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Home My WebLink About250 Pacific Ave; ; 84-271; Permit.,, z 0 ~ IIC ~ 0 w 0 C I[ 0 IIC "' 0 .... 5 ~ "' z ~ z 0 ~ .,, z "' A. ~ 0 0 .,, iz: Ill " IIC 0 3 i[ 0 I hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with S.Ctlon 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No _______ Class _____ _ I hereby amrm that I am exempt trom the Contrac-lO<'s lice~ Law for Ille following reason (Sec. 7031 .5 Business and Pro!esS1ons COde: Any city or county which re-quns a pemul lo construct, aner, improve. demOlish, or repair any structure, prior to 11s issuance also requires the ap-pllc.anl for such pemlll ID file a signed Slalemenl lhal lie IS licensed pursuant lo the provisions of Ille Contrac10n License Law (Chapter 9 commencing w1lh Seclion 7000 01 Division 3 of the Business and Protess,ons COde) or lhal Is ex-empt 11\erelrom and Ille baSIS tor the alleged exempt,on Any vI0fal1on of Seellon 7031 .5 oy an applicant 10< a permit sul>-iects the applicant 10 a civR penally of not more than five hun- dred dollars ($500). D I, as owner DI the property, or my employees with wages as their sole compensa1,on, will do the -k. and Ille struc- ture Is not Intended Of offered fOI sale (Sec 7044, Business and Professions Code: The Contractor's LJcense Law does not apply to an owner ol p,operty w1lo bulkfs o, improves thereon and who does such wwf< himself 01 through his own employees, provkled that such Improvements are not Intend- ed or offered fo, sale. If. however, the building or Improve-ment Is sold within one year 01 completton, the owner-bulkfer will have the burden of proving that he dkl not bulk! or Im-prove for the purpose of sale). D I, as owner of Ille property, am exclusively contracting with licensed contractors to construct the project (Sec 7044, Suslness and Professions Code: The Contractor's License Law does not apply 10 an owner of property who builds o, Im-proves the,eon. and who contracts tor each projects with a contractor{s) license pursuant to the contractor's License Law). D As a homeowner I am imprOYlng my home, and the follow- ing conditions exist: t r~:~r!!.I>e;~ :V"::' r;;or ~e~8nmths 3. rt.'.° :;'P~==t tt~;i; :'~ption during the last three years. D lamexemptunder5ec. ______ , B&P.C. for this reason D I hereby athrm that I have a cert1ftcate of consent to self-insure. or a cert,hcate of Workers· Compensation Insurance. or a certified copy thereot (Sec. 3800. ubo< CooeJ POLICY NO __________ _ COMPANY --~------- □ Copy IS f1led('f'ttrhe Ctfy 0 Certified c~ ,s hereby turrushed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sect1011 need not be completed 1f the permit 1s tor one hundred dollars ($100) or less} 0 I cer11ty that 1n the performance of the w()O( tor wh,ch this permit 1s issued. l s~tl nol employ any person 1n any manner so as to become subJecl lo the Workers· Compensation Laws of Cahforn•a NOTICE TO APPLICANT It, after makm, tt11s Cen, ltcate of Exemption, you shoukj beCome sub1ec1 t".> lhe Workers· Compensation pro'll1s1ons of !he Labof Code. you must forthwith comply wtlh such prov1st0ns or this permit shall be deemed revoked 0 I hereby alhrm that there 1s a conslruct•on tending ~ency 10, !he pertormance of tne wono. fOJ wruch trus permit ,s issued iSec 3097 c, ... ,t Godel Lenoer s Name ___________ _ '.I. .... Lender's Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT _ 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST. DATE OF APPLICATIOH BUSINESS LI ENSE # VALUATION PERMIT NUMBER I -?s AO. ~//-J . 5<.. 07 / OWNER'S NAMh . OWNER'S PHONE n CONTA,CTOA , . , • CONTRACTORS PHONE. ZONE o211 V \\_,, fY\ ~'1-1711 ')r .tTh ivl/Js I u Vhhrl\, 12/ 3600 BLOG use CODE OWNE~~:;~. A~~so X l I \ \ 01'l r; ts b A j tt?~RAC~;;:AE~ I 1-Ot AJA1 ?£ uce: N03 <~~ -.:: LOT I etocK I suB0IvIs,oN 11 ASSESSOR PARCEL NO. I loes1GNEA OESCAl~TION OF WORK DESIGNER'S ADDRESS ~ . J-)~{ ere ~t\ e.J--=€31< --F/P FLA ELEV. vO NO NO STORIES TYPE CONST LICENSE If :Jc../ :;q 2 ~--, DESIGNER'S PHONE OCCGP EDU OCC LOAD Fl RE SPA PLAN 1.0. ~ J l, Cl STANDARD PLAN # BUILDING SO. FOOTAGE CENSUS TRACT l GP LANO USE PARKING SPACE RES UNITS GRADING ~ERMIT ISSUED YO ND l REDEVELOPMENT AREA vO NO vO NO Not Valid Unkss Machine Certifi,d QTY.I PLUMBING PERMIT -ISSUE /4J0 I QTY.I MECHANICAL PERMIT -ISSUE ✓300 SUMMARVACCOUNTNUMBER EACH FIXTURE TRAP I I I INSTALL FURN . DUCTS UP TD 100,000 BTU BUlLDING PERMIT 01-00-00-8220 SIC:N PFRMIT 01-00-00-8221 EACH BUILDING SEWER I 'zj I OVER 100,000 BTU I I -·-·· · -··· I 71 EACH WATER HEATER AND /OR VENT I 7 -~ BOILER/COMPRESSOR UP TO 3 HP EACH GAs sYsTEM 1 rn 4 ounns 1 1 1 BOILrn,coM~REssoR 3.,s HP 1 1 TOTAL PLUMBING - 7 ' 7 ,, 7,=<l.;> PLAN CHECK 01-00-00-88D6 01 ·00·00·B222 QTY. EACH GAS SYSTEM 5 OR MORE I -· 1 I METAL FIREPLACE EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH VACUU M BREAKE R I i I MECH EXHAUST -HOOOIDUCTS RELOCATION OF EA FURNACE/HEATER WATER SOFTNER EACH ROOF DRAIN (INSlDE) TOTAL PLUMBING l ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP/SWT/BKR 1 PH 3 PH EXIST BLDG EA AMP/SWT/BKR I PH 3 PH L REMODEL/ALTER PER CIRCUIT TEMPPOLE 200AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) .. TOTAL ELECTRICAL l P'J-f.,t .S~tJtl QTY. TOT.C.L ME-CHANICAL SOLAR -ISSUE COLLECTORS STORAGE TANKS 7 ROCK STORAGE 7 PUMP ' ,'( PLAN CHECK m I 7 \d w ~ ' ' TOTAL SOLAR ELECTRICAL 01 ·00-00-B223 MECHANICAL 01-00-00·B224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP -- SOLAR 01-00-0Q-8226 STRONG MOTION B0-92-33-0519 FIRE SPRINKLERS 01·00·00-B227 PUBLIC FACILITlES FEE 32·00·00-B923 BRIDGE FEE SCHOOL FEE -DISTRICT Carlsbad B0-92-21-0519 Encinitas 80-92-22-0519 San Die~uito B0-92-23-0519 San Marcos 80-92-24-0519 ljJ;+ - TOTAL FEES PAYABLE l J(.)_µ7 I HAVE CAREFULLY EXAMINED THE COMPLETED ••APPLICATION AND PERMIT" AND DO HEREBY Exp,ralion Every penntl 1uued bytheBuikling Ott<eial under thepr0V1S1onsolth11 CERTIFY UNDER PENALTY OF PERJURY THAT ALL fr,IFORMATION HEREON INCLUDING THE Code shall exp,re by hm1tat1on and become null and void ff the bullding or won DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorlled by such permit II not commenced within 1110 days from the date of such ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON, ~~it. nor 11 the buoldi~ or won aulllorlzed by auch permit IS suspended or * AN OSHA PERMIT IS AE0UIAED FOA EXCAVATIONS OYER !i" o· DEEP ANO OEMOUTION OR CONSTAUCT10N Of STIIJCl\JAES OYER 3 STORIES IN HEIGHT STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND do eel at an llme a ter the work IS commenced for 8 nod of 180 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND /4AP½CANT'S SIGNATUAE!l. ' /4 OWNER 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE · / (/ /? /" GRANTING OF THIS PERMIT. . ,bf 7'r}t..C.fa /..-:.t:.L'--~-BY PHONE 0 APPROVED BY ~- DATE 1s-:.;{-8f / C ~ u: >, <ii 0 a. E Q) I- I 'O 0 Cl c "' .!2 a. a. <( I -'L. C a: 0 rn rn Q) rn rn <( I :: _Q a5 >- ui rn Q) 0 0 a: "' cii 0 ~ Q) 0 C "' C u: C Q) ~ Cl 0 0 Q) a. rn C ~ .c ~ INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION ~ REINFORCED STEEL I I MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME ' EXTERIOR LATH lNSULATION I INTERIOR LATH & DRYWALL ' I PLUMBING I ' -- SEWER AND BL/CO I PLUMBING UNDERGROUND I PLUMBING TOP OUT TUB AND $HOWER PAN i GAS TEST ELECTRICAL ' TEMPORARY POWER 1 ELECTRIC UNDERGROUND I ROUGH ELECTRIC .. < ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTI LA Tl NG SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBl~G ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED 84 ->7 I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REQ . IF INSPECTOR'S I INSPECTION CHECKED APPROVAL DATE -- SOILS COMPLIANCE PRIOR TO FOUNDATION INSP -I STRUCTURAL CONCRETE OVER 2000 PSI . PRES TRESSED "· CONCRETE I POST TENSIONED CONCRETE I FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY n ' PILES CAISSONS 1, . ' ~ .- -. - --- . ;i . -,. ,I -~ .... I ~