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Home My WebLink About2440 IMPALA DR; ; 85-641; Permitr•. APPLICANT TO FILL IN INFORMATIO.WHIN SHADED AREA AND DECLARATIONS. - . USE RAIl. POINT PIN ONLY & PRESS HARD . .. .. -- .., D hereby affirm that l.amJtcensed under e . provisions r of, Chapter 9(commenc(ng wIthr.I -. IS.Cto 7006) Division' 3 ot,the Bus(neso!q .1 and ProtesaIors 'Code, 'andlmy lIc'enseisiin1 Ni MI force,d Z 'Class 4O I . hereby affirm that I am exempt tram the Contrac ' , tOr's License Law for the tollowing reason (Sec. 7031.5 - Business and Protdssions Code: Any city or County which re- quires ap'errnit to construct, alter. improve; demolish.- or 410 - repair any Structure, prior toils issuance also requites the ap- Eplicant for such permit to tile a signed statement that he is . licensed pursuant . to the provisions nt the. Contractors License Law (Chapter 9 commencing with Section 7000 at Division 3 01 the Business and Professions Code( or that is en' - - empt theretrom and the basis for the alleged exemption. Any - 'violation 01 Section 7031.5 by an applicant for a permit sub- jects the applicant to a civil penalty 01 not more than tine hun- dred dollars (MO). .,, . .. 0 I, as owner 01 the property, or my employees with wages .IZ - as their sole compensation, will do the work, and the struc- - a • '.iure is not intended or uttered for sale (Sec. 7044, Business and Prolessions Code: The Contractor's License Law does - 3 not apply to an owner. of properly who builds or improves m • • thereon and who does such work himsettor through his own - - . • employees, provided that such improvements are not intend- ,1 ILl 1ed or offered or sale. -It however, the building or improve-,, Z h-•- meet is sold within one year 01 completion, the owner-builder.- will have the burden 01 proving that he did not build or im- 0 • prove for the purpose 01 sale(. O I, as owner 01 the property, u11 exclusively contracting with licensed Contractors to construct the project (Sec 7044, a I Business and Professions Code: The Contractor's License e Law does not apply loan owner 01 property who builds or im' - proves thereon, and who contracts tar each projects with a CA contractor(s) license porsountto the Contractor's License Z . Law(. • - 0 As a,. .•. •,• - homeowner I am improving my home, and the 10110w-' 4 - . ing conditions exist: • I .The work is being performed prio to sale. -2. I have lived' in my home Or 'twelve months 1' prior to completion 01 this work. (. • ua 3. . I have not, claimed this evemption during the last three years. . '• " , • - . 0 I am exempt under Sec. - ' - B & P.C. for this reason - - :- v.p 1. C3 hereby affirm that I have a certificate of consent Iv '. sell-insure. or certificate or Workers Compensation In. suraiice. or a certified copy thereof Sec. 3800. Labor Code) c ' • POLICY NO. Or COMPANY • • -•.. . - S DCo is tiled withthecity - - 4. Z D . Certified copy is hereby turnished ILL •-"- -' S - -. . -.• -I 4r 4k S. . . •'•.. 0 •. . C 5CERTIFICATE OF EXEMPTION FROM Q . WORKERS' COMPENSATION INSURANCE - Sir)IThis section need not be completed it the permit is for one hundred dollars iSroOl or less)UJI . • * 0' i certily that in the performance 01 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 Compen. _*sativn Laws 01 California. . . . NOTICE TO APPLICANT: II, alter making this Certificate !- I of Euemptior. you should become subject to the Workers' ., , Compensation provisions 01 the Labor Code. you must a forthwith comply with Such provisions or this permit shall vo ' - deemed revoked.' - ._ F:o heèbbuIIirrotht thereaisa construction lending . .1 agency for the performance of the work for which this per .0I'4'it is issued (Sec. 3097, Civil Code) UA i. Lender's Name 5L_tender'5 Address '_•0- e- ----.---' ' -i- '- - - -r .• C-.-.. ' -. CARLSBAD'BUILDING DEPARTMENT . -' APPLICATION 4PMItCarlsbad, California-92008-1989 (619)'438-5525 C6bo.* Ufr(0 V' ç JOB ADDRESS ' " AV, ST. RD. NEAREST CROSS ST, . DATE OF APPLICATION BUSINESS LICENSE # LU TI PERMIT NUMBER - - • 7P LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONEEM7 . OWNER'S NAME - °OWNER'S PHONE VV Oi''- 12A4W •. . 55(,ç i'6'- CONTRACTOR'S ADDRESS ., v-- LICENSE O7 PIANI.D. T. •C, BUILDING SO. FOOTAGE. OWNER'S MAILING ADD JS1, tee." /3 /2 C 3 . DESIGNER ". , - . - • • 6 DEStGNRHONE , . -- - . DESCRIPTION OF WORK • - •••. . DESIGNER'S ADDRES ._ LIC$&1O. ,-. -_ • • - 7 0 ,. p' .f, ,+ ,,,vz,Prjk' /2 C a __________ - ,,. • x - -' . - ..r - - • P/P FLRELEV. NO 0CC OP 'EDU STORIES . - - . • 'F,. - - -YO NO REDEVELOPMENT TYPE 0CC LOAD CENSUS TRACT7GPLANOUSE PARKING SPACE RES UNITS GRADING PERMIT ISSUED FIRE SPP 'AREA C0NST- ••- • .' • YO o 0 • . a ;D NO -, • --. ' 'Certified Not Valid Unless Machine CITY. PLUMBING PERMIT ISSUE QTY MECHANICAL PERMIT ISSUE ' 3 - SUMMARY/ACCOUNT NUMBER 1 11 EACH FIXTURE TRAP -. - . - INSTALL FURN. DUCT'S UP TO 100,000 BTU • ' BUILDING PERMIT . 001-810-00-00-8220 - EACHBUILDINGSEWER --.•-- ---' , I - OVER 100,000 BTU , SIGN PERMIT -'•001-810-00-00-8221 — ' - -'-" EACH WATER HEATERAND/OR VENT -.- BOILER/COMPRESSOR UPTO3 HIP ',, - -, PLAN CHECK - 001-810-00-00-8806 -. - EACH GAS SYSTEM.1TO4.OUTLETS • _' -, __•:' -- 'BOILER/COMPRESSOR315_HP n • _'- , TOTAL PLUMBING -O01-81O-OO-O08222.' — EACHGASSYSTEM_5ORMO RE - METALFIREPLACE ELECTRICAL 001_810_00_00_8223 EACHINSTALALTER.REPAIRWATERPIPE -- - . - - VENT FAN SINGLE DUCT '•-•. '-• MECHANICAL _001-810-00-00-8224 S • . - .EACHVACUUMBREAKER - _' _' --.- MECHEXHAUST -HOOD/DUCTS -• -•- MOBILEHOME ••-oo1:81000.op.8225 WATERSOFTNER __. '•,- RELOCATION OF EA FURNA CE/HEATER -•- MOBILEHOME PARK INS P_-_.• _- EACH ROOF DRAIN jINSlDE(71' __•• _.• - u' - SOLAR _---001-810-00-00-8226 -.•- CH TOTAL MEANICAL - - • e - • -- C -___•-TOTAL PLUMBING '__•'- __-_' - - :4' - - STRONGMOTION 880_51992_ 33 a _••r' FIRE SPRINKLERS - - - 001-810-00-00-8227, . • - , . -, - PUBLIC FACILITIES FEE 3328100000 8930 OTY ELECTRICAL PERMIT ISSUE OTY SOLAR ISSUE ' F •.. - '- - - - - - o' - -, - *• • -. ' - -- "- - a NEW CONST EA AMP/SWTIBKR - .• - - COLLECTORS '. V - ••, - • SCHOOL FEE - DISTRICT - • - a - - -, Al PH 3 PH STORAGE TANKS * Carlsbad — EXIST BLDG EA AMP/SWT/BKR I ROCK STORAGE C -- n.--- Encinitas 1 Pb-I - , 3 PH. - • . PUMP - ' • • - C ' , • Saii oiegailo -. . - • 4 REMODEL :ALTER, PER CIRCUIT " a PLAN CHECK FEE C San MarCos TEMPPOLE.200AMPS-- -; .' ' •.' . 4C,, - - - , _" - • . v, OVER 200 AMPS .0 LICENSE TAX 001-810-00-00-8162 rEMpOccuPANCv(300AYsI - • -T- ' - •.. - : • -T • -..' • • . - .- . MFF - . -- , '88O-519-92-57 - 4 ' 0 ' • -' • ' ..0 CREDIT DEPOSIT 'a TOTAL ELECTRICAL TOTAL SOLAR -, 0 TOTAL FEES PAYABLE - ,, ' • - -. . • -• -' - - ' * . - '• - . • . .. • . - , 5 • 0 ' - -' Expiration. Every permit issued by the Building Official under the provisions of this 'T IS REQUIRED FOR EXCA~ATIONS OVER I H~VE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMi CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by IIrnttatIOn and become null and void. It the building or work - • - SO" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, on if the buildin or work authorized by such permit or, BUILDING CON- is suspended Or STRUCTURES OVER 3 STORIES IN HEIGHT • ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING abandoned at any time aer ,.pmevced for period WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANLJ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS PVtTANTS SIGJR 000, OWNER 0 of 180 da ~,STRUCTION. y - CONTRACTORS APPROD BY ' '- - - ' D Atp CITY IN CONSEQUENCE OF ,,EXPENSES WHICH MAY IN WAY ACCRUE AGAINST SAID ' GNTING OF THIS PERMIT ANY BY PHONE 0 . _____ I ,... .. I •. . I - - S t. '' INSPECTOR - .. ,'. ' \• TYPE __. • DATE DATE r BUILDING 'FOUNDATION FIELD INSPECTION RECORD • . .-•. - -•-,- * — .4, . . - REINFORCEDSTEEL REQUIRED SPECIAL INSPECTION'S' ' INSPECTORS NOTES MASONRY_______.— INSPECTION CHECKED INSFECRS DATE - GUNITE OR GROUT SUBFRAME_fiFLOOR _El _CEI1jIrtJG SOILS COMPLIANCE PRIOR TO FOUNDATION INSP ilk "SHEATHING EJROOF __EJSHAR - ,, --- FRAME -EXTERIOR-LATH '- _- _____! _-. . STRUCTURAL CONCRETE OVER 2000 PSI INSULATIOF'J * - - PRESTRESSED CONCRETE . - , - -• .. - - INTERIORLATH&DRYWALL POST TENSIONED CONCRETE . - ' .. PLUMBING FIELD WELDING fl SEWERANDBL/CO-El PLICO --; _________ HIGH STRENGTH BOLTS ______ .1,• _________ _____ . '_ Zy UNDERGROUND _El WASTE ElWATER . - ' - SPECIAL-MA SONRY --------------- -- .•. - 4 -- - - I • '-. - TOP OUT. _---El_ WASTE -.0WATER TUB AND SHOWER PAN GAS TEST- PILES CAISSONS - - - EJWATERHEATEREJSOLARWdTER ELECTRICAL — I — 0 ELECTRIC UNDERGROUND EJUFFER ROUGH ELECTRIC • - - . p.• 4 _________________________________ 0_ELECTRICSERVICEElTEMPORARY _______ __________ ElBONDING _El__POOL 4. . . . ,I • ..... --..- - - - .• . - - . - MECHANICAL ..•- ' ._________ -: :-.-..--" __ -ifl\\fl22_. 0-DUCT&PLEM:, _0REF.PIPING\ . .-•. HEAT—AIRCOND_SYSTEMS __I .4_t VENTILATINGSYSTEMS _) V - — - -•'.-- • _________ .-. - ____'i....- _.. _4 _-.4 \ CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ..ITEMS ABOVE-HAVEBEENAPPROVED t c...,__E . . - .. I •' • - •. --5- -• -,FINAL ___-1-'C .. . . _____ PLUMBING ELECTRICAL MECHANICAL. " " ' - L : - -.. '- "GAS BUD DING,H_ W .-- ---,.: . SPECIALiCONDITIONS . 4 .*.•-__•_--.- _--•- _.-4 ____4*. ____.%_'._'--. - - - . - - -- , I . . '... - f - - - - - -' . . - .,. - • ,. . ..- -I. •- - • . - - * 4.. -_-.. - -• - -; . - .-- : - - - 4•.- - - . a . .._'. -_ . * — -- - .4 - -_-_: - - *.- . 1 - . .- -.L• _ S - • - . — - - - - •• 4, -• - - . - - - - . - . - . • - ,- PLAN CHECK NUMBER __________ ADDRESS DATE PLANNING_ TYPE OF STRUCTURE _4ff, ZONE SCHOOL FEES SAN DIEGUITO ENCINITAS_____________________ CARLSBAD SAN MARCOS______________________ % COVERAGE REQUIRED SETBACKS______________ BUILDING HEIGHT FRONT________________________ FENCES/WALLS SIDE_________________________ -- .1W CAR GARAGE . . . REAR_____________________ S S uj .. . . . S. S • S S S S - W ..- •- -. . p-. •. _• •. S LU . S S • (#1 •. S S S S REDEVELOPMENT APROVAL REQUIRED: S cx CZ ff . S S.. S . LANDSCAPE PLAN COMMENTS:. EflVIflOIIENTAL REQUIRED:I ADDITIOIAL COIMENTS OK ISSu OK TO FINAL DATE = ENGINEING LEGA1IbESC IPTION VERIFIED?____________ A.P N. CHECKED?....... P F PARK IN LIEU 1PROVENTS E 0. U:*' SEWER - - LATERAL DRIVEWAY GRADING PERMIT: DRAINAGE:, S. EASEMENTS: S •. 5. ADDITIONAL COMMENTS: . S S .. S. S. S . •' • .5. . •y.••S S 0 - . 0 .5 . . S •, S S 5. .•• S • . S. LAJ LLJ F-1 cr. S S' .5 F o ii . . .. :- . -•. • •• •• OK TO ISSUE DATE * ENGINEERING INSPECTION REQUIRED PUBLIC WORKS INSPECTOR:,. FINAL OK:. DATE * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)` --