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Home My WebLink About2530 EL CAMINO REAL; ; 83-309; Permits USE BALLPOINT PEN'ONLY & PRESS:HARD APPLICANT TO FILL ,IN, INFORMATION WITHIN SHADED AREA AND DECLARATIONS. E]. I -hereby affirm,that'I afrl `licensed under " p provisions of;( hapter.9 (commencing with C~1 - Sectlori 7000) of Dlvisl6n-,3 of the Business t < ;and, Professions Code, and my Iidense is In t Is -' full,force'and effect._ _ Lic.-No, _Class' hereby affirm that I am; exempt from the Contrac-, { . - for's License Law for the following reason '(Sec. 7031.5 I -- Busidess and Professions Code: Any city or county which re- -,rep -quires a permit to construct, alter, improve„ demolish, or structure, prior to its Issuance also requires the ap- pi cant,for such permit to'tile' a signed statement thathe is licensed porsoant -to the provisions 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 foi the alleged exemptiod: ,'Any ' violation of Section 7031,5-by in applicant,for a:permit sub- J Ieotsihe applicant to a.civil.pehalty of not more than five.huri- • dred'dollars:($500). ' ElIl as owner of the property, or myemployees with.wages W as their sole compensation, will do:the�werk, and the struc- j p• . tdre is not' intended•orrolfered•for,sale (Sec. 7044„Business - - :i ' and Protessiops Code:, The Contractor's License'LaW-does (•. j not apply to -an owner of property who builds'or improves- o thereon and who does such work himself or'through his' own ' employees, provided'that such Improvements are not Intend- LU.• .ed.er.offered.forsale. 1f,.however,Ahe•boild(ngocimprove- -�• Z . # ment,is sold withip one year of completion; the owner -builder havedhe.burden-of ' 0 wi(i proving thati,h'e did' not build or, im- - prove for the purpose of -sale). - ❑'-i, as owner,of'the property, 'am exclusively contracting With licensed contractors to construct the prblect'(Sec. 7044, ' Business, and Professions Code: The Contractor's License Law does not apply to an ownerof property, who builds or fm- :'.proves thereon, and who•conlracts for each prolects with a I N . ZZ contractor(s) license pursuant to the• Contractor's, License Law). - - - - - t— ❑ As a homeowner[ am Improving my home, and the follow- < ing conditions -exist: 1: The work Is:beingperformed prior to sale. I 'in J 2. -I have hved my hoofs=der twelve months U - prior to coonof this work: - f W 3. I have not claimed this exemption during the last three years. ❑ I am exempt under Sec: B & P.C. I for this reason ❑ 1 hereby affirm that I have a certiticate_of.consent to self -insure, or a certificate of Workers' Compensation Insurance; or a certified copy thereof (Sec. 3900, Labor Code). - 1 Z , _ POLICY NO. 0 COMPANY_. y , [3 Copy is filed with the city. Z d ❑ Certified; copy is hereby furni O - CERTIFICATE OF EXEMPTION'FROM U WORKERS' COMPENSATJON-INSURANCE d' N (This section -need not be completed 'the permit • ' _ 'I „ is for one hundred dollars (fto0) or less] Y i fL [-certify that in the performance of the work for O J+hi This permit is issued. I shall not employ any I 3 person in any manner so as, lo.become subject to -the Workers' Compensation•Laws-of California. i NOTICE TO APPLICANT: It, after making, this Certi• ficate of Exemption, you should become subject to ^ the Workers' Compensation, provisions of the Labor Code;- you- must -.forthwith. comply with ,such -.'provisions.or this permit shall be deemed revoked I hereby, affirm that there is a construction • W - leddmg agency,for the performance of the work for ! G which this permjl is issued (Sec 3097, Civd'Code) -? _ I w • --Lender's-Name - J Z ' Lender's Address _ �- - r -- AD BUILDING- DEPARTMENT- APPLICATION.&', PERMIT 1200 Elm, Carlsbad, California 92008.1989 (619) 938.5525 ,- ,` JOa ADDRESS- 'ST AV". , DATE OF APPLICATION RUSINE 'T,ICENSE' # 'DWNE'R'5 NAME ry � "- � ' - OWN CONTRACTOR - CONTR CTORS+PHONEA - V�� •��C�1.�! �� e+i7"� r7►s^l�I.i � �Ji�%wI^ �! "!� ,•� .. :'�l r.i. y/rCUATION '111r PERMIT NUMBER A M /W t . - ZONE OWN'ER'S MAILING ADDRESS � - � - - - - �j Ats 4frcul9 c .9 LI -CONTRAtfoR'S ADDRESS �„y„ � f�� • tLu1a�?%- LICENSE NO. ' 'PLAN I.O. # � BLOGUSE•CODE - LOT BLOCK -subbiVIS16N ASSESSOR PARCEL NO: DESIGNER LICENSE# STAND ARD.PLAN# BUILDING$O.,FOOT,AGE ' ,DESCRIPTION OF WORK- - DESIGNER'S ADDRESS _ OESIGNER'5 PHONE t - - - '/ �'(.f7r 67/ tiT^st�, -- j,,"' Qlt t, N&VII7�r N1ss A *, 4 yrt�r'ad p i i'` f� C OP FLR,ELEV. NO STORIES OC6GP EDU - CENSUS TR'A'CT- -'G P LAND`US E• w PARKING SPACE RES UNITS Z GRADINCrFERMIT ISSUED Y ❑ N ❑� REDEVELOPMENT' AREA-- - Y❑N❑' - - __.. TYPE -CONS'1' - OCC LOAD -. - - - FIRE SPR Y.❑' N • ❑ QTY. PLUMBING PERMIT - ISSUE QTY. MECHANICAL PERMIT - ISSUE ��_ SUMMARY/ACCOUNT NUMBER " EACH FIXTURE TRAP INSTALL FURN.'DUCTS UP TO 100,000`BTU BUILDING PERMIT '01-00-00-8220 a 'EACH BUILDING SEWER' OVER-100,0 U SIGN PERMIT • 0.00-8221 EACH WATER HEATER /OR VENT BOILER/COMPRESSOR•UPTO PLAN CHECK 01-00-00-8806---""`"T EACH GAS SYSTE TO 4 OUTLETS ° BOIL, HP TOTALPLUMOING 01 00 00 8222 EACH GA5 SY .. M 5 OR MORE - METAL FIREPLAC -- _ ELECTRICAL, _ 01 00 00 8223 -- E'ACH`INS ALTER; REPAIR WATER PIPE VENT FA GL'E DUCT MECHANICAL 01-00-00-8224 EA - ACUUM BREAKER ME XHAUST -HOOD/DUCTS MOBILEHOME 01 00 00 8225 TER SOFTNER' XLOCATiOlil OF EA FURNACEMEATER- MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) _ SOLAR 01-00-00-8226 TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 QTY: ELECTRICAL PERMIT -'ISSUE ` �/"�..•• QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32 00 00 8923 BRIDGE FEE NEW.CONST'EA AMP/SWT1BKR COLLECTORS SCHOOL FEE DISTRICT 1 PH 3' PH -STORAGE TANKS Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SW_T/BKR / ROCK STORAGE Encinitas '80-92-22-0519 i PH 3 PH PUMP San Dieguito 80-92-23-0519 REMODEL/ALTER PER CIRCUIT- PLAN CHECK FEE San Marcos 80 92 24 0519 TEMP'POLE' 200AMPS _ OVER 200 AMPS - _TEMP OCCUPANCY (30 DAYS) - - TOTAL ELECTRICAL TOTAL SOLAR TOTAL TOTAL FEES PAYABLE 1`1-IXVE CAREFULLY EXAMINEDTHE COMPLETED "APPLICATION.ANb PERMIT" AND DO HEREBY Expiration. Every-permitissugd by the BuifdingOfticlaiunder the provisions oethis * AN t7$HA PERMR IS REGilA1RED'FOR;EXCAVAillONS•OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFOAMATION HEREON INCLUDING THE Code Shan expire by Irrilitation'and-become nuft iind'yoid if*the building or work ¢ 'authorized by such -permit is not commenced within 180 days from the date ofsuch r V 0" DEEP AND DEMOLiTIONd6R CONSTRUCTION OF DECLARATION&ARE TRUE AND CORRECT AND f FURTHER CERTIFY. AND AGREE W A PERMIT IS permit, or if the building or work authorized by such permit is suspended oi•-JtRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS -GOVERNING• BUILDING CON- abandoned at•an , thraw after thier Work J&commenced fora period, of 180 da s. ' STRUCTION, WHETHER•SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE �( APPRO ED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,.JUDGMENTS, COSTS AND OWNERC) CONTRACTbR t E EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF°THE BY PHONE _ ter' a _ -- I GRANTING OF THiS PERMIT. xr'�_ iuQp=nTonm -rvpr - DATE INSPECTOR - BUILDING_ FOUNDATION - REINFORCED STEEL MASONRY tUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 'FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. 1. - SMOKE DETECTOR MECHANiCAL DUCT & PLEM., REF. PIPING HEAT - AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN 'ALL APPROPRIATE ITEMS ABOVE HAVE, BEEN APPROVED. JOB' SITE FINAL PLUMBING ELECTRICAL MECHANICAL 4_t GAS BUILDING SPECIAL CONDITIONS N FIELDINSPECTION -RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED ,CONCRETE POST TENSIONED CONCRETE' FIELD WELDING HIGH STRENGTH - BOLTS SPECIAL MASONRY PILESICAISSONS L7 'L;LK I Vr VLA;Lkt-ANUT IbbUt:L) Carlsbad PISItELLANEGUS City "Qf: 75 1200 ELM, CARLSBAD, CA 92008 • TEL. (619) 438-5525 RECEIPT wuliouu? 711w L-! 610 7-5 T A L Address Owner VAPAL2�4ft S40),V/�j -7, _,,g-pl-v maninp- Address City zip Tel. Coritraclor,y V1611 Woir City zi Te 7 �r �u State Lic city S. Classif Lic. No. COMPLETE FOR PLAN CHECK ONLY LEGAL DESCRIPTION ASSESSORS PARCEL NO. DESCRIP TION OF wbRK -PLAN-ID NO. -DESIGN tR, ADDRESS PHON m Signature of App MISCELLANEOUS'FEE RECEIPT F❑-1 PLAN CHECK FEE 01-00-00-8806 �, 73 El VALUATION ❑ DEMOLITION ❑ HOUSE MOVING El PARKS AND: RECREATION FEE ❑ PUBLIC FACILITIES FEE� SCHOOL 'FEE —DISTRICT Carlsbad —.— Encinitas ❑ San Diego ❑ San Marcos ❑ CERTIFICATE OF OCCUPANCY 0" El - - ------------ TOTAL,FEE 571 ON � "WARNING; PLAN CHECK FEES 'VVHERE NUAC ACTION IS TAKEN' BYTHE APPLICANT IN .1-80 DAYS AND`NO BUILDING PERMITIS ISSUED. ARE F6RFbTEIJ,TO. THE CITY_ COMMENTS: - ------------ a ica —+ Date WhitO --,Applicant Yellow Hip - Pink (1):Fjnahc'e Data. Process - :001d'- jAssesSor 99 • Citp of uCArzssfiab x.. REQUEST FOR INSPECTION RECORD BUILDING INSPECTOR OWNER ADDRESS REQUESTED BY NO. DEPA R•I TENT PHgNE NO. P •RSON TAKING REPORT UILDING ELECTRICAL No work. ,for s • , Permit expired ; date initial • date i n1 ti a Mork not started, permit expired date initial The inspector will return the permit to the permi t cl erk; who Sri 11 either reel ace the permit in the file as active or- send, thle owner/' contractor written notice that the permit has expired. ❑ UNDERGROUND PLUMBING ❑ SEWER AND PL/CO ❑ TOP OUT PLUMBING ❑ TUB OR SHOWER PAN ❑ GAS TEST ❑ WATER HEATER ❑ SOLAR WATER ❑ FINAL ❑ CONDITIONED AIR SYSTEMS ❑ SOLAR HEAT C3 PATIO ❑ POOL ❑ SPA ❑ SIGN ❑ GRADING ❑ DRIVEWAY ❑ FINAL J ' SPECIAL INSTRUCTIONS Citp of ttCarrobab REQUEST FOR INSPECTION RECORD INSPECTOR _ OWNER ADDRESS REQUESTED BY TIME: PERMIT NO. DATE: BUILDING ❑ FOUNDATION ❑ REINFORCING STEEL ❑ MASONRY ❑ GROUT - GUNITE ❑ FLOOR AND CEILING SUB FRAME ❑ SHEATHING ❑ ROOF ❑ SHEAR ❑ FRAME ❑ EXTERIOR LATH ❑ INSULATION R DRYWALL �-- FINAL PLUMBING ❑ UNDERGROUND PLUMBING ❑ SEWER AND PL/CO ❑ TOP OUT PLUMBING ❑ TUB OR SHOWER PAN' ❑ GAS TEST ❑ WATER HEATER ❑ SOLAR WATER ❑ FINAL SPECIAL INSTRUCTIONS PHONE NO. PERSON TAKING REPORT ELECTRICAL ❑ TEMPORARY SERVICE ❑ UFFER GROUND ❑ ELECTRIC UNDERGROUND ❑ ROUGH ELECTRIC ❑ POOL BONDING ❑ ELECTRIC SERVICE ❑ FINAL MISCELLANEOUS ❑ CONDITIONED AIR SYSTEMS ❑ SOLAR HEAT ❑ PATIO ❑ POOL ❑ SPA ❑ SIGN ❑ GRADING ❑ DRIVEWAY ❑ FINAL Ready For Inspection: ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday A.M. 0 P.M. Friday Citp of Carlobab z. REQUEST FOR INSPECTION RECORD 4 t INSPECTOR -I OWNER ADDRESS REQUESTED BY BUILDING ❑ FOUNDATION ❑ REINFORCING STEEL ❑ MASONRY ❑ GROUT - GUNITE ❑ FLOOR AND CEILING SUB FRAME ❑ SHEATHING El ROOF ❑ SHEAR ❑ FRAME 0 EXTERIOR LATH ❑ INSULATION INTERIOR LATH OR DRYWALL ❑ FINAL PLUMBING ❑ UNDERGROUND PLUMBING ❑ SEWER AND PL/CO ❑ TOP OUT PLUMBING ❑ TUB OR SHOWER PAN ❑ GAS TEST ❑ WATER HEATER ❑ SOLAR WATER ❑ FINAL SPECIAL INSTRUCTIONS TIME: DATE: _ `Z PHONE NO. PERSON TAKING REPORT ELECTRICAL ❑ TEMPORARY SERVICE ❑ UFFER GROUND ❑ ELECTRIC UNDERGROUND ❑ ROUGH ELECTRIC ❑ POOL BONDING ❑ ELECTRIC SERVICE ❑ FINAL MISCELLANEOUS ❑ CONDITIONED AIR SYSTEMS ❑ SOLAR HEAT ❑ PATIO ❑ POOL ❑ SPA ❑ SIGN ❑ GRADING ❑ DRIVEWAY ❑ FINAL Ready For Inspection: ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday Friday 0 A.M. 0 P.M. GRADING CUBIC YARDS - RUNNER NOTIFIED INTERDEPARTMERTAL INFORMATION SHEET BUILDING DEPARTMENT DATE: 1983 BUILDING ADDRESS: � °�J � of CAVN A.P.N• - - C . T : IWId`ng lY.YS ear a xJcx r 4 ie•• xx' cx Y' k:F. <^ ic^ P AN1V 1 NG DEPARTMENT ZONE: SCHOOL FEES: SAN DIEGUITO .�SAN MARCOS ENCINITAS CARLSBAD -UNITS REQ'D: PROVIDED: COVERAGE -ALLOWED: PROVIDED: PARKING SPACES REQ'D: PROVIDED: BUILDING HEIGHT REQ'D: PROVIDED: FRONT SETBACK -SIDE SETBACK REAR SETBACK ALLOWED: PROVIDED: INTRUSIONS: RE -DEVELOPMENT APPROVAL REQ'D: LANDSCAPE & -IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTIPN REQ: ADDITIONAL COMMENTS: `-- OK TO ISSUE: TE: OK TO FIFA DATE: ENG INER- EP n T R..O.W: MPROVEMEN S: PUBLIC FACILITIE EE:SEWER CONNECTION: DRIVEWAY LOCATION (S) GRADING PERMIT: EASEMENTS:. DRAINAGE: r, LEGAL DESCRIPTION: ADDITIONAL COMMENTS: *CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL: ? OK TO ISSUE: DATE:- PWI: OK TO FINAL: DATE: ' i - IF THIS ITEM IS NOT CEIECKED, BUILDING DEPARTMENT WILL MAKE FINAL INSPECTION. n-"-