HomeMy WebLinkAbout2291 MORGAN RD; ; 87-79; Permit2r" 0 I hereby affirm that I am licensed under
U. 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.
I hereby affirm that I am exempt from the Contrac-tor's License Law for the following reason (Sec. 7031.5
Business and Professions Cede: Any city or county which re-quires a permit to construct.' alter, improve, demolish, or
repair any strecture, prier to its issuancealso requires the op,plicant for such permit to file a signed statement that he is
licensed pursuant to the provisions at the Contractor's License Law (Chapter 9 commencing with Section 7000 of
Division 301 the Business and Professions Code) or that is es-empl therefrom and the basis for the alleged exemption. Any
violation et Section 7031.5 by an applicant for a permit sub-jects the applicant to a civil penally 01001 more than tine hun-
dred dollars ($500).
I I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-ture is not intended or offered for sale (Sec. 1044. Business
and Professions Cede: The Contractor's License Law does not apply to an owner 01 property who builds or improves
thereon and who does such work himsell or through his own ciiuplhyiui. trs-eidud that such improvements aro not intvnd-
ed or offered for sale. If, however, the building or improve-ment is sold within one your of compinlion, the owner-builder
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 Cede: The Contractor's License Law does not apply loan owner 01 property who builds or im-proves thereon, and who contracts br each projects with a
contractor(s) license pursuant to the Contractor's License Law). -
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 01 this work.
I have not claimed this exemption daring the last three years.
0 lam exempt under Sec.
for this reason
UI 0 -a
m
UI Z
0
BA P.C.
C1 thereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation In-
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO.
COMPANY - -
0 Copy is filed with the city -
Certified copy is hereby furnished
- CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
' IT Is section need not be completed if the permit
is for one hundred dollars ($100) or less)
certify that in the performance of the work for which
is mill is issued. I shalt not employ any person in any
manne so as to become subject to the Workers' Compen-
oaf ion Laws of California.
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should become subject 10 the Workers'
Compensation provisions of the Labor Code, you must
forthwith comply with such provisions or this permit shall
be deemed revoked. -
to ic
0
0
C') Go CL Cl' C
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
- 0 I hereby affirm that there Is a construction lending
ac
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agency for ttieperf0mmathe mwhichtfiisper.
CARLSBAD BUILDING DEPARTMENT -
' APPLICATION & PERMIT / 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 - - - -
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. DAT OF AP LICATION BUSINESS LICENSE e VALUATION PERMIT NUMBER cç' 00,
PARCEL NO. CONTRACTOR LOT BLOCK SUBDIVISION ASSESOR
I01,Is 00 CONTRACTORS PHONE ZONE
'qFTAGE
crpti3n. OWNER'S NAME OWNER'S PHONE _____
BUILDING G SO CONTRACTOR'S ADDRESS STATE LICENSE NO.
Pikes rA vv:, X9 74t3 L C1 tt.ç OWNER'S MAILING ADDRESS -
- 4jç DESIGNER DESIGNER'S PHONE
oESCRIPapN OF WORK OX'O PiX)5iJt ' DESIGNER'S ADDRESS STATE LICENSE NO.
0010 02/04 0101 02B1dPmt - 84.0 - - -"-- -- -- — F/P FLR ELEV. I NO OCCGP I EDU I STORIES I
YO NO —I I
- PARKING SPA RES UNITS GRADING PERMIT ISSUED I RDEVhLUPMENT I I "'rc 0CC LOAD I r•tn "n
I f
I AREA I I CONST I
0 N 0 I YO NO J I YO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT. ISSUE 7 $ o'rv. MECHANICAL PERMIT - ISSUE 3 40 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 - 001-810'00'00'8221
EACH WATER HEATER AND/OR VENT
.
- BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
— EACH GAS SYSTEM (104 OUTLETS - BOILER/COMPRESSOR 3-15 HP . TOTAL PLUMBING 001'810-00-00-8222
EACH GAS SYSTEMS OR MORE - - METAL FIREPLACE . . ELECTRICAL 001-810-00-00-8223
EACH INSTAL.. ALTER, REPAIR WATER PIPE1 ,_)4f370 .
VENT FAN SINGLE DUCT . MECHANICAL 001-810-00-00'8224
EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
001-810-00'00-8225 - SOLAR - 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT - -STRONG MOTION 880'519'92-33 - - - TOTAL MECHANICAL
-
FIRE SPRINKLERS 001'810'00-00'8227'
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320-810-00'00-8740
4 - BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT- ISSUE MOBILE HOME SETUP - PARK-IN-LIEU (AREA ) - - - _
''
-
- NEW CONST EA AMPJSWT'BKR, - CAR PORT 1 - TIF - 134-810-00-00-8835 -
1 PH 3 PH - , AWNING - LA COSTA hF 133-810'00-00-8835
EXIST BLDG EA AMP/SWT/BKR - - GARAGE - - . FMF -
1 PH 3 PH - , . LICENSE TAX 001-810-00'00-8162
REMODEL:ALTER PER CIRCUIT . - - * - MFF 880-519'92-57
TEMP POLE 200 AMPS - - - - - - - -
— OVER200AMPS- -
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT -
TOTAL ELECTRICAL TOTAL TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HERESY Expiration. Every permit issued bytheBuilding Official underthe provisions otthis * AN 0511* PE:T IS REQUIRED FOR EXCAVATIONS OVER I Code shall expire by bimilafion and become null and void If the building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 50" I authorized by Such permit is not commenced within 180 days from the date of OUCh DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS per(...,git the jjgg work authorized by Such permit STRUCTURES OVER 3 STORIES IN HEIGHT is suspended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- I asndonejst srw'T,me te the work is commenced for a period of 180 dana STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
lkAPS OWNER 0 ______ CONTRACTO APPROVED B DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
tE\ o f7 GRANTING OF THIS PERMIT, BY PHONE
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION PECTIO REQ. IF INSPECTORS
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
INSPECTORS NOTES *
- . --
-*...'
: F
--
r.
TYPE DATE INSPECTOR
BUILDING I
FOUNDATION
REINFORCED STEEL
MASONRY
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 PL/CO
UNDERGROUND 0 WASTE J WATER
TOP OUT 0 WASTE 0 IVATER
TUB AND SHOWER PAN
GAS TEST
WATER HEATER 0 SOLAR WATER
ELECTRICAL
ELECTRIC UNDERGROUND E1 UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE 0 TEMPbRARY
O BONDING 0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT — AIR COND. SYSTEMS I I
VENTILATING SYSTEMS
CALL FOR FINA
ITEMS)
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
L07 9c
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