HomeMy WebLinkAbout2706 Medford Ct; ; 84-43-176; Permit<VJi s;i[
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L .. eby affl,m that I am llm,ed """"
provisions of O,apter 9 (commencing witti
Section 7CX>OJ of Division 3 ol the Business
and Professions Code, and my license is in
'"" lo,c, aosi,11,c'r.5 Bl L,c No ~~L~~_,Lf,=L~ Cla\l
I heretiy afhrm that I am exempt 1,orn lhe COnlrac
101 s license Law for the fol!owrng reJson !Sec 7Q31 5 Business and Prolessrons Code Any Cily or LOunty w~1cr, re
qu,res a permit 10 construct. alter, improve. demolish. or
repair any structure prior to ,ts rssu;rnce also requires !heap
pl,cant for such permit to file a srqned stalement t~at t>e rs
1,censed pursuanl to the pro,is1ons of the Contractor's
L ,cense Law (Chapter 9 commencing w,tr Sec1,on 7000 or
o,v,s,on 3 ol the Busmess and Professions Code) or lhal 1s ex·
empt lheretrom ana 11le basis tor the alleged exemption Any
v1ola\1on of Section 7031.5 by an appl1e,inl for a perm11 sub
1ects the aopl,cant to a c1v1I penalty of not more than t1ve hun
dred dollars [$500)
-. I, as owner ol the properly or my employees w1lh wages
as their sole compensation, will do the work. and The s1ruc·
lure 1s not intended or offered tor sale (Sec 7044 Business
and Proless1ons Code The Contraclo(s License Law does
not apply lo an owner 01 property Who builds or improves
thereon and who does such work h1msel1 or lhrough his own
employees. provided lhal such improvements are not 1n1end•
ed or offered for sale I!, however. the building or improve· ment 1s sold w1th,n one year of completion, the owner·bu1lder
will have \he burden of proving that he d,d not build or 1m·
prove for the purpose of sale)
:----: I, as owner o1 the property, am exclusively contracting
with licensed coniractors to construct the proJect (Sec. 7044, Business and Professions Code· The Contractor·s license
Law doos not apply lo an owner of property who builds or 1m· proves 1hereon.' and who con1racts tor each pro1ects with a
conlractor{s) license pursuan1 lo the Contractor's License t,w)
·7 As a homeowner I am 1mprov1ng my home, and the follow
ing cond1tmns exist 1 The work 1s be_1ng performed prior to sale
2 I have lived m my home for twelve months
prior to completion of this work
I have no1 cla1me<1 1his exemp110n durmg !he
last thre€ years
□ I am exempt under Sec ______ . B & P.C !or this reason ____________ _
iereby affirm that I hMe a cert1hcate of consen1
to self msure or a cer1,t,cate of Workers
Compensa11on Insurance. or a cert1f,ed copy thereof iSec 3800. Laoor Codel
POLIC,NO WP 233-02-48
coM~v Fireman' s Fund
&"'eooy ,s flied w,1h !he city
0 cer1,t1ed copy 1s hereby lurn,shed
CERT!FICATl OF EXf.MPT!ON FROM
WORKERS' COMPENSATION INSURANCE
(Th,s secimn nee<1 not be completed,! lhe perm,!
,s for one hundred dollars ($1001 or less1
0 I cert,!y !ha! 1n !he perlormanc!' nf !he wnrl< tor
which 1h,s perm,t 1s issued. I shall not employ any
pe1son 1n any manner so as lo become sub1ec1 to
the Workers· Compensation Laws of Cal,1om,a
NOTICE TO APPLICANT If, alter mak,r,11h•s Cen,
l,ca1e of Exempt,on. you should become sub1ect l'J
1he Workers· Comper,sai,on prov1s,ons ol the Labor
Code. you must lorth;\-1!h comply with such
prov1s,ons 01 this perm11 shall be deemed revnke<l
j heret>y atfirm ltial 1tiere ,~ a co,.~lrucl1on
:endmg 30ency tor thP performance ot the worl< lor
wh,ch 1n,s perm,t ,s ,ssue<l 1Ser )091 Ci.ii Codf"i
lenders NameCrocker Bank
Lender s Ado,ess San Di"Ro
USE BALL POINT PEN ONLY & PKtSS H•Ku
CARLSBAD BUILDING DEPARTMENT
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525_
APPLICATION & PERMIT
JOB ADDRESS AV. ST. RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
2ZQ6~dfor4 Court 3/19/84 3681 121608
SUBDIVISION
nnaker Pt. f
OWNf.ffS PHONE
CONTRACTOR
Standard l'acifi~ of San Diego
CONTRACTORS PHONE•
279-2042
ZONE 84-43-176
' ' ' Standard· l'ac:Y:ic; cif San Diego 279-2042 -
CONTRACToR·s ADDRESS
(same)
LICENSE NO.
l~NEA'S MA!Ci"NG_A_oDREss 294215
PLAN I.D. # BLDG USE CODE
)129(), Cl:a:breinont Mesa Blvd., SD 92111 OESIGNER
LICENSE# STANDARO PLAN# BUILDING sa. FOOTAGE
W<l•Jt " J,:~;!l,~;::-~'l?!Jl!IJig_-&...Al!.6.ll.C;la:~IL__Jk,~JllL----1--------L--2202-__ _J -P!=~l.(,l_~~R'S ADDRESS p~SIGNE-R"S PHONE
?7Q,_t::occ + SFD ~, Plan 3~0
' " ,~s; ;Tu ;;s; ;:~~ Ge CANO us, I eAR~,;; SSA CC
QTY, PLUMBING PERMIT, ISSUE
RES UNITS
1
/,RSi'l ,. .. ",,
GRADING PERMIT ISSUED
y □ ND
F1P FLR ELEV
YO NO
!REDEVELOPMENT
AREA
YO l@
en 0?111
NO
STORIES
2
TYPE
CONST VN
'-J z:i _ II QTY I MECHANICAL PERMIT. ISSUE I 3-
OCC GP EDU
R-3 1
OCC LOAD FIRE SPJ'f
v □ ,llj!: Not Valid Unless Machine Cert1f1ed
SUMMARY/ACCOUNT NUMBER
~ EACH FIXTURE TRAP
EACH BUI LUING SEWER
""U"L '""'' 7 32.50 1 INSTALLFURN.□U-CTSiJPTOlOO,OOOBTU 4.00 BUILDINGPERMIT 01·00·00·8220 I 488.00
6 . 50 OVER 100,000 BTU SIGN PERMIT 01·00·00-8221 1
1 EACH WATER HEATER AND·OR VENT ? .· ~o II I soILERtcoMPREssoR uP rn J HP \ 1 PLAN cHEcK 01-00-00-8806 1.1 7 ')t,
1 EACH GAS SYSTEM 1 TO 4 OUTLETS
-
{--__ _2..._5_Q ~ I BOILER/COMPRESSOR 315 HP -TOTAL PLUMBING 01·00·00i?_?_~ __ _5_4_ . ....D.Q , ___ -
EACH GAS SYSTEM~ OR MO RE ~··-I . i . METAL FIREPLACE ------------ELECTRICAL 01·00·00-8223
EACH INSTAI,. .. ALTER, REPAIR WATER PIPE 1! EACH VACUUM BREAKER
·----t----"-'-lll.l--"M"°E"'CHccA"N"'ICc_A~L____ 01·00·00·8224 11 t,t,
MOBILEHOME 01·00·00·8225
··------+---? VENT FAN SINGLE DUCT
? . i;n MECH EXHAUSl · HOOOIOUCTS
WATER SOFTNER RELOCATION OF EA FURNACEiHEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDF1
TOTAL PLUMBING I
I I · ~LAA _ 01 ·00·00·0
"'"' ! II TOTJ.LMECHANICAL I ll.OO~RONGMOTl9N ··---· . 80·92·_33-0519 L 8.51 ·--
t-
1
FIRE SPRINKLERS 01•0(}00·8227 -----54,00
~
QTYI ELECTRICAL PERMIT· ISSUE ~-QTY, SOLAR . ISSUE ~ PUBLIC FACILITIES FEE 32·00·00·8933 2432.0P
BRIDGE FEE
NEW CONST EA AMP,'SWT '8K R 100 25.00 COLLEClORS SCHOOL FEE · DISTRICT
lPH ] PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMPiSWT:BKR ROCK STORAGE: Encinitas 80·92·22·0519
1 PH 3 PH PUMP San o,eguito 80·92·23·0519
REMOOEL'ALTt:R PER CIRCUIT
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
TOTAL ElU,TRICAl
TEMPPOLE -200AMPS
'
~""'cf~.@
30.00 II I , en, an
San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-8162
,m;?p:.
TOTAL FEES PAYABLE
t.nn nn
CREDIT DEPOSIT / ~nn nn)
1 T 3440. 71
t l(AVeOAReFri.t.ly EXAMINEp TH.E COMPlET~O "APPLICATION ANti!'ER~rf; iff:ttob fiEiREB'i ,. :.,E,~oi,. e.;..rype~.t~bYUteBuifdihQ.qjficial~nderthe~11fofth1S. * IT ISREOIJtflmFQA EXCAVATIONS OVER
CERT!~_ ~•·TV OF DCRJURY THAT ALL fNFORMA .. T!ON~ liSAEON INCLUDINd TAt "Gode ~•II ei.:pwe·by liffl.i~ioff.--ancH,ecoffi!i' n~ !"'d void .. I-MM<buHdmg <,rworll D£MOUTION OR'tONSTRUCTION OF ::...._.: "'W""' .... --,,; .. · authorwld by such perrrut IS not commenced w1thm l80daysfromthedateof such 'SUCJllllta> OEClAR M:11:.i'fROE"'IJ_~ARECT AND l'FURTHER'~RTIFY .. ~~-~~EJ:lF'A.PfA~ITIS.. permit; or if the bwldi r worl( authoriled qy such permit is suspended or ,. OVER 3 STORfES IN HEIGHT
tSSUE();.,TOGOt;;ifPLYWlfH..ALL~TY,COUNiYANOSTAT'ELAWS.GQVERN.WQ,BUlL01'filCOt-l~l:!a!!bac',~d=Cn~IOdc::1'a;t~••~•!!im~O!,;fF'.-the!!!!~w,\l(!kcJ·~~-!!!!!!!!!!!~!_fo<!2!c-~•~''!'°"~o>!fJ.180!!!Wdl!lf.L-;::;-i~~~":':l~----------~,_,J"---.,-~
STAUGJ_Ul ICl.t!f "\·~~se1A SP~f;:!f~Q i'JEAEI~ (?R NOT." J .. ALSO.. I\GSEI;: 1:P,SAVE iNOEMNl~ AND APPU&ANT'S StciN N O /_ KEEft.-~ .... OITYi>F ~~AtN$T ALL LJAl;llL!TIES-,:;J~MENTS, COST$'ANCr , CO TRACTQFt
EXPEN$ES ~ MAY ,i, ,~'CW-~c~uE .. AGAINST" .. ~to crrv..:nt: eotJ~~ oF nfE'."' BY PHONE O -•
GR!-N~,Afi ~ PERMJI... • : , ' ':-"?-'r-I ) ,.,
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TYPE I DATE INSPECTOR ~ ' • J ----i----__!__' -
BUILDING I /
I -...... ,. _,,. _C),J -FOUNDATION ' FIELD INSPECTION RECORD
REINFORCED STEEL ,t' ' ·-I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY ' REO IF INSPECTORS GUNITE OR GROUT , I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING. , SOILS COMPt_lA'\JCE SHEATHING 'O D SHEAR ,,.. ~•Q,, PRIOR TO
FRAME .., ' .,,. '£ . ~ ~ ~ FOUNDATION INSP
STRUCTURAL CONCRETE EXTERIOR LATH ..,_ -1-,..:.' X• OVER 2000 PSI
INSULATION :/ PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL .,,,,,,,,
POS"T TENSIONED
I CONCRETE
PLUMBING ! FIELD WELDING /
SEWER AND BUCO DIPUCO I ' ,, /': ~.,, K'/'\ '\Y -HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER, 7 I u, -SOL Ts
TOP OUT □ WASTE □ W},.TER ' SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I _,/.~ ~ PILES CAISSOr,,s
□ WATER HEATER □ SOLAR WATER ·--
I
ELECTRICAL !
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC I ._-u•~~ ~
D ELECTRIC SERVICE D TEMPOFaARY •
□ BONDING □ POOL I
I
MECHANICAL
j~
I
□ DUCT & PLEM., D REF. PIPING ·-•//' .r-
HEAT -AIR COND. SYSTEMS I . ,,. -
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VH BEEN APPROVED.
FINAL : -, _;...-1--
PLUMBING I <, l....l c:;..;:,--_/
ELECTRICAL I -• J 11).P_,: -~
MECHANICAL • -A-~ ' I f""llf✓
GAS I I ·u•
BUILDING I
SPECIAL CONDITIONS I
!
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