HomeMy WebLinkAbout2691 FLOWER FIELDS WAY; ; 84-110-114; Permit"' z 0 ;::
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~I hereby affirm that I am llcensed under
~slons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s 1n
lull force a~etf~g ~-I
L,C No Z2, 2. (1051 ________..e __ _
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I hereby afl1rm thal I am exempt frorri the Co11·dc
ror's License Law for the followmg reason (Sec 703' 5
Business and Professions COde Any city or ,:aunty wh,c~ re-qJ1res a permit to construct alter ,rnprove derno;,s~. or
repair any structure. prior to its issuance also req~1res !heap·
pl1cant for such perrn,t ta lile a s,qned s•atement that ~e ,s
licensed pursuant to lhe orov1s,on, of :he lontracror o
License Law '.Chapter 9 commencing w tn Section 7000 of D,v,s1on 3 of the Business and Professions CMe, or that 1s ex-
empt therefrom and the basis for the allegeo exempt,on Any
v101a1,on ot Section 7031.5 by an appl1can1 for a perm,! sub
1ects the applicant to a c1v,1 penalty of not more !han five run-
dred dollars ($$00)
I as owner of the prooerty. or my employees w1lh wages
as their sole compensation w111 do the wor>. and the struc-ture 1s not 1n1ended or altered lor sale (Sec 70~4 Bus,iess
and Proless,ons Code. The Contractor's License Law ~oes
not apply lo an owner of property who builds or ,mproves
thereon and who does such work h,msell or through his own
employees. provided that such ,mprovemenls are not ,ntend-
ed or ottered tor sale 11. however. the bu,ldmg or ,mprove
ment 1s sold w,thrn one year of completion. the owner-builder
w,11 have lhe burden of proving lhal he did not build or 1m
prove for the purpose of sale)
1 I, as owner of the property. am exclus,ve•y contracting
with licensed contractors to construct the pro1eCT (Sec 7044
Business and Proless,ons Code The Contractor's L,cense Law does not apply to an owner of property who builds or im-
proves lhereon_ and who contracts for each pro1ects w,th a
contractor(s) license pursuant 10 the Contractor's License Law)
--: As a homeowner I am ,mprov,ng my home. and the 'ollow
1ng cond1t1ons ex,s1
I 1 The work ,s being performed prior to sa,e
2 I have lived ,n my Mme lor twelve months
pr,o, to comple11on of this work
l I have not claimed th,s e,empt,on dur1ns the
las\ thrne years
lor t'h~:r~~:~~tunderSec ~-----B& pc
..,,,/, hereby affirm tha1 I have a cert,1,cate ol consent
~elf ,nsure or a cen,t,cate of Workers
Compensation Insurance. or a cen,t,ed ,_ on 'i'<'reot
(Sec 38(() Lat>or Code!
POUONo-'#=-84• /51c'c1-k,
COMPANY "FAe~o~ .:ra.d~~'1. I~
~opy ,s f,led with the uTy
0 Cert1hed copy ,s hereby turn,shed
CERTIFICAT~ OF EX~MPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sectoon need not be compleleC ,, Th<> ~wrn,•
,a •o, one hundred dollars 1$1001 or less1
D I cemty tha1 ,n the performance 01 ,..,e work tor
.... h,ch this perm,1 ,s ,ssued. I shall no! emp,o, an·,
person ,n any mannf>r so as lo becom,. sub,ecl 1'
The Workers (;(lmpensat,on La"'s of Ca1,torn,a
NOTICE TO APPLICANT II aller mak,n', This Cert,
l>cate of E,emphon you should become sub1ect '"' the Workers' Compensation proviS>OnS ot •r,e L.abor
C<Xle you must lorth,,.,1h comp11 "',th suer
prov,s,ons or 1ri,s perm,1 shall :ie deeme,J rev'*hl
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS ,,=.=.=-.c,.""'-'-'-""--'-'-"-'-=-c~~~"-'"'-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-'-C.:C..C:..:.-""'-"-'.:C.:-"".c.;.;'-~~~~~'-'-".;.::.-=..:-=..:;..:c::.:.:..;.:..;.--, : ( i' {~-\ '> S!~,;5c~!~dBc~1!h,~~~2~0Rs~f!~1!\';~T APPLICATION & PERMIT
I ~ fit F"/~l!J:5>.. CROSS ST. l DATE OF APPLICATION
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',~L~o:ir"r"l••~L~O,,cc,;z--:.~.-r 1, SSi<UU;B.~COCTl~v~,'ij c,-jl;j_.:E_~:i:i .• l<>.f, 1 :•"s~saE~SiSS~O~R~PP,A~Ra<C~E~L'.NNOO~.----~---: J:-----.----:cco;;-;;N~T~R~A~C;T~O;A;;--.L--------~
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', OWN:RES :::,\ .. ' -..:,.-, "-E<> I "-a.O-WN~; ·~:. Wt=Kl>l~ -...a ~NCI ~I.->, ~ ~ I .,;;;xo-c:;> CONTRACTOR'S ADORESS
: I-O-W_N_E_A_'S_M_A~ILL.l~N-.-.-O-O_A_E_S_S ____________ ___,____:. ______ _c=--1 z4q ~ E. S+: . s. b,~
:• J'P.~.~o~. ""?,o~~x~~~~¢·L""~,-,lo~L~I.A~~·04~~'1~~ 0:i':N; __ , = .n -,__,._...,.,,, ...
1'°ESCRIPTIONOFWORK 1 ..--. ,~-..c:;:)~ ~~·~.J cz.-,t13
1 l-------------~6;;;;:~;___,!,. ,l"1·~ 'J..: 1,r::_ _ _c,, ,_ .... ·12 ·t'·~ ··,1;_-~L-----I OESIGNER'~ORESd I ~ DESIGNER'S PHONE
: tsl...bG::,,..:::#=-~'-~'-l~--•~,,_~/L/4__,______ ----·-· ·--~";':::~::l./-'Q.4D=,s.,~/...==""'•:::',1..•c"°R_!?:;,C:.:'Vk.,..<;---..--N .. 0--1-
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BUSINESS LICENSE # VALUATION
3c'o3'1 /~
CONTRACTORS PHONE • ZONE
23,-1.s,2:
LICENSE NO. PLAN 1.0. # BLDG USE COOE
LICENSE # BUILDING SQ. FOOTAGE STANDARD PLAN#
I STORIES CJ..... , ,c ,o .3 12:-I c.;...,
:,:::c:,:N:S:U:S::T:R:A:C::,:: 1:::c:,::·:A:N:D::u:s:,::: 1::,:A-LR:~:·:N:G::!,:s·p,:A:c:,::::R::,~:s:u:,::·T:S:::,::::G:R:A:D:l:N:~:,o:E:R:M,:l:To:,:ss:u::ED:::1::::~~:~:~:v~:,:,:o:::M:.:,.:,:T p:~~::::::::::~v:~:~.:~=1;:,~:-:-:::~D~:C:C:L:D::·:o:~:,:.:'Ro:,::::,: .":,~l.. ___ :::::::::::::::.:::::::::::::::::::::.:::.::::::: ___ ~.--~ t c;.,,, , , L. ,,.llid" rf P , ,~rll' Not Valtd Unless Machine Certified
: QTY. PLUMBING PERMIT. ISSUE 1~, QTY. MECHANICAL PERMIT· ISSUE .3'-SUMMARY/ACCOUNT NUMBER
I I '1/"\ I EACH FIXTURE TRAP
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l--';...,,-l-:C[A0CH BUI LO ING SEWER
f-'=c+~E_A~C_H ~~!ER HEATER ANO OR VENT
"' EACH GAS SYSTEM l TO 4 OUl LETS
EACH GAS SYSTEM '.l UR MOHE ---------~-~---
EACH INSTA~ ALTER. REPAIR l','ATER PIPE 1----+-
EACH VACUUM BREAKER
WAlER SOFTNER
FAC'l RUDF l)fl,\l'J I i'JSID~ I
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+
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QTY.
RELOCATION OF EA FURNACE·HEATER MOBILE ~
SOLAR ISSUE
SOLAR ---_______ Q1-00_-_0_Q-fil.2_6 __ 1---------_ -
80·92·33·0~19 ~--:z::5 •. ""Ll_
01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-89ll
QTY.
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ELECTRICAL PERMIT· ISSUE ,,,,-..-
l:e;j~;:;:~~;:_;:~-;;;,~~G_i;::::::::_il"Q~~£'j=:';z~a;,z;;::===:t=j~~~ -------------+------sC-_cB"'RIO,C!._E __ ~_EE ___ _ NEW CONST EA AMP S\/;'l flKR .. COLIECTrns SCHOOL FEE. DISTRICT
I S10H.A.(;~ TA\><S Carlsbad a.--LT'/:; 80-92-21-0519
·-I PH J PH --------+-----------,
Encinitas 80-92·22·0519 --~~~~~~+-----------FXIST bLlJG EA AMP SV\/T BKR ROCK S ORA'.;['
1 ___ ,__1 _P_H ___________ __2~~ ____ --+-------11----+0_u_,_' P ___________________ _,. _______ ,,_ __ S0ac"Cc D1_eg0o_,1_o __ _ 80·92·23·0519
,,_ _R~MOO~~Al_~t._R _PE:_R __ Cl~~U~T _ _ ____ ::ilAr, C'1FC:i< \:"FF San Marcos
~1,,,\-. ..:..
80-92-24-0519
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~,z TtMPPOlF )UOAMPS !---+--------------·
OVER 200 AMPS
··----------'------------1-----1---+----- . ---
LICENSE TAX 01-QQ.Q0-8162 --
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MFF 80-92-57-0519 '53 ){ 880 10,4o -
CREDITDEPDSIT -~-~-~\72-. 1'cJ> TEMP OCCUPANCY ,3() OAYSI
I, Til!Al ~ltl,IRICAI TOTAl SOLAR
1 j zo5 :-ii I TOTAL FEES PAYABLE /CJ ,4 .z <. Cf4-1,-~~~~~~~~~~~--~~...;;.~ .... ~"'-~--~-,.~~~~~~~~~...1.~~~~..11..~~~~~~~~~~""'"...;;...;.,~~...;;.~;...i_,""""'1
1 I HAVE CAREFULL y EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration. Every per.mil issued bytheBu!ldmg Official under the prov1sionsoflh1s * AN 0Stil1•fl"fl:i.u~ REQUIRED FOR EXCAVATK>NS OVER
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I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~;:u expire by !i,,mitation and become null and void If the bu<ld,ng or work .5· O"-dEfp iN9'()E~ITION OR CONSTRUCTION OF
I
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonz d by such per it is not comme,::::,2,within lBOdays from the date of such ST'" / Fl 3 STORIES IN HEIGHT _
,k~ ~~~:2':J~O~'ij,' ~th;eibu~clf!n~g~ol!;,~wto~r~k~•ey~~ed;;~b£y~WL!,c~hlpe;,~m~1~t i."e!'.'r";'pLe~e!d~edL...o~,~,4-,,~,.,,-,,e"e"~~""--------~,::'ll6~-~i""-~ ISSUED TO COMPLY WITH All CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ando at an" u-afte-·he menced for 8 =no .... of 180 da11s .C
: ~~:~C:!~~L~~i~~~Rcf:}:g~~fR~~:!~ A~~1%~~ A1L~LL~~s~3fi~~,~~i~~~~~~E~i~~~ :~K_ A?P7Jllf' IA~\~~ (L owNE!Ult( CONTRACTOR D APPROVED 01, :y,-• • I ;/'J qY3>~~,:
1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE V ""Uz ~~ BY PHONE O ~ t) ,-
GRANTING OF THIS PERMIT / ./ , 1'
I y /
TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING ~ D SHEAR D ROOF
FRAME
EXTERIOR LATH ~
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BUCO DIPUCO
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 D l!JFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL ,
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
--~ITEM/3 ABOVE HA ve BEEN APPROVED
FINAL .
' .
PLUMBING I -V _.... ~
ELECTRICAL . V I,,.,,.) ff" I
MECHANICAL I r, Y? _.,,,-
GAS .
I -/ V
BUILDING l "-;-<"~-. -:~·
SPECIAL CONDITIONS -I
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FIELD INSPECTION RECORD '34--1 L'D -11 Lf,
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
1~1F INSPECTORS INSPECTION ED ~~PROVAL
S01LS ClJl\1P A~I f I
Pl-110R TO
f-0UN2,\TION INS;_, --------+ __ _ -+---------1
STPuC""1 ·PAL CC'"'CRE IE:
DATE
OVER 7000 F'SI --+' I
1-'RESTHESSEC ---1 ----
CONCPETE !
POST TEr--iSIO".!ED
CONCRE-:-t
FIELD WELDING
H,GH STi~!:NGTr'---t---------+-------+ ---·-
BOLTS
~CIAL MAS(.lr,,Rv __ --___ 1 -+----,
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