HomeMy WebLinkAbout2885 Lancaster Rd; ; 83-12-223; Permit.., z 0 ~ a: :5 0 Ill Cl
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O I hereb~ atflrm that I am licensed under
provl1lons of Chapter 9 (commencing with
Section 7000) ol DMslon 3 of the Business
and Professions Code, and my license is ;n
~~~1!:•~~~-Class_ B-1
I hereby affirm that I am -exempt from the contrae-
lor' s License Law tor lhe !cllowing reason (S.c. 7031.5
Business and Professions Code: Any city or county Which re-
quires a permit to construct. aJler. improve, demolish, Of repair any structure. prior to its issuance also !f'equires the ap~
plitanl for such permit to file a signed statement th.at he is licensed pursuant to the p,rov1sions of the Contr.actCJ(s
License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Busrness and Professions Co!le) or that is ex·
e~pt the(efro,r, and the basis for the alleged exemption. Any violation 01 Secbon 7031.5 by an apphtarit for a permit sub-
jects the applicant to a CJ\lil penalty of not more than five htJll• dred dolla,s [S500)
L I, as owner ot the property, o, my employees with wages
as their sole c,ompensatio11, wm do the work. and the struc;-tur-e is not intended or oftered f.or sale (Set_ 7044. Business
.and Professions Code: Tt1e Contractor's license Law doe!;
not apply to en ownef of property who builds ,or impmws
thereon and who clcles such work himself or lhrcugh his own ,empltyyees. r;,mW'idecl that such improvements are not intend• ed or ofleied "" sale. If, however, the buik>ng or improve-ment is sold within one year of ,completion, tht owner• buik.ier
will have the burden of proving thal he did not build or im• prove !er the P"•pose of sale).
:::J I, as owner ot the property, am exclusively contracliog
wnh licenseo contractors 10 construct !he project (Sec. 7044,
Business a.net Professions Code: The Contractor's License Law does not apply to an -owner 01 pro,perty who builds ar im-proves there-on, and whio contracts for each projects with a
c.ontractor(s) license pursuant 10. the Conrractor·s License Law).
:J As a homeowner I arn improving my h-ome, and 1h-e fo11ow-
ing conditions exist 1. The-w,ork is being pertormed prio-r to sale_
2. I have live-cl in my home for twelve months prior 10 completion o1 this work_
3. I nave not claimed ltiis exemplion during tho last three years.
□ I am oxempr un<ler Sec. ______ • e & P c. for this fe.a.son ___________ _
D I hereby affirm lhat I ha·11e a cen1f1cate of consent to self-insure. 04' a certihcate at WOtkers·
C,c,mpensat10,, lr,suranc:e, Oil' a cen,11ed copy !hereof
(Sec 3800. Labo• Code1.
POLICYNO KWP __ 265 9.2 50
coMPANV -Firemen-' s. Fund
□ Copy IS tiled wilh the city.
□ Cer1ifIed copy ts hereby 1u'l'n,shed
CERTIFICATE. OF EXEMPTION FAOM WORKERS' COMPEi-;SATION 1i,;suRANCE
(This section need nor be completed 1t lhe permit
•S tor one nundrecl aollars !1100) or less)
O 1 certify th.a.I m me performance ot the 111ork to,
which trus perrrr1t rs issued, I shall not employ any
person ,n any manner so as to become sutJ1ect to lhe Wo~ers · Compen:sa.t ion Laws of Cal ,fotma
i-;OTICE TO APPLICANT· If, alter rnakm;i th,s Cen,-
hcate of Exemphon, ~ou stiould become s.ubtect t0
Lhe Workers· Compensation provisions o1 lhe Labor
Code. you must 1orthw1th comply w1It'i such
prov,s,ol"'l:S. or U11s perm1I shall be deemed revoked
O I hereby aft1fm 1hat trie,e 1s a cons!ruc,1O,.,
lending agency to, t'1:e perlormanc.e o~ ll'le wonc for
wn1ch Jh15 pe,mI1 Is 1S.Sf..led (Sec .3097, C1v1I Code)
Londe(sName Unj an Bank
Len<lefs AOClress 5? 5 "B II St•
San Diego,CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
..
APfLICATION & PERMIT
JOB ADDf\ESS ,· ~ -.. .,. _. _:~.~:1 ~?;IJJJI~ ~: !'JUSINE$s_."-LICENSE # VALUATION PERMIT~ _.,! ., •,"'
Lancaster ::euur·n --G -1-0t ·288'5 'Rd~-.. .... ,. ·1-110"---• •. '.:I
OWN);R'S NAME· .. I -• . . .,. 1;wo.iEfl's.11_HONE .. •• CONTRACT0".1:. -,. _ C9Ntl'l!'c._T~.RS ~QNE It_, ZONE ~~_,(V , .. '· '" --c~. -~"" ~. -,.,... ... '"
TREETOPS UNLIMITED PACIFIC SCENE +. 299.;.5100 299-5100 . INC: •. " . , . I
OWNER'S MAILING ADDRESS CONTRACTOR'S ADORES$ -· ~ ,,.., LICENSE NO. PLAN 1.0. # BLOG USE CODE
3900 Harney Street/San Diego, CA 92110 3900 Harney 5-t. /San Diegc 27268'6 J?e:J 't23I BLOC~ ~U'fllVISION 'H~ff~SSOfl PAFIC~L N,ract_ 81-47 DESIGNER LICENSE# STANDARD PLAN # BUILDING SQ. F09TAG£ a avera Lorirnar & c ... ... ~ ', .. -C~90'37: ft,,,/,/ ¢
QEf1ngTeFfam11 y • ase Attached DE.SIGN!clfS .ADDA ES5: -----·, ... .OESIGNER'"S PHONE-. :l j_= ·--~c~ :~.:. -. -
---11.-i-u1-·1-.:.-iC,m-
3344 4th Avenue/San· Qiego 291~0_660
1. Pl"'"'""'"' .,,,.,_
,. . .· ,.-.· F/P FLA ELEV. NO OCC GP EDU ... PLAN: 11'' ·.' ._,, STORIES
~-3 ~· t ,·., ·-YD r;.kf ---L i
CENSUS TRACT I GP LANO USE l p;;/gSPACE
AES UNITS I GRA01i,;o ".ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
81-47 KLM I AREA CONST >In vM N D YD N~ VN vD NM Not Va/;d Un/Im Machine Cerrified
QTY. PLUMBING PERMIT· ISSUE 7 So QTY. MECHANICAL PERMIT -ISSUE 7 Cti SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP .--?'7 . <:?J INSTALL FURN. OlJCTS UP TO 100.000 BTU "--/. d ~ BUILDING PERMIT 01-00-00-8220 z:J...L, O..L -----------
EACH BUILDING SEWER __ & __ · S'Zl OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
--t ---·---------·-,>2/C: /S-EACH WATER HEATER ANO/QR VENT l ,;9-:_-SO BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
----------~ -•-N~• ·------·
EACH GAS SYSTEM 1 TO 4 0 UTLETS I ,£ . .;-p BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00·00-8222 '1-t, H.ro --:Z,.,i EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE J.oo ELECTRICAL 01-00-00-8223 --· --·-------------------------~------------·-· --
EACH INSTAI. .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT ~-0() MECHANICAL 01-00-00-8224 jl.J.. ---EACH VACUUM BREAKER MECH EXHAUST -HOQDIDUCTS MOBILEHOME 01-00-00-8225 -------------.. .. ------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ------·--·-----~··------
EACH ROOF DRAIN ! INSIDEi SO~I!__ 01-oo-o0-822L -:--1 _ -----··---·---TOT/;L MECHANICAL --&--/, s I-; STRONG MOTION 80-92-33-0519 --------r--~--L.../'f, -,;-o /'-/. tJ~ -·
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00·82 27 --·--= ----·--· ·---------I /t ~ PUBLIC FACILITIES FEE 32·00-00-8923 ,,,.. ~
QTY. ELECTRICAL PERMIT -ISSUE .:;-, C) u QTY. SOLAR -ISSUE ----·-------~
..&IU!lBE~ '~-J~o,r--->------·-· ------··-·--
NEW CONST EA AMP.'SWT. BK R COLLECTORS SCHOOL FEE -DISTRICT
,
-----·------· . --·~·
1 PH 3 PH .;7C:-.(Tll STORAGE TANKS Carlsbad BD-92-21-0519 f----f--------
EXIST BLOG EA AMPiSWT:BKA I ROCK STORAGE Encinitas 80-92-22-0519 --
-~
---·
l PH 3 PH PUMP A San Dieguilo 80-92-23-0519 ---~---------------·-· ~ -----------·-·
REMO OEL.-'A L TEA PER CIRCUIT ' PLAN CHECK eEE San Marcos 80-92-24-0519 ---------------·---.,_, __ >--·
TEMP POLE 200 AMPS ,i_ ,J" .. ~ ---------------------------------· ... vr -----·---·--
OVER 200 AMPS --· ----1..,----· -----·----------. --·-.,;,,,-·-·-·-
TEMP OCCUPANCY 130 DAYS) ------------·------l ---·----·---------·---· -' -·~---
-----·------·------
TOTAL ELECTRICAL 1 TOTAL SOLAR I I JcJ CJ(} TOTAL FEES PAYABLE /9 '-/CJ.;;_;;.
, HAVE CJ(RE~ut.tY'.EXAMINED THE COMP~Et:ED "APPUCAli&N Ji.ND--~~l,:;, ,;.NO '66 ~~y' . : . e;.;,.1.ition. E..--,i, perll!II 1.-..ied.by theBLli\ding"O"iciat~n.1 ;,,; pn)~-:;,i,l\is .. ,' , .. .'II; ~Qft-lOJQUIIJO_F()fl:~-VATIQN~'.~i
.CER:na' UNOER''e""NALTY OF PERJURY THAT A.LL INFORMA"flQN HER$N iNQLl.iDING THE ' ~ ~hlill expire by liiiill~ton and liecdilill lll)Uln'li void. 11 tl;e'biiild"ohg ot work ;~tr'. -'l'JMD-oB!IOlfTION ORC()NSTI\IJCTl0N OF. -authorized by suc:h permit • ·not C9f"mel'lced. WJlhin ·180 daya. from !he elate oJ sucll DECLARATIONS ARE TRUE AND CORR£CT AND !FURTHER CERTIFY AND AGREE IF A PEf!MIT IS permit, or if the buildi::ft:r work autnori•·l;iY_such penil,it_ia ~ or --. OVER 3 SJOAIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-llbandoned at anv lime the-·is ~for a nariodl>f tao.._ . .,..-. ... I . . I
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TQ SAVE INDEMNIFY. A_ND · APPLIQz=~·• '~ -o~eilO_· . C0NJRACTO$ l9 . ·APPROVED B~~ ~A~ Ki::EP HARMle$$ THE Oll'Y ,OF CARLSBAD AGAINST ALL. LIABILITIES, JUQG"1ENTS, COSTS AN_D .•
EXPENSES WHICH"MAV IN />;NY WAY ACCRUE AGAINST.SAID _CITY IN COll(SEQUENCE OF THE. '" -"· ·,:, ~ -.-·" BY PHQN6U '• ··• GRANTING OF THI$ PERMIT. . e .--.::.......' ; -/ .r -
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INSPECTION TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
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
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
Q'S---f!l..-.-X)-3,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING .
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
I
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PILES CAISSONS
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