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I haraby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and fitfact. ^ , —
Lic Un/d/VS^ Class C "/O
I hereby affirm tfiat I am exempt from ttie Con
tractor s License Law for the following reason (Sec
.7031 ^ Business and Professions CodiB Any city or
county which requires a permit to construct
alter improve demolish or repair any structure
prior to its issuance also requires Ihe applicant for
such permit to fite a signed statement that he is
hcensed pursuant lo the provisions of the Con
tractor s License Law (Chapter 9 commencing with
Seclion 7000 of Division 3 of the Business and Pro
fessions Code) or that is exempt therelrom and the
basis for the alleged exemption Any violation of
Section 7031 5 by an applicant for a permil subjects
tr« applicant to a ctvtl penalty ot not more than live
hundred dollars ($500)
O I as owner of the property or my employees
with wages as their sole compensation will do the
worV and the structure ts not intended or offered for
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
arm who does such wortt himself or through his own
employees provided that such improvements are
not intended or offered lor sale II however the
building or improvement is sold withm one year of
completion the owner builder will have the burden
of proving lhat he did not build or improve for the
purpose of sale)
• 1 as owner of the property am exclusively
contracting with licensed contraclors to conslruct
the project (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 contracts lor each projects with a
contractorts) license pursuant to the Contractors
License Law)
Q lam exempt under Sec .
for this reason
B&PC
PS 1 hereby aflirm lhat I ha^e a ceriilicate ol consent
to self insure or a certificate of Workers
Ckjmpensatton Insurance or a certified copy thereof
(Sec 3800 Ubor Code)
POLICY NO^^^^^^_
Copy IS filed with the c\\'ij^x„^£^M^^y>un4.^iy
• Certified copy is hereby furnished
CERTIFICATt OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sectton need not be completed if the permit
IS lor one hundred dollars (5100) or less)
Q I certify that m the performance of the worV for
which this permit is issued I sfiall not employ any
person in any manner so as to become subject to
the Workers Compensation Laws of California
NOTICE TO APPUCANT M alter making this Certi
(icate of Exemption you should become subject to
the Workers Compensation provisions of the Labor
Code you must forthwith comply with such
provisions or this permit shall be deemed revoked
• I hereby affirm (hat there is a construction
lending agency tof the performance of the worV for
which this permit is issued (Sec 3097 Civil Code)
Lender s Name_
Lender s Address ,
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
OWNER S NAME OWNER S PHONE I PRIME CONTISAC
AV ST
RD
DATE OF APPLICATION BUSINESS LICENSE #
LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO
DESCBIPTION OP WORK
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
UCENSE NO
DESIGNER
DESIGNER S ADDRESS
F/P FLR ELEV
YD NO
GRADING PERMIT ISSUED
fD N D
REDEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
CONTRACTORS PHONE »
STATE LICENSE #
DESIGNER S PHONE
EDU
FIRE SPR
YQ ND
VALUATION
ZONE
PLAN I O #
STANDARD PLAN # ,
PERMIT NUMBER
<??l^
BLDG USE COOE
BUILOING SO FOOTAGE
Not Valid Unless Machine Certified
QTY PLUMBING PERMIT - ISSUE QTY MECHANICAL PERMIT - ISSU E SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP i INSTALL FURN OUCTS UP TO 100 000 BTU \ BUILDINGPERMIT
EACH BUILOING SEWER 1 OVER 100 000 BTU 8 SIGN PERMIT
EACH WATER HEATER ANO/OR VENT j BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL
EACHINSTAL ALTER REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST - HOOD/OUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
TOTAL MECHANICAL STRONG MOTION
TOTAL PLUMBING
TOTAL MECHANICAL
FIRE SPRINKLERS
QTY ELECTRICAL PERMIT - ISSUE 5',oo QTY SOLAR - ISSUE
PUBLIC FACILITIES FEE
QTY ELECTRICAL PERMIT - ISSUE 5',oo QTY SOLAR - ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE DISTRICT
I PH 3PH STORAGE TANKS Carlsbad
EXIST BLDG EA AdflP/SWT/BKR ROCK STORAGE Encmitas ^ ^
1 PH 3 PH PUMP San Dieguilo
REMOOEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMPPOLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE 3a.• •
I HAVE CAREFULLr EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND 00 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
ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration Every permit issued by the Building Official under the provisions ofthis
Code shall expire by limitation and become null and votd II the building or work
authorized by such permit is not commenced within 180 days from the date of such
permit or if the building or work authorized by such permit is suspanded or
abandoned at any time alter the work is commenced for a period of 180 davs
APPLICANT S SIGNATURE OWNER O CONTRACTORS^
BY PHONE D
* AN OSHA PERMrr IS REOUIRED FOR EXCAVATICMS OVER
5 0 DEEP AND DEMOLrriON OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEKjHT
APPROVED BY DATE
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL -
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
GFI- SMOKE DETECTOR
IVIECHANICAL '
DUCT & PLEM, REF PIPING
HEAT — AIR COND — SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
JOB SITE FINAL •
PLUMBING J ELECTRICAL f MECHANICAL / / 1 GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OGCUPANCY ISSUED
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF
CHECKED
INSPECTOR S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES'CAISSONS
-
Citro. Carlsfbab
REQUEST FOR INSPECTION RECORD
INSPECTOR.
OWNER
PERMITNO
TIME
.DATE
ADDRESS
REQUESTED BY PHONE NO
ON TAKING REPORT, \
• FOUNDATION
• REINFORCING SYEEL
• MASONRY
• GROUT GUNITE
• FLOOR AND CEILING SUB FRAME
• SHEATHING • ROOF • SHEAR
• FRAME
• EXTERIOR LATH
• INSULATION
• INTERIOR LATH OR DRYWALL
• FINAL
ELECTRICAL
• UFFER GROUND
• ELECTRIC UNDERGROUND
ROUGH ELECTRIC
^ • POOL BONDING
• ELECTRIC SERVICE
• FINAL
PLUMBING
• UNDERGROUND PLUMBING
• SEWER AND PL/CO
• TOP OUT PLUMBING
• TUB OR SHOWER PAN
• GAS TEST
• WATER HEATER
• SOLAR WATER
n FINAL
SPECIAL INSTRUCTIONS.
Ready For Inspection • Monday
•AM DPM
• Tuesday Wednesday • Thursday • Friday