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2140 JANIS WAY; ; CB890479; Permit
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"' 0 CJ ,,, ir '" " a: 0 ~ O I hefeby affirm 1hat I am licensed under provl1iona ol Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Proleaalona Code. and my license is m full force and effect I hereby alf1rm That I am exempt from the Con•-ac tor's License law tor the lollow,ng •eason (Sec 7031 5 Business and Proless,ons Code Any city or county wn,t~ re qu,res a perm,t to consiruct a11er ,mprove. demolish or repa,r any structure prior lo 11s issuance also requires !heap pl1cant for such oerm,t to 111e a s,qned sTatement that he ,s 1 censM pLrsuanl to the prov,s1ons of 'he Con1rac10r s ucense Law ,:Chapter 9 commenc,ng w,tn Sect,on 7000 of Dw,s,on 3 01 the Bus,ness and Proless1ons Code; or that I~ e, empt lherelrom and the basis lor the alleged exemption Any ,iolat1on ot Section 7031 5 by an applIc,ml for a perm,I sub Iec!s the appl1canT to a cIvII penalty ol no! mo•e lhae, •1·1e run dred dollars ,:ssoo1 I as owner of lhe property or my employees wI1h wages as lheIr sole compensation, w>II do the work and the Slruc rure ,snot intended or oflered lor sale !Sec 7044 Business a~d Proless1ons Code The Contrac1or's uce~se Law does nol apply 10 an owner ol property who bu11ds or Imoroves thereon and who does such work himself or through his owr. employees provided thal such Imorovemenls are not 1ntena ed or orie,ed tor sale It however the building or improve menl Is sold wrth1r one year ol completIon. the owner-builder w1I' have The burden ol provmg lhal he did not build or Im ~rove for lhe pu·pose ol sateI I as owner of the propeny am exclusively i;ontracting with licensed contractors ro construe! lhe proIecl ISec 7044 Business and Professions Code The ConTractor s License law does not apply to an owner of properly wM bu,lds 0' Ir,, proves thereon and who contracts for each proIects w1!h a conrractor/sl ·Icense pursuanl to lhe Coniracrnrs L1ceose law) As a homeowner I am ImprovIng my Mme and The tol ow Ing condIT,ons ex,sl 1 The work I~ hemg pP.rformP.d prin, !n sale 2 I have lived In my home fDr lwelve morths prior lo comolet1on o1 th1s worK I have noI claimed This exemplIon during the iast lhree years 'a<n exempt u~der Sec lor this reason B & PC ------------ I nereby affirm thal I ~aye a certd1cate of conse~! to splf ,osJre or a cert,!,cate 01 Wor~ers Compensation In surance or a ce,til,ed copy thereat ,Sec :IBOO Labor Code! POuCY r-.o COr..<PANY Cacy ,shied w1lh the c,ty CerI,hed copy ,s hereby furnished CERTIFICATE OF EXEr,,,PTION FROM WORKERS COMPENSATION INSURANCE 1Th,s sect,on need ~ot be completed ii the perrr,t ,s for one hundred dollars ;$1001 or less! -I cen1fy lhat ,n the performance of tne work for which :his perm,t ,s ,ssued. I shall not employ any person ,r any manner so as to become subIect to the Workers Com pen sa1Ion Laws of Cal,forn,a NOTICE TO APPLICANT 11 af1er making this Cert,ticate of Exemption. you should become subJect to the Workers Compensat,on p,o,,s,ons of me Labor Code you f'1ust lorth"' Ilh comply with such prov,sIons or th,s perm,t sh al L be Cleemed revo~ed ![ I hereby aff>rm that them Is a construct,on lending agency tor the performance or the wor~ lor which this per rm\ Is issued iSec 3097 c,v,I Code) Lender's Name Lender s Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT c//../7 r;,qAPPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 00?0 \~f) · :f AII\LS AV. ST.RO. THOMAS BROS NO. DATE: OF .(PP~N -tf/7~s~c~J• rt;:5-~~ PERMIT NUMBER .. ,,A-J -"'V"! . , -, i4~t..{?q ,o, BLOCK ] sueo1v1s10N I ASSl:!SSOR PARCEL NO. ci,;~:~w1: (1.4 r:"11/l(.+ CONTRACTORS PHONE # ZONE I Qi, ~i-ll-.5''1~ I ft\';: ;r,\c J14~fA,. r -J -, ~~E;; ~~Q <;,. CONTRACTOR'S A~S L iJ i.Si I STATE LICENSE NO. BUil~ 4WAGE OW~,·s\folNG ~¥\:~ 12.n E ,'-r ~ \A.}4-i.1_ DESIGNER • DESIGNER'S PHONE . 0EscR1PT10N oF woRKPn . ,,. __ . • _j l,i!f,o V1 . 24Sc ~ f"'I. DESIGNER'S ADDRESS STATE LICENSE NO. 5876 04/04/B9 0001 01 02 BldPmt 313~00 " FLA ELEV NO OCC GP EDU STORIES YD ""□ 1 CENSUS TRACT l PAFIIUNG SPACE-AES UNITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE ace LOAD Fl RE SPP AREA CONST ,□ N □ ,□ ,□ Y □ ""o Not V;i/Jd Unless M;ichine Cerrdied QTY PLUMBING PERMIT -ISSUE 1.50 QTY MECHANICAL PERMIT -ISSUE IS 00 SUMMARY/ACCOUNT NUMBER . --- EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU □ulLul1~:., r·tRMII uu1 ·D 1 I r,1./ - EACH BUILlJING SEWER OVER lOOOOOBTU SIGN PERMIT 00 ~ -810-00-00-82?1 EACH WATER HEATER ANO OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0·00·00·8891 I I • / - E.ACH GAS SYSTEM I l U -1 OUT LETS HUILER..-COMPRESSOR 3 15 HP TOTAL PLUMBl'IIG oo;-s 1 :J-oo-oo-s222 .. ' . E.ACH GAS SYSTEM 5 OR MORE ~ETAL FIREPI AC~ ELECTRICAL 001-81 D-00-00-8223 I<" • EACH INSTAL ALI f:R. RE.PA IR ,\'A TE.R PIPE . VENT FAN SINGLE DUCT MECHANICAL ODl -810-00-00-8224 EACH VACUUM BREAKER MECH fXHAUST HOOD DUCTS MOBILEHOME 001·810-00-,J0-8225 WATE:R sorTNER RELOCATION OF EA FURNACE HEATER SOLAR :JO 1-810-00· 00-8226 FACH R:Jm ;'Ri,·'• , •1:,1m 1 DRYER VENT SiRONG MOTION 88D-5"9-92-33 I TOTkl MECHANICAL FIRE SPRl'P<LERS ,]01-810-00-00-8227 ' TOI Al PlUMRINC I PUBLIC FACILITIES FEE 320-8 1 0-00-00-8 7--lO BRIDGE FEE 360-810-00-00-87 40 QTY. ELECTRICAL PERMIT· ISSUE ,5~() QTY. MOBILE HOME SETUP PARK-IN-LIEU iAREA I NEW CONST lA AMP SW! rlKR CAR PORT [If 312-81 0-00-00-8835 I PH J PH AWNING LA COSTA TIF 311-810-00-00-8835 EXISI BLOG EA AMP SW! BKR GARAGE FMF I PH 3 PH LICENSE TAX 001-810-C0-00-8162 ( RU,1Q[)Et ALltR PER Cl8[Ull //) Mff 880-519-92-57 TfMPPOlE /UU AMPS . OVE:R 2UU AMPS TU.-IP ()[[UPANCY '30 DAYSI -CREDIT DEPOSIT - l(l[AL HU.IRlt:Al ~ 'OT Al TOTAL FEES PAYABLE I ,-{/:lg:;- l HAVE CAAEFULL Y EXAMINED THE COMPLETED "APPLICATION AND PERMIT AND DO HEREBY Exp1rat,on Every permit issued by the Bu1ldm9 Ott1c1al under the provisions ol this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmrtal1on and become null and void tt the bu1!d1ng or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT!~ aulhonzed by such permit ts not commenced withm 180days from the date of such STRLK;l\JRtS OVER 3 STORIES IN HEKiHT permit. or 1f the buildi:ff or work authorized by such permil 1s suspended or ISSUED· TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON-abandoned at an" time a ter the work ,s commenced tor a ...,nod ot 180 da• s STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ·~:'":Ju~. D'"□ CONTRACTOR 0 APPROVED BY 1°';)/4/N KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND P.i EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ..-.n ... ,.,.,.,,... r,c ..-u,.,, OCOUIT ...-tt.aJI~ ~.611 ......... ~ u.. >-~ 0 0. E © >-- D 0 CJ C m u 0. 0. .,: ~ C a: 0 m m • m m .,: ~ 2 m >- m u C m C u.. "' C m © (5 0 u • 0. m C • ,= ;: TYPE DATE INSPECTOR BUILDING FOUNDATION ,( ' _, h() II_/ REINFORCED STEEL / · I O ' • I r 'L' - MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR . , r.l'l I\. I FRAME t-i•~ V. t '' EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING □ SEWER AND BL/CO D PL/CO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □ UFFER /l ROUGH ELECTRIC t; . " · 1"1 r "-'l "' □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING ., HEAT -AIR COND. SYSTEMS rf -~-, . 41. VENTILATING SYSTEMS I. ,. "9 \.' ' VJ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL I PLUMBING - ELECTRICAL :r\ MECHANICAL 'l' GAS ! (\. \ .. BUILDING \~ \\ .. , \ SPECIAL CONDITIONS \ . '\.""" "' ' c.B~oL1-19 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REO IF INSPECTORS . INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING f-ill]H STRENGTH BOL Ts SPECIAL MASONRY Pl'._ES CAISSON~: --~ . . .. '. . ' ·, .:,_·_ ...