HomeMy WebLinkAbout2754 FLOWER FIELDS WAY; ; 84-110-109; Permit"' z 0 ;:: .. 0: ~ u .. 0
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~ I hereby affirm that I am licensed under
~visions of Chapter 9 {commencing with
Section 7CX>O) of Division 3 of the Business
and Professions Code. and my license is in
lull force and eftec_J.i -P, J
Lie No 7-,$2:+1 Cla,, -
1 hereby atf1rm that I am exempt from The Cont·ac-
tor's License Law tor t~e •ollow,ng reason !Sec 7031 5 Business and Protess,ons Code Any c,ty or -:ou1ty wh,c~ re-
quires a perrr.11 IC ~onstruct. a,ter ,morove demoi,sh, c,
reoair any structure. pr,o' to ,ts issuance also requires The ao-
pl•cant for sue~ pe''n1! t~ f11e a s1qoed s!a'ement !~a: ~e ,5
.,censed pursuant lo the provosions of the Contractors
License Law 'Chao1er 9 commenc,ng w11h Sec1,on 7000 ol
D1v1s1on 3 of the Business and Professions Code1 O' !hal 1s ex errpt lherefrom and the bas,s 10, the allegea exemption Ar.y v,olar,on ol Sect,on 7031.5 by an applicant lor a pe·m,t s~b
1ec!s the appl1can1 to a c,v,I penalty of not ..,ore than t,ve h,n
dred dollars iSSOO!
I as owner of tne properly or my employees w;tn wages
as then sole compensation w,11 do The work. and the s!·uc-ture ,snot ,ntended or offered for sale !Sec 7044 Business
and Pra1ess,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 himself or through ~,sown
employees. provided that such ,morovements are not intend-ed or offered •or sale 11. however the bu,ldmg or ,mprove-
rnent is sold within one year o1 completion. the owner-builder
will have the burden ol prov,ng !hal he did not build or 1m-
p'ove for the purpose o1 sale)
I as owner o! the property, am exclusively contractong
w,th licensed contractors 10 construct the pro1ect (Sec 7044
Business and Professions Code The Contractor's License
Law does not apply lo an owner of property who builds or im-proves thereon. and who contracts ror each pro1ecis with a contractorls) license pursuant to the Conlracro, s License Law)
As a homeowner I am 1Mprov,ng my home, and lhe follov, ,ng cond,1,ons ex1sl
1 The work ,s being performed or,or lo sale 2 I have lived ,n my llome lo' twelve ""10nths
prior to comple1,on of lh1s work
I have not claimed this exemption during the last three years
1 I am exempt under Sec
for lh1s reason
B & PC
f'i.1 hereby aH.r_m that I r.a,e a cert1!1(ate ol conse~t
/f?"sel! insure or a certi!,cate ot wo,~ers Compensallon Insurance. or a cert1l,e<:"l CUfJ'r tt,ereo!
iSe<; JaOO. Labor Code!
eouo ,o:#:.a:...-151--I :51 I,, i<.
COMPANY ~no,,.+ ~d er>i ~ ,l,
~opy 1s hied w,m the c,ty '1
0 Certified copy ,s hereby turn,shed
CERTIFICATl OF EX!:MPTION FROM WORKERS COMPENSATION INSURA ... C~
(Th,s section need not be completed ,, The pwr,-,,•
,s •or one hundred dollars ($!001 ur 1es\1
0 I cert,,y That ,n lhe perlormanc<> "' tt1<> we,,~ tor
,..h,ch tr.is pe,m,1 ,s ,ssued I shall nol emplu, ""'
person ,n any manner so as to become sut1ect 1<, lhe Workers Compensation Laws o' Ca1,1,,rn1,>
NOTICE TO APPLICANT 11 alter ma~•n] lh,s Gen,
1,cate o! Exemption you should become ~utJJf'(I 1,
the Wo,1,.ers Compensation prov,s,ons ol The uoo, Code you mus! Jortr.w,tt, '.amply w,th s~c~
prov,s,ons o, tr.is µerm,1 shall ~e deemed ,e,n~ell
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
t ~ -~"?-\';> CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989_ (619) 438-55~
VALUATION PERMIT NUMBER
3L,3C) I &> \ 10-I ZONE ,BA--
l,.:f!!t:17~~1:,t~'"~ Fl ~!ST-RO.t,.µlj\{AREST CROSS ST. ....__ .A,.,.-....
DATE OF APPLICATION BUSINESS LICENSE tt
743&
CONTRACTORS PHONE # ~, ASSESSOR PARCEL NO. :::4:: CONTAACTOR ... 11~,-o:;.,o-s w~e~ G:N~w~ct-1 2.32...-,e,z. L.J BLOCK J.s;U801Vl
. i.lA :/tE-:'
OWNER'S NAM°°t
PLAN 1.0. # I BLDG USE CODE OWNER'S PHONE CENSE NO
,1-1-ERi<vf -1=~ l'."J:?:l-3loo8 ~~~
0E:0
; • ., So.N [)1eco ~sz-+4 , , ,, :
OWNER'S MAILING ADDRESS LICENSE# I STANDARD PLAN q l BUILDING SQ. FOO GE
DESIGNER -A-~,7'\._~ 30e, LA -lou.A , CA ]:'._o. 'E:,x C,203e,
DESCRIPTION OF WORK NA~l::E c..:z.4 t~ 8303
~ Ll>J ,.,.. ~,....,.,..__.,-,
~L-~-Lr= 3E: I OClf ·-
DESIGNER'S A9PRESS I I --,._ = 10 JL\-VS-. de "' -t-"I LA. ......loLLA , rJi..
F:P FLA ELEV
vO ,o
,\. '"'"'
NO
STORIES
..3
DESIGNER'S PHONE
-46fl-21.,d.
ace GP I EDU
7i::-I I 8>
CENSUS TRACT GP LANO USE PARKIN(, SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRE SPP
~ AREA CONST
1 J2.3c:) C/ ,ONO ,c" V-JH-}t vOr.. NorValldUnlessMachmeCertified
I
I QTY PLUMBING PERMIT ISSUE 7 ~ ! QTY. MECHANICAL PERMIT -ISSUE 5-SUMMARYl~OUNT NUMBER
EACH FIXTURE TRAP ------=-~-r,s -INSTALL FURN DUCTSUPT0100000BTU .,;32-·-BUILDINGPERMIT _l(')Gf:3,--__
EACH BUILDING SEWER 5z._ -OVER 100.000 BTU _ _ _ 01-00-00-8221
EACH WATER HEATER AND OR VENT .Z£:) ~-~_,_L_E_R_,C_O_M_P_R_E_s_so_R_U_P_T_O_J_H_P _____ +-------'----Jj---
f---'c.;,,'-+_.Ec'A"C'.''H GAS SYSTEM l TO 4 UUI LETS +-Z0 _ :-:" _ f-8~1~~C~M!~E~SO_R ]_1~~---_ ____ __ ---'--ll-
'----'-E'--A---'C'-H GAS SYSTEM:, OR MllRl I V1ETAL ~!REPLACE
: EACH INS~~~--All ~~--REPAIR l';ATER_~~~ --_: --------=--t ~ ~E_N~iAN SING_L~~-T __ l8__:__·----li--=c.-c
1 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS
1 WATER SOFTNER RELOCATION OF EA FURNACE·HEATER -~ ~---_) ________ __,
1 F.t..-~1-i ric:c.i~ i;~:,1\J ,: \'.:i r1r,
I TOTt;L MECHANICAL
101 A," uMB,,c I z,4 -:50 ::53 --
01-00-00-8226 +------"'fl 80-92-33-0519 ____ 2:,.5,
01-00-00·8227
32-00-00-89_'.IJL-1 z -ic:, --'·
: ~QTY ELECTRICAL PERMIT -ISSUE 5:.--, ii PUBLIC FACILITIES FEE
-!i QTY SOLAR -ISSUE !1 BRIDGE FEE I I
,Mc ,,., ' D!\ n I~ I .::za:::, _:~ [(JI I ~c~ci~s SCHOOL ~~-E -DISTRICT --
' '"' I 1 ~-TCRA(;F Tt..'nS . Carlsbad ~ __ LT/::... ,IA NE:'N CONSl E:A AM" c,;,, [)L'n ',,.-,.._ A
, 1 I I PR ---
EXIST BLOC EAAMP·S\,'JT llKR I ~DC~ SlORAi:;r Encinitas I ---
I l PH J PH PLJMD San D~~
80-92-21-0519
80-92-22-0519
80·92-23-0519 ----l
I REMODEL ALTtR PER [IR[UIT D[,':},J CHECK FEE' San Marcos 80-92-24-0519
I TEMP POLE 200,"IMPS --!-_ l~'-L. ,_;,,.--/ i::.-~-=--A6'1 1 -..,,; ..;s?f-iz.. "":':::_
I OVER 20U AMPS LICENSE TAX 01·00-00-8162 ---1 -
1 1tMPoccuPANcv,3DoAYs1 __ ____ MFFso-s2-s1-os19 e xc55D -, 0 ..A..-.
1 1 CREDIT DEPOSIT [ < --. o. A_ Q'
:1 TilTAlELlliRIIAL I =05':--,I TOTAISO.AR I TOTALFEESPAYABLE I fq4.z:z.14 I
I
~ 1 I HAVE CARE FULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' AND 00 HEREBY Expiration. Everyper_mit issued bythe8u1ldmg Off1c1a1 under the provisions of this * AN OSHA , REOUtRED FOR EXCAVATIONS OVER
r.e,eby a1111m ir.a1 ir>r>rr> ,5 a '-'_--'"srruCI">~ CERTIFY UNDER PENALTY OF PERJURY THAi ALL INFORMATION HEREON INCLUDING THE ~Code shall expire by llm1tat1on and beco~me: null and void. If the building or work 5·,~·· 0 ~N MOLITION OR CONSTRUCTION OF ,ng a,;iency tor t'1e 1-lertormar,, __ e c' :r,e "'or• lcr I a tled by such ~rm1t 1s not er,;; within 180 days from lhe date of such ... .... n,ch 1,-,,5 perfr',t ,-, ·o.sued :Sec m1 c,,,1 cz, I DECLARATIONS ARE TRUE AND CORRECT AND l FUAiHER CERTIFY AND AGREE IF A PERMIT IS rm1t. Jor jf the tµildmg or 111,. ul zed by such permit 15 suspended 0, ST TUAE: VEA 3 STORIES IN HEKiHT .j...f, 04 ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON· eban r..~ at env I me aftef~..Z: k ~:J mmene11d tor ;:·_·Joo of 180 davs •
Lenders Name roe ~ I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPL A~r·s r~W ADI APPROVED BIY( \ (!·~
Lender 5 Address 107 "'}3r~ );>, ( ! KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UAB!llTlES. JUDGMENTS, COSTS AND f -~;r J} (/ E 1 OWNER/ '\. CONTRACTOR O 4
. 1 EXPENSES WHICH MAY 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE fl i BY PHONE O \ I (), (} ,-
I GR,ANTINGOFTHISPERMIT l7 l'V/ c r J _ 0'4
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF C SHEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
'
I
PLUMBING .
SEWER AND BL/CO DIPL/CO I
UNDERGROUND D WASTE D \<{ATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WAtER
I
ELECTRICAL '
D ELECTRIC UNDERGROUND D LUFFER
ROUGH ELECTRIC T
I
D ELECTRIC SERVICE D TEMPORARY
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 INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED
FINAL I
PLUMBING I ,,
ELECTRICAL I d,. / II I
' ~
MECHANICAL I \' )/, -GAS I VI Vf. ./
BUILDING l -._ '.... ~ ~--.,,:r--·' -. r
SPECIAL CONDITIONS I -'
I
~ '8'<+~ I 10 -I OC\
FIELD INSPECTION RECORD
INSPECTOR'S NOTES
REO IF I INSPECTORS CHECKED APPROVAL I DATE I · r--
INSPECTION
SOILS COMPL:ANCE
PRIOR TO
-~0'-.INQ,\TIQr\i INS._,
STRUCf·-iRAL.C'C ~CRETE ---~ i ~
OVER 70CU PSI _ _ I __
PRESTRESSEC -t --·----------------------------------1
CONCHFTE =r-=· POST TfN:', ONED
CONC,qETE --1---] J'
' 'IELD WELD<NG _ __ _ ___ -+-__ ___ ___ _ __ _
,.j,_1,rl '.-,T;::iE/\JGTe-< r , J
8ULTS _______ --/l------~------t----
":if-'E:::1A.L MASOr-..Rv
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I'_\.~ ~l:f.t;-, ~;~ CA;SSO" I --+--I -j . . ,-,;',/ ~¥,: .• '
f------------+. . . -t---• ., ,.,., :.,Ike
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