HomeMy WebLinkAbout2739 CYPRESS HILL RD; ; 83-512-80; Permit (2)~ ~ \,;I hereby affirm that I am licensed under C.. 0 [~visions of Chap.ter 9 (commencing with J 1-Section 7000) of Division 3 of the Bus I ness ~ and Professions Code, and my license is in
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I hereby affirm that I am exempt from the Contrac-
tor's License law for the fol\owmg reason (Sec. 7031 5
Business and Professions Code: Any ~ity or county w~ich re-quires a perm1t to construct, alter, 1mprove. demoliSh, or repair any structure, prior to. its issuance also requires the ap-
plicant for such permit to !1\e a s1gned statement that he is licensed pursuant to the provisions of the Contractor's
License Law (Chapter 9 commencing with Sect1on 7000 of DivisiOn 3 of the Busmess and Professions Code) or that is ex-
empt therefrom and the basis for the alleged exemption. Any :~~i~'i~~ ~~~~~~~i~tnt~~3~i~~ ~~n~~t:~~~~~~~~~; tah~~r~~~ ~~~~
dred dollars ($500).
rJ I. as owner of the property, or my employees w1th wages
as their sole compensation, will do the work, and the struc-ture IS not intended or offered tor 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 his own
employees, prov1ded that such improvements are not intend-ed or offered for sale. 11, however, the buildmg 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).
LJ 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 o~ im-proves thereon, and who contracts for each projects with a
contractor(s} license pursuant to the Contractor's License
Law).
0 As a homeowner 1 am improving my home, and the follow-ing conditions exist:
1. The work is being performed prior to sale. 2 I have lived in my home for twelve months
prior to completion of this work. 3. I have not cla1med this exemption durmg the
last three years.
0 I am exempt under Sec. , B & P.C
for this reason
~
;11 hereby aff1rm that I haoJe a cert1f1c~a. te of consent
self-Insure, or a cert1f1cate "of Workers
CompensatiOn Insurance, or a cert1f1ed copy thereof
(Sec 31!00. Labor C~de qy· if'/J. ~ •?'J l'l ' '
POLICY NOJL,f;..-~
COMPANY Jn . , 1~
0 Copy 1s f1led w1th the c1ty
D Cert1fled copy IS hereby furn1shed
CERTIFICATl OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(Th1s sect1on need not be completed d the perm1t
15 for one hundred dollars ($100) or less)
0 I cert1fy that 1n the performance of the wori<: for
wh1ch thiS perm1t IS ISSUed, l shall not employ any
person 1n any manner so as to become subject to
the Workers' Compensation Laws of Call!orn1a
NOTICE TO APPLICANT If. after mak1n;1 th1s Cer11
flcate of Exempt1on. you should become sub1ect 10
the Workers' Compensation proviSIOns of the Labor
Code, you must torthw1th comply w1th such
prOVISions or th1S perm1t shall be deemed revoked
0 I hereby aff1rm that there IS a construc\1on
1end1ng agency tor the performance at the work tor
wh1ch th1s perm1t IS ISSued (Sec 3097, C1vll Code)
Lender's Name ____________ _
Lender's Address ------------
BALL POINT PEN HARD APPLICANT TO FILL IN INFORMAIIUN WII MIN ;:,n"uc:u ""''"' ,..nu ........... ~ .. ~· ·-··-·
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989
PERMIT NUMBER
Not Valid Unless Machine-Certified
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TYPE I DATE INSPECTOR ' ---~-·-. ----....L..---
' BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I lt~·\il')~ /
t0·3· ~ -(?£\, \.ib Uc ;.l:;-r~ f: C'· ·-= INSPECTION REO. IF INSPECTORS DATE ..,....,~ GUNITE OR GROUT I CHECKED APPROVAL ~
FLOOR & CEILING SUB FRAME I . .
SOILS COMPLIANCE
SHEATHING 0 ROOF 0 SHEjAR PRIOR TO
FRAME I FOUNDATION INSP
I STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I I P8ESTRESSED ~ CONCRETE INTERIOR LATH & DRYWALL ' POST TEN:O.IONED
I CONCRETE
PLUMBING I FIELD WELDING
OIPL!CO I --SEWER AND BL/CO HIGH STRENGTH
BOL.TS UNDERGROUND 0 WASTE 0 WATER
TOP OUT 0 WATER SPECIAL MASONRY 0 WASTE~ ' ! TUB AND SHOWER PAN . I ---·--GAS TEST I ~· ·~ PILES CAISSONS
0 WATER HEATER 0 SOLAR WATER -~ f----
I
I ELECTRICAL I
0 ELECTRIC UNDERGROUND 0 I!JFFER
ROUGH ELECTRIC I
0 ELECTRIC SERVICE 0 TEMPO~ARY ;· ·.
0 BONDING 0 POOL I
I I
MECHANICAL .t I
0 DUCT & PLEM., 0 REF. PIPIN'G
HEAT-AIR COND. SYSTEMS I •·
I ·' VENTILATING SYSTEMS ' ;:.:
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VP BEEN APPROVED. ;:_·
FINAL I ~
PLUMBING I A -'~ \.....J L ----· ELECTRICAL I AI;.
I _,; / MECHANICAL A_
GAS I 1'1'-/ .-I -
BUILDING I " j ~ .
SPECIAL CONDITIONS I
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