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Home My WebLink About2279 LISA ST; ; 83-M282; Permit.. z 0 ~ ::l lil 0 " i[ 8 a: .. 0 ~ :, I .. ~ z 0 ~ z "' .. :,; 0 " ,. "' .. " "' ~ ![ D I hereby affirm that I am llcensed 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 atfirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031 5 Business and Professions Code: Any c,ty or county which re-quires a perm,t to construct. alter. improve, demolish. or repair any structure, prior to its 1ss_uance also requ1res the ap-plicant !or such permit to file a signed statement that tie 1s licensed pursuant to the provisions of the Contractor"s License Law (Chapter 9 commencing with Section 7000 of D1v1s1on 3 ol the Business and Professions Code) or that 1s ex-empt therefrom and the basis lor the alleged exemption. Any violation of SectlOn 7031.5 by an appliC;Jnt for a permit sub-iects the appl1C;Jnt to a CIVIi penalty of not more than five hun· dred dollars ($500) n I. as owner of the property, or my employees with wages as their sole compensation, will do the work. and the struc· lure is not intended or offered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work h1msel1 or through his own employees, pr0'11ded that such improvements are not intend· Mor offere!;I !or sale. If, however, the building or improve- ment is sold within one year ot completion, !he owner·bu1lder will have the burden of proving that he did not build or 1m· prove for the purpose of sale) 0 1,_as owner of the property, am exclusively contracting with licensed contr2ctors to construct !he project (Sec. 7044. Business and Professions Code· The Contractor's License Law does not apply to an owner of property who builds or 1m· proves thereon_, and who contracts for !laCh proiects with a contractor(s) license pursuant to the Contractor's License Law) D As a homeowner I am improving my home, and the !ollow-1ng conditions exist: 1 The work is being performed prior 10 sale 2. I have lived In my home tor twelve months prior to completion of this work. I have not claimed this exemption during the last three years D lamexemptunderSec ______ ,B&P.C 1or this reason 0 I hereby affirm that I tia·~e a cert1l1cate of consen1 to sell-insure, or a certit1ca1e ot Wor1<e1s· Compensation Insurance, or a cert1l1ed copy trie,eot (Sec 3800. Labor Coctel POLICY NO COMPANY □ Copy IS !<led with the c,ty D Cert1f1ed copy 1s hereby !um,s' CERTIFICATE:. OF EXEMPTlf:N FROM WORKERS' COMPENSATION NSURANCE (This sect,on need not be comple ed ,1 the perm,t 1s !or one hund1ed dollars {SlCOi or less! D I certify tha! in the performance of the woO< !or which 1h1s permit 1s issued. I shall no1 employ any person m any manne, so as to become sub1ect 10 the WoO<ers· Compensation Laws of Ca1,torn1a NOTICE TO APPLICANT It. alter makin~ this Cert, locate of Exemption, you should become sub1ect t0 the WoO<e,s· Compensation provisions o! the Labor Code. you must forthwith comply w,th such prov1s,ons or this perm11 shall be deemed re•o~e<:l D I hereby a!t,rm 1hal there ,s a construction 1endmg 3Qency for the per1orm<lnce ol lhe work •or wh,ch th,s perm,t ,s ,ssued 1Sec 3097 C,v,1 Code) Lender's Name, ___________ _ Lender's Add,ess __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 . -o-~ • ••· ',. ZONE ", , ...... ~, .. ~ ~:~◄-', •;· .... VALUATION ,:l~!~ NUMBEA /JJ -;µf )-- o:;;.~:/c/AOLtS/4 ~i---1~!''7t}';NA~ 5~,.1 ~~~} I 'LANLD # ~ BLDG USE CODE L,QT I ~OCK, ~USDlVJSJQN l ASSESSOR PARCEL No. . . . · · 1' .20 1 ~7~__g~ 0 . .., :.~t0Nf~ '-~~·#,> STANDARD PLAN# BUILDING SO. FOOTAGE OESCRlfTIONOFWqiR~" ---, ----···-·· ... ;J.iG.NE~'."li,.Af)OftESS r > /. '·' ,OU-tG ' ~ F/P FLA ELEV. NO STORIES SID ll S33B'6 000 IBS76 6/0 I I SJ 120,,0,1 2~0 1,0' YO NO -- CENSUS , MAL 1 GP LAND USE l PARKING SPA-CE RES UNITS GRADING f:'.ERMIT ISSUED REDEVELOPMENT -··--AREA -----------TYPE CONST OCC LOAD FIRE SPA ¥0 ND YONO YO NO Not Valid Unkn M.chine Certified QTY. PLUMBING PERMIT -ISSUE 7-[l;. QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING SEWER +---· EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAI,.., ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER INSTALL FURN. DUCTS i.JP TD 100,000 BTU -iru I LDrNG PERM IT 01-00-00-8220 Slr.N PJ:RMIT OVER 100,000 BTU _,_ ... -...... 01-00-00-8221 --1---+---------· ---------·· BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00-00-8222 -~-- METAL FIREPLACE ELECTRICAL 01-00-00-8223 VENT FAN SINGLE DUCT MECH EXHAUST · HOOD/DUCTS MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 "JO 'J--------+--WATER SOFTNER REL O CAT t ON OF EA FURNACE/HEATER MOB!LEHOME PARK INSP EACH ROOF DRAIN (INSIDE) I STRONG MOTION -"-80"-·,.92c.'·3,.,3-"-0"-51"'9-+-------___j I- TOT..C..L MECHANICAL SOLAR 01·00_-00-8226 FIRE SPRINKLERS 01-00-00-8227 IQTY I ELECTRICAL PERMIT-ISSUE I _;;--II QTY I ~ issn,1~ l ~ :~~~~~::~1ur1:E _3J:0oooa,,--'-+--~-~~~--I TOTAL PLUMBING NEW CONST EA AMP/SWT·BKR COLLECTORS lPH 3 PH ---·~--------·-- EXIST BLDG EA AMPiSWT:BKR 1 PH 3 PH --------------- REMOOEL.'AL HR PER CIRCUIT TEMP POLE 200 AMPS f--+-- 0 VER 200 AMPS ---- TEMP OCCUPANCY 130 DAYS) f--~- TOTAL ELECTRICAL ----+- -1 i ,-. STORAGE TANKS c__,-_ ___jC--- SCHOOL FEE -DISTRICT Carlsbad ROCK STORAGE O Encinitas 80-92-21-0519 80-92-22-0519 ~PUtM~P~~;;~~~~~-=--=--=----=--=--=--===:--:.::_::_::Ji=~;;;;~~~i~~r-::--::.~Sa:n~M=a=rc=o~s----=---====~====-===-~ San Qieguito __ _ 80-92-23-0519 ~I,..... .. ···-=1 ,,-c I a,,~--=--------, J _ 1 1 ~ p 6 -~----ef) TOT AL SOLAR 80-_92-24-0519 -+----------- ----------- ---------l 1 tt.Ave PiliREFuu\1'.eXAMlNED THE'COMPLETED "APPUCAT1dN AND P.eRMlr: AND DO ME~ft< _:;_i~ration.!~~~~-by~eu_itdi~~.~-~the"p~;~~ ~ ,.. • 0$l1A:,...1&~.FOR: EX.CNMllONS OWi CERTIFY' UNDER f'ENAl TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING. THE Code &hall expire by hn'ltt~tiOn and become n~I ~nd irofd. If the bmfding dr ~ . .~Qt'~ MIOl>EMOlmON Oft C()NSTRUCntV.1 Of ...,,.,.,. ...... , ... authotillkf by such penrut not commenced wittun 16011ays h"om the date of$1Ch -.i-.__.,...,... v-·· 0ECLA!"V'lt lVl'(S ARE TRUE ANO CORAcCT ANO 1 FURTHER CERTfFY ANO AGREE tF A PERMIT IS permtt, or if the buildf work authorized by 9UCh permit i8 $U$98fl~ Of.. STRUClUFl!$vvcA 3$1tlA1ES IN navnt , fSSlJEO: TO COMR.Y WITH ALL CITY, COVNTY AND STATE LAWS GOVEANfNG BUt\..DING CON, .abandonitd at• ti work i$ commenoettfof a riod Of 1 · " · ',, 1 STR\)CTION, WHHHER-SPEC!FlED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND , 0 , 0 APPROVED BY o!'ITE ~ KEEP HARMLESS THE'cllY OF CARLSBAD AGAINST All LIABtLITIES, JUDGMENTS, CQSTS AND OWNER CONTRAqT°'! " /J4)_ t-~' EXPENSES WHICH MAY Mil ANYif"AY ACCRUE AGAfNST SAID CITY IN CONSEQUENCE OF THE 8Y PHONE' t} 't". / V2 GRANTING OF THIS PER¥1T, . I / _'cl_~-- I '7 .!!! u: i'.' "' 0 C. E ,"' I "' 0 "' c "' " ~-~l::'. I "' C ii 0 ~ ~ :ll ~ <( I 3: £ ~ .; ~ 1l 0 0:: "' .; 0 ~ 0) " C "' C u: C fil i5 0 13 :g_ ~ C ~ re ,: 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 SHOWER 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 HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS / BUILDING ' / SPECIAL CONDITIONS /U .IA· VArl_.rJ y,2h -v..c,:1fJ1u1 CERT OF OCCUPANCY 1sguED I . FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS 1 NSPECTIOr-.. ~ :'\JSPECTO_R S REO If' i . PPRCV1·L ~ CYECKE"D1 ,... Of\; f L~\C,:_:•.w, ~\_-E r:-:i·cR TC :C(_ U'\JCA •:c_•r,,, 1'.::i~ I ~~~:J;E;;~~'.c, ' ;,~,=~~=: Ct._'l\jCnETf '- t---- -r----·-- I I ' r I r ' -----------+-------POST --:"EN'.::-,:ONEC-: C'.JNCREH: -·+------------ i=1E:.._C v\'E:..OING HIGH STRENGT'-< -1----+· ··-------- BOLTS--·------r-----r--------,--- SPEC::IAL ~ASUNRV --P1LES CAISSON;' - ----- ~5 -(Y).;;l-'6'~--~--~-1 pc= INSPECTOR'S NOTES ------ -------------------------------------------- ---- ·-------·--------< • . ~ \ 2; '..~ ~ c• · :co:.ir--- f--------------------------------------1 .:.r •• eJ:itp of eJ:arlsbab , REQUEST FOR INSPECTION RECORD f'.y' ~ TIME: _,c./ ___ _ vt1 DATEl-a 2- <==i~l...J:'.'.!&a,,c::..... _______ .PHONE NO. --------±::?'«---- BUILDING □ FOUNDATION lJ REINFORCING STEEL n MASONRY □ GROUT -GUNITE □ FLOOR AND CEILING SUB FRAME 0 SHEATHING □ ROOF □ SHEAR □ FRAME 0 EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL □ FINAL PLUMBING □ UNDERGROUND PLUMBING lJ SEWER AND PL/CO □ TOP OUT PLUMBING 0 TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER □ SOLAR WATER □ FINAL PERSON TAKING REPORT ELECTRICAL □ TEMPORARY SERVICE 0 UFFER GROUND D ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING MISCELLANEOUS □ CONDITIONED AIR SYSTEMS □ SOLAR HEAT 0 PATIO □ POOL □ SPA 0 SIGN □ GRADING □ DRIVEWAY o FINAL SPECIAL INSTRUCTIONS ______ C'=---r;__-~--~--i'---------------------,-,cs-. --1!;-fl=.>·l .. -·\ \ c!i~~I) ~dy For lnspectio'f Monday cf~-□ P.M. □ Tuesday D Wednesday O Thursday ----·---•--·-- ' . -•"·•··-····•·· ·-·-····· -------- APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM ,, CITY OF CARLSBAD SE I ENGINEERING DEPARTMENT % I ' 438-5541 "\., \ " . ISSUED BY ~ -• FOR APPLICANT TO FILL IN ' {· -I DATE ISSUED .., BUILDING '2,-"2-?°( ADDRESS Lt$A Sr VALIDATION OWNER -4f I MAILING ADDRESS LATERAL CHARGE COMPUTATION • CONTRACTOR ·r -STANDARD 4" (Max. H. 30', V. 10') OVER 30' H. @ FT. CONTRACTOR'S OVER 10' V. @ FT. ADDRESS STANDARD 6" (Max. H. 30', V. 10') . r OVER 30' H. @ FT. a NEV{ BUILDING I EXISTING BUILDING l OVER 10' V. @ FT. LEGAL DESCRIPTION TOTAL CONSTRUCTION COST SERVICE CHARGE (REPAVING ETC.) • TOTAL LATERAL CHARGE REMARKS: LINE COST DATA ASSESSMENT DIST. NO. FRONTAGE COST PER FT. TOTAL OTHER LATERAL LOCATION CONNECTION FEE .,.: en I I i--: en NO. UNITS/ COST PER UNIT TOTAL ,-I'\ I' " PUMP STATION FEES \.. I.I \,.../ NO. UNITS COST PER UNIT TOTAL l ST. I TOTAL CHARGES (LATERAL ETC.I~ I; 00' D-{) LATERAL NO. INSTALLATION DATE W-HITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter tf.5J J DEPARTMENT OF BUILDING INSPECTION CITY OF CARLSBAD P,~rmit t ~-~..,,_- CITY LIC. i 1200 ELM AVE . CARLSBAD, CAL. FEE: ~ MOBILEHOME INSTALLAT I ON INFORMATION CALIFO RNIA ADMINISTRATIVE CODE , 'i'ITLE 25 , CHAPTER 5 , ARTICLE lA PARK NAME b~VA/1> &~ I.D. NO. 90-SPACE NO. LOT OCCUPANT /, ------/--------- NAME O , '£°/p<./.l ADDRESS ;J. '2. 77 ~/!° If/-TEL. I -------CONTRACTOR ,I/ c:;h.° ,,,./1 ..£JJ!ATE LIC L_ NAME IS .<;; ~ f"'Y/0 8 1L-£ ~ 30°S:r~1 CONTRACTOR ADDRESS , TEL . # 2/90 ~~s~,Sp I r:;;#p:,tA/1:9 ... WATER DRAI N INLET GAS MOBIL E t-lOM!:: LOT UTILITY SERVICES: 1. Gas: Natur al ~PG Ri ser Si ~ ~~~z~'/-r1- 2 . Drain Inlet :Size 3. El ectrical: a) Receptncl e /_-:)..) Rating/amps II b) Connection f~ i::ower Supply A~sem1;>l y ~~ c) Circuit Breaker Rating (amps) -::2. d"'C) MAN~~ MOBI EHOl DA'l'A: / Q 1. Size : Le ngth (p d~) Equipment Rating (arnps )Z<r'> ' Width ---3:3---- 12. Electrical Power Co~d _____ _ , Ampere Rating ____ _ , T !· Metal 'l'ag Rating amps '2,..-JU·-· ;. J 111 3 • .[;lectrical Power As~1yl)1~ L , Wi :r:e Size & Type -i.:::: ., 'L_ _ _ :SC I 'v _____ Fl exible Conduit s!"ze ...2. · -,-I 4. Gas Supply Inl et Size 3/'f:" J. "" C]i-------~J Gas Connecto~/;i':c~..AZ:: S'iF?EET 5 . Water Connector Si~/ij-,,--______________________ __. Water Connec ,,ri,D~scrine . I C~ ~~,,......-- .. ADDITIONAL DATA TO DE SUBMITTED WITH APP: 1. Two copies of Mobilehome support and Fdn. pl ans {if mobilehome was manufactured after 10/7/73 two copies of manufacturer's i nst ructions and plans must be provided). 2 . Show size and l ocation of a l l structu res on l ot a nd distances to l ot lines and a ny mobil chome or permanent structure located on adjacent lots and within 10 ' of the pr oposed mobil ehome. DISTRI OUTION : Original to Permittce Copy t o Customer Copy t o Finance DATE: 6 . Drain Connector Size Drain Connecto~qesnB~-::;---- 7 . ManufacturerlrbU-,fw§ Address ~ Model ~ ~--· Ser. No . .k>n.) &, St ate Insignia .,-r,' , Root Live Load c:, .s .f Wind Load / p.s .f Year of Manufacture /'<f 7 q M/D State License Nos . ____ _ l\PPROVAL: