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Home My WebLink About2283 Hosp Way; ; 84-185-L4; Permit.. i[ 8 .. .. C ~ 5 I .. z ~ ... .. ., z 0 ~ .. .. ~ :.l C z 0 ;:: ~ z .. .. "' 0 u ., .. .. "' .. 0 3 ' ![ O I hereby atttrm that I am licensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Professions Code, and my license is 1r1 lull force and affect. l1( No Cla,1 I hereby a!f1rm that I am exempt Jrorn the Contrac tor's License law tor the lollowmg reason (Sec 7031 5 Business and Proless,ons CMe Any city or county wh,,;~ re-quores a permit to cons1ruct. alter. rrnprove, demolish, or repa,r any structure. prior to its ,ssua~ce a•so requires !heap-plicant for such permit to hie a s,9ned slatement that he ,s 1,censed pursuant to the prov1s!ons o! the Connactor s License Law IGha~Ter g commencing with Section 7000 ot o,v,s,on 3 of the Business and Professions Codej or that 1s e,- ernpl therefrom and the basis for the alleged e~emptIon Any v,olat,on ol Section 7031.J by an applicant for a permit sub- 1ec1s the applicant to a civ,I penalty of not more than five hun-dred dollars ($500) ;--I, as owner of the property. or my employees w1!h wages as the,r sole compen5atmn. will do the work, and the struc· ture 1s 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 !hereon and who does such work himself or through his own employees. provided that such ,mprovements are not intend ed or o11ered for sale. If. however, the building or Improve- men11s sold wIthm one year of complehon. the owner-builder w,il have the burden of proving that he did not build or im- prove !or the purpose of s;ile) :.J I, as owner of the property, am e~clusively contracting with licensed contractors to construe! !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_, a~ who contracts 1or each pro1ec!s w1!h a contractor(s) license pursuant to the Contractor·s License law) [l As a homeowner I am 1mprovIng my home. and ?he follow mg conditions exist 1 The work 1s being performed prwr to sale 2 I _have lived in my home for twelve months prior to completion of th,s work I have no! cia,med 1h1s exemption during the last three years O I am exempt under Sec ______ , B & P C for this reason, ____________ _ □ I hereby alf,rm that I ha,ea cert,hcale of consent 10 sel! ,nsu,e, or a cer1,1,cate of Workers Compensa!oon Insurance. or a cer1,l1ed copy thereof (Sec 3800. Labor Code) POLICY NO COMPANY D Copy ,s 1,1ed w11h !he c,!y 0 Ce.i1l1ed copy ,s hereby turn.shed CERTIFICATE. OF EXE:MPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sechon need not be complete<l ,t the perm,1 ,s !or one hund,eCl dollars {$1001 or less) 0 I cer1ofy tha! ,n the performance of the worl< for wh,ch 1h,s perm,! ,s issued. I shall nol employ any person ,n any manner so as lo become Sub1ect to lhe Wonte,s· Compensation Laws ot Ca1,torn,a NOTICE TO APPLICANT If al!er mak,nJ Jh,s Cet1, 11cate of E•emption_ you should become sub1ec1 v, the Wonters· Compensat,on prov,s,ons of !he Labor Code you mus! !ot1h,.,1h comply w,111 such prov,s,ons or this pe,m,t shall be deemed ,e,oked 0 I hereby aH1rm lh<1I ltiere ,s a corio1ructIon •endmg agency for the performancp o' the wot'!< 'o, wn,ch this perm,t 15 ,ssued 1Sec )097 '~"'I Code, Lenders Na.me ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT ;~o Elm, Carlsbad, California 92008-1989 i619) 438-5525 APPLICATION & PERMIT , COT •./J-::---. CONTRACTORS PHONE# • • CONTRACTOR'S :~i1.F~1tl BUSINESS LICENSE # 53ZJ/ VALUATION "2-7 ~/') ZONE PERMIT NUMB rJ.~~~ t PLAN 1.0. # TLDG LEE CODE ' 0 DESIGNER LJCENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE -~v 1----'---~-~4 .::._ _____ ..c.i.,."2C:...::...-"'c;;....C.."-'"'--'=--"-'=::;_.;...::.;c,.:;:..=.;c;fi~E_§l;ANEB'.§ 15,_Q..Qf!,f~~ _,,7 + ,,_ OESlGtll-ER'.S .. PJ:-IONI: + ..• L'Al-.. •· z:"' .,-fi·:;., f~, F/P FLA E.LEV. NO DCC GP EDU 1 I, ,,,<'f.}" '" STORIES ·.7•¼ ,-·::14f; YO NO CENSUS TRACT GP LANO USE PARKING SPACE: RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT AREA TYPE CONST DCC LOAD FIRE SPA YO N O v □ "-0 vO NO Nor Valid Unless Michine Certified Q}Y·I PLUMBING PERMIT· ISSUE '"J<::r QTY.I MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER -701 EACH FIXTURE TRAP / I EACH BUILDING SEWER VI EACH WATER HEATER AN0.-0R VENT /] EACH GAS SYSTEM 1 TO 4 0UTLET_S EACH GAS SYSTEM 5 OR MORE 1--+-E~~~ INST~~. ALTER. REPAIR WATER!~~ EACH VACUUM BREAKER WATER S0FTNER 7r-INSTALL FURN. DUCTS iJP TO 100,000 B.lff' BUILDING PERMIT 01-00-00-8220 Z.._r. OVER 1ooj;l8(J'BTU SIGN PERMIT 01-00-00-8221 -,.._II I BOILER/COMPRESSOR UPTO,)'l\'P PLAN CHECK 01-00-00-8806 ~ ______ _u-4---_c:_c.:.:.::.;_::.:c_::c::c._ HP 1u1MLrLu,v,□1 Tr.TAI .,, ,, .. .,,NG 01-00·00-8222 ELECTRICAL 01-00-00·8223 I I IVILWIIM,.IVl"\L •AcruAWf'AI 01-00-00-8224 ------. R~TION OF EA FURNACE/HEATER M0BILEH0ME 01-00-00-8225 M0BILEH0ME PARK INSP I I E.ACH ROOF DRAIN IINSIOl:'1 I II I I I SOLAR 01-Q_Q_-Q_Q-:822.6_ TOT t. L ME CHAN 1cAL I sTR0NG MQ_TION ___ _l_Q-92-33-0519 TOTAL PLUMBING T ~~;J-; FIRE SPRINi<LERS 01-00·00·8227 QTY. ELECTRICAL PERMIT -ISSUE ,s-=-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 BRIDGE FEE NEW CONST EA AMP'SWT BKR Jc:nA.-7-r-COLLECTORS I II SCHOOL FEE -DISTRICT I PH :l PH 1 STORAGE TANKS I II Carlsbad 80-92·21-0519 f------, ,r'f-- EX 1ST BLOG EA AMP1SWT 'BK R ROCK STORAGE I Encimtas 80-92-22-0519 I -- 1 PH 3 PH ii PUMP San D1e_g_u1to 80-92-23-0519 REMODEL·ALHR PER CIRCUIT Ii I PLAN CHECK FrE j San Marcos 80-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DA YSJ lOTAL ELl:CTRICAL T 3o-TOTAi SOLAR LICENSE TAX ~-00-00-8162 rnc::c:. ' ---, CREDIT DEPOSI' TOTAL FEES PAYABLE d'J I' 7 1 -- /$t/-,~ I HAVE CAREFULL y EX~INED THE COMPt,ETEO,:·aPf3Lt~A~O;~Ao PE~rt·;-kt-lQ bo HEAtSY' ' r-S'aPi~itiott. Every permil~~swldiWg1Nf,';... under the p~Si~s-ofU,~s· I -GERT!FY UNDEB f'ENALT,Y OF PERJURY TttAT:'ALL INFO'FlMATION HeREON lN:CLUD:INQ'-t+tE" Cpde •h•ltl!hlpif&'by ~iO,n11!,llbftcome-~01t,Joi4.111~ bOiR1UtgorwotJt DECLAAAT!ON,S ARFmJ,fE AND CORRECT AND l FIJRTt-fER OEATIJt!r7AND AGREE W-A'f>ERMtT 1$ a~zed ~ •ucb ~mit IS noteornmencedwJµtin 180 dfYS from the date of such tSSUEP: TO COMpt:_Y 0tR°H ALL CITY. -GOONTY AfID-STA TE LAW5-00VE9NtNS·BUltDING CON-:;:"1· or if ~lldm or-'WJ)rk 81!1honad.J>V IUCh. S-~it 1s Su or * ~~~IT IS~ FOR qcAV,UtpNS OVEA 5· <F DEEP ANO OEllitOUTION OR CONSTRUCTION OF STRI.JCTUAn OVEfl Jc STolves IN HEIGHT STAUCTION, WtiQ~~C!FIEQ HERE1N",ORfif9T. ,i"ALSO AGREE TO SA\IE l~DEMNIFY,AND the work 15 ~ far 11!lJl.of2!.J!!!!!..!l!l~-c- KEEP HAR~ D+E'W!" ()f; C,Am.S~~ A.GA{NST All tf~eiLFrlE$,JU~M£NT$, 00$,TS ANQ ~TLIAE !f. . ,, . , QWNE EXPENSES 'litti,GH ~~~'.«vA't %CGAU~.4G"/'~"f;.$AID CIT'C!N CONSEQ.IJ'ENCf;: OF'lliE ~-+ ·: · .. ·: . GAANllNGOFTHlS-. T,,,,,,M,,_1 :.,· .. ~·, · ⇒ ,,." , ~ , /·. . S".PHONEO a' .... &~:.. '• -~' -···· ...... t.-1. L, ' ,• APPJDBY ~----J. _ 1 "9J/N w lL t'.' rn 0 0. E w f-- D 0 (.'.) C rn ~ 0. 0. "' I ~ C ii 0 00 00 w 00 00 "' ~ .2 '" >- <n 00 w u 0 a: rn <ii 0 ~ w u C rn C u:: c:. C w ~ (.'.) 0 u w 0. 00 C 2 .c ,: TYPE ' DATE INSPECTOR BUILDING ' "8f • I ~5 -.L.. ;_/ FOUNDATION ' FIELD INSPECTION RECORD REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I GUNITE OR GROUT ' ' INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME ' . SOILS COMPLIANCE '• .. . -~ -- SHEATHING □ ROOF □ SHEAR FRAME I PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI INSULATION I INTERIOR LATH & DRYWALL I PRESTRESSED CONCRETE POST TENSIONED I CONCRETE PLUMBING ' 'FtELP WELDING .• SEWER AND BUCO □IPUCO I UNDERGROUND □ WASTE □ WATER TOf.>OUT □ WASTE □ WATER HIGH STRENGTH / BOLTS . SPECIAL MAS.0N°RY TUB AND SHOWER PAN I GAS TEST I PILES CAISSON::": □ WATER HEATER □ SOLAR WA1ER I ELECTRICAL ' --' ' Q ELECTRIC UNDERGROUND □ VFFER , --,· ROUGH ELECTRIC ' □ ELECTRIC SERVICE □ TEMPOlilARY ... . "· . " ,0 BONDING □ POOL ' ' ., . I ' MECHANICAL I □ DUCT & PLEM., □ REF. PIPI~ HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ' • I ' CALL FOR FINAL INSPECTION W/-[EN ALL APPROPRIATE ITEMS Al3_QVE HA VE! BEEN APPROVED:' ' . · .. FINAL ' . ' •, . . .. PLUMBING ' j . . . . . ELECTRICAL I ~ I I / -' •.• ·' ts. '· . MECHANICAL ' \Y. ;/ ' GAS I 1, , /,/V,K.-. i . . . . ·•· .. . BUILDING I \.._./ . I ~-·~·. . -.. SPECIAL CONDITIONS ' XI.I' I -' L "' .. • • .. -.. .. ... .. ... ... --... .. ... ' -----... -... -.. ---.. .. ... ... -.. -.. Ill - LOT # ----c!"in o'I CARLSBAD INSPECTION.RECORD 7f"' FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME ( FLOOR ( ) CEILING SHEATHING () ROOF () SHEAR FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL FINAL ____________ _ PLUMBING ( ) SEWER & BL/CO ( ) PL/CO UNDERGROUND ( ) WASTE ( ) WATER TUB & SHOWER PAN GAS TEST ( ) WATER HEATER ( ) SOLAR WATER FINAL ------------ ELECTRIC AL ELECTRIC UNDERGROUND () UFFER BONDING ( ) POOL FINAL ___________ _ MECHANICAL ( ) DUCT & PLEM., ( )REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS FINAL ------------ COMPLETE BUI~~~:~-2'~ CLEARED WITH GAS AND ELECTRIC DATE: _______ _ NOTES ON REVERSE SIDE •••..•