HomeMy WebLinkAbout2639 FLOWER FIELDS WAY; ; 84-110-116; Permit"' z 0 :;:
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121' 1 hereby affirm that I am licensed under
~lalons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and elf:i-1. £> _ J
L,c No .2'2$23 CIJII _ ___......~
I hereby affirm that I am exempt from The Contrac
tor's License Law for the lollow,ng reason (Sec 7031 5 Bus,ness and Protess,ons Cocle Ary city or county wh,cr, re
quires a perm,1 to construct. alter. improve. demolish. or
repair any structure. pr,or to ,ts issuance a•so reou,res !heap
pl,cant for sucti perm,t to lile a s1qned s!atement that he ,s
licensed pu,suanl to 1he prov,s,ons ot the Con1ractor s
License Law !Chapter 9 commenc,ng w,th Se(t1on 7000 of
Dov,s,on 3 or the Business and Profess.ans Code1 or that ,sex
empt therefrom and the bas,s for the alleged e,emp1,on Any
violation of Section 7031.5 by an applicant tor a perm,t sub
1ec1s the applicant to a CIVIi penalty o1 not more than t,ve hun
dred dollars ($500)
I. as owner of the property. or my employees w,th wages
as lheir sole compensation, w,11 do the work and the struc
lure ,snot intended or offered for sale (Sec 7044. Business
and Pro!essrons Code The Contractor's license Law does
no! apply to an owner of properly who builds or improves
thereon and who does such work himself or through ll1s own
employees. provided 1hat such improvements are nol intend-
ed or oflered for sale. II. however. the bu1ld1ng or improve· men! 1s sold wrth1n one year of completion, the owner-builder
will have the burden ot proving !ha! he did no1 build or im-
prove for the purpose ot sale)
"J I, as owner of the property. am exclusively contracting
with licensed contractors to construct the pro1ect (Sec 7044,
Business and Pro1essions Code The Contractor's License
Law does not apply to an owner o1 property who builds or im-proves thereon, and who contracts for each pro1ects w1!h a
contractor(s) license pursuant to the Contractor·s License law)
0 As a homeowner I am 1mprov1ng my home. and the follow ,ng cond1tions exist
1. The work is being per1ormed prior to sale 2 I _have lived 1n my hOme for twelve months
prior to comple1Kln of this work
I have not cla,med this exemption dur.ng the
last throo years
CJ I am exempt under Sec , B & P C
!or this reason,~------------
.../ hereby aH1rm that I ha-.,e a cer1,!1ca1e of consen1
~
1
sell msure. or a cert,!,cate of Workers
Compensation Insurance. or a cer11he<1 copy thereof !
(Sec 3800. Labo, C<Xle) I
POucrno;;:f-,£.c -8-4-157b4l,,
coMPANv FMnrtm.+ .....::titdeml1 ~
~PY ,s !oled w,th the city
D Cert,t,ed copy ,s hereby furn,she<I
CEATIFICATl OF EXE:.MPTION FAOM
WORKERS' COMPENSATION INSURANCE
(Th,s section need no! be completed,! the perm,t
,s !or one hundre(! dollars 1s1001 or 1ess1
0 I cer111y 1ha! in !he per1o,mance ot 1he wor1< tor wh,ch th,s perm,! ,s ,ssue<I. I shall not employ any
person ,n any manner was 10 become sub1ect lu
the Wor1<e,s Compensai,on Laws ol Caldorn,a
NOTICE TO APPLICANT It_ af!er ma~'"] th,s Cert,
!+ca!e of E•empt,on_ you should become sub1ect 1,,
!he Wor1<ers Compensat,on p,o.is,ons of the Lat>or
Code. you mus1 tonh ... ·,th comply wo1h such
pro~•S•Or>S o, !hrs perm,\ shall be deemed re,o~ea
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
/l l... ~ i)-'\ °? CARLSBAD BUILDING DEPARTMENT l 1 1200 Elm, Carlsbad, California 92008-1989 (619) 438·5525 APPLICATION & PERMIT
Jgi~*Fr:c,WER. Ffe:,T.1%5, ~OSSST. BUSINESS LICENSE# VALUATION PERMIT NUMBELP
2 1 . .a.. ~ve:Al•M l:oiia 4H ,;,;.a. ,43e:, .3to3"=t tL ,. \\
CO. T BLOCK '--f ASSESSOR PARCEL NO. CONTRACTOR. ~. ·' ,·., · CONTRACTORS PHONE# ZONE \\0
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owNER·s PHONE i-:Wec.e:::.::1<::::,:~c.,c:::::,c=::::.,=,=='==::.,;;::!'3,_7,__,~.::!u:e.::e:.'Tl~.,,u::,_,~~==-=====--=-.=c,.;:=:i----------/'.-<'-----,-------1 ~kt, EL~ ..t(sc:,-~ ucENseNo. PLANl.0.# BLOGUSECOOE
OWNEfl'$ MA1Ld'11G AobRESS 'P~D~ ~' ~ LA. 4~ '=t 29~ STANDARD PLAN# BUILDING SO. FOOTAGE
OES,CRIPTIQl",/f,}F''WQ!t,tt·J >·,::e 5303
l---41::,~·t..;J:,~·~E,~.~···=f7 ... ~·/~~~· ~·~,u.~·~11~.~~. ~~~~~~7:f-~ F,P FLR ELEV. ace GP
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CENSUS TRACT PARKING SPACI: RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD
QTY.
10
/!!)
A
p-.,
QTY.
I.Al.
!S:2_.._ ARE A J CONST } 2....30 c:.;;> ,O NO _ ___'_[]_N)'ll,. y.:_ /J-+f::. ,o
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILlJING SEWER
EACH WATER HEATER ANQ,QR VENT
EACH GAS SYSTEM 1 TO 4 OUT LETS
EACH GAS SYSTEM :J OR MORE
-l-
7. s·o , ., ,;;
,:;,z....-
="'~--
=·
QTY. -MECHANICAL PERMIT· ISSUE
INSTALL FURN DUCTS UP TO 100,000 BTU
OVER 100.000 BTU -----· -· ·~------
BOILER/COMPRESSOR UP TO 3 HP
3, QC
.3z..-
SIGN PERMIT ~~; I ~
PLAN CHECK 01:. ~6 l.!_Q , 4.:5
BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·q_Q_-:QQ~Kci ---,_z__:z__~so _
METAL FIREPLACE ELECTRICAL 01·00·00·8223 6. ---=rzr1 v-EN1 FAN SINGLE oucr _ I 01 .... -MECHANICAL 01-oo-oo.s224 3
MECH EXHAUST HOOOiOUCTS MOBILEHOME 01·00·0Q·8225
__[_ --+ EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN 1iNSIOEi
TOT/'.il MECHANICAL
TOT AL PLUMBING I z.-, 4-
ELECTRICAL PERMIT -ISSUE 5. 00 QTY. SOLAR· ISSUE
NEW CONST EA AMP:SWl BKR Ja-;,A ZcO -COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLOG EA AMPiSWT'BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL AL Tl:R PER CIRCUIT Pl AN CHECK FEE
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
lflTAL ELECTRICAl I TOT Al SOLAR
Zo.G I
5..3
MOBILEHOME PARK INSP
SOLAR
J--STRON_~~QI~_
FIRE SPRINKLERS
___ 0_1,Q0~21li _t-----
-80·91-33051_9_+-_ z..s , ""I_]_
01 ·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933 I _:]_ 2 78 -
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad I.--L. ~ 80·92·21·0519
Encinitas 80·92·22·0519
San Dieguito 80·92·23·0519
San Marcos 80·92·24·0519 ., --~ IN LtEU ,_..Q.,,~ J-~ -=>, 4 J. 2.
LICENSE TAX 01·00-00-8162
iYJ FF Bx~--,o4o-<,z.~~ """-) CREDIT DEPOSIT
TOTAL FEES PAYABLE I ,c,4:zz..=,+
lr 'o(, r,e,eby af111m 111a1 there ,5 a ~onciruct,nr-: I HAVE CAREFUlty EX/.tfi,11NEOTJi£tcoMPLETE0 "'APPUCATl~N ANO PERMIT." AND _00,.HEREBY
a:: ~,ng agency •o, nw per1ormance ut mp w0r1< ro, I CER_T!FY UNOEA,,PEN,1\1,.:. TY OF fl.ER·J. UR. V TH.AT ALL. INFORM. AT!oN HEREON IN. CLUDING THE: ~ wn,cn rn,s pe,m+l;,t ,s ,ssued ,s.w ~?.Cc,"~ f; coo(,'}, I DECLARATIONS ARE TRUE AND CORRECT ANDJ FlJFHHEA Ci:ATIFY AND AGREE IFAPERMfT IS
Z mP ~ {/ ISSUED: TO COMPLY VflTH Al.l.,,GITY-. COUNTY AND STA:TE LAWS GOVERNING BUILDING CON·1C!!~ij~~~~~ ~ Lenoe, 5 Nome ;2 I STAUCTtON, WHETHE~ SPECIFIED.HEREtN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN
Lenoe, s Address 70J 51(ooti4J~ I , KEER WARMlE. $$,THE (;.f('(,OF G#iilSBAO AGAINST ALL U!81L/TfES, JUOGMf;NTS, COSTS AN
_;,....._ .-.A. _ ~ \ EXPENSES WHfCf:t MAY. IN Af.lY WAY ACCRUE AGAINST SAID CITY tN CONSEQUENCE Of THE
uritler tM provisions ofntls'
-l'Ot~the buikttnl 'Of work ~~!~n:!":!::~uc! ·· W·•fier)od of· t@days ,.~ CONTRACTOR 0
BY PHONE[)
* ~-~IT JS .REOOIAEO FOR EXCAVATIONS OYER s· -0" Mm OEUJTK>N OR'CONSTAUCTION Of'
S 0V£R 3 STORIES~ HE~T
APPROVE~ j'1/~ 0 I I GR,\NTING Of: ~ff'tt,,U( " '0
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TYPE I DATE INSPECTOR
BUILDING I
' 84-110~ \.\'le .
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I
MASONRY I
'
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL .
FLOOR & CEILING SUB FRAME ' I
SHEATHING D ROOF D SHEAR
SOILS COMP!... IANCE
PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE::
OVER 2000 PSI
INSULATION I
'
PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
' CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIP UCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN '
GAS TEST ' I PILES CAISSON~
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I :i. D ELECTRIC UNDERGROUND DUFFER ... ~:;.
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPO~ARY
'· .. ,""t --,,:;;·'.~'!;~~
D BONDING D POOL I ~ ... -..~ .;. .. ~j _·t~-., ,.~ '
I
MECHANICAL :
D DUCT & PLEM., D REF. PIPING
-~.> c: . ' ~'') .•.
~¥ • ..:, • ' . "' "\' ~,-· .... _ .. ·' -'!. \~") -~~ _,:... .. --'
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
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CALL FOR FINAL INSPECTldN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVEJBEEN APPROVED
FINAL I
PLUMBING I .
ELECTRICAL -~ ( I ~
MECHANICAL I r~ VJ ' GAS I 'L, ,... -BUILDING ~, .. . /"i. -I . ._.,
SPECIAL CONDITIONS '
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