HomeMy WebLinkAbout2905 Lancaster Rd; ; 83-12-215; PermitU) :z
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0 I hereby altlrm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
full force and effect.
L,c ~o 2 7 2 6 8 6 Clm -B l
I hereby affirm fhal I am exempt from the Contrac· tor's license Law for the fallowing reason (Sec_ 7031.5
Business and Prnf-ess1ons Code: An'J city of county wh1c.h re· quires a permit to construtL allef, improve, demolish, or
repair any structure. prior to its issuance also reqtm-es !he-ap·
pllcant 1or such permit to hie: a siQned s1ate-men1 lhal he 1s
hcensed pursu.ant to the provisions. of the Contractor"s
license Law {Chaple-r 9 commencing with Section 7000 al 01v1s1on 3 of the Business and Professions. Code~ o, thal is ex-
empt therefrom .and the basis for the atle:gea exemption_ Any v1olahon of Section 7031 .5' by an applicant ror a perm11 sub-
•ects 1he applicant toa ctvii penalty of not more than 11ve hun-dred dollars {$500).
I J I. as owner of the property. or my employees. with wages as their sole compensation, will do the woirk. and the s.truc-
tt1re is not intended or a1fered for sale (Sec_ 7044, Business
and Profession!. Code· The Contractor's License L~w i:loes
not apply to an owner of property who builds or improves
thereon a.nd who does such work himself or through his own
employees. provided that suth improvements are not intend-ed or ottered for saie. n, however. the bui1dmg or improve-•
merit is sold witl'lin one year of completion, the awner-llui!de-r will have the burden of proviflg lhat M dfd not build or im-
prove !or the purpose of sale~.
q 1. as owner of the prope-rty, am eJi:clus.iyely r:onlr,uling
with tic-ensed contractors to construct the proJ&el (Sec. 7044, Business .and Prnfess.ions Code: The Contractor·s License Law does not app-ty to an ownef of ,properly who b:uilds or im-
prove-s thereon. and who contracts -fur each projects with a -corrtractor(s) license pursuant to ttie Contractor·s licll"rise Law).
D As a homeowner f am improving my home. and the follow-ing conditions exist·
1. The work is tM?fng performed pnor la sale 2. I _have lived i~ my home for twelve months pnor 10 comp1t11c111 of this work.
3. I have not claimed this exem.pl!On during the last three years.
D I hereby affirm that I ha;,,e a certificate of co11sen1
to s.elf,insure, or a cerhf,ca.te ol Wo-rkers
Compensation Insurance. or .a cert1h0d cop,. 1here-ot
!Sec. 3800, Labo< Codel
POLICYNOKWP 265 92 50
coMP"Nv Fireman' s Fund
0 Copy ,s tiled w,tn !he city
D Cer1,hed copy 1s hereby furnished
CERTIFIC..,Tl OF EXtJw!PTION FROM WORKERS. COMPENSATIO"' l"'SURANCE
(This sec,I01:1 need nor be compl.e1e-d 1t the pem11t
Is for one-hundred dotlars fS!OO) o, les.s)
0 I ce~rfy that 1n the performance of the oNOril lo,
which th,s penn11 rs issued. I shaU n-01 employ ainy
person ,n any mann.e, so as lo become s.ub1ec, to
the Workers· Compens.at,on Laws of C.alifom1a
NOTICE TO APPUCA.1•,H If. aiter mak1n;i lh,s Cet1,
licate of Exemp1ior1. you sriould tiecome sutt1ec1 t'J me Workers· Compensation provisions o! rhe Laoor
Code. you must ton1iv.:1th comply w1,h sue,-. prov1s,on:s. or lh,s permit shall bP. deemed revok.ea
O I he-reby .afhrm 1na1 !her-e Is .a cUn"j.trui:;.I10"'
1er1d1ng age-ncy tor lhe perto,manc:e oI !h-e w-ur1o. tor
which ft11s. pe-fm,t t5 issued tSec .ml C·v1· Cooe1
tenctersName Union Bank I
I
londe•s"dd<e» 5 2 5 "B" St reel
San Diego, CA
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
QTY.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
RLM
PLUMBING PERMIT -ISSUE
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM~ OR MORE
EACH INSTAl. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF ORAIN (INSIOEI
TOTAL PLUMBING
ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP'SWT BK R
I PH 3 PH
EXIST BLOG EA AMP/SWT/BKR
I PH ] PH
REMODEL·ALHR PER CIRCUIT
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
T/JTAL ELEClfllCAL
AV.ST.RO. NEAREST CROSS ST. BUSINESS. LICENSE #. PERMIT NUMBER
REOEVELOPMENT
AREA
TYPE
CONST
STA,.OARO PLA"' #
flAE SPA
83-12-215
BLOG USE CODE
SFD
BUILDING SQ. FOOTAGE
--·
YO ND VN v □ N~ Not Valid Un~$ M.t::hine Certified
MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
< BUILDING PERMIT
SIGN PERMIT OVER l00,000 BTU 01-00-00-8221 --~-----------------------------4--------PLAN CHECK B O I l ER/COMPRESSOR UP TO 3 HP 01-00-00-8806
TOTAL PLUMBING 801 lE R /COMPRESSOR 3 1 ~ HP 01-00-00-B222 -----+----+•~~-----,
ELECTRICAL METAL FIREPLACE 01-00-00-8223
MECHANICAL VENT FAN SINGLE DUCT 01-00-00-8224 ----llf---1-------~----------+--'-"'--...... ._.;:➔---------------'-C--'-C--==--+-----~-~--J
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MOBILEHOME MECH EXHAUST HOOD/DUCTS 01-00-00-8225
RELOCATION Of EA FURNACE/HEATER
TOTJ;L MECHANICAL
.t,
QTY. SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
MDBILEHDME PARK INSP
SOLAR
STRONG MOTION
Fl RE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
_01-0ilc.QQ::.s· '"-'Yi-----------c---t
__ 8_0-_9_2-_3_3-_0_51_9--11-----~--~;~.,)_
01-00-00-8227
32-00-00-8933 '/2.-I,
80-92-22-0519
80-92-23-0519
80-92-24-0519
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TYPE I DATE INSPECTOR
BUILDING I ~ S.,..l;l..-.;l-1 ~
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO. IF INSPECTORS DATE CHECKED APPROVAL .
FLOOR & CEILING SUB FRAME I
SOILS COMPLIANCE ' SHEATHING □ ROOF □ SHEAR PRIOR TO
FRAME I r;,,4-,f-¥? /lf.L FOUNDATION INSP
-
EXTERIOR LATH I /iidA-,~ ' 1 STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION , . ~ f'' L I ndZ.• ..
INTERIOR LATH & DRYWALL I r"'J ;t:4. ~ q. fl !-
PRESTRESSED
CONCRETE
POST TENSIONED
I -. -i CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO ' I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLTS
TOP OUT ljl WASTE l)l WATER tii,A,M {',# SPECIAL MASONRY
TUB AND SHOWER PAN ~J
I
GAS TEST I &,.,4.Af f)+ PILES CAISSONc
□ WATER HEATER □ SOLAR WATER ii ---·--
' I ----· -.. ----,--------~,-----
ELECTRICAL I
□ ELECTRIC UNDERGROUND O1UFFER
ROUGH ELECTRIC ' {, ,4,84-('-if-I
-
□ ELECTRIC SERVICE □ TEM PORAi=IY\ " -j. -. . ~-
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM ., □ REF. PIPIRIIG b,..f. 84 r~
HEAT -AIR COND. SYSTEMS I .,
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL /NSPECTfN WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I
I
MECHANICAL I J"'\
GAS ~I\~ r \
-.
BUILDING I I\~"('-n.-10•'6k IB
SPECIAL CONDITIONS '\ I ~
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