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Home My WebLink About2688 JEFFERSON ST; MULTI-PERMIT FILE; CB881247; Permit.,, z 0 ;::. C ac: C ..J 0 "' 0 .: I[ 0 IC "' 0 ..J 3 I "' z J: 0 z 0 ;::. C .,, z "' IL ~ 0 0 en ir.: "' " ac: 0 ~ ![ 0 I hereby •!firm th•t I am licensed under l)l'ovlalona of Chapter 9 jcommenclng with Section 7000) of Division 3 of the Business and Pro!Nalona Code, •nd my license Is In lull force •nd effect. I hereby a1t1rm lhat I am exemp1 trom lhe Contrac· tor's Ltcense Law lor the following reason (Sec 7031 5 Business and Professions COde Any c11y or counly wtucr. re· quires a perm11 10 construct alter improve demohsh or repair any sHuclure prior 10 11s issuance also requires !heap· phcanl lor such permit to hle a s,qned s1a1emen1 thal he 1s l1censec1 pursuant lo the prov1s,ons or the t:ontractor s License Law (Chapter 9 commencing w1lh Section 7000 ot D1v1s1on 3 of lhe Business and Professions COde1 OJ thal 1s ex empt lheretrom and lhe basis lor the allegea exemp1ton Any v1olat1on ol Section 7031 5 by an applicant lor a perm,1 sub Jecls the apphcant to a c1v1I penalty ol not more than live hun dre<l dollars ($500) I. as owner ol lhe property_ Of my employees wllh wages as !heir SOie compensahon, will do lhe work and lhe struc- ture 1s nol mlended or otlered tor sate (Sec 10.u, Business and Profession~ Code The Contraclor' s license law does not apply lo an owner of properly who builds or improves thereon and who does such work himself or through his own employees. provided lhat such improvements are no! intend· ed or ollered tor sale II however the building or improve- ment 1s sold within one year of comp1e11on. the owner-builder will have the burden al proving thal he did not build or im-prove tor the purpose ol sale> 1. as owner ot lhe properly. am exclusively conlractmg w1lh hcensed contractors to construct lhe pro1ect (Sec 7044 ~ Business and Professions Code The Contractor's license Law does not apply to an owner of property who builds or 1m~ proves !hereon. and who conlracts fCM' each pro1ects w11h a contractor(s) license pursuant 10 the Conlractor·s license Law) r As a homeowner I am improving my home and lhe follow mg cond11tons ex,st 1 The work 1s being per1ormed prior to sate 2 I have hved in my home lor lwelve months prior lo completion of this work I have no1 claimed this exempt,on during the last three years [ tam exempt under Sec B & P C tor this reason ____________ _ I hereby alt1rm lhat I have a cer11fica1e of consent to sell-insure or a certificate of Workers' Compensation In surance. or a cert1hed copy thereof (Sec 3800. l abor Code) POLICY NOL COMPANY Copy ,s filed w11h the city 0 Cett1hed copy 1s heret>y furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec11on need not be completed 1t the perm,1 1s for one hundred dollars (S 100) Of less) :::= I cert1ly that ,n the performance ol 1he work for which this permit 1s issued. I shall not employ any person in any manner so as to become sub1ect to the WOfkers· Compen· sa1ton laws ot Callforn,a NOTICE TO APPLICANT 11. aher making this Certificate of Exemp11on. you should become subject to the Workers Compensation provisions of the labor Code. you must tor1hw1th comply with such p,ov1sions or th1s permit shall be deemed revoked D I heret>y aflnm that there 1s a construction lending agency tor the performance of the work for wh,ch this Pet'· m11 1s issued (Sec 3097. C1v1I Cooe) Lenders Name Lender·s Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1 915 (619) 438-1161 I . JOB A OOAESS AV ST. AO. THOMAS BROS NO. l0 q//{,P 1WI BUSINESS LICENSE • tJ~rlo PERMIT NUMBER 1t_~q .:..., F_L' /~~~~A ~~? ~ f21 ·~ L~Rt~W ASS/S~~~l~, / g:z.O;Alf!vl ~ ~ , CONTRACTORS PHONE • ZONE' ~~12.47 -.:J7 OWNE A'S ~A~E OWNER'S PHONE 111. // ,,tJ IN\ ~ "'-Qt.A ,e ~ 7.Q 9 L ~L -:2... CONTRACTOR'S AOOAESS STATE LICENSE NO. BUILDING sa. FOOTAGE OWNE A'S MAILING AOORESS ~/,, ~ r-....:_,;i=-.t ~ ~/> ~ -IA. DESIGNER ~o,tA.e c::; OESIGNE R'S PHONE ~tt 7pQ~?lf 1936 09/16/88 0001 01 02 DESCA1PT10N OF WORK ~A I> I<.. I &-'\ I"'.. ·~~ _..._°N>FJ--,.-OE SIGNE A'S ADDRESS STATE LICENSE NO Bltf'111t 120.oc -~t,n-0-~SOv'\.. A 1'9A ~ Cove I>~ ..I'"'-\ / L// < ~: rw .... ., -F, p FLA ELEV NO OCC GP EDU STORIES vO NO ---I CENSUS TRACT I PARKING SPACE I AES UN ITS I GRADING PERMIT ISSUED I REDE VE LOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO N D ,o NO vO NO Not Valid Un~r Machine Certtf1ed QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE -(;tJ ;::;-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100 000 BTU BUILDING ~tHMIT 001 810·00·00·8220 'l? - EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00·00 8221 EACH WA TEA HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 il7 ......._ EACH GAS SYSTEM I TO 4 OUTLETS BOILER COMPRESSOR 3 15 HP TOTAL PLUM BING OOi 810·00-00-8222 EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223 EACH INST AL ALT ER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810·00·00·8225 WATER SOFTNER RE LOCATION OF EA FURNACE HEATER SOLAR 001-810·00·00·8226 EACH ROOF DRAIN I NS!OEJ DRYER VENT STRONG MOTION 880-519·92·33 ' TOT.c.L MECHANICAL FIRE SPRIN~LERS 001·810·00-00-8227 TOIAL PLUMBINL I PUBLIC FACILITIES FEE 320-810·00-00·8740 ,c:; r7) BRIDGE FEE 360-810-00·00·8740 QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA I NEW CONST EA AMP SW 1 BK R CAR PORT TIF 312·810·00-00-8835 I PH 3 PH AWNING LA COSTA TIF 311-810·00·00·8835 EXIST BLO G EA AMP SWT BKR GARAGE FMF I PH 3 PH LICENSE TAX 001 810 00·00·8162 REMODEL AL TtR PER CIRCUIT MFF 880·519-92-57 TEMP POLE 700 AMPS OVER 200 AMPS TEMP OCCUPANCY t30 DAYSI CREDIT DEPOSIT TOTAL fLlCTRICAl I TOT Al TOTAL FEES PAYABLE l 12-0- I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO DO HEREBY Expiration Every permit 111ued by the Butlding Otf1c111 under the provisions of this * AN OSHA PEMl:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY TH.AT ALL INFORMATION HEREON INCLUDING THE Code shall eJtp1te by llm,tat,on end become null and void It lhe budding or work 5· O" DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ aulhonzed by such perm1t 1s not commenced w,ttun 180 days from the date ot suct'I STRUCTUAlS OVER 3 STORIES IN HEIGHT perm,1 or tf the bu1ld1~-~~k authorized by such perm11 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON a •ndoned •t env •·-· , e work 1s commenced for a oerood of 1Ail nav• SfAUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND \ ~I~ CONTRACTOR 0 APPROVED BY /f I OATt/,,/ YY KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO f LI ANT S SI ATURE ~ OWNERn EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -~ BY PHONE rJ GRANTING OF THIS PERMIT "-, Q) u::: >-~ 0 a. E Q) I- :2 0 (.'.} C m t) a. a. <( I .:s:. C n: 0 fl) fl) Q) fl) fl) <( I :;: .2 Q) >- Q) t) C m C u::: :::.. C Q) ~ (.'.} £ t) Q) a fl) C Q) r:. ~ TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR D CEILING SHEATHING D ROOF D SHEAR FRAME EXTERIOR LA TH INSULATION INTERIOR LATH & DRYWALL PLUMBING D SEWER AND BUCO D PL/CO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN GAS TEST D WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL MECHANICAL D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED FINAL PLUMBING \..\ ~ ELECTRICAL 0 -~ ' MECHANICAL '·-"-~ ... GAS ~',.) BUILDING " SPECIAL CONDITIONS \ '· l!b '2>'ts" I >l..f ? FIELD INSPECTION 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 PRES TR ESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ' \ .-~ .. ' '_.) --1BtQblill rso·oo " 'Tb~ O~\T£\88 ooor 10T ,os ~ ), ,-.. - , , . " I -\ \ . .. . I -.;i. <I!; ,-. r .. ... Applicant to complete numbered spaces only PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 t I.;'" 5* a iU IC l :;i 77-J7// ' Perm,! No JO& AOOllt £$5 )' (p k' f l-Jt ~ ' I ' '' /;, J....__, LOT NO. I ILK l t / I T"ACT Ltm I 1 otsc•. OWN ti. tb,.1-tr.LUJ MAIL A00llllt55 ZIP PHO NC 2 7> /--f_-"3 V (-_ CONTllllACTOIII -·11 fl MAIL AOOIIIESS PM ON t STATE LIC. NO. CITY LIC. NO. 3 AIIICHITCCT Ollll OESICNCllll ""1AIL AOOIIIC55 PHON C LI( [NS£ NO. 4 CNGIN[Cllt MAJL AODRCSS PHONE LICENSE NO. 5 COMPENSATION (NS. CARRIER ,/ MAIL AOOflESS 1,-AHCM 6 /,,.. ./ i( , r ~-'i/A, -• USC or 9UILOING :/ 7 8 Class of work: 0 NEW 0 ADOITION 0 ALTERATION ~PAIR ;I ,· 9 Describe work : //--e .apU/J /!.I-? Lc:..r ~~-. ., 1) PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS. WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER APPLICATION ACCEPTE~ PLANS Cf<ECKEO BY APPROVED FOR >SSUANCE BY LAUNDRY TRAY ' . CLOTHES WASHER -rJ DATE WATER HEATER NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DRINKING FOUNTAIN TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF FLOOR-SINK OR DRAIN CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK MENCED. .:, GASSYSTEMS:NO.OUTLETS ~ -' (. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO Bf TRUE AND CORRECT. WATER PIPING & TREATING EQUIP. , ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS ' -')/ ./ !,-{; CESSPOOL SEPTIC TANK&. PIT --_,, ( ,<.A.. ~'--(I , ____ ROOF DRAINS SIGNATURl!\OF CONT .. ACTO" OR AUTHOlltlZED AGENT I (DA T,.i ISSUANCE FEE $ «; -~ ..,. SIGNAT Ill[ o, OWN[llt {I,. OWNEA 8UILOC11t) (DATE) TOTAL FEES $ /_J WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT -~ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I 0 INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.