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Home My WebLink About2011 PALOMAR AIRPORT RD; 200; CB881583; PermitQ I h*r«l>y affirm that I am llcartsad undar provlaloria of Chapiar 9 (commancirtg with Saction 7000) of Division 3 of the Buslriess and Profeeaions Code, and my Ncansa >9 in full force and effect. I neieOy iltirm irui i am ciampi irom the Coniiac tor s License Uw Isr me loiiowing reason (Sec 7031 5 Business ana Prgiessions Code Any cily or county wnicr, re quires a oerniii to conslruci. alter imDroire. oemoiish. or repair any structure prior to its issuance also requires me ap- pticani lor such permit to tile a signed statemeni mat ne is licensed pursuant to itie piovisens ol the Contractor s License Law iCtiapler 9 commencing with Section 7000 st Dvision 3 ot me Business and Professions Code) or mat is ei- empi meretrom and me tiasis tor irte aiiegeo enemoiion Any violation 01 Section 7031 0 Py an applicant tor a permit suD jects me appticani to a civii penalty ot not more irun live nun- dred dollars ($000) ' I 1 as owner o( me property, or my employees with wages as ifteir sole compensation will do me work ana me struc ture IS not iniendM or ollered Ick sale iSec 7044. Business and Protessions Code The Coniracioi s License Law doesnot apply to an owner at piopefiy who Dulids or improves thereon and wtio does such work himseil or through his own erttployees. provided llui such improvements are not intend ed Of ottered for sate n. however, me Puiiding or improve ment IS sohJ within one year at completion, the owner builder will have the buraen ol proving mat he did not build or im prove tor trve purpose ot saiei ' : I. as owner ot me property am exclusively contiaciingwith licensed contractors to construct Itw protect (Sec 7044. Business and Prolessions Code Tne Contraciot's License Lew does not apply to an owner ol property who builds or im proves thereon, and who contracts tor eactt protects with a coniraclor(s) license pursuant to me Contractor's License Law) 11 As a homeowner I am improving my tiame. and the ttilow mg conditions exisl t The work is being perlcmned prior to sate 2 I have lived m my home lor twelve months prior to compielon cil this work. 3 I have not claimed this exemption during the last three years □ lameicefnplunde'Sec. lociitfs reason .e&PC „ I hereby e'lirm that 1 have a certilicate ot consent to aell-insure or a cerllticale ol Workers' Compenselion In surance. or a certified copy ihereol iSec 3800 Labor Coder POLICY NO COMPANY Copy IS tiled with the city i_^ Cetti'ied copy is nereby furnished CERTIFICAT6 Of EXEMPTION FROM WORKERS COMPENSATION INSURANCE iThis section need not ee compieied il the permit IS lor one hund'ed dollars ($100) o* less) I certily that m the performarce of the work tor which this permit IS issued. I shall not emptoy any person m any manner so as to become subject to me Workers Compen sation l^ws ol Calilomia. NOTICE TO APPLICANT. It. alter making this Certificateot Exemption, you Should become subject to lire WorkersCompensation provisions ol the Labor Code. yOu must lotthwilh comply with such provisions or this permit shall be deemed revoked C] t nereby affirm that there is a construction lending agency tor ttte (lerformance of the work for which fhig per mil IS issued (Sec. 3097. Civil Code) Lender's Name - - . Lender's Address. USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, OA 92009-1915 (619) 438-1161 APPLICATION & PERMIT J08 A(30RESS LOT! ^011 Ai?-poe;r poAVAv ST.BO. THOMAS BROS NO. SUBDIVISION ASSESSOR PARCEL NO ClW^f R'S NAME OWNER'S PHONE OWNER'S fVoi i iNG ADDRESS "'^'iML^'irTTbCXOt. QTY. CENSUS TRACT PARKING SPACE PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACH BUILUINC SEWER EACH WATER HEATER AND OR VENT EACH CAS SYSTEM ] (0 4 OUTLETS EACH GASSYSTEM b OR MORE EACH INSTAL ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN I 'NSIDF! H6S UNITS DATE OF APPLICATION I l-'Z.'S-W BUSINESS LICENSE s CONTRACTOROoUAwJ) CONTRACTOR'S ADDRESS M Di^tO Vl/Mp-'\DO(0 DESIGNER'S ADDRESS m'o (■iO-^OBbo « 1 R ELEV 'D nD GRADING PERMIT ISSUED ' □ N □ 7.k5Z) TOIAl PlIJfi^BlNG QTY,ELeCTRlCAL PERMIT - ISSUE NEW CONST EA AfyfP SWI UKR PH i PH EXIST BLOC EAAMPrSWT BKR PH S PH REMODEL ALTtR PER CIRCUIT TEMPPOLE .tQUAMPS OVER ?00 AMPS IEt)fPOCCUPANCY 130 OAYS) 1(11 Al f LtL.I HK.Al QTY REDEVE LOPMENT AREA ' O nD MECHANICAL PERMIT - ISSUE INSTALL FURN DUCTS UP TO lOfUttO WU1^ BOILER/COMPRESSOR UP Els 3 HP NO STORIESS^RII TYPE CONST CONTRACTORS PHONE # STATE LICENSE NO- DESIGNER'S PHONE STATE LICENSE NO. OCC LOAD 1 CO BOILER/COMPRESSOR 3 lb HP. METAL FIREPLACE VENT FAN Single duct MECHEXHAUST HOOU -ol relocation of EAp' ppnCL DRYER VENT TOTAL MECHANICAL QTY. 7^ MOBILE HOME SETUP CAR PORT AWNING GARAGE THIAl I HAVE CAREFULLY EXAMINED THE COf/PLETED APPLICATION AND PERMIT AND 00 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 IE ISSUED TO COMPLY WITH ALL CtTV. COUNIY AND STATE LAY/S GOVERNING BUILDING CON STRUCTION WHETHER SPECIFIED HEREIN OR NOT ( ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CtTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH tYAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT EDU FIRE SPP yQ fvO VALUATION ZONE PERMIT NUMBER BUILDING SO. FOOTAGE 3307 11/28/88 0001 01 02 BldP»t 26.0 No< Valid Un/ets Machine Ceriilied SUMMARY/ACCOUNT NUMBER BUILDIMd PtfiMil SIGN PERMIT 001-810 00-00 8221 PLAN CHECK OC1-810-00-00-8891 TOTAL PLUMBING 001 -810-00-00-8222 ELECTRICAL 001-810-00-00-6223 MECHANICAL 001-810-00-00-8224 MOBILEHOME 001-810 00-00-822b SOLAR 001-810-00-00-8225 STRONG MOTION 680-519-92-33 FlRE 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 001-810 00-tXl-Si62 MFF 1-519-92-57 CREDIT DEPOSIT TOTAL FEES PAYABLE /<=> Expiration Ever-y permit issued by I hie Building O'liciei under me provisions o'this Code Shiall expire by limitation and I>eCOme nuU ano void n tne Ouildmg or workaumofi7e0 Dy sucn permit i$ not commenced wiinm igo days ircim mie dale of sucnpermit or if the building oi worli auinon^ed by such permit is suspended ofabandoned ji any lime arler the worl» is commenced (or a period ol 180 davs APPLlCANITiS SIGNATURE OWNER n CONTRACTOR Sp BY PHONE n * AN OSHA PERMIT IS REQUIRED FOR EJfCAVATCNS OVER 5 0 DEEP ANO DEMOLITtON OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPRO ^ I " DATE TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING □ SEWER AND BUCO □ P|JCO UNDERGROUND □ WASTE □'WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST w □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND Q UFFER ROUGH ELECTRIC T □ ELECTRIC SERVICE □ TEMPQRito^ □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING heat — AIR COND. SYSTEMS VENTILATING SYSTEMS DATE INSPECTOR rtrP 7^ •nITEMS ABOVE HAVE BEEN APPROVED. FINAL i PLUMBING \ ELECTRICAL 1 MECHANICAL • GAS iBUILDING PV-T/ J/r^1 Aaj^' SPECIAL CONDITIONS >/ ''/ f/ 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 PRESTRESSED CONCRETE POST TENSIONED CONCRETE Field welding HIGH STRENGTH BOLTS special masonry PILES CAISSONS i .. ■ f > , 1 • ' "• \ 4 kjb S'-O OvO' 9