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Home My WebLink About1937 Palomar Oaks Way; ; CB880021; PermitK UJ o 3 s UJ z o >- Si o (J cc UJ oc O oc UJ o J USE BALL POINT PEN ONLY t PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. Q I hereby aftlrm that I am Itcenaad undar 'provlatooa of Chapter 9 (commanclrig with Saclloo 7000) of DMak)n.3 of the Buslr>eaa and Profeeaiona Code, and my license is in full force and effect. I hereby tltjrm that I am exempt from tbe Contrac tor's Lxerse Law lor the toaowing renon (S«c 7031 5 Business and Professiorts Cods Any aty or county wtncr> re- quns a permi to construct, alter, vnprove. demolisii. or c repair any structure, pnor to its issuance eho requires the ap plicant tor sucti permd to hte a stgned statement tmt he it bcensed pursuant to ttw provisions ot the Contractor s License Law (Chapter 9 commenang with Section 7000 otOraion 3 of Itw Business and Professions Code) or that is exempt therefrom and ttw bos for the alleged exemption ^ vutation ot Section 7031 5 by an applcani for a pernvi sub jects the appticartt to a cwri penalty of ruri more than five hun dred dollars (S500] I I I. as owner of the property, or my emptoyees with wages as their sole compensation wiQ do the work, and the struc ture s not intended or ottered tor sate (Sec 7CK4. Business and ProfessBDns Code: The Contractor's License,Law doesnot apply to an cwner ot property wtu) buids or Improves thereon and who does sucti work ntmsetl or through ha own employees, prcxnded that such improvenwnls are not intend ed or offered tor sale. It. however, the buildirig or ■nprove-ment o sold wtlhm one year ot compietion. the owner-builder1 have the burden ot proving that he did not buld or m-for the purpose of sate]prove for I W^^oa (I ownar of the property, am exclusxvefy contractingwith [icensed contractors to construct t1>e proiea (Sec. 7044,Business and'Professions Code The Contractor's LicenseLaw does not apply to an owner of property who bufds or on-'proii«s thereon, and who contracts tor each prefects with ■contractorts] license pursuant to ttw Contractor's LicenseLawJ (1 As a homeowner I am improving my home, and Ifie tollow-mg conditions exist*.1 ' The work is I:«ng performed pnor to sale2' I have lived'tn my home for twefve monthspnor to completjon of tho work3 I have not ciamd this exemption during thelast three yean □ I am exempt ur^der Sec • - B & P C • tor tbs reason " ' ' * E] 1 tMreby atfirm that I hev^a certiliute ot content tosalt insure or • certiticats of Workers Compensstion In- surance-or a certified copy thereof (Sec -3800. Labor Code) POUCY NO COMPANY !I^ Copy rs tiled wrth the aty *n]_ Certified copyji heretiy furnished CERTIFiCATE OF EXEMPTION FROM WORKERS* COMPENSATION INSURANCE (This section need not t>e completed if the permit Is for one hundred dollars (S100) or leas) .^^ertity that in the performance of the work for which•^this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers* Compen sation t-Bws of CalifomLa NOTICE TO APPLICANT If, after making this Certificateof Exemption you should become subject to the Workers*Compensation provisions of the Lab^ Code, you mustforthwith compty with such provisioos or this permit shall be deemed revoked. D I hereby affirm that there is s construction lending agency (or the p^ormance of the work for which this per- mrt It issued (Sec 3097, Civil Code) Lender s Name Lender s Address. CARLSBAD BUILDING DEPARTMENT. 2075 Las Palmas Dr., Carisbad, CA 92009-1915 (619) 438-1181 APPLICATION & PERMIT JOB ADDRESS /937 assess<5r parc AV, ST. RO. THOMAS BROS NO. el no OWNER'S NAME,^ OWNER'S MAILING AOC#ESS PTlON OF WO OWNER'S PHONE QTY. CENSUS TRACT PARKING SPACE PLUMBING PERMIT - ISSUE QTY. -L EACH FJXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND(OR VENT EACH GAS SYSTEM I TO 4 OUTLETS EACH GAS SYSTEM b OR MORE EACH INSTAL . ALTER.-REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN IINSIDE) DATE OF applit:ation 7 BUSINESS LICAI^E # CONTRACTOR ^ 3 CONTRACTOR'S ADDRESS DESIGNER'S ADDRESS F/P F LR ELEV yD nQ RES UNITS GRADING PERMIT ISSUED Y □ N □ 2. TO! AL PLUMBING ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP'SWT BKR I PH 3 PH EXIST BLOG EA AMP/SWT BKR I PH 3 PH REMODEL ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 OAYSIJPA^% total electrical jT- JO- /J QTY. REDEVELOPMENT AREA yQ nD 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 HOOO'OUCTS RELOCATION OF EA FURNACE/HEATER DRYER VENT total MECHANICAL NO STORIES TYPE CONST CONTRACTORS PHONE « STATE UCENSE NO. DESIGNER'S PHONE STATE UCENSE NO. OCC LOAD QTY.M O 7yCAR PORT AWNING GARAGE #■■4 w CA .Qi7 .v;/ TOTAL ECU FIRE SPR yD nQ VALUATION ZONE PERMIT NUMBER Cbsdot-I BUILDfNQ SO. FOOTAGE Not Vahd Unfess Machine Certified 1 5'^trong motion SUMMARY/, PERMIT (l01-8ffl'-M-flO-8220 001-810-00-00-8221 ELECTjrfSl^ ;)01-B10-00-00-B891 1-810-00-00-8222 001-810-00-00-8223 001-810-00-00-8224 ME 001-810-00-00-8225 001-810-00-00-8226- 880-519-92-33 FIRE SPRINKLERS 001-810-00-00-8227 PUBLIC FACILITIES FEE 320-810-00-00-8740 BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU (AREA TIF 312-810-00-00-8835 LA COSTA TIF 311-810-00-00-8835 FMF LICENSE TAX COl-310-00-00-8162 MFF 880-519-92-57 CREDIT DEPOSIT _02Eld£ffll. K5L TOTAL FEES PAYABLE ?.05 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 1 FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFYKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES. JUDGMENTS. COST^ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE 01 GRANTING OF-THIS PERMIT Expiration Every parmit imu«J by the Building Official under the provisiona of thisCode shall expire by limitation and become null and void If the building or workauthofizfiimLWJCh permit is not commenced within 180 days from the date of suchrf buifding or work authorued by luch permit is suspended orayiny tjrT>e after the work n commenced for a period of 180 davs APPLICA ATUR OWNEflSCt— CONTRACTOR □ BY PHONE n * AN 08HA PCRMrr » REQUmED FOR EXCAVATIONS OVER 5' 0" DEEP AND DEMOUTfON OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEK3HT PP^VEDBY^ DATE r oQ. E <DH -o O CD < r' o(0* o o> c 00 o o0Q. r 0 ! TYPE 'DATE INSPECTOR BUILDING 1 FOUNDATION | REINFORCED STEEL ; MASONRY ! GUNITE OR GROUT \ SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEARFRAME 1 EXTERIOR LATH j INSULATION 1 " INTERIOR LATH & DRYWALL i 1 PLUMBING 1 □ SEWER AND BUCO □ P|L/CO UNDERGROUND □ WASTE ajWATER TOP OUT □ WASTE . □ WATERTUB AND SHOWER PAN \GAS TEST j □ WATER HEATER □ SOLAR WATER - 1 ELECTRICAL ! □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC j□ ELECTRIC SERVICE □ TEMPORARY - □ BONDING □ POOL ! 1 MECHANICAL | □ DUCT & PLEM., □ REF. PIPING heat — AIR COND. SYSTEMS \ VENTILATING SYSTEMS 1 ■■ CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING i \jL ELECTRICAL •i'- ^MECHANICAL i r ^ / •GAS \ w \\ / BUILDING f SPECIAL CONDITIONS \ FIELD INSPECTION RECORD REQUIRED S PECIAL 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 FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ■ i-.- ■- fH:. a - - C. '-A'. , - .■ o - ■ ■ ■ * - s 8 c u o 2 < oUJ o o p z liJ a. Z o o uy cc Ui flC o Ul o z UJ I hwjfjl^irQ] I harcZimirm that I am Itcenaed undof provisions of Chapter 9 (commeno]r>g with Section 7000) of Dtvlalon 3 of the Busfneas ar>d Professl^s Code, and my license la In full force and effect. Lie No Otss I hersOy affirm that I am exempt from the Con tractor's License Law for the following reason (Sec.7031 5 Business and Protesstons Cools. Any dty or county which rsquses a permrl to construct atter, improve, demolish, or repair any structure, pnor to Its issuance also reouiras the applicant for such permit to filt a signed statement ttiat he is licensed pursuant to the provisions of the Con tractor's License Law (Chapter 9 corrvnencmg with S^tion 7000 of Division 3 of the Business and Pro- fessiorts Code) or that is exempt therefrom and the basis for the alleged exemption. Any vrolation of Section 7031 5 by an applicant for a permit aub^ects tne applicant to a cml penatty of not more than five huruirod dollars 9600). Q I, as owner of tt>e property, or my employoes with wages as thetr sole compensation, will do the wofh. and the structure is not intended or offered for sale (Sec 7044, Business and Professiohs Code. The Contractor's License Law does rxit appty to an owner of property wtio tmiids or Improves thereon and who does su^ work hirruelf or through his ownemployees, provided that such improvements are not mlendM or offered for sale If, however, the building or improvement ts sold within one year of completion, the owner-builder will have tfie burden of proving that he did not tnjikj or improve for thepurpose of salef □ I, as owner of the property, am exclusivelycontractmg with licensed contractors to constructthe protect (Sec 7044, Busmess and ProfessioniCode Tl>a Contractor's License Law does not applyto an owner of property who bmkla or improvesthereon, and wfio contracts for each protects with acontractorts) license pursuant to the (^tractor's License Law) B 4 P C.Q 1 am exempt under £ lor this reason D I hereby affirm that I have a certificate of consentto eelf-ineure, or a certificate of Workers'Compensalicn Insurance, or a certrfied copy thereof(Sec 3600. Labor Code) POUCYNO COMPANY Q Copy IS filed with the city □ Certified copy is hereby fumtshed CERTIFtCATt OF EXEMPTION FROM WORKERS' COMPENSATtON INSURANCE(This section need not be completed if the permitIS (or one hundred dollars (SlOO) or less) Q I certify that in tt>e performancs of the work forwhich thu permit re rssued. I shall not employ anyperson in any manner so as to become subt^t to the Workers' Compensation Laws of California NOTICE TO APPUCANT If, sfter making this Certificate of Exemption, you should become subteci tothe Workers' Cofnp«tsalion provisions of the LaborCode, you must fortltwith comply with suchprovisions or this permit shall be deemed revoked n I hereby affirm tfiat there is a constructionlending agency for the performance of the work torwhich this permit is issued (Sec 3097, Crvil Code) Lender's Namp Lender's Address . USLSAH PUINfTC & PRESS HARDCARLSBAD^ILDING DEPARTMENT 1200 Bm, Carlsbad, California 92006 (714) 438-5525 APPLICANT T(UkLL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APmCATION & PERMIT JOB ADDRESS i/937 O, OWNER'S NAME OWNER'S MAILING >^DBESS | Z7^J) LOT I BLOCK I SUBDIVISION^ I ASSESSOR PARO^L NO. 'SUBDIVISION A AV. ST. RD. DESCRIPTION OF WORK CENSUS T QTY. CP LAND USE 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 SGFTNER EACH ROOF ORAIN (INSIDE) TOTAL PLUMBING QTY. 5^D DATE OF APPLICATl^ RIME CONTFy^CTOR ^ CONTRACTOR'S ADDRESS BUSINESS LICENSE # y STATE LICENSE # DESIGNER'S ADDRESS F/P FLR ELEV. yD nD RES UNITS QRj(felNQ f^Mrr ISSUED Y □ N □ QTY. ELECTRICAL PERMIT - ISSUE NST EA AMP/SWT/BKR 3 PH EXIST BLDG EA AMP/SWT/BKB 1 PH 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) REDEVELOPMENT AREA yD nD MECHANICAL PERMIT - ISSUE INSTALL TURN. DUCTS UP TO 100,000 BTU OVER 100,000 RTD ROILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HDQU/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL NO STORIES TYPE CONST 4^ QTY. total ELECTRICAL SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR 4 ons PHONE• SE HO. DESIGNER'S PHONE EDU FIRE SPR yD nD VALUATION ZONE PLAN I.O. # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE EMLOINQ SO. FOOTAQE int CtrtifiadH .~pr— 5GpDn SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01 ■000-4220 SIGN PERMIT 01-000-4221 PLAN CHECK 01-000-4806 TOTAL PLUMBING 01-000-4222 ELECTRICAL 01-000-4223 MECHANICAL 01-000-4224 MOBILEHOME 01-000-4225 MOBILEHOME PARK INSP SOLAR 01-000-4226 STRONG MOTION 65-640-0519 RRE SPRINKLERS 01-000-4227 PUBLIC FACIUriES FEE 25-000-4933 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 65-623-0519 Enclnllas 65-624-0519 SanOlsgullo 65-625-0519 San Marcos 65-626-0519 -5^ TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION 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 IS ISSUED- TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON STRUCTION. WHETHER SPECIRED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Exptratfon Every permit taaued by the BuUdlrig Official under the provisiona o^thisCode ahall expire by llmrtatlon arid become null and void If the building or workauthorized by such permit la not commenced within 180 days from the date of auchpwmit, or if the burldino or work authorized by auch permit la auapended orabandoned at any time afte[><ffeVofk it commenced for a penod of 180 dava APPl S SIGNATUR OWNErD CONTRACTOR^ BY PHONE □ AN 06HA PERMrr IS FeOLHREO FOR EXCAVATIONS OVER 5' (T DEEP AND DEMOLmON OR CONSTRUCTX)N OF STRUCTURES OVER 3 STORIES IN HEIQHT APPROVED BY E (S a Eo 2 o0 cdo "q.Q.< rt < I 5o "ffi>- COm 8o£ C6 rt Q S Oo ccc coo 0 ooo.0)c INSPECTION TYPE DATE I^^CTOR BUILDING FOUNDATION n \*■ REINFORCED STEEL MASONRY ' ■ . ; . GUNITE OR GROUT ■ FLOOR & CEILING SUB FRAME SHEATHING T- " • — 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 SERVICEBONDING /| G. F. 1. - SMOKE DETECTOF^ 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 f / ELECTRICAL /I / MECHANICAL ■ y ^1 I /f ^ / GAS /Kv?f/BUILDING '1 ' 1 (S/J SPECIAL CONDITIONS 1 CERT OF OCCUPANCY ISSUED 1 V w I FIELD INSPECTION RECORD ! REQUIRED SPECIAL INSPECTIONS "INSPECTOR'S NOTES ' ' ' ! INSPECTION REQ. IF CHECKED INSPECTOR'S- APPRCyAL DATE " ..V -C,..-.-^ i SOILS COMPLIANCEiPRIOR-XO;- t. FOUNDATION INSP 1, 1 .S - \i STRUCTURAL CONCRETE OVER 2000 RSI -• •• . " j PRESTRESSED CONCRETE I POST TENSIONED CONCRETE - ' 1 ^ 1 FIELD WELDING • I HIGH STRENGTH BOLTS SPECIAL MASONRY 1 [ f PILES'CAISSONS 1 f 1 1 1 1j -\\ / X \ 1i1 1 1 -7 1 1 1 ■ { . ' 1