PERMIT 01-00-00-8221 PLAN CHECK 01-00-00-8806 TOTAL PLUMBING 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP SOLAR 01-00-00-8226 STRONG'MOTION 80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACIUTIES FEE 32-00-00-8923 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 Endnltas'80-92-22-0519 San DIegulto 80-92-23-0519 San Marcos 80-92-24-0519 TOTAL FEES PAYABLE I HAVE CAREFULLY EXAf^lNED THE COMPLETED "APPLICATION" AND PERMir' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND LFUFtTHER CERTIFY AND AGREE IF A PERMIT IS.ISSUED: TO COMPLY WITH ALL CHY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, 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. o Expiration. Every i>«rmlt oaued by the BoifdlngOtflaal under the proviaionao/thtaCode than expire by limHttlon and become nuil artd void If the building or work"authorized by such permit It not commenced within IBOdayt from the date of auchpermit, or If the building or work authorized by auch pftrmit Is auapended or' at>anck>ned at arw time after the.work Is commenced fo nod of 1 H AN 06HA PERMfTIS REQWREO FOR EXCAVATIONS OVER 5' 0" DEEP AND DemOLmON OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED BYCONTRACTOR □APPL C "8 SIGNATURE OWNER BY PHONE □ INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL 1 MASONRY : GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING ! FRAME 1 EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING i SEWER AND BL/CO ! . PLUMBING UNDERGROUND PLUMBING TOP OUT " TUB AND SHOWER PAN | GAS TEST ' ELECTRICAL TEMPORARY POWER ' ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE i BONDING G. F. 1. - SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE JOB SITE FINAL PLUMBING f\ n/^\l\vELECTRICAL MECHANICAL \ ^ GAS V BUILDING SPECIAL CONDITIONS, CERT OF OCCUPANCY ISSUED 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 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE n FIELD WELDING' HIGH STRENGTH BOLTS " SPECIAL MASONRY PILES'CAISSONS -• - . ' • A . '■ . ' i *-