HomeMy WebLinkAbout2908 Lancaster Rd; ; 83-12-232; Permit.. z 0 ~ a: .. ... u "' 0
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O I hereby affirm that I am llcensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and effect_
Lie No 272686 C·ass -B--±
I hereby atf1rm that I am exempt from the Contrac lor's License Law tor the following reason !Sec 7C31 5
Busmess and Protess,ons CDde Any c,ty or county wh1c;-, re
Quires a perm,t to construe!. aI,e,. improve. demolish or repair any structure. p11or to ,ts ,ssuJnce also requires !heap
pl,cant tor such perm11 to hie a s1~ned state,r,ent that he ,s
licensed pursuanl to the prov,s,ons of the coniractor s
License Law !Chapter 9 commenc,ng with Section 7000 of
Div,s,on 3 of the Busmess and Professions Code/ or !hat rs ex
empt therefrom and the basts for the allegeo exemp1Ion Any
v,0IatIon 01 Section 7031.5 by an applicant tor a perm,t sub Iects the applicant to a c,v<I penalty of not more than five hun
dred dollars ($500)
:1 I. as owner of the property. or my employees w,th wages
as their sole compensation, will do the work. and the struc
ture Is not intended or ollered for sale {Sec 7044. Business
and Proless1ons Code The Contractor's License Law does
not apply to an owner ot properly who builds or improves
thereon and who does such work h,msel1 or through h1s own
employees. provided that such improvements are not intend-
ed or oflered !or sale If, however. the building or improve· ment ,s sold wIth1n one ye.ir of completion. the owner-builder
will have the burden of pl'O'ling that he did not build or Im prove for tM purpose of sale)
LJ I. as owner of the property, am exclusively contrachng
w11h licensed contractors to construct lhe pro1ect (Sec 7044,
Business and Professmns Code The Contractor's License
law does not apply to an owner of property who builds or im-proves thereon. and who contracts 1or each proIec1s with a
contractor(s) license pursuan1 lo the Contractor's License Law)
LJ As a homeowner I am improving my home. and the tallow
mg cond1t1ons exist
1 The work Is being performed prior to sale 2 I _have lived m my home for twelve months
prmr to complet1on of this work
I have not claimed 1h1s exemption during the
last 1hr€€ years
lJ lamexemptunderSec ______ ,B&P.C
for this re.ison
D I hereby affirm !hal I ha•e a ceriit,cate of consenI
lo self insure or a cert1l1cate of Workers
Compensation Insurance, or a cer11!1ed copv 1hereot
ISec 3800, Labor Code)
POLICY NO
COMPANY
KWP 265 92
Fireman's
5Q I
I
Fund 0 Copy Is tiled with the city
0 Cer11t1ed copy Is hereby tum1shed
CERTIFICATE. OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This sec1Ion nee<! not be compIe1ed ,t lhe pe,m,t ,s to, one hundred dollars iS100l or less,
0 I certify !hat ,n the performance ot the work for
which 1h1s pemi,t 1s issued. I shall not emplov anv
pe1son ir, any manner so as lo becom,-subJert 1o
the Workers· Compensation Laws ol CaI,1orn,a
NOTICE TO APPLICANT 11 a!!er ma,k,"] t~,s Cert,
f1cate of Exemption. you should t,ecome sut>Iect ,,,
the Worl\ers Compensa!,on pro~,s,ons of the Labor
Code you mus! 1onh ... I!h complv w,1h sue~
pro~1s,ons or !hts perrn,1 shall be df'emed ree()kea
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad, California 92008-1989 (619) 4_38-5525
JOB ADDRESS AV, ST.RD. NEAREST CROSS ST.
l?'QOR r.~nr~!:::::t-~,-Rn~n WnnNc::t-,...,..1r 1 DA~~: ~:L:CA TOON I
-
BUSINESS UCENSE #
I 71 fl {c;?(j~" I
PERMIT NUMBER
83-12-232 2.".!2 BLOCK CONTRACTOR CONTRACTORS PHONE# ZONE
. OWNER'S NAME 'k~~:qg;~~~~~c,..__lIJN~~-,=~-t.2~~~iJ,.Q!Q_ _ _. ________ _j ________ _ !TREETOPS UNLIMITED CONTRACTOR'S AODRESS PLAN 1.0. -1t BLDG USE CODE
3900 Harney St_;_ .,s., ~c..,-·cGA 272686 OWNER'S MAIL!NG ADDRESS 83-12 SFD
-· -DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE 3909 Harney Street, San Diego, CA
l;,;;;;;:;:i;;;;c;;;;;:;,;-;;;;;;;;;---------'--'-'-----'---'-'lr;orimer & Ca;:.e C-9037 __ 1 n4 l
~J.Il.9.ML:Ei:I.Illi:.J~_J_~t.;;u:;_llsl.d_ ___ '-''----------1 QE~lµNE_R'S~~~~Sii, ~ OJ;:SlGNER'S PHONE
, lt,j..:J ·. $'foe} 3344 F<;>urth 291-0660
Ii=.· .' ! .~ J,... F,P FLRELEV OCCGP EDU
l ' lf , an ~-, 0 ;::,;k •· YO NO ·--1 R-3 1
CENSUS TRAC1 GP LANO USE REDEVELOPMENT
AREA
TYPE
CONST
ace LOAD FIRE SPR'
.•. ,:,.
81-47 RLM
I eARK >NG seAcE RES LJN,:S l GRADING PERMIT ISSUED l
y □ ~ □ YON~ VN YON~ Not V~lid Unless lhchine Certified
QTY.1 PLUMBING PERMIT. 1ssuE 1 7 , 6 oi QTY I MECHANICAL PERMIT. 1ssuE I 3 , co SUMMARY/ACCOUNT NUMBER
I / I EACH FIXTURE TRAP -") .'7 L..iQ INSTALL FURN DUCTS UP TO 100,000 BTU / I rit.,: BUILDING PERMIT 01:00-00-B2~~+-~~--33 j Q( ~--.£. EACH BUILDING SEWER ) _ ._-1::::,0 -______ ov~~.~0.0~~:ru SIGN PERMIT 01-00-00-8221 ---
/ EACH WATER HEATER ANO:OR VENT .:::J J5C BOILER/COMPRESSOR UP TO 3 HP • PLAN CHECK 01-00-00·8806 ~ L6 Jr::::.
I I EACH GAS SYSTEM 1 TO 4 OUTLETS +-----'~ BOILER/COMPRESSoRIBHP-----=-= TOTAL PLUMBING 01-00·c0~0~·8='="'-11----~-
QTY.
EACH GAS SYSTEM~ OR MORE MFTAI FIRFP\ACE --~~---ELECTRICAL 01-00-00·8223
EACH INSTAI,,, ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 ----.~--------------..
EACH VACUUM BREAKER MECH EXHAUST H00010UCTS MOBILEHOME 01-00-0Q-8225
WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER I M MOBILEHOME PARK INSP
I g SOLAR __
I 11 ~~_O_J~--EACH ROOF DRAIN ,,,sm, / L--J. ~ FIRE SPRINKLERS
fOTAL PLUMBING I L/-(,, 'Y
TOT.C.L MECHANICAL
ill.:..Q__Q-f)(t.Q'J')j:;
80·92·33-0519
01 ·00-00-8227
__ !.£ 52
ELECTRICAL PERMIT· ISSUE .5,CC QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32 oo-oo-s933 I J. '"9 o.8, CX
BRIOGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS I H SCHOOL FEE -DISTRICT
1 1 1 PH 3 PH 1 /1_5'. .r-rJ STORAGE TANKS Carlsbad 80-92-21-0519 I --
' < T I EXIST BLDG EA AMPiSWT:BKR 1 :! ROCK STORAGE Eric1rntas 80·92·22·0519
I PH 3 PH PUMP San 0ieguIto ___ _ 80·92·23·0~1_g
REMOOEL'ALHR PER CIRCUIT PLAN CHECK FEE I[ San Marcos 80-92-24-0519
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS! 0
CREDIT DEPOSIT
TOTAL ELfURICAL 1 ~QQ:li TOTAL FEES PAYABLE l d.3'-/-</, 2-2-
" ;,~-' ~ffie}irOVisions ofttus
~ O" DEEP OEMOi.ffK>II Ofl CONSTl!UCT10N "' 0 I hereby af1"m that there ,, a consIructI0~
Iend1ng agency fo, the pPrlormance c;t t~<? worl< 10,
wh,ch this permit ,s ,~~~ed 15,ec 1091 c,,,,, Code
I HAVE CAREFULLY EXAMINED THE COMPLETED l'APPUCATION AND rERMlr' ANO bo HEAESv"
CERTIFY UNO:ER PEN~ll-Y ~ PERJURY: THAJ All. lNF,Of™ATION l:I_EREON INCLUDING THE
. 1 :s~r:~~~~vT:'fu ALL~~~.~~~ ~UD~~~:c:!r:-~~~~:~:~:a~~!; !Jti l Otl Ba Pk I STRUCT1PN, WHETHER Sf,ECtFIEQ J;iEREIN OR NOT. I Al$() AGRE-E TO SAVE INDEMNtFY ANO
·:ft1he'building"Or wdt1I:
l fr,otn tnedate of such ·~"'"is suspended or
. ,2!:·19() .dlWS
* ,MJ esAAi. ~PE IS RE9UIREO'FOR EXCAV.AllONS.OVER
ST'RUC OVER 3 STOAIES tN kEIGflT .
-·-·---·--····· ..... .......• . .. ~.J. Lenders Name
Lende, s Add•ess
San
,5 2 ,5 11 6 II £ tr e +i<,€€P +l~RML~S;,TM6 GRiY'9F t~SSAILAG~JNST ALl.LiASIJ.ITIES, JUDGMENTS, CO$tS .ANO
'"'EXPENS~S WHfCli M~~ AN;Yc_,.,,~ ~AtN.ST ·SArt) CITY IN CONSEQUENCE OF THE Diego, CA GRANT1RG-0FT+11S--P "r)0-"'"; ;. . .
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TYPE ; DATE INSPECTOR
BUILDING I
FOUNDATION 1 ,t, ,?7-M lf'.JJ
REINFORCED STEEL : "'
MASONRY I
GUNITE OR GROUT ,
FLOOR & CEILING SUB FRAME ,
SHEATHING 'll ROOF ~ SHEAR 5,1...l,~ I! ,-
FRAME , /,,.i.~,a.~I/l
EXTERIOR LA TH 1 (,, 1 S"•A-I (
INSULATION ' ,_. IA-,P.. ,_, I 11
INTERIOR LATH & DRYWALL 1 /-,.IC:·~ 1-It ~
'
'
PLUMBING I
SEWER AND BUCO DIPUCO 1
UNDERGROUND □ WASTE D WATER •
TOP OUT '1Pl WASTE □ \NATER 1-,1~,Af. {:/+
TUB AND SHOWER PAN I VJ
GAS TEST : t .. 1:z,M ('J..l
□ WATER HEATER □ SOLAR WATER . "
I
ELECTRICAL :
□ ELECTRIC UNDERGROUND DI UFFER
ROUGH ELECTRIC I (,, .. ~ -M r.+f-
□ ELECTRIC SERVICE D TEMPORARY IJ
□ BONDING □ POOL I
I
MECHANICAL 1
□ DUCT & PLEM., □ REF. PIPING l,, 12, ,l+ f.J.1.-
HEAT -AIR COND. SYSTEMS I IJ
VENTILATING SYSTEMS 1
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA\iE BEEN APPROVED.
FINAL I
PLUMBING 1
ELECTRICAL ;
MECHANICAL 1
GAS ,., ~y
BUILDING <1.,~~v 1,1fa,M /1.J+
SPECIAL CONDITIONS ' 1 "
I
Si I , I :l ~ 1 ~ ';l..
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE ' PRIOR TO
FOUNDATION INSP
-·· STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSEO
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL.TS
SPECIAL MASONRY
PILES CAISSONS
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