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HomeMy WebLinkAbout1985 PALOMAR OAKS WAY; ; 82-478; Permit□ I hereby affirm that I am Hcanaed underprovlilons of Chapter 9 (commenctng with Section 7000) of Division 3 of the Businessand Profeaalons Code, and my license Is In full force and effect. be No Class • I heretjy affirm that I am exempt from the Contractor's Lteanw Law for the following reoon (Sec. 703UBuelneo and Professions Code Arrycfty or county wtuch requires a permit to conatruct, after, Improve, demobh, orrepair any structire, prior to ite Issutnce atso repufres tin applicant lor such permit to file a signed statement that he bfceneed pureuant tto tfw provisiDns of-the Confriclor'sbcenee Law (Chapter 9 commencing with Section 7COO ofDtvislonSof the Business and Prcteseons Code) or that is exempt therefrom and the bass for the ane^exemptuo. Ajiyvioation of Section 7031,5 by an applicant for a permQ sub-tects theappbcant toe civil penalty n not more than fm^n-'dred (Wlar8-($500). □ I, u owner ot the property, or my emptoyees wfth wagesas their sole compensation, will do to wor1(, and ttte structure Is not imended or ottered for sate (Sec. 7044, Busross.' and Professkni Code- The Contractor's Ltcenee Law doesnot apply to an owner ot property who buitds or anpromthereon and wtra does such worlr hlmsetf or through hii ownemptoyees, provided that such improvements are not fotend-ed or otfer^ for sale. If. however.-the building or Improvement IS sold within one year ot completion, the owner-balderwiP have the burden ot proving that he did not bulU or Improve for the purpose ot sale). □ I, as owner of the property, am axclusivety contractwgwith Dcensed contractors to construct the project (Sec. 7044,Buslnese and Proteeaxms Code- The Contractor's LicenseLaw does not apply to an owner ot property who builds x improves thereon, and who contracts fx each pn^ects with a^ont^actor(s) license pursuant to the Contractor's Uceoie □ Asahomeownerlamvnprovlngmyhome, andthetottow-B^ cordtnne exist: •.1. . The work's being performed prior to tale.^ 2. I have lived In my home fx twefve months- pitor to completion of ths work3.. 1 have not ctafrned this eKsmpOon during thelast three years. □ I am exempt under Sec.. Jx tha reasoQ.. B&P.C. POUCY NO. ^n^opy ta filed with tfte cit^ • Certified copy it heretjy fumtehed Lerxler's Address . USE BALL POINT PEN ONLY & PRESS HARD D I hereby affirrh that I have a certificate of consentto seil-inture, or a certificate of Workers'^ ComperYsetion Insurance, or a certified copy tttoreoffS«c 3600. Labor Code) CERTIFICATE OF EXEMPTtON FROMWORKERS'COMPENSATION INSURANCE(This section need not be completed if the permitIS for orw hundred doiiars ($100) or less) Q I certify that in the performance ol-the work forwhich this permit is leeued, I shall not employ any person in any manner ao as to become eubfect tothe Workers' Compensalioo Laws of California NOTICE TO APPLCANT" If. after m^ing this Certificate of Exemption, you shouid become subtect tothe Workers' Comper«ation provrsoos of the LaborCode, you must forthwith . comply with suchprovisions or this permit shall be deemed revoked 0.1 hereby . affirm that there is a constructionlerxJir^ a()ency for the performance of the work forwhich" thrs permit is issued (Sec 3097, Civil Code) Lender's Namfl APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTIMENT 1200 Elm. Carlsbad, California 92008-1989 (714) 438-5525 APPLICATION & PERMIT JOB ADDRESS v.. ^ ^ ^ ?2.TCN/J^ ^Ar.Li=rir, OWNERS NAME AV. ST. RD. OWNER'S PHONE i7/<- OWNtHt:) MAILINCi AOUMbS»t>.y^ LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. ' DESCRtPTlON OF WORK CENSUS TRACT QTY. QP 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 INSTALV, ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER-- WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING DATE OF APPLICATION /yh/B A CONTRACTOfT'S ADDRESS BUSINESS LICEf^E # | - VALUATION ZONE VCONTRACTORS PHONE » UCENSt NO. DESIONER'S ADDRESS' F/P FLR ELEV. yD nD GRADING PERMfT ISSUED Y □ N □ QTY.ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT/BKR 1 PH 3 PH EXIST BLDG EA AMP/SWT/BKR. 1 PH 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30.OAYS) TOTAL ELECTRICAL QTY. REDEVELOPMENT AREA vn no STORIES TYPE CONST MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 315 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL QTY.SOUIR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE z z y4/'7e&v LICENSE # DESIGNER'S PHONE EDU FIRE SPR Y0 N0 PLAN !.□. # STANDARD PERMIT NUMBER llB BLDG USE CODE ifiaglNG SQ. FOOTA^jg 17-3; Not Vttd SUMMARY/AO BUILDING PERMIT SIGN PERMIT - PLAN CHECK TOTAL PLI Utodune Ctrtiritd NUMBER 01-00-00-8220 01-00-00-8221 01-00-00-8806 01-00-00-8222 ICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP TOTAL SOLAR' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMff" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND GORftECT AND I FURTHER'CERTIFY AND AGREE IF A PERMIT ISISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPEaPIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF GRANTING OF THIS PERMIT. SOLAR m-no-no-flppfi STRONG MOTION'80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILmES FEE 32-00-00-8923 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 Enclnltas 80-92-22-0519 San DleguRo 80-92-23-0519 San Marcos 80-92-24-0519 W3S Tonsil TOTAL FEES PAYABLE Explrattorj. Every permit lasoed by the BofkHryg Ofhctel under the provfaions ofthitCode ahaJi expire by limitation end become null and void If the building or workauthorized by auch permit ia not commenced within 100 daya from the date of auchpermit, or ff the building or work authorized by-auch penmt It auapended orabandoned at any thne after the work is commertced for a penod of 186 dava APPLIC.CONTFIACTOB BY PHONE □ * AN 08HA PERMIT IS REQUIRED FOR EXCAVATIONS OVHI■5' 0" DffiP AND OEMOUTION OR CONSTRICTION OF STRUCTURK OVER 3 STOMES-IN HEIGHT ' APPROVED BY Mi ' - INSPECTION TYPE DATE INSPECTOR BUILDING 1 FOUNDATION n ' REINFORCED STEEL 1 MASONRY 1 GUNITE OR GROUT ' ! FLOOR & CEILING SUB FRAME i SHEATHING ! FRAME EXTERIOR LATH INSULATION l • INTERIOR LATH & DRYWALL 1 PLUMBING i SEWER AND BL/CO PLUMBING UNDERGROUND , PLUMBING TOP OUT i TUB AND §HOWER PAN GAS TEST 1 ELECTRICAL TEMPORARY POWER i ELECTRIC UNDERGROUND i ROUGH ELECTRIC ! ELECTRIC SERVICE BONDING : G. F. 1. - SMOKE DETECTOR ' MECHANICAL DUCT & PLEM., REF. PIPING n V « r ^ HEAT — AIR COND. — SOLAR SYSTEMS,.' VENTILATING SYSTEMS 1 CALL FOR FINAL INSPECTION \NHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL n I PLUMBING A ' electrical a ' MECI-lAf5lCAiA \ j GAS' X ecoM! - ^UlLpiNG / \ '{ •1 i SPECIAL PCnDITIONSX cert .OF ecCUPANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO. IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP n STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING n HIGH STRENGTH BOLTS SPECIAL MASONRY • nn ' PILES'CAISSONS . j , n 1 - - - - — - - \ - ' - .• • 1^ -■