HomeMy WebLinkAbout2888 Lancaster Rd; ; 83-12-226; Permit.,, z 0 s :5 0
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, USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
D I hereby efflrm that I am licensed under
provlalona of Chapter 9 (commencing wllh
Section 7000) of Division 3 or the Business
and Professions Code, and my license is in
full force artd eff~•-
L,c No 212 6 6 f.l•ss _...B..:::.l_
I hereby alfirm lhat I am exempt from the C:ontrac-
tor·s License Law IDf l:he ID'IIDWing reasoo (Sec i0:31.5
B-usmess and Profess.ions Code: Any city Gr county whic.t:. re-quints a permit to c:on-stru-ct, a1ter. improve. demolish or
repaif any struc[u~e. prior to its issuance ais-o requires ?heap-plicant fer sucti permit to file a siQned statement that he is
ric:ense(I purs'-lant !o the prov1sion:s of the Conlracoor · s L1cef'lse Law (Chaple, 9 commencing with Section 7000 of
Division 3 ol lhe B1..1si'1ess arrd Professions CodeJ or Thar is.e;i:-empt lherelrorn a11d the basis tor th.e allegea e)(emp110n. Any
vtolatrnn of Sec11cm 7'031.5 by an applicant tor a permit s.ub· 1ects the-applicant to a civil penalty of Ml morn than fore hun·
drod dollars (S5OO)
I l I, as owner of the pr,op,efty, or my .employ~s with wages
as their sole campe-nsatmn. w-111 do the work, and t'he-struc·
tu-re i:s. nor il'\tended or oflered for sale !Sec. 7044, Busin-ess and Prcfessian$ C('J(le: The Contractor's License Law doe-s
not apply to an owner -cl p,roperty who builds or improves
thereon aml who does sue.ti work himself or through his own employees, provided that such improvements are not intend•
ed -or offered for sale. H. however. the bu-ilding or improve-ment is :sold within one year of tompletian, the owner-bl.lilder
will hi!Vt ltle burden of prOV.ng lhat he did not build or im·
prawe for the purpose of 'Sale).
n I, as -owner of the properly, iilll exclusive~ contracting wrth liteosed ccnrracicrs to coostrocl the projeci {Sec. 7044.
Btasiness and Pfofessions Code: The Contractor's License
Law does not apply ta an owner ol propefl~ wha Duih;ls or im-proves thereon. and who c0-n1racts 1or each projeets wilti a
contrai;;ror(s} litense pursuant to the Con-tractor's License Law).
r1 As a homeowne-r I am improving my h,cim-e. ilnd lfle1allow-
ing conditions exis1: , . The work is being performed prior to sale.
2. I have lived in my home fof twe-lve monlhs. ,prior to comple!ion DI this work.
3. I have not claimed thts exemp1ian during ,he-
taSI three years.
n I am exempl "nder Se<. ______ , B & P.C.
tor lhis reason ------------
0 I hereby afh,m that I r.a·ire a cet11f1cale of con-sen1 to s11tlf,msure. rn a cert,tica1e ol W~ers·
COmpensa11on Insurance. or a c:ert1l1e,tj copy lhereol
(Sec 3800. Labo< Coae1
POLICY NO KWP 2 65 9 2 5 0
coMPANv Fireman I s Fund
□ Copy Is hied with lhe city
0 Cer11hed copy 1s. he,eby turn1s~ed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
n'h1s section neecl nor be CO(r!ple-ted 11 tf'le pefmrt
1s for one hundred doUars (S1(X)) Of less)
0 I certify 1hal 1n tt,e per1ormance of the wort.: lo,
which 1tus permit i-s •ssued, I sl'lall no• employ any
person 1n any manner so as to be(: ome subIec I To the Wol'°kefs' Compensahon Laws ol CiU1lotn1a
NOTICE TO APPUCA~T If_ ~rter makinJ this Gerti
he.ate o1 E11:e-mp11on. 'f'OU stiould become s1.1b1ect t'J
u1-e Workers· Compensation provisions of the Labo, Code. you must tonhw1r., comply w,th -sue.ti
provisions or th,s pefm11 shall be de-erned re~·okea
D 1 nereby aft1rm 1r,a1 I here 1~ a :::.oris1 •uct1ol""'
Iend1ng ~ency 1or the p-P--rform,anc.,e of rtie ~ark Por
which lh1s permit 1s ts.sued 15,ec: 1097 C1~11 COOei
LenoersName UNION BANK 1
Lenoe, s Ad<l•ess 5 2 5 n B II s tree1
San Diego, CA
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QTY.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
AV. ST.RO. NEARESt.CAOSS ST.
Road· Woodstock
81-47'
OWNER'S PHONE
299.;;.'5100
Piego, CA•·
YO N □
.· .·· . ····;!o-•·•···.-. ··+-·-.Ii, .. ·
REDEVELOPMENT
AREA
APPLICATION & PERMIT
TYPE
CONST
R-3 1
OCC LOAO FIRE SPR
PLAN 1,0. #
83-12
STAN OARD PLAN#
PEA!o41T NUMBleR
83-12-226
BLOG USE CODE
SFD
BUILDING SQ. FOOTAGE
1154
VN v □ Ni§ Not Valid Un/gs Machine Cerrified
MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01-00-00-8220
EACH BUILIJING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 --+------------------------------+---·-,---c...--c,..,-
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00·8806
TOTAL PLUMBING EACH GAS SYSTEM I TO 4 0 UT LET~-----t---__ ... .-~...,.-"'4----+--8_0_1 l_E_R_IC_O_M_P_A_E_SS_O_A_J_-_15_H_P ______ -+--~~------------01-00-00-8222
EACH GAS SYSTEM!, 0 R MO RE METAL FIREPLACE ELECTRICAL 01-00·00·8223 ---------+--------,t---+----------E AC H INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ____ ..,._ _________ -··-·
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAl!-J (l"JSIOEI SOLAfL. ------01-00· TOTt.L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING ,oo --------
FIRE SPRINKLERS 01-00-00-8227
ELECTRICAL PERMIT -ISSUE ,!j ,CC QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32· 00· 00·8933 --~ OD
BRIDGE FEE
NST EA AMP'SWT 'BKR COLLECTORS SCHOOL FEE -DISTRICT
3 PH ',.00 STORAGE TANKS Garlsbad 80-92-21-0519
ROCK STORAGE Encinitas 80-92-22-0519
l PH PLJMP / San Oieguito 80-92·23-0519
REMOIJEl ALTfR PEA CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP PO LE ]DO AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI 0
(()TAl El~tlRlf.Al :30,
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I ,.,24!M ('JI.
REINFORCED STEEL I ...
MASONRY I
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING KfROOF fl(j SH~AR _r,,/-4,Pt ,.. e ~'f-
FRAME I 1(,-,·fn,~ ~ It ._.
-'1 EXTERIOR LATH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO □IPUCO I
UNDERGROUND □ WASTE D WATER 'f,l.,~1Yj ~ ('t
TOP OUT ~WASTE &v\jATER C,. Ca•~ ~ rr. ..
TUB AND SHOWER PAN I
GAS TEST I t;: ~), A--1 Cl+-
□ WATER HEATER D SOLAR WATER w
j
ELECTRICAL 1
□ ELECTRIC UNDERGROUND □ IUFFER
ROUGH ELECTRIC I {:-, .,~ ,A4 {2J.t-
D ELECTRIC SERVICE □ TEMPORARY vi
□ BONDING D POOL I
I
I
MECHANICAL I
0 DUCT & PLEM ., □ REF. PIPll';JG (n, '1•54 t.il -HEAT -AIR COND. SYSTEMS I -/1
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
I
PLUMBING I
I
ELECTRICAL I
MECHANICAL I
GAS I
"" BUILDING I~ 1,1Io-~ lli
SPECIAL CONDITIONS v\~:-.
I
~~-\~ .. ~~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
t
SOILS COMPLIANCE ' PRIOR TO
FOUNDATION INSP
-~ STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIC:,H STRENGTH ~
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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