HomeMy WebLinkAbout2052 LADERA CT; ; 83-520; Permit<II z 0 ~ a: ~
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04' hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and a ;;;;r;,
full for¥. a' effecj ~ lie No ~701 Clm
I hereby affirm that I am exempt from the Contrac-tor's license Law for lhe loUowing reason f5ec 7031 5
Business and Professions Code Any city or county whtth 1e-qu1res a permit to construct, alter. unprove. demolish. or repair any structure, prior to its issuance also requites !heap·
phcant tor such permit lo file a signed statement !hat he 1s
hcensed pursuant to the prov1s10t1s ot the COnlracto( s License Law (Chapter 9 commtncmg w1lh Se<:hOn 7000 of Oiv1s1on 3 of lhe-Busmess and Professions Code) or that ~ ex-
empt therefrom and the basis !or the allegeo exemp11on Any
v1olat10n ot Section 7031.5 by an applicant for a permit sub-,ects Ule applicant to a crv,I penalty o1 not ITIOfe lhan fwe hun-
dred dollars ($500).
D I, as owner ol lhe property. or my employees with wages
as their sole compensahon. will do the work. and the struc· ture ,snot intended or ollered for sale (Sec 7044, Business
and Proless1ons Code. The Contractor's License Law does
not apply 10 an owner of property who bU1k1s or improves thereon and who does such wo,k h1msell or thfoogh his own
employees. provided that such improvements are 001 intend·
ed or offered tor sale If, however, the buitdmg or improve-ment 1s sold wtthln one year ot complel.lOn, the owner-builder
will have the burden of proving that he did not build or im• prove for the purpose ot sale)
~l~~:n:r:~~!~~Of~rt=ls,,~~I :;1~::r (~~,~~~~
Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im· prove5 thereon. and who contracts lor each pr<Jiects with a
contractor(s) license pu(suant to the Contractor's Ucense Law).
D As a homeowner I am improving my home, and the follow·
ing conditions exist 1. The work is being performed prior to sale
2. I have lived in my home for twelve months prior to completion of this work 3, I have not claimed this exemption during lhe
last three years.
D I am exempt under Sec. ______ . 8 & P.C.
for this reason " ••
□ I hereby a.fftrm 1hat I hao1e a cer11t,cate or consent
lo sell-insure, or a cert1ftcale of Wofs Compensation Insurance. Of a cer11hed coPy I e
!Sec 3800, Labo< Godel
POLICY NO A><13¥1r
CO~Y 1:::,/-1f"LJ. ~~
,J!f'eor,y IS hied with the c1ly /vi'-7T.l,1-t-J.
0 Cer11hed copy 1s hereby tum1shed -I
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,1 !he pe,m,1
1s for one hundred CIOllars ($100) or less)
0 I certify that in 1he performance ot the work tor which this permit 15 issued, I shall not employ any
person in any manner so as 10 become sub1ect to
the Wor1'.ers· Compensation Laws or Calllorn1a
NOTICE TO APPLICANT If. airer maJunJ lh1s Cert,
hcate of Exemplion. you should become subJe<:.t I?
the Workers· Compensation provisions ol lhe Lat>or
Code. you must forthwith comply wUh such
prov1s1ons or this permn shall be deemed ,evoked
0 I hereby affirm that there ,s a con~1tuc11on
lending agency IOf the perlormance ot the wo111. tor wn,ch rh,s perm11 1s issued (Sec Y:137 C1v11 Cooet
Lenders Name A.Jt?A.'~ • Lenders Address _______ _
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USE BALL POINT PEN ONLY & PRESS HARD ., ------~ . -------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & P~R!"IT
1200 Elm, Carlsbad, California 92008·1989 (619) 438·5525
.JOB A00RESS AV. ST Ro. NEAREST CROSS ST IOATE OF APPLICATION' 8C/f6'L'1S1P-VALUATION ~E~ITNUMBER
/ & ,,.~ , LAD~ (I-,..,,,-. , -'-1' -/ .,;-· _,/ ,_,., l c:---i·_'"-,'7\_.t-';"'7---: s-;-<t S,2_1J LOT BLOCK I SUB0IVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTOR~P~9NE• ZONE
iA/4 / // ---_'"I(. .. -
OWNER'S NAME {}.L/~~ D I 4(~2~E;~;Eq
'£:...--. ~-~--~-., -· , )UAI -".A J-TJI" ,,_.. , Z':?
~~~ y tONTAACTO-A'S AOOfESS -k LICENSE NO. PLAN t.D. # BLOG USE CO0E
-jt,l,f'_ :...~ , .. /A~ .<; ,/,~ W-;~t, 7/ OWNER'S MAILING A00RESS
~rn-1€ 9&><'CO~ DESIGNER ---, . LICENSE ~ STANOr.fl0Rl.Ar--#~s 2 ~_BUILDING SO. FOi:n:GE ~,·.1 ;;, , t .
0/~~IPJ.'.:-~~~ ,,.L.,.--.,. --~~A~,./' ,r r , I . .,·JI&-.~ . DESIGNER'S ADDRESS DESIGNER'S PHONE
~_L__ ·----.. ~ F/P F LR ELEV. NO OCCGP EDU STORIES -vO NO --
CENSUS TRACT I GP LANO use I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO N 0 vO NO vO NO Not Valid Unless M#chine Certified
QTY. PLUMBING PERMIT· ISSUE 7,J(J QTY. MECHANICAL PERMIT -ISSUE .:l,a a SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. 0UCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·00·00-B220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00-00·B221 -
/ EACH WATER HEATER ANO /OR VENT ~ _"<, BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-00·00·8806
--, EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 ,/,/~. ,<..J .,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INST Al . ALT ER. REPAIR WATER PIPE VENT FAN SINGLE 0UCT MECHANICAL 01 ·00·00-8224 .
EACH VACUUM BREAKER MECH EXHAUST -H0OO/DUCTS MOBILEHOME 01 ·00-0Q·B225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1 .oo.nn.Doo~
TOT J:.l MECHANICAL STRONG MOTION 80·92·33·0519
TOT Al PLUMBING I Jt .I'!><,, FIRE SPRINKLERS 01-00·00-8227
. Ca" QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00·00-8933
QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22·0519
I PH 3 PH PUMP San Oieguito 80·92-23·0519
REMODEL 'AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01·00.00-8162
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /0, &-a
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Exp.ration Every permit issued byttMt Butldtng OHtc•al undef the provisions ofth1s * AN OSHA PEr:..tlT 1$ REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tation and become null and vo,d If the bu1ld1ng or work 5' O'" DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorlZed by such permit ,s not commenced w,rhm 180 days from the date of such STRUCT\JRES OVER ~TORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON• =~'::~n~ ·~. '~v ~~:·~xe~~h=~~r:~!hc°~!:e~le~~~~ rn:~~·~,s~~~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APG:z;~ OWNER□ "
Ir i'%1 if31DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND CONTRAC"jjjitt'l"D
EXPENSES WHICH MAY tN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT _/
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TYPE I DATE INSPECTOR I
BUILDING I ..
FOUNDATION I FIELD INSPECTION RECORD ..
REINFORCED STEEL
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MASONRY I
GUNITE OR GROUT '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING 0 ROOF D SHEia.A PRIOR TO
FRAME I
FOUNDATION INSP
-----~-·
EXTERIOR LATH I
I
STRUCTURAL CONCRETE:
OVER 2000 PSI
INSULATION ' PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE . q ~ATER
TOP OUT D WASTE O WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSONE
D WATER HEATER D SOLAR WATER
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ELECTRICAL I
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY -~i,---
□ BONDING D POOL I
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MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT~iN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED. -
FINAL I -
PLUMBING t:ri ~ PJ ) ti /,F3~ (!fr-·
ELECTRICAL 1 l \ "l 'T LI
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MECHANIQAL I
GAS < ' --I -• ._
BUILDING I
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SPECIAL CONDITIONS I
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