HomeMy WebLinkAbout2405 MARK CIR; ; 84-725; Permitt\~ \j~~i
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~ affirm that I am l!censed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full fo~ ~ng effect. Q (""':}.
L,c No~ \e ? i ' ) '°l's\ -.\J~--
I hereby af1,rm that I am exempt tram The Conrrac
tor's License law tor The lollow,ng reason fSec 7031 ~ Business and Proless,ons Code Any c,ty or couoly wh,cr re
qu,res a perm,t to construct. alter improve derrnl,sh or repa,r any structure pr,o' •o ,ts ,ssuance also requires n1e ap
plrcant for sucn perm,t ta t,1e ,i signed sratemenr Iha'. ie is licensed pursuant 10 the orov,s,ons of ihe Lontracror s
License Law 'Cha;iler g commencInq w1th Section 7000 of
D,v1s1on 3 ol the Business and Protess,ons CoM, or Iha! Is e,-
e'11pt therefrom and the bas,s for the al'egeo exempt,ao Ary
v1olat1on 01 Section 7031.5 b1 an appi,canl for a perm,• sub
,eels the apol1ca~t to a c,v,I penalty ol not more than five c,un-
dred dollars ($~00)
as owner of the orooer:y ar rr:y e<r,ployees wIlh wages as their sole comoensat,on. will ~o lhe work ~nd 'he siru:
lure ,snot intended or ottered far sale !Sec 7044 Business
and Professions COde The Contractors L,cense Law ~oes
not apply to an owner of property who builds or ,mproves
thereon and who does such wo·k h1mse11 or lhrough his own
employees, provided lhal such ,m~rovements are not intend ed or oifered for sale ii, however, the Oucld,ng or Icnprove-
ment Is sold w1tnIn one year ol cornp1etIon the owner-builder w,II have the burden of proving thal he did not bu1 d or im-
prove !or the purpose ol sale)
I as owner of the prooerty_ am exclusively contracimg
wrth licensed contraclors tc construct the proIec1 (Sec 7044
Business and Proless,ons Code The Contractor's License
Law does not apply to an owner of property who builds or ,m proves thereon and who contracts tor each prnIects w,th a
contraclor(s) IIcense pursuant 10 the Contractor's License LawJ
As a homeowner I am ,rnproving my home. aod the torlow ,ng condIt,ons e,ist
I The work Is being performed pr,or to sa,e 2 I have lived ,n my h~me for t.'lelve monrr.s
prio' to completio1 of this work
I have not claimed this exemption du·,ng tre last lhree years
I am exempt under Sec B & PC for this reason ____________ _
Lbv affirm thal I ha~e a <::!"r11t,,ate ot n1<1sen'
10 self-insure or a cer11t,cate o• Wa,kers Compensation lnsurancP or a cert,lied cop, thPr<>o'
1Sec 38CO Labor Code1
POLICY NO
COMPANY
D Copy Is !,led w,tt, lhe cIly
0 Cer11!1ed copy ,~ hereby furnished
CERTIFICATL OF EXE:MPTION FROM
WORKERS COMPENSATION INSURANU:
(This s.ect,on n~d not be :omolele,l ,t 'hf' ;1e,mI'
Is •or one hun(treC do1lars 1$100• o, le~~'
D I cendy thal In the per1ormance •.)' lhP wr,r\, •,,r
wh,ch this Derm1t ,s issued I snaII nol emp1<), an,
person rn any manner so as ro becor,w ~ut:P< · t, the Worl<ers Compensat,on Laws ol CaI1lo,rna
NOTIC~ TO APPLICANT 11, alter rnakIn:i tnIs c;nt,
locale of bemp1,on, yor, should t,ec:ome subiec1 t'
1he Worl<ers CornDensation proyIs,on~ ot ihe L.ab<J' CoCle you mJSI lortn .. ·,tt, comply w1:~ such
provIsIor>s or Tt11s permit shall tJe deernP(1 ,e,c:,~ec
O I hereby all rm lhal !here ,s a .. ucr~lrr,CI ,:,r
1endrn1, a,;ienc.y tor th<> pert,,rr,,~n,,. ,_.+ l'IP "'"'~ r,,,
wh,cn 1h,s perm r s ~s.,ed ,Sec '/fJI " CJ>de
l en(ter s Name ___________ _
Len(ter s Address __________ _
, USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
i:fc~ M~R.K C..\ '<..cL-.b AV. ST.RD. NEAREST CROSS ST.
lA2017L ,~N
BUSINESS LICENSE # VALUATION PqMIT NUMBER
'f1< \6Sl€:--11 :2J/o~ 0 ---
/£Ti I BLOCK ~a>"IJ~:""'~itSSESSOR PARCEL NO. D ,~NTl<TOt)f<-4-/
CONTRACTORS PHONE# ZONE 7J0 ,.. _ /r,,j Lr...D '-fl 0 ~ t-t 3e:. 919 I 0M~~\,v p,~:,e:-s, 112-<-1:2,~Ns--CONTRACTOR'$ AOOAESS ~ ~ LICENSE NO. PLAN 1.0. # BLDG USE CODE
\ 01 OAAk>L~A -·~c;;. 7Yl9 OWNER'S MAILING ADDRESS ...
'2.t-1 o 5' M/rQ.. I<. <-1 ~ (...Lf;-ov<:LS&L) 0 R"i< {)fq, "I ~ LICENSE# STANDARD PLAN# BUILDING SQ FOOT•GE
OESCA\f>T10N OF WORK ~tx~,µJ ,✓~fl\) ~ f:)() I 'f'I v, f,./ 1~1~'M'e:tn~ M c.ii L-l369?9f ..
----• F .'P f-LR ELEV NO OCC GP EDU
STORIES
·.' . • YO ..,□ . ---
CENSUS TRACl I GP LANO USE ! PARKING SPACE RES UNITS I GRADING PERMIT ISSUED ! REDEVELOPMENT TYPE ace LOAD FIRE SPF> AREA CONST
,□ N 0 ,r .... o vO "-0 Nor Valid Unless Machine Cerrifled
QTY. I ·7?-QTY MECHANICAL PERMIT· ISSUE SUMMARY~CCOUNTNUMBER PLUMBING PERMIT -ISSUE
I 3-
EACH ~IXIURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 :.,).,;;7 --=-
EACH !ll.JILOING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00-00-8221
/4~ --------------------~
EACH WATER HEATER ANO OR VENT !lOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 -----. ------------------
EACH GAS SYSTEM 1 TU 4 OUTLETS 801LER,COMPRESSOR 3 1S HP TOTAL PLUMBING 01-00-00-8222
--. -------. ---------------
EACH GAS SYST E:M ~ UR MORE METAl FIREP'LACE ELECTRICAL 01-Q0-00-8223
~ a----------~-~ -
EACH INSTA~ ALTER. REPAIR ·,•;,.'\TER PIPE ' I VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224
~ I----1---·-----------------
EACH VACUUM BREAKER
'
MECH EXHAUST HODO DUCTS MOBILEHOME 01-00-00-8225
WAH.A SO~TNE:R RELOCATION OF EA FURNACE·HEATER MOBILE.HOME PARK INSP
F.A[--1 Rnor: 7;:;,WJ 1 'JS''.1[. ii SOLAB_ 01-00-00-8226 -,so --!I TOTiiL MECHANICAL STRONG MOTIO~ 80-92-33-0519 -----I --
TU!Al PtUriMJINC i FIRE SPRINI\LERS 01-00-00-8227
QTY ELECTRICAL PERMIT· ISSUE .6-=-QTY SOLAR. ISSUE PUBLIC FACILITIES FEE 32-00-00-893:J ---------
BRIDGE FEE ·-----. -
NEWCUNSfEAAMPSWI DKR C:IJ LECTC1RS SCHOOL FEE· DISTRICT -·-I PH :l PH STC,'iAGE .A'J•S Carlsbad 80-92-21-0519 --
EXIST 8LUG EA AMP SWT BKR I Roe~ STG9A:il_ Encm,tas 80-92-22-0519 J PH ______ . I ----I PH Pl~ 1-i P San 01egu1t_~_ 80·92-23-0519
REMODEL kl 1t.R PER CIRCUIT Pl Ml C--IE.CI\ f :Cl San Marcos 80-92-24-0519 --r· -------. -------· --
TE\ip POl E ?DO A ',\PS I -----------~--
01/1:R !lJIJ A~PS I LICENSE TAX 01-00-00-8162 , --------
-M-FF8092570519 ___ _c,-.,i ~~ ,., TEMP (lCCUPAr-.JCY '30 [JAYS1 -------. ----___ , __ I CREDIT DEPOSIT /1 • ' J-,. II' ·_1
1 ii I Al f. l U.1 RICAI I
TOTAL FEES PAYABLE :f-"1 ~ ,-t,,,<,,; -TQTAl SOlAR I/' I
! HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCAl!ON ANO PERMIT" ANO DO HEREBY Ei,;piratton. Every permit issued by the Bu1ldtng Official under the prov1s,ons ol this 1r AN OSHA PEAhfln IS REQUIRED FOR EXCAVUK>NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ei,;p1re by lim_,tahon and become-null and void If the buildmg or work S' O" DEEP ANO OEMOUTION OR CONSTRUCTK>N OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit is not commenced w1th1n 180days from the date of such STRUCTUM:S OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~'::!.n~
1
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:Ptei~h=~~r:~tt'.';~~e:le~~~~ if~~7t~1
~,s~~~na~~ or JI ✓
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~~~-~) OWNER□ CONTRACTOR jtj. APPROVED BJ//~ IDAT/1'/I'! KEEP HARMLESS THE CITY OF CAALSBAf? AGAINST ALL LIABlllTIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERM!T , ,-I
TYPE DATE INSPECTOR -~ I ----------
BUILDING I S:-lf'-7~
FOUNDATION '
I FIELD INSPECTION RECORD
RE1'-I FORCED STEEL I
' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I REO IF INSPECTORS INSPECTION -GUNITE OR GROUT I CHECKED APPROVAL DATE ·--,, . FLOOR & CEILING SUB FRAME I S01LS COMPl_;A~CE ' ·, ->
I
.. SHEATHING □ ROOF □ SHEAR PRIOR TO ' f-OUNDA-:-10~ INSP FRAME I --
I STRUCTU9t\L CC,NCRETE I EXTERIOR LATH OVER 2000 PSI
-------INSULATION I P9ESTRESSECJ
CONCflE:"E INTERIOR LATH & DRYWALL I
POST TENSIOl\iED
I CONCRETE L --~---
PLUMBING I Fre_o \NELD1NG
SEWER AND BL/CO □1PL/CO I Hl(_"irl ST8ENGTr-1
UNDERGROUND □ WATER BOL Ts □ WASTE / TOP OUT □ WASTE □ W~TER Sf-'E'CIAI_ r,/AS()".r:.v
TUB AND SHOWER PAN I -7
GAS TEST I f-',: ES CAISSQr-,..c-/
□ WATER HEATER □ SOLAR WATER ' -/ -------
I -------
ELECTRICAL I /
□ ELECTRIC UNDERGROUND u l,JFFER I\ / +------
ROUGH ELECTRIC I
'~-
-------
□ ELECTRIC SERVICE □ TEMPOFilARY l. --------------
□ BONDING □ POOL I I I
-< -------~ ! ' I ' MECHANICAL j , l , ~ ---I------! _.
□ DUCT & PLEM., □ REF. PIPING £ \ I ·-----~----HEAT -AIR COND. SYSTEMS I I • n 1 / \ \
VENTILATING SYSTEMS ' / ,, /\ ~
I /
CALL FOR FINAL INSPECTIQN WHEN ALL AP~fjOPRIATE
ITEMS ABOVE HAVE, BEEN APPROVED \i FINAL I /
PLUMBING ' / I
ELECTRICAL I /
MECHANICAL / .
I
GAS I
BUILDING I
SPECIAL CONDITIONS I
I ------'
Pt.AN CHECK NUMBER ___ ADDRESS ,2 '7,? 5-<-;t/,tJt,b If IMbeived
~~=y 1904 PLANNING:
0:: u.J 3 u.l
TYPE DF STRUCTURE~ ~k ,/
SCHOOL FEES: SAN DIEGUJTO. ______ _
% COVERAGE
BUILDING HE
FENCES/WALL
TWO CAR GAR
CARLSBAD
IGHT
s
AGE
'
r\ I
\\
ENCINITAblTY OF. CARLSBAD
SAN MARCOS
RE
--------
Q U l RED SETBACKS. _ __.,..1-..----
FRONT ---+-+---+--+--1----
SI DE. ___ -l-l--<'-1---1----
REAR ----------
;: ::: COMMENTS: __________________________ _
~ ~
~ □ REDEVELOPrtENT APPROVAL REQUIRED: ____ ~:....:...._tx= _________ ""----
6 ~ D u.J-
~ go 8 ::j LA,mSCAPE PLAN corrJJENTS:. ____ __:nJ....:..,.. ______________ _
ADDITIONAL COMMENTS'-: ______________________ _
OK TO ISSUE: ~ DATE: 1M~""OK TO FINAL: ____ DATE: ____ _
Ei1G!NEERING LEGAL DESCRIPTION VER!FIED? ____ A.P.N. CHECKED? __
P.F .F • _______ PARK IN LIEU ________________ _
R.O.W: ______ IMPROVEMENTS: _______________ _
_______________ E.D.U: ____________ _
SEWER:
LATERAL: ___________ _ DRIVEWAY: ___________ _
0:: ~ GRADING PERMIT: ________________________ _
-u.J > ,_ ~ ~ DRAirlAGE: __________________________ _
~ □ ~80 <.J 0:: ~SD "'0-0 u.J u"'
EASEMENTS: ___________ ADDITIONAL COMMENTS: ______ _
OK TO ISSUE: -~,'-I:..::~:;.!:::-~--C:::::::=-----DATE:~l-==2-,'-i+l+l~'?+V __ . __ l 1 * ENGINEERING INSPECTION REQUIRED: _________ 1 _________ _
PUBLIC \,IQRKS INSPECTOR: ____________________ _
FINAL OK: __________ _ DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BU!LDTNr, QED0~TT1ENT WILL MP,:'.E f.LL PISP[CTIONS
(DRIVEl!AYS, CURB CUT, DRAINAGE, ETC.)