HomeMy WebLinkAbout2691 Medford Ct; ; 84-43-182; Permit'v )( I[
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~hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
~~[_ti ~~rc~~"triest ~!a,, _ _Bl
I hereoy altirm lhat I am exemoi •r~m lhe CC"lr2c tors uce~se Law IC' :ne 'ollow,ng reasnr> !Sec 7031 5
Busmess a>O Profes51ons Cude Any r,,:y or county wh,n re q,,1,es a permit tJ construct alter. ,mp,ove demolish Dr
repa,r a~y struclu·e pr,w to ,ts ·soJarce al,o require, :he op 011cant for sucn pe-m,: to file o s-qned 1ratement that he ,S
·,censed pursL,ant :o the oro·,1s1oos of ·he Contracrar s
License Law :Chaoler 9 comr-ienc,ng wrlh Sec:,on 7~00 ot
Qi;;sro~ 3 of the Business and Prolessrons C(){je) or lhat ,sex
em"t l~erefrom and the bas,s for the aoleged exempt100 Any
·,r0Ia1,on ol Section 7031 5 tiy an appl1canl for a perm;t SLb e~rs lhe applicant to a c1v1I penalty of not more !han five hun
dred dollars {$500,i
I, as owner of the properly, or my employees wIlh wages
as !he,r sole compensation, w1I1 do the work. and the struc
ture Is not rntended or ol!ered for sale (Sec 7044 Busmess
and Professions CIXle The Contractor's License Law doos
nol apply to an owner o! property wtio builds or improves
thereon and who does such work h,mself or through his own
employees, provided that sucn improvements are not intend•
ed or offered for _sale If. however, !he bu,ldmg or improve-
ment 1s sold w1th1n one year or comple!oon, 1he owner-builder
will have the burden of proving 1ha1 he did not build or im-
prove for lhe purpose of ,ale)
I, as owner ot the property. am exclusively con1ractmg
with I,censed contractors to construct 1he pro1ect (Sec 7044.
Business and Professions Code The Contrac1or's License
Law does not apply to an owner of property who burlds or im-
proves thereon_. and who contracts for each projec1s with a
contractor{s) license pursuant to the Contractor's License Law)
:J As a homeowner I am Imp,ov1ng my home, and the follow ,ng cond1t1ons exIs1
1 The work ,s being performed pnor to ,ale
2 I have lived In my home 1or twelve monlhs
prior to complellon o1 this work I have not claimed m,s exempt10n during me
last three years
[J I am exempt under Sec ______ , B & P C
for this reason
Ii he•eby alf,rm 1hat I ha,e a cert1f1cate of consen1
10 sel!-,nsure. or a ceri,t1cate o1 Workers
Compensat,on Insurance. or a cert1f1ed copy 1hereo1
(Sec 3800 Labo1 Godel
eouc, so WP 233-02-48
coM~v Fireman's Fund
~DY IS filed with the Cr!y
0 Cert,!oed copy Is hereby lurn,stied
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Th,s section need no! be comple1ed d !he perrr,,i
I~ !or one tiundred dolla,s 1s1001 <J' less)
0 I cer11ty that In 1he performance ot the worl< tor
wti,cti !h,s perm,t ,s issued. I shall r>O! emplo, anv
person ,n any manner so as to become subIect to
the Worl<ers· Compensation Laws of Cal,torn,a
NOTICE TO APPLICANT If atter makin] HHS Ce,i,
l,cate of E~empt,on you should become subIect t"
tne Workers Compensation pro.is,or,s of the LatxJr
Code you mus! fo<1h ... ,th comp11 wIlh such prov,s,ons or th,s permit shall be d!"emed ,e,uked
Lreby affirm lhat lh<"r<" ,; d cor1<lruct,oo
Iend•nQ agency •or th<" pf>'1orrnancf' "I ,,.,., """r~ t,,r
wh,ch th,s perm,1 ,s ,s~~ed ,Sec 309! C,-, CooeI
t ende, s Narr,e Ci::0eker Bank
Lender s Address -~--~~-----San Diego
I
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USE BALL POINT PEN ONLY & PRESS HARD 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 ADP.RESS AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
26911Me4ford Court
" .; . 3/19/84 3681 121608
COT } !SLOCK .fu,"!)<>)"1S1QN -1· ASSsSSQB.PA~Q'J.""'-JliW.$5 · ··· •i.tfn_11k,_~r_-,ft. l c,,-, '-I' ~-6 .... , 00 CONTRACTOR CONTRACTORS PHONE• ZONE 84-43-182
0;:~:d:;; p;.·cd'.~~~;"hlego I OWNE R"S PHONE
279-2042
OWNER'S MA!LING ADDRESS
Standard Pacific of San Diego 279-2042
CONTRACTOR'S ADDRESS
(same)
LICENSE NO.
294215
PLAN I.□.# BLOG USE CODE
.l,j
7290 Clairemont Mesa Blvd., SD 92111 DESIGNER LICENSE # STANDARD PLAN# BUILO!NG SQ FOOTAGE
DESCRlf'TlON OF WORK'
Buzard-Henning & Associates
---------------~--=-==---~---~--~.,I DESIGNER'S ADORES$
SFD,-Plan 350
"
GP LAND USE PARK ING SPACE: RES UNITS
4883 Ronsot1 CJ:.
' ' FLRELEV
2...______;:;_ YO NO
GRADING PERMIT ISSUED
SD 92111
NO
STORIES 2
TYPE
NR 2205
OESIGN!-R'S PHONE
278-6855
ace GP EDU
R-3 1
DCC LOAD c1~-0~ 579 1 YO N □ I
REDEVELOPMEr-.T
AREA ,o ~ cow -Fl RE SPF>
,□ N~ Not Valid Unless Machine Certified
QTY
32 • SQ INSTALL FURN. DUCTS iJP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 488. 00
PLUMBING PERMIT -ISSUE ~IIQTY.
EACH FIXTURE TRAP 32.5
MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH BUILDING SEWER f... OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 JL ..
E~_T_.. ?, 'iO 11 I BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00-8806 317. 20 EACH WATER HEATER ANO-OR VENT ----_____ ,,
--
TS 2, 50 fi I BOILER/COMPRESSOR 3 15 HP _ --_ ! ! TOTAL PLUMBING _0l_-0_0:00·8222_ ~ -~O~O~ __ _, EACH GAS SYSTEM 1 TO 4 OUTLETS ---2 50
EACH GAS SYSTEM~ QR MO RE 2 50 METAL FIREPLACE ELECTRICAL 01-00-00-8223 30 • 00
II 0 VENT FAN SINGLE OUCT MECHANICAL 01-00-00-8224 11. 00 ---+----+---1
EACH INST AL. ALTER. REPAIR WATER PIPE =+-
EACH VACUUM BREAKER 2.50
WATER SOFTNER
EACH ROOF DRAIN IINSIOE1
I , 1 ~--101 AL Pl UMl11NL S/, ·.llil
QTY ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP'SWT BKR
I PH J PH
EXIST BLDG EA AMPiSWT BKR
1 PH 3 PH
REMODEL Al HR PER CIRCUIT
TE MP POLE 100 AMPS
□VE A 200 AMPS
TEMP OCCUPANCY 130 DAYS!
TnTAl ELELTRir:AL
100
I
I
5'-
25.00
30.00
QTY.
MECH EXHAUST HUUUlULJCIS ~ -~ MOBILEHOME 01-00-00-8225
RELOCATION OF EA FURNACE.1HEATER
TOT f.. L-ME CHAN 1CAL
SOLAR -ISSUE
COLLECTORS -----STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
'\ TOT~
11.00
MOBILEHOME PARK INSP
SOLAR ______a_1__:_QO:O<t-="'-+---------l
STRONG MOTION 80-92-33-0519 R.-51
Fl RE SPRINKLERS 01-00-00-8227
PuBuc FAc11.1:r1Es FEE 32-00-00-8933 I 2432 aa I
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Die.2_uito
San Marcos
80-92-21-0519
80-92-22-0519
80-92-23-0519
80-92-24·0519
---11---------------+--------I
LICENSE TAX 01-00-00-8162
/??P/-400.00
CREDIT DEPOSIT I'( 300. oo )
TOTAL FEES PAYABLE I 3440. 71
1 HJ\VE CAREFULLY EXAMINED THE COMPLETED "APPLICATIO~ AND P'ER~rf .. ANDoo'HEREBY 1:Exptration. Eyery per_~ •s~uedbylheBuilding Official undertheprov1sionsofthis * AN OSHA. PERMIT IS REQUIRED FOR EXCAVATK>HS OYEfl
CERTIFY~ UNDE'El PENAi TY ru:, PERJURY THAT ALL INFORMATIOt<'HEREON' lNCUJOlNG tHE Code ~all e11.p1re by hm_1t~t•on and become null ~cf void, lf th& bu1ldmg or work 5' ANO DEMOLITK>N OR CONSTRUCTION OF r ~ , ?"-, ,y, authon.zed by such permit is not commenced w1thm 180 days from the dateo1 such DECLARATIONS ARE TRUE-ANO CORRECT AN_D I FURTHER CERTIFY -''iO AGREE IF A f>t:;RMIT IS permit. or if the in or work authorized by such permit ,s pended or STFUCl\/AfS OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY CQUNlY ANO STATE1AWS GO\'~RNfNG BUlU)JNG CON· .abandoned at an er the work 15 commenced for a n t80 da ~,----:---,
STAUCTlON. WHETHER SPECIFIED HEREIN OR NOf, i ALSO AGREE TO SAVE INOEMNtFY ANO '-
KEEP HARMLESS THE CITY OF CARLSBAD AGA!N$T ALL LfABIUTIES, JUDGMENTS, 0051S ANP :~~e::::,.,:-:;-2 OWNER COtHRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAtNST SAIO CITY fft-{X)NSEOUENCEOF THE• BY PHONE 0
GRANTING OF THIS PERMlT.
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TYPE I DATE INSPECTOR
BUILDING I / ?Jif'' Lf 5 ~ i 2J .;). I
FOUNDATION I ' ! ,ii nA FIELD INSPECTION RECORD u
,) •• ¥ --REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I MASONRY I
.
INSPECTION RED IF INSPECTORS DATE GUNITE OR GROUT I CHECKED APPROVAL
' / .
FLOOR & CEILING SUB FRAME I SOILS COMPL.:ANCE
SHEATHING □ ROOF . □ SHE)\R "o ·IJ ,<A-.,. ,n,,,,,.. J / ) PRIOR TO
FRAME "--I ,::,_;_ 7-h \ .-r /• t,/ ,..f-OUNDATION INS~
EXTERIOR LATH .......... . ,/',,7 , _..,, 1.,,,,/STRUCTURAL CONCRETE:. --OVER 2000 PSI
INSULATION I '-,-,o•z,r; 7T n-PRESTRESSED
' -CONCRETE
INTERIOR LATH & DRYWALL ,I 1/-, 7T cf/! POST TENSIONED
I CONCRETE
PLUMBING I // FIELD WELDING
SEWER AND BUCO □IPUCO '""-. II ,fr:,. ,·j i.l--" M
..
I Hll_]H STRENGTH
UNDERGROUND □ WASTE □ WATEl'f 'V -~ BOLTS -TOP OUT Df WASTE D WATER .. -1./.-rrt, SPECrAL MASONRY
,,,I' -, I
TUB AND SH'OWER PAN '/, ' I
GAS TEST I c.,;2. 7--r~ L ;~ ,'{ PILES CAISSON'.:
□ WATER HEATER □ SOLAR WA'rER I
I ----
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ i:JFFER -ROUGH ELECTRIC I ?-J 7d-,;,-}✓-.~(
□ ELECTRIC SERVICE □ TEMPO'1!ARY ./
□ BONDING □ POOL I l,1
I I
MECHANICAL ' / I
□ DUCT & PLEM., □ REF. PIPING /
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECT/QN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV5 BEEN APPROVED.
FINAL I .. 1"'l(\
PLUMBING I { .,, t-'.-.-,,: \/
ELECTRICAL I Al ~ r-,r , I
MECHANICAL I {{ .nl ; ~' c'\.. 0,,,-'
GAS I / ,, I\.·
BUILDING . .I\: • . I
SPECIAL CONDITIONS I .
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