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Home My WebLink About2407 Levante St; ; 80-829-B; Permit! LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Cha)ter 9 (commencing with Section 7000) of Divisio~\3 of the Business and Profes- sions Code, and my license is in full force and ef- fect OWNER-BUILDER DECLARATION ::::.1 hereby affirm that I am e)(empt from the Con- tractor's license Law for the following reason {Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to Ille a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or ol- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an 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 intended or of- fered for sale. 11, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). = I, as owner of the property. am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business ,:1.nd Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im· proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec _____ B. & P.C. for this reason _________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to sell-insure, or a certificate ot Workers· Compensation Insurance, or a certified copy thereof {Sec. 3800. Labor Code). POLICY NO. ____ _ COMl:'ANY LCopy is filed With the city_ ~!Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. I 1;)/+i017L 6JI~ *J JOB ADDRESS I I I I I J J I I I J I I I I tRr10qE~,:;~C~N, 7;!;N3 7 PERMIT ~UMBER fo ,f'y 1,, t> ~)'~\, -OWNER'S PHONE ,.,, STATE LICENSE OWNER'S M LING A00RESS :z4~~ L~,,, 9'{: SUBDIVISION T10N or lo" -liAY~1QR•~;~R~LaO-I ,/1, I t)i OESTGNE,YJ/J..,h l?,~-p ~E:....!:...!.li. <!._-":7: ~-✓ 1-{,/f W'.) ,o'v' 1 I -I CENSUS TRACT GP LAND USE BLDG SQ. fT, BLOG USE C!TY. I'-'. ' 1'?77 ' PLUMBING PERMIT EACH FIXTURE TRAP EACH BUIL~ER EACH WATER HEATER'll<ij)/OR VENT EACH GAS SYSTEM 1 TO 4 O~ETS / EACH GAS SYSTEM 5 OR MORE X EACH INSTAL., ALTER, REP~ATER PIPE",.,_ EACH LAWN SPA IN~ SYSTEM WATER SOF..)Jl("R . ~ • TOTAL PLUMBING CONTRACTOR (!TY. / ELEC~CAL PERMIT NEW CONST EA AMP 1 PH .25 EXIST BLDG EA AMP/SWT/BKR'-...._ / 1 PH .25 REMODEL/ALTER PER CIRCJX'T TEMP PO LE 200 AMPS/ OVER 200 AMPS / v,<. " ' DESIGNER'S ADDRESS ~J".., ...u~ 0 ZONING I '"· "''" PARKl~lf_~O OCC. oe j ST"O,ao >CA'# 11; ''...:i~? l "" ,oss, A.M.T II (lT; 7~,::-11 I ~'b 1./'" ?-. ~ ,., ,,, I MECHANICAL PERMIT !NSTA~URN. DUCTS UP TO 100,000 BTU '-._ OVER 100.000 Bl)V BOILER/COMPRES~P TO 3 H~...- BOILER/COMPRESSOR 3-1_];:,,( ..B01LER/COMPRES~9-ff1S-30 HP .............. DESIGNER'S PHONE l ""M"' o, s,o"'s Not VaHd Unless Machine C¥tified l occ. cOAO I AMT. I . ...,,;,-_...,_._ , ,.__ "---... 5:.- ·v VENT FAN~LE DUCT ....__ MEC!J,fl(HAUST -HOOD/DUCTS fff:°LOCATIDN ~A FURNACE/HEATER 7A A . . y;-d, -. bl 7.11-- / ---- BUILDING~~~ I ,").,r/i/.0(0 SIGNPER , -/f-'f6 I , I I • I PLANCH,;6k .,,2.o'[,p #='/.F..1..?$1 L ,/l~J!c ~ ~-....... AMT. ~- _Le, .::Y " TOT~"L MECHANICAL CONTRACTOR _.j!TY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME II . . AMT. rz - ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-FI LM ----- -~r..// ~--brr f~ re-• I I .l I I ~.c·. I I I I I I I ~~u- I • I I , I I , I , I (. ~ ,l..,DJl'l -~ (This section need not be completed ii the per. _ __ _ _ _ __ l I I · I mit is for one hundred dollars ($100) or less). TOTAL ELECTRICAL TOTAL FEES PAYABLE ! C '.t > 5 ;= ~ c.. V, ~ I certify that in the performance of the wor o f)/~~~_!:!~~~-----------------:::~~~-==JI=:::-si:::==~================t======] _________________ l_,_..L_.C::t~~tJ.~i~!f~i?AtJ-which this permit is issued, I shall not emplo an CONTRACTOR person in any manner so as to become subj t t ~ the Workers· Compensation Laws of Calilor ia. C'."':.. __ NOT\sCE TO APPLICANT: 11, after maKing lh1s I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT. ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVAT\ONS OVER l......., L r--c.,L ~ t1ficate of Exemption, you should become Su J HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0'" DEEP AND DEMOLITION OR CONSTRUCTION OF _r l lC, / 4l,..-, s lo !he Workers' Compensation provisions of he FURTHER CERTlFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STOR1ES IN HEIGHT ~ "/ L:i•°!fJrCode, y~"lust forthwith comply with en COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ,,< \-. ,. ,-?Q provi~ionsorthispermitshall be deemed rev ked. SPECIFIED HEREIN QA NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM o'""" ~ ..... I LESS THE CITY OF CARLSBAD AGAINST A LL LIABILITIES. JUDGMENTS. COSTS ANO -~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ni:: T'-'I= r.RANTING OF THIS PERMIT. OWNER □ •-c••" M I • , SITE sa-~;;z 9 ADDRESS: OWNER: PERMIT NO: I FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• Pl..ACE TAPE EXTERIOR LATH OK• PLACE STUCCO . FIREPLACE DAMPER 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY .. OTHER __ ,_, ___ TEMP POWER {POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN II . . FINAL lNSP SY BLDG DEPT 17./,y/ i,7 OTHER DEPT•? REQ COMPLETED ·. ELEC METER-PERM-TEMP GAS METER-PERM-TEMP ,,. 1 CERT OF OCCUPAJKY ISSUED ~" .,...._ , --? , LICENSED CONTRACTOR'S DECLARATION I hereby affirm that l am licensed under provi- sions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION ~I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex· empt therefrom and the basis for the alleged ex· emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). C'I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes· sions Code: The Contractor's License Law does not apply to an 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 intended or of- fered tor sale. If, however, the building or improve· ment is sold within one year of completion, the owner-builder wili have the burden of proving that he did not build or improve for the purpose of sale). :.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business i.-.nd Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds or im· proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). l am exempt under Sec .. ____ -B. & P.C. for this reason __________ _ Date Owner __ __ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con· serit to self-insure, or a certificate of Workers· Compensation Insurance, or a certified copy thereof (Sec. 3600,t.a:i r:t). POUCY NO. .s C .... COMPANY ~\ ~ ~· □Copy is filed w_it11 J..e2; ,J.,,u,JGV. I ~Certified CQJ:W .u,'ne1~br, lurnis ed.\~') -J 'f0 V,:).(.._ N\C,.t...VI--C.1A - CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE [This section need not be completed ii the per- mit is for one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. NOTl~E TO APPLICANT: lf, after making this Cer- tificate of Exemption, you should become subject to tti_e Workers' Compensation provisions of the labvf Code, y0 ... 'USt forthwith comply with such provisions orth1s permit shall be deemed revoked. ,-n.,,.-... ,.,,,.,..,,1"\.,,, i:: .. ,,.,, .. ,r., ,.r.:i:11.1f'V ·t CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 ,o. JOB ADDRESS tRr· 1DA;;;A1~C~TION IJ ,(),r, 7, , ,}_ I H.V1 /J,JJ,-776 ~ 1 ' ' ' I I ' ' ' ' ' ' OWNER OWNER'S PHONE ,~~;;CTO&t,fr~ ( C -&u.1 (/A-J-J _ '\ ~-l V - :3'1/.~ ,oo;:61/frArrf -~ PJP1<P<Ll-/\C4_ CONTRACTOR'S ADDRESS ~E>iJ~Q__ I , f'\ ') 1 -h'lo 1._ fl VI f?l,u '4)Q ,',°la BLOCK I SUBDIVISION G rs.Er.OR'~ l~cr,rr I,.~. ' ""'"''" NI,;:,, DESC80N OF WORK , L1 4 1, 'Rnl 6--. -: ,li( DESIGNER'S ADDREs's . I . ~L,.,, -- CENSUS TRACT GP LANO ujl-ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERM!T NUMBER I ,'<-I 2 '-{ STATE LICENSE !Robt£ ::$155 I CONTRACTOR'S 11'n-i s-s-:2__ STATE LICENSE .1/ A-/ 1,,gt OESIGN!:R'S PHONE I 11115,"~"' ------. ! RES. UNITS I PARKING SPACE I NUMBER Of STORIES Not Valid Unless MachiM Cartifi«J BLDG SQ. FT. BLDG USE acc. GP ! ST AN OARD PLAN "# IPLAN!Dtt I TYPE CONST I occ. LOAD I OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH !NSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT } ' ' EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS 'dLu&,v. ~TER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I VA I iJ .:5 .:;.;--(.)_, .-h."7 :;;_,~ SIGN PERMIT I I I I TOTAL PLUMBING a TOTAL MECHANICAL PLAN CHECK I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOT AL PLUMBING I I I OTY. OTY. MOBILE HOME PERMIT ELECTRICAL I~ I/. G"I:- NEW CONSTEA AMP/SWT/BKR / cPt} 's. _,... AWNING MECHANICAL I I . I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I . I 1 PH .25 3 PH RAMADA, CABANA P'/ .Ir,>.----I I I . I REMODEL/ALTER PER CIRCUIT . FENCE OVER 6' /Ji :!417<-4 / 21/-C~hv . · I I I . I I TEMP POLE 200 AMpS .//J ~ --TOTAL MOBILE HOME Mtt"O-FILM I I I . I , OVER 200 AMpS I I I I TEMP OCCUPANCY (30 DAYS) I I I . I ,)--:J.-<l...,L~'--_;, c...,_ . . . . -I I I I TOTAL ELECTRICAL 37~ TOTAL FEES PAYABLE I ,~1?.~ CONTRACTOR I I .. w~/~d,-1.·· . I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERM!T, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM /1 LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO -/ L.' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ( A7LICA%S SIG~A~'fl-/J ....._ OWNER □ CONTRA~~ !APPROVED BY fl" 7, r, I , /J _,, A A ~ ) ,., ... C~LT n CV c ... 1'11= -~ ! < Cl ~ 5 ;:: u = 0.. v> ~ SITE ADDRESS: OWNER: PERMIT NO: '. FIELD INSPECTION RECORD . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOT! NG • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY 'OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT i OTHER DEPT'S REQ COMPLETED I ELEC METER-PERM-TEMP , GAS ME""'.""ER-PERM-TEMP ~- ,-. • CERT OF OCCUPANCY ISSUED . ' ,, • ,pr.,rr.-,., LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect OWNER-BUILDER DECLARATION Cl hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which reQuires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex· emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant lo a civil penalty of not more than five hundred dollars {$500). CI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an 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 intended or of- fered forsa\e.11, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). --::,1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project {Sec. 7044. Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property •who builds or im· proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec _____ , B. & P.C CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. JOB ADDRESS , h( 1¼'.J ~ l O Vi&'rr~ 1srti I I r r I I I _ I I I I I l t•~'" l'Ai1/~7~T"G31;'v -,-----. lft~1>;1 £) PERMIT NUMBER OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE ~)"1.v' ,~~)LC 11/AJ 753 ,-" ? 7 :;--~Co £irol{lC_ l,,s15s-I OWNER'S' MAl~ING AOORESS CONTRACTOR'S ADDRESS ~St'.'3S-/ FJ/,t)A/11Z ~ ,/ .Ai2 <;" &4'i'--, I ASSEssoR•-s PARCEL NO, 110....x, MDntl .w/. e-;c_ CONTRACTOR'S 1-!'HONE I 1d ·'<.-/ 3_ <;;;:i.._ LOT f BLOCK SUBDIVISION _ I _l_ I_ I I I I I I I I DESCRIPJ:::!N 9.-E---WO. S, vZ+?CV{r c A-, Cu1R1Af<a-- DESIGNER --------- STATE LICENSE DESIGNER'S ADOR.:_:;---DESIGNER'S PHONE , --, .,, fl t//1 , ;:-: __ _ . ·~ ,-:., ... - CENSUS TRACT GP LAND USE ZONING I "'· UN ITS I'""'° seAC, l """'"" ""'" Not Valid Unless Machine Cartifi«J BLOG SQ, FT. BLOG USE OCC. 0, J STA>OASO eLA". !'""''' l nn coss, l occ. COAO J (lTY. PLUMBING PERMIT AMT. (lTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Slf.'GLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS Y~- WATER SOFTNER RELOCATION OF EA FURNACE/HEATER -,l c., ---<L- TOTAL PLUMBING 3 P:-._ l).,.-,,,-4,,t../,_y__.,., TOTAL MECHANICAL .=? 2.- BUILDING PERMIT I __[ I SIGN PERMIT I I I I PLAN CHECK I I I CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT [ I I I _J I I ·, for this reason Date Owner QTY. ! TOTAL PLUMBING l , :1 . ~ ELECTRICAL PERMIT I AMT. JI QTY.I MOBILE HOME PERMIT I AMT. I ELECTRICAL I) - NEW CONSTEA AMP/SWT/BKR /,:rl ,2 _s, :,..-AWNING • MECHANICAL 1-I , • / WORKERS' COMPENSATION DECLARATION l PH 25 J PH PORCH MOBILE HOME I I I hereby affirm that I have a cert1f1cate of con-· • · I serit to self-insure, or a certificate of _workers· EXIST BLDG EA AMP/SWT/BKR • SET-UP SOLAR I \ I Compensation Insurance, or a certified copy · ,. ' I theceo> [Sec. modei g 1 PH .15 3 PH . RAMADA. CABANA . / / / u.A ~ 1 , I f • f :;g~~r~-71~£=~~ . REMODEL/ALTER PER CIRCUIT . FENCE OVER 6" . ,z{,f':,;'?"Ji #li,c.n'-", I , I I • I I cCopyisfiledwiththecity. ~ TEMPPOLE 200AMPS • TOTALMOBILEHOME . MCO-FILM I , I I • I ,(o~if~~he~y f~~~;_, \ ~ OVER 200 AMPS . J , ) J • ) CERTIFICATEOFEXEMPTIONFROM TEMPOCCUPANCY(JODAYS) . I' I I· 1 WORKERS' COMPENSATION INSURANCE !J,/~ 2 _l,!!--( I I I (This section need not be completed if the per-' • mit is for one hundred dollars ($100) or less). TOTAL ELECTRICAL ,;/-7 ti"°__ --TOTAL FEES PAYABLE I M ,,A! I certify that in the performance of the work for -I I -, V / wtiich this permit is issued, l shall not employ any CONTRACTOR , • I / _..I person in any manner so as to become subject to " " 41/_,,_t,/ ~L:z/; the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to ttle Worke~· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTP.UCTJON OF STRUCTURES OVER 3 STORIES IN HEIGHT -~" '/' l1A✓ 1/ -~••---••-'~•,-.••, r-oon>o,,.._ Ar,O,o.lr"V I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFOA!V,ATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUE□:To COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS Tr-IE CITY OF CA AL SBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT ~ICANT'SStGN~UR~ .___ '/----......... -/"'---= ~.,,,..,,. /4 r1---..~ OWNE~NTRACT05ff° IAPPROVED BY ~r-c~,T n A.V IH•n(;.; rl ff 1/J{/ATE II! < C ~ > ~ .= ~ a. V, ~ T SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATfNG OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SW1M POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP 1GASMETER-PERM-TEMP i ' I • i t CERi OF-OCCUPANCY ISSUED ./) ,.Jib --V LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con- tractor's license law for the following reason (Sec. 7031.5 _Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). [. I, as owner of the property, or my employees with wages as their sole compensation. will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's license law does not apply to an 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 intended or of- fered for sale. 11, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sate). :·I, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business e.nd Professions Code: The Contractor's License law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro· jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec ____ , B. & P.C for this reason __ ---~----.:-~ Date Owner WORKERS' COMPENSATION DECLARA l hereby affirm that I have a certificate o sent to self-insure. or a certiticate f k<ll-1. ' Compensation Insurance, or a ce co thereof (Sec. 3800, Labor Code). POLICY NO·-------~----COMPANY _____ _ :~Copy is filed With the city. --Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per· mil is for one hundred dollars ($100) or less}. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Wa.rkers· Compensation Laws of California NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to ttie Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provis:-Ons or this permit Shall be deemed revoked. 9ONSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICANT TO FILL , ~ ... f J .., i~ . /4 . ~DRESS --AVR~T, 10~:E OF APF',LICATION --~us. uc_~~;.~ ' PERMIT NUMBER ,,A'-1,0,7,/i . .£ 7i/J1't .. , 'I , , , , , , , , , , , 1 -· ·._ .--. , ·---✓. ow,e, _ ., ,I . I • ow,,e•s ,aoSE '-','t,':'.""';~ . . . ,,~,., ."'."" ~ ✓f r1 e;, . .· OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S 'J/ ; . '•. -: . ....,:.. / -'--,--/ .. _ .:: -1-/ ·.,--,/HONE /. C~'~_ :?;_· .: ',~ _·.. '•, ~~ LOT BLOCK ISU80!VISION 1· ASSESSOR'S PARCEL NO, DESlGfffR / . . STATE LICENSE -' • I I I I I I I J I I I DESCRIPTION OF WOR~ • .,. ,,_ V'I.) / "" ~ ..,,f DESIGNER'S AOO~ESS DESIGNER'S PHONE fl"/, ./4 ,. " • . , J, /[. tfht..t ,L,, - CENSUS TRACT GP LANO USE ZONING (I I RES. UNITS l PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machine Cartifi«f BLDG so. f"T. SLOG USE occ. GP I STANDARD PLAN# I PLAN ID# l TYPE CONST l occ. LOAD 1 OTY. PLUMBING PERMIT AMT_ OTY. MECHANICAL PERMIT AMT._.J> EACH FIXTURE TRAP ~) INSTALL FURN. DUCTS UP TO 100,000 BTU ,,)(' ~ / EACH BUILDING SEWER l OVER 100,000 BTU "" EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP • ..l'I _ EACH GAS SYSTEM 5 OR MORE • BOILER/COMPRESSOR 16-30 HP f7 "-:' ,,,,_ EACH INSTAL., ALTER, REPAIR WATER PIPE JJ,, VENT FAN S1t)GLE DUCT /J °"' · 1r··:-, _,._ EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS -, \;~~~; WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT J I I I J · , " _ 3 _tJ--C -~ :i .,_,+t:, SIGN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL .t//7 /1 PLAN CHECK I I I I CONTRACTOR CONTRACTOR ~ .tJ-~ ALLINCLUSIVE PERMIT I I 11 ' .,. TOTAL PLUMBING I I f OTY. ELECTRICAL PERMIT AMT. OTY. MOBILE HOME PERMIT AMT. ELECTRICAL _l_,J . I _ NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL J#jU. ~ 1 PH .15 3 PH POACH MOBILE HOME 'I 1 , I EXIST BLOG EA AMP/SWTIBKR SET-UP SOLAR i I I , I 1 PH .15 3 PH RAMADA, CABANA // / ,,A , I I I , I REMOOEL/ALTER PER CIRCUIT FENCE OVER 6' ft"~ /' ~-"' I I I • I TEMPPOLE 200AMPS TOTALMOBILEHOME Ml-CO-FILM ! I I • I OVER 100 AMPS I I I I TEMP OCCUPANCY 130 DAYSI I I I , I ,' " J -~ I I I I TOTAL ELECTRICAL 11----i------------------+-------11 TOTAL FEES PAYABLE I /7 ~ ~ CONTRACTOR I I i /t 7. )f- //, / . / _1/...L,!,a/ • • I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVEFf ·~ 1 7 . HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTP.UCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;To COMPLY WITH ALL C!TY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AN□ KEEP HARM / -,, _ __ ..., LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO .,,' ,. ~---~r----,' . ,,1_ ~•· --/1 J / f EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE lf---:~.,-!--::':':c:c:-::c::,--":c-:::-"'-"~-:_:_:_ ______ ---;:::-,:;;c=c----c-c-----~=--rc==ccc==-----,4.--AL.~tc-,;:c---1 OF THE GRANTING oF THIS PERMIT. APPLICANT'S SIGNATURE• OWNER□ CONTRACToRJ,J 1APPAoveo BY ,1"/§f. '/...°j/j I AGENT □ BY PHONE □ 1 /fl''/' 1 rrf 1 I ~ 5 i= u w O,_ V> ~ • SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ,. WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION . INSULATION OK • PLACE WALLBOARD '· WALLBOARD OK• PLACE TAPE 'C, EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER & STEEL ', PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) SEWER ~ GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP I ' I I 'D ~I )( ~v».J...~~/AMM/).11/. . ~)( ~ j Olerttftra tr nf oor·rupattry ~ CITY. OF CARLSBAD C ~ j 3 .:t This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifies that at the time of issuance this structure complies with applicable ordinances· ., of. the ~.City~ regulating building construction use. .,,, j Use Classification ~ Group _____ Type Construc~ion _____ Fire Zone _____ ~ Du_p_lex ~ Oc:eupant Load --•~~~ ~ Owner of Buildinv~.~'1,y. Su~~i¥an•·;':-;:. , , ;A<hfr•~·-· _.2:.;,4,_,3.,5"-'~+"==---,------~ Building Address -~11?£~!~.~-ier~~t~,t t ;~•~•Uty' Car i ~ ~=~~~'--:::::::2~~~==---~ __________________ 8 - ~ ~ ~ ~ )(~ M M M M M M M ffWWWWWWW/\V/ ~--:.~'~:''~•~i~ ',·.t,,·,.-. ·,· ( l'IW"'I/)( , . , 1200 ELM AVENUE CARLSBAf\ CALIF0f-1NIA 920(18 I • ---•--·----~·- TELEPHmJE: (714) 729-1181 Building Department Qtitp of <!tnrlsbnb _RESIJJtlIT18LUJf:EGYJJISJG~J:QsJIELQIUQLL Permit No. Issue Date. -------- CERTIFIUffE OF CCT'.1~LII\NC£ WDll Et1ERGY C011SrJ\\1£JION DESIGI ~EQUif{ci·EfffS CONTAINED IN ARTICLE 1, PART 6, JillE 24, U:UFORNIA AIH. CODE I, Jer~L. (uff;tJMj , hereby cci-tify that I am familiar with the state energy'conservation standard~ mandated in CAC Title 24, Section T20-1401 through T20~1406, and that the plans and other documents submitted in ~upport of thE; application, f) for a building permit at -Z.{07 { Z4CYf '-e.v.uvr-e <;{.. ~Ja.,d,( .-----.--.,---.--,,------· Assessor's Parcel No. State License or Certificate No. Date //-/ID Address /I~ ;.:.-fO Dated Other. -------------- ",; (.pl l 1{,; &f 7 1 Submit to the Building Dcpurtment l'lith permit application. 5 3 rr> . ------------·· • .. "' I ( 10/26/79 LEUCADIA COUNTY WATER DISTRICT APPLICATION FOR SEWER SERVICE Owner's Name ___ .,.J_,.ohwn.,_,_Ma,..m.,,a...,u..,x~---------Phone No. -729-5648 Ma il i ng Address 1393 Basswood A'LeJlU, _____ _ Carlsbad, CA 92008 Service Address: levante Stree Tract Description: __.]_..ot........,lul-"-9_,_, ~s,.,,.o .. u...,th.,__."--------- Assessor' s Paree 1 No. ___.,2._.]_..6-:c..l,..9,.,.0cc.-l...,3,__ _______ _ Type of Building _duplex No. Units 2 Connection Fee$ 3,000.00 Lateral Size: 4" _ 611 _ 8" _Saddle_ Easement Connection _(pre-pd 400.00) Extra Footage: __ @ $ ___ Extra Depth: __ @ $ ___ 2,600.00 Amount Rec'd $2600.00 Ck. No/Cash 14984 Date """8/1..,...,.3/..,,S""Oc- Rec'd By S. Williamson lateral Fee Prorated Sewer Service Fee Total $ 3,000 on The application must be signed by the owner (or his authorized representative) of the property to be served. The total charges must be paid to the District at the time the application is submitted. If a service lateral is required, it will be installed by the Leucadia County Water District. The service lateral is that part of the sewer system that extends from the main collection line inlthe street (or easement) to the point in the street (at or near the applicant's property line) where the service lateral is connected to the applicant's building sewer. The applicant is responsible for the construction, at the applicant's expense, of the sewer pipeline (building sewer) from the appli- cant's plumbing to the point in the street (or easement) where a connection is made to the service lateral. The connection of the applicant's building sewer to the service lateral shall be made by the applicant at his expense. The connection must be made in conformity with the District's specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC- TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED. The prorated sewer·service fee is based upon the date the District estimates that service will begin and covers the balance of the fiscal year. There will be no additional fee or refund if service actually commences on a different date. For succeeding fiscal years, the sewer service fee will be collected on the tax roll in the same manner as property taxes. The undersigned hereby agrees that the above information given is correct and agrees to the conditions as stated. y~,/0, 1q j' 0 Da e • 12255 Account No. CITY OF CARLSBAD Inter-Office Correspondence o FF I CE : c::JJRR..ef-JY- 0 ATE: fl~E ~INE. 1?F.f. R:EJ IF .Affi..J~E ... -R~vRW 7o (~-L>{O~ W1c.K4AM . Attachments: __ _ iill--<'~K.,nnotot~hi~ng~~~~rig-,,n dead files· t1P ~f Carter 3/1/84 10/83 \ - ;61,,,". TENTAT DATE \"l c: · PLANNING l2'.l UTIL/MAINT. 0 / PARKS Er" LETTERS / ~LIM. DUE FI RE /[] (JWJ,.Ul) C2f . PRELIM . SENT CMWD Q/-___ 0 · FINAL DUE LCWD )2'.I FI NAL SENT RECORDED 0 APPR..,,...,OV...,..,,E=D-------'l IMPROVEMENT PLANS DRAWING NO . IN ---IN IN-- OUT OUT-- OUT --- GRADING . PLANS ------- MIT NO . T?-UST ACCOUNT NO. ------------DATE PAID AMOUNT RECEIPT NO . $ IN---~o-u_T __ IN ouT·-- IN--OUT --- REQUIRED AMOUNT ( PAID £6~~ l t \00"!:- TOTAL DEPOSITS$ ----::a