HomeMy WebLinkAbout2690 Medford Ct; ; 84-43-184; Permit{fxc ~ hereby affirm that I am licensed under
' provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
\ ◄ I and P. rofesslons Code,.'°. d my lic.ense is in ' l ::• :---mis" , _ fil_
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1 heretly atf,rm that I am e,empt from :he Contrac
tor's License Law for tr.e following reason !Ser. 1031 '.,
Business and Profess,ons Code Any ~,ty ~r :ourty wh,u, 'P.
owes a perrnll :o construct. airer. ,mprcve, demolls~. or
repair a~y struc:,n prior to ,ts ,s,uosce also req~1res :he ao-
~l,canl lor such perm11 to 1,1e a s,~nec statement '.ha'. he 1s
licensed purs~ant To the provis1ons 01 the Co~tractor s
L•cerse Law !Chapter 9 commencing with Section 7000 of □,v,s,on 3 oi :he Bus,ness and Profes,1ons Code; or that 11 ex
empl tt'.e'ef,o-i and lhe basis lor the alleged exemp1Ion My
v1ola1rnn ol Section 7031 5 by an appl1canl fo, a perm,t sub 1ec1s ine applicant to a c1v1I penalty of nol more lhan five hun
dre{J dollars ($500)
I. as owner ol the property. or my employees with wages
as their sole compensation. will do the work and the struc
lure 1s no1 in1ended or offered lor sale (Sec 7044, Business
and Professions Code The Con\ractor·s L,cense Law does
not apply to an owner o1 properly wM builds or improves
thereon and who does such work himself or lhrough his own
employees. provided that such Impr011ements_are not intend
ed or o11ere0 for sale If. however. the buIld1ng or improve-
ment Is sold wi1h1n one year of completion, \he owner-builder will have the burden of pr011Ing that he 0Id not build or im-
prove for the purpose of sale)
,7 I. as owner of the property, am exclus,vely contracting
with licensed contractors to construc1 the pro1ect (Sec 7044.
Business and Professions Co!le: The Con1rac1or's License
Law does not apply to an owner of property who builds or Im
proves thereon. and who contracts !or each pro1ec1s with a
contrac1or(s) license pursuant to the Con1ractor's License
Law)
'.J Asa homeowner I am 1mprovm9 my home, and 1he follow
ing cond1t1ons exist 1 The work 1s being perlormed prior 10 sale 2 I have lived In my home for twelve monlhs prior to complehon o1 this work
I have not claimed this exemption during the
las1 three years
'l lamexemp1underSec _____ _ B&PC for tt11s reason ____________ _
Lereby at!irm that I ha•e a cert1t1cate 01 consent
10 sell insure or a cert1!1ca1e ot Wor-.ers
Compensation Insurance, or a cert,t1ed copy 111e,eof
(5ec 3800. Laoor Code)
POLIONO WP 233-02-48
co✓.NY Fireman's Fund
u""copy ,s filed w>th the city
D Cert1!1ed copy ,s hereby furnished
CERTIFICAH_ OF EXE:MPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec1,on need not be comple1ed ,t 111e perm,t ,~ tor one hundred dollars iS100) o, less)
O I cen,ty !hat in the perlormance of the worl< 1or which 1hIS pem1It 1s issued. I shall not employ any
person in any manner so as to become sub1ec1 IU
the Worl<ers CompenSilt1on Laws of Cal1fom1;,
NOTICE TO APPLICANT If alter makIn1 This Gen,
1,cate ot Exemption you snould become sub1ec1 !'J
1he Worl<e,s· CompenSilt1on provIs1ons o! lhe L.tbor
Code you must forth,,.1th compl~ w,1h such provisions o, this perm,1 shall be deemed revokecJ
/hereby a'firm that there ,s a con~1,u, tIon
Iend,ng age•icy •o, thf' µerto<m;,nce ot the W<Jr1< for
wti,ch th,s pe,m,1 ,s ,ss~ecl ,Se, :1()91 c,,,: Code;
Le..,cJersNarne Crocker Bank
l .. r,dersAddress San Diego
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AOORESS AV. ST.AO. NEARESTCR{)S$ST. TDATE ;1:~~~:IDN BUSINESS LICENSE It VALUATION PERMIT NUMBER
2690 Medford Court 3681 89968
LOT BLOCK sveol\11s,oN A§SES§QAJ'j\.R§f§ t'l,Q. "'"'ft,,,._ CONTRACTOR CONTRACTORS PHONE• ZONE 84-43-184
184 S innaker Pt. I b·1 ., ;,;;t ;V'--'V Standard Pacific of San Diego same
OWNER'S NAME . --OWNER'S PHONE •~c~o~N~T~R~A~C;TO;R~.,;s:•~o~o~R~e~ss;.:__.::~_'.'.:'.:'......'.:'.:~'::._-f,L~ICiEN~S~E~NKO>. ---,-----7,,;;,:,,;,N;,,,.o;:.-;.~------j,,,;,:;o;;c;c,uss,eeccooooee--l
Standard Pacific of San Diego 279-2042 (same) 294215
OWNER'S MAILING ADDRESS STANDARD PLAN# BUILDING ::;Q FOOTAGE DESIGNER LICENSE#
7290 Cla.iremont Mesir Blvd •. 1 .. SD 92111 _ _ Buzard-Henning & Associates NR 1588
DESCRIPTION OF WOJtK DESIGNER'S AOORESS _-. _ , OESIGN~R'S PHONE
~_.;.;~-~~~~--~-4gg3 Ronson Ct., SD 111111 278-6855
SF'D -Plan 32!)
. ' 2is1~":trl ce LANO use l >ARKl~~~ACE RE~UNITS I GRADING PERMIT ISSUED
v □ ND
STORIES F,'P FLA ELEV I I NO IOCCGP I EDU
,□ ,o 2 R-3 1
REDEVELOPMENT
AREA
N~ ,□
TYPE CON"vN occ LOAD I FIRE SPR
v0 Ncf Nor Valid Unlen Machine Cemfied
QTY. PLUMBING PERMIT· ISSUE -7§3.. QTY MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
12 EACH FIXTURE TRAP / JU~ OU~ °T I INSTALL FURN. DUCTS UP TD 100,000 BTU 4,.00 BUILDING PERMIT 01-00-00-8220 403.00
C!C:~I OC:DIAIT 01-00-00-8221
I--:L 1
EACH BUILDING SEWER
EACH WATER HEATER ANO.:OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
b. 50 OVER 100.000 BTU . I "'"'" 'u ..... '
I 2450 BOILER/COMPRESSORUPT03HP , l r'L1-1,.vni:v" l
1
-----+---_ 2.50 BOILER/COMPRESSOR 3-15 HP --! 1v,ru.rLUl'IL-'"'V T
"' AOI run'L/ OH0·00·8806 I 261. 9 5
l
QTY.
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE
EACH INSTA~. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
. 1 VENT FAN SINGLE DUCT +-=-
---. . ~ I MECH EXHAUST-HOOO.'OUCTS
WATER SOFTNER
EACH ROOF DRAIN !i'IISIDEI
TOlAL PLUMBING I
ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP·SWT BKR
I PH 3 PH
EXIST BLOG EA AMPtSWT 'BKR
1 PH 3 PH
REMODEL Al HR PfR CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL Fl[CTRICAL
100A
l
1
ao. nn
5'-QTY.
25.00
30.00
RELOCATION OF EA FURNACEtHEATER
TOU.L MECHANICAL
SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE ~
PUMP ---'--
PLAN CHECK Fi;,V°' L-
7 n µI" L\
h lLn. ,tV-{) , 'J I
T~ /\o f{, J
17,_~ /
\ TOTAi SOlAR~ /
LLI.-V''"'-""L
TnT/\I DI I11AnI~Ir. 01:00·00~--... 49.00 -·
C:I l:f'TDlf'A I n1-oo-oo-s2;,3 1 30 . 00
2.00 MECHANICAL 01-00-00-8224 I 9.0Q
M0BILEH0ME 01-00-00-8225
MOBILEH0ME PARK INSP
_SOLAR 01-Q0-QQ-8226
9.00 STRONG MOTION 80-92-33-0519 Q __
---
FIRE SPRINKLERS 01·00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933 '9_. 00
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad 80·92-21-0519
Encinitas 80·92·22-0519
San Dieguito 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-00-00-8162
400.00
CREDIT DEPOSIT 300.00
TOTAL FEES PAYABLE 2658.25
HAVE CAREFULLY EXAMINED T~E C0MPLE1£.d "A~CA~~:AN~~-~EBY }.~;_t is~;;;~~BuifdingOfficial un~theprov1s1cinsoftti1s
CERTIFY_ UNDER PENALTY-,Of ~UAY TttAT;A~( INFOffl.tATION ~ JNC{.Ul)lftG TR£. Code . we by h'"!t~tmn -and become nuU !Incl voio. If the buW:Hng .or work DEQl.ARAi!ONS ARE TRUE ANO'COm:IECT Af'1D IF~ER (,6ffflr( 4fiP;;AGRE$1F A,«~Mll'fS aut~ized i?Y ch ~rm,t is not commenced w1thm 180days from the date of such
* •~AMIT tS REQUIRED FOR EXCAV'-flONS OVER S '1) ANO DEMOLITION OR CONSTRUCT10N OF
ST OVER 3 STOFUES IN HEtGHT
1sSUE~ TO COMPLY WITH ALL C_llY, coum'i ANb.. $IAT&4-WS _(iQYERNtNG·QUJL~ 00-N,. pecmit or I e bo1ld1l or work a~thonzed by such permit suspended or
STAUCTlON, WHETHER SPECIFIED fiERE!tf.QR NOT_ I ALSO AGftEE,TO $AV'E jNbEMN1FY AN.b aban~ n tim a ter the work IS commanced tor a r of 180 d
KEEP HARMLESS Tl-IE CJTY ,bl': CARLSBAD~A!NST ALL UJ$it..lTIE'$ -~ COSTS ANO APPL! A T E Jf. OWNER CONTRACTOR 0
EXPENSES WHlCH MAY.IN ANY WA'f,A,q:;fl\JE AGM~T SA.1&·,clJY:~ .toH$~(:$Af THE G.RANT1NGOF1H!SPERMJT .,,,,. "" .,,, ; '·'," ',s·>J", --TI, , r-1-...i,i .... ..,,E;i...,.~1',,,,.\ BVPHONE0 . "---t___:____ ',,0.. ,, ,.
APPRC:~ 1~/2y
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TYPE I DATE INSPECTOR '8'{-43-16'1 . BUILDING ' ' ,
-
FOUNDATION I ......, A , 11 fc:;, / FIELD INSPECTION RECORD .,... r"'I '-A
REINFORCED STEEL I ✓ ' \II> -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY '
' REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING~E 1
-
SOILS COMPL_IANCE
SHEATHING \IYI ~ □ SHEAR ~ PRIOR TO
FRAME '' .... I -/Cf.Olli A FOUNDATION INSP ~ J
. --,I ~ STRUCTlJRAL CONCRETE EXTERIOR LATH -..._, I ~ OVER 2000 PSI
INSULATION / : . n PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED
I CONCRETE
PLUMBING I / FIELD WELDING
--SEWER AND BUCO DIPUCO I ' 11._-"""',l• "~.1 HIGH STRENGTH
' . ·-Bot.Ts UNDERGROUND □ WASTE □WATER,
□ WATER .,. .... ft?,, ... ' .... SPECIAL MASONRY TOP OUT □ WASTE •
TUB AND SHOWER PAN I
GAS TEST "•!O\~~ ' I Lo., PILES CAISSON~-
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □ i;IFFER
ROUGH ELECTRIC I r,.,·f 4 , -
□ ELECTRIC SERVICE D TEMPOlilARY
□ BONDING □ POOL I
I
MECHANICAL ' ./ I
,,(C{~ □ DUCT & PLEM., □ REF. PIPING ~.r
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECTl@N WHEN ALL APPROPRIATE
ITEMS ABOVE HAVEi BEEN APPROVED. .,.
FINAL ' , ..... _ / I ,., PLUMBING I .,. ~ ..:,.--/
ELECTRICAL I ---1.1 ~u. . l / / .__,,,,,.,.
MECHANICAL : -''> ~ r-r . ' •,
GAS I .~ 'u
BUILDING I IJ. '
SPECIAL CONDITIONS ' ' I