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HomeMy WebLinkAbout2894 FOREST VIEW WAY; ; 85-288; Permitg (3 i s o d o p olU a z o I- s z 8 so oc O o z 111 n I htreby affirm that I am llconaed under provlalona'of Chapter 9 (cc>mmer)olr>g with Section 7000) of CHvlalon 3 of the Bu8Jr>eas ertd Profaaalona Code, and my llcenae la In full force and effect. Lc Class I bertby affirm thai I am exempt fnm the Contrac- lor's Lxsnte Law for the tolowmg reason (Sec. 7031 5 Business and Proteseuns Code Any aty or county wttch re quires a permt to construct, atter. mprove, demoksh, orrepair any structure, prior to its tssuince also requires the ap- pibant for such p«^ to trie a signed statement that he is licaitwd pursuant to the proyieons of the contractor's Licsnu Law (Chapter 9 commencing with Section 7000 ofDrvisMXi 3 of the Business and Professmu (^o^j or that is exempt therefrom and the basis for the ahe^ exempfion Any vionhon of Section 7031.5 by an applicant lor a permit sub- lects the apptont to a era] ptnafty of not more than five hun dred dollars (WOO). " . . □ 1. as cnvner of the property, or my employees with wagesas ther sole compensation, will do the work, and the structure Is not Inlanded or offered for sals (Sec 7044, Businessand Professions Code* The Contractor's Lcarrea Law doesnot apply to an owner of property who'buitds or iinpnMstljereon and vrho does such work htmsaff or through his own■employees, prwided that such Improwmants are oof ortend-ed QT'Offered lor sale. If. however, the bulduig or nprm-ment a sold within one year of completion, the owner-buiklerwiO have the burden of proving that ha M not buU or improve for the ptjpose of sals). □ I. as owner of the property, am exdusMy contractingwith licensed corknctors to cortstruct the project (Sec. 7044,Buslness'and Professixts Code Ttts Contractor'e UcenseLaw does not apply to an owner of property who burids or vo-prwss thereon, and who contracts tor each propcts with acontractorts) Ucense purmaul to the Confractor's UcenseLaw). □ Asahomeownar lamimprovingmyhome, andlhefolfow-vig contitons exst-1. The work b bang performed pnor to sate2. I have kved in ny home ror twelvt monthspnor to completwn a ttia work.3. I hwe not daenad this exemptkw durmg thelast thrse years 84 P.O.□ lamocemptundarSec.. c for tba reason n I hereby affirm thai I have a certificate of corrMnt to self-rnsure. or a cenificale' of Workers'•CompensatKXi Insurance, or a ceriified copy thereof(Sec 3000. Labor Code) POUCYhIO • COMPANY ' n Copy t% filed with the city Q Ceriified copy re hereby furnished CERTlFICATt OF EXEMPTTON FROMWORKERS' COMPENSATION INSURANCE(This eeclion need r>ot be compieled if the permiiIS lor or>e hundred dolLars (SIOO) or less) Q I certify ttiat in the performance of the work foxwhich this permit is issued, 1 shall r>ol employ any person m any manner so as to tMCome subfect tothe Workers' Compensation Laws of California NOTICE TO APPLICANT,If. after making this Ceriificote of Exemption, you should become sutitecl tothe Workers' CompensafKXi provisions of the LaborCode, you must forthwrth comply with suchprovieions or this permrt shall be deemed revoked O I heretjy affirm that there is a constructionlendirig agency for the performance of the work for which this permit is issued (Sec 3097. Civil Codei LefKler's Name ; ' Lender's Address . USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT1200 Bm, Carlsbad, CalUofnia 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB ADDREgS^AV. ST.HD. NEAREST CROSS ST. L'tfr ^ASSESSOR PARCEL NO 0WNER3^ME y " r ' OWNER'S PHONE rMAilkic D'C kJAi i lAi/-! ArM-iaec?c?OWNER'S MAILING ADORES ■1- CENSUS TRACT QTY. GP LAND USE PARKING SPACE PLUMBING PERMIT - ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM -1 TO 4-OUTLETS EACH GAS SYSTEM.b OR MORE . EACH INSTAL , ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) RES UNITS DATE OF APPLICATION BUSINESS UFCf^-3 61L CONTRACTOR n-i xyy\ CONTRACTOR'S AODR DESIGNeR'S ADDRESS F/P - FLR ELEV. yD nD GRADING PERUrr ISSUED TD N □ TOTAL PLbMBING QTY.ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT.'BKR 1 PH 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH 3 PH REMGDEL.'ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 OAYSI TOTAL ELECTRICAL QTY. REDEVELOPMENT AREA yD nD MECHANICAL PERMIT - ISSUE INSTALL TURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-1B HP METAL FIREPLACE VENT FAN SINGLE DUCT HECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL STORIES TYPE CONST QTY.SOLAR - ISSUE , COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR CONTRACTORS PHONE » UCENSE NO. DESIGNER'S PHONE OCC LOAD EDU FIRE SPR yD nO VALUATION ZONE PLAN I.D. # STANDARD PLAN # PERMIT NUMBER BLOG USE CODE ■ BUILMNG SO FOOTAGE Not ViSd Unkss Utchint CtrVhtd SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT PLAN CHECK Uuucrj I I?■ 01-00-00-8B06 TOTAL PLUMBING 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 MOBILEHOME PARK INSP WIAR 01-00-00-8226 STRONG MOTION 80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8933 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 EiKlnltas 80-92-22-0519 San OteBvllo 80-92-23-0519 San Marcos 80-92-24-0519 UCENSE TAX 01-004)0-8162 CREDIT DEPOSIT TOTAL FEES PAYABLE "3cn in I HAVE CAREFULLY EXAMINED THE COMPLETED •■APRLfcATION AND PERMITT^ AND DO,HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL'INFORMATION-HEREON INCLUDING"JHE*DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER,CERTIFY AND AGREE IF a'PERMIT ISISSUED" TO COMPLY WITH ALL CITY. COUNIY AND STATE LAWS GOVERNING BUILDJNG CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. iALSO AGREE TO SAVE INDEMlflFY ANDKEEP HARMLESS THE CITY OF CARLSBAD AGAINST-ALLUABILrriES.'JUDGt^ENTS, COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN.CONSEQUENCE..QE-THE ■ --..L ;r. ■'• --'L-Tigv"-'.GRANTING OF THIS PERMIT Expiration.Every permit issued by the Building Otfictal under the provinona of thisCode.shafUexplre.by Hmitatton and become null and void If the buikJmg or workatrihorfzed ^ auch permit ra not commenced within IftO daya from the date of suchpermit, or if ,the bulldina or work authorized by auch permit is suspended orabandoned at any time after tt>e work la commenced for s penpd of 180 davs AN 06HA PERMIT IS REQUIRS) FOR EXCAVATIONS OVER 5' 0" DEEP AND DEMOUTION OR CONSTRUCTION OF STRUCTURES OVER 3 STORtES IN HEIGHT APPROVEAPPLICANT'S SIGNATURE OWNER □ CONTRACTOR BY PHORE TYPE I DATE INSPECTOR BUILDING : FOUNDATION ] REINFORCED STEEL i MASONRY i QUNITE OR GROUT [ FLOOR & CEILING SUB FRAME i SHEATHING □ ROOF □ SHEJaRFRAME j EXTERIOR LATH i INSULATION ; INTERIOR LATH & DRYWALL ! PLUMBING SEWER AND BL/GO DlPUCO i UNDERGROUND □ WASTE □ V^ATER TOP OUT □ WASTE □ W^TER TUB AND SHOWER PAN '- GAS TEST . □ WATER HEATER □ SOLAR WA^ER 1 ■ ELECTRICAL i □ ELECTRIC UNDERGROUND □ ijlFFER ROUGH ELECTRIC » □ ELECTRIC SERVICE □ TEMPOlJlARY □ BONDING □ POOL I I MECHANICAL i□ DUCT & PLEM., □ REF. PIPIN(G heat — AIR COND. SYSTEMS i VENTILATING SYSTEMS I V 1 1 .< f CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED.- FINAL ; PLUMBING 1 A 1ELECTRICAL i i\iiJ MECHANICAL 1 V. GAS '■ / A 1 mv BUILDING 1 0 \ V SPECIAL CONDITIONS !J I 1 - -— FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTHESSED CONCRETE c. POST TENSIONED CONCRETE ■ FIELD WELDING ' , HIGH strength . BOLTS SPECIAL MASONRY ■ PILES CAISSONS - . V • ■. ■, . - ,