HomeMy WebLinkAbout2724 FOREST PARK LN; ; 83-512-58; PermitV l\
I affirm that I am Ifcanaed urxjer-
rialone "of Chapter 9 (comrT>er>clng with
Section 7000) of DMtlon 3 of the Business
and 'Profoask>n8 Code, and my license is In
full force and effect. ' ~_ L,c l
UJ
o
r hereby aflirm ttut I am exempt from the Contrac
tor's License LiW for the foBowing reason (Sec 7031 5
• Bur new and Professions Code Any aty or county wtech re
quires a permit to construct, attar, improve, demotah, orrepair any etructure. poor to its issuance also requres the ap-pticant for such parmrt to hie a sipned statement that he is
ieerwed pursuant to "the provtsioni of the Contractor's
Uceriie Law (Chapter 9 commerKing with Section 7000 of
.Divisions of the Business and Professions Code) or that b ex
empt therefrom and the basis for the alleged exemption Anyviotainn of Section 7031.5 tiy an appiicant tor a psrmt sub-
lects the applicant to a cmi penalty a not more than five hun
dred doDars (J500)
□ I, as owner of the property, or my employees with wagesas their sole compensation, will do the work, and the structure a ruot intended or offered for sale (Sec 7044, Busaiess
and Professlorts Code The Contractor's License Law doesnot app}y to an owner of property who builds or Improvesthereon and who does such work himseff tx through ha ovmemployees, provided that such tmprovements are not intended or ofter^ for sale. It, however, the building or tmprove-ment is sokl within one year of compiebon, the owner-buMerwill have the burden of proving that he cbd not bu4d or im-" " "T the purpose of safe) •
'\. u owner of the property^ am exclusively contracting-I licensed contracton to construct the proved (Sec. 7044,Business and Professions Code. The Contractor's UcertseLfw does not apply to an owner of properly who bultdi or in-proves thereon, and who contracts tor each prqects wkh a^bactoits) bcense pursuant to the Contractor's Ucense
□ As a homeowner I'am snproviog rriy home, and the kdkMhfig conditions enst: - -1. The work Is being performed 'prior to sale.2. I have Irved In my home tor twelve monthsprior to compiebon of this work.3. I have not claimed ths cxeoMibon during thelast three years.
□ limaxempfundarSec. : L.B&P.C.for this reason
ZopSI
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I I hereby affirm that 1 have a certificate of consentself-insure, or a certificate of Workers'CompensatKxi Insurance, or a certified copy thereof(Sec 3600. Lator Code) .
POUCY
Q Copy IS filed with the city ^ »>.
D Certified copy is hereby furnished
CERTIFICATi Of EXEMPTION FROMWORKERS' COMPENSATION INSURANCE(This section need not be completed if the permitIS'for one hundred dollars (S100) Of less)
D I certify that in tfie performance of tfie work for
which this permit is issued,-1 shall not employ anyperson in any manner so as to become subiect to
the Workers' Compensation Laws of California
NOTICE TO APPLICANT II. after making this Certificate of Exemption, you should Ijecom# sutijeci tothe Workers' Compensation provisions of the LaborCode, you must, forthwith comply' with suchprovisions or this permit shall be deemed revoked
n I hereby affirm that there is a constructionlending agency for the performance of the work forwhich this permit is issued (Sec 3097. Civil Code)
Lender s Name
Lerx)er's Address .
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL INTNFORMA-nON WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT^-7—) /y _ _1200_Elm, Carlsbad. Cailfornla 9200B-1989 (619) 438-552$
1 -NEAREST CROSS ST./
APPLICATION & PERMIT
OWNER'S NAME '
OWNER'S/fyiAILING ADDRESS . V.
OWNER'S PHONE
OESCRIPTtON OF WORK
7=y. JA/ ry//
CENSUS TRACT
QTY.
7
J-
' GP CANQ-uSe^/PARKIfiG SPACE^5^3
PLUMBING PERMIT - ISSUE-
EACH FIXTURE TRAP
EACH BUIL'DINGiSEWER
EACH WATER HEA-TER AND/OR'VENT
EACH GAS SYSTEM 1 TO H OUTLETS-
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SGETNER
■•EACH ROOF DRAIN (INSIDE)
TOTAL PlUMBING
QTY,
CONTRAC
DATE OF APPLICATION
-9i- \ ^9 /3
BUSINESS LICENSE #
DESIGNER
DESIGNER'S ADDRESS DESIGNER'S RHONE//S7 sfp^
F/P FLR ELEV.
vn nD
RES UNITS
/
GRADING PERMIT ISSUED
Y □ N □
(g- ^
Jl, 5'^
.■V ■ --.-A•- ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT'BKR
l.PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER ' PER CIRCUIT
TEMP POLE -,,^00 /VMPSl-:
0\)ER 2(J0 AMPS ■"
TEMP OCCUPANCY 130 DAYS)
TDTAL ELECTRICAL
QTY.
t:
T2
REDEVELOPMENT
AREA
yO
MECHANICAL PERMIT - ISSUE
INSTALL EURN.OUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BGILER/CGMPRESSGR OPTO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HDDD/DUCTS
RELOCATIDN OF EA FURNACE/HEATER
TDTAL MECHANICAL
QTY.
NO
sioaiEs
TYPE
Cl12/
CONTRACTORS PHONE t
UCEN8E HO.
UCENSE #
£.-3
EDU
/
rP
VALUATION
PLAN I.D. #
STANDARD PLAN #
PERMIT NUMBER
Sii"
BLDG USE CODE
BUIL04N6 SO. FOOTAQE
_.,3/i5/S4^'QS " 3/ie7o/900 01; ^gQg. .---g / /■ r .q 3 B 3 5 o ? B
Not VtSd Unkss Mochine Cortifiod
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 01-00-00-B221
PLAN CHECK 01-00-00-8806
TOTAL PLUMBING 01-00-00-8222
ELECTRICAL 01-00-00-8223
MECHANICAL 01-00-00-8224
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE 3
TOTAL SOLAR
l-HAVE CAREFULLY EXAMINEO-THE COMPLIED "APPUCATION AND PERMIT' AND DO HEREBYcertify under.PENALTY OF- PEFUDHY THAT" ALL-INFORMATION HEHEON INCLUDING THEDECLjARATldNS ARE TRUE AND CORRECT AND I FLIRTHEH CERTIFY AND AGREE IF A PERMIT IS'
ISSUED. TO COMPLY WITH ALL GfTY, COUNTY AND STATE LAWS GOVERNING BUILDING OON-STRUCTION, whether specified HEREIN OR NOT. I aLSO AGREE TO SAVE INDEMNIFY AND,KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABfUTlES,-JUDGMENTS, COSTS >NDEXPENSES WHICH MAY IN ANY-yVAY-ACCRUE AiQAiNSt'SAID CITY IN CONSEQUENCE OF'THEGRANTING,OF this PERMIT. -3 '- - • . : . - • ' P ^
SOLAR 01-00-00-8226
STRONG MOTION 80-92-33-0519
EIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Enanitas 80-92-22-0519
aO-
San Dieguilo 80-92-23-0519
San Marcos
VP?
80-92-24-0519
UCENSE TAX 01-CKMX)-8182
-CREDIT DEPOSIT
TOTAL FEES PAYABLE
SfPt
7 79
Expiration. Every p«Tntt (Mood by the.BultclfngOfridiil under the provisioM.oTthu *Code,shall expire by limilaHoo and bocotne null and void. If the building or wor*airthoriied by such permit Ei not commenced enthin 180 days from the date ol suchpermit or It tha txj'itdlng or worti authoriied by such permit is-suapeoded, oril>andoned at any bme afief the "wort is commenced for a period ol 180 days'
rs SIQNATJUREAPPU 0WNEr1»>^ CONTHACtoH D
BY PHOfJE 'Q
. • • .7 • ■
AN 08HA PERMIT 18 REOURS) FOR EXCAVATIONS OVER-5' 0" DEEP AND DEMOUTKIN OR CONSTRUCTION Of
STRUCTURES.OVER 3 STORIES'IN HEKSMT
APPROVED BY.1 DATE
TYPE 1 DATE INSPECTOR
BUILDING !/
FOUNDATION i v
REINFORCED STEEL I qy OS
MASONRY !
GUNITE OR GROUT 1
FLOOR & ceiling SUB FRAME
SHEATHING □ ROOF □ SH^R
FRAME 1
EXTERIOR LATH CH
INSULATION /
INTERIOR LATH & DRYWALL K
1PLUMBING w- |'\
SEWER AKTO-GL/GC taPL/C'O- 1 \A .'2UNDERGROUND" -WASTf .□ ^ATEB^
TOP OUT □ WASTE □ WATERTUB AND SHOWER PAN ! /
GAS TEST 1
□ WATER HEATER □ SOLAR WATER
1
ELECTRICAL !
□ ELECTRIC UNDERGROUND □ UPPER
ROUGH ELECTRIC 1
□ ELECTRIC SERVICE □ TEMPOIrARY
□ BONDING □ POOL '\ •
1
MECHANICAL !
□ DUCT & PLEM., □ REF. PIPING
heat — AIR COND. SYSTEMS 1
VENTILATING SYSTEMS I ■vT" '*
1
■ ■ ■ J 'CALL FOR FINAL INSPECTipN WHEN ALL APPROPRIATE
FINAL ;—
PLUMBING 1 -•V—, S
ELECTRICAL j i> ...
MECHANICAL j 7 J 'GAS V: 1 r-y tBUILDING 1SPECIAL CONDITIONS [
1
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
'II^SPEGTION REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
t
"Cil- iifesucS. ■
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
s. V . . .. V
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING^ •
HIGH STRENGTH
BOLTS
SPECIAV'MASONRY
PILES CAISSONS
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■ ' *L X'-
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T r vT - "T ■ _ V--7" V- ^
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CITY OF CABLSBAD LOT # SY
inspection record
JH ADDRESS:
FOUNDATION
REINFORCED STEEL
MASONRY
GDNITE OR GROUT
SUB FRAME ( ) FLOOR ( ) CEILING
SHEATHING ( ) ROOF ( ) SHEAR
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
FINAL
PLUMBING
( ) SEWER & BL/CO ( ) PL/CO
I UNDERGROUND ( ) WASTE ( ) WATER
TUB & SHOWER PAN
GAS TEST
( ) WATER HEATER ( ) SOLAR WATER
FINAL
ELECTRICAL
( ) ELECTRIC UNDERGROUND ( ) UFFI
( ) BONDING ( ) POOL
FINAL
MECHANICAL
( ) DUCT & PLEM., ( )REF. PIPING
HEAT - AIR COND. SYSTEMS
VENTILATING SYSTEMS
FINAL
COMPLETE BUILDING FII«SaC~-^
DATE:^V^.r^
CLEARED WITH GAS AND ELECTRIC
DATE:
NOTES ON REVERSE SIDE.
Complaint/Request # 8l.-91
CITY OF CARLSBAD ENGINEERING DEPARTMENT
COMPLAINT/REQUEST FORM
Complaint/Request; Resident states'that the slope on the North 'side of her
home is eroding and water is draining off to the p(i)int that she feels that her home
is in danger because of the amount of mud and water at the base of the slope. She
hns^tried contact (SflcKenar Homes to have the nroblem corrected to no avail. (Has been noino,•■^0 I o I cTUCTuT 5 . J ^ TNAME: Jigs. '/lard REFERRED TO: Jim Page
ADDRESS^ 2724 Fore^ Park Dr^ ACTION TAKEN:
TELEPHONE NO. : ^
DATE RECEIVED: 8/13/85 TIME: 13:00 Vp J
RECEIVED BY: Sher _ v ,
ACTION TO COMPLAINANT: V
date:
< ^plc
(white - Engineering Department; yellow - action report)