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Home My WebLink About2751 EL CAMINO REAL; A; 84-246; Permit4[ 0 0 II) z 0 ~ IIC • ~ 0 w 0 IIC w 0 ~ 5 .. ic w z ~ 0 z 0 ~I )t' 0 8 II) « w ~ IIC 0 ~ ll 0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe11lons Code, and my license is in full force and effect. Lie No Class I hereby afflfm that I am exempt from the Contrac· tor's license Law lor the lotlow1n9 reason (Sec 7031 .~ Bus,ness and Proless,ons Code Any c11y or county which re· qu,res a permit to construct. alter, 1mpro,.,e. demolish. or repair any structure, prior to ,ts issuance also requires :heap, phcant for such permit lo hie a s1Qned s1a1ement rhal he 1s ltcensed pursuant to !he prov1s,ons of !he t.:ontractor s License Law {Chapter 9 commencing with Section 7000 of Oiv1s1on 3 of the Business and Professions COde} or lhat 1s ex empt therefrom and lhe basis lor lhe allegea exemptmn Any v101a11on of Section 7031.5 by an appltcant tor a perm11 sub Je<:ts the apphcant to a c1vll pe_nally ol not more lhan five hun dred dollars ($:-,00) -· rJ I. as owner of the propeny or my employees w11h wages as their sole compensal1on. will do the work. and lhe struc· lure 1s not 1n1endeo or offered for sale (Sec 7044. Business and Proless,ons Code The Contractor· s license Law does not apply to an owner of property who builds or improves thereon and who does such work h1mse1f or through his own employees. provided that such 1mprDYements are not intend- ed or offered lor sale. If, however the building or improve+ ment 1s sold w1thm one year of completion. !he owneH>u1lder will have the burden of proving that he did not build or 1m+ pro~e tor lhe purpose of sale) () I, as owner of the property, am exclusively contracting with licensed conttaclors to construe! the pro1ect {Sec 7044 , Bus,ness and Professions Code The Contractor's License Law does not apply to an owner of property who builds Of 1m· proves thereon, and who conlracts tor each protects with a conlractor(s) lttense pursuant to the Contractor's L,cense Law) D As a homeowner fam ,mprovmg my home. and the lollow mg cond1hons ex,st; 1 The work 1s bemg pertormoo pnor lo sale, 2 I have hved 1n my home tor twelve months pr,or to complehon of this work 3. I have nol claimed this exemption during the last lhree years 0 I am exempl under Sec -------B&PC lor this reason ____________ _ D I her~y att,rm 1h11 I ha-.'f! a cert1t,cate of consent to self insure. or a cert1f1ca1e of Workers Compensation Insurance. or a cert,hed copy thereof (Sec 3800 Labo< Code• POLICY NO COMPANY f:t Copy 15 hied with the city 0 Cert,hed CoPY 1s hereby turn,shecJ CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Ttus section need not be compleled 11 !he perm,1 •:!I tor one hundred dollars (S 1())) or less) 0 I certify that 1n the pertormance ot the woMI. tor which th,s permit ,s issued I shall not employ any person 1n any manner so as to become sub1ec1 10 the Wol't\e,s· Compensa11on Laws ot Calltorma NOTICE TO APPLICANT II. alter malr.mJ !his Cer1 hcate 01 E•empll()('I you should beeome sub1ec1 ,.., the Workers Compensation pro ... 1s,ons ot rne LabOr Cooe you must tortt1""'1th comply w11h such provisions o, th,s permit shall be deemed ,e,..okecJ 0 I herebv alllrm that there 1s a cor,51ruct1on endmo aoencv tor lhe perto,mance ol lhe wor1<. 10, wh,ch this perm,t 1s issued 1Sec 3097 c, ... ,1 COde LencJer s Name ___________ ~ Lenders Address ------------ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525 JOB ADDRESS AV ST. RO. NEAREST CR~ ST. Ml I OATYF ~;;~;l;Nl:t?ZN] L9CE3E • VALUATION PERMIT NUMBER ..17~/ ft f= I t1 <it '>I,\,' .,..,t'.' f:;._L,, j e Ir' t,~ ,., Wb~ Qi) ~ :J-t/0 LOT BLOCK I suB01 v1s10N I ASSESSOR PARCEL NO CONTR.lCTOR , CONTRACTORS PHONE • ZONE V J./-; I I l... / /y/1~ Et'°"-1->,', 1;,., 1 7 'f ,_ f'7.._p l) O~NE R'S NA+E "l:> ..:t-I OWNE R"S PHONE ~k~ t,..~ 00..fll.lJIOf-C.1 €:~;_cTZt; ;::f 9,._.'t S.'#-LICENSE NO. PLAN 1.0. # BLDG USE COOE i \rct\.J ~1.wv H tJ 1,,1,.-,,,0.S::. '/tJ9 .:.-~s 0111/NER"S MAILING ADDRESS R cr .. J E: ~.-A-.,__ N• tJ tJ Jf t; #...~ /IJ...3 o S' d Y Y ~ ""-1-v V1-f /'ol'a DESIGNER LICENSE # STANDARD PLAN # BUILDING SO FOOTAGE DESCR1PT10N 04--WORK ~ I ~ r-,,,. ,' .I " f41p -1--~I, P.,,ef ,.s 1-tt. / {11cAlli.~ OESIGNER"S ADDRESS OE.SIGNE R'S PHONE '"'C, 'V' )_ V ~ 17 0.. ..,.._,. 0.-v( ~ ...... F/P F LR ELEV NO OCC GP EDU STORIES /i/ c./ i w·• 1 vO NO ---f, 1·. I • CENSUS TRACT I GP LANO USE I PARK ING SPACEc I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST n yQ ND vO NO vO NO Not Valid Unlt!Ss Machme Cert,hed QTY. PLUMBING PERMIT· ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TD 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 EACH BUILD ING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221 ---EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 -EACH GAS SYSTEM l TO 4 OUTLETS --+-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 -EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL -01 ·00·00·8223 /_5"= EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SI NGLE DUCT MECHANICAL 01·00-00-8224 ----r -----r - - EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01 ·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN {INSIDE) SOLAR 01·00-00-8226 -TOTJ;L MECHANICAL STRONG MOTION 80·92·33·0519 r--··-TOT AL PLUMBING I FIRE SPRINKLERS 01 ·00-00-8227 QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT· ISSUE ..s--BRIDGE FEE NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT l PH 3 PH STORAGE TANKS ··- Carlsbad 80·92· 21 ·0519 EXIST BLDG EA AMPISWT Bl9V (, ...p ROCK STORAGE Encinitas 80·92-22·0519 l PH 3 PH 't-' vl) I PUMP San Oiegu ito 80·92·23·0519 REMODEL ALHR PER CIRC\llT tf"'1I ... PLAN CHECK FEE San Marcos 80·92·24·0519 TEMP POLE 200 AMPS: rlJCV : ,...-\ ~ V J /. ---. OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYSI :/' ~ A?/P"F / /Jt~-/,/>,r, p .e ti. / /6 .--CREDIT DEPOSIT TOTAL ELECTRICAL ~ ·r s-TOTAL SOLAR TOTAL FEES PAYABLE I /s--/ . -· 1 HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICA110N AND PERMIT AND DO HEREBY Expiration Every permit issued by the Bulld1ng Qff1c111 under the prov,51ons of ttus * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1hall ••pue by hm,tatton and become null end vOtd II the bu1ld,ng o, work 5·0·· DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such perm,11s not commenced w1th1n 180 days from the date"'' S1JCh DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or ,f the build1j1 or work autho,ized by such permit 1s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL c,..-y COUNl Y AND STATE LAWS GOVERNING BUILDING CON abandoned at any ttma a tar the work ia commenced tor a period of t80 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND p I AN . ~~ 0 )~ APPROVED BY fl-, IDAT~ /~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND ~ E • 1 J ~ER CON TRAC TO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THt:5 /) /J_ ..£. o!-• p BY PHONE 0 ;__' (" GRANTING OF THIS PERMIT , " , _. J ·' · ALJ~ ,, TYPE I DATE INSPECTOR I ~lf,~'-6 I . --BUILDING I ' FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I l MASONRY I GUNITE OR GROUT I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL - FLOOR & CEILING SUB FRAME ' I SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LATH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRES TRESSED CONCRETE INTERIOR LATH & DRYWALL 'I POST TENSIONED I I CONCRETE PLUMBING I FIELD WELDING SEWER AND BUCO DIP UCO I UNDERGROUND D WASTE D ~ATER TOP OUT D WASTE D WATER HIGH STRENGTH BOLTS SPECIAL MASONRY TUB AND SHOWER PAN I GAS TEST I I PILES CAISSONS D WATER HEATER D SOLAR WATER I ELECTRICAL I - D ELECTRIC UNDERGROUND DUFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPO~ARY D BONDING D POOL I - I MECHANICAL I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECT!2N WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED. FINAL I v ': PLUMBING I A ,. . ' ._ ELECTRICAL :~~~ Fi\\fnM (~ , MECHANICAL ./>..~--V\ GAS "<_ I BUILDING I I t) I ' '' \ SPECIAL CONDITIONS I I