HomeMy WebLinkAbout2693 Medford Ct; ; 84-43-186; Permit~~
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J I hereby affirm that I am licensed under
pro'llslona of Chapter 9 (commencing with
Section 7000) of □!vision 3 of the Business
and Professions Code, and my license 1s 1n
full force and effect
c,c Ne ----21)4,21~ C N _---JU__
~ereoy al' rm :hat I a-
:o's Lrce"se C.H, 'er ·he 'o, Business a~d Pro'ess,ors Coce -e cu.res a "~rrn,1 t~ constr~l-1 v
•epa,r any s:-uctu"e pr10" :c .:s ssudoce a so requ pl :;ant lor sucn pNmrt to t,le a s,onea <;ta·erres· ·1a•
,censed pu·sJa1' to tre .ircv,s,ons of toe t:01t",Yo· 1 c,ce1se ,av, ,cra~ter 9 cornme~cirg ,irt' Sec,t·or• 7'.iC0 c·
o,-, s,o, 3 c: :ne aus,ness and Protess,ans C0de, or t:1dl
em81 '1e"el·o-, a~d IM basis lor the a11egea e•emp•,on , 01a··on of Secr,on ~031 5 oy an aop11can· for a pt·m11
J€l.1S :he applicant to a cIvI1 penaltf ot not more thar lwe 1, n
d<ed dollars ($500!
as owner of !he property, o· my employees with waqes
as their sole comoensatIon. will do the work. and 1,e struc
\Jre Is not ,ntended or o11ered for sale (Sec 7044 Business
and Pro1essmns Code. The Contrac1or's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work himself or through hIs owr,
employees. pr011Ided that such Improvemen1s are not intend
ed or oftered for sale If, however. the building or improve· ment is sold w,1h1n one year of completion, the owner-bu,lder
will have the burden of proving that he did not build or Im· prove for the purpose of sale)
-: I, as owner of lhe property, am exclus1ve1y contracting
with licensed contractors to construct the pro1ect !Sec 7044,
Business and Professions Code The Contractor's License
Law does no1 apply !O an owner 01 property who builds or im-proves thereon, and who coniracls for each proIecls w,th a
contractor(s) license pursuanl lo the Contractor"s License Law)
L: As a homeowner I am ImprovIng my home and the follow
Ing condIt,ons e"st
1 The work Is bemg perlormed prior 10 sale
2 I have lived m my home for !wElve months prior 10 comolet1on of lh1s work
I have not claimed !his exemptmn durmg the
last three years
::::J I am exempt under Sec ______ , B & P C
for 1h1s reason
✓hereby athrm 1hat I ha,e a cert,hcate ol consent
to sell-,nsure or a cert1!,ca1e ot WorKers
Compensat,on Insurance. or a cen,t,ed copy I hereof
1sec 3800 Labor Code)
eouc NO WP 233-02-48
c PANv Fireman's Fund
Copy 1s !,led. ,,,nm the c,ty
0 Cert'11ed copy ,s hereby lurn1shed
CERTIFICAH. OF EXE:MPTION FROM
WORKERS COMPENSATION INSURANCE
(lh,s sect,on need not be completed 1t 1r,,:, pern-,1
,s tor one hundred dollars iS1001 or less)
0 I cen,ty tha1 rn the performance ot the won< •or
wh,ch this perm,! Is issued. I shall r1ot efT'plo, any
pe,son ,n any manner so as to become suoiec lu
\he Wor1<.ers Compensation Laws of Ca11Jo,n1a
NOTICE TO APPLICANT If after ma~,n~ 1h,s C,:,n,
f1cate of Exemp1,on, you should become•sub1ec1 1'1
the Wor1<ers' Comper1sat1on prov,sIons of the L.abor Code you must lorth..,1th como•y with SJcr,
prov,s,o"s or !hrs permI1 shall be dee,-,-1ed ,e,~ked
' hereby a!l11m thal T'lerp ,~ o , or <t,v •oc:r
·er•d•ng ager>cy to• •r,e pPr''"'''d''' e c' The ,.,o•~ 1,,,
wr-,ch lh•~ pem,,t erock~r~an.£·:,Jf>
Lenders"-""'"'---~=~~-==--San Diego Lenders Add,ess ----------~
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 ;<l-ODRESS AV. ST.RO. NEAREST CROSS ST, I DATE OF APPLICATION! BUSINESS LICENSE# VALUATION PERMIT NUMBER
2'6<l3 Medford Court 3/19/84 I 3681 89684
LOT,, BLOC\ • J SUBDIVISION I ASfl;SSCHAilCJ~)lfJI. """'-" r,r..._ CONTRACTOR CONTRACTORS PHONE• ZONE 84-43-86 118/i . Spiµnaker Pt. I.(:,. I "1 , ,.,_ > ..I-V'J . f. f . 279 2042 l
oWNE.R's NAt,,1& .,~, ·! ~ .• owNER's PHONE Standard Paci 1c o San Diego -
.d 'd . 'l/i · 'f' s' D. · 279 2042 CONTRACTOR'S ADDRESS UCENSE NO. PLAN I.□.,. BLDG USE CODE Stan ar Pacif: c :~ _at1 __ ie_go -(same) 29,215
OWNER'S MAILING ADORE$$"; J, , '""-•··"·" . . ' '•,-·, 7290 Cl :Lr nt MJs ~:11.1vd.·'-sD 92111 DESIGNER • • LICENSE# STANDARD PLAN n BUILDING SQ FOOTAGE a emo ~ · , .. , • • .. Buzard-Henning & Associates· NR 1583
DESCRIPTION OF WORK ·
OESIGNEfl'S -.ooRESS DESIGNER'S PHONE
3 4883 Ronson Ct., SD 92111 278-6855 SFD -Plan 30 · _________ . __ .__ --•---".',""."', --,,.,,-,,,.R".'E"",".',·v·.1"'"----r-~N~O,:--~o~c~c-G""·,--,,-,,.EO~U---~
, ; STORIES ' ,□ NO 1 o o l
CENSUSTRACl 'I GP LAND USE IPARKINGSPACE: RESUNITS I GRADINGPERM!TISSUED lREDEVELOPMENT TYPE OCCLOAD FIRE SPF' "(I,,/ AREA CONST /'ll 7lj--vJ 614 1 vO ND YO '-<ID VN vO N~ NotVa/JdUn/essM4chineCertifled
QTY. PLUMBING PERMIT. ISSUE ' -J :[!.. QTY MECHANICAL PERMIT. ISSUE 3-SUMMARY/ACCOUNT NUMBER
10 EACH FIXTURE TRAP '2 ')_ • 00 1 INSTALL FURN DUCTS iJP TO 100.000 BTU 4 • Q0 BUILDING PERMIT 01·00-00-8220 403. 00
1 EACH BUILDING SEWER I 6. 50 OVER 100.000 BTU SIGN PERMIT 01·00-00-8221
,-i EACHWATERHEATERAN □·DRVENT ; 2.50 BOILER/CDMPRESSORUPT03HP PLANCHECK 01-00-00-8806 'JC.,1 qi;
1 EACHGASSYSTEM1T04UUTLi!J _____ f-----_2._:5j)11.__ BOILER/COMPRESSOR3-1JHP TOTALPLUMBING 01-00·00·8222 I.I. QQ ____ _
EACH GAS SYSTEM J OR MORE _ 1 METAL FIREPLACE _ ELECTRICAL 01-00·00·8223 ')f"\ nn
EACH INST Al. ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT MECHANICAL 01-00·00-8224 7 nn
f----+--EA_C_H VACUUM BREAKER ----1 MECH EXHAUST H□Q-□mu°c-TS-MOBILEHOME 01-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE 1HEATER MOBILEHOME PARK INSP
EACH ROOF nRAIN 11'1JSIDE1 SOLAR ---~Ou1~-0~0~-o~n,~-·' ~'="-+----------
------~---'----. _ TOT kl MECHANICAL 7 • 00 STRONG MOTION _§0__::92·3~-0519 l-6 3Q_ __
TOTAL PLUMBINC ] , , A, FIRE SPRINKLERS 01·00-00-8227
. PUBLIC FACILITIES FEE 32·00·00-8933 1 709..... r.Ulr.)_ __ _ QTY. ELECTRICAL PERMIT. ISSUE r:::::,... QTY. SOLAR· ISSUE ,J-BRIDGE FEE
NEW CONST EA AMP SWT BKR 1 ,.,.,.,. 'l ~ n 1 COLLECTORS SCHOOL FEE· DISTRICT
1 PH 3 PH _ STORAGE TANKS _,,--A Carlsbad 80·92·21-0519
EXIST BLDG EA AMP,SWT,BKR ROCK STORAGE / /-J '-/ Encinitas 80-92·2-2·-0-51~9---,f------------l
l PH 3 PH . PUMP / 'A ',1, U I / San Diegu1to 80·92·23·0519 ·-
REMODEL AL Tl:R PER CIRCUIT PLAN CHt.CK FEt. / 7fJ7 jJ,7. 7 San Marcos 80·92·24-0519
>----+--1-,-M-P-P□-LE!Oo AMPS ·---· --... l1 i.\. / r • P , 1/
OVER 700 AMPS /' V., I(/ ,-_,. f/ / LICENSE TAX 01-00-00-8162 ~------,-~=~~-~
TEMPOCCUPANCY1JOOAYS1 I, I (/J / /,r,,,=r-400.00
; \._ / CREDIT DEPOSIT < 300. 00)
1
l[J[ALEIU,IRIIAI ! 30.0( I TOTAi SOLAR i TOTAL FEES PAYABLE I 2651.25 '~----------------..... -----....,,..-------.1.---...11.---..---------------......... I I HAVE CARE FULL y EXAMINED THE COMPLETED '"APPLICATION AND PERMIT" AND DQ HEREBY Expation_ Evefypermtt issued by the BuildtngOlf,cial undtlrtheprov1s10nsofth1s * AN OSHA PERMIT 15 REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNCJl:A PEN'AL TY OF P!:RJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~•ti exp1re by ltm_itation arid become null aod void 11 the building or work 5' O" DEEP ANO OEMOllTK)N OR CONSTRUCTION OF authorized by such permit 1s not commenced w1th1n 180 days from the date of such I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or. if the buildin or work authorlZed by such permit!} suspended or STAUC OVCR J STORIES IN HEIGHT
I ISSUED: TO COMPLY WITH ALL CJTY. COUN1 Y ANO STATE LAWS GOVERNING BUILDING CON· abandoned at anv tum,:·:,,; r the work is commenced tor,; .:....n of 180 da"S -' ,1
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APP lCA ''74_" :# __ ,,. □ APPROVE°[ ~A I KEEP HARMLESS THE Q!TY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND L NT S SIGN ~ Jf. OWNE~ CONTRACTOR '\,_ , .
I EXPENSES WHICH MAY !N ANY WAY ~cc;:RUE AGA1NST SAID CITY 1N CONSEQUENCE OF THE -_ .J!1 ,. _ BY PHONE O \\ I 'd. r
I GRANTING OF THIS PERMIT., ( -'1' V ~ .., 1,. , •, ?) l/.-' ,,
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TYPE
BUILDING
'OUNDATION F•
R 1EINFORCED STEEL
l,IASONRY
GUNITE OR GROUT
.
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I
FLOOR & CEILING SUB ~ ;
SHEATHING 1flLRO--· □ SHEAR
FRAME '-1" ~ I
..:.--EXTERIOR LATH I
INSULATION l,...----
INTERIOR LATH & DRYWALL .--I
' I
PLUMBING I -SEWER AND BUCO □IPUCO I ' UNDERGROUND □ WASTE □ W)\TEII .... □ WAlfER TOP OUT " -TUB AND SHOWER PAN '\,_ I
GAS TEST ' '= /
□ WATER HEATER □ SOLAR WAl'ER
I
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC .
I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I .
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I
DATE INSPECTOR
t •• , '91 X
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CALL FOR FINAL INSPECT/Of'/ WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE,BEEN APPROVED. -~I~
FINAL I --i1""' ""~
PLUMBING ' r., ~ /
' X\J.tf1,.\ ......., • ELECTRICAL I ,n
MECHANICAL I J ~ ✓• \ -
GAS I < ~ ' < ,-,
BUILDING ' ' '
SPECIAL CONDITIONS '
'
. '6 Lf
• ~ l •
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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