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HomeMy WebLinkAbout2287 MORGAN RD; ; 86-1198; Permiti =affirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which re- quires a permit to construct, alter, improve, demoiish, or =repai,r any strecturc, prior to Its iscoance also requires 'he ;e- 1 for such permit to tile a signed statement that he is licensed pursuant .to .the -provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is us' ampl therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by an applicant for a permit sub' judo the applicant to a Civil penalty of not more than five hen- dred dollars ($500). I, as owner of the property, or my employees with wages as their sole compenedtioe, 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 as owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend-ed or offered for sale. If, however, the building or improve-1' ment is sold within one year of completion, the owner-huifder will have the burden of proving that he did not build or im- prove for the purpose of sale)_ CI I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044;' Business and Professions Code: The Contractor's License Law does not apply loan owner of property who builds or im- proves thereon, and who contracts for each projects with a Contractor(s) license pursuant to the Contractor's License o As a homeowner lam improving my home, and the follow-ing conditions exist: The work is being performed prior, to sale. I have lived in my home for twelve months - prior to completion of this work. I have not claimed this exemption during thefast three years. O lam exempt under Soc. - . B & P.C.. - for this reason - hereby affirm that I have a certificate of consent to ,self-insure. ore certificate of Workers' Compensation In- surance. or a certified copy thereof (Sec. 3800. Labor Code) POLICY NO. CO3,P'ANY "Copy is filed with the City - - O Certified copy is hereby furnished - CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Z(This,ection need not be completed if the permit one hundred dollars (St00) or less) certify thaI In the performance of the work for which' this permit is issued. I shall not employ any person in any manner so unto become subject lathe Workers' Compen- stion Laws of California. NOTICE TO APPUCANT: It, after making this Certificate of Exemption, you Should become subject to the Workers' Compensation provisions of the Labor Code, you must - forthwith comply with such provisions or this permit shall be deemed revoked. [" 0 I hereby affirm that there is a construction tending agency for the performanc of the work for which this per' 0 mil is issued (Sec. 3097. Civil Cede) Z U' Lender'n Name ' . . Lender's Address APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT & PERMIT .APPLICATION Carlsbad, California 92008-4859 JOB ADDRESS AV ST. RD. NEAR CROSS ST DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER B 1 (01 ZONE BLOCK SUBDIVISION t, AS SESOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE a I a'- . 0 1 1) 00 /19 Pd~~ . WNERS NAME CONTRACTOR'S ADORES \abeck I4 __________________________________________ W ciq NER'S PHONE ________________________________________ STATE LICENSE NO. BUILDING SO. FOOTAGE OWNER'S MAILING ADDRESS - DESIGNER & -. DESIGNER'S PHONE DESCRIPTION OF WORK ctt DESIGNER'S ADDRESS STATE LICENSE NO. - - ( NO 64. - F/P FLRELEV, STORIES I OCCGP EDU ' I ' ' ' ' • - YO NO ____________________ I NGE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE 0CC LOAD I FIRE SPR 3 j I AREA I CONST I 0 N 0 - I yD ND I- YO NO Not Valid Unless Machine Certified - QTY. PLUMBING PERMIT - ISSUE QTY: MECHANICAL PERMIT. ISSUE . . SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP . - INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001-810-00-00-8220 EACH BUILDING SEWER - . : OVER 100.000 BTU - , SIGN PERMIT ' 001'810'00008221 EACH WATER HEATER AND/OR VENT . . BOILER/COMPRESSOR UP TO 3 HP ' ' - PLAN CHECK 001-810'00-00-8806 - EACH.GAS SYSTEM) TO 4 OUTLETS 4 - BOILER/COMPRESSOR 3.15 HP , . , TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM:5 OR MORE - , , METAL FIREPLACE . ELECTRICAL 001-810-00-00-8223 EACH INSTAL.. ALTER, REPAIR WATER PIPE . - VENT FAN SINGLE DUCT - . MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER , MECH EXHAUST - H000IDUCTS ' . . MOBILEHOME 001-810-00-00-8225 WATER SOFTNER , RELOCATION OF EA FURNACE/HEATER . - SOLAR 001-810'00'00-8226 EACH ROOF DRAIN (INSIDE) - . DRYER VENT -- . ' STRONG MOTION . . 880-519-92-33 TOTAL MECHANICAL I I' - - - FIRE SPRINKLERS 001'810-00-00-8227 TOTAL PLUMBING - . : PUBLIC FACILITIES FEE 320-810'00-00-8740 BRIDGE FEE' OTY. ' ' ELECTRICAL PERMIT - ISSUE CITY. MOBILE HOME SETUP - , PARK-IN-LIEU (AREA NEW CONST EA AMP/SWTIBKR " . CAR PORT - TIF ' 001-810'00-00'8835 I PH - 3 PH -- . AWNING _. - , , LICENSE TAX 001-810-00'00'8162 . . EXIST BLDG EA AMPISWT/BKR ' .. GARAGE MFF 880'519-92-57 )PH -3 PH REMOOEL:ALTER PER CIRCUIT - TEMPPOLE 200AMPS - OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) CREDIT DEPOSIT - ,;'. '.TIlTAL ELECTRICAL ' L ' .. TOTAL , TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY I Expiration. Every permit issued byiheSuitding Official under the provisions olthis * AN OSHA PE:T IS REOUIREO4OR EXCAVATIONS OVER Code shalt expire by limitation and become null and void If the building or work DEEP AND DEMOLITION OR CONSTRUCTION OF CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit in not commenced within l8odsysfromfhedateof such DECLARATIONSARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON. abandoned at any time after the work is commenced for a period of 180 days. LVEO BY, DATE STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND PPLICANT'S SI NATURE OWNER CIaCTRAtT6R-d KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY INCONSEQUENCE OF THE HONE v* GRANTING OF OF THIS PERMIT. - MOM USE BALL POINT PEN ONLY & PRESS HARD g / I 2 I hereby aft Irm that I am licensed under UI provisions of Chapter 9 (commencing with I Section 7000) of Division 3 of the Business I and Professions Code, and my license is in L. full force and effect. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS REQ. IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS INSPECTOR'S NOTES I i,ia da1 iIQdLD _3'-?. 8 1v4Ce. iZe4 I TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY Al GUNITE OR GROUT SUB FRAME 0 FLOOR 0 CEILING SHEATHING 0 ROOF 0 SHEAR FRAME EXTERIOR LATH - INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO 0 PLJCO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE DVATER TUB AND SHOWER PAN GAS TEST O WATER HEATER 0 SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND DIUFFER ROUGH ELECTRIC ELECTRIC SERVICE 0 TEMPORARY 0 BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS ' - ,n1- - -- - - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VIE BEEN APPROVED - FINAL PLUMBING ELECTRICAL MECHANICAL BUILDING . SPECIAL CONDITIONS