HomeMy WebLinkAbout2729 FOREST PARK LN; ; 83-512-56; PermitOr>-
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wC4« Ir^ t^ct I tm Ik^nsed underprovlaJoiw^y Chapter'9 (commencing wHh
Sactton TOWj of Wvleion 3-of the BueJnees
ar>d Prbfeaelone Code, and my liceoae is in
full force and effect. -
»neec
lencln
the Bl
I hereCy affirm that 1 am ocampt from the Corftrac-tor's License Law for the foflowing reason (Sec. 7031 5
Business and Professions Code Any oty or county which re-- quires a permit to construct, after, imprcwe, demdrsh, or
repair any structure, pnor to its issuance also requires the ap-pk^nt for such perrnit to file a ogrwf stalement that he is
Ircensed pursuant to the prwwons of the Contractor'sLicense Law (Chapter 9 commencing with Section 7000 of
DmsKm 3 of the Business and Professions Code) or that is «-
empt therefrom and the basis for the alleged exemption AnymatHKi of Section 7031.5 by an applicant for a permit sub-
fects the appiicant to a civil penalty ol not more than five f*jn-
dred dollars ($500).
□ I. as owner of the property. Of my employees with wagesas their sole compensation, will do the work, and the structure n not intended or offered for sale (Sec 7044, Busaiessand Professions Code. The Contrador's License Law doesnot apply to an owner of property wfw builds or improvesthereon and who does such work hknseil or through hrs ownemployees, provided that such mprovements are not fntoxl-ed or offered for sale. If, however, the buddng or nprove-ment b told wrthm one year of completion, the owner-budderwill have the burden of proving that he dKl not buU or in-" " "T the purpose ol tab)
, as cwner ol the property, am exdusrvely contractingwith licensed contractors to construct the profed (Sec 7044.Business and ProfessiORs Code The Contractor's LicenseLaw does not apply to an cwner of propedy who burids or improves thereon, and who uxitjauls for each profwts with agntractnts) license pursuant to the Contractor's License
□ Asihomeownerlamsnprovingmyhome, andthetoHow-mg conditions exist1. The work 18 being pertormed poor to tab.2. I have lr«l In my home for twelve ifrtirthspoor to completian dl thii'work.3- 1 have nof dalmed this-exemption durmg thelast three yean.
□ I am exempt under Sic. .B4P.C.
for tha reason
^Bf^weby aftrrm that I have a certilicite of conainlto e«if-maure. or a certilicit# of Workers'Compimation Inaurioce. or a certified copy thereof' (Sec 3800, Labor Code)V./WW; ^ ^ ^ ^
POUCY.
COMPi
n Copy IS filed with the ^
D Certified copy is hereby furnished
•- CERTlFfCATt OF EXEMPTION FROMWORKERS' COMPENSATION INSURANCE"(This aection need rx>t be completed if the permitIS for orw hurvlred dollars ($100) or less)
Q I certify that in tbie performance of the work forwhich ttvs permit is issued. I shall not employ any•person m any manrier so aa lo become sut>iect tothe Workers' Comper\satKxi Laws of Caiilomia .
NOTICE TO APPLICANT If. after making this Certificate of Exemption, you should tiecome subject tothe Workers' Compensation provisions of tlie LatxyCode, you must forthwith comply with such -provisions or this permil shall be deemed revoked
O I heretjy affirm that there is a constructioniendir>g agency 'or ti^e performance of the work forwhich this permit is issued (Sec 3097. Civil CkxJe)
Lender s Name
Lef>der s Address .
USE BALL POINT PEN ONLY & PRESS HARD
' ^ -A—-c r r A a.OWNER'S NAM6 .OWNER'S PHONE
OWNEf=fS mailing ADDRESS ' -' ^ ^
OESCRIPTtON OF WORK- . , • , , .
7 *■ ■ -l-;LtjL-
m
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT^■2^ Eln[^ Carlsbad. CalUpmla 92006-1989 (619) 438-5525
NEAREST CROSS ST.,m
APPLICAflON & PERMIT
CENSUS TRACT
QTY.
3
GP LAND USE PARKING SPACE
¥-Zff /
PLUMBING PERMIT - ISSUE
EACH FIXTURE TRAP
EACH-BUILDINirSEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH OAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOF-TNER:
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.
DATE OF AFPLltATION
CONTft%tTOR
ayj<£-As//<;<c//^£i£:e
BUSINESS LICENSE #
CONTF^ACTO^^ f,
OESIGNe.H
ESIGNER'S ADORES?
F/P FLR ELEV
"yD "nD
RES UNITS QRADIfK3 PEHMrr ISSUED
Y □ N □
3^
ELECTRIGAL. PERMIT - ISSUE
NEW CONST EA AMP/SWT/BKR
1 PH 3 PH
EXIST BLDO EA AMP/SWT/BKR
1 PH 3 PH
REMODEL,'ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS),
TOTAL ELECTRICAL
.,5=-
QTY.
~L
z
REDEVELOPMENT
AREA
yD
NOS^^ES
MECHANICAL PERMIT - ISSUE
INSTALL FURN. OUCTS UP TO 100,000 BTU
• OVER 100,000 BTU
BOILER/COMPRESSOR UP TO,3 HP
BOILER/COMPRESSOR 316 HP
METAL FIREPUCE,
VENT FAN SINGLE OUCT
MECH EXHAUST - HOOO/OUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY,
TYPE
CONST
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
^"'iVAl/EC^^lHlLLY'.etAWI^^iTIE COMP1^V"^PLIc5'i'noV(_AND reRMIT-" ANO;(5o\iERE^G^AtIFYOINDER 'P^,y-TY OH.IPERJURY THAT ALL.INFdRtllATION HSTEON INCLUpiNQ THEDPCLARATIONS ABB TRUE aHD OpfiRfiCT AND LFURTHEtl CERTIFY ANDAGREE (F A PERMIT.'S-ll£i-^ "Tr-Y »»jr»LJ'-X I 1 l-rv ALiri O-TATC I A1AYO "n/MirakllMVti CM 111 rukl/^' rVlU.. wnnu^ ."'."Y i.crfiir rcru.,,.
LICENSE NO,
L,tCEhJ9e #•
OeSlGNE'R'^HONe. ..PH<;>Ne'
EDU
FIRE SPR
vlD J
^valuXTion
ZONE
PLAN l.b. #
STANDARD PLAN #
PERMIT NUMBER
BL03 USE CODE
BUtLOfNQ SO. FOOTAGE
JafetygOf ■ P0 7 n f r
Not VoUd Unltss Mtchine Cerlifitd
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
---SIGNPERMIT-•01-00-00-8221
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 01-00-00-8228
" STRONG MOTION 80-92-33-0519
FIRE SPRINKLERS 01-00-00-8227
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE - DISTRICT.
Carlsbad 80-92-21-0519
EtKinrtas 80-92-22-0519
San Diegullo 80-92-23-0519
San Marcos 80-92-24-0519
LICENSE TAX 01-0(WX>8162
"■ ^plrufon. Ev^parmH,is*ue<tby.ttl«&u|ldIt<Q6ffii>I^UHd^(T>«provlston;'c^tr)1*CodA.shaJI'wiplw by'flmrtatldil.And'twcwnA'nullAnd VoicLTrih# buildlria ol vrorij '•••«i)UK)rii®d by toch p«rmlt »noLC(MPmoAeed Wlblo'lMdayf tfom UM<weo(«uchpofmtt. or^lf The wort - tuflj .pofmK i» »u«p«<Kf»<) 0/POTntit. or IfThe buikllno-or wort • tulhortipd bv tLKft DofmK i» »u«b«<Kt»<) 0/ ■
CREDIT DEPOSIT
TOTAL FEES PAYABLE it
-SI
'.r <f(P
/-^a/. otp
e?<7-P
...ISSUHX ;to coMPtx wrr.H ALt'cmr, county, and statb laws coverning .building con- «b««Joc»d *t,'STRUCTIDN. W)4Bf>ira-SPECIF1E0 HERFIN OliNOT. I ALSO AQREETO'SAyEINDE/ANIFY ANCL icp, ir-.MT-c,QinM»T, ,JY Yirrjn ,^ I^EftP HAftMLESS.TtjE CTTY 0>CA)1LSBAOA'(^INST ALLTLIADHJTIES, JUDGMENTS, ^OSTS AND , , ' - " *, L ;^-t)WNeF|jM..^- 'Cpt!lTRAC,TORLJ';EXBENSES-WHie94!"MAYJN AN'YrWAYrACeflUE^ACAINST.SAlDIClTymCONEEQUENGe OFTHE -. 't V/W 7'.T'-T.grantingOF?THISpepmiy,t_^t- ^ 7-, . .
■ ■ *."AN Q8)tMLPeRMfTj^ReQU«eD.(=on EXCAl/ATKIfis Ovrt•'S'XrOeEPANODfMOUTXJNOncONSTpOCTION.OF.- rsTBUimiHESiiS^aSTQRiesiN'HBOlirr .-
APPROVED By
1
1
TYPE DATE INSPECTOR
BUILDING X
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHEEAR
FFIAME
EXTERIOR LATH V
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING-.T .V,;'
SEWER AND BL/CO-'-"DlF^tJCO < It -UNDERGROUN&t-" □ WASTB^'D ^{VATEF/TOP OUT '^;:J/VASTE'| □ WATERTUB ANp SH6WER PAn/ |
GAS TEST X
□ WATER HEATER □ SOLAR WATER
!
1
ELECTRICAL >
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC i
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL i
1
1 ♦ ,
MECHANICAL '<
□ DUCT & PLEM., □ REF. PIPING
heat — AIR COND. SYSTEMS ]
VENTILATING SYSTEMS '
CALL FOR F/NAL INSPECTI
ITEMS ABOVE HAV
ON WHEN ALL APPROPfyATE .E BEEN.APPROVEt>^>^^~ '■ ~=', "
FINAL
PLUMBING -o.-r
ELECTRICAL
mechanical. ,
GAS '...1 v-- -
BUILDING ■V ^V. .US'-' 'Qj^
SPECIAL CONDITIONS TO
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
■INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE -
POST TENSIONED
CONCRETE
FIELD WEtyDlNG,"'-""-
HIGH STRENGTH-
epLTS
SPECIAL M'A^NRY
PILES CAISSONS
V-
■- "V^ V
REQ IF
CHECKED
INSPECTOR'S
APPROVAL DATE
INSPECTOR'S NOTES
To: ENGINEERHIG, FIJ^E, PLANNING UTIUTIEJFINAL .INSBECTIONTTOTrCE . ^
Date
DMn Plan *
or
Address ^ ^
Type of Constructlog-;^^^^
Person to Contact Ph. No.
Approved■r"(; In
Department Date
Fire
Prevention Date Approved
Planning
Department Date Approved
Utilities
Department Date Approved
Comments;.
IF A RESPONSE IS NOT RECEIVED WITHIN 24 HOURS, IT WILL BE ASSUMED IT IS OKAY TO FINAL.
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A&J Flame-Cote
P.O. BOX 166
LAKESIDE, CA. 92040
(619) 449-2944 * Licence #445798
^7^
June 20, 1985
The City of Carlsbad
Building Department - Inspection
1200 Elm Avenue
Carlsbad, California 92008
RE: McKeliar Development of La Jolla—Los Arboles
To whom it may concern:
This will certify that the installation and nailing schedule
on Lot of the Los Arboles Tract, Carlsbad, Calif.
Is as per manufacturers specifications and recommendations
and is in strict compliance with ICBO #2656P.
Respectfully,
Jolin M. Manry vy
Owner/rtner
JMM:
Develbi^ent of Jolla