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Home My WebLink About2657 Jefferson St; 101 | 101 | 200 | 201; 86-161-2; PermitIll z 0 ~ a: ~ 0 w 0 C I[ 0 C w 0 ~ 3 ~ w z ~ z 0 .:: ~ z w IL :I 0 0 Ill a: w "' a: 0 ~ O I MfM>Y affirm that I am licensed under l)(O'ilalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profnalons Code, and my license Is In full force and effect. I hereby allirm lhal I am exempl lrom Ille Contrac-lor s License Law for lhe following reason (Sec 7031 5 Business and Profess,ons Code Any city or county which re· quires a perm,1 10 construe!. alter, improve. demolish. or repair any structure. poor to its issuance also requires !heap· pl.cant lor such permit to file a s1~mect s1atement that he ,s licensed pursuant to the prov1s1ons of lhe t:ontrac1or s License Law {Chapler 9 commenc,ng w,lh Sec1t0n 7000 ol Olv1swn 3 of the Business and Protess,ons Code) or thal lS tx· empl lherelrom and Ille DaSts lor Ille a11egeo exemplton Any v101a11on o1 Section 7031 .~ by an apphcant !or a perm,r sub· Jee.ts lhe apphcant to a c1v11 peNlty ol not more lhan 11._e hun· dre<l dollars {$500) I. as owner of lhe property, or my employees w11h wages as 1he1r sole compensahon. will do the work. and lhe struc· lure ,s nol ,nlended or offered tor sale (Sec 7044 Busmess and Profess,om, Code The Contractor's License Law does not appty to an owner of property who builds or improves thereon and who does such work h1msell or through his ~n employees. provtded that such improvements are i,01 tnlend· ed or ottered lor sale It however, the btHlding or improve- ment ,s sotd w1th1n one year of completion. the owner+bu1lder will havo lhe burden of prov,ng lhal he dtd nol build or 1m· l)<OVe lor lhe purpose ol sale) I, as owner of lhe property am exclusively contracting w11h hcensed contractors to constfuct the proJect {Sec 7044 Business and Proless1ons Code The Conlractor·s license Law does not apply to an owner of property who builds or 1m+ PfOVes thereon. and who contracts tor each protects with a contractor(s} hcense pursuant to the Contractor's L.cense Law) D As a homeowner I am oml)<ov,ng my home. and Ille follow 1ng cond1t1ons exist 1 The work ,s beong per1orme<l prt0r 10 sale 2 I have hved m my home tor twelve months poor to complehon at this work 3 I have not claimed this exemption during the last three years g M:r"~"s'::t under Sec ------, B & pc 0 I hereby affirm that I have a certificate of consent to seU-,nsure or a certificate of Workers· Compensation In· surance. or a certified copy thereof !Sec. 3800. Labor Code) POLICY NO COMPANY C Copy ,s flied with the city 0 Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This section need not be completed 1f the permit Is for one hundred dollars ($100) or less) D I certify that m the performance of the work for which this pem11t is Issued, I shall not employ any person m any manner so as to become sub1ect to the Workers· Compen- sation Laws of Cahfomia. NOTICE TO APPLICANT: If, after making this Ceri1ticate of Exemption. you should become subject to the Workers· Compensation pt"ovisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there is a construction lending agency tor the performance of the work for which this per· m1t is issued (Sec. 3097, Civil Code) Lender's Name ___________ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS .>;lARD A PPLICANT TO FILL IN INFOR MATIONW ITHIN SHADED AREA AND DECLARATIONS . CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859 / JOB ADORESS AV. ST.RO. NEAREST CROSS ST /_ 1;;7~zON1 B~S;; 77Ni?1 II VALUATION PERMIT NUMBER ~05'7 .Je-f+frsoAl /litJ--101 /;;µ:Jj-~O/ (46, ~~,..,, ft-It(~;;._ LOT BLOCtc: I SUBOI VISION I ASSESSOR PARCEL NO :i._3 I /_//~T.RAt,;?#~_._:__; c(q~~;;~.:_ ZONE -/ I S.S--,-,,, -~:T~~.-, /c ~~bib~n I q,3;:It;0r ~:;:C~;ES5;/2-9uic,f :J~N6~ BUILDING SO FOOTAGE I c.2J>st;, aS7>.0G.AO~ CaekW 'i1oof I'#-2.. °ll);~AJ -Cdif / DESIGNER'S PHONE ~'f,~1:,<,i, DfCRTl'TtON OF WORK / lf'l7:f:2'A ~ ( '/J. '12lo1 STATE LICENSE NO. ' J/ tlJ.Jt+ ll--ft,-~ .!/-,foe t.,_ c./ ~ .._ F1P FLA ELEV / NO OCC GP 1 JJ~~~. Sl2RIES £-i vO NO --- I ~;;;ACE I RES UNITS I GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPA 1f AREA c'!J_:/J vO ~ YO ND vO NO Not Valid Un/err Machme Certrl1N -\ QTY. PLUMBING PERMIT -ISSUE 7 <J;:-QTY. MECHANICAL PERMIT -ISSUE 3 ......... SUMMARY/ACCOUNT NUMBER IA.2 EACH FIXTURE TRAP s.s--,-LI-INSTALL FURN OUCTS UP TO 100.000 BTU /6 -BUILDING PERMIT 001 ·810-00-00-8220 ~-+ EACH BUILOING SEWER .2.1. -I OVER 100.000 BTU SIGN PERMIT 001-810·00-00-8221 ..,_& ----J.'./ EACH WATER HEATER ANO OR VENT /0 -BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8806 ~GP'-,~ EACH GAS SYSTEM 1 TO 4 OUTLETS l-/(}. -BOILER COMPRESSOR 3 15 HP TOTAL PLUM BING 'l!'otis-oq;~.t2212 '.iili~bi:~~.1 :iu. 7 ~-------I EACH GAS SYSTEM~ OR MORE =t METAL FIREPLACE ELECTRICAL 001-810-00·00-8223 oS----- EACH INSTAl. ALTER. REPAIR WATER PIPE -0 VENT FAN SINGLE OUCT /~ _,.-MECHANICAL 001-810-00-00-8224 3-S-- 7 ------.... EACH VACUUM BREAKER /0 -MECH EXHAUST HOOO OUCTS MOBILEHOME 001-810-00·00-8225 I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226 . EACH ROOF DRAIN (i"JSIDEI DRYER VENT STRONG MOTION 880-519-92-33 ..AJ ~ ,.. __,_. TOT.t;L MECHANICAL FIRE SPRINKLERS 001-810-00-00-8227 TOTAL PLUMBING I //,{ .>--3<.--PUBLIC FACILITIES FEE 320-810·00-00-8740 _'::/&~¥- 5-BRIDGE FEE //~ QTY. ELECTRICAL PERMIT -ISSUE QTY . MOBILE HOME SETUP PARK-IN-LIEU (AREA //If) Jf NEW CONST EA AMP SWl BKR /(Y(J IJ~ 1Da -CAR PORT TIF ~/3~ 001-810-00-00-8835 /J/~_p- I 1 PH 3 PH I AWNING LICENSE TAX '.,Cl hJ 001-810-00-00-8162 EXIST BLOG EA AMP SWT BKR GARAGE MFF ¥ )( r s4t> 880-519-92-57 &, :36t:J- 1 PH 3 PH REMOOEL ALTl:R PER CIRCUIT TEMP POLE 700 AMPS OVER 700 AMPS . TEMP OCCUPANCY 130 DAYS) CREDIT DEPOSIT < _"2l1-/ TOTAL ELELTRICAL I /tJs~ TOTAL TOTAL FEES PAYABLE I Iv 1t/.o,7t ' I HAVE CAREFULL y EXAMINED Tt<E COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exporat,on E-y perm111asued by lheBu1ld1ng 011,c,al under lhe prov,s,ons 111',s ~· * AN 06 REOUIAEO FOfl EXCAVATIONS OVER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE 13 shalll~m,tat,on and become null and void If 1he butld,ng er work 5· o·· DEEP ITION OR COf'STRUCTION OF 1@ ... '"'"'" "" " "" ,, .. ~,,, .,.,. '" .. ,. "'"'" """ '"'" STRUCTURE TORIES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT ANO FURTHER CERTIFY AND AGREE IF A PE per 1 >~ ,I 1fdt~jL ~~ulho,.zed by such permll ,5 suspended or ISSUED TO COMPLY WITH AL'-CITY COUNl Y ANO STATE LAWS GOVERNING BUI LOIN ab do a ·-w os commenced for a oertod of 180 dsv< I I I • STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMN ~ .L . .--iii!'!\ APT\ r{Y / , :_n ~Jk II r1~tlU[ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COS /, T ~tt'J(___ OWNER0 CONTRACTOR EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE BY PHONE 0 Al / ,Jjy--...J . I 1 YJ'fb GRANTING OF THIS PERMIT -/ t {) I ~ u:: >, pj 0 C. E Q) I- C Cl) () C. C. 4: I .:,:. C a: 6 0 (J) (J) Q) (J) (J) 4: I ~ .Q Q) >- Q) () C Cl) C LL C Q) ~ (!) 0 0 Q) C. (J) C TYPE I DATE INSPECTOR . . . ' 8~ -I It; I ~ .:J BUILDING I . ~ ,..., '· \ FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I REO IF INSPECTORS GUNITE OR GROUT INSPECTION CHECKED APPROVAL DATE ' . I SUB FRAME D FLOOR D CEILING SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO FOUNDATION INSP FRAME I STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI INSULATION I PRES TRESSED I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE PLUMBING I FIELD WELDING D SEWER AND BUCO D ~UCO HIGH STRENGTH BOLTS -UNDERGROUND D WASTE O WATER TOP OUT D WASTE D WATER SPECIAL M,ASONRY TUB AND SHOWER PAN I I ? GAS TEST I PILES CAISSONS / . D WATER HEATER D SOLAR WATER / I ' /" ELECTRICAL I 1'10 f',"' "'"· ,._ ~ -'"· I -~ _. r, • .. Q UFFER / < ---........ . D ELECTRIC UNDERGROUND I ROUGH ELECTRIC ' / D ELECTRIC SERVICE D TEMPORARY L / D BONDING D POOL ' I /( (\ MECHANICAL I 77 \~ D DUCT & PLEM., D REF. PIPilNG H , HEAT -AIR COND. SYSTEMS I l ~ .. / \ \.& \ .. . VENTILATING SYSTEMS ~./I/ (A\ ~/~ ~ I ' I "A ., l ~ --· •- CALL FOR FINAL INSPEC•TION WHEN ALL APPROP?7°E . ~ ' . . . ITEMS ABOVE HAVE BEEN APPROVED. T~, ' .. " . ' FINAL I / I 7 '- PLUMBING I / ''\J ELECTRICAL I / \. . MECHANICAL I / I GAS I / ' - BUILDING I / I V -SPECIAL CONDITIONS I I ,r I