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HomeMy WebLinkAbout2733 FOREST PARK LANE; ; 83-512-55; Permit., z 0 ;::: : :l u w " .. w " ... 5 ~ w z ~ z 0 ;::: ~ z w .. ,. 0 u ., ir w " .. i ~reby affirm that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. d [,c '"fJl,,i¥/I C,a,; ~~h,/ _ I heretly a111rrn that I am exempt frnm the Cortr;;c- lor's License Law lor ihe 'rnlow,nq 'eason ,sec 7031 5 Business and P10Jess1ons Code Any city or county wn,u, re quires a perrn,1 10 construl.1 alter. ,mprove. oernol,sh m reDa,r any structure prior tc ts issuance a S'J requires !heap ol,cant 1or such pnml To file a s,or.ed state'llen• thaT he ;s '1censed pursuant to lhe prov1s,ons ol tre ConlracT~r"s license law !Chapter 9 commencmg with Sect,or ?000 of D1v,s,on 3 ol the Business and Professions Code1 o, 1hal ,se,- empt therelrom and lhe bas,s for the alleged exemption Any v1olat1on of Section 7031.5 by ar applicant lor a permit sub- 1ects the applicant to a c1v1I pena,ty 01 not ,nore than 1tve hun- dred dollars 1$5001 I I, as owner ol the property. or my employees w1lh wages as the,r sole compens.a11on. w,11 do the work and the struc- ture 1s not intended or offered tor sale (Sec 7044 Business and Profession~ Cade. The Contractor's License Law does not apply to an owner ol property who builds or improves thereon and who does such wor~ h•mself or through his own employees. prov,ded that such improvements are not intend· ed or offered !or sale_ If. however, the building or improve- ment 1s sold within one year of completion. the owner-builder will have the burden of proving tha1 Ile did not build or im- prove for the purpose of sale) ~s owner of !he property, am exclusively contracting with licensed contractors to construct the pro1ect (Sec 7044, Business and Pro1Bss1ons Code The Contractor's License Law does no1 apply to an O'Wner 01 property who builds or im- proves !hereon, and who con!racts 1or each pro1ects with a contractor{s) locense pursuant To the Contractor's License Law). lJ As a homeowner I am 1mprov1ng my home, and the Joi low mg cond1!1ons exist 1 The work rs being performed prior to sale 2 I have lived in my home ror twelve months prior to completion ol th1s work I have not clanned this exemption during 1he last three years '.J lamexemptunderSec ------.B&PC !or this reason------------- ~ a!lirm !hat I ha•e a cert1l1ca1e ol consen1 10 selt-msure. or a cert,!1cale ot Workers Compensai,on Insurance. or a cer11!1ed copy me,eol :,c";,~.985 ~,l, ,tl,f-4. COMP~ L7r/)~,I?,(., 0 Copy IS foled woth the Col:;::z::7Y"~~m. 0 Cert1f1ed copy ,s hereby h,m1shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section neecl no1 be completed ,1 me pe,m,t 1s 101 one hundred dollars ($1001 or 1ess1 0 I cer11!y tha1 ,n !he performance of lhe work tor which this perm,t 1s ,ssued. I shall no1 employ any pe1son 1n any manner so as 10 become sutirec1 10 1he Workers Compens.at,on Laws of Calilorn1a NOTICE TO A.PPLICANT I! a!!er ma~1n~ 1h15 Cer1, tocate of Exemp1,on. you should become sub1ec1 v, 1he Woi1<ers· Compensatron prov,s1ons o! the Labor Code. you must !orthw1th comply wJlh 5uc~ p,ov1s1ons or th,s perm,! shall be deemed revoked 0 I hereby att"m 1hal !here ,5 d v.>r1sTruLl1U" lend,ng agency !or the per,orman;-;p u' The won, lc;r wh,ch th,s pe,m,1 ,s ,~~ueo !~( mr C ,, C,><lP, lenders Name·------------ LPnder s Address ----------- USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT .,.., ---1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT ,~~ • , ii1t!!,: _! ~'>'·"'--'~ NEAR~T .. CROSSST1 1 0 ·•---~ o;;.~OFAPP:;:;N //,Z 7 /2.. BUSINESS LICENSE#: VALUAT!ON PERMIT NUMBER S"JJ3 I GP LANO USE I P~CE I REDEVELOPMENT AREA J... _,.~ YD "w CENSUS TRACT GRADING PERMIT ISSUED PLUMBING PERMIT· ISSUE ...-,;~ / ~ QTY. MECHANICAL PERMIT· ISSUE QTY. /"( EACH FIXTURE TRAP -~_;;,4 50 / INSTALL FURN DUCTS iJP TO 100,000 BTU TYPE yy' , 3- ..,., "t) OCC LOAD Fl RE SPF' Nor Valid Unlffs ~chine Certified SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-00-8220 • ~I'.) SIGN PERMIT 01-00-00-8221 PLAN CHECK $,?..2 ~ii' EACH BUI LO ING SEWER /.,,,, SP OVER 100,000 BTU 1---+--------~·-------------+-~~=c~-+--1-----------------------1------1----------------+---~~~~-~--- EA CH WATER HEATER ~N~D_•_O_R_V ~ N.:_T'-------f-~:ZS.c''-'~~Z)~·__,f--+B'-0'-1-"l'-ERc-/ccC.:_O:cMccPc-R E'-SccS:::O:::R:::U-:PccT_0:::3_H_P _____ +----'---f---:::-:c-::==c:-------c--'--'-"'--+-_.."-:J~;"'~~;c-1 01-00-00-8806 TOTAL PLUMBING 01-00-00-8222 -,/_ ~n -·-------- ELECTRICAL 01-00-00-8223 2Jo, ~ MECHANICAL 01-00-00-8224 /L --MOBILEHOME . 01-00-00-8225 1---+-''=-AccCc.Hc.G=-A-'S"-"S Y.:_S=.TccEc.Mc..c.l -'T_,o_,c.o=-ccu.:_T =-' E,_T"S"·--~-- . --+---2 ~·->-~--;-8-0 I L E R IC O Mp R Es s O R 3 . 1 5 H p EACH GAS SYSTEM 5 OR MORE / METAL FIREPLACE "':iif'" ,().0 ~--+-------,.-~-+ EACH INST A~ . ALT E~_:.. RE PA IR WAT ER Pl PE ___ .1------~---~ ___ 3 __ VE NT FAN SIN G_:l_:E_:0_:U_:C_:T ____________ -+-.IL /~_,_,c-0:.,0.::.._,__-"'.===c_ _____ _.:,_'.."''."''..'"=-+---"-~.L-"'L.--, MECH EXHAUST HOQQ.'OUCTS EACH VACUUM BREAKER WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN flNSIOE1 SOLAR _____ ....00l1Ji01LO-cW'°-"1.c000&.."+--~~~~~---I 80·92·33·0519 ""7 !fir~ TOTI.L MECHANICAL STRONG MOTION r----------------. - FIRE SPRINKLERS 01 00-00-8227 SOLAR -ISSUE SJ j . PUBLIC FACILITIES FEE 32 00-00-8933 BRIDGE FEE COLLECTORS y t .. { STORAGE TANKS J .J V " f---f-.:.:.CC:....C:.::Cc:..:_-"-'-"':.:_.c:.:.:.c_.:cc.c_ _ _:__:_.:__ _ __,~'""-L''-"-"---lf--+=::.::.c_:c_:_ ______ ..,_ _ _J"\.~-+-\J~--'..--l\--'S~C~H~O~OL~F~E~E_:-~O~IS~TR~l~CT'.,..-------+----~.-~ Carlsbad Y 80-92-21-0519 EXIST BLDG EA AMPISWT:BKR ROCK STORAGE ,If' ':"\ I , Encinitas 80-92-22-0519 1 PH 3 PH PUMP I ; "" / I San Dieguito 80-92-23-0519 PLAN CHECK FEE [\ y vi REMODEL AL Tl:.R PER CIRCU!T f---1--San Marcos 80-92-24-0519 T EM PP OLE 200AMPS '( I 0 VER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI CREDIT DEPOSIT TOTAL Eu=cTRICAL TOTAL SOLAR ; TOTAL FEES PAYABLE i D 0 CJ c ro 0 0. 0. <t I 0 "' "' w "' "' <t I 3 .2 © >- a 0 w 0. w C TYPE I DATE INSPECTOR BUILDING I / FOUNDATION I .... .,,,,. ..... ~~ REINFORCED STEEL I / Iv v MASONRY I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SH!=AR FRAME I //-,1.C .,k,;-1;;1( EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING,.·.· I I - SEWER ANCftlVCO ·•· D!Pl:ICO I ... ,,-1 ·YI ,, UNDERGROUND·· ~.WASTE···o WATER/ . - TOP OUT .. , D vv',A TER = ii " TUB AND SHOWER PAN ! I GAS TEST '"""" I V/-,1...-.,, / ;., I. D WATER HEATER D SOLAR WATER I ELECTRICAL I D ELECTRIC UNDERGROUND D µFFER ROUGH ELECTRIC I r--k .. ;. I?( D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I I - MECHANICAL . I . D DUCT & PLEM., D REF. PIPll,/jG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS . . . , I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS BO HA VE BEEN APPRQV.ED A VE -··-.. -. . FINAL -,/ I PLUMBING I ..; .. -~.'\-~~~·~-, ( , ·"-I ' .. ELECTRICAL I , l ') ....~ MECHAN,IQAL I ·t I • ;-... ,,. GAS . ,. I . J u 1 ·;.} ... • . . -~ ""'-. BUILDING I I I . n SPECIAL CONDITIONS . -_/ -' .. , I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION SOILS COMP!_IANCE PRIOR TO FOUNDATIOr'>.I lr-..SP REQ IF INSPECTORS CHECKED APPROVAL DATE r--------------~---STRUCTURAL CCl!",.CRETE OVER 2000 PSI PRESTRESSEC CONCRETE POST TENSIONED CONCRETE .flELO WELDING HIGH STRENGTH BOL Ts SPECIAL MASONRY ' INSPECTOR'S NOTES - -' ~--------t-----+-----t-----1 1------------------------------; PILES CAISSON~ t----------.. -+------------+------, .. ,._. -. . t----------+----+-------j------ .- !----------+----+--------,-------- . • • .. ' . . •. -- ·-·--- -... ... --- • • .. .. • CITY OF CARLSBAD LOT # :;-s- INSPECTION RECORD BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME ) FLOOR () CEILING SHEATHING () ROOF () SHEAR FRAME -INSULATION \, ?$ ·¥$, EXTERIOR LATH ~ INTERIOR LATH & DR;~*ej'p::c FINAL.~~~~~~~~~~~~ PLUMBING () SEWER & BL/CO ( PL/CO • UNDERGROUND ( ) WASTE ( ) WATER • • • • • • • • • • TUB & SHOWER PAN GAS TEST ( ) WATER HEATER ( ) SOLAR WATER FINAL.~~~~~~~~~~~- ELECTRICAL ELECTRIC UNDERGROUND () UFFER BONDING ( ) POOL MECHANICAL ( ) DUCT & PLEM., ( )REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS COMPLETE BUILDING j:.l.NAL ....-r:.- DATE: _s..-g., a:~~-, CLEARED WITH GAS AND ELECTRIC NOTES ON REVERSE SIDE ••••••