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HomeMy WebLinkAbout2733 FOREST PARK LN; ; 86-664; PermitG i h- 'Z 8 OC g s UJ z o p 3 o o t- 3 C O a z UJ - ^I^^wrebv affirm that I am l!c»n»ed under provislona of Chapter 9 (commencing with Section 7000) of Dlvlelon 3 of the Business ' and Professions Code, and my llcen^ Is In full force and effect, uc Hnyt^ /cuss I hereby aftirm ttal I am otampt from ttw Corttrec- tor's License Law for the fbSowirtg reason (Sec 7031.5Buslneu and Professwns Coda: Any crty or county whi^ require! 1 permt to construct altar, anpriM, demolish, or .repair any ftructixo, pna to tts tmance also requires the applicant for such perrnrt to file a 8»pned statement that he ts iHrensed pursuant "^to the prbmuDns ot the Contractor's License Law (Chapter 9 commencing wrth Section 7000 of Ovaion 3 of the Business and Professions Code) or that ts «x-empt therefrojn and the basts tor the alleged exemption Any vfoation of Section 7031.5 by an applicant tor a permt sub- jeds the applicant to a ctvif pena^ a ru3( more than five hun dred dollars ($500) □ I, 88 owner of the property, army employees with wages as ther sole compensahon. do the worX, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code. The Contractor's License Law doesnot apply to an owner of pnDperty who buidi or impfovesthereon and who does such work himself or through tis ownemployees, provided that such mprovements are not intended or offered for sale If, hosvever. the building or improvement is'sold wfthfi one year of completion, the owner-buitderwip have the burden of pming that he did not buld or an-prove tor the purpose of nie) I. » owner of the property, am exdusrvely contnctingwith hcensed contractors to construct the proved (Sec. 7044,Buiinets and Professions Code The Contractor's UcenseLaw does not apply to an owner of property who burids or im-prtrves thereon, and who contrKts for each prof^ with a^ractar(i) hcense pursuant to the Contractor's Ltoahse □ As a homeownsri'am improving my home, and the foltow-ng conditiDns exist'1. The work is bang pertonned pnor to sale.2. 1 have bved hi my boma w twelve monthespnor to completion of. ttas work3. . i have not dafmed 'this exemption dunrio thelast tlvet years. □ I am exempt under Sec..tor this reason .04 P.O. ^ 'l horetiy effirm tfiat I have a certificale of coneentto seff-inture, -or. a cerlificate of Workers'ComperiMiKXi Irtsurooce. or a cenified copy (hereof(Sec 3800, Latwf Code) ^ ^ ^ POUCY D Copy a filed with the G Certified copy ts hereby furnished CERTlFlCATt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE' (This section need not be completed if the permitts for one hurxlred dollars (StOO) or less) Q I certify thel in the pertormence of the work forv^ich this permit is issued, I shelf not employ anyperson m any manner so as to tiecome sobfect to the Workers' Compensation Lews of Celifornie NOTICE TO APPLICANT If. after making this Cehiticete of Exemption, you should become subject tothe Workers' Compensation provisrona of the Labor Code, you must forthwith comply with such provrsions or this permit shall be deemed revoked O I hereby affirm that Ihere is a construclKjnicrxJing agency for the pertormarKe of the work forwhich, this permit is issued (Sec 3097 Crvil 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 DEPARTMENT1200 E|m. Carlsbad, Califoj;nla 92008-1989 (619)438-5525 ■CROSS ST APPLICATION & PERMIT BLOCK SUBDt \/i£lON OWNER'S NAME OWNER'S PHONE a<A>i I Af-ir-»ocoo ■' •- ^OWNER'S MAILING ADDRESS DESCRIPTION OF WORK ^ /==2> - CENSUS TRACT QTY. GP LAND USE PARKING SPACE PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM S OR MORE EACH INSTAL.. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER. WATERrSOFTNER EACH ROOF DRAIN (INSIDE) TDTAL PLUMBING QTY. DATE OF APPLICATION -i^V- 'BUSINESS LICEI4SE # CO CONTRACg ,CONTRACfOB'S ADDJIESS- c rt , t /A&euA::.DESIGNER'S ADDRESS . , / . ^ / //J7 %& NOF/P FLR ELEV. yD nO RES UNITS GRADING PERMIT ISSUED Y □ N □ ■ ■ ELECTRICAL-PERMIT - ISSUE NEW CDNST EA AMP/SWT/BKR 1 PH 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH 3 PH REMDDEL/ALTER PER CIRCUIT TEMP.POLE 200 AMPS DVER 20fl AMPS TEMP OCCUPANCY (30 DAYS) TDTAL ELECTRICAL 5^ QTY. z ~r REDEVELOPMENT AREA yD nkL MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 315 HP METAL FIREPUCE VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION.OF EA FURNACE/HEATER. TOTAL MECHANICAL STORIES TYPE /4. QTY.SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PEHMIf AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDINaTHE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMfT IS' ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-STRUCTION. WHETHER SPECIFIED HERBN OR NOT. J ALSO AGREE TO SAVE INDEMNIFY AND KEEP. HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS,.COSTS ANDEXPENSES-VVmCH MAY IN ANY'.WAY ACCRUE AGAINST SAID CITY IN (XINSEQUENOE OFTHE-GRANTING OF THIS PERMIT . ... ' - %i CONTRACTOftS PHONE # UCENSE NO. UfCENSE # a9»'?<s DESIGNER'S PHONE 2^ X- ier3 EDU z VALUATION PLAN I.D. # STANDARD PLAN # PERMIT NUMBER -JTi BLDO USE CODE BUILDING SO. FOOTAGE 33370^5 Not VtUd Unkss Mtdtint Certitiod SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 01-00-008220 SIGN PERMIT 01-00-00-8221 PLAN CHECK 01-00-00-B806 TOTAL PLUMBING 01-00-00-8222 ELE(rrRICAL-01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP SOUR G1-OQ-00-B226 STRONG MOTION 80-92-33-0519 FIRE SPRINKLERS 01-DO-00-B227 PUBLIC FACIUTIES FEE 32-00-00-8933 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 Endnrtas 80-92-22-0519 San Dlaguilo 80-92-23-0519 San Marcos 80-92-24-0519 UCENSE TAX 01-004XF8162 CREDLT DEPOSIT TOTAL FEES PAYABLE Expf ration. Every permit oeued by the BoHdmg Official under the provisione'of thieCode shell expire by limitation and become null and void. If the building or-wofk'authorized t>y auch peymit ia not commenced wrtthin 180 daya from the dale 6f suchpermit, or If the tHjllding or work authorized by such permit it suspended orabandoned at any time afif the work to commenced for a period of 180 liava: ' APPLIC S SIQNATU .OWNEI CONTRACTOR O BY.'PFrpNE □ ^3J2X 'f9 * AN OSHA PEFIMIT IS HeoOlRED FOR EXCAVATIONS OVER 5' 0- DEEP AND DEMOUTION OR CONSTROCDON OF STRUCTURES.CVEB 3 StORIES IN HEIGHT APPROVED BY: TYF»E DATE INSPECTOR BUILDING y FOUNDATION REINFORCED STEEL 3 jij gt' MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING □ ROOF ' □ SHI^R.. FRAME EXTERIOR LATH - INSULATION INTERIOR LATH & DRYWALL ' - PLUMBING.x^^v SEWER AND-WC0b>"T3jPl:/C0 UNDERGR0UNDr"^'S;WASTl^i;O WATEFV (JK tOp out i^^waste—N □ wIaterTUB And SHOWER PAN ) jGAS TEST . ^ 1 : □ WATER HEATER □ SOLAR W/sJtER , / 1 ELECTRICAL i □ ELECTRIC UNDERGROUND □ jUFFERROUGH ELECTRIC ] □ ELECTRIC service □ TEMPORARY- □ BONDING □ POOL 1 1 . MECHANICAL !-,x-- "V. □ DUCT & PLEM., □ REF. PIPirjlG HEAT — AIR COND. SYSTEMS I VENTILATING SYSTEMS i -- '- 1 1 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN:APPRQMEDr^,\.-^^-^^: FINAL i PLUMBING 1 \K_V ELECTRICAL ! MECHANIICAL 1 "X/J GAS BUILDING )'~7^- ^.SPECIAL CONDITIONS !b/ J 1 ■V e % » FIELD INSPECTION RECORD - ' ' REQUIRED SPECIAL inspections'- INSPECTOR'S.NOTES ■-'inspection req if checked INSPECTOR'S APPROVAL DATE - - -Cv -T- X - . - N ■ SOILS COMPLIANCE PRIOR TO FOUNDATION INSP - . X ^ ^ '^-r t ~ STRUCTURAL CONCRETE OVER 2000 PSI '- - \'i' v..\, . , • " t " PRESTRESSED -CONCRETE T " / • , . - . . ^ POST TENSIONED CONCRETE iplELD WELOrNG-'"'"-•V.. . ' . - ' HIGH strength"BQLfs , :• ■ ■ ' " ' y. "-'■". -X- -.L. ■ ' speciaE^mas'onry \ > c~ \ .v- ... . PILES caissons ^ ; ■^ - . \'-- * ^ • -. ■V"\ s. . • J • I I. ' - . ^ • • m -'• \ ■ X .y-v *v - T-.Tv !• '— XL. "v \ V — V ^ " T- - -X--, ,\ rr -.c-v ■. tv;'v- \ V >-.T-V v.\ .L""-. T r-'.rx •«. V' *;•- V, y:. XV,\.' ^ \ ^ \ X' ^ .. --r" .x\-T y. - ■ ^ I CITY OP CARLSBAD INSPECTION RECORD ADDRESS: ^^733 BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME ( ) FLOOR ( ) CEILING SHEATHING ( ) ROOF ( ) SHEAR FRAME INSULATION 1.7^ EXTERIOR LATH INTERIOR LATH & DRYW FINAL PLUMBING ( ) SEWER & BL/CO ( ) PL/CO UNDERGROUND ( ) WASTE ( ) WATER TUB & SHOWER PAN GAS TEST ( ) WATER HEATER ( ) SOLAR WATER FINAL ELECTRICAL ( ) ELECTRIC UNDERGROUND ( ) OFFER ( ) BONDING ( ) POOL FINAL MECHANICAL ( ) DUCT & PLEM., ( )REF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS FINAL COMPLETE BUILDING KNAL DATE CLEARED WITH GAS AND ELECTRIC DATE: NOTES ON REVERSE SIDE.