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Home My WebLink About2354 Kimberly Ct; ; 87-810; Permit"' z 0 ~ "' :5 " "' C 0: il 0 " "' :!J .. 3 ~ "' z ~ z 0 s z "' .. "' 0 " "' ir "' "' "' ~ ![ 0 J hereby amrm that I am licensed under provisions of Chapter 9 (commencing with S.Ctlon 7000) of Olvls1on 3 of the Business and Profusions Code and my license 1s in lull force and eflecl I hereny alt,rrn lhat I am e,empl tram lhe Conrrac tors L,cense Law lor the lollow,ng reason iSec 7:131 S Business and Proless1ons COde A1y city or county wh,c re qu.res a Derm,! 10 conslruct al1e, ,mpro,e demol,sh :;, repaor any structure prior to ,Is issuance also requ,,es !heap pl,cant for such perm,t 10 •,le a s,qned s1atement that he ,s 1,censed pursuanl to lhe p,ov<s1ons of 'he Loniracror s '0Icanse Law rcnapter g commencing w,rn Sert,on 7000 ~f 01v1s1on 3 of rhe Business and Pro1ess1ons Corjej or that 15 e, emDI :~ere1rom and IM bas,s tor the ailegea exemot,or. Any vio1a11on ol Section 7031 ~ Oy an aop11cant for a perm,1 suo ects !he applicant to a c,v,I penalty of not more than five hun dred dollars (SSOOi 1 as owner of the property. or my emp•oyees with waqes as the,r sole compensatoon will do tM work and The srruc lure ,snot ,n1ended or olfered for sale 1sec 1044. Bus,ness and Protess,ons Code The Gonlraclor·s L,cense Law does not aDply 10 an owner of properly who ou,lds or improves thereon and who does such work h1msell or lhrough his own employees, provided thal such improvements are not ,ntend ed or offered for s.ale II however. the building or ,mprove ment 1s sold w1th1n one year of complellon. the owner-builder w111 have the burden ol proving that he d•d not build or ,m prove for the purpose at sale) I, as owner of the prOpllrly am exclusively conlracllng with licensed con1raclors to construcl tM pro1ect {Sec /044 Business and Protess1ons Code The Contraclor's License Law does not apply to an owner of property who builds or ,m proves thereon and who contracts 1or each pro1ecls with a contrac1or(sl license pursuanr to lhe Conlrac!or's L>cense Law) As a homeowner I am ,mprov1ng my home and the follow 1ng cond,t1ans ex1s1 1 The work ,s being performed Dr.or ta sale 2 1 have lived m my home for twelve monlhs prior lo completion 01 th,s work I have no1 claimed !his exemption durong the last three years c , I am exempt under Sec _______ 9 & P C for 1h1s reason ____________ _ _ I hereby a111rm !hat I have a cert1!1cate of consent 10 self ,nsure. or a certd1cate of Workers Compensation In surance. or a certd1ed copy thereof 1Sec 3800 Labor Codel POLICY NO COMPANY Copy IS hied with the city Cer11hed copy ,s he•eby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Th,s section need not be completed 1f the permit 1s for one hundred dollars ($100) or 1e-ss1 = I cert,1y 11lal ,n the performance of tile work tor wh1cn 1n1s perm,! ,s ,ssued. I shall not employ any person ,n any manner so as to become sub Jee! to the Workers· Com pen sat1on Laws of Cal1/orn1a NOTICE TO APPLICANT, It, after making this Cert1f1cate o1 Exemption. you should become sub1ect to the Workers Compensation prov,s1ons of tile Labor Code. you must forthwith comply w,th suet> prov,s,ons or th,s permit shall be d-eemed revoked I hereby affirm that there 1s a construction lending agency /or the performance of the work for which th,s per ml\ ,s ,ssued 1sec 3097. Civil Code! Lenders Name Lender s Address USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB AOOAESS .. \l ....... 1.,,' nLl•v ST~ROS NO D4/ftff7nDN1 BUSINESS LICENSE # VALUATION PERMIT NUMBER ?-"3~lf ~110 ~~ BLOCK w~~1&i-w I AS:,'1!,1;1S0R PARCEL NO. CONTAACTOA CONTAI\CTORS PHONE 11 ZONE OWNER'S NA~ I A A ~ l ~ _:-t,>n A I 't'S;.::~S~NE 1J ,,111.= CONTRA~'S A OD RESS STATE LICENSE NO. BUILDING SQ FOOTAGE • • I ... .,,a ... ~ OWNER·s·MAILING ADDRESS \ ~-i. Sf '2.. 0 "'-Ii L '_ o" "°-1'\ SJ>.~ 9'2.l Z.l DESH~NEA DESIGNER'S PHONE OE.SCr!°~O~n. •• l .f\ (-A,_ '.1.-.-'-,~ 1),,/\ 0011 09/16 0101 02£:ldPmt 20 ~ c~ DESIGNER'S ADDRESS . STATE LICENSE NO • I . . \ \J -.. . ----. > ' FLR ELEV NO DCC GP EDU . STORIES ' ·-. . . . ,o .... o l CENSUS TRACT ! PARKING SPACE: RE:S UNITS I GRADING PERMIT ISSUED I RE:DEVELOPMENT TYPE DCC LOAD FIRE SPFI ARE A CONST YO ~ D <J '-.0 YO ND Not Valid Unless M~chine Certdied QTY PLUMBING PERMIT -ISSUE 7£5!-QTY. MECHANICAL PERMIT -ISSUE /.:-·oo SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU t1ulLu11,v rL"" 11 UU 1 ·tl 1 u ·uu·UU ·o,: ,:0 EACH !lUILDING SEWER OVER 100.000 BTU SIGN PERMIT OD 1 ·81 D·DD·00-8221 EACH WATER HEATER ANlJ OR VENT BOIL£R,1COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 EACH GAS SYSTEM 1 TU 4 GUT LETS BOILER:COMPRESSOR 3 15 HP TOTAL PLUMBING 001·81 D·DO·D0·8222 EACH GAS SYSTEM 5 OR MORE ME'TAL FIREPLACE ELECTRICAL 001·810·00-00·8223 .,-,z,;<J - EACH INST AL ALTER, REPAIR WATER PIPE . VENl FAN SINGLE DUCT MECHANICAL 0D1·810·00·00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS ------~---. MOBILEHOME 001 ·8' O·OD·D0-8225 WATER SOFTNER RELOCATION OF EA FURNACf.,HEATER --' ------ SOLAR 001-81 O·D0·00·8226 f.ACH R00F [}RAIi\ 1 \S :lF, DRYER VENT / \ STRONG MOTION 880·519·92·33 TOT kl MECHANICAL FIRE SPRINr\LERS D01·810·00·00·8227 TUIAI Pll!MBINL I / ____, PUBLIC FACILITIES FEE 320·8 10·00·00·87 40 .5 £."-MOBILE HO~ SETUI/J I(_;)' BRIDGE FEE 360-810·00·00·87 40 QTY ELECTRICAL PERMIT -ISSUE QTY. PARK·IN·LIEU {AREA I NEW CONST EA AMP SWJ BKR 1--; ._,..--CAR PORT / I\,,._,, /) TIF 312-81 0"00-00·8835 I PH 'l PH AWNING I / '{. I I LA COSTA TIF 3 i 1-810-00-00-8835 EXIST HLDG EA AMP SINT BKR GARAGE A ·v, u ' I FMF I PH 3 PH I \/ '-1. .. LICENSE TAX ,JO 1 ·S 1 0-C10 -•JO·S 1 E:? REMODEL Al TtR PER CIR(Ull V l/ V • v;;r MFF 880·519·92·57 TEMPPOlE JOU AMPS rn \1 fa 'J OVER 200 AMPS \ , I I I',~ I I TtMP OCCUPANCY !JO DAYSI \ ,_, Ir' 7 \ I CREDIT DEPOSIT IOTAL FlfLTRILt.l I -,o...--TOTAi 7 TOTAL FEES PAYA~ v / -··----. l HAVE C~REFULLY .EXAMINED THE COMPLETED .. APPUCAT!ON AND PERMff. ANO DO HEREBY .f:•pir1,tion .. eve_ry permit issued byttte 8utlcbng Offic1aluncler theprovis1oos oflhis . * AN OSHA "Zfirr IS REQUlflEOAAEXCAvATIONS OYEfll CERTIFY .UNDER PENALTY OF PERJURY THAT ALL INFORMATION HER.EON INCLUDING THE Code shall exp1re by i1mitatton and become null and vc»d II the building or work 5· 0" ~~ DEMOUTION Ofll CONSTRUCTION OF DECLARATIONS AAE TRUE AND CORAECT AND I FURTHER CERTIFY ANO AGREEiF A PERMIT lb authonzecl by such perm11 1s not commenced wrth,n 180 days from the date DI such SlllJC OVER 3 STOAIES IN HEIGHT ISSUED: i'O COMPLYW1TH ALL'ClTY. COUNlY AND STATE LAWS GOVEANtNG BUILDING CON· ::~ 1 ~1 '=~\I ':~~i:H.~~:~~t':t=~~l~~~~ ~~~.:~rr~ded or . STRUCTIQN. WHETHER SPEC!FlED HEREIN OR NOT. I ALSO·AGREE TO SAVE INDEMNIFY AND •a1~GNATURE ~ OWNE CONTRACTOR 0 APPROVED BY( [\ Dtf/ I KEEP HARMLESS THE CtT'I' OF CARLSBAD AGAINST ALL LIA,BtUTIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE fJ -o I /1 b/i~ GRANTING OF THIS PERMIT. l t , .. , , ., "' i:i: c " 0 o_ E " f- "O 0 CJ C rn 0 o_ o_ "' I ~ C [l_ 0 00 00 " 00 00 "' ~ 0 " >- " 0 C rn C LL ,:_ C " ~ CJ 0 u " o_ 00 C " ~ ,:: TYPE DATE INSPECTOR -BUILDING I FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I I MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT I SUB FRAME D FLOOR D CEl~ING SHEATHING D ROOF D SHEAR INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATION INSP --EXTERIOR LATH I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION PRES TRESSED INTERIOR LATH & DRYWALL CONCRETE POST TENSIONED CONCRETE PLUMBING I FIELD WELDING [j SEWER AND BL/CO CJ PL/CO HIGH STRENGTH UNDERGROUND □ WASTE □:WATER BOL Ts TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN GAS TEST ' PILES CAISSONS □ WATER HEATER □ SOLAR WATER --ELECTRICAL □ ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY □ BONDING D POOL MECHANICAL ' D DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS ~ CALL FOR FINAL INSPEC~ION WHEN ALL APPROPRIATE __ ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING -- SPECIAL CONDITIONS