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HomeMy WebLinkAbout2051 PALOMAR AIRPORT RD; ; 84-556; Permito t- < oc < o UJ o I hereby affirm that I am llcenaed under provlaJona of Chapter 9 (commencing with Section 7000) of tXvislon 3 of the Business and Profeaslons Cocfe, and my license is in full force and effect. Lie No CUss I hereby aftirm lhal I un exempt from the Contric-lor'i Lfcense Law for the IcHlowtg re»cn (Sec 7031.5 Business and Professfoos Code Any city or county wti^h re- qiives a pemt (o construct, alter, improve, demobsh. or repair any structure, pnor to tls issuance also reQurres the applicant lor such permd to We a Signed statement thai he is kansed pursuant to the provisicms crt the Contractor's Ucerse Law (Chapter 9 commenang with Section 7000 o( OrvtsKKi 3 of ttie Business and Professions Code) or that a exempt ttierefrom and the bass for the alleged exemptnn. Anywoation of Secbon 7031.5 by an applicant for a permrt sub jects the applicant to a crvil penalty of not more ttan frve hun dred dcQars (S500) □ I, 88 owner of the property, or my empJoyees with wagesas their sole compensation, wHI do the work, and the structure is not intended or offered for sale (Sec. 7044, Businessand Professions Code: The Contractor's Ljcense Law doesnol appfy to an owner of property wtto bufds or mprovesthereon and wfx) does such work himself or through his ownemployees, provided that such improvements are not Intend--ed or offered for sale If, hwrever, the buittng or improve-■ment is soW wrthm one year of compJePoo, the owner-buWervfll have the burden of provrng that he cfid not build or improve for the purpose of sale) □ I, as owner of the property, am exdusrvely contracting. with bcensed contractofs to construct the project (Sec. 7044Business and Professions Code The Contractor's LicenseLaw does ruS ippty to an owner of properly who builds or im-prwes thereon, and who contracts for each projwrti with agrrtractor(s) license pursuant to the Contractor's License □ As a homecwmer i am mprovrng my home, and the foilow-'ing condmons exist:1 The work ts being performed pnor to sale.2 I have lived in rny home for twelve monthspnor to completion of tha work.3. I have nol claimed this exemption during thelast three years □ I am exempt under Sec .,lor this reason 3&PC □ I hereby affirm that I have a certificate of consentto self-insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec 3800, Labor (Code) FOUCY NO COMPANY D (Copy IS filed with the city □ (Certified copy is tiereby furnished CERTlFKCATt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE(This section r>eed r>ot be completed if tt>e permit IS for one hundred dollars (JlOOl or less) □ I certify ttial in the performance of tt>e work forwhich this permit is issued, I shall rxil employ any person in any manrw so as to become subject tothe Workers' (Comperisation Laws of (Caiifornia 'NOTICE TO APPLICANT If, after making this (Certificate of Exemption, you should twcome subject tothe Workers' (CompensetKm provisions of ttie LaborCode, you must lorthwilh comply with suchprovisions or this permit stiall be deemed revoked O I hereby affirm thal_ there is a constructionlendirig agency for tt* performance, of the work forwhKih this permit is issued (Sec 3097, Civri (Code) Lender s Name Lender s Address . USE BALL POINT PEN ONLY & PRESS HARD SUBOI VIS(ONBLOCK EB S NAME APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT-1200 Elm, Carlsbad, California 92008-1989 (619) 436-5525 APPLICATION & PERMIT JOB ADDRESS ^ AV. ST.RD. MEREST CROSS ST. ASSESSOR PARCEL NO. OWNER'S PHONE iWNfcR-S MAILING ADORESS ^ 6>f S'ST'C/9>r\ f DESCRIPTION OF WORK CENSUS TRACT QTY. CP LAND USE CONTRACTOR CONTRACTOR'S ADDRESS DESIGNER'S ADDRESS FLH ELEV yD nO 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 INSTAL.. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING QTY. GRADING PERMIT ISSUED Y □ N □ too ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT'BKR PH 3 PH EXIST BLOG EA AMPYSWT/BKR PH 3 PH REMODEL,'ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) total ELECTRICAL CTY. REDEVELOPMENT AREA yD nD MECHANICAL PERMIT - ISSUE INSTALL FURN DUCTS UP TO 100,000 RTU OVER 100,000 RTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CTY, NO STORIES TYPE CONST BUSINESS LtCEj^SE it CX:>NTftACTORS PH(3Ne # UCENSE NO. DESIGNER'S PHONE EDU FIRE SPR yD nD ZONE PLAN I.D. # STANDARD PLAN # 0/u^d/m PERMIT NUMBER BLDG USE CODE BUILDING SO, FTXTTAQE 43 6L) 1 • uuuIHODU IU/OCI BU Not VaUd Unless Mtdiine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 SIGN PERMIT 01-00-00-8221 PUN CHECK 01-00-00-8806 SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION 'AND PERMIT" AND DO HEREBYCERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLA,RATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE UYYVS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CTTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT TOTAL PLUMBING 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-OQ-8225 MOBILEHOME PARK INSP SQIAR 01-00-00-8226 STRONG MOTION 80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8930 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 Ejicmltas 80-92-22-0519 San DIegulto 80-92-23-0519 San Marcos 1-92-24-0519 LICENSE TAX 01-004)CH8162 MFF 80-92-57-0519 CREDIT DEFHDSIT TOTAL FEES PAYABLE 7^ 7^ Expiratk)n Every permit issued by the Buiiding^Ofticial under the provisions'of thisCode shall expire by limitation and become null and vokJ. If the building or workauthorized by such permit it not commenced within 1 SO days from tha date of suchpermit, or if the buildtno or work authorized by such permit ts suspended orabandoned at any time after the work is commericed tor a peyd of ISO davt APPU^^NT'S SIGNATURE OWNEI CONTRACTOR □ BY PHONE □ •k AN OSKA PERMfT tS REQUIRED FOR EXCAVATIONS OVER 5* 0 ' DEEP AND DEMOUTION (DR CONSTRUCTION OFSTRUCTURES OVER 3 STORIES IN HEIGHT APPRfCVEoveT^y" 1 TYPE 'DATE INSPECTOR BUILDING i FOUNDATION ! REINFORCED STEEL i MASONRY ! GUNITE OR GROUT i FLOOR & CEILING SUB FRAME 1 SHEATHING □ ROOF □ SHEAR FRAME I EXTERIOR LATH I INSULATION ; INTERIOR LATH & DRYWALL i 1 PLUMBING 1 SEWER AND BUCO DIPUCO J UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ W|TER TUB AND SHOWER PAN i GAS TEST 1 □ WATER HEATER □ SOLAR WATER 1 1 ELECTRICAL ' □ ELECTRIC UNDERGROUND □ iJfFER ROUGH ELECTRIC i □ ELECTRIC SERVICE □ TEMPOFjlARY □ BONDING □ POOL i 1 i MECHANICAL <□ DUCT & PLEM., □ REF. PIPINjS , , heat — AIR COND. SYSTEMS i i * ? i- VENTILATING SYSTEMS !■ • 1 ITEMS ABOVE HA^ BEEN APPROVEP.FINAL ^ I • PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS t, V V > 1 1 '■■■ \ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF CHECKED INSPECTOR'S APPROVAL DATE —■ j.. \ , 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 r. t 4 s "r" I 1. i. -' '• — •'z