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HomeMy WebLinkAbout2874 NANTUCKET LN; ; 83-135-23; PermitUSE. BALL. POINT. PEN ONLY &PRESS HARD - . . . APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 0-1 hereby affirm that lam licensed under 1 .'provislone'of Chaptei 9 '(âOmmenclng with 1 I Section .7000) of Division 3 Of the Business ,l" and Professions Code, and my license is In full force and effect. -- Lic No ..272 88--B1, -/ a. '' "lit - - I hereby. affirm that I am exempt from the. Coatrac- k.. ' - tOr'S License Law for the following reason (Sec. 7031.5 I Business and Professions Code: Any city or county Which re-quires a permit to construct., alter.' improve, demolish, or' f repair any structure. prior Is its issuance also requires Me ap- plicant for such permit to tile a signed statement that he Is - - licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing With Section 7000 of I - flinicinn let the 11-inert and Professions Cods) or that ib nO' i , empl therefrom and the basis for the a11ege0 exemption. Any violation at Section 7031.5 by an applicant for permit sob' I jects the applicant to a civil penalty of not more than live hun' dmed dollars ($500). cc 0.1. as owner Of the properly, or my employees with wages I as their sole compensation, will do the wOrh, and the struc- ture is not intended or offered for sale (Sec. 7044, Business and Professions Code: .The Contractors License Law does I not apply to an owner of properly who builds or improves - thereon and who does such work himself or through his own - ) employees, provided that such improvements are not intend' I UI ... edor offered for sale. ,tt, however, the building or improve-i',,,. - Z went Is sold within one year at completion, the owner-builder Will have the burden of proving that he did not build or !in- I O - prove for the purpose of sate). •------- - p . .0.1. as owner of the property, am exclusively contracting I with licensed contractors to construct the project (Sec. 7044. Business and Professions Code: The Contractor's License - Law does not apply loan owner of properly who builds or im- proves thereon.- and who contracts for each projects with a - U) . contractor(s) license pursuant Is the Contractor's License Z Law). ••...,... -I o - - 0-As a homeowner lam improving my-hame,aod the follow- 4 - iing conditions exist: t '.4. - ''fi ll p 1 - The work is being performed prior to sale. - I. I have lived in my home, for ,twelve months - U - prior to completion of-this work.'. --3 -l-'have not claimed this exemption daring the- last three years. I Of at exempt utide' Sec. - - . 8$ P.0 for this reason . • .. - I 0-i hereby affirm that I have a certificate Of consent ' tO_sell-Insure. or a certificate 01 Workers " Compensation Insurance, or a certified copy thereof (Sec. 3800. Labor Code),....... 4,. •••_; -- • .,e "- -- • I .' Z ;9UCYNO. KWP, 265 -92.- 50 2 "1 COMPANY ' - . - -Firemen !s Fund -Us 0 Copy is tiled with the Cify, a*V,i'i • Z --- -,----------.--. -• -----I- IL 0 Cerlilied copy is hereby furnished ,• CERTIFICATL OF EXEMPTION FROM -: WORKERS COMPENSATION INSURANCE (This section need not be completed 1 the permit I - . is for one hundred dollars 191001 or less) r 'z_ 'Dl ceility that in the performance of the work for I which this permit is issued, I shall not employ any - - '.person in any manner so as to become subject to - the Workers Compensation Laws of California 41 '. 4. .•-- . .. . . .j . •'41 ...". NOTICE TO APPLICANT it. alter making this Coil 1 icate of Exemption. you-should become subject 1' liz., j-tfle'WorkersCompensation provisions 01 the Labor -: - - Code.- -you; mu Ol -'forthwith comply wilh-vSuCh -. - - ) provisions or mis perrnl shall be deemed revoked 41 I - . I 0 I herebyaflirm that there is a construction UI lending agency i, the ôoilorthoncc of the wok fur which this permit is issued lSec 3097, Civil Code) -. ---- Lender's Name _nonBank Ui' i 'LndesAddres55fl T '"SD 'CA""'" 4. _. CARLS BAD-BU ILDPNG DEPARTMENT r 1' APPUCATION&'PERMIT'" 1200 Elm', Carlsbad, California 92008-1989 (619) 438.5525 s JOB ADDRESS ' AV. ST. RD. NEAREST CROSS ST. • - DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER 7R74 Nntnckt T.an - . L.47rOO •• . j2Li_6L83_i• 1710 .. 3• ZONE LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR - CONTRACTORS PHONE Calavora_H!ills_C _82- PacificSCene, _Inc 299-5100 ER'S NAME PLAN I.D. # -. BLDG USE CDDE 0 - - ' CONTRACTOR'S ADDRESS - ' LICENSE NO, -S OWNE?? ILi.1GADDRESS _ 299-5100 3900Hariey_St./SD,-C- 272686. . . - ..... STANDARD PLAN #. BUILDING SO. FOOTAGE DESIGNER LICENSE U _SL,_SD,_CA_92110 L.O.Chrisman/Architect C9239 -_____ . . DESIGNER'S ADDRESS - DCSIONCR'S rIlONE Dp;1x.,: wit4iilot :line - . 9939Hibert St/SD CA r1an-3A 695-3830QLe , - - -TQSP - . -------- _____ - ' F/P FLRELEV. NO OCCGP EDU - STORIES 1537rsq,,ft--.ving59.5 storage Z __ . .. SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT . TYPE 0CC LOAD FIRE SPR -- CENSUS TRACTI-GPLANE5USE-PARKING _--- 'Ole .. j . - " N sO f...2 - YO NO___•- _-vO _ V / AREA YO NK Not Valid Un/ees Machine Certified QTY PLUMBING PERMIT ISSUE OTY MECHANICAL PERMIT ISSUE — SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP.': - INSTALL FURN. DUCTS UPTO100.000 BTU _. -.j BUILDING PERMIT . 01'00'00'8220 EACHB-WLUINGSEWER_-1 - .---_'7._ç , - - _.- _OVER100,000BTU - -.- _•-.... ...-.SIGN PERMIT --------01-0000-8221. ..------ - -i-- 3.C)- EACH WA - BOILER/COMPRESSORUPT03HP -, PLANCHECK --01-00-00-8806 1_L_I-.zc EACH GAS SYSTEM _ITO4OUTLETS"-- BOILER/COMPRESSOR 3-15HP --. TOTALPLUMBING -0l-OOOO-8222 EACH GAS SYSTEM 5 OR MORE '- - -,., _5 METALFIREPLACE _-' -.— - ELECTRICAL . -. - - - . 01-00-00-8223 'EACH INSTAL:, ALTER, REPAIR WATER PIPE - 2..S VENT FAN SINGLE DUCT - - L{, - MECHANICAL 01-00'00'8224 ..EACH VACUUM BREAKER - MECH EXHAUST - HOOD/DUCTS - - - ' - - MOBILEHOME - - 01-00-00-8225 -- - WA-TE1(SOFTNER - - - . - . RELOCATION OF-EA FURNACE/HEATER _- - - -- EACH ROOF DRAIN (INSIDE) - -- ' - . • - ' SOLAR - 01-00-00-8226 . ,r-- - - - - " •- TOTAL MECHANICAL --------- -= . . STRONG MOTION -- - 80-92-33'0519 'TOT.LPLUM8ING '•I - q "q - FIRE SPRINKLERS - 01'00'008227 - - - 1.- - - - ..-- - - • - . PUBLIC FACILITIES FEE - ' 32-00-00-8933 I 2 CZ — QTY. - ELECTRICAL PERMIT - ISSUE -- - OTY. - SOLAR - ISSUE BRIDGE FEE - ---- ------. "-'-' ' -. - - -- . - -'-1.-----. - NEW CONSTEA AMP/SWT'BKR ' '! -- COLLECTORS - - SCHOOL FEE' DISTRICT - - - - - 1 PH 3 PH I STORAGE TANKS () ••\'•'•\ ,MOBILEHOME PARK INSP------- Carlsbad 80-92-21-0519 - EXIST BLDG EA AMPISWTIBKR - ROCK STORAGE -\ - Encinitas - - - - 80-92-22-0519 -- - '-- 3 P , , . . PUMP / ,, ) SanDiegui(o 80-92-23-0519 - REMOOELALTER'tjPER CIRCUIT . -' ' - . PLAN CHECK FEE - - / .r"& - 7 San Marcos 80'92-24-0519 - - TE,4PPOLE__i200 _AMPS LICENSE TAX O1-OO-OO-8162 - .TEMP OCCUPANCY,,(30DAYS). _____-- -•.., -_. _- ,,, a'.-._- -. . .. - ... • - - - - . - -- -- ______---.--.- ,•- y.__-. __,. _- _.. CREDIT DEPOSIT _______.L2_C3_S -- TOTAL ELECTRICAL - — TOTAL SOLR TOTAL FEESPAYABLE I HAVE CAREFULLY EXAMINED THE COMPCETED "APPLICATION AND PERMIT' AND DO HEREBY Expiation. Every permit iasued by the Buildinq Official unde the prnvisiñfls of fhio * AN OS IT IS HEQUIRED FOR EXCAVATIONS OVER CERTIFY NDEFI PENALTVOF PERJURY THAT ALL' INI-UHMAIION HEREO'J INCLUDUG THE Cude authorize5bBoPrmhbY limitation and become null and void If the building or work 50" of such EP )AD DEMOLITION OR CONSTRUCTION OF ithin 5rr ys from DECLARATIONS ARE.TRUE AI-10 CORRECT AND I FURTHER CERTIFY AND AGREE IF -A:PERM IT Is permit, or I z: by such TO WITH ALLCOUNTY AND STATE LAWS GOVERNING CON :uoeenr STRUC S OVER 3 STORIES IN HEIGHT - ISSUED: COMPLY -CITY: -BUILDING abandonedatany _-__e after the _I_ commenced for e period STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TOi SAVEJNDEMNIFY AND. APPLICANT'S Slark ~TURE W' OWNERO of180 davit --_- APPROVED CONTRACTOR 0 C KEEP HARMLESS,THE CITY OF-CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS,'COSTS AND EXPENSES WI-f ICHMAY IN ANYWAYACCRUE AGAINST SAIDCITYIN'CONSEOUENCE OF THE - - -,_-- - -. - - - -- -- -. - -GRANTING OF THIS PERMIT._____ii4•______________.-v ___BYPHONE I FA 4F FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES REQ. IF INSPECTORS DATE . - INSPECTION CHECKED APPROVAL .E 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 -. . . .- . . . TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0 ROOF 09 SHARj FRAME ''r EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BLICO DIPUCO UNDERGROUND . WASTE 0 WATER_ TOP OUT 0 WASTE 0 WATER TUB AND SHOWER PAN GAS TEST WATER HEATER 0 SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND DiUFFER ROUGH ELECTRIC ( ELECTRIC SERVICE 0 TEMPRARY BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT — AIRCOND.SYSTEMS Vi VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. FINAL . 1 I PLUMBING. ELECTRICAL MECHANICAL GAS. BUILDING SPECIAL CONDITIONS