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Home My WebLink About1977 PALOMAR OAKS WAY; ; 82-260; Permitd £ 111 Z 1 o p 3 o 2 K s o u so o ac UJ o I rwre^lftln USE BALL POINT PEN ONLY & PRESS HARD Q I hwvfl^RTlnn that I am llcenaed under provisions of Chapter 9 (cornmencirrg with Section 7000) of Division -3 of the Business and Professions Cods, and my lloense la In full force and affect. Ik No Class ! I hereby affirm that I am exempt from the Coiv tractor't License Law for the followlru reeeor) (Sm 7031 *) Business and Professions Cooe Any city or county which requires a permft to construct alter, improve, demoltsh, or repair any structure, pnor to Its isauance also reouwes the leant for such permit to file a signed statement tfwt he is llceneed pursuant to the provtaions of the Contractor's Ucensa Law (Chaf^ 0 commencing with Section 7000 of Drvision 3 of the Busmess and Pro fessions Code) or that ta exempt therefrom arid the basis for the aHeged exemption. Any violation of SeclKxi 7031.5 by an appltcant fora permit subjects tne applicant to a civil penatty of not more than five htaidred dollan (SSOO) P I, as owner of the property, or my employeeswith wapei ss their sole compensatKin, will do the work, and the structure is not Intended or offered forsaleJSec 7044, Business tnd Professlohs CodsThe Contractor's License Law does not appiy to anowner of property who builds or improves thereon and who does such work himself or througti his own employees, provided that such improvemerrts are rxrt intended or offered for sale If, hovrever, the buldlng or improvement is sold wrthm one year of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale] Q I, as owner of the property, am exclusiveiy contractvig with Itcertsad contractors to constructthe project (Sec 7044, Business and ProfessionsCode. Tne extractor's License Law does not appiy to an owner of property who buitds or improves thereon, and who contracts for each prorects witti acontractofts) license pursuant to the (^tractor's License Law) Q I am exempt under Sec., for this reason . 8 4 P C. □ I heret>y affirm that I have a certificats of consentto seif-insure, or a certificate of Workers'Compensation insurance, or a certified copy thereof(Sec 3800, Labor Code) POUCYNO. G Copy IS filed with the city. G Certified copy is hereby furnished CERTlFICATtOF EXEMPTION FROf4 WORKERS' COMPENSATION INSURANCE(This section need r>ot be completed if the permitIS tor one hundred dollars ($100) or iXs) G I certify that in the performance of the work forwhich this permit is itXed, I shall not empl^ anyperson m any manner so as to become subfXl tothe Workers' Compensation Laws of California NOTICE TO APPUCANT If, after making this Certificate of Exemption, you should become subject tothe Workers' Compensation provisions of the LaborCode, you must forthwith comply with suchprovisions or this permit shall be deemed revoked G I hereby affirm that there is a constAictionlending agency for the performarx^ of the work forwhich this permit is issued (Sec. 3097. Cml Code) Lender s Name Lender's Address . JOB ADDRESS OWNER'S pWNEfl'S. carlsbadAildinq department1200 Elm, Carisbad, California 92006 (714) 438-5526 APPLICANT T •mc L IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS: APmCATIGN & PERMIT AV. ST. RD. ADOFfESS 25rJ^ ^ 7aJ DATE OF APPfCATION , BUSINESS-LICENSE V!. blGck:-SUBOI uyL<L 'ABCEL-NO. ; DESCRIPTION OF WORK ■iSy CEtJsUS TRAITt GP land USE ' PARKING SPACE contractor's ADDRESS >Kd-Wl^ue.) D.ESIGNER^ ADORER F/P FLR ELEV. yD nQ RES UNITS QRADINQ PERMIT ISSUED Y □ H □ REDEVELOPMENT AREA vQ nG STORIES TYPE CONST • CONTRACtORS PHONeTT LK^ENSEr^D. STATE LICENSE.-#." .DESIGNER'S RHONE OCC LOAD FIRE SPR vG nG VALUATION ZONE PLAN I.O. # STANDARD PLAN # PERMIT NUMBER BLDG USE CODE BUIL01NQ Sa FOOTAQE 5/88/827868 52bQQ Hot Void Unka HtKhin* Ctrtifitd QTY.PLUMBING PERMIT - ISSUE •7i2-QTY.MECHANICAL PERMIT - ISSU E 3^SUMMARY/ACCOUNT NUMBER /EACH FIXTURE TRAP /INSTALL EURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PUN CHECK 01-000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTBICAL 01-000-4223 . EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 EACH VACUUM BREAKER MECH EXHAUST - HOOO/DUCTS MOBILEHOME 01-000-4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE)SOUR 01-000-4226 TOTAL MECHANICAL STRONG MOTION 65-640-0519 TOTAL PLUMBING RRE SPRINKLERS 01-000-4227 QTY.ELECTRICAL PERMIT - ISSUE QTY.solar - ISSUE PUBUC FACILITIES FEE 25-000-4933 BRIDGE FEE /NEMiJONST EA AMP/SWT/BKR 5?^COLLECTORS i •SCHOOL FEE - DISTRICT 0^STORAGE TANKS ij \1 CaUsbad 65-623-0519 EJOST BLDG EA AMP/SWT/BKR ROCK STORAGE ^ \ .Endnttas 65-624-0519 1 PH 3 PH \ TO 1 San DIegutto 65-625-0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ^ W a\ 'San Mainos 65-626-0519 TEMP POLE 200 AMPS \ \ Ah V OVER 200 AMPS \ 1 \ TEMP OCCUPANCY (30 OAYS)\ TOTAL ELECTRICAL TOTAL SOUR TOTAL FEES PAYABLE i tIAVE CARpFULLyeXAMlNEQ.THE COMPLETED "APPLICATION AND PERMIT^ AND DO HEflEBY • CEfTTlFY UNDER PENALTY OF. PEFWURY THAT |ML INFORMATION HEREON INCL^DINq THE ,DECLARATIONS ARE TRUE AND CORRECT AND L FURTHER CERTIFY AND AGREE IF A PERMIT ISISSUED; TO CX)MPLY WITH ALL CITY, COUNTY AND STATE LAWS QOVBININQ BUILDING CONSTRUCTION, WHETHER SPECIRED HEREIN OR NOT. I ALSO AGREE Tp SAVE INDEMNIFY ANDKeep HARMLfsa the city of carlsbao against all liabiuties,. judgments, costs andEXPENSES ynHICH MAY IN ANY WAVACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • granting of this PERMIT. ' ; • - Expiritlon. Ewoiy penrtt I**"**! by the BuJWIng OtfichU umMr ttM pTOvWoMoTthltCo<t» .(tall expbe Ijy hmftatlon and become nun and void. It the buHdhg or workButtvxlzad'tiy tuchpennlt ia not commenced wtthki 180 day, from ttiedau of suchparmIL Of If the buOdng or wort authorized by auch~ permit la'tpapendad orabandoned at any Uine.aflar tha wort I, commancad for a period of 180 dava OWNER □CONTRACTC BY PHONE (3 *, AN OBHA PQVMT for fXCAVATKMe OVS1 s '0 " DEB" ANO DEMOuooN OB Construction Of\ ■STRUCJimeS OVCT SSTOI^KS IN HEIGHT approved by E (0h- oQ. ' E<D oCD COo < o(0mo9) (n< $o ®>- 8 CL CO AD o 0 o®Q. INSPECTION, TYPE DATE 1^^ECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION SO .CiNTi■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 1G. F. 1. - SMOKE DETECTOF^ MECHANICAL DUCT & PLEM., REF. PIPING HEAT — AIR COND. — SOLAR SYSTEMS VENTILATING SYSTEMS JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANGY ISSUED ;-3@f CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FIELD INSPECTION RECORD. REQUIRED SPECIAl'INSPECTioNSr""'-' .V.l:.::'"lNSPECT-ipN s;',, REQ IFOyECKED ,'INSPECTOR'S".' , APPROVAL ^ .date _ SOILS CQM.PLIANCP '' ' •, lbriOr TO- FOUNDATION INSP" 1 A STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY ■ ■- PILES'CAISSONS - - ' V-'INSPECTOR'S notes ' ' ' s ^ ^ 5^ Quo z 8 S a z UJ cr UJ c s Ul o z n I hereby afTfffft that I am llcenaed under provlatona of Chapter 0 (commercing with Section 7000) of Division 3 of the Business and Profeeelone Code, and my lloense la In full force ar>d effect. Lic No Claw I hereby efftrm that I am exempt from the Con tractor's License Law for the following reason (Sec.7031 5 Businesa and Profesatons Code' Any ctty or county which requkes a pormh to construct after, improve, demolish, or repair any structure,prior to its issuance also retuires the a^icant for such permit to file a signed statement that he ts Itcansed pursuarn to the provisions of the Con tractor's License Law (Chapter 0 commerKing with Section 7000 of Dfvisjon 3 of the Busmaas and Pro- feesioni Code) or that is exampt therefrom and the basis for the alleged exemption Ar^r vrolation of Sectxxi 7031.5 by an applicant for a permit subjects tne applicant to a cMI penatty of not more than fhre hundred dollars (SSOO) Q I, as owr\er of the property, or my employeeswith wages as tt^eir sole compensahorv will do the work, and the structure rs not Intended or offered for sale (Sec 7044, Business and Professiohs Code-The (^tractor's License Law does not apply to anowrrer of property who builds or improves tnereon and who does such work himself or through his ownemployeee, provided that such improvements sre not intended or offered for sale, if, however, thebuildmg or improvement is sold within one year of completkxi. tfia owner-builder will have the burden of proving that he did not build or improve lor thepurpose of saleL D I, ss owner of the property, am exclusively contracting with licensed contractors to construct the protact (Sec. 7044, Busmess and Professions Cods The Contractor's License Law does not apply to an owner of property who builds or xnproves thereon, and who contracts for each proiects with a contractofts) license pursuant to the Contractor's License Law). .B &PCQ I am exempt under Sec . for this reason □ I hereby affirm that I haves certificate of consentto selt-msure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Labor Code) POLICY NO COMPANY G Dopy IS filed with ttie aty G Certified copy is hereby furnished CERTIFICArt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE(Tlus section r>eed r>ot be completed if the permit rs for one hundred ddlars (S100) or less) G I certify that in the performar>ce of the work forwh)Ch Ihii pennit ts issued, I shall not employ any person m any manner so as to become subtecl tothe Workers' Compensation Laws of CaJitomia NOTICE TO APPUCANT If, after making this Cerli-ficate of Exemption, you should become lubiect tothe Workers' Compensatron provisions of tt>e LaborCode, you must forthwith comply with suchprovtsions or this permit shall be deemed revoked G I hereby affirm that there is a constructionlendrf>g agcmcy 'or Ihe performance of the work forwhich ttiis permit is issued (Sec 3097, Civil Code) Lender's Mama Lender's Address . USE BALL POINT PEN ONLY ft PRESS HARDCARLSBAD BIDING DEPARTMENT 1200 Elm, Carlabad, California 92006 (714) 438.5525 APPLICANT TO FI^N INFORMATION WITHIN SHADED AREA AND DECLARATIONS.=IL^I.r *APPLW4TI0N & PERMIT JOB ADDRESS - : _ V .AV, ST. RD. OWNER'S JJAME ' OWNER'S PHONE OWNER'S MAILING ADDRESS .OT I BLOCK SUBDIVISION _ ASSESSOR^RCEL NO. OESCRIPTION OF WORK DATE OF APPLICATION >RIME CONTRACTOR ^ ^ ^ ,I IglBUSINESS LICE CONTRACTOR'S ADDRESS A'. ^"2) DESIGNER'S ADDRESS CENSUS TRACT QTY. GP LAND USE PARKING SPACE PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM I TO 4 OUTLETS EACH GAS SYSTEM & OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING QTY. z RES UNITS F/F FLR ELEV. yD nG GRADING PERMIT ISSUED Y □ N □ ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT/BKR 1 PH 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH 3 PH REMGOEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) total ELECTRICAL ^2 QTY. REDEVELOPMENT AREA yD nD MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100.000 BTU OVER lOO.OOO BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOU/OUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL QTY. STORIES TYPE CONST CONTRACTORS PHONE •syi'SVV UCENSE NO. g'/ it1878 STATE LICENSE # DESIGNER'S PHONE OCC LOAD EDU FIRE SPR yD nG VALUATION ZONE PLAN I.O. # STANDARD PLAN # PERMIT number BLDG USE CODE BUILCHNG 80. FOOTAGE 0QDI6797 S/ID/B2 "|2oDD Nut Vttd Unka Utchine Ctrtifhd SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR 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 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 INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILFTIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CTTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 FACILITIES FEE 25-000-4933 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 65-623-0519 Endnitas 65-624-0519 San DIeguito 65-625-0519 San Marcos 65-626-0519 TOTAL FEES PAYABLE Expiration. Every permit leaued by the BuHdIng Official under the provisions o/thraCode thai] expire by limitation ar>d become null and void If the building or workauthorized by euch permit is not commenced within 180 deys from the date of suchpermit, or if the buildina or work authorized by such permit Is suepended orBbandof>ed et any time after the work b commenced for a penod of 18u davaAPf^ANrS SIG^-fbRE *OWNER □ CONTRACTOR □ BY PHONE □ ■c—r * AN OSHA PERMFT IS REQUtRED FOR EXCAVATIONS OVER 5' 0" DEEP AND DEM0UT10N OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED BY DATE INSPECTION TYPE DATE INSPECTOR BUILDING ! FOUNDATION 1 REINFORCED STEEL 1 MASONRY ! GUNITE OR GROUT ' FLOOR & CEILING.SUB FRAME [ SHEATHING- [ FRAME 1 EXTERIOR LATH INSULATION } INTERIOR LATH & DRYWALL j PLUMBING 1 SEWER AND BL/CO PLUMBING UNDERGROUND { PLUMBING TOP OUT 1 TUB AND SHOWER PAN { GAS TEST [ ELECTRICAL 1 TEMPORARY POWER | ELECTRIC UNDERGROUND 1 ROUGH ELECTRIC 1 ELECTRIC SERVICE i BONDING l\ } G. F. 1. - SMOKE DETECTOR 1 MECHANICAL i DUCT & PLEM., REF. PIPING | HEAT — AIR COND. — SOLAR SYSTE VIS . VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVe\bEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING n SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED n FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REG. IF CHECKED INSPECTOR'S APPROVAL DATE - SOILS:COMPLIANCE ' PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE- OVER 2000 PSI "v. PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS n SPECIAL MASONRY - PILES-CAISSONS - - N ----- — • • ' -t r.\.L._ ^ T - '• -■■" '/\ -,"■1 . i 1 ' - _ . ■ , 1 , --- -- — t,- —^—m—A