HomeMy WebLinkAbout2703 Medford Ct; ; 84-43-191; Permit\()1[ /~1
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✓, hereby affirm that I am licensed under
proYlslons of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
•nd Professions Code, and my license 1s in
full force and effect
'" No 294215 Caos ~~ ~
I he•eb'/ afl,rm :hat I ani e,erny •r~rn The Cortrac
'o,·s License Law lor :he 'ollow·ng ·ea:,~~ (Sec 7031 5
Business and Proless1vns Code Ari c,11 C' c~uniy wh c~ re q·,1res a pe·m.t t~ constrJcl a,:er .mpro·1e dem:i:•sn o
repair any st• Jcture or.or :o its rsscance a so reau res The ap-
plicant for such :ierrn,1 'O :,le a s,qned s1ate-en1 lhal ne ·s
licensed pu"SuanT to the prov1s1ons ~f •~e Lon:ractJr s ,cense Law :Chaoter g comrnenc-ng wr'h Ser.t10n 700'.I Jf
Drv,sron 3 01 tr.e Business and Professions CoGe1 or that:, ex
e-ipt lhe'efrom 2nd the basis lor :he allegea exemption /\ny ,1olat1on o' Sechon 7031 5 by an appIIcart for a ~errr11· sun
1ecls the appIIcan1 to a c1v11 penalty ol not more than l,ve -,un-
dred dollars 1$5001
i I, as owner of lhe property. or my employees wItn wages
as the,, sole compensation will do lhe worK. and •he slruc-
ture 1s no1 intended or ottered lor sale !Sec 70~4 Business and Professions Code The Contractor's License Law does
no1 apply to an owner o! property who builds or ,mproves
thereon and who does such work himself or through h,s own employees. provided lhal such improvements are not intend-
ed or ottered for sale If, however. the bu1ld,ng or improve· ment Is sold w11h1n one year of completion, the owner-builder
will have the burden of prov,ng that he did not build or im-prove for the purpose o1 sale)
I I. as owner o1 the property. am exclusively contracting
with licensed contractors to construct the pro1ect (Sec. 7044, Business and Professions Gode: The Gon1rac\or's License
Law does no1 apply !o an owner 01 Droperty who builds or im-proves thereon, and who contracts for each pro1ects with a contrac1or(s) license pursuant to the Gontractor·s L•cense Law)
1 As a homeowner I am improving my Mme. and the lollow-
mg cond1t1ons exist
1 The work 1s being performed prior to sale
2 I have lived In my /lome tor twelve months prior to comple110n o1 th1s work I have not claimed this exemption during lhe last three years
~r tlh~: r:.:it under Sec _____ _ B & PC
"hereby a!t,rm !hat t ha~e a cert,f,cate of consen1
10 selt-insure or a cer1,f1cate of Workers Compensat,on Insurance. or a cer11f1ed copy !hereof
(5ec 38Xl. Lat>Or Cooe1
POUO NO WP 233-02-48
coMyNv Fireman's Fund
Cl'copy IS t,led wItr, the c,ly
D Cer11f•ed copy ,s hereby furrushed
CERTIFICAH. OF EX~MPTION FROM WORKERS-COMPENSATION INSURANCf:
flh1s section need no! be completed 1! the perm,1 ,s tor one hundred dollars {SHX)J o, •ess1
D I certify that 1n the periorm.,nce of ihe ..,o,-,., !or
wh,cr, lh1s perm11 ,s ,ssued. I Shall not emp•oy any
person ,n any manner so as 10 become sub1ec1 lo the Worl<ers Compensa1,on Laws ol Cal,fom,a
NOTICE TO APPLICANT II. alter mak,n] th,~ Cen, !,cate of Exemp1,on_ you sl'1ould become sub1ect tc;
1he Worl<ers· Compensation provIs1ons ol t11e Labor Code. you must tor1hv,1th comply with such
prov,s,ons or 1h1s perm,1 shall be deemed revoked
✓ hereb)' af1trm lhat lherp ,s a c,e;ri<lruc,";n Iend1ng agency to, 1hP perlo,mance c.,t >hi' worl< t,,r
wh,ch th,s perrT'I! o ,~sued 10>£'c 1091 C ,, COOP•
Lenders Name
lenders Address
Creeker Dank
San Diego
USE BALL POINT PEN ONLY & PRESS HARD l-\l""T"'Ll\,,#\1 .. 1 IV rll--L. 11'1 ,.,., ..,,,,.,,... ------... ------------------
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AQORESS AV. ST, RO. NEAREST c~oss ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
,·,7n1 -i, ..1.c __ .a -' 3/19/84 3681 121608
COT BLOCK _1 SUBDIVISION I ASSESSOR PARCEL NO ;r, 00 CONTRACTOR CONTRACTORS PHONE• ZONE 84-43-191 1 01 ,. , -.,,-_ lt.."7~'1' Standard Pacific of San Diego 279-2042 owi-.E~'S NAME ' I OWNER'S PHONE
CONTRACTOR"S ADDRESS LICENSE NO. PLANIO.I> BLDG USE CODE
.,_ --..l u·.:..-.; t:Lc '<of San Die~w 279-2042 (same) 294215 OWNER'S MAILING ADDRESS ' . . , DESIGNER LICENSE 4 STANDARD PLAN# BUILDING SQ FOOTAGE
7290 Clairemont Mesa Blvd., SD 92111 ..
DESCRIPTION OF WOR.K Buzard-Renning & Associates NR 2205
DESIGNER'S AOb~ESS . DESIGNER'S PHOf\lE
SFD ,-Plan 350 ' 4883 Ronson Ct. SD 92111 278-6855 . F; p FLA ELEV NO ace GP EDU ' STORIES
/'. ··~~ . _+ ¾ ' ''.! ' ;-\ ~. '. ,,, ' . .. . ' . ' .. YO NO --2 R-3 1
~~N;~:oq l GP LANO USE I PARK~N7G9SPACE RESlUNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA C'lffiT a!! YON □ ,□ JEi ,□ N1'l Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE ~_£;:..-QTY. MECHANICAL PERMIT· ISSUE :z-SUMMARY/ACCOUNT NUMBER
1 3 EACH FIXTURE TRAP , 32 .. 50 1 INSTALL FURN. DUCTS UP TO 100,000 BTU 4 '"' BUILDING PERMIT 01 ·00-00-8220 488.00
-1 EACH BUILDING SEWER 6,.50 OVER 100,000 BTU SIGN PERMIT 01·00-00-8221 -
1 EACH WATER HEATER AND:OR VENT 2.50 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806 ~1 7 ?C\
1 EACH GAS SYSTEM 1 TO 4 OUTLETS l--__ ___LS o BOILER/COMPRESSOR 315 HP TOTAL PLUMBING 01-00-00-8222 _ __5_4 • ()Q_ ---------~ -
EACHGASSYSTEM50R MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ~(\ (\(\ ---~
EACH INSTA~--ALTER, REPAIR WATER PIPE ? VENT FAN SINGLE OUCT /,, nn MECHANICAL 01·00·00-8224 1 1 (\(\ -~--
1 EACH VACUUM BREAKER 2. 'iO MECH EXHAUST HOOD'DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATlON OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDEI SOLAR ~0-Q'}'}~ ------
TOTt.L MECHANICAL STRONG MOTION 80·92-33-0519 i-------S-.---S-1----· -~. ·----___ ._
11. 00 -· ------
JOT Al PlUMBINC i r::;;,. riri FIRE SPRINKLERS 01-00-00·8227
s=-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00-00·8933 'l/.3-2 ,..,,..,. QTY. ELECTRICAL PERMIT· ISSUE
BRtDGE FEE
NEW CONST EA AMP:SWl BKR 1nn ?S nn COLLECTORS SCHOOL FEE -DISTRICT
1 PH J PH STORAGE TANKS ( Carlsbad 80-92-21-0519
EXIST BlDG EA AMP1SWT;BKR ROCK SlORAG[ / A \ I Encinitas 80-92· 22-0519 ·-1 PH J PH PUMP / ,,__ / San Dieguito 80·92·23-0519
REMODEL ALHR PER CIRCUIT PLAN CHE~ FEE I ~JV'11'--1 / San Marcos 80-92-24·0519
TEMP POLE 200 AMPS I JOI/ 11/ .II /U I / --
OVER 200 AMPS I V / .-( \ / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY !30 DAYS) / /,,1:7 Pr' 400.00
~
/ CREDIT 6EPOSIT 300,00 /
TOTAL ELECTRICAi I 30.00 TOT~R I TOTAL FEES PAYABLE 3440. 71
! HAVE CAAEFULL y EXAMINED THE COMPLETED "APPLICATION ~NO PEffMrr=' A~ oO 1-fER~~y, ,, 'i:)ipirafiOti E'\ltlry per_mit l~edbytheBuildir,gOfficialundertheproVisionsofthis * AN~ .J.ll 1$ REQUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON iNCLUDING TA!: --Code ~811 e•ime by hm_rtalion and become null ~d void tt the burldrng O'f work 5' O" ~ OEMOl!TION QA CONSTAUCTION OF l!t authortZed by such permit 1s not commenced wtthrn 180 days trorn the dale of such STRUC • S OVER l STORtES IN HEIGHT _ J O~CLAAATIONS ARE TlUE -"ND COR ECT AND, I FUffi'HER CEflTlFY ,ANO AG~E~ If A PERMIT IS permit, or i!.~ buildinx or work authorized by such permit is suspended or
!SSUED: TO COMPLY !TH ALL CIT,Y. COUNTY AND STATE LAWS GOVERNJN~BUILDING CQN., ~ a 11me a er the work is commenced for a Dflriod :..L180 davs
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND •~ APPROVED~ ,7Ju!1u KEEP HARMLESSJ.1-tE sCUWFLAfll.SBAD AGAINST ALL LIABILITIES, JUDGMENTS, COs,s ANO APPUCA _ I_/ E • OWNER [!I!"'" CONTRACTOR 0
EXPENSES WHICH MAY IN AN"f'· fl.~Y ACeRlJE ·AGAtN$T SAi!> CtTT lft"CONSEOOENOE OF THE--. /, A'1 ~ -._ BY PHONE 0
GRA.NTING~OF THIS PERMIT. ~--,, ' , . /"VS' _ .. .,. _ .,. \. ,,,.i--...
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TYPE DATE INSPECTOR X""'l -"1. i°' -\ 'i l I .
BUILDING ' ,/ ', I
FOUNDATION I ~ A • I,.,__ C-. FIELD INSPECTION RECORD ' r
REINFORCED STEEL I r -. ,_
REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ; RED IF INSPECTOR'S GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF □ SHEAR PRIOR TO
FRAME I c-:u ,fl<; J.,,-,.,,(__, FOUNDATION INSP
v STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION ' \ / PAESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I -r1.n.a,1 ·,I __ ,
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING '
SEWER AND BUCO □IPUCO I "' /j .11C>, , , " HIGH STRENGTH
BOLTS UNDERGROUND □ WASTE □ WATEfl.; i. " -<../
.. . SPECIAL MASONRY TOP OUT -.__. • • I
TUB AND SHOWER PAN I
GAS TEST ' l."-~&,J.. n ~
I PILES CAISSONS
□ WATER HEATER D SOLAR WATI:R 17
I
ELECTRICAL I I
□ ELECTRIC UNDERGROUND □ UfFER AC,;.,•{_.
ROUGH ELECTRIC I "_, J /', f
□ ELECTRIC SERVICE D TEMPORARY i/
□ BONDING □ POOL I
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MECHANICAL I -□ DUCT & PLEM., □ REF. PIPING ,id !11 tv,. 1/'I' ' =
HEAT AIR COND. SYSTEMS I ',:
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
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PLUMBING I /'. '' \ V
ELECTRICAL I ..A"\~ /'. F ,t '/(
MECHANICAL ' ;;,,,-<....: " ,{j/ V
' -GAS I Ll'; {ri'
BUILDING ' ~ ' '
SPECIAL CONDITIONS ' I
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