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HomeMy WebLinkAbout2736 FOREST PARK LN; ; 85-537; Permit8 UJ o r! 3 s UJ z o p o o CE o ct ui O 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