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Home My WebLink About206 Hosp Way; ; 83-285; Permit., z 0 ~ a: ::l u .. 0 .. i[ 8 a: .. 0 ., 3 I .. z ~ z 0 s z .. .. ,. 0 u ., "' .. " a: 0 3 ![ D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lie No ____ _ Class ___ _ I hereby affirm that I am exempt from the Contrac- tor's License Law for the 1ollowmg reason (Sec. 7031.5 Business and Proless,ons Code. Any c,ty or county which re-quires a permit to construct, alter. improve. Oemol1sh, or repair any structure, pnor to its issuance also requires the aw plicant for such permit to llle a signed statement that he 1s licensed pursuant to the provisions ol !he Contrar;tor's License Law (Chapter 9 commencing with Sechon 7000 of D1vis1on 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis !or the alleged exemption Any violation o1 Section 7031.5 by an applicant for a permit sub- Jects the applicant to a civil penalty Ill not more than five hun- dred dollars ($500) _ I, as owner of the property, or my employees with wages as their sole compensation, will do the work. and the struc-ture is not intended or ottered 1or sale (Sec 7044, Business and Protessions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through hrs own emplo . ovided that such improvements are not intend-ed or o ed r _sale. II, however, the building or 1mpr(llle· me J one year of completion, the owner-builder will ve t u e ~1ng that he did not build or im-pr or~ p Cl{_ ). C I, as oM'ier o~perty. am exclusively contracting with licensed contr2ctors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects wrth a conlractor(s) license pursuant to the Contractor's License Law) D As a homeowner I am improving my home. and \he tollow-Ing cond1t1ons exist: 1: rh~a~;r~i~:r:~g ~~rt~~~ed ~cil0\.!i0e1~~\110nths prior to completion Ill !hrs work. I have not claimed this exemption during the last three years n lamexemptunderSec _______ ,B&PC !or this reason D I hereby affirm !hat I ha•e acert1f1cate of consent to sell-insure. or a cemf1cate of Wor11ers Compensa11on Insurance, or a certified copy thereot (Sec 3800. LabOf Code) POLICY NO COMPANY Q Copy 1$ Tiled w1lh !he city □ Cert1f1ed copy 1s hereby furnished CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec11on need not be completed 1! the perm,t ,s tor one hundred OOllars (SHXll or less) D I cert1ty 1hat in the pertormance of troe wort< tor which th,s permit 1s issued. I shall not employ any person m any manner so as to become suo1ect 10 the Wor1<ers· Compensation Laws of Ca11torn,a NOTICE TO APPLICANT 11. al1er mak1n;i th,s Cert, hcale of Exemption, you should become subJect t0 the Workers· Compensation pros1s1ons of lhe Latx>r Code, you mus! forthwith comply with such provisions or 1h1s permit shall be deemed revoked D I hereby a!l,rm !hat there 15 a construct10~ 1endong agency tor the perto,mance ol trie worlo. for which this perm,I ,s ,ssued (Sec 3097 Ci,11 Code) Lenders Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOS.ltt>O'11fW":'. • ''°"\""." · • • -· • ,--,-----•• :,:/.:~·:: -,".(·"·:,1, <~v.;-sr :Pio/tE:O.--~~J(TtON-·1;· '3' ,, ... ,,•" ' i•:;., ,<•,>'.,>';,;,:• •,•.,, ·,;iif!.', ',~ •• ' . >•,:i2J '' ·8USt_N£$&l,(CEffst:# VALUATION PERMIT NUMBER : ·,., <·. ,., , , , :, ,;...''."'1 rt/' /=fC ,' ','/c<,t,';";,:, H• ',, ,,,.,,,. ·:> 'i;i:>i-.:t.;2f:E:3, _··__ . '. vUCQ "',,','," ,_',\',';' ,;, ·-. . j -~.:.:. .• _ .. ,.. • owRt,R'S·NAM.• •• , ·=·fu·' . r. ''0Wt(>!'"S!'HO!tl'' ·r· .·-,J-?>G'.Qtria,~c:Y ___ . ~ . .. . , .. , . . ... ··· •·.•·.· .,.·., , ··,n r ... L., S: · 7,;(p-~zsq · · · . . 1~ _,~:::~'( ZON~ ;_i ~ OW~fl'S Mj,:_'N.-G ADDRESS /J .. _-/ (' _ /, ~ ,,_./) ~ /tf7& /~ ~ ,e_ . CONTRACTOR'S '12&7 .I LICENSE NO. PLAN 1.0. # BLDG USE CODE LOT ~ SUBDtVISION ASSl;SSO~ PARCEL NO. · IV! .;tSV'-1-:S ~~ • ,O_ESJGNER t.1¢E'N]SE iJ STANDARD PLAN# BUILDING SQ. FOOTAGE - f---j!'7..._ ___ ".°""" ___ --;-----------:--'-----,,----:1.~GNER'S AOO-RESS OEStGJ,fER~"Pt-lQffE ¥)w£;..;.. G '....)~~~~er:-J , . . .· .. • . ·', ~-.-. ----·-· -.~. ~---, ----,----,---,:::~ I F/P FLA ELEV. I I Nb fi<-io~1 £..J . .(?{ \\ [ fyj'~ .. L.;,.v ·:::SI v□ ,□ STORIES CENSUS TRACT GP ~AND use· PARKING SPACE I RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT . AREA v □ ),.JJ vO NO TYPE CONST ace GP EDU OCC LOAD I FIRE SPA vO NO i/0'1IS:!4a;t0 uoo~: i/G3/ ;'.? Not Valid Unless M8chine Certified QTY. PLUMBING PERMIT· ISSUE 7 -~ II QTY.[ ME~NICAL PERMIT. ISSUE 3-SUMMARY/ACCOUNT NUMBER -EACH FIXTURE ~AP !-,□ 1 .. ""!,1_!'_: EACH BUI LO ING S --=._--t=_ I / . b=~~TA.LL!URN.}',u_ns·u·PTO 100.oooBTU BUILD1NGPE~M_1T _____ OHO·OO•B220 I .__.......\,__=:_ _ _ ~ _□_VER 100 000 BTU SIGN PERMIT 01-00-00-8221 ---+-BOILER/COMPRESSORtw.T03HP. ---PLANCHEC_K___ 01-00-00-8806 -------- ·JI-- ==~=~=~-~~~~L~E~TS ---~--SOIL-ER/COMPRESSOR 3.15·~ TOTAL PLUMBING 01-00-00-8222 --+----------, ELECTRICAL EACH GAS SYSTEM 5 0 R MORE t---t------------- EACH INSTA~ .. ALTER. REPAIR WATER PE VENT FAN SINGLE DUCT MECHANICAL 01 00-00-8224 ---------~~~~+---------i ------it------METAL FIREPLACE c,. 01-00-00-8~ - EACH VACUUM BREAKER ---->----+-M_E_CH EXHAUST -HOOD/DUCTS MOBILEHOME ____ 01-00-00~-8~2~25'--t---------i WATER SOFTNER >--~-RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ----·-'<-+------+---+-----------------j------n-----------------l EACH ROOF DRAIN IINSIDE) SOLAR 01-00-00-8226 -----~--.T~OT',~l~M=Ec~H7A~N~l"C"A'L----~--'~-----lf-~S~T~RO~N~G-M_O_T_ION ___ . ___ 80-9-2~g---------, t--TOTAL PLUMBING -·--·--·--· ' -1 --- --,----.~~91<~~~~-FIRE SPRINKLERS ---_01_·0_0_·0_0·8~ -----f QTY. ELECTRICAL PERMIT· ISSUE .5-:-PUBLIC FAC\LITlES FEE ~3,-2~-o~o~-0~0·~8~92~3--+----------l II QTY. I SOLAR. ISSUE ·----i-------t-. BRIDGE FEE ---~-----+---_ __, NEW CONST EA AMP:'SWT'BKR 3 PH II I COLLECTORS l I ~CHOOL FEE_ -DISTRICT STORAGE TANKS ___ ,, -- I PH EXIST~LDG EA AMP/SWT/BKR t--+----------------+----'--ll---'Carlsbad I PH 3 PH 80-92-21-0519 ROCK STORAGE I l -Encinitas.·.--~20519 1 ·. . ---+--_ PUMP ------t------__ San Oieguito _______ ____!Q_-~2-2J·0519 _ _ ____ -j REMOOEL-'ALT TEMP POLE 200 AM PER CIRCUIT -----+-+~-AN CHECK ~EE -------+-------Jlf __ San Marcos 80-92-24-0519 -+-----·-- t---t-------- r--OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI --+- -------+---- ----1t-----t-- ----+---------r--1 --Zf-<E_~ ----+--·----ir---------t-----. -----------1--·------- __ _J_ ---_ _____,.. __ _ --------------TOTAL ELECTRICAL I "---. 1 HAV.e ·_cAReFutLv :EXAMINED THt:: COMPLETED ··APPUCATION Am>. PEIBMtT" ANo oo HEREa-Y CERTIFY U)IOER PENALTY QF PERJUA'f THAT All INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TflUE AND CORRECT AND I FU.RTHER'CEFITIFY ANO AGREE-IF A PERMIT JS t$SUE0: TO COMPLY WITH ALL CITY, COONTY AND STATE'LAWS GOVERNING 6UILOIN(3 CON- STRUCTJQN. WHETHEA~PECtf'tEO HEREIN OR NOT. I ALSO A.GREE TO SAVE tNDEMNIFY AND KEEP HA'AMt,.ESS THE'CiTY·.of CA~LSBAD AGAINST ALL UABlltTIES, JUDGMENTS, COSTS ANO ' EXPENSES WHtCH °MAY lN),N'f WAY'"ACCRUE AGAINST SAID CITY, IN CONSEQUENCE OF THE r.ctAtJTll.lf.1 ht: THr.;: PE'AMIT.' · TOTAL SOLAR TOTAL FEES PAYABLE l ... ,- , "~ra~:every permit ~bytt1e8tJKdl~~-Undertt1e~i-ai~~~~ Code thalt -expire by l!mitatt(Jn. an(J become null and 1/Qid. If the building or~ ~;i:ed by such permit is not c within 18() -day• ffotn the date of sue~ P,rmn, -or it the buildi M rk autho,tzed by 'auth permit i$ suspended or.' ~aterf wort<iS " ra· ri" of '· · ·f· ;, * ANO$tfA ......... ISIIIEQUIAfQFOAUC"VAllONSOVfR • ·S,' <V' OEEP ~ OblC>uTioN OR CONSTRUCflON OF '~OVa\)STOftfES IN HEIGHT -f AO CONTAACT!l~ 0 -·' '', ',) ,/~ ,_ APP· vrn'sv Df;5/!l___t~ !>VPi<~,□· . ',s, ·, $ u: >-;;; 0 0. E "' f- l "O 0 (!) c "' ~ !, 1 ilrt.!· 0 00 00 ~ 00 <( I " 2 ,; >- ,; 00 " u 0 a: "' :;; D ~ "' " C "' C u: C "' "' i'i 0 u "' 0. 00 C $ E 3: INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND $HOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN All APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL Al GAS . ~lv'· BUILDING \'\."'' 11 •l'l •S'f~ (.U .,..,. SPECIAL CONDITIONS . CERT OF OCCUPANCY ISSUED .-,g 3 .. a-8 ,.;- ~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' 1.NSPECTION REQ IF INSPECTORS DATE '1 CHECKED APPROVAL ~·----------·--.. -~ ! SO1LS cm ... 1PL,ANCE I -PRIOR TO I >QUNOATION ;~SP I 1 srnucTuRAL C:oNcRE:E ---- ! OVER 2000 PSI PRESTRESSED CONCRETE ---POST TENSIONED CONCRETE FIELD WELDING ' -HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS --- . "~-~~ .. . :: ', . ., . "•' -. :: ~ I ----- . --~---------,--- I £;/7 t./-. u i\.--L--- l.]~ l V lr1 t--, I ' • ,...__, LL41-i..t1.o I {i,,,'D -----·--.. i C>,rz_ !)0 ~r.2 ~E 7,,1/o-~7,010, iJ4o - -z-1/o 1 '='1 -,,1,.,,,,, .Jll--j ;e-. loJ, &,,fl (11'1- f M2-'1!--1 'i-)G ~Ttl 12£.. t--}£ o F #~ ,,-z,,,fl _J\ = f IC/ /tfi . 0---- t1 w(:__11-:; /SO, 1,.r,._ A