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Home My WebLink About2604 OBELISCO PL; ; 87-219; Permituu W l-twby atflrm (hat I am llcanaad under provlslona ol CTiaptar 9 (commancing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. 1 nereoy illirm thai i am «*emoi 1'om the Conlfac- tor's License Law iw ine loilowing reason iSec 7031 3 Business and Professions Code Any city or county whicr. re- Quites a permil lo consirucl. alter, improve, demolisti. or repair any structure, prior to its issuarrce also requires tne ap piicam tor sucii permit to tile a signed statement ttiat tie is licensed pursuant to itie provisions o1 trie Comracior s License Law (Chapter 9 commencing wiin Section 7000 ot Division 3 ot itie Business and Protessions Code) oritiat isex- empi tnerelrom and Itie tiasis tor the alleged eiemption <my violation ot Section 7031 S Qy an applicant tor a permit suti- lects me aMiiicani to a civit penally ot not more man live hun dred dollars ($500) I ! I. as owner ot the property, or my employees with wages as their sole compensation win do me wom. and ihe strut- lure IS not intended or ottered tor sale (Sec 7044. Business and Professions Code ftie Contractor's License Law doesnot apply to an owner ot property who Puilds or improvesIhereon and who does such worh himsell or through hrs own employees, provided that sucn nnpcovemenis are not intend ed or ottered tor sale il. nowevet. me buiidmg or improve ment IS sold within one year ol completion, me owner-builder will tiave the burden ol proving mat he did not build or im prove lor Ihe purpose ot saiei ; I I, as owner ol me property, am exclusively contracting with licensed contractors to construct the protect (Sec. 7044, Business and Professions Code The Contraclor's LicenseLaw does not apply to an owner ol pr^rty who builds or im proves mereon. and who contracts toi each protects with a coniracior(s) license pursuant to the Contractor's License Law) 1 I As a homeowner i am inntroving my home, and the loltow ing conditions exisi 1 The work is being pehormed prior to sale 2. I have lived in my twne lor twelve monir prior to compielion ol this work 3 I have net claimed this exemption ducini last three years G I am exempt under Sec. lor mis reason I of consent to npensatton In- 0,i,at>orCode) I hereby afltrm that I nave a cert seit-msure. or a cerllllcale ot Worker surance. Or a caruliad copy thereof (Se POLICY NO. COI^PANV [Z Copy IS tiled with Ihe city Q Cerlltfed copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not t>e completed it the permit IS tor one hundred dollars ($100) or less) D I certify that m the perlonnance ol the work for which this permit is issued. I snail not employ any person In any manner so as to become Subject to Ihe Workers Compen sation Laws ot Calilornta. NOTICE TO APPUCANT: If. after making ihiis Certificate ol Exemption, you sltoutd become subject to me Workers' Compensation provisions Ol the Labor Code, you must forthwith comply with such provisions or this permil shait be oeemed revoked D i hereby affirm that there is a construction lending agency lor the performance ol it* work lor which this per mit Is Issued iSec. 3097. CIvtl Code) Lender's Name Lender's Address. USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad. OA 92009-4859 (619) 438-1161 JOB ADDRESS AV. ST. RO. 2-(^eV LOT BLOCK SUBDIVISION ASSESS NEAREST <»OSS ST. OWNE R'S NAME OWNE R'S PHONE OWNER'S MAILING ADDRESS 93! -2-4f>4y DESCRIPTION OF WORK hoo DATE OF APPLICATION APPLICATION APEPMIT BUSINESSinCENSE » CONTRACTOR ClAUFeii^j4- CONTRACTOR'S ADDRESS DESIGNER'S ADDRESS TP 'lRElEV. yD nQ NO STORIES fARKiNO SPALb HtS UNITS GRADING PERMIT ISSUED Y O N O REDEVELOPMENT AREA nD TYPE CONST COWfRACTORS PHONE » STATE LICENSE NO. DESIGNER'S PHONE STATE LICENSE NO, OCC LOAD D ZONE PERMIT NUMBER BLHL0IN6 SO POOTAGE 0005 04/29 0101 02BldPi»t 214.0 > Not Valid Untets Machine Certified •PLUMBING PERMIT - ISSUE MECHANICAL PERMIT - ISSUE SUMMARY/ACCOUNT NUMBER BUILDING PERMITEACH FIXTURE TRAP 001-810-00-00-8220INSTALL FURN. DUCTS UP TO 100 000 BTU EACH BUILDING SEWER OVER 100.000 SIGN PERMIT 001-810-00 00-8221 EACH WATER HEATER AND'OR VENT PLAN CHECKBOILER/COMPRESSOR UP TO 3 HP 001-810-00-00-8821 EACH CASSYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 18 HP TOTAL PLUMBING 001-810-00-00-8222 EACH GAS SYSTEM 8 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 EACH INSTAL .ALTER. REPAIR WATER PIPE VENT FAN SINGLE DU MECHANICAL 001-810-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOBTIUCTS MOBILEHOME 001-810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226 EACH ROOF ORAIN llNSlDE DRYER VENT STRONG MOTION 880-519-92-33 TOTAL MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING PUBLIC FACILITIES FEE 320-810-00-00-8740 BRIDGE FEE 360-810-00-00-8740ELECTRICAL PERMIT - ISSUE MOBILE HOME SETUP PARK-IN-LIEU (AREA NEW CONST EA AMP SWT BKR CAR PORT 134-810-00-00-8835 AWNING LA COSTA TIF 133-810-00-00-8835 EXIST BLOG EA AMP/SWI.BKR GARAGE LICENSE TAX 001-810-00-00-8162 REMODEL ALTER PER CIRCUIT 880-519-32-57 TEMP POLE ?00 AMPS OVER 200 AMPS TEMPOCCUPANCY (30 DAYSl CREDIT DEPOSIT total ELELTHICAL TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND 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 ISSUED TO COMPLY WITH ALL OTY COUNIY AND STATE LAWS GO'VERNING BUILDING CON STRUCTfON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Expiration Every permit issued by the Building Official under the provcsiottsof this Code shall expire by limitation end become null ana void It tne buiidmg or work autnonzed by such permit is not commenced wilhm 180 days frorn Ihe date o' suchpermit, or if the building or work authoiizeo bv such permit is suspended o' abandoned at any time after the work is commenced lo« a penod ot 160 davs * AN OSHA PERMIT IS RtOUIREO FOR EXCAVATIONS OVER 5 0 ' DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPLICANT'S SIGNATUJie OWNERD CONTRACTOR?^ BY PHONE □ APPROVED BV TYPE 1 DATE INSPECTOR BUILDING t FOUNDATION \ REINFORCED STEEL ! MASONRY ) GUNITE OR GROUT j SUB FRAME □ FLOOR □ CELLING SHEATHING □ ROOF □ SHEAR FRAME ! .EXTERIOR LATH ] ^ INSULATION J INTERIOR LATH & DRYWALL ] 1 PLUMBING i□ SEWER AND BUCO □ fUCOUNDERGROUND □ WASTE q WATER TOP, OUT n WASTE □ WATER TUB AND SHOWER PAN 1 GAS TEST 1 .n.t^i□ WATER HEATER □ SOLAR WaTEFI r ! 1. ELECTRICAL ]tuECTRIC UNDERGROUND i UFf^R ROUGH ELECTRIC | □ ELECTRIC SERVICE □ TEMF^ORARY HANDING □ POOL i i"-V'S71 1MECHANICAL | □ DUCT & PLEM., □ REF. PIPING heat — AIR COND. SYSTEMS |•"-t VENTILATING SYSTEMS ! t •AT -.ww-; ITEMS ABOVE HAVE BEEN APPROVED: FINAL 1PLUMBING 1 ' ■f /ELECTRICAL 1 J MECHANICAL 1GAS 1 j) •BUILDING 1 6 SPECIAL CONDITIONS ' 1 1 FIELD INSPECTION RECORD ^REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . ' ' INSPECTION-REQ IF CHECKED INSPECTOR S APPROVAL DATE * SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETEOVER 2006" PSI ~ PRESTRESSED CONCRETE POST TENStONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS , SPECIAL MV&ONf?Y PILES CAISSONS. • — .. 1 r-v ' - i % V \ \ \\ «MS MNSi^ OTOT ST^-OO , . ■ - • . -V, i s CO 1 > o □ n □ a >. ffi OQ ENGINEERING CHECKLIST □ □ n ^ cs Sd Ss! □ □ □ a □ □ □□□ □□□ p □□ D □□ D □□ □□□ □P □ □□□ □P □ □□□ Pat.: /A f/f7Plan Check No. . ^ ~Pro|ect Addreit:"^/^^ ^ /PAf^^ScoProject Name: Field Check Date: LEGEND izn 0^ Item Complete (S>Item Incomplete Your Action - Needs 1,2,3 Number In circle Indlcat plancheck number that deficiency was Identified LEGAL REQUIREMENTS Site Plan 1. Provide a fully dimensioned site plan drawn to scale.Show: North arrow, property lines, easements, existingand proposed structures, streets, existing street Improve ments, right-of-way width and dimensioned setbacks. 2. Show on Site Plan: Finish fkwr elevations, elevations offinish grade adjacent to building, existing topographicallines, existing and proposed slopes, driveway and percent(%) grade and drainage patterns. 3. Provide legal description of property, 4. Provide assessor's parcel number. PERMITS REQUIRED Grading 5. Grading permit required. Grading plans In plan check PE .6. 7. 8. 9. Need the following completed prior to building permit issuance: A. Grading plans signed. ' B. Grading permit Issued. -I C. Grading completed. D. Certification letter and compaction reports submitted. E. Grading inspected and permit signed off by City inspector. Right-of-Way Permit required for work In public right-of-way (e.g., driveway approach, sidewalk, connection to water main,etc) Industrial Waste Permit application required. To be filled out completely and returned to Development Processing. FEES REQUIRED □□□10.Park-ln-Uau fees required. Quadrant: , Fee Per Unit: , Total □D □11.Traffic Impact fee required. Fee Per Unit: , Total Fee: □□□12.Bridge and Thoroughfare fee required. Fee Per Unit: , Total Fee: □□□13.Public facllltlei fee required. □□□1*.Facllltlei management fee required. Fee: □□□15.Additional EOU'i required: Sewer connection fee: Sewer permit no. □□□16.Sewer lateral required: REMARKS: O.K. to ifsue Date: If you have any quoitlons about any of the above items identified on this plancheck, please call the Development Processing Department at 438-1161. \ s s o ra D >> QD OQ •o o 9 o >> O 0 oc QC \ >- ffi o *> o ct ^ <N <n ^ ^ Is! □ n □ n □ □ □ □ □ Ptan Check No. PLANNING CHECKLIST Address Type of Project and Use Zone Use Allowed? YES Setback: Front Side Rear Discretionary Action Required YES Environmental Required YES Landscape Plan Required YES Comments NO NO NO NO Type Q Q] Coastal Permit Required Q Q Additional Comments YES NO OK TO ISSUE DATE