HomeMy WebLinkAbout2022 LEE CT; ; CB891257; Permit"' z 0 ;: .. .. .. J u '" 0
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r::Y I hereby affirm lhat I am l!censed under
~•Iona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profeaalons Code. and my license 1s in
full force and effect
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I hereby at!,rm thot I am exempl lrom me Con:,ac
tors License Law tor the lollowmg reason !Sec ?031 'l
Business and P-otess,ons Code Any crry or counTy wh,c~ re
qu,res a permit lo construct alter ,mprove demolish or
repair any structure pr.or 10 ,Is issuance also requrres 'he ao
pl,cant 1or such perm,t to Irle a s,~ned stalemen: Iha: he ,s
1,censM pursuant to the pro~rsron~ ol the Lonirac1or s
ucense Law 1Chapter 9 commencing wrrh Section 7000 o' !l1v,s1on 3 ol tne Busmess and Professions Code/ O' ihal Is ex
empt iherelrom and 1ne basis 10, !he alleged e,empT,on An1
v,0IatIon ot Sect,on 703! :, Dy an applicant ior a per,,,,1 ~uo
Iec1s the applicant to a c,v,1 penally ol not more Than '•ve nun
dred dollars 1$)00'
I as owner of the property or my employees w,t~ waqes
as I heir so1e compensation w,II do the ;ior• and •ne sir aC
lure ,s nol intended or o11ered 10, sale !Sec 7044 Bus,ness
and Profess,ons Code The Contractar s License Law does
001 aoply to an owner ot property who bu,lds or ,mpr~ves
I hereon ana who does such work h,mselt or throuqh ~,sown
employees prev,ded that such I'llp,ovemen1s are not ,nTend
ed or oflered for sale If, however the building or improve
"lent 1<; soId within one year of completion The ow~er b~IIder
w,II nave ine Durden of proving lhat he did nol buIIa o' im-
prove for !~e pu,pose of saIe1
I_ as owner of the property am exclus,vely comracMg
w,1n I,censed contraclors lo construct the proIec1 (Set 7044
Business ano Prolessmns Code The Contractor's License Law does not app!y to an owner ol property who bu,lds or,-.
proves thereon ano who contracts for eac~ pro,ects with a
contractorrs1 lccense pursuanl to lhe Contractor's I ,cense Law)
, As a homeowner I arn ,rnprov,ng my home. and the lol•ow
mg cond1tIons exIs1
1 The work ,s being performed pr,or to saIe
2 I have l,ved In my home tor twel~e "10nlhs
prior to complel1on ot this work
I have not cla1med th,s e,emptIon during the
last three years
I am exempt under Sec _____ _ B&PC lor lhIs reason ____________ _
7_ I hereby aft.rm I hat I have a cer1,f,ca1e of consent 10. ~ insure or a cert1f1cate ot Workers Compensation In
surance or a cer1,f,ed copy thereof 1Sec 3BOO Labor Code)
POLICY NO
COMPANY
Copy ,s filed w•th the city
CertIf,ed copy Is hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
ITh,s sect,on need nol be completed ,f the perrn,t
rs for one hundred dolla,s 15100) or lf'SS)
I certify that ,n the pertormance of the work lor wh,ch
lh,s perrn,t ,s ,ssued. I shall not employ any person ,n any
manner so as 10 become subJeCt to the Workers· Cornpen
sat,on Laws ol Cal1forn,a
NOTICE TO APPLICANT. If. after making ttus Cert1f1cate
of Exempt,on you should become sub1ect to the Workers
CompeMat,on pro,osIons of the Labor Code you must
lorthwIth comply w•lh such p,ov,s,ons or this perm ,t shall
be deemed revoked
![ ::J I hereby allirrn that 1here ,s a construct,on ,ending
agency lor the perlormance ol the work for which this per
m,t Is issued (Sec 3097. Civil Code,
Lenders Name
Lenders Address
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USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV.ST.RO. THOMAS BROS NO. -!DATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER
-,.,,,,., I 11' A er-/(), ?;6~ 'r-b g1-; Ji ;) 7 l'lk' BLOCK l SUBOIVIS,lON I ASS,E~A~_!:L NO .. ~ CONTRACTOR CONTRACTORS PHONE # ZONE .. _.__..£TD -• ,<f'C! •-• • . ~-• ,U ~-r, L.;.,, -
OWNER'S NAME OWNER'S PHONE • II
' ·.....: * 'JI ,.__ • ,.~ --·~ C~NTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ FOOTAGE
,..._ I IJ-<._ /,,,f ~ • • . ,1.A LJ4~~ OWNER'S MAILING ADDRESS
"7 _,, '2., t... ) er-~--r; CiES!GNER OESIGNE R'S PHONE
s.4 .,~ z.., DESCRIPTION~~ 9,SA,t/-41~" DESIGNER'S ADDRESS STATE LICENSE NO.
u F LR ELEV NO ace GP EDU
STORIES
YD ,c -;-~-. J. ;·s, ,.,."' ;_-,:., ·'f .. , I CENSUS TRACT I PAPKIN(~SPACE RE'S UNITS GRADING PERMIT ISSUED l REDEVELOPMENT TYPE DCC LOAD FIA£ SPR -
AREA CONST -~---.-•, .
,□ 'D ':::J ,□ vO NO Nor Valid Unlt!Js Machine Certified
QTY. PLUMBING PERMIT· ISSUE ·::, 'SO QTY. MECHANICAL PERMIT -ISSUE ff;oO SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU 7TTTTl_u1mJ n::n1~,I UU1-tl 1 IJ-U0-00-8~?0 / ~ ..,,.
EACH 8UllllING SE:WER OVER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
/ EACHWATFR HEATER ANlJ OR VENT BOILER,CUMPRESSOR UP TO 3 HP PLAN CHECK 001 ·81 0-00-00-8891 x-.:t....
✓ EACH GAS SYSTEM 1 TU 4 OUTLETS 80ILER.COMPRESSOR 3 l'J HP TOTAL PLUMBING 00 '.-810-00-00-8222 '"" EACH GAS SYSTEMS OR MORE METAL FIREPLACE: ELECTRICAL 001 -0 10-00-00-8223 ,.::.
EACH INSTAL ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
/ EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE.HEATER SOLAR 001 ·8'.0-00-00-8226
fACH ROO! [1QAl1, ',\S nf 1 DRYER VENT STRONG MOTIO~ 880-519-92-33 I
TOTkL MECHANICAL FIRE SPRINi\LtRS 001-810-00-00-8227
TU!Al PIUMBINC I ,.t; -PUBLIC FACILITIES FEE 320-810-00-00-8 7 40
c::_po BRIDGE FEE 360-810·00·00·8740
QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA '
NEW CONST E.A AMP SWl 8KR CAR PORT TIF 312-810-00-00·8835
I PH I PH AWNING LA COSTA TIF 311·810-00-00-8835
FXISI BLOC EA AMP·SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 00: -3 1 0-00-:JO-i3' 62
z REMODEL AL HR PER CIRCUIT MFF 880·519·92-57
IE.MP PULE /OU AMPS .
OVER ](JU AMPS .
TlMP OCCUPANCY ,30 DAYSI
. CREDIT DEPOSIT [(,?..::i.~>
lIlfAL f ltl.TRILAI I JS -HJTA.l TOT AL FEES PAYABLE I 15, rd
I HAVE ~Af1:EFULL Y EXAMINED THE COMPLETED '"APPLICATION AND PERMIT"" AND DO HEREBY Eltpirat,on Eyery permit issued by fl'MJ&uudu\g Qffk:♦atunderthet)f"OvtsioAsotttvs. -* AN OSHA PERIIIT IS A;EQUIAE:O FOR EXCAVATIONS OYUI
CERTIFY, UNDER PENAL TY-OF' PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmllat1on and becQITlf/' null and vo«:I II the bU1ldmg or wort 5' D" DEEP ANO 0£MOI.JT'K)N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lF A PERMIT I~ authorized by such permit 1s not commenced within 180 days from the date ol $UCft ST~, OVER 3 STORIES IN HEIGHT .•
p&Jm1t. or 11 the bu1td1:;Pt or work aulhof.ized by ,su,ch p&<rrut 1s suspeoOecLOI tSSUEO: TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at •n" time • ter the work 1s c~ for Iii ....,nod of 180 davs. " ,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND
~ss~7E/4 OWNER □ CONTRA,CTORiiiE APPROVJY ~ DATE 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 BY PHONE 0 jl-v ¥-ZY--GRANTING OF THIS PERMIT I ..
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TYPE I DATE INSPECTOR . _,__,,, . ' • '1
BUILDING I ·-.
FOUNDATION : ~ ( ,a. II/. FIELD INSPECTION RECORD • REINFORCED STEEL I -1 · 11' ~' I ~ • -.
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION • REQ IF INSPECTORS DATE CHECKED APPROVAL
I
SHEATHING □ ROOF
SOILS COMPLIANCE □ SHEAR PR!OA TO
FRAME I
I
FOUNDATION INSP
EXTERIOR LATH I STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED
' CONCRETE
PLUMBING I FIELD WELDING
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UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLfS ..
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I , II , '
GAS TEST I I 'f ., 'f' . '<': (',,[ -l PILES CAISSONS □ WATER HEATER □ SOLAR WATER
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ELECTRICAL I
□ ELECTRIC UNDERGROUND □ UlrFER 10 ·<·'c'l ... ~
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY -, II ,,
□ BONDING □ POOL I 17 •''f"'# ft!~
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS I .
I -
CALL FOfl FINAL INSPECTION WHEN ALL APPROPRIATE \ . . '
... .. -. .... -...... ··----·
. .. FINAL I . . . . \ . PLUMBING I . .
' . . ELECTRICAL I \(l t'-...1 ' MECHANICAL I 'S ,
GAS · .
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BUILDING I \; • •
SPECIAL CONDITIONS I '
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