HomeMy WebLinkAbout2701 MEDFORD CT; ; 84-670; Permit~~ 'II/ I hereby affirm that I am licensed under
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provisions of Chapter_ 9 (.comme. ncIng. with '0 Section 7000) of Division 3 of the Business
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,c and Professions Code, and my license 1s 1n ~ full force and effect. ,
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I hereby affnn that am e,ernpt from the Contr~c
!Or's License Law tor the 10,Iow1rg reason 1sec 7031 ~ Business and Pro1ess,ors Cvde An)' ury o· co,ant1 w01cr ·e
quires a perrmt lo construct. alter ·mpron ce-,01 sh 0'
repa,r any s:·ucTure p1Ior to·ts s<ua~ce a•so requ res !he a~-pl,cant lor such perm,: IJ t·le a s,~nea sta·emert t~a: re ,s
licensed pursuant to :he provIs1ons 01 The Contrac1or s
L,ceose Law '.Chapter 9 cornrnenc1ng w,:h Secl,on ?GOD ~f
D1v,s10~ 3 of tre Bus:ness a~d Profess,o~s ~oce, or That .s e,
emJ: therefrom and the bas,s ior lhe dileged e,empt,oc Any
,ioar,on of Secr,on 7031.5 by an applicant tor a pe,m,1 sub
;eels the appl,canl to a c,vII penalry or not more t~an tive hun cred dollars (S500!
,( 1 as owner ol The ;irooerly. or my emp·oyees ,,.,Th wages
as the,, sole compensatI00. will do the won, ard !he st,uc
ture Is not ,rtended or offered tor sale iSec 70~4 Business
and Proless1ons Code The Contractor's L,cen>e Law does
nol aoply to an owner ol properly who bu,lds or improves
thereon and who does such work hr'l1self or through his owr
ernployees. provided that such improvements are not Inler,d
ed or offered tor sale If, r.owever. the building or ,mprove
rnent ,s sold wItnIn one year of complellOn. the owner-touI•de' w,I; have the burden of proving thal he did no! build or ,m
prove lor the purpose 01 saleJ
I. as owner or the prw1erty. am exclusively con1ractIng
with lrcensed contractors tc construct the pro1ec11 Sec 7044
Business and Proless,ons Code The Contraclor s License
Law does not apply to an owner o' oroperly who builds or Irn
proves Thereon and who com·acts to· each pro;ects w11h a
contractorls) license pursuanl to the Contractor's L,ce~se Lawl
As a homeowner I am ,mprov,ng my home and The to low
,ng cond1t,ons ex,st
1 The work Is be,~g performed pr,o, to saIe
2 I have lived ,n my home for !wetve rnonrhs pr,or to compler,o~ of this work
1 nave nol claimed th,s exemption Gurwg :he last three years
I am exempt under Sec B & PC lor lhIs reason ____________ _
0 I hereby allrrm thar I ha,e a cen,1,ca1e ot cons!"rT
to self ,nsure 0< a cert,t,cate of Wo•ke,s
Compensa1,on lnsur.inu, or .i c:erl,f,e-d sopy thf>r!"nf
!Sec 3/l(X), Lat>or Code1
POLICY NO
COMPANY
0 Copy Is J,1eo w,1~ the c,ty
D Cer11!,ed copy ,s hereby lurn,shed
CERTIFICATl OF EX!::MPTION FROM
WORKERS COMPENSATION INSURA,..CE
(Tr.,s sect,on need not be comp,,.ted ,, 1,-,,. ;,,.rrr,,1 ,s •o, one hundred dollars ;$100> ()r ,ess,
0 I cert,!y tha1 In tr.e per1orm.ince ,,t 'he ,.0<1< l()r .,..r,,cr, th,s per,n,t ,s ,ssued I sh.ill "Ot er,,;i10, an,
person ,,-, ;my m.irner so as to t){>comP suDIec1 t,
the Wor1<e1s Compen<x1!1on Law5 :,' C.i.l·lorr,,a
NOTICE TO APPLICANT If, ane, ma~ir) 1'115 Cen,
f1c.i1e ot Exempt,or you should become suD1e, I 1-, !he Worl<ers Compec,s.i1,on pro,.,s,on5 0I The Liib•:Y
Code you mus1 •orth,.,,1h comply w,t'1 Su'~
p,o,.,s,ons or th,s perm,i sr',dil bP deemec ·e•'•l<~<.J
O I hereby aflirrn 1'1at •tiere ,~ a ,/Jr,sl•u,_r,,,,
,ending agencv ''J' l~P per1,;r,r,ar·, e u' ·ne """ ·
wh,c~ lh,s pe,md ,s ",s,,ed ·'.:.<:c l097 C ,., ~,uoe,
lenders Nome ___________ _
Lenders Address __________ _
..,..,._ .,,.._._ • .,,,., • ._,. ..,,. .. , "'• ru . .,., ""'"" '"'-l'"l'"Ll\.,l•H't I IV r"ILL 11"<1 ll"<ll'"UMM'"'-11Ul'1 WI I nll"<I .:Jnl-\UCU 1-\MCI-\ l-\l'1U UCl,LI-\MI-\IIVl'1.:,.
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
I JOB ADDRESS AV. ST.AD. NEAREST CROSS ST. DATE. Of APPLICATION BUSINESS LICENSE#
: Z7dl /llblJJ!b1to cl.Pl Ave. 1/-6-/, YrJ
: LOT BLOCK SUBOIVISION 1 OO CONTRACTOR rv~"' ----CONTRACTORSPHONE# ZONE
I OWNE A'S NAME OWNER'S PHONE : ¢3t/-{:,83c/ LICENSE NO. PLAN 1.0. # BLOG USE CODE
I OWNER'S MAILING ADDRESS
I <::"'AJl"1o. ~ DESIGNER /', LICENSE# STANDARD PLAN# BUILDING SQ.FOOTAGE
I ~,., I / --, k,C,
I DESCR!P~~AK .Jli..l.....Jlr ~ -::::. .. 1.:,,.J ~ V r-
I , ---.,
DESIGNER"S A_J;)'DRESS DESIGNER'S PHONE
F LR EcLEV ' -Yl -(J.,.,~ /..2¥">--o= ~'-fo!f " : r1, ,[c <J ~ NO
STORIES OCC GP EDU
I CENSUS TRACl PARKING SPACE RES UNITS GRADING PERMIT ISSUED RE:DEVELOPMENT TYPE OCC LOAD FIRE SPF!
I AREA CONST
t ID ~ 0 v D ,□ v□ NO Nor Valid Unless Machine Cemf1ed
1 QTY PLUMBING PERMIT -ISSUE ~ QTY. MECHANICAL PERMIT -ISSUE _ SUMMARY/ACCOUNT NUMBER _,
: EAr:H FIXTURE TRAP 'INSTAl L FURN DUCTS UP TO 100 000 BTU BUILDING PERM:T 01-00·00-8220_l~,:t'_~'_'.::__ _ _,,.~
I EACH 8UILlJING SEWER ____ OVER 100 000 BTU SIGN PERMIT 01-00·00-8221
:1 1 EACHGASSYSTEMJORMOHE
1 EACH WATERHEA.T"iRANO OR VENT +-... sl)1l~UMPRESSOR uP TO J HP +-~-------1 PLAN CHECK 01-00-00-8806 -----~~
1 EACHGASSYSIEMI1[)4UUTl.ETS ----iR □ILER~-COMPRESSOR31JHP ------TOTALPLUMBI\JG 01-00-00-8222 ---,-
I 1./~'AL "IPEPLACE ELECTRICAL____ 01-00-00-8223
-----t----
-
, H1:.Arn 1Ns I Al ___i:_~~ tr-: __ R_E~AIR WAT ER ~-1 PE _ + ~ vE N~_AN-SINGLE Du CT MECHANICA 0, .00_00_8224 1 EACH VACUUM BREAKER " MECH FXHAUST HOOD DUCTS MOBILEHOME 01·00-00-8225.----l~~------_,
1 1 WA!E.R S[H Tf\lER . 11 RELOCATION OF EA FURNACE:HEATER MOBILEHOME PARK INSP
i FM>-1 P. ,~:F DR,"<' \~ ~:F, I r--
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_J I -1! TOT .,:;L MECHANICAL
:/QTY f I ELECTRICAL PERMIT -ISSUE I _:;;-:: -
NE',N CONST EA AMP SW! lJKR
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j QTY. SOLAR -ISSUE
' C'Ji FCT\1PS
I P" ; PH J __ s-o;,t:.Gl T::•Jvs
FXIST lJLOG EA AMP SV,'T lJKR f-WC• ST1~1RkU
----I 1 PH ! PH ~,J ',1 ~
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RU,10[)Et Al lt.R Prfl CIRCUIT ___ _
IE MP P[l Lt }l)[J .',,,~1PS
---+-p ,l\ Cl-<· l'K i _ __:_ :::~ Fff
~ -------I OVER ?UU AMPS
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5DlA8
STRONG MOTION
FIRE SPRINr\LERS
PUBLIC FACILITIES FEE ---
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San D1eg_u1100 ____ _
01-00-00-8226.. _
80-92-33·0519
Oi ·00-00-8227
32:_00-00-893) ---+ _
80·92-21-0519
80-92-22-0519
-~?I'o--
--
----· ------------
so-9~19r---------------I Sari M0a'~ccos'--------~8~0~90?-24-0519
-+-----------
LICENSE TAX 01-00-00-8162
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TEMP lJCCUPANCY 30 [lAYSi
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MFF 80-92-57-0519
CREDIT DEPOSIT
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TOTAL FEES PAYABLE 'I T{)TAL (llURII.Al ' TOTA[ SOlA;,
1
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-j-~
I -13 1i_ -w E * AN OSHA PERM:T IS REQUIRED FOR EXCA\IATK>NS OVER
5· O'" DEEP ANO DEMOUTK>N OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEtGHT ~
I HAVE CAREFULLY EXAMINED THE COMPLETED --APPLICATION ANO PERMIT" AND DO HEREBY
CEATiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARAT!ONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S
ISSUED. TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT ! ALSO AGREE TO SAVE INDEMNIFY AND/"~;;;;;:;c;7,;c;'~~C::':':'-':"-"""--''-"S!!!!!J'!!S!!!'..!£'-':'!~,a.s,_!-"'-'!!!"'"--;::;""1"':':::::::e:::~"::':~-----------~"'";'----4
KEEP HARMLESS THE CITY or CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AN .. ----.1 CONTRACTOR D APPROVED BY n:..n: /
~
-If s:
ExPENsEs wH1cH MAY 1N ANY wAY AccRue AGA1Nsr sA1D c1TY IN coNsEauENCE oF TH l { r _r:,,,1,
GRANTING OF THIS PERMIT r~ ;;J 71:t__ PHONE 0
V I
170,'.> lb'.41
'
TYPE DATE INSPECTOR ~---~~~ -------------Wv---r .Jo'JQ_
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SH6AR
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS
CHECKED APPROVAL DATE
----· ---~-~--~--~-ck~~==-
SO!LS Crnv1P: :A~i_"E
PRIQP TO
FRAME I ~OL,r-..DATION 1',JS>-'
EXTERIOR LATH I ST.PuCTL.PAL .cc1N_c_ri_E_T_c__,._ I 1-1
OVER 2Du:•, P'~I I
INSULATION ' ORfSTRE;sic ·· -
1
INTERIOR LATH & DRYWALL I CONCRETE I POS-:-TfN5 C·NEC
cur-.CR[T[
I
I
PLUMBING
SEWER AND BL/CO □IPL/CO
UNDERGROUND □ WASTE '.::" WATER
TOP OUT □ WASTE □ W~TER
TUB AND SHOWER PAN
GAS TEST ' □ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL ,
I
MECHANICAL
f--------------+--
FIELD ·IVELDlr-..JC;
HI ;r, S'"lENGTH
8( . TS
-~ +-----➔--~
'TCCIAL M,\Sr'I\JPY ___ +-____ l_ _______ t ____ _
l'I" ["', CtilS2JU\'.-"
+------+-·---
>---------+ -------,-----+---
·---r------+-·---
-+--------
i----------
I-----------+-
--+----------
□ DUCT & PLEM., □ REF. PIPINP I I . . . I '----------+ ------+------+---
HEAT -AIR COND. SYSTEMS · \ ·
VENTILATING SYSTEMS I I I 1---------+----+-------+---.J
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE! BEEN APPROVED.
FINAi._ I I ./
PLUMBING
ELECTRICAL
MECHANICAL I
GAS I
BUILDING I
SPECIAL CONDITIONS
.r
I I I
' ·-~--L-------~ -
INSPECTOR'S NOTES
'
(
--.-.-
•
PLAN CHECK NUMBER-'-~ ___ ADDRESS ,? 7o/ ~-&,':-_
PLANNING:
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TYPE OF STRUCTURE / ~ --!, .. £...!::.-=------------ZONE: ____ _
SCHOOL FEES: SAN DIEGUITO ______ _ ENCINITAS --------
CARLSBAD _______ _ SAN MARCOS ______ _
% COVERAGE ___________ _ REQUIRED SETBACKS ____ _
BUILDING HEIGHT _________ _
FENCES/WALLS. ___ __;_ ______ _
FRONT
SIDE_-_-_,-3c...,-:-<-z-=--=-,_e:.:.._-_ .... •_-_-_ -_
TWD CAR GARAGE _________ _ REAR ----------
;: ~ COMMENTS: __________________________ _
~ c3
REDEVELOPMENT APPROVAL REQUIRED: ______________ __.:, __ _
LANDSCAPE PLAN COMMENTS: ____________________ _
ENVIRONMENTAL REQUIRED.:.: ____________________ _
ADDITIONAL COMMENTS:..: _____________________ _
OK TO ISSUE:~ DATE:////flf'."OK TO FINAL: DATE: I > ----------
""'·. -.,.-.~-.. ., .... -* * * * * * * * * * * * * * *,.... * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
-. -~ .• :·.· ENGINEERING LEGAL DESCRIPTION VERIFIED? /./t> A.P.N. CHECKEP?Pb
P.F .F • _______ PARK IN LIEU ________________ _
R.O.W: IMPROVEMENTS: _______________ _
_______________ E.D.U: ____________ _
SEWER: ___________________________ _
LATERAL: ___________ _ DRIVEWAY: ___________ _
"' ~ GRADING PERMIT: _________________________ _
-u.l > I-~ ;§ DRAINAGE: ___________________________ _
~ □
-c:i □ l-u.1 u"' ~SD "'O' 0 u.l u"'
EASEMENTS: __ __,1C>;:::.:..c<~ ______ ADDITIONAL COMMENTS: _______ _
OK TO ISSUE: __,_fu-=--=::::::.:-____ _ DATE: //ijJJ'JrY ? )
* ENGINEERING INSPECTION REQUIRED: __________________ _
PUBLIC WORKS INSPECTOR: ____________________ _
FINAL OK: __________ _ DATE: ____________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)