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Home My WebLink About2216 Janis Way; ; CB890290; Permit.. z 0 .: .. .. .. ~ u .. " 0: il 0 u .. .. " ~ 5 ~ .. z ll 0 z 0 .: l z .. .. ,. 0 u .. « .. "' .. 0 ll ![ O I hereby affirm that I am licensed under provisions ol Chapter 9 1commenc1ng with Section 7000) of Division 3 of the Business and Profusions Code, and my license is in full force and ellect. I nereoy aHorm lhat I am exempt irom lhe Co~t"ac tors L,cense Law lor the lollow,ng reason (Sec 7031 S Business ano Proless,ons Code Any c,ly or county wn,u, re Quires a permll to construct. aIIe, improve demo-,s~. or repair any S!fucture prior lo its issuance also reau,res ine ap pl1canr lor such perrn,1 to Me a s,Qneo sta1emen1 That he ,s I,censeo pursuant 10 the provosIons o1 the Lantractm ; License Law !Chao1e, 9 commenc,ng w,1n Section 7000 of D•v1s1on 3 ol the Business and Profess,ons Code, o, t~ar ,sex empt therelrom and the bas,s !or the allegec e,emp11on Any v101at10~ ot Section 7031 5 by an applicant lor a perm,i sub 1ecls the appl1can1 to a c,v,I penally ol no1 more Than five run dred dollars i$:>oo, I. as owner 01 the property or my employees w,lh wages as 1neir sole compensation will do the work and 1he srruc lcJre ,snot intended or olfered lor sale !Sec 7044 Business and Protess1ons Gode The Connactor·s License Law does ~ot apply 10 an owner of properly who bu1·ds or -mproves thereon and "'ho dDeS such work himself or through h,s own emoloyees prov,dM That such ,mprovemenls are nol ,nlend ed or ottered for sale 11. however. the ou,ld,ng or ,mprove mest ,s sold w,tn,n one year 01 completion the owner-builder will have the burden of orov,ng thal he did not nu,ld m ,m orove lor lhe purpose of sale1 I. as owner ol the properly am exclusively conlract,ng w,th licensed contractors 10 construe! lhe pro1ect !Sec 7044 Bus,ness and Professions Code The Contrac1or s Lrcense La"' does not apply to an owner o! property who Du,lds or ,m proves !hereon and who con1racts for each pro1ects w11h a contractor{s) license pursua~t to lhe Contractor's License Law) As a homeowner I am ,mprov,ng my home and the to'low ,ng cond1t1ons exist I The work ,s being pertormed pr,o, lo sa1e 2 I have loved ,n my Mme for twelve months pe,or to complehon of lh,s work I have not claimed This exempt,on during the last three years 1 am exempt under Sec B&PC lor this reason ____________ _ I neretly a•t·rm tnat, have a certrl,cate o• ~onsent 10 3e1f ,osure or a cen,f,cate of Workers Compensation 1n scrance or a cert f,ed copy thereof 1sec 3800 Labor Code! POLICY ~0 C0"'1PANY Copy ·s Ired w·th the city Cert,!,ed COO)' ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1Tn,s sect,on need ~ol be completed ,f tne pe,,,,,1 ,s tor one hundred C:olla•s 1$100) or less) __ I cer11ty I hat ,n the performance ot lhe work fm which •his perm 1 ,s ,ssued I shall not employ any person ,nan; manne• so as to become sub1ect to the Workers Compen sa1,on Laws ol California NOTICE TO APPLICANT If after mak,ng this Certrl,cale of Exempt,on you should become subJeCt to the Workers Compensation prov,s,ons of the Labor Code you mus1 fo<thwrlh comply with such prov,s,ons or th,s perm ,t shall be deemed resoked I hereby affirm that 1here 1s a construct,on lending agency for lhe performance of the work lor wh,ch th,s pe, m,t ,s LSSUed (Sec 3097 Ci.,I Code) Lender's Name Lenders Address USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS AV. ST.RO. THOMA~A~IJ,.iJ,.,,. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT r-.UM8ER ".)~\lo >.-....n,\ Wc..u :> \g\ ltQ .So~j ~~o--V~o COT BLOCK I SUBOI VISION I Al>SESSOR PARCEL NO. D nwCT.:;£12_ CONTRACTORS PHONE# ZONE ct I ~"7 S'-'0 4 1 0 OWNER'S NAME l11 ~~t/5G\ ,_ ~ 'C\.c,,. -"- CONTRACTOR'S ADDRESS STATE LICENSE NO, BUILDING SQ. FOOTAGE - OWNER'S MAILING ADDRESS r ~· ~ -__ .1-w»• ~ . ~~\b -\0..,..·•\ w~1.,. Of.SIGNER OESIGNE R'S PHONE OESl'\:tON C;F WORK \,,_ii -I ,_, .Le:.. 5236 03/08/89 0001 01 }2 . .. .. .. DESIGNER'S ADDRESS STATE LICENSE NO. • ~<6 dz -BldPw,t :.25-0(' /"'I ' ' FLA ELEV NO OCC GP EDU l .. .,, L:> _,, c:::::........ -~ I STORIES ... " --□ ,o I CENSUS TRACT >'tK•NG SPACE: RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TY:~~ _yco•o FIRE SPR AREA CON T ,C r,.,,O .. Nor Valid Unless Machine Certd1ed ,□ ' □ --vO r,.,,[_J ,..~r~a. ,..._. ..... 1.-' QTY PLUMBING PERMIT· ISSUE --, .":V QTY MECHANICAL PERMIT· ISSUE '. '~fj/:~ARYIACCOUNT NUMBER A. EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU t:,.V., uu 1·81v·OO·OO·u~~v n , EACH BUILDING SEWER OVER 100.000 BTU \::,'. _., 001-8"0-00·0'.J.13??1 EACH WATER HEATER Ar"IIU OR VENT BOILER.:LUMPRESSOR UP TO 3 HP 0 .. ~ GHECK 001-810-00·00·8891 .... "'"I EACH GAS SYSTEM I 1U40UTLtTS BOILER.COMPRESSOR 3 15 HP -"'-::> .• ~, TOTAL PLUMBING oo;-brn oo oo-s222 EACH GAS SYSTEM J OR MORE METAL FIREP·, ACE ... \.Qt· ELECTRICAL 001 01'.HO·DD·8223 EACH INST AL ALTER. REPAIR ,\'ATER PIPE VENT FAN SINGLE DUCT ~"I,' MECHANICAL OG l ·810·00·00·8224 EACH VACUUM BREAKER MECH FXHAUSl HOOll DUCTS MOBILEHOME :JO 1·81 0·00·00·8225 WATER SOF TNER RELOCATION OF E:A FURNACE HEATER SOLAR 001·810·00·00·8226 [_i\,(H Q(;()F [,R,'.\I~, , :•r-,1r:• : DRYER VENT STRONG MOTION 880·:19-92·33 I TOH.L MECHANICAL FIRE SPRl~Jf<LERS 001 •S •c.o::J.Oc,.s22? TOlAi Pl IJMfllNC I PUBLIC FACILITIES FEE 32D·S • ,J-00·00·5 7--l0 BRIDGE FEE 360·810·00·00·8740 QTY ELECTRICAL PERMIT -ISSUE ~d) QTY MOBILE HOME SETUP PARK·IN·LIEI_; 1AREA r-jfW CONST [A AMP SW1 KKR CAR PORT TiF 312·81 0·00·00·8835 I PH i PH AWNING LA COSTA TIF 311 ·810·00·00-8835 EXISTHLUG[AAMPSWT RKR GARAGE FMF I PH HH LICENSE TAX 00 · ·S · :,-C1'1·CD·B 1 62 RU,100fl Al TtR PE fl [IR[Ull M FF 880·519·92·57 TEMPPOIE )IJO AMPS 0\/E R 200 AMPS 1 EMP ()[[UPAN[Y 1JO DAYSI --CREDIT DEPOSIT V \ "\ I - f(lfAL HlUflll,Al I 'OT Al -I ,~.~ TOTAL FEES PAYABLE I HAVE CAREFULLY EXAM1NEO THE COMPLETED ··APPUCAT!ON ANO PERMIT. AND DO HEREBY Expiration Every permit issued by the Bu,ldmg Oll,c1a1 unde, the prov1s,ons of this * ~{"" IS REOUIREO FOIi EXCAVATIONS ov•• CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and 1101d !I the building or work ~· O" D AND DEMOUTION OR CONSTRUCTION Of DEClARAT!ONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 16 authorized by such permit 1s not commenced w,th1n 160 days from !he date of such ST 11.JR£S OYER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· :~~~n~ 1 ~, 1 :~v ~!!iJ.~n:~~f:~tc 0i~:'e~Ze!~~~ r~r;:~·~t~~:~~ or STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AN~LICANT'S SIGNATURE If- ·-~' NER[) CONTRACTOR 0 APP{vEO B\-.l.' ,7;ojit_ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~ve:,d\..J. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH 1 BY PHONE fJ GRANTING OF THIS PERMIT. Qt1,,..,, . ~c7 .'!! "- ~ ~ 0 0. E w f- l "O 0 ('.) c ro 0 0. 0. "' 1 C a: 0 ~ ~ w ~ ~ "' ~ .2 w >- w 0 C ro C "- ::, C w 1' CJ 0 ;:; w 0. ~ C ~ .c s: TYPE DATE INSPECTOR BUILDING FOUNDATION " • .A • I\ {\ j, REINFORCED STEEL '?"~I ·'b· \1 '1..1 , MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING □ SEWER AND BUCO □ PL/CO UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER D SOLAR WATER ELECTRICAL □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL MECHANICAL □ DUCT & PLEM., □ REF. PIPING - HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL : . , -' PLUMBING ELECTRICAL • C1 MECHANICAL • < I I.-~ r. -"~ GAS ..,, i, ~ \1 BUILDING i;· SPECIAL CONDITIONS ()p..,~OiO ~V FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTLJRAL CONCRETE OVER 2000 PSI P8ESTRESSED CONCRETE POST TEN510NEC CONCRETE ·- FIELD WELDING HIGH S~RENGTH BOl Ts SPECIAL MAsor-..;r:.iv Pie.ES CAISSOf\i'.:" ~ --~ ------------ -- r------------ --- -- ' . - 0 1 1 ~ 7 , ., ' ,, I -0 ... "' f-__,) ...:I ~ ~ J,. -- ,I u, -0 -t> f. r s . :l r.l" d t ~ ~ & Address Contractor -Phone# Job Location -Prone # I - o..mer Prone # Lender Poon~ # Material Quantity Price Ea. TOTAL DESCRIPTION OF JOB Block Cap / / 12x8xl6 Semi ANY HALVES 8816 .. 6x8xl6 .. 8x6xl 6 SlUTO 6x6xl6 GRCXJT l"'li ·Vr'!c:: CON'.:RETE II BRICKS MISC. # Of Bond Beam l BRICKS COLONIAL ' ElRICK.5 C(MvOII #3 lXWELS P.=-=: I #3 HORIZ ~ I #4 IXlvELS J:l;:,r,::: I #4 HORIZ p.,.,...., I #S STEEL I cot.CRETE SPCR;p I I TIE WIRE lh11.< BRIC".i< TIES ' JUMBO TEX R::>1 ,, FOUNDATION BOLTS ' HOLD IXWNS ANGLE IRONS - WAIT!NS TIME I PUMP NluLS u, - SAND l"'I, Vrl<:: CEME."ll' ~ LIME " r CY -COLOR FORMS 2x4 -7 L WCOD STAKES MISC. MATE..~IALS I MARK UP 5% EQUIPMENT RENTAL SCAFFOLD RENTAL . DELIVERIES .SL\2,~ l QT✓-\~._. TAY--.?i~0/n ~To T4. t.::::!'"'\ ' LABOOR PER f"' I f_r ' r: IA , n~:ai.~4 L ~ d l ~