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Home My WebLink About2696 MEDFORD CT; ; 84-688; Permitii[ 0 u Ill z 0 ;:: C a:: C .J 0 Ill Q a:: Ill Q .J 5 I Ill z ~ 0 z 0 ~ Ill z Ill a. :I 0 u Ill ~ Ill "" a:: i il ~ hereby affirm that I am licensed under Ion• of Chapter 9 (commencing with n 7000) of Division 3 of the Business and Professions Code, and my license is In full fore_ e and ell8<;t. { C =4 / Lie No 3 fS 4{; Class I hereby allirm that I am exempt from lhe Conlrac· tor's Uamse Law tor II•• following r<ason (Sec. 7031.S Business and Professions Code: Any city or county which re-quires a permit 10 construct. alter, improve. demolish. Of repair any structure, pnor to its issuance also requires !heap- plttant lor such permit to hie a s1gr,ed statement lhat he ,s lteense<S pursuant 10 the prCMsK>ns ol the Contractor·s license Law (Chapter 9 coovnencmg wilh SectfOO 7000 of Division 3 of the Business and Pr01essions Code) or lhat is ex- empt therefrom and the basis fDf lhe allege<) exernptron Any vk>LaHon o1 Section 7031.5 by an applicant tor a permit sub-jects the appficant to a civil penatty ot not m0fe than live hun- dred dollars ($!">00). O I, as owner ot the property, or my employees with wages as their sole com~nsatt0n, will do lhe work. and the struc-ture Is not intended Of ollered for sale (Sec. 7044, Business alld Professkms Code: The Contractor's L.cense Law does not apply to an owner of property who buikls or improves thereon and who does such work himsel1 or lhroogh his own employees. provlded !hat such improvemen1s are not intend· ed or ol1ered for sale. If. however. the building or improve-menl Is sokt within one year of comp~lion, the owner-builder will have the burden of proving that he did not build or tm-prove tor the purpos, of sale). O I, as owner of the property, am exclusively contracting with ticensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's l1eense Law does not apply 10 an owrter of property whO builds or im-proves thereon. and who contracts for each pr<>iects with a contractor(s) license pursuant to the Contractor's liceflse Law). D As a homeowner I am Improving my home, and the folJow· ing condi1i0ns exist: 1. The work is being performed prior to sal•. 2. I haVe lived in my home tor twelve months prior to completlO<l ol this work. 3. I have no1 claimed this exemption during lhe last three years. 0 I am exempt under Sec.----,---, B & P C. for !his reason X,.1 hereby alhrm that I ha.-e a cen1t1~1e ol consent 10 selt-msure, or a cer111,cate ol Workers· Compensation Insurance. or a cert,hed c0py lttereot !Sec 3800, lab()< Code) POUCYNO WC iwl9Clf/pff COMPANY Fl R.E.r,, ~H-...S R,t;y p -x. Cof;Jy IS Med with lhe C1ly 0 Cert1hed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1t lhe permit Is for one hunctr~ dOllars (S 100) or IessI NOTICE TO A~ic'WNT If, after makm;i lh1s Cert• tu:ate or EJC.em hon. you should become subIecI l'J lhe Wotkers· pensa11on prov1s1ons ol the Labor Code. you must f0<1hw1th com ply with such prov1s1ons or lh1s permit shall be deemed revoked O I hereby afhrm th.al there ,s a coostruc11on lending agency tor the performance of lhe wor-.. to, which 1h1.s permit •S issued t5ec J097 c,v.i CocJel Lenders Name ___________ _ Lende(s AOdress __________ _ v.,.• -.... •• • v.,.-• ■ ••.-v•••• -• n•wv ,,..--.n_ ...... -·-····· . -. ·--....... -······ .. ··-· ............. -••7---"'F •-~ ., . ..,,. ____ __..,.....,., ,_,,_. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad. California 92008·1989 (619) 438-5525 APPLICATION & PERMIT 7 g~ JOB ADDRESS AV.ST.RO. NEAREST CA08S ST. I DATE OF ~TIONI •~s~ss LICE, /l. VALUATION PERMIT NUMBER -;t le, 9 i IY/EO ~RD 11-,,-=-~ &c"~ ~, ~'·-~IF LOT BLOCf( I SUBDIVISION I ASSESSOR PARCEL NO. 0 CONT_RACTOR CONTRACTORS PHONE • ZONE I<;, '-f Z. o \ i 0 ---. -~- OWNER'S NAME OWNE A'S PHONE K&IIIP>.s. I ""-c; TA LLA-"n•· Al ~ 71-/-(), II J I J::. <TER 4--..-~ 4 -:~ 7 /r I CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG USE CODE ~ ~IS#,/ 41,,,~ ,:.u-A---PL-,.EE-_ OWNER'S MAILING ADDRESS I.,. •• _ I 7/n ~" IY/ l=D F=t;J;D 6ESIGNER •, LICENSE# STANDARD PLAN # BUILDING SQ. FOOTAGE ' --~--; ;--:-_-_ ·f,\ ·--' OESCAIPTltJN OF WORK -OUtGNEw.SAOOftEIIS---~ . ..: ~~ IIESIGNEll'S PHONE ,In ___ ~-,i· ,. "'-.. 1 ll~7IEH+l:U1;17 ~ ~--L,., ~ 0. :./ __ ,. ---.k. ~..,,, .• .; .t ~ ..... I U.( ill ...-~-.... -_. ,L #-,-· ~ fJUl!,1, ti'/~ (Ir fa7_1 su --F/P F LR ELEV. NO ace GP EDU ID ,r f~ , , , STORIES ,.__ ------·-~ -J'! ' ' vO NO CENSUS TRACT I af' LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPA ' AREA CONST • YO ND vO NO vO NO Not Valid Unlt!<s Machine Certifi«J QTY. PL~G PERMIT -ISSUE 7-£!!-QTY. 't.4.tCHANICAL PERMIT -ISSUE 3 --SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAI',,,. , INSTALL FIJ'Rti. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER"' ' OVER 100,000 BTU SIGN PERMIT 01-00--00-8221 EACH WATER HEATER ANO/~ENT BOILER/COMPRESSOlNt!> TO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLEfS-...._ BOILER/COMPRESSOR 3-l!i'l-le_ TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE ' METAL FIREPLACE " ELECTRICAL -01-00-00-8223 /d'~ EACH INSTAl., ALTER, REPAIR WATER PIPE ' VENT FAN SINGLE DUCT "' MECHANICAL 01-00-00-8224 EACH VACUUM BREAKER I"'-.. MECH EXHAUST -HOOD/DUCTS ' MOBILEHOME 01-00-00-8225 WATER SOFTNER ' RELOCATION OF EA FURNACE/HEATER " M081LEHOME PARK INSP EACH ROOF DRAIN IINSIOE) "'--' SOLAR 01-no-nn-•oo~ TOT.t.L MECHANICAL STRONG MOTION 80-92-33-0519 TOT AL PLUMBING I FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 ' BRIDGE FEE NEW CONST EA AMP/SWT IBK R COLLECTORS"-. SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS "' Carlsbad 80-92-21-0519 EXIST BLOG EA AMP/SWT /BKR ROCK STORAGE " Encinitas 80-92-22-0519 1 PH 3 PH PUMP ' San Diegui1o 80-92-23-0519 I REMODEL 'ALTER PER CIRCUIT ':i {,/(,/ PLAN CHECK FEE "' San Marcos 80-92-24-0519 TEMP PO LE 200 AMPS ' OVER 200 AMPS ' LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI ""'" mPr " CREDIT DEPOSIT TOTAL ELECTRICAL I /(I ()() TOTAL SOLAR '--TOTAL FEES PAYABLE I //~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY ~.e-y...,___,.,,. -----c::::oflllta * AN OSHA PEIWfT IS IIEQUIAED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda 11'11111-. Ill' lmilllllOn and becOiile -.ff'IM -. orworl& !I' O" DEEP ANO OEMOUnON OR CONSTRUCTION Of' DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulllOrlNd by Midi parmll ia not_....... ---fr-1119cl-.of1UCII JTIIUCl'URES OVER 3 STORIES IN HEIGHT permit, flt If .. ~ -....... . •~ia,.,,.,.._ or ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON· ·-------.. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPUCNfT'S SIGNATURE • - : • :' CONlRACT~ -"Pl? DATE KEEP HARMlESS THE CITY OF CARlSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ , 1)//JY) EXPENSES WHICH MAY I1,t ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~ _ ': ,._ ,_ --... ~PHONE 0 g~ .\ . C'. G~NTING OF THIS Pt!flMtT. · .., , ~ -· •. • "<~+ .:~ ~ . . TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I MASONRY . I GUNITE OR GROUT I I FLOOR & CEILING SUB FRAME I SHEATHING 0 ROOF 0 SHJ=AR FRAME I I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL I I I PLUMBING I I SEWER AND BUCO □IPUCO j UNDERGROUND □ WASTE D WATER TOP OUT □ WASTE □ V)'ATER TUB AND SHOWER PAN I GAS TEST I □ WATER HEATER D SOLAR W,1'.TER I ELECTRICAL I □ ELECTRIC UNDERGROUND □:UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING D POOL I I I MECHANICAL I □ DUCT & PLEM., □ REF. PIPl~G HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS ~I.-/-~~-. . FIELD INSPECTION RECORD ~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO - FOUNDATION INSP -~ ---•-----~--! STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED ~-; ... CONCRETE ~ POST TENSIONED CONCRETE FIELD WELDING - HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONf ------,___ - ··-· ,