HomeMy WebLinkAbout2736 FOREST PARK LN; ; 85-537; Permit8
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I h«f«by Affirm that I am llcansad ur\der
ylalons of Ctiapter 9 (commencing with
8#ctk>n 7000) of Divlekm 3 of the Buelneseand Profaeal^s Code, atkI my llconse it In
full forcwtfMfJpg C-20
Uc No CU5S
I heTBby tfirm that I am exempt from ttie Contrac
tor's Ucense Ijw tor tt» Wlowing reason (Sec. 7031 5
Bustfiess and ProfessKKts Code' Any oty or county which re
quires a permit to construct, alter, rnprove, demoAsh, or
repair any structure, poor torts cssuance also requrres the applet lor such permit to trie a signed statement that he is
Kensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commendng with Secticin 7000 of
DMsion 3 of the Business and Professions Code) or that rs ex
empt therefrom and the basa tor the aleged exemption Aatyvtotation of Section 7031.5 try an apphc^ for a permft sut>-
focts the appbcant to a cnnl p^ty of not more than frve hun
ted doflars ($500)
□ I, as owner of ttie property, w my employees WTth wagesas ther sole compensation, will do the work, and the struc
ture IS not ntended or offered for sale (Sec 70A4, Business
and Professions Code* The Conlractor's License Law doesnot apply to an owner of propertv who builds or improvesthereon and wtio does such worit hrmseif or through his ownemployees, provided that such improvements are not intended or offered for sale If, however, the buMmg or improvement Is sold withm one yw of completion, ttie owner-builderwil have the burden of proving that ha did not build or Improve for the purpose of tale).
□ I, « owner of the property, am exclusrvety contractingwith bcanaed contrKtors to construct the pro|ect (Sec 7044,Business and Professioni Code The Contractor's LicenseLaw does not apply to an owner of property who builds or m-proves thereon, and who contracts tor each projects vnth agnitractor(i) bcense pursuant to the Contrtctor's Lfcanso
□ Asa homeowner 1 am improvrng my home, and the tollow-ing conditions exst'Tha work is bemg performed pnor to sale.I have kved m my home for twelve monthspnor to completion of tha workI have not claaned thb exemption during thalast three years
□ I am exempt under Sec..
tor this reason ..B&PC
n 1 hereby affirm that I have a certificate of consent
to self-insure, or "a certificate of Workers'Compensetton Inauraoce. or a certified copy thereof(Sec 3800. Labor Code)
POLICY NO C2-430035-3
COMPANY 32IA 12/31/85
Copy IS tiled with the city
□ Certified copy is hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS'COMPENSATION INSURANCE
(This section need rx)1 be completed if the permit
IS for one hurxfred dollars ($100) or less)
Q I certify that in the performance of the work lorwhich this permit is issued. I shall r>ot employ anyperson in any manner so as to become subject to
the Workers' Compensation l.aws of California
NOTICE TO APPLICANT If. after making this Certificate of Exemption, you atxxild become subject tothe Workers' Compensation provisions of the t-iborCode, you must forthwith comply with suchprovisions or this permit shall t>e deemed revoked
□ I hereby affirm tfiat there is a constructionlendmg agency 'or the pertormance of the work lorwhich this permit is issued (Sec 3097 Crvii Code)
Lender $ Name
Lender s Address ,
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECUVRATIONS.UN SHAD
i ii^q CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callfomia 92008-1989 (619) 438-5525 APPLICATION & PERMITWJOB ADDRESS AV. ST.RD. NEAREST CROSS ST.
2736 Forest Park Lane Carlsbad, Ca, 92008
SUBDIVISION ASSESSOR PARCEL NO
OWNER'S NAME
McKeliiar.- Development
OWNER'S PHONE
OWNER'S mailing'ADDRESS
5151 Shorefaam PI Ste. #260 San Diego, Ca. 9212.2DESCRlPTlON'pF WORKAir Conaitioiilng
CENSUS TRACT
QTY,
GP LAND USE
DATE OF APPLICATION
7/30/85
BUSINESS LICENSE #
8709
CONTRACTOR
Kinn^ AirCondltionlng-CONTRACrbn'S ADDRESS '
2333 W. Vlneya'^d Aye. Eac.
DESIGNER
DESIGNER'S ADDRESS
F/P FLH ELEV.
yQ nD
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 5 OR MORE
EACH INSTAL , ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING
QTY.
RES UNITS GRADING PERMIT ISSUED
yD N □
ELECTRICAL PERMIT - ISSUE
NEW CONST EA AMP/SWT'BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TDTAL ELECTRICAL
QTY.
REDEVELOPMENT
AREA
yO nD
MECHANICAL PERMIT - ISSUE
INSTALL FURN DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/OUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
QTY.
NO
STORIES
TYPE
CONST
$7.50
$,1Q.5Q
SOLAR - ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
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 CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANDEXPENSES which MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THEgranting OF THIS PERMTT. - ■■ '
contbActofis phone t
-5990UCENSENO. •:
419758 ^
LICENSE tf
DESIGNER'S PHONE
OCC LOAD
EOU
FIRE SPR
yD nQ
VALUATIC
ZONE
Pl_AN I.D. ■#
STANDARD PLAN #
PERMIT NUMBER
BLDG USE CODE
BUILOINQ 30. FOOTAGE
g/Ofi/QSaCQg rurm0g TQiSO'
Atof UfArf l/n/las Mtchine Ctrvtitd
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
SIGN PERMIT 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
PUBLICFACILITIES FEE 32-00-00-8930
BRIDGE FEE
SCHOOL FEE - DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
San OieguRo 80-92-23-0519
San Marcos 80-92-24-0519
UCENSE TAX 01-00-008162
MFF 8092-57-0519
CREDIT DEPOSIT
$10.50
TOTAL FEES PAYABLE $10.50
Expiration. Every permK t»»ued by tt>«Biitldir>gOfficialunder!heprovt$ior«ofthiaCode ahall expnre by limrtatioo become null and void If the building or workauthorued by such permit not commenced within 180 daya from the date of sochpermit, or if the buflding or wrorX-authorizad by such permit is auspended orabandooed at any time after ttie work ts commenced for a period of 180 dava.'AP^l^CANTS SIQf^TURE * , ^ OWNER □ ■ CONTRACTOF\3^
BY PHONE □
* AN CSHA PERMtT IS REOUIRED FOR EXCAVATIONS OVER'
5' 0- DEEP AND DEMOUTION OR CONSTRUCTtON OF
STRUCTURES OVER 3 STORIEB IN HEIGHT
APPROVED BY Jt Y
, TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY .
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHEAR , .
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO QIPL/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UPPER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
•
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
heat — AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
^BUILDING
SPECIAL CONDITIONS
FIELD INSPECTION RECORD 1
REQUIRED SPECIAL INSPECTIONS' " ' -- ■- > -inspector's'-notes'■■■ !
INSPECTION REO. IF
CHECKED
INSPECTOR'S
APPROVAL DATE 1
1
SOILS COMPLIANCE
1
PRIOR TOfoundat'ioninsp 1
STRUCTURAL CONCRETE
OVER 2000 PSI 1
PRESTRESSED
CONCRETE
1
1
POST TENSIONED
CONCRETE
1
1
FIELD WELDING
1
11
HIGH STRENGTH
BOLTS 1
SPECIAL MASONRY 1
1
1
1
PILES CAISSONS 1
1
1
1
1
1
I
1
1
1
1
1
' I >
1
1
1
1
1
1
1
I
1
1
1
1
1
1
1