HomeMy WebLinkAbout2061 Lee Ct; ; 87-708; Permit"' z 0 .: C 0: ~ 0 ..
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0 I hereby atllrm that I am licensed under
provttlons ol Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
lull force and ellect.
1 hereby afhrm that I am exempl from Ille Comrac !or's L,cense Law lor the follow,ng reason !Sec 7031 ~
Business and Profess,ons Code Any c,ty or county wh,U, re
auores a permit lo construct alter. ,mpro~e. demolish or
!epa,r any struclure prrnr to ,ts issuance a1so reoui!es !heap
pl1cant for sucn perm,1 10 hie a s1qned slatemen\ that he ,s
11censed pursuant lo lhe prov,s1ons of the Lonrractor s L,canse Law (Chap1er ':I commenc,ng w,th Section 7()00 ot
D1v1s,on 3 of IM Business aM Protess1ons Code1 or tha! ,sex empt the•efrom and the bosIs tor the allegea exempl,on Any
,I01atIon of Sect,on 7031 5 by an applicant tor a permI1 sub
1ects the applicant 10 a c1v1I penalty ol not more than f1oe hun
dred dollars ($~001
1 as owner 01 the prooeriy. or my employees with wages
as the,r sole compensation. will do the wor~ and the struc
lure ,s no1 m1ended or olfered for sale (Sec /044 Business
and Profess,ons Code The Contractor's License Law does
not apply to an owner ot property who builds or ,mproves
l~ereon and who does such wori h•mselt or through ~Is own
employees. provided that such Improaements are nol ,nlend-
ed or offered lor sale If, however. the buI1d,ng or ,mprova
menl Is sold w<lhIn one year ot completion. the owner builder
will have the burden of proving 1hal he dH:I not bwld or Im
prove for the purpose of saleJ
I, as owner of the property am exclusively con1,actmg
with licensed contractors to cons1rucl me pro1ect /Sec 7044
Business and Professions CIX!e The Conlroclor s License Law does not apply to an owner of property who builds or Im
proves thereon. and who contrac1s 1or each proiecls wIlh a
contractor(sl I,cense pursuant to lhe Con1rac1or s License Law)
As a homeowner I am ,mproving my home and the lollow
mg cond1t1ons exIsl
1 The work ,s being performed prior 10 sale
2 I have lived In my home for twelve months
prior to complehon ol th,s work
1 have not cla,med this e•empTton during the lasl three years
lamexemplunderSec _____ _ BI'. PC for lh1s reason ____________ _
I neretly affirm that I nave a cer11ficate of consent to
sel' insure or a cert,hcate ol Workers Compensatoon In
su,ance or a cer1,f1ed copy tnereot 1Sec 3800. Labor Godel
POLICY NO
COMPANY
Copy ,s •11ed w1!h the city
Cert1f1ed copy Is nereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section need not be comple1ed 1f tne permit
Is for one nundred do•lars ($1001 or te>ss1
_ I cert<fy tnat ,n the performance of tne work lor wn1cn
1nIs permI11s issued I snail not employ any person In any
manner so as to become sub1ect 10 the Workers· Campen
sa1Ion Laws ol California
NOTICE TO APPLICANT 11. after making tnIs Cert1f1cate
of Exemption you should become sub1ect lo the Workers
Compensation prO,<Scons of the Labor Code. you must
tortnw,tn comply w1Th sucn prov,srons or this perm It shall
be deemed revoked
::_: I hereby atftrm that there Is a construct,on lending
agenq for the performance of the work for wnIch this per
mIt 1s Issueel 1sec 3097 Ctv.l Code!
Lenders Name
Lender s Adme~s
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADOftESS
~Oki£ Lee-t,,:
?l
AV. ST,.AO.
s'LOCK I sVeontt?10N ,,,CONTRACTOR 1 •~s~.P,\, ,
THOMAS BROS NO.
f..::{__·l!J ;,
..,~ Sb
?£';,n•~•/f/J§(Yl~'SS~A/ QW'1\f£ R_'~ PHONE
'-f ?:lf-J-llf 7 t)
t%MzAI
CONTRACTOR'S ADDRESS
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
DATE OF APPt..!CA TION
At.II;. l'LJ9f1
V I
evs97gSE•
C()NTR"A!:}')RS PHONE. 1'
PERMIT NUMBER
i~ J'1-or 7n1,u:: '~\<:::::!;:2=--=--7 1
STATE LICENSE No: BUILDING SO. FOOT AGE
w
LL 0 .. VVNE R'!( MAl,U.NG A.O. DRESS ef. r•l' ,,, -,,, · ... ;~2,~Fiu,'IJ;t-()cd,~. ,(1~ aoD
DESIGNER OEStGN~A'S PHONE •,vvL vol 14 0101 ()2£:ldPmt 46-:1(.i >-
~,
'. t· :, l CENSUS TRACT l CAS"NG 5eAU
QTY I PLUMBING PERMIT· ISSUE
EACH FIXTURE TRAP
EACH BUlllJING SEWER
EACHWATFR HEATER AND OR VE:NT
EACH GAS SYSTEM l T040UILETS
EACH GAS SYSTEM '.I OR MO Rf
EACHINSTAL ALTER.REPAIRWATEHPIPE
EACH VACUUM BREAKER
WATER SOFTNE.R
[A(H R()()f (JRl4I'J ,:,JC,,rlf
IIJ!Al PllJMHINL l
QTY ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP SWl tlKR
I PH \ PH
EXIST bLlJG EA AMP SWT 8KR
1 PH 1 PH
REMOnEt Al ltR PFR CIRCUIT
TE\riP POLE )U[) AMPS
OVER 20U AMPS
TEMP OCCUPANCY :30 DAYSI
l()IAL Eli:l.lfl1I.Al 1
"'
RES UNIT$
7~
-.J2£.. J·,
OESfGfloEA'S-A06RESS -
e e FLR ELEV
<::! "'□
GRADING PERMIT ISSUEO lREDEVELOPMENT
AREA
r □ N 0 ·C -,□
QTY. MECHANICAL PERMIT· ISSUE
INSTALL FURN DUCTS UP TO 100 000 BTU
OVER lOOOOOBTU
BO!LER,-COMPRESSOR UP TO 3 HP
BOILER,-COMPRESSOR 3 1~ HP
Ml:\ 4L ~I REPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST HODO DUCTS
RELOCATION OF EA FURNACE-HEATER
DRYER VENT
TOT.C.L MECH-ANTLAL
OTY. I MOBILE HOME SETUP
CAR PORT
AWNING
GARAGE
TOTAi
NO
STORIES
TYPE
CONST
is~
'STATE t..lCENSE'NO.
OCC GP EDU
OCC LOAD FIRE SPF'
vO NO Not Valid Un/en thchme Certdied
SUMMARY/ACCOUNT NUMBER
BUILDING PERMI! 001-81iJ-OO-OO-s220 bl If
SIGN PERM•T 001-810-D0-00-8:?2,
PLAN CHECK 001·810-00-00-8891 L%
TOTAL PLUMBING 00; -810-00-00-8222
ELECTRICAL 001-810-00-00-82 23
MECHANICAL 001-810-00·00-8224
MOBILEHOME 001-810-00-00·82 25
SOLAR 001·810·00·00-8226
STRONG MOTION 880-519-92-33 5.,
FIRE SPRl~Jr\LERS 00 • -81 0-00·00· 82 27
PUBLIC FACILITIES FEE 320· S 10-00-00-8740
BRIDGE FEE 360-810-00-00-87 40
PARK-IN-LIEU 1AREA
TIF 312-810-00-00-8835
LA COfA}II , ~~ A ~1,tigl:,Ji3335
FMF
LICENSE Th)i.....,. n "~~-00-0C-8162
MFF J [_ r u '..., '-'ltso-519-92-57 ............. -..., .. ,. -·
. . . [ I[ J~n.-. ol
CREDIT DEPOSIT
TOT AL FEES PAYABLE l ..141~,50
* AN-OSHAPERMITISFIEQUIAED~EXCAVATtoNSOYEA
5· O" DEEP ANO OEMOUTION OR CONSTRUCTION OF
STRUCTUFIES OVER 3 STORtES IN HElGHT
I HAVE CAflEFULLY EXAMJNEO THE COMPLETED ··APPLICATION AND PERMlT" AND 00,HEREBY
CERTJFY -_l£NQffl PENALTY .,OF_ PERJURY THAT ALL !NfORt,.,tATtON HEREON INCLUDING THE
DECLAR,b.fONSARE TRUE AN,b~ORAECT AND I FURTHER CERTIFY ANO AGREE'IF A PERMIT l~
ISSUED· ·,TO COMPLY w1Ttt ALL_drv. COVNlY ANO STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT ! ALSO AGREE TO SAVE INDEMNIFY AND '::~~;:::';':-"~ee,,_,::1'"-1=!..!!:!!!!c!!.~!!!!!~£!,!..!e!_!.~il!"l.2!:Jl!L!li!:<L_-,i-,.. ... -,----------------,----,l
KHP HARMLESS THE CtTY Of CA-RLS6AO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND DA TE ~
EXPENS6S WHICH MAY !l}i AN'!' WAY ACCFiUE AGAINST SAID CITY lN CONSEQUENCE OF TH <Ti> ,VI (l . 0 7
GRANTING 0Fit11S PERMIT BY PHONE [J '-JC-f')--<'---\.0 ~ 1 0 __ 1-1!_ r
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TYPE I
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEll!.ING
SHEATHING □ ROOF □ SHEAR
FRAME l
EXTERIOR LATH I
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BL/CO CJ ':J:ICO
UNDERGROUND D WASTE
TOP OUT D WASTE
TUB AND SHOWER PAN
GAS TEST
□'WATER
□ WATER
' I
□ WATER HEATER □ SOLAR WATER
T
...L
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □; UFFER
ROUGH ELECTRIC .~
D ELECTRIC SERVICE D TEMPC'lRARY
□ BONDING □ POOL 1
_i
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS _;_
VENTILATING SYSTEMS 1
I
DATE INSPECTOR
I
~~r'l'f? fl'
CALL FOR FINAL INSPECirON WHEN ALL APPROPRIATE
ITEMS ABOVE HA V,E BEEN APPROVED '
FINAL I
PLUMBING ' l -ELECTRICAL l tJ... ' ' //l
MECHANICAL I "" GAS v ' ' ~ .
BUILDING l
' \J'-, \
SPECIAL CONDITIONS l
' l
3!]__-10&-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPI_JANCE '·, .. ' -. ,· -. . .
PRIOR TO
,L,;.:: -(> .;' FOUNDATION INSP •,• ;.-:~ .:·.i-:;_,,.,
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE . -·-.-~ """I •. POST TENSIONED ; # ' .) L.; . CONCRETE l .. '
FIELD WELDING
--~------i-------HIGH STRENGTH
BOL Ts
'::,PECIAL MASONRY
----
PILES CAISSON~
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--
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------
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