HomeMy WebLinkAbout2891 Lancaster Rd; ; 83-12-220; PermitIE
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D I hereby affirm Illa! I am llc11ns11d under
provlalons of Chapter 9 {commencing with
Section 7D001 of Division 3 of tile Business
and Professions Coda, and my II cense is ; n
full for2''Y'°i eJ~ B-1 lie No_ _ -· ·-___ Class ___ ·-
l hereby affirm that I am exempt 1rom the Cont-rac-
Tor' s license Law for the following reason {Set. 7031. 5
Busin~s and frotessions Gode: Any city or c.oun.ty wtiir;:h re-Q.uir-es a. permit to constrncf. alter. improve. demolish, or
repair any structure. prior to its issuan,ce also requires the ap-plicant for such petmit t-c file a sig:necl statement that he is
tic:ensed pur$uant 10 the prnvislomi of n,e Contractor's license Law ((::ti.apter 9 commencing wilh Section 7000 01
Division-3 of the 8usine-s:s and Professions Code) or that i:s e~· empr therefrom and tt.ie baisis for the allege~ exemptiol'l'. Any
1Jiolabon or Section 7031,5 Dy an applicant for a perrnft sub-
jects the appllcan! to a civtl penalty of not mo.-e ,tian five hun· dred dollars \S5001.
::J I, as owner o11ht: property-_ or my employees with wages
as their scile compen-s.ation, will do the work. and the stru;c•
ture is na.t intended or offered for sale (Sec. 7044. Business
and Professions Code: The Contractor's License Law does
not al)lllj to an owner of property who builds "' improves
ther,mn and who does such work himself or through :his awn
employ<!es_ provided thal such improvem"11ts are nol intend· ed Of ottered for sale. lf. hcwever, the building or 1mpnwe-
ment is soll1 within one year of completiOn. the owner~builder will have tho burdon DI proving that he did not b<Jild or im·
prove lor u,e purpose of ,~e).
U I, as owner of !he propertj, am excluSivety contracting
with licensed contr2ciors to con,truct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense
Law does not apply to an owner of property who builds cir im-p raves thereon, and who co11tracts for each projects with iJ cantractor(s) license pu,rst1ant to the Cc:mtractor's Ucen-s.e Law)_
D As a homeowner I am improving my home, and ltle follow-ing conditions e.x.Lst:
1, The work is being performed prior lo sate. 2. I have-lived in my home for twelve monith.s prior to completion of this work.
3. I have not claimed this exemption during the last three years.
□ I hereby affirm lhat I hawe a cert1hcale of consenl
to se-lf-insure. or a cert1hc.ate of Workers·
COm,pensahon 1nsurance, or a cer1il1ed copy 1he-reof
(Sec 3800. Labor Codef.
POLICYNO ~W!? 265 9 2 50
coMP-.NY F_j,_.r_~men 1 _s _f_und
O Copy •s filed w1~r, the c1ty.
□ Cert1t,ed copy 1s 1leretiy fum,shed
CERT1F1c-.u_ OF EXEMPTION FROM
WORKERS' COMPENSl>.TION INSURA.NCE
(This section need not be compteted. 1f the permrt
1s for one hundred doll.a-rs (S HX>l or less)
O I ce.rt,ty that 1n. the performance of the worl\ for
which lh1s penn1t ,:s, issued. I shall r10t emplo~ a.n-y
person 1n any manner so .as to become s-ubiec• to
the Wofke,rs· Compensation Laws of Ca1ilorrua
NOTICE TO APPLICANT 11. after makin1 this Cem-
llc.ale o1 Exemption, you should become sub1ec1 t-:i
the Workers' CompensaHon provisions at the Labor
Code-, you mus, torthw,1h comply with such
pro1i11s1ol"ls or 1h1s permit shall be deemed revo-ke-d
O • lle'l'"etl'j affirm rhat there is a cons1r1Jc1ton
1end1ng aoency tor the perlo,mance of the woni. tor
vvh1ch lhis perm,, IS IS'Suecl (5eC 3097. C1v1I Codei
Lenoe,,Name rrn j on Bank
LendersM<lress 525 11 B II St•
san Diego, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 1619) 438-5525 APPLICATION & PERMIT
JOit ADDRESS
•2:S-91 Laricaster.·Rd.
OWNER'S NAMF
TREETOPS UNLIMITED
OWNER'S MAILING AOORESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1-0-# BLOG USE CODE
3900 Harnev Street/San Dieao. CA 92110 3900 Harnev St./san Dieao 272686 Res L2'.?q BL~CI( • ic~~~r-a H.:f.1T_!fSOR PARCEL N?-':l'rac_t: ?17 DESIGNER ' .. . • LICENSE#-STANDARD PLAN# BU'.U>ING s;. F~GE
t-o-='e~=. 1,,.... •fi=.T.J.Pti...,..,...~"""'t"'mt= .. ~1-.1-y_A_t_t_a_c..._h_e_d---'--~.,...------"--...;."""Lorimar&Ca~e c~Q037 / 32, ~, '::I ... i;:: ""o""E'"'s""1~G'"N_E __ R""'"'"S_A_O_D ... R ..... E"'"SS.,.._;.__..,.. ___ ,.._.-""'"'-.,-----f-OE-S.,.I_G_N_E_.R_"S ... · ... P_H_O_N_ ... E-➔-----... 1-,,,. ... _ .. ----... =--~-.-'-,-=~--= ..... ---''-----~ t--------------------------"---------'-1
2 Plexes l'-1 . '-'.ID_·,.,~ oD. 3344 :4th Avenue, :san: bieac 291-0660 --""-~=-==='-------··--·-·-:_:_ __ u~!_~~2J-L_~:.-l..~~~-.,.:__..c-':.:..:~r---:F~/;:'P---;F~L-:R~E':'L~E~V;-_r"""'---r-~N~O~~~o:::c:;c~G~P:--,--:E;D;:U~-1
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CENSUS TRACT
' hlOR~ ,,.. YM NO 8Ji:[ 2...
TYPE
CONST
X-3 I
OCC LOAO
c,/-41 I PARK I NG SPACE I RES UN ITS I
12 8 47 I
GRADING f'.ERMIT ISSUED
y.)6-N 0 I REDEVELOPMENT
AREA
vQ N'OO VA/ <. IC
FIRESPR
vO ,.Ii( Not Valid Unlt!Ss Machine Certified
QTY. PLUMBING PERMIT -lSSUE 7.5't) QTY_ MECHANICAL PERMIT· ISSUE ( .Q D SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP ____ _ ______ ···-+----'",.--!;f_,._--'s,,___· _-O'--='Z)'-+--+--IN_S_TA_L L_FU_R_N ___ D_U_C_T_S _iJ_P_T_D_l_00_.D_0_0_B_T_U___ J? 6 l) BUILDING PERMIT 01-00-00·8220
EACH BUILDING SEWER __ r·---_f _·._:--:;::_c;;~,0'=¼) __ +---_ _ _ OVER 100.000 BTU S_IG_N_P_ER_M_I_T _____ ·--~~~0-822_!__ ~-_ ---~-~--,
EACH WATER HEATER AND/OR VENT ,~: :::, u BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806 / 9 / '_5' >---+-------------------------___ I cz? -iO _,, BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01·00·00·6222 IJ.J./--EACH GAS SYSTEM I TO 4 OUTLETS
METAL FIREPLACE .Z O O ELECTRICAL 01-00-00-8223 ~ -
V-EN_T_F_A_N_S_I N-G-LE D U-C-T ---------+---,._,_f_._ --=0=-0--=-ir---M-EC-H-AN_I_CA_L__ -_-----0-1--00---00--8-2-24--I---/ b -EACH GAS SYSTEM~ OR MORE ,----,..------------·---·
EACH !NSTAI. .. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER MECH EXHAUST -HOODlOUCTS MOBILEHOME OHl0·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP t---+---·-.. --------
EACH ROOF DRAIN (INSI0EI --···------·-+------~----'--~~~~'77-:~~----~---'----------~S~OLA~R_ TDTI.L MECHANICAL
OHJ0-00-8226
STRONG MOTION / t . O 2 ---FIRE SPRINKLERS
80·92-33-0519
01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY_ SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
_··_--_-_·_· ~3~2·00=-00·8923 -/-/ "? $__. 0 l'.i
c; (j() >---+------------------·-~--~~-------+----------~ --------------------------ti--------· ---------I
1----+-_N_EW_C_O_N_S_T_E~ ~~P_S_W_T_.'B_K_R ___ /,_u~-"_0 __ -+-_.5{~_.:::.-·-__ -Q?:J.-H-----+-C_OL_L_E_CT_O_R_S ____________ --+-------fl---S_C_H--'-0-'-0L_FEE ·_O_IS_T_RI_C_T ________ -+----
1 PH 3 PH ________ _,_ _____ .
EXIST BLOG EA AMPISWT!BKR t---+------------·------JPH
STORAGE TANKS Carlsbad -1-------------------+-------11--------·
AOC K STORAGE Encinitas ---·--·-·-+--------------------+-------•1-----
BD-92-21-0519 ----11------
80·92·22·0519 ----------
1 PH PUMP San Oiegui!o --------+----------¼----+------------------+-------~I-----.!!._ ___ _ 80·92·23-0519 -~----------------+-·---------1
1-----+--~_:_:;_~o_\_\_·-~_L-::_;-o_:-::_\_--M_~_~~~ ~1 ~-:-~-IT_ ~~ ~ ~=-----=---= =---· : 0"'~~ ---~----:_-_-_-_-_-_-_-_-_-_-___ -,-11-•--_-·_· ~S=an __ M_. __ arc_o_s ____ ==========B_0~_9_2·_2_4·_0_5~_9_1-,._-==-----::_-::_-::_-::._-. _____ _,
--~-;:_~_:_~~::A~CY-l~~A_YS) ---~-~---------~ ~ ,._ 1,,,-' ---·--·--.-~~~~~~~~~~~~~~~~~~~~~~~~~:~~~~--:::::::::_·--I
TOTAL ELECTRICAL
-1
! 3 o.
___ _,,_ __ ---·-__ _j_ _____________ . --·---~---------.----.--·
TOTAL SOLAR TOTAL FEES PAYABLE I I HAVE~FUl.lY ~AMl~EOTHE COMPLETI:D "AJ>PUCATiciN ANri"Je~;.irt·· '~ND 'ha HERESY c:'!::.i~.~:iry.rrj~~::i ~t==~~?::~~r11:Zr:r::~"!t!~--·
CERTiFY UN DER PENALTY OF PERJURY THAT Ii.LL INFORMATION HEREON .1 NCLIJOING THE autllonzed by such permtt is not commanoed•.,,;tt,m 1 ao d9ys from tne dal9.of su,;11
OEOLARA TIONS ARI: TRUE-ANO CORRECT ANO I Fllf!THER CERTIFY AND AGREE IF A PERMIT IS. permit, or if tile building or_ wo~aulllorizad oy. tucll · permit is upended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANo·sr-.TE LAWS GOVERNING BUILOiNG CON'. abandoned at env 1111141 aft&r -i$-con,iMnc:ed fo; a -riocJ of 180 ......... · -
. STRUCTION, WHETHER SPECIFIED HEREIN.OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND p z~• z;v · · □· · ·. . 0 J<EEP. HAAMLESS THE Cm'•OF CARLSBAD AGAINST ALL LIA81LITJES, JUDGMENTS, COSTS AND ·· AP_ ~l.,.A .. T'S I_GNATIJR<.lf, ... , -. . , , .O\\'.NER . , -~TRACTOR .
EXPENSES WHICH MAY IN 'ANY WAY ACCRUE AGAINS'fsArD CiTY IN CONSEQUENCE Oi= THE -. BY PHONE □
GRANTING OFTHIS PERMlT_ . ~ I--,,.._
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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
x~-1;2.--d-cW
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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