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HomeMy WebLinkAbout2011 Palomar Airport Rd; 236; 86-643; PermitQ I h«r«t>y affirm that I am llcartaad urtdar provlalona of Chaptar 9 (commancing iwlth Sactlon 7000) of Division 3 of the Buslrtess artd Professions Coda, and my llcansa is in tull force and effect I HsfeOy alfirm lhai i am exsmpl Irom tne Conirac tor's License Law tor the (oiiowmf reason (Sec 703' 5 Business and Professions Code Any cily or county wtncn re- quires a permn lo consifuci alter, imorove. demoiisn. or repair any siruciure. prior is its issuance aiss requires tne ao-piicam lor such permit to tne a signed siatemeni itut tie is licensed pursuant to the provisions oi tne contractor sLicense Law (Chapter 9 commencing witri S^iion 7000 ot Oiviston 3 ot rne Business and Professions Code) or thai <s ei- empt tfierelrom and trie oasis tor the alleged e<emp(ion Any viotation (Ft Section 703t.S tty an apptfcani tor a perrnii sub lecis theappiicant loacivii penalty ot not rnore than five hun tired iloilars ($500) I i t, as owner ot tie property, or my employees with wages as their sole compensation, win do the worn and the struc ture IS not intended or ottered tor sate tSec 7044. Business and Professions Code The Contiador's license Law does not apply to an owner ot properly who Ouilds O' improvesthereon and who does such worii himseit or through tiis own employees, provided thai sucn improvements are not intend ed or offered tor sate it. however, the building or improve ment IS sold within one year ol completion, ine owner-builder wilt have the burden ol proving that he did not build or Im prove tor Itie purpose ol sale) II I. as Owner of tne property am exclusively contracting with licensed comractoisioconstrucnheproiecttSec. 7044, Business arul Protessions Code The Contractor's LicenseLaw noes not apply to an owner at property who iMiids or improves thereon, artd who contracts tor each prr^ecis with a coniraclor(s) license pursuant lo the Contractor's licenseLaw) □ As a tiomeowner I arrt improving my home, and the loHowtng conditions existt The worn IS being performed prior to sale2 I have lived in my home for twelve montrtsprior to completion ot this woht.3. I have not claimed this exemption during thelast three years □ I am exempt under Sac.for (his reason . B&P.C LJ I hereby alllrm that I nave a cartificaie of consent toseit-insure. ot a certificate ot Wortiers' Compen&etion In surance. or acertilied copy thereol (Sec. 3800. Letxx Codel POUCV NO. C0li4PANY i i Copy IS tiled with the city O CeriKied copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed it the permit Is tor one hundred dollars iStOO) Ot less) □ t certily that in the perlormance ot the worti for which this pemiK IS issued. I shall not employ any person in any manner so as lo become SuDiecl to the Workers Compen sation Laws ot California. NOTICE TO APPLICANT: II. alter making this CeNlfrcate ot Exemption, you should t>ecome subteci lo the Workers' Compensslion provisions ol the Labor Code, you must lorthwilh comply with such provisions or this permit shall be ileemed revolted. □ I neret>v affinn that tttere Is a construction lending agency for the performance ol the woik for which this oer- mit IS issued (Sec. 30B7. C(vil Coda) Lender's N»me Lender's Address. USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr.. Carlsbad. OA 92009-4859 (619) 438-1161 APPLICATION & PERMIT JOB ADDRESS AV. ST.RD. NEAREST C80SS ST, DATE OF APPLICATION LOT BLOCK I SDBD'VSir.N I ASSf-SSQI^ PARCEL NO / I .x-TttPr T R ACT OB TnilOW>rf H'S NAtiiXE ,yk / V OWNER'S PHONf nwNtRT. \AAii j fur, Anrjfl <;«L / V # —' _ ^VIA i 1. I ALJL7Mt::>> " — 3ESr.RlPTVjN bf WORK f f ' / I - PARKING bPALt HtSuNiTb GRjUnG. BUSINESS LICENSE t (0C1C2. CONTRACTOR'S ADDRESS DFSIGNEH'S ADDRESS f '' F LR ELEV. vD nD PERMIT ISSUED t □ N □ REDEVELOPMENTAREA vD nD NO STORIES TYPE CONST CONTRACTORS PHONE ■ STATE LICENSE NO. DESIGNER'S PHONE STATE LICENSE NO. EDU FIRE SPR vD nQ VALUATION ZONE PERMIT NUMBER ik UP? BUILDING SO I^OOTAGE uuov «ox iit/Odi/bbrKni Hoi Valid UnlBS Machine Certified QTY.PLUMBING PERMIT - ISSUE ^.6-^QTY.MECHANICAL PERMIT • ISSUE (-3 1^ aa SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP 1 INSTALL FURN OUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220 EACH BUILDING SEWER 1 OVER 100,000 BTU SIGN PERMIT 00l-8t0-00-00-8221 p—'— EACH WATER HEATER AND-OR VENT 1 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821 - EACH GAS SYSTEM i TO 4 OUTLETS BOILER/COMPRESSOR 3 16 HP TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM b OR MORE j METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 EACH INSTAL . ALTER. REPAIR WATER PIPE I VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER 1 MECH EXHAUST HOOD'DUCTS MOBILEHOME 001-810-00-00-8225 WATERSOFTNEB 1 RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226 EACH ROOF DRAIN (INSlDE)1 DRYER VENT STRONG MOTION 880-519-92-33 TOTAL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227TOIAI. PLUMBING |PUBLIC FACILITIES FEE 320-810-00-00-8740 QTY.ELECTRICAL PERMIT - ISSUE QTY.MOBILE HOME SETUP BRIDGE FEE 360-810-00-00-8740 PARK-IN-LIEU (AREA ) NEW CONST EAAMP SWI BKR CAR PORT TIF 134-810-00-00-8835 1 PH 3PH AWNING LA COSTA TIF 133-810-00-00-8835 EXIST BLDCEAAMP/SWT'BKfl GARAGE FMF 1 Ph 3 ph LICENSE TAX 001-810-00-00-3152 REMODEL ALTER PER CIRCUIT MFF 880-519-92-57 TEMPPOLE 200 AMPS D OVER ZOO AMPS TEMP OCCUPANCY 13Q DAYSl CREDIT DEPOSIT TOTAL EIELTRICAL TOTAL TOTAL FEES PA^Aecf 1 HAVE CAREFULLY EXAtVINED THE COIVPLETED • 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 LIABILITIES, JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING QF THIS PERMIT Expiration Every permit issued by the BuiidingOf'iciat under theptovisions ol thisCode shall expire by limitation and become null and void il me buiidmg or woiLauihorned by such permit is no! commenced within teo days irom the dale ot suchpermii. or if the building or work auihonzed by such permit is suspended orabandoned at any lime after me work is commenced tor a period ol 180 davs APPLICANT S SIGNAT OWNER n CONTRACTOR □ BY PHONE * AN OSHA IS BEOUIRED FOR EXCAVATIONS OVER 5 0' OEaP'ANO DEMOCITION OR CONSTRUCTION OFSTRUpl^RCS OVER 3 STORIES IN HEIGHT TYPE !DATE INSPECTOR BUILDING { FOUNDATION | REINFORCED STEEL 1 MASONRY 1 GIJNITE OR GROUT 1 SUB FRAME □ FLOOR □ CEILINGSHEATHING □ ROOF □ S^EAR FRAME ! EXTERIOR LATH » INSULATION 1 INTERIOR LATH & DRYWALL ' \ PLUMBING 1 □ SEWER AND BUCO □ PL/CO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN ' GAS TEST 1 □ WATER HEATER □ SOLAR V/ATER 1 ELECTRICAL i □ ELECTRIC UNDERGROUND ^ UFFERROUGH ELECTRIC | □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL i i MECHANICAL 1 □ DUCT & PLEM., □ REF. PIFING % ^ * HEAT — AIR COND. SYSTEMS ! VENTILATING SYSTEMS ! ! 1 "v \ ,• \ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE^ FINAL 1 ■ XI \ ^ V - - PLUMBING 1 ■ "/7ELECTRICAL j /' yMECHANICAL 1 . //<AGAS 1 ~/■BUILDING 1 (I 'J ' SPECIAL CONDITIONS 1 / ♦ 1 FIELD INSPECTiON RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES INSPECTION REQ IF CHECKED INSPECTORS APPROVAL DATE iiOlLS COMi'UANCe PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRfSTRESSED CONCRETE POST te;- fioned CONCREIE FIELD WELDING HIGH strength BOLTS SPECIAL MASONRY PILES CAISSONS t V 0 ^c . . ; ■ , V • V • ■v, V V > ' 1 ! , L. . *■. \ ' 4 t' MCh 6 ASSOaATES LAND PLANNING • ARCHITECTURE • ENGINEERING • SURVEYING 4877 Viewridge Avenue, San Diego, CA 92123-1667 # (619) 278-5750 LETTER of TRANSMITTAL: TO: DATE: ATTN: JOB# SUBJECT: /^/d/?7^y- THE FOLLOWING ITEMS ARE HEREWITH TRANSMITTED VIA: / NO. DESCRIPTION: ^ &dptl/y /fbon ^/h /z^/3d/ry REMARKS: y/' /'^ /»y S/>?0£^Kiy■fhi f-by -/Ai. ^i/n/^Zh oj//Z ho C^ryt^pfO/fodf /V? 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