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2746 FLOWER FIELDS AVE; ; 84-110-108; Permit
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"' ~ " w C .. i[ C " a: w C ~ 5 ~ w z ! z 0 .: "' "' z w .. ,. 0 " "' "' w " a: 0 3 ![ ).< I hereby affirm that I am licensed under ~lslons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess!ons Code, and my license is 1n full for~cj,tf1~ ~-l L,c No ~ C1a,1 ___p--=-1---- I hereby alf1rm tnat I am exempt f·orr· the Con:·ac-10, s License Law tor the ro1low1ng reason !Sec 7031 5 Bus,ness and Proless1ons Code Ary c,ty or courty which re qu,res a perm,t to construct. a·ter. ,mprove demol,sr. or reoa1r any slructure. prror to ,ts ,ssuance a:so ·eauires ine ap pl,cant for such perm,t to '.1le a s1qred s:ate,.,ent Thar he ,s 11censed pursuant to the prov,s,ons of the co~iractor s License Law 1Cha~ter 9 commenc,ng w,t~ Sect,on 7000 of rJ1vis,on 3 or t~e Business ,md Proless,ons Codei or !hat 1s ex emp! therefrom and the basis for the aliegea exemption Anv violation ol Section 7031.S by an applicant lor a per.,,11 sub 1ects the applicant to a c1v11 penalty of not ,r,ore than r,ve h,Jn Cred dollars ($JOO) I. as owner of the property. or my emp,oyees with wages as !heir sole compensation w,11 do the work. and the struc lure ,snot intended or otlered for sale !Sec 7044 Business and Professions Cade TM Contractor's License Law ~oes not apply to an owner of property who builds O' improves lhereo~ and who does such work himself or through ~1s own employees, provided that such ,mprovernents are not ,ntend ed or ottered for sale If, however the building or improve- ment 1s sold w1th1n one year of comple11on the owner-builder w1I• have me burden ot proving that he did not build or ,rn. orove tor the purpose ot sale) l I, as owner ol the propeny, am exclusively contracting w11h licensed conlraclors to construct the pro1ect (Sec 7044, Busmess and Proless1ons Code The Contractor's License Law does not apply to an owner ol properly who builds or ,m- proves thereon, and who contracts for each pro1ects with a contractor(s) license oursuanl lo the Contractor's License law; As a homeowner I am 1mprov1n9 my home, and ihe follow 1ng cond1t1ons exist 1 The work 1s being performed onor lo sale 2 I have lived 1n my home lor twelve rnonlhs prior to completion of this work I have not claimed this exemption during the lasl three years I am exempt unoer Sec , B & PC for lh1s reason------------- V, hereby all,rm tha1 I h<1•e" certil,c<11e ot con sen• ~self ,nsure or a ceri,t,cate o1 wo,kers Compens.111on Insurance o, a cer1,t,e<J LO(Jy thP•Pol /Sec 3800 Labor Codel POucrnd/f8=..-8.f-/-S1 /o11,, COMPANY f='r~~li+ .L.ctenn,-hl A Copy ,s hied with the c,ty • I 0 Cen,11ed copy ·~ hereo, hJm1shed CERTIFICATl OF EXE:MPTION FROM WORKERS COMPENSATION INSURAr-.CE (H>1s section need nol be :omplPled ,t :he ~erm,t ,s for one hundred dollars ;$100• .__,, 1es~· D I cen,ly t'1a1 ,n lhe penormar1ce ,Jt the "'"rl<. ''" wh1cn th,s pern-"t 1s •ssued I sh.ii' not efT'plo·, an, pe,son "' <my manr1er so as to t,ecomp ~ut'w•< t •,, lhe Worl<e,s Compens.a.1,on La"'s ol Cal,1orr.,a NOTICE TO APPLICANT 11 alter mak,r.:J m,s Cert, tica1e ot Exempt,or, you sriould t:,ec.ome sub1en "' the Worl<ers Compensation pro,is,ons ot tne Labor Code 10u musl for1h,.,tTh compl)" .,,,th 5uc~ prov,s,ons or !h,s perm,t shall Of' df'emed '"""~f'll ii ne,et>y alllfm lhal tP;e,e 5 a cor.sr,un,(,r end,ng agenc, tor tnf' per1ow,.i.n, e ,,+ tP;e w0r~ ':,, -'•<" '"" wm~,ss~eO .Se, m, c,-~ ce,oecsName 0~£ ~ lender 5 Address O B, Sb., CA 9210/ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS C-\--f;-\':> CARLSBAD Bc~i!h,~~~2~0R9~f!~1~5~~T APPLICATION & PERMIT FLOM T. V DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER -,435 o .,,~ .,_. / D 0 ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• E i· I 1/P-" f -0.3:::J-I-) /"""'. · ,I .,._.-II OWNER'S NAME._-• ·: -I OWNER'S PHONE L.A.. ~.,.,a,~ f..........Z)NSTRWc::.TION ...2:.32-7<9 1 _ --IE~l:'t...i ·1:::J .... bER. _.459 _ 3 &oe, coNTRAcToR·s~s,ss '\. uc•NsENo. OWNER'SMACUNGAODR... 249lc:. t::. s-+. -S4N 1:;1 2.::2sz4"f PLAN 1.0. 4 BLDG USE CODE "PO 13o)(-' :3C>e!>, LA ....JoL.LA > "'IZ0'3 o,scoN,s 0EscR1PT10N oF woR~ NA"Ei:;:,LE As~ 17'-tf'ES LICENSE 4 su~?i]"GE STANDARD PLAN 4 Cz.413 l---=a.----------~'--=-__f.L#,t_!_l__!TL_.C...,,1,2Jil,,Q_C,L _____ ~ D~N;o ~~ J.,_ J't ~,t-DESIGNER'S PHONE ~=~ ,IF ~A: ,H" /1)$_______ -~--------1-£::::l;..;.J~u~~#;,--""'I"'"-=-"~~~~ v[J ',[J -- CENSUS TRACT GP LAND USE PAR1<1N(j SPAC~ RESt/-lTS GRADING PERMIT ISSUED REDEVELOPMENT FIRE SPP 7 AREA '-z,.,O , D , D <J ~ •D ,'){ Nor Valid Unless Machine Certified QTY. ' '---- ----- QTY I 't- ~.!:!, . 7 SUMMARY/ACCOUNT NUMBER , PLUMBING PERMIT -ISSUE ' l QTY.j MECHANICAL PERMIT -ISSUE ., EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU -BUILDING PERMIT ----EACH BUILlJING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-822; 01-00-00-8220 t---ft:>/V,,JQ ~t~j_ --+-----------------1--- EACH WATER HEATER ANO OR VENT BOILER.-COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00-8806 , 80ILER,C0MPRESS0R 115 HP TOTALPLUMBI\JG 01-00-00-8222 i -----~-------------------'------+-~------ ELECTRICAL 01-00-00-8223 -MECHANICAL 01-00-00-8224 IN--7.--Z -...j t A CH GAS SYS IE M l TO 4 U UT l. E TS EACH GAS SYSTEM J OR MURE 1 r,/EIA.L FIREPLACE --+--------i--~-+ ------ EACH INSTAL ALTER, REPAIR WATER PIPE : VENT FAN SINGLE DUCT --------+ EACH VACUUM BREAKER I MECH EXHAUS1 HOOD'OUCTS MOBILEHOME 01-00-00-822] ----- wi:__T~_~q-~TNER RELOCATION O,W FURNACE.HEATER MOBILEHOME PARK INSP LACH w,o~ ;_:R:,·~J, \S nF; _ ~ .V I ~~ -~ ~ .... t~L)M'!'CHANICAL .1 p -i-7 - SOLAR STRONG MOTION ,--0' 00 00 8226. +------11-~-..;l-' 80 92330'119 f -I - 01 00 00 8227 -I ~ FIRE SPRINi<LERS TOT Al Pi U",Hllr'<.\.J ELECTRICAL PERMIT -ISSUE ...... s--u-1 o.."cu fUTY 'I\~ \ ~6\:1\R -_'.a'~O .. ~ Jo/J-i' ~filLLCIC!R"s .. a\."':11 _,,_ NEW CONST E:A AMP S',\il llKR j /Jli flt-' '>"'t'f.'- I PH ] iH--T 4-\','>•- ' PUBLIC FACILITIES FEE __ ~2-00-0_0~~3)--+-- BRIDGE FEE SCHOOL FEE -DISTJllCT Carlsbad v _--r-rf?-. 80-92-21-0519 I Encinitas 80-92-22-0519 EX IS I Bl O G E: A AMP SW f BK R I \l1C''c__ ___________ ~f--- 1 PH 3 PH San Diegu1to 80-92·23·05i9 R[MOOEL Al TfR nRCIR-cu;T \) PLAr·J C-ff:-:K Fll --------os19 --- ---- r-,_ -L---- TE ',1P PO l E 200 AMPS -- OVC R 2UU AMPS LICENSE TAX 01-00#-(L_ 1---------r TEMP OCCUPANCY ,30 o~~? -_-'1'1. +-----. --M-FF.ao-~2-57~~519 - -'lfo ~-----*·---+!------~ ----~,-~C~R~E~D~IT_D~E~P~O~S~l~T------~--L-~..5.-"r!.liio!!~~,:t~ I ,~ _ , : 'OTAI SOL'R TOTAL FEES PAYABLE d ,...--.,J ..r-:a T(ITAL llf:.CTRILA! P..1..' I I l -, ... /J, • f 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 PERMIT IS ' * AN OSHA PERM:T IS AEOU"'ED FOR EXCAVATIONS OVER 5· O" DEEP ANO DEMOlrTKlN 0A CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEKiHT tSSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CbN· ~~~~~~~!~!~~~~~"€!.ii~~~~~~~~~~;;;=,~;::;~;te:;"~.:..:.:..:...:..:..:...:..:.:. .... ..:~;;;:--:;,----1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ( KEEP HARMLESS THE C!TY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND APPRO D BY D~~~ ~ EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE / ~ GRANTING OF THIS PERMIT. BY PHONE O j ·-0,/ ""'" A a .. D n -•----•. 7Pf--V ~ u: ~ ~ 0 D. E © f--- u 0 (0 c ~ 0 D. D. <1' ~ C a. 0 w w © w w <1' ~ 0 0 >- "' 00 © 0 0 a: ~ cii 0 El © 0 C ro C ii: :::. C © ~ CJ 0 ;:; © D. 00 C ;'! ~ s: TYPE T DATE INSPECTOR BUILDING ' FOUNDATION REINFORCED STEEL ' MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME _! SHEATHING D ROOF D SHe:AR ' -,- ' PLUMBING ' ' "T _J_ SEWER AND BL/CO DIPL/CO UNDERGROUND D WASTE D WATER TOP OUT D WASTE D W1',TER TUB AND SHOWER PAN GAS TEST ' .------------' f--~LL:::\ ID-ID'b •~-I FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ~ . INSPECT-IQN REo_ 1F_ INSPECTOR _s_ 1 DATE 1 \ '-. ·- c. .. __fHEC_KE_o __"~ROVAL SOILS COMP_:ti.NCE PRIOR --:-Q ~n, ,~,n.~T:ON l~~SP ·------j ------- • ......, ··- J_ . , .. -. -~-.. '.!__ C I •::. j .... ..- . ' -'• \ I _,,. ,( "\ --· ...... -....... .... ' . HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ~ I-.,. "· ,,,j -, --L ,,J,.f-.-c-~--------+-----l-------1-, -~-:::C~A7LL:-:F~O~R~F~/7N~A~L~l~N~S~P~Ec-==n::t:N.,--,;W~H~E~N~A7 L~L~A~P7=R,R~OJ'-s::::R~IA~T~E~, ...... "' ,,• ITEMS ABOVE HA V BEEN APPROV£0.. () . PLUMBING FINAL : [ \ '%~ ELECTRICAL I \ p.,,r \_jjr/flJ _/ MECHANICAL :-;--'1'" V,Wl 7 r GAS , . 1lWl 1/.Y BUILDING ' -r' ~ 1.tt-·.: "-.'~-._,;, ·n-·1 ! ·-! ' SPECIAL CONDITIONS u-, ' --~ -.. • ,· 1" -~ -__s:_ i ' -'',-~ ' ', ' I I i L ______ j__ _____ _j_ --~ ~--------------------__J