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Home My WebLink About2700 MEDFORD CT; ; 84-511; Permit"' z 0 ;:: .. .. .. ~ " "' 0 "' I[ 8 "' "' 0 ~ 5 .. ii: "' z l< 0 z 0 ;:: .. "' z "' 0. ,. 0 " "' "' "' " .. 0 l< ![ D I hereby affirm 1hat I am licensed l/t-:t";.r provisions of Chapter 9 (commencing with Section 70Cl0) of Division 3 of the Business and Professions Code, and my license is in lull force and effect L,c No _____ _ [Iii<,\ I hereby at!,rm that I am exempt !;ofTI the Con:·ac lor s License Law tor the tollow,ng reason !Sec 7031 5 Bus,ness and Professions Code Any c,ty or co,mly which re quires a perm,1 to const'uct dl:e· ,m~cove demo:ish, or repair any structure. or,or to its issuance also requires !heap pl,cant for such Jerm,t to Ille a s,qied statemert t'1at "e ,s licensed pursuant to the prov,sions of The conlracior s L,rense Law 1Chapter 9 commencing w1lh Ser,t,on 7000 of o,v,s,on 3 ol the Bus-ness and Professions Coae., or l",at Is et e~p1 !herefrom and lhe basis for the allegeo e,emptI0~ A~y s<1ola11on ol Sec11on 7031 5 by an aopl1cant for a permI1 sob 1ects \M applicant to a cIv11 penalty ot nol more man live ~~n dred dollars {$5001 I as ow~er of IM oroperty. o· my employees w1!h wages as their sole compensation. will do the wor< and lhe struc ture Is not intended or oflered for sale 1Se~ 70~4 Bus1~ess and Pro1ess1ons Code The ContraLtor's License Law coes not apply to an owner o• property who builds or ,mproves !hereon and who does such work himself or th~ough ~Is own employees. provided that such improvements are not ,nlend- ed or ollered for saIe I!. however the bu1ldmg or improve· ment Is sold wIthIn one year ol comple1,on. lhe owner-builder will have the burden o! prov,ng lhat he did not build or Im prove lor \he purpose ol sale) I. as owner ol the pro~er1y am exclusively con1,aclIng with licensed co~t,acto•s to construct the pro1ect (Sec 7044 Business and Pro!ess1ons Code· The Contractor s License Law does not app:y to an owner of wooeny who bu<lds or Im- oroves thereon and who contracts for each pro1ects with a contractor(s) license pursuant to !he Contractors License Law) 7 As a homeowner I am Improv,ng my home. and the lo,low ,ng cond1tIons exist 1 The work 1s being performed p,ior 10 saIe 2 I have loved In my home tor tweive months pflor to completion ol this wor~ I ~-ave not claimed this exemption durin~ '.he last three years for t'h~: r~~~~t under Sec _____ _ B & PC D I hereby alhrm tha! I ha,e a cect,1,cale ul consent to selt ,nsure or a cert,!,cate o1 Workers Compensaloon Insurance. o, a cend,ed copy •hereof 1Sec J8tXl Labor Codel POLICY NO COMPANY D Copy Is 11ted w1tn the c,ty D Cenol,ed copy ,s hereby lurn,shed CERTIFICAH OF EXE:MPTION FROM WORKERS COMPENSATION INSURANCE (This ,;ect,on need not be completed ,I 1ne perm,1 ,5 for one hundred dolla,s (S100• or Ie55, D I cer1,ty 1>ia1 ,n tne perio,mance .:-• tr'P ,.on-t,'" •h•ch lh1s pem1,t ,s ,ssued I sl'lalI nol empI0, ar, person ,n any mar,ner so as to t;,eromp suo,e, t h the Worl<ers Compen,.;,t1on Laws o• Cal,lor--.,,. NOTICE TO APPLICANT If, alter '1laki~] 'h•~ Cer1, licate ol Exempt,on you sl'lould t:,,c,come ~ub1ecr '" the Worl<ers Compensation pro,is,ons of the L.aOO• Code you must !or,h.,.,,!~ comply ,.,:~ sue h prov,s,ons or this perm,t snal bf> df>emed rev0kPC O I hereby affir<"!' 1r,a1 •nere ,<, a ''"51fL,, ·,w end,ng agency •or The perfo•roi;in~e 0• •he'"'-',-,. Ir,, wn,cn tn,s pe,m,1 ,s ~~ued ,,Sec 3()Cl7 C,, :::,,,l,., l ende< ~ Name ___________ _ Lenders AOdress __________ _ , USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I .JOB ADDRESS AV. ST. RO, NEAREST CROSS ST. 1;: ~~:e:+NI BUSINESS LICENSE # VALUATION PERMIT NUMBER I l-ir-ri NISDFD/2,D 6T I ;,9; I !.-OT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. u (J,N:RoC~OR CONTRACTORS PHONE 11 ZONE I /1"} l<.J"1 '-f:.!,c ,s-o 12. I OWNER"S NAME I OWNER'S PHONE I JDl-hJ E, P,J l: ~_c D 7Z5 z.:z.,es-CONT"RACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE I I OWNER"S MAILING ADDRESS I Z.70D NI E:,.J)FDR-J) UJ r ~nL,S,f,/tf) DESIGNER LICENSE #c STANDARD PLAN# BUILDING SQ. FOOTAGE I I DESCRIPTION OF WORK DESIGNER"S ADDRESS OESlGNE R'S PH0NE I I /-Z.. 'I-t '"2.--n1.)•r1 ~16' -aL. -~ I ' ' FLR ELEV NO OCC GP EDU I J,::°1 l rt) /) ,:: PnnlVI STORIES I ye r-.LJ I CENSUS TRACT I GP LANO USE PARKlr-.G SPACE: RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRESPf' I AREA CONST I ,□ ' □ •□ -...□ v □ r-.O Nor Valid Unless Machine Cerrd1ed I ~ I' I QTY. PLUMBING PERMIT· ISSUE I r-Jz_ I QTY. MECHANICAL PERMIT -ISSUE .3-SUMMARY~CCOUNTNUMBER I EACH FIXTURE TRAP I INSTALL FURN. DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-00·00-8220 ... , -I ----- Ir EACH BUILlJING St.WEA OVER 100.000 BTU SIGN PERMIT 01 ·00·00-8221 ·--~--------------r--~------ I EACH WATER HEATER AND OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 I EACH GAS SYSTEM 1 TO 4 0 UT LETS BOILER,COMPRESSOR 115 HP TOTAL PLUMBING 01-00-00-8222 I -1------' -+-------------- I EACH GAS SYSTEM J OR MORE ~·~~.<l.'L FIREPI AC~ ELECTRICAL 01-00-00-8223 --------------. ------- I EACH INSTA~ ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ~ ··-·----------------• --~-----------~ -··- I EACH VACUUM BREAKER MECH FXHAUST HOOD DUCTS MOBILEHOME 01-00-00-8225 I RELOCATION OF EA FURNACE-HEATER I WATE.R SOFTNEP MOBILEHOME PARK INSP - I EA.CH ROCF rjR.\ \ •.c.; 'it, ,l _SOLAR ___ 01-Q0_-00-R22h ---- I I :j TOTkL MECHANICAL STRONG MOTION 80-92-33-0519 -r·---------I TOT Al Pi UMBIN(. !1 FIRE SPRINKLERS 01-00-00-8227 I -- 1 QTY. y :i QTY. PUBLIC FACILITIES FEE 32-00-00-893'.l ELECTRICAL PERMIT -ISSUE SOLAR· ISSUE ----- I BRIDGE FEE -·-I NEW CONST EA AMP SVi,'l tlKR ' COLLECTDRS SCHOOL FEE -DISTRICT I I I PH I PH STORA.U TA\>\S Carlsbad 80-92-21-0519 ----- I EXISI BlUG EA AMP·SWT 8KR ' ;,ccK s o;:iAC;E Enc1r1itas 80-92·22-0519 --·· I I PH J PH P'Jl}P San D1egu1to 80-92-23-0519 I PFR c1ncu11 I REMOOEl Al HR Pl Ml c1--rr:v F~E San Marcos 80-92-24-0519 ------------------ I TEMPP(]lt 200 ,'.\,MPS ---- I llVE R !(J(J A.V,PS I ' LICENSE TAX 01-00-00-8162 I TEMP OCCUPANCY ·30 DAYS! I MFF 80-92-57-0519 I ~---·------ I I CREDIT DEPOSIT '------'r - I H!TAL E L~LTRICAI l,'.)]f\l S(JI.CIR TOTAL FEES PAYABLE I -..r-I ii I I I I I HAYE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"' AND DO HEREBY Expiration. Every permit !Ssued by the Buildmg Off1c1al under the provisoons of this * AN OSHA PERlill:T IS REOUIRED FOR EXCAVATtONS OVER CERTIFY UNDER PENAt.-;fY' OF P~flJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by !im1tat1on and become null and void If the buildong or work 5· 0" DEEP AND DEMOLITION OR CONSTRUCTION Of I authorized by such permit 1s not commenced within 180 days from the date o! such OECLARAT,IONS ARE Ti,lJE AND COARECT AND I FURTHER CERTIFY AND AGREE !F A PERMIT IS ~~i::~n~ 1!t 1:~y ~~~1 :Ftei~h:~~,:~:h2i::1e~XeJ~~~ ~:~·~,sr:c~a~~ or STRUCTURES OVER 3 STORIES IN HEIGHT I l~UED TO COMPLY W!TH All CITY COUNlY AND STATE LAWS GOVERNING BUtLD!NG CON I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 'I. L OWNERtl'\ CONTRACTOR 0 APPRC ~ED ~y !or17~-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND XIC NTJIGNAf<; • I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ... "°'" • ' GRANTING OF THIS PERMIT. \ • BY PHONE 0 . • , ,, ' ~ w ii: c ro 0 Q. E w f- l " 0 CJ c ro 0 Q. Q. 4'. I 1 C ii 0 w w w w w 4'. I ~ .2 ,; >- w w w 0 0 ,t ro 'ii 0 ~ w 0 C ro C LL =- C w w i5 0 0 w Q. w C 1! .c s: TYPE I DATE INSPECTOR / ---·--· ..----0----..1_ ·-V___L_f----:---. ~ BUILDING I / 5 FOUNDATION I ' I'\.-' V ~ .Fll} FIELD INSPECTION RECORD REINFORCED STEEL I / I \ I • L? REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES MASONRY I . REQ IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE FLOOR & CEILING SUB FRAME I SOILS COMP A'\J\f-SHEATHING □ ROOF D SHEiAR PRIOR TC I ~CJUN[·/\TIOr... 1'.SP FRAME ----------' ------1 EXTERIOR LATH SP--<L'CT1_1>1C11 C '~CPE~E I C1VfR 20U(J )_'SI I ---1------·--INSULATION ~PE:STRESSE'["; ! ' CONCRE-E: j INTERIOR LATH & DRYWALL I POST TEN:'-"-<)Ntr: I C()NCRETE ' ! PLUMBING I FIELD vVE:_DINCi I SEWER AND BL/CO □IPL/CO I I ra,,'_)r----1 STPENC;Tr-! -----·t-- ' RCn rs I UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ W,l\TER S>-·E:_~i,'.,L ,\1,\:<)I\.RY ---- TUB AND SHOWER PAN I GAS TEST I Plr.ES C.AISSUN. □ WATER HEATER □ SOLAR WAlER -- I ~ ------r---------- ELECTRICAL I □ ELECTRIC UNDERGROUND □ YFFER ROUGH ELECTRIC I ---------------------i-------- □ ELECTRIC SERVICE □ TEMPORARY ------------~-C I □ BONDING □ POOL I I I ---- I MECHANICAL --I--------a I ' □ DUCT & PLEM., □ REF. PIPIN~ ' -, --------r---·---HEAT -AIR COND. SYSTEMS . . I - VENTILATING SYSTEMS ' . . ·,· . I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA ve BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL I .. MECHANICAL I GAS I BUILDING I SPECIAL CONDITIONS I -~ I ---------