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