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✓• hereby affirm that I am licensed under
pro,,lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profffalona Code, and my license Is In
lull force and effect.
lie No 29', 215 Clm _BJ.
I herlVf allirm lhal I am ex.....,, lrom Ille Contrac:•
tor's License uw lor Ille loltowin; reason (Sec 7031.5 Business and Profess1011s Code Any city°' county wnJCh re-quires a permit 10 construct. aller. improve. demohsh, or
repitr any structure. pnor to tts issuance a1so requ,res !heap-
plicant lor MJC/1 petltlll to hie a SIQned statement lbal "" IS hcens.ed pursuanl to !he PfCMSIOl'IS of lhe tootractor s
L1Cense uw (Chapter 9 commencing ,.,,h SectlOO 7000 01 OivlslOO 3 ol the 8us111ess and Pro!esslOOs Code1 or that Is ex empt theretrom and the basis tor Ille alleged exompt.., AJ>y
YIOlallClfl ol SectlOO 7031.5 tJy.,, appllcanl tor a permit sub-jects the appneant to a e1V1I penally ol not more than tiw hun-
dred dollars ($5001
0 I, as owner ol the property. or my employee> with wages as lllelr sole eornpensaI1011, w,11 do the -k and Ille strue-ture Is not intended or ottered for sate 1sec 7044. Business
and Proless,ons Code. TIie Contrac:to<'s L!Cense u• does
not apply to an owner ol property who builds or improves
thereon and who does such work twnsel1 or ttvough h1s own emp~. provtded that such improvements are not intend-ed or ol1ered lor sale II, howeV1!r Ille b1111dn,g or __. men1 1s SOid w1th1n one year ol comptet,on, the owner-builder will have Ille burden al proving that lie did not build or Im-
prove tor the purPose of sale).
D I, as owner ol Ille property, am exeluslV1!ly con1rac:lmg
with licensed eontrac:tors to construct Ille proiect (See 7044. Business and Pro.less10ns Code· The Conlrac:tor's License uw does nol apply to •• owner at property who boilds or Im-proves thereon, and who <0nlrac:ts lor each proieets with a contrac:tor(s) license pursuant to Ille Contrac:tor's L!Cense uw).
D As a homeowner I am improving my home. and the lollow· mg conchUons exJSI:
1. TIie -k Is being perlormod proor lo sole 2. I haV1! lived in my home tor lwelve months
J rr~o ~~of:: ::~pt,on during the last three years
D lam exempt under See. ______ , B&P.C.
tor this reason
di MrM>y 1thrm that I ha.-e ~ cert1hcate of consent
lo self insure. or a cet11hcate ot Wofk.ers
Compen$iltOn Insurance. or a, cen,hed cooy thereof !Sec 3800. Labor COOel
POLICY NO WP 233-02-48
co~ANY Fireman's Fund
~ Copy IS !tied with the c,ty
0 Cert1hed copy ,s hereby furnished
CERllFICATl OF EXEMPTION FROM IQRKERS' COMPENSATION INSURANCE
(Th1s.),K1ton need not be compleled ,t 11\e perm11
s tor one hundred 00ll~s tS tOO, Of less)
1 cert,ty that in 1ne perto,~ce or the wo"' to,
•htCh th,s penn11 1s issued. I shall not employ any person ,n ¥ly mMlnef so as to become sut>tect 10
the Wort<ers CornpensattOn Laws ot ~llt()fn,a
NOTICE TO APPLICANT tt. after makm1 this Cer11
he.ate of E1emptK>n you should become sub1Kt I? the WOtkefs' Compensation prov,s,ons of the UIOOf
Code you must lorth-.1lh comply w1lh such p,ov1s1ons Of' this permn shall be oeemed revokeo
/i he•eby •llorm 11\31 lf\ere ,s • conSlruci,on
1endmg ~cy '°' lhf-peno,manct ot 1he woo. lo,
wruch thi.s permit 1s ,ssueo lSec .)()97 C,v,I Codel
Len<lefsNome Crocker Bank
LendersAddre•• San Diego
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .
CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT ~ ,, 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I
,oe ADDRESS AV. ST.RO. NEAREST CROSS ST
IDATE o~;;~•;;;;N1
BUSINESS LICENSE • VALUATION PERMIT NUMBER
2700 Olvmnia Drive 3681 80716
LOT 8L.OCK c::.l sveo, v,s,oN I ASSESSOR PARCEL NO. D CONTRACTOR CONTRACTORS PHONE • ZONE 83-83-162 1" .,_..., .. 1r .. r Pt. (t,7~1 ,S"o Standard Pacific of San Diego 279-2042 '>W"'E R0S NA~f I OWNER'S PHONE
279-2042 CONTRACTOR'S ADORE SS LICENSE NO PLAN 1.0 . # BLDG USE CODE Standard Pacific of San Diego (same) 294215 OWNE R"S MA,L•NG AOORESS
7290 Clairemont Mesa Blvd., San Diego 92111 O[SIGNER LICENSE # STANDARD PLAN# BUILDING SO FOOTAGE
NR OESCRIPTION OF WORK Buzard-Hennina & Associates 1583
DESIGNER'S ADDRESS DESIGNER'S PHONE
Single-family dwelling-attached garage 4883 Ronson Ct. SD 92111 278-6855 ~2/20/Gl "tiS u66 • I.~
-· ----~ .. . ·~-·• F/P FLA ELEV. NO OCC GP EDU
STORIES
Pl an 110 vO NO 1 R-3 1 ~ --
~s~~~ I GP LANO usE I PAR:~~SPACE I RES ~NITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPR AREA CON\fN
vO NcJ y D ND v0 Ne Not Valid Unlffs Machine C~rtlfiM
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
1(l EACH FIXTURE TRAP 25.00 1 INSTALL FURN. DUCTS UP TO 100,000 BTU l,. /)/) BUILDING PERMIT 01·00·00-8220 376.00
1 EACH BUILDING SEWER 6.50 OVER 100,000 BTU SIGN PERMIT 01·00-00-8221
1 EACH WATER HEATER ANO/OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 ?l,.6_".lr:;
1 EACH GAS SYSTEM I TO 4 OUT LETS ? 'iO BOILER/COMPRESSOR J.15 HP TOTAL PLUMBING 01·00·00·8222 l,.l,. ()()
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 30.00
EACH INSTAl , ALTER, REPAIR WATER PIPE VENT FAN SJNGLE DUCT MECHANICAL 01 ·00·00·8224 7.00
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 01 ·00·00·8225
WA TEA SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-A"S
TOH,L MECHANICAL STRONG MOTION 80·92·33-0519 5.65 7.00 TOTAL PLUMBING I 44.00 FIRE SPRINKLERS 01 ·00·00·8227 . PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT · ISSUE 5.00 QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP'SWT BKR lUU :.::.:,.uu COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT'BKR ROCK STORAGE Encinitas 80·92·22-0519
I PH 3 PH PUMP San D1eguI10 80·92·23·0519
REMODEL AL TEA PER CIRCUIT PLAN CH.ECK'f EE " San Marcos 80·92·24-0519
TEMP POLE 200 AMPS / l'I .... -
OVER 200 AMPS / f"'V~--~ ~ A-. LICENSE TAX 01-00-00-6162
TEMP OCCUPANCY 130 DAYSI I --,-v ' ' v ,. .J
-----CREDIT DEPOSIT <')l,. ".\. r:;r:; )
TOTAL ELELTRICAL I
..........__ TnTA -I ' .
30.00 '
TOTAL FEES\PAYABLE 465.45
I HAYE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT . ANO DO HEREBY E•p,,ation. Evwy perm,! -11¥tf,e8utldlng0fficlal uncM<lhepro••9'0Moflt11s * AN 08HA~ 1$ IIEQUlflED FOIi EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -· •• p;,. by limitation .. d bac:oma null -•Oid II the'building Of worll ~~!:r! DEM0UTl0N OIi CONSTAUCTION OF autllorized by IUCII permit ii not -_,,, 180 dayo from the dal• ol aucll DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS pe,m,t. or 1I t~~r woril ..,111orw,0 by aucll pe,m,t ,, suspended or S ~--r-OIIEll 3 STONES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BlHLDING CON· --· 11111-.. -lo,.-~ .. -STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~I~~ OWNER C]'""" CONTRACTOR 0 APPRO~)-
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l(EEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,id .J.a. -BY PHONED . nF THIS PERMIT fl _,."
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHFAR /
FRAME I '2i-14--~ P~.nJ I
EXTERIOR LATH I
INSULATION ~-\--,_.'-'I >')
INTERIOR LATH & DRYWALL I
I •
PLUMBING I ' I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D 'A(ATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W,4TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □;UFFER ---ROUGH ELECTRIC I ~-1/i.~ ~
D ELECTRIC SERVICE D TEMPORARY -
D BONDING D POOL I
I
I
MECHANICAL I -
D DUCT & PLEM., D REF. PIPlt,IG ~. \d.--~ 1,,~
V -
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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~, C ... ~ g g .. %'~-I~~ \· 1' .. : -.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL -, .
~
SOILS COMPLIANCE ...
PfllOR TO
rouNDATION INSP
STRUClURALCONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH <
BOLTS
SPECIAL MASONRY ,
' PILES CAISSONS
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