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HomeMy WebLinkAbout2693 Medford Ct; ; 84-674; Permit·l ~l t i \ 0 "' z 0 ;:: .. "' j 0 w 0 "' w 0 .., 3 ~ w z ~ z 0 ;:: .. "' z w .. ,. 0 0 "' <C w " "' 0 ~ i L ![ D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with S.Ctlon 7CXXJ) of Division 3 of the Business and Proless!ons Code, and my license is 1n lull force and effect L,r No ______ Cla,, 1 hereby af11rm tral am exem:it ir~rn tre Cont·ac tor's License Law tor tr'e followrng reason (Sec 7031 5 Business and Profewons :oce A~y :,ty or l.~un:y w~rc,, re qu•res a perm,1 to ca~s:·ucT alte· 1m8•0-,e de"'"',sh or repair any structure ~r,or TO ,ts ,ss,ar~e also req"·,res !heap pl,cant tor such ~erm,1 to Ille a s,Q~ec ,tatcmenr toa• re ,s l:censed pursuan: to the prov,s,ons of lhe t,unrr~c,or s License _aw ,srapter 9 comrnenc,ng wrth Sec,,on ?000 of c,·✓Is,on Jot :he Business and Pro1ess1cr,s Code, or t'•a1 ,se, emp1 the'efro~ and the bas,s 'or the ci"legeo exemot,on ~r.y ,iolatI0~ ~f Sec:,on 7031 5 by an appl,ca~, for a perm,• suh 1ec:s the appIIcan1 to a c,vII penalty ot not more man five hun d0ed do Iars ($500! as owne· o' the property or rriy employees w1"' wages as t~eir soe (ompensat,on w11I do the v,ork and :he s:ruc ture ,snot In!ended or olfered 1or sale ISec 7'.)44 B·Js•ness and Protess1ons Code The Coniractor s L,cense Uw does not apply :o an owner of property who builds or I'!lprsves !hereon and who dDeS such work h1<nsel1 or 1nrough his own employees. provided that %ch Improvemen1s are not intend-ed or ollered 1or sale If, however. the building or ,morove ment ,s sold w11h,n one year of complel,on the owner-bu, der will have the burden of proving that he dId not bu,IC or .m prove lor the purpose 01 sale) I. as owner o' the property, am e,clusr,ely con!racl,ng w,th lrcensed co~1,aclors to construct the pro1ect !Sec 7044 Business and Proless,o~s Code Tre Contractor s ~,cenoe Law does ~ot apply 10 an owner of property who builds or ,m-proves lhereon and who contracls lor each pro1ects with a contractor(s\ license pursuant to the Con1rac1ors Licence Law1 As a homeowner I am Imorov,ng my ~Orne ano tre \oil~w Ing rnnd1t1ons exist 1 The wock Is be,ng performed prior to sale 2 I ha,e lived ,n my home for twelve months prior lo completion of this work I have 001 claimed lhrs e,empt,w du, rHj tlIf last three years for 11h~; ,:~:;it under Sec _____ _ B & PC D I hereby aflirm 1hal I have a cert,f,cate '-'t uinsen\ lo self ,nsure or a cert1f1ca1e of wo,kers Compens.at,on Insurance. or a cen.t,!'{], or,1 'h'"'"'t !Sec JaOJ Labor C<Xlel POLICY NO COMPANY 0 Copy ,s 1,led w1lh lhe cr1y D Cer1,t1ed copy ,s hereby tum,shed CERTIFICAH. OF EX~MPTION FROM WORKERS COMPENSATION INSURANCE ITh,s s.e~1,on need not be ~ompleled ,t '"" e>em, · ,~ tor one hundred dollars iS1001 vr -ess D I cen.1y !~at n the pertormance ,;,' the "'""' t0, ..-n,ch this perrrnt ,s ,ssued I shall not empI0y an1 persor> ,n any manne• so as t0 beCO"'I' ~uhJP<' 1• the Wor!,;,ers Comp('nx1t,or L,111,s ,;• Cdl1lor·11a NOTICE TO APPLICANT 1• a11er -naM,nJ th,~ Cer1, locate of Exemption you should become subIeri ,, 1he Wor\,;,ers Compensa1,on pro.is,ons ol •he Lat><,· Code you 'Pc.,sl torth,.,th ~ompl) "'th su;" pro~,s,ons or lh,s perm,1 shall oe deemed re,,,,,.<I 0 I hereby a1hnr, that therf> -~ d ,-_,,r.~•ru, Iend1ng agency to• •~,e e>erf,;w·a0 .. '.e ~• •he wur> ' ..-h,ch th,s perm,t ,, ,~<;ut'd .s..., !()97 •:,., c,~ie L ~nde• ~ Nar.p ___________ _ Lenders Address __________ _ 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 ;•~,°;°;'c,,,_ -I J . AV. ST. RO. l~ Io;;~ o; 2P:Lg~oN BUSINESS LICENSE # ~ PERMIT NUMBER " U. th BLOCK l ,u11U1 v,1s10~ f?~:t5f'f,,ryA l./ <. • 1:).t-{") COoR,BR CONTRACTORS PHONE# ZONE 8'1-/47y . ,_, OWN~7i~ I ~ 3 J:'I';H,O;E CONTRACTOl;t'S AOORESS LICENSE NO. PLANIO.# BLOG USE CODE I OWNER'S MAILING ADDRESS ~1,, 'j 3 n. I A IJ Q.A:::: DESIGNER LICENSE 4 STANDARD PLAN# BUILDING SQ. FOOTAGE DESCRIPTION OF WORK u DESIGNER'S ADDRESS DESIGNER'S PHONE JI.~:-£~~ --e e F LR ELEV NO OCC GP EDU $TORI ES <~ "-0 CENSUS T RACl I GP LAND USE: I PARKING SPACI-RE:S UNITS I GRADING PERMIT ISSUED I RE:DEVE:LOPMENT TYPE OCC LOAD F'IRESPP AREA CONST ,□ '□ •C "'C vO NO Not Valid Unlt!'Ss Milchine Cerllf1ed QTY PLUMBING PERMIT -ISSUE -;1$ II QTY MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE rRAP I INSTALL FURN. OUCTS iJP TO 100 000 BTU BUILDING PERMIT 01 ·00-00-8220 /V -- EACH BUILlJING SEWER ' OVER !OD.DOD BTU SIGN PERMIT 01 ·00-00-822", ~----. ------------------------- EACH WA I ER HEATER AND OR VE.NT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 -----~---------------+-------------------------- EACH GAS SYSTEM I l040U1LETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMB'\,JG 01 ·00-00-8222 --. ➔ ---------------- EACH GAS SYSTEM 5 OR MORE r·N_lt.L F REPLACF ELECTRICAL 01-00-00·8223 ---~--------. --------- EACHINSTAl ALTER. REPAIR WA l E.R PIPE ' · VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00·t2_24~ ----------t-------------- EACH VACUUM BREAKER I' I MECH EXHAUST HOOD DUCTS MO Bl LEHO ME 01 ·00-00-8225 -- WATER SOFTr-.ER ' RELOCATION OF EA FURNACE·HEATER MOBILEHOME PARK INSP ~-~------iCCH ~:::,~,~ --:~:. '< , ';~ 1·:, i i SOLAR 01·00-00-8226 -------I TQTt;L MECHANICAL STRUNG MOTION 80-92·33-0519 ----·-----r T[)[Al Pturi.1flIr-.r, FIRE SPRl~JKLERS 01 ·00·00-82?7 -------- QTY.I PUBLIC FACILITIES FEE 32-00-00-893) ~-QTY ELECTRICAL PERMIT· ISSUE .:r--SOLAR· ISSUE ~------·~-- BRIDGE FEE -. ------~ ------··-- r"\IE:I',' CONST EA AMP SW! UKR i CrJcl :r:-(1::;:; SCHOOL FEE -01srnIc--·----------- I PH ; Pr< ,! s·o;:/A;;F T.'..\~S j Caclsbad 80·92·21-0519 ----------.,___ . -------------tXIST bllJG EA AMP SWT f:\KR ' ' Roe~ s·ow,:;t Encinitas 80·92-22-0519 ---~-----------I PH 1 PH Pi; '.,1cl ___ San 01egJ1to __ 80·92·23-0519 ----- Ru,ionEt .Cd llR PERCR[UII P(M'·, Cf :-r,f( ~~F Sa'l Marcos 80-92· 24·0519 ------------ IU,1PPOlE )OU AMPS ---------l------,---·--------ovt R JlJI_) AMPS LICENSE TAX 01·00·00·8162 I T -- f[MP UCCUPANCY ·JU DAYS1 MFF 80-92-57•0519 -+-------, ----I---------------- I ! ! CREDIT DEPOSIT ------. ------ T 11 TA L t. l I: CTR ICA l i I ~c,1 Al ~'.II:,~ I TOTAL FEES PAYABLE i / ,:,1 ·-----ii ' i I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration. E11ery permit issued by the Butldmg Ofl1c1al under the provisions of th,s * AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and void If the building or work 5· O" DEEP AND DEMOUTK>N OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced with,n 180 days from the date 01 such STRUCTURES OVER 3 STORIES IN HEIGHT perm,t. or 11 lhe buildm~ or work authorized by such permit 1s suspended or ISSUED: TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abandoned at am, time a er the work 1s commenced tor a per,<>tl of 180 da"S STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP~ SIG7;RE .. OWNER"' CONTRACTOR 0 APPROVED BY 5;;'• DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILIT!ES. JUDGMENTS. COSTS ANO ?, ~. ~!~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (/?'"., !~\._ BY PHONE 0 I /; -/t--J l GRANTING OF THIS PERMIT . . 2 ii: >-~ 0 a_ E w f- D 0 ('.J C ro ~ a_ a_ .,: I ~ C ii 0 m m © " m .,: ~ Q w >- m m © u 0 ,t ro ro 0 Q w u C ro C ii: = C w ~ ('.J 0 u w a_ m C 2 L ~ -TYPE I DATE INSPECTOR --. ------------------------------------· ---------- 8~ ~ lo?L{ BUILDING I FOUNDATION ' FIELD INSPECTION RECORD ' REINFORCED STEEL I ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I REO IF INSPECTORS GUNITE OR GROUT ' INSPECTION CHECKED APPROVAL DATE ' ----FLOOR & CEILING SUB FRAME ' SOILS COMP~>'.l.'.Ct:: SHEATHING □ ROOF □ SHBAR PRIOR TO I ' ~ouNDt, -ioN 1r--.SP I FRAME ' --------L----i---L----- EXTERIOR LATH ' STRLCTUf-iAI CC'r'-.CRE'E OVER 2DCO PSI INSULATION P;ciESTr--lE-SSEC ' I CO'.JCRE-E i INTERIOR LATH & DRYWALL I I ---Pos-TC./\,c;, ONET:-' ' CONCHEH ' - PLUMBING ' i'-'fLJ WE:l'.JI\JG ' ------------SEWER AND BUCO □:PL/CO I r-W,H Sl •,ENGT~ i-J(_JL TS UNDERGROUND □ WASTE □ WATER ---- TOP OUT □ WASTE □ Wk-TEA --~-~:-IAL '.1A')'_)~JPY -----------. TUB AND SHOWER PAN ' GAS TEST ' ' r, c-~ CA1:,SC-'." □ WATER HEATER □ SOLAR WA'l"ER ' -------~------~---- I ' +-----------!--------------- ' ELECTRICAL ' ' .1....-..... -----I □ ELECTRIC UNDERGROUND □ l+)FFER ROUGH ELECTRIC ' - □ ELECTRIC SERVICE □ TEMPOFi!ARY L____ ---------_j_____ --------L_ _______ □ BONDING □ POOL I '-- ' MECHANICAL I --------- □ DUCT & PLEM., □ REF. PIPIN,G --------~--~ HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ' ' CALL FOR FINAL INSPECT;';N WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. FINAL ' PLUMBING ' lo ' ELECTRICAL I MECHANICAL ' l, ✓ ' . GAS I ' I ' JI' ./ BUILDING ' (/flll" / SPECIAL CONDITIONS I n ./ I • L -------------I --------I