HomeMy WebLinkAbout2731 CYPRESS HILL RD; ; 83-512-82; Permit.~'J i[
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VI hereby affirm that I am licensed under
Povlslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
full forr~d effect.tl
LIC No ~Zf:J/ Class -.1=;{;;),.1----
hereby affirm that I am exempt from the Contrac-
tor's License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re-quires a permtt to co~stru~t, alter, Improve, d~molish, or repatr any structure, pnor to tis issuance also requtres the ap-
plicant for such permit to file a stgned statement that he IS ltcensed pursuant to the provisions of the Contractor's
License Law {Chapter 9 commencing with Section 7000 of
Division 3 of the Business and Professtons Code) or that is ex-
empt therefrom and the bas1s for the alleged exemplton. Any
violation of Sectmn 7031,5 by an applicant for a permit sub-
jects the applicant to a civil penalty of not more than five hun-
dred dollars ($500).
IJ I, as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the struc-ture IS not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or Improves thereon and who does such work himself or through h1s own
employees, provided that such improvements are not intend-ed or offered for sale. If, however, the building or improve-
ment is sold within one year of completion, the owner-builder
will have the burden of proving that he did not build or im-prove for the purpose of sale).
D I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec. 7044,
Business and Professions Code: The Contractor's License
Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a
contractor(s) license pursuant to the Contractor's License Law).
_D As a h~meowner I am improving my home, and the follow-
Ing conditions exist:
1 . The work is being performed pnor to sale
2. I _have lived in my home for twelve months
pnor to completion of this work. 3. I have not claimed this exemption during the last three years.
D I am exempt under Sec. , B & P.C
for this reason
....
... I hereby aff1rm that I have a cert1f1cate of consent ro self·msure, or a certifiCate of Workers·
Compensation Insurance, or a cert1f1ed copy thereof (Sec 3800. Labor Code) ,
POLICY NO <J/3-8"32;ZCfii.J
COMPANY II)~ ll]di!#n
0 Copy 1s filed w1th the c1ty
D Cert1f1ed copy IS hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th1s sect1on need not be completed If the perm1t
15 for one hundred dollars {$100) or less)
0 I cert1fy that 1n the pertormance of the work for
which thiS perrrnt IS ISSued, I shall not employ any
person m any manner so as to become subject to
the Workers· Compensat1on Laws of Cal1forn1a
NOTICE TO APPLICANT If. after makln:J th1s Cert1
f1cate of Exempt10n. you should become subJeCt t0
the Workers· Compensat1on prov1s1ons of the Labor
Code. you must forthw1th comply w1th such
proviSIOns or th1s perm11 shall be deemed revoked
0 I hereby aff1rm that there IS a construct1on
lendmg agency for the pertormance of the work for
wh1ch th1s perm11 15 1ssued (Sec .3097. C1v11 Code)
Lender"s Name ___________ _
Lender"s Address ------------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
VALUATION PERMIT NUMBER
joo8o5"
Not Valid Unless Machine Certified
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TYPE I DATE INSPECTOR 1r S -SJ.:l.-8 ~
•. -· >
BUilDING I "-
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I /
MASONRY I i\b·a"a /
' Z.-7
GUNITE OR GROUT ' I
'·~~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTOR'S .. -s:/A;-_/ INSPECTION DATE ~ \'-""" _.t._l.., ~~<;; \03· K~ CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING 0 ROOF 0 SH~AR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I ' I FIELD WELDING
SEWER AND BL/CO Olr.JLICO I ·--
HIGH STRENGTH
UNDERGROUND 0 WASTE 0 WATER BOLTS
TOP OUT 0 WASTE 0 WATER SPECIAL MASONRY
TUB AND SHOWER PAN I --GAS TEST I PILES CAISSON~:
0 WATER HEATER 0 SOLAR WATER
I
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--
ELECTRICAL I
0 ELECTRIC UNDERGROUND 0 l!JFFER I ROUGH ELECTRIC I
0 ELECTRIC SERVICE 0 TEMPORARY --
0 BONDING 0 POOL I
I I
MECHANICAL I
0 DUCT & PLEM., 0 REF. PIPIN'G ' ~
HEAT-AIR COND. SYSTEMS I -
VENTILATING SYSTEMS .~ I I
I I I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAve BEEN APPROVED .
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FINAL I /
PLUMBING I ,<.
ELECTRICAL I .... ..... x-
MECHANICAL i ~ /"'f~·
GAS I /}_ y l. L'l
BUILDING j I {,...<"
SPECIAL CONDITIONS I
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