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HomeMy WebLinkAbout254 Juniper Ave; A3; 86-294; Permit"' z 0 ;:: .. "' .. ~ u .. 0 • • "' i[ 0 u "' .. 0 ~ 3 !!! "' .. z ~ z 0 ~ z .. .. "' 0 u "' ir .. "' "' 0 3: • 0 I hereby affirm !hat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 1n 1,11 lo,co ~~ 'ii\! Lie No8 Clo;1 C36 1 he,eoy aflirm tha! I drTI e,emo: fro•n the CJntroc- tor s License Law for 1"e lo low,n9 -eas<in (Sec 7031 S Busmess anc Profess,ons Code Any city or ~~uo:y wh,u, re quires a perm,t :o ~onstruct aller ,mprove de-0I,sh. or reoa1r any struclure pr,or to ,ts issuance also reQJ,res !heap p Icant lor sue~ pe·~,,: to f1ie a s1qned statemenl lhat he ,s I,censed purs,ant 10 the prov,s,ons of The ConiraciDr s License ·_aw ICha~Ie-9 commenc,ng wl'h SecI,o~ 7000 of Dwis,on 3 ot the Business and Protess1ors Codei or that ,s e, empt The'efro,., and the bas,s for 1he alleged exemo: on Any v,o:at,on of Sen,on ~031 ~ by o~ oppl,cant 'or o perm,, sub Iec:s the aopl1can110 a c,v,· penally ol no! more th.in five hun dred aol ars f$50QI I. as owner of the prcperty or my employees ·-.,·h wages as The,r sole compensatIor, will do the work. and the struc- ture Is cot intended or altered tor sale !Sec 70~4 Business ano Proless1or.s Code The Contraclor s License Law does not apply lo an owner of property who builds or improves l~ereor and who does sue~ wm~ h1msel1 or through his ow~ employees. pro,,ded that such ,mprovemer.ts are not intend- ed or ottered •or sale If. however. the bu,ldmg o• ,rnprove· '!len1 ,s sold w,rn,n one year ot comple!1on. the owner-builder w,II have the burden of proving That he did no1 bu,ld or ,r,1 prove tor the purpose 01 sale) I, as owner ~f the property, am exclusively con1ract,ng wI1h :,censed contractors to construcl the pro1ect (Sec 7044 Business and Professions Code The Contractor's 'License Law does not apoly to an ow~er ot property who bul'ds or ,m- proves lhereon and who contracts 1or eacn pro1ecls w:lh a conlractor(sl license ou"suant to the Contractor's License Law) As a homeowne' I am ,mprov,ng my home and the follcw Ing cond,t1ons exis: 1 The work ,s bemg performed pr,o, to saIe 2 I have iIved m my home for lwelve months orior to completion ot this work I have not claimed th,s exempl,on dur.~g 'he last three years I am exempt under Sec _____ _ B & PC Jar lh1s reason ____________ _ X • hereby at<irrn that I have a cert,•,cate of consent to sell,,r,su,e or a cerM,cate of wo,kers Cornpe~sat,on In su·a·ice or~ cer:,hed copy thereof 1Sec 3800. Labor Code! 0ooc"o TC621698048 '""""' Maryland casualty -xcpy 1s tiled W 1)7 the city Cert,f,ed co~y Is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE 1Th,s sect,on need ~ot be completed ,f the per'T1I\ ,s to, one hundred dollars ,S1001 or less! • certify that ,n the performance of the v,,01k for which t~,s perm•t ,s ,ssued. I shall not employ any person ,n any 'T1aone, so as to become sub1ect to the Workers Com pen sat,on Laws o1 Callfom,a NOTICE TO APPLICANT If, af!er makmg this Certificate or Exemption. you should become sub1ect to the Workers Compensation prnvIsIons of the Labor Code. you must L lor!hw1th comply ...-,th such provIsIons or this ;,erm,t shal• be deemed revoked ![ I hereby affirm that there Is a construct,on lenj,ng agency for the performance of tile work for which 'h,s per m,t Is issued (Sec 3097. NerJel Lenders Name Lende• s Address , USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ' CARLSBAD BUILDING DEPARTMENT rr/.. : Ca,lsbad. Callfomla 92008-1989 (619) 4385525 APPLICATION & PERMIT q I oP I : JOB ADDRESS AV. ST.RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE ti VALUATl4r, AJ:.E_!:-MIT NrMB I , 254-A3 Junioer Ave. carlsbad Blvd. 3/15/86 8177 a~ Q. : LOT I BLOCK I SUBOJVISION I ASSESSOR PARCEL NO. CONTRACTOR f / ,i .I CONTRACTORS PHONE~ ZONE ~ I ' owsEss aAME I owNEa·s,HoNE Arlen Foster Plumbinn 697 4151 I • k , 4 6894 CONTRACTOR'S ADDRESS 1,. ;-A) II" --~ LICENSE NO PLAN 1.0. ti BUILDING SQ FOOTAGE 1 Robert Nie l1n 43 -IV' (I 1'4 ' owNrns MA<uNc ADDaess 2819 Central Ave. 7" 443348 I I I , ~, . ■ DE:SIGNER'S PHONE ' 254-A3 Juniper Ave. oes,cNER ., • -- ' I DESCR1f'TION OF WORK , _water Heater Replac~nt I I 11-------- DESIGNER'S ADDRESS u FLR E:LEV NO STORIES LICENSE NO. OCC GP 3/ I B/c64S49 EDU I v □ ,□ --- ..-11·«: SPP ! CE:NSVS TRAC1 C;P LANO USf PARKING SPACE RES UN>TS GRADING PERMIT ISSUEQ REDEVEL8PMENT TYPE DCC LOAD -•~r QTY PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER ' --' '%1~ QTY AREA CONST , □ ~ D , □ ,c vD NO Nor Valtd Unless Machine Certified MECHANICAL PERMIT -ISSUE .:3-SUMMARY/ACCOUNT NUMBER i INSTALL FURN LIUCTS UP TO 100 000 B ru I ; BUILDING PERMIT 001-810-00-00-8220 OVER 100.000 BTU SIGN PERMIT 001-810-00-00·8221 $2 • 5 □=-r---BOILER: CUMPR ESSO R UP TO 3 HP PLAN CHECK 001-810-00-00-8806 BOILER,COMPRESSOR 3 15 HP ~---TOTAL PLUMB~G_ 001·810-00-00-8222 $10 • 00 1 -------- [ A [HWA I ER HEATER AND OR VENT EACH GAS SYSTEM l TU 4 UUl LETS in-AL F'REPLACE '-------L ELECTRICAL 001-810-00·00-8223 VENT FAN SINGLE DUCT MECHANICAL 001-810-00·00-8224 f---EACH GAS SYS HM~ OR M_O_f1c_E __ _ EACH INSTA~ ALTER. REPAIR WATER PIPE ---- ~---j EACH VACUUM BREAKER MECH EXHAUST OD DUCTS MOBILEHOME 001·810-00-00-8225 -------- WATER SOFT_Nc_E __ R _____ _ ~ ~JIY r:,R,\ \ : l'JS1I1l: I II I RELOCAT~~E~LURNACE-HEATER .7 TOU,L MECHANICAL MOBILEHOME PARK INSP SOLi;.8_ STRONG MUTION \~ fU!AlP\UMfllNL T_._...,.,_,..., , ~ i l~l-Y I ELECTRICAL PERMIT. ISSUE I .2-;.-._ --t ;=J <:l n nn ii I FIRE SPWJI\LERS PUBLIC FACILITIES FEE I NE:W CONST EA AMP S'Nl tlKR ------f----- I PH I PH I ~v,c:T ~1 nr: ~t. AMP SV1'T flKH ; I I PH u""' L' -~\ p~~ I I RE/r,,,ODEL Al TtR PEH CIHC" I TE:MPPOlf _/ I OVER!OOAMP 1 1£ MP U 'P7A~N~C-y-, J-□-□-A_Y_S_I ______ + I _,/ QTY SOLAR -ISSUE ,:::,:,[ l FrTCR\ -SCHOOL FEE -DISTRICT STC,RAGE TilfJKS ROCK s-ORAC'.l ~I. f,'? Pl Ml C·ILr:• ~LL ---fc / ----jf-z -7 Carlsbad Enc1n1tas ~~n_ D1egu1to San Marcos / LICENSE TAX -✓---+--MFF CREDIT DEPOSIT ·c.1lA' S'.llf,R -- 001'810-00-00-8226 I 880-519-92-33 001·810-00-00-8227 332-810-00008930 I 001-810-00-00-8162 880-519-92-57 f u .:_; ---- - :I ~ lillAcfULIRILAL ,L___ ____________ ---1.._;_--,---:---".'.'""'."":~'"'"'.-.'""~~--i-".""'.":'.::::=======:::::::-:::::-i I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS TOTAL FEES PAYABLE 10 .00 Expiration Every permit issued bythe8u1ldmg Olf1c1al under the prov1s1onsofth1s Code shall e;,;pire by l!m1tat1on and become null and void. 11 !he bu1ldmg or work auttiorized by such permI1Is not commenced w1thm 180 days from the date of such permit, or 11 the building or work authorized by such perm,t 1s suspended or * AN OSHA PERt,l:T 1$ REQUIRED FOR EXCAVATK>NS OVER 5· O" DEEP A.ND OEMOLfTK>N OR CONSTRUCTION OF STRUCTURtS OVER J STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON-L•~b~•~o~d~o~o~od£,!•~•~•~"r.!'~•mc•!..!•~H!"c'~h~•~•eo~,c,kc'0'1'oo~msm~•S"0'S'~d~l!soc1,;a~•~•!<;OSdLo~IL1U8~0Lds!J•ill''---;,;;-1°:~;:;:~~:°::::"'---,-------~:-:-::-----:-"1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE lf,, O NEAD CONTRACTOR El APPROVED BY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND W EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA!D CITY IN CONSEQUENCE OF THE // ~ /J BY PHONE rJ GRANTING OF THIS PERM!T ~, _, 'q_ 7Jl-t1~ _ / j ,dr/--, :;t-_/ ?;(i-Yi --,, --, I ."! LL ~ :;; 0 o_ E © f- D 0 ('.) ;:'.I~, --"'~ C ro u o_ o_ <t ~ C 0: 0 w w © w w <t I ~ 2 " >- ,;; w © u 0 a: ro <ii 0 ~ © u C rn C LL ,:: C © ~ ('.) 0 0 © o_ w C 0 L ,: TYPE I DATE INSPECTOR BUILDING I <Jl;-,>CJ{ FOUNDATION I . FIELD INSPECTION RECORD REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I ' INSPECTION REQ IF INSPECTORS DATE ' GUNITE OR GROUT . CHECKED APPROVAL SUB FRAME □ FLOOR □ CEIL!ING SOILS COMPI_IANCE SHEATHING □ ROOF □ SHEAR PRIOR TO FRAME I FOUNDATION INSP ------ EXTERIOR LATH STRUCTURAL CO~CRETE I OVER 2000 PSI INSULATION I PRES TRESSED ' CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED ' CONCRETE ! PLUMBING I . "IEL.D WELDING □ SEWER AND BUCO □ PUCO ------------' HICirl STRENGH• UNDERGROUND □ WASTE □ WATER BOL Ts I TOP OUT □ WASTE □ WATER SPECIAL MASONRY ' TUB AND SHOWER PAN I I GAS TEST I Pll f::S CA1:_;5Q!\j':_" □ WATER HEATER □ SOLAR W./1.TER -----------~---------t I ---- ELECTRICAL I □:UFFER ~-----□ ELECTRIC UNDERGROUND ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY ' ---·--------- □ BONDING □ POOL I I I MECHANICAL I ---- □ DUCT & PLEM., □ REF. PIPING ,. HEAT -AIR COND. SYSTEMS I I\ VENTILATING SYSTEMS ' 7 I I "i/) ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIAtµ ITEMS ABOVE HA VE BEEN APPROVED. FINAL I / l ) " PLUMBING I j J ~1-x . ELECTRICAL I V ' MECHANICAL I V GAS I I BUILDING I . ' SPECIAL CONDITIONS I I . -• •