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Home My WebLink About2803 FOREST VIEW WAY; ; 80-513-A; PermitU> z 0 ~ "' .. -' :al Q ~ I hereb~ affirm that I am licensed under ~ provisions of Chapter 9 (commencing with >-l S.Ctlon 7000) of Division 3 of the Business ~ and Professions Cod.a, and my license is in a: full force and effect. A ~ lie Nu -~-Of'(.,_ Cla5; . l "' .. Q -' 5 ~ .. z ~ 0 z 0 " ~ z .. .. :,; 0 u "' "' w " "' ~ ' I[ I hereby at!mn that I am eKempt lrom the Con \.ro~o~·~~;7i;:: ~; ~~1~:,1i~~~er8t~~~,\~r county wh,ch requires a perm,t to construct iilller. improve, demolish. 01 repa1r any structure prior to its issuance also requires the apphcant to, such perm1t to Me a signed statement that he ,s licensed pursua.nt to the prov1smns of the Con- tractor's License Law (Chapter 9 commenctng with Section 700CI of O,v,smn 3 of the Business and Pro tess,ons Code) or that ,s exempt therefrom and the ti,as,s tor the ,1.lleged e~empt,on Any v1olat1on of Section 7031 5 by an applicant lor a perm,t subJects me appilcant 10 a civil penalty ot not more than t,ve hundrf!d clollars ($50()) D I, as owner ot the property, or my employees w,th wages as the,r sole compensat•on, w,11 do the worlt, and the structure ,snot ,n1ended or olfered for sale (Sec 7044, Busmess and Proless,oris Code The Contractor's License Law does not apply to an owne, of property who builds or improves thereon and who does such wort( himself or through h,s own employees, provided that such ,mprovemee'ltS are not m1ende-:l or offered for sale. 11, however. the buoldong or ,mprovement 1s sold w,thm one year of completion, the owner-builder will have the burden ot provong that he d•d not build or improve !or the purpose of sale) CJ I, as owner of the property. am exclus,vely contractong w,th hcensed cont,actors to construct the pm1ect (5ec 7044. Busmess and Pro!ess,ons Gode The Contractor·s L,cense Law does not apply to an owner of property who budds or 1mpmves thereon. and who contracts for each proJects w,1h a contractor1s) hcense pursuant to the Contractor's License Law) D I am exempt under Sec tor th,s reason , B & PC D I hereby ar1,rm that I have a cen,t,cate of consent to self-insure, or a cert1f1cate of Workers Gompensalron Insurance, or a cert,!,ed copy thereof (Sec 3800. Labor Code) POucvNo St. Co ~~t.> 105---6 COMPAN' S.o:A>,""""~t ""1~ '(,,:, ~PY IS hied w,th the c,ty "'aJ Certd1ed copy ,s hereby furnished (:1, H CERTIFICATE:. OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need not be completed ,! the perm,! 1s tor one hundred dollars ($100) or less) D I cert,ty that ,n the performance of the worl< to, wh1ch this permit 1s rssued. I <ihall not employ any person 1n any manner so as to become sub1ect 10 the Worl<ers· Compensa1,on Laws of Cal1fom1a NOTICE TO APPLICANT 11. alter makin;i th,s Cert, hcate of Exemption. you should become subJecl !') the Worl<ers· COmpensat,on prov,s,ons of the Labor Code. you must !orthw1th comply w,th such prov,s,ons or th,s perm,1 shall be deemed revoked D I hereby af1,rm tha! the,e ,s a conslruct,or, 1end1ng agency tor the performance o! the worl< lor which this permit ,s ,ssued (Sec ]097 C,vil Codei Lenders Name ___________ ~ Lender's Address ----------- USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 I, , . JOB ADORES ~~--:. :~·~ ·-~ T1 .,IC"""-C..,-lh-~ ·~~T,2~;:c;;;N1 BUSINESS LICENSE # 1~TC6 PERMIT NUMBER -A I"---.._ /1J ,.,.,I,,,, 11~ ' <lo-J/3-,4-iNER'S N: E OWNEIJ'S PHONE ~ IME C°ITRACTOR ' CONTRACTORS PHONE t ZONE _u -. ,,. ( ~ ... C"'C"-' --' ~r,..-n,, U-=~-< LI,,:;. L .... ,.,, OWNER'S MAILING ADDRESS '--. .81 NTRACTOA'S ADDRESS LICENSE NO. p~J-s;J 4 BLOG USE CODE 3"'lll Sorr(."*°' uo..ll~" i?l 11of. ~ gqll Sor~,.j.0 11-1/-.. 0 ·-_B ,1;1 I BLOCK 1 SU801VISION I ASSESSOR PARCEL NO. ' DESIGNER . STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE DESCRIPTION OF WORK ......1.. ~".-~ C.~l( <S pr~ """---; ... ,, ; DESIGNER'S ADDRESS DESIGNER'S PHONE 4"?,(#0 --··:~ .c~ ·""' ...... ·...., r. ·J.../1.c. J -r-s~o f?u.1¥2.iu O~J, $,/,.Ao( 6--q_ ';:l-1 't f"l( ~ ... ~ _; 1) _ _:;..;. u, F LR ELEV NO OCC GP EDU 7 /rJ//~ i ;,,i~;~/ • ~ I_,,·~ I.:...,.;.,. t'out+-(..i..,;. •. .i.J. ,.,.:.-.. STORIES fl . 11,:.:.r,.., : I'._// vD NO "4. --' c. I . ·' CENSUS TRACT ! GP LAND USE PARKING SP AUE RES UNITS GRADING ~EAMIT ISSUED I REDEVELOPMENT TYPE ace LOAO FIRE SPA AREA CONST YD ND YO NO YO ND Not Valid Unless ~chine Certified QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER . I. 1 ~t~ EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT r-,--. EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT t1 _;~ ·---r----:--• -. -7~5( ~..; EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK - EACH GAS SYSTEM 1 TO 4 OUTLETS 801LER/C0~!:_RESS0R 3-15 HP TOTAL PLUMBING --·-- EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL ·-·--· ----- --------. --1----·----· EACH INST Al., ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL --- EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME -~--· ------------I------.-~ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ---~ --- , EACH ROOF DRAIN {INSIDE) SOLAR -------· - - j ---TOT.t.l MECHANICAL STRONG MOTION ------r--·-:· ------. ------ TOTAL PLUMBING FIRE SPRINKLERS ·-·------ PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE -----·--··----· BRIDGE FEE -------·--- NEW CONST EA AMP/SWT·BKR COLLECTORS SCHOOL FEE· DISTRICT --------------------- I PH J PH STORAGE TANKS Carlsbad ~ ~. EXIST BLDG EA AMPiSWTiSKR ROCK STORAGE Encinitas ------- I PH J PH PUMP San D~~--------- -r----------I-------------- REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos -------. ----. ·--.. -----~-------·---~ ----1---·---I TEMPPOLE 200 AMPS ~. - --------------/----..__ ___ --I----- OVER 200 AMPS . - ---------·--~-~·-------------·-· -- TEMP OCCUPANCY BO DAYSI ,_ ~ - ------------1-----. -~------. -·------------. -. ----~ .. -? 1-L_ __ 1 --------·-. --·· TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I 7?;; .,_:: ! I HAVE CAREFULLY EXAMINEO THE COMPLETED '·APPLICATIOrt AND PERMIT" ANO OOHERE&Y Expiration. Every permit iseu&d by the Building Official under the provisions of this * AN OISHI\ PERMIT IS REQUIRED FOR EXCAVATtONS OYER CERTIFY UNDER PENAL TY OF PERJURY THAT AU. INFORMATION ,t,fEREON INCLUDING THE Code &hall expire by limitation and become null and void. It the building or work -5' O" DEEP ANO DE:MOLITION Oft CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERtlFY ANO~(iftEE IF A PERMIT1S auth(N'iHcl by such permit is not commenced within 180 days from the dale of such STRUCTURES OVER 3 STORtES IN HEIGHT s,errniL (N' if the t>uildi!.'ft or work authorized by such permit is suspended or 1SSU$,: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING,~-abandoned at an" time er~ work is commenced for.--·oo of 180 d-··-. STA TION, WHETHER SPECIFIED HEREIN OR NOT. I AlSO AUREE TO SAVE INOEMN1FY ANO APPLICANT'S SIGNATURE • OWNER O CONTAACTOR 0 AP, OVED BY GJJ. 7:J-81 1o/-n/&,; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~~~,lf.ONEO GRANTING OF THIS PERMIT. C " A . • I . , .3! U: "' ~ 0 0. E ID ,.. D 0 CJ C "' g C. ~ "" r1 "' C a: 0 00 00 ID 00 00 .,: I ~ 2 ,; >- "' 00 ID u 0 0: "' " 0 ~ ID u C "' C u: C ID i" CJ 0 0 ID 0. 00 C ~ .c s: INSPECTION TYPE DATE INSPECTOR 80-s-13,-A-BUILDING FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTOR'S INSPECTION REQ IF DATE . ' MASONRY CHECKED APPROVAL --··---. --. GUNITE OR GROUT SOILS COMPLtANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI . PRES TRESSED EXTERIOR LATH INSULATION CONCRETE ---INTERIOR LATH & DRYWALL· POST TENSIONED CONCRETE PLUMBING FIELD WELDING - SEWER AND BL/CO HIGH STRENGTH BOLTS PLUMBING UNDERGROUND --------------------- PLUMBING TOP OUT SPECIAL MASONRY TUB AND SHOWER PAN ' GAS TEST PILES CAISSONS ELECTRICAL TEMPORARY POWER ------- ELECTRIC UNDERGROUND ___ _, ROUGH ELECTRIC ELECTRIC SERVICE -BONDING ---- G. F. I. -SMOKE DETECTOR MECHANICAL ------ 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 - ELECTRICAL -7/ .· MECHANICAL I'/),' :w --------~------ GAS /Ir/ / -. BUILDING I ' ~ ·---- SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED - INTERDEPARTMENTAL INFORMATION SHEET . BUILDING DEPARTMENT WE6EIVEB ADDRESS: ~ '/,,J°"zJ '&~ /~·---JUN!41981 ~ BUILDING PLANNING DEPARTMENT UNITS ALLOWED UNITS PROVIDED \ PARKING SP AC E_S_R_E_Q_U_I_R_E_D ___ rJ_· -+rz--PROV I_D_E_D===+h--+-..,.,_/-J ._-..,.-_-_-_-_-_-_-_-_-_-_-_-_-_-_- t COVERAGE ALLOWED tJ'i PROVIDED l/~ ------------------------ BU IL DING HEIGHT ALLOWED PROVIDED ----------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED fj PROVIDED======~===ii--===== INTRUSIONS oft LANDSCAPE & IRRIGATION PLAN COMMENTS: /. v.J. a / ENVIRONM ENT AL PROTECTION REQ: ~~~X&..lt.=l:A}Vt ___ ~f--+-{ ______________ _ ENGINEERING R.O.W. INDUSTRIAL WASTE IMPROVEMENTS _______ _ I SEWER CONNECTION .13"1){/.S DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT LEGAL DESCRIPTION _________ ~,,,.__-+--+---...-=:------------~ OK TO FINAL DATE ------------ FIRE DEPARTMENT SPFi t;KLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION-----------------~ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WAT ER DEPARTMENT ... REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _____ ~,._.._ ___ 1-- 3 o. Sf 3