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Home My WebLink About2056 PALOMAR AIRPORT RD; ; 86-98; PermitQ I twrvby aff(rm that ( am llcansad undar provlalona ol Chaptar 9 (commanclng with Sactlon 7000) of Ofvisfon 3 of the Buslnass and Profaaalons Coda, and my ilcensa ts in full forca and affact. I nereDy allirm itial I am exempt fiom tite Contractor's License Law tor the toilowinQ reason (Sec 7Q31 S Business and Rrolessions Code: Any city or county wlncn re quires a permit to construct, alter, improve, derrtoilsh. or repair any structure, prior to its issuance also requires the ap plicant lor such permit to tile a signed slaiemeni thai he is licensed pursuant to the provisions ot the Contractor sLicense Law (Chapter 9 cortunencing wiin Section 70M ot Division 3 ol the Business and Prolessions Code) ot thai is ex empt tneretrom and the hasis for the alleged eiemptlon Anyviolation ol Section 7031 5 Oy an appiicanl lor a permit suO jecis the applicant to a civil penalty ol not more than live hurt died dollars (SSOO) I I I. as owner at the property, or my employees with wages as their sole compensation, will do the work, and the struc ture IS not intended or offered tor sale (Sec 7344. Business and Prolessions Code Ttw Contractor's Ltcense Law does not apply to an owner ol property who huilds or improves thereon and who does such work himsell or through his own employees, provided thai such improvements are not intend ed or altered toi sale it. however, the ouilding or improve- menr is sold within one year ol completion, the owner-buiiderwill have the burden or proving that he did not build or im prove tor the purpose ot sale) (i I, as owner ol the property, am exciustvely contracting with licensed contractors to construct the protect {Sec 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who builds or im proves thereon, and who contracts lor each protects with a contraciorfs) license pursuant to the Contractor's License Uw) U As a horr^owner t am improving my home, and the toilow ing conditions exist 1. The work is being penormed prior to sale. 2 I have lived in my home tor tw^ months prior to completiofl a this work 3 I have not claimed this exemption during the last three years □ I am exempt under Sac.lor this reason ..B4P.C Q I tier^ry alfirm ihsl I have a cerllticsle of consent toMtl-lnsure. or a cerlillcale of WoiKers' Compensation insurance. oracerlitled copy IhereollSec. 3800. Labor Coda) POLICY NO. COMPANY O Copy Is filed with the city O Certilied copy is hereby furnished CERTtRCATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE(This section need not be completed it the permit Is lor one hundred dollars (StOO) Ot less) D I certily that in the performance ol the work for whichthis permit is issued. I Shall not employ any person In anymanner so as to become subteci to the Workers' Compen sation Laws ol Caiilomia NOTICE TO APPLICANT: If. after making this Certificate ol Exemption, you strould become subjecl to the Worliers'Compensation provisions ol tt«e Labor Code, you must lorthwlin comply with such provisions or mis permit sball be deemed revoked. n I hereby affirm that mere is a construction lending agency lor the petlormaneaof the work tor which this per mit Is Issued (Sec. 3097. Civil Coda) Lander's Nama lender's Address. USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. JOB AOORESS BLOCK CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carlsbad. OA 92009-4859 (619) 438-1161 APPLICATION & PERMIT [AV ST.RO. NEAREBt (AOSS ST. s. SUHDlViSiQN OWNE H'S NAME ASSESSOR FfcfiCEC NO oiwne r's Phone OWNE B'S MAIL iNO ADDRESS / 19je, ^ / / DESIGNER'S ADDRESS PARKING SPACE RES UNITS GRADING PERMIT ISSUEDGRADING PERMIT ISSUED QTY.PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACHBUIIUINGSEWER EACH WATER HEATER AND/OR VENT EACH CAS SYSTEM ] TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAl.. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATERSOFTNER EACH ROOF DRAIN (iNSlDtl TOTAL PLUMBING QTY. CONTRACTOR OATEVOF APPl/lCATION BUSINESS LICENSE « CONTRACTOR'S ADDRESS A/A i f f L-fl ELEW. yQ nQ Y □ N □ ■<b gsCL QTY. REOEVE LOPMENTAREA '□ N5L MECHANICAL PERMIT - ISSUE T^TNSTALI FURN DUCTS UP TO 100.000 BTU ^'T.'SOILER/COMPRESSQR up to 3 HP 3 ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP'SWT BK t PH EXIST BLOG EA AMP/SWT BKR /-yog 1 PH 3 PH REMODEL ALTER PER CIRCUIT TEMP POLE ?OOAMPS OVER ?00 AMPS TEMPOCCUPANCY (30 DAYS) OVER tOO.OOO BTU BOILER/COMPRESSOR 3 15 HP lulETAL FIREPLACE VENl FAN SINGLE DUCT MECH EXHAUST - HOGO'DUCTS RELOCATION OF EA FURNACE/HEATER DRYER VENT TOTAL MECHANICAL NO STORIES TYPE INST j "yN oo QTY. TOTAL ELECTRICAL MOBILE HOME SETUP CAR PORT AWNING GARAGE TOTAL I HAVE CAREFULLY EXAMINED THE COMPLETED "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 COIVPLY WITH ALL ClTY COUNTY AND STATE LAWS GOVERNING BUILDING COf STRUCTION, WHETHER SPECIFIED HEREIN OR NOT 1 ALSO AGREE TO SAVE iNDEtvlNiFY 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 THl GRANTING OF THIS PERMIT /TrO - CONTRACTORS PHONE • STATE LICENSE NO.. S67803 DESIGNER'S PMQNE state'ugense no. QCC GP EDU OCC LOAD Sli VALUATION^Iq"^! ZONE PERMIT NUMBER Q-'LyQC:> T.ZJZ 0003 02/26 0101 O^ldPut 37961.0(1 Not Vohd UnNss Machine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 001-810-00-00-8220 SIGN PERMIT 001-810-0a-00-8221 PLAN CHECK 001-810-00-00-8821 TOTAL PLUMBING 001-810-00-00-8222 ELECTRICAL 001-810-00-00-8223 MECHANICAL 001-810-00-00-8224 MOBILEHOME 001-810-00-00-8225 SOLAR 001-810-00-00-8226 STRONG MOTION FIRE SPRINKLERS 880-519-92-33 001-810-00-00-8227 PUBLIC FACILITIES FEE 320-810-00-00-8740 PARK-IN-LIEU (AREA riF//,fferK'iox./o34-810-00-00-8835 LA COSTA TIF 133-810-00-00-8835 FMF LICENSE TAX MFF 001-810-00-00-8162 880-519-92-57 CREDIT DEPOSIT TOTAL FEES PAYABLE i^of- {r,OS'- - •JoS 77 -~7m^ Expiration Evetv permit issued by the Building Official under Ihe provisions of thisCode snail expire by limitalion and become noil and void if the buridmg or workauthorized by such permit is not commenced wilhm tSOdaystrom the date of suchpermit, or if the buildmg or work authorized by sucn permit is suspartded orabandoned at any time after the work is commenced tor a period ot 180 davs APfJtlCANT'S SIGNATURE OWNER □CONTRACTOn^f' BY PHONE (1 * AN (»HA P6RMJT IS REQUIREO FOR EXCAVATIONS OVER 5 0" DEEP ANO OEfcKXFTION OR CONSTRUCTION OF STFtUCTURES OVER 3 STORIES IN HEIGKT TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROROUT SUB FRAME g3^L0pR □ CEjLjAJGSHEATHING -S^OOF D-giiEAl^^ FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING ^^EWER AND BUCO □fj'UCO UNDERGROUND gCWASTE ^WATERTOP OUT S WASTE ^WATER TUB AND SHOWER PAN GAS,,TEST IP^WaTER HEATER □ SOLAR WATE^ ELECTRICAL J3(:ELECTRIC UNDERGROUND [□ UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMFIoRARY □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING ^ HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS DATE CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE INSPECTOR FINAL ' PLUMBING fyj/^ ELECTRICAL 1 MECHANICAL [ gas I Of //u - ^ ' BUILDING 1 > j L SPECIAL CONDITIONS ! 1 FIELD INSPECTION RECORD .RE.OUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE ' FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASO'NRY PILES CAISSONS ' V • y ^ REG IF CHECKED INSPECTOR S APPROVAL DATE INSPECTOR'S NOTES 30y)-' ^i Ojy-fLicu/ ZfTT T7PT~X~/ FTZ~y/ ' / oooa 05\S? OTOT 056iqb»'f 3I6PT-Q0 ^TV ' I /ru&^Lar/^\