HomeMy WebLinkAbout2909 Lancaster Rd; ; 83-12-214; Permit;
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D I hereby affirm that I am licensed under
pra,lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prolnalons Code, and my license is in
lull force and effect.
be No 2 7 2 6 8 6 Class ..... B~l...,_ __
I hereby affirm that I am e,cempt from the Contrat-
tor's License Law for the following reason {Sec. 7031 .5'
Business and Professions Code Any city or c.ounty whic.t", re-quires a permIr lo r.onstruct. alter. im~rnve. demolish. or repair any structure. pnorto t.ts 1-ssuance-also reqwres !heap,-
~•cant ror such permrt to tile-a s1Qnee1 stalemenl that he 1s
llcensed pursuant to lhe-previsions of the r.:ontra:ctor·s License Law {Chap1er 9 commenc.in-g with SectIor1 7000 o,
Di'illSIOll 3 of !he Business anti Professions Code~ or th.al ts ex-empl 1herelrom and the basis ror lhe allegea exemplmn. Any
violation of Section 7031.5 by an applican.t lor a permi1 sub-
fects lhe applican1 to a civil penally o1 not more th.an five h1Jn-
dred dollars 1$500\.
rJ I, as owner of tile property, or my emplovees w1th wages
as their sole compensatiQn, will do ihe work. and 1he slruc-1ure ts nol in,ended or offered for sare (Set 7044. Business
and Professions Code: The-CQntractor's lic-ense Law does
not apply to an owner of pr,operty whD builcls or impr,aves thereon anl2 wh.o clots su,c:h work himself or through his Mn
employees, prov;ded that such impro1remems are nol 1n1end•
Ml o, ~fered for sale. H, however. the building OJ impra...e-
men, i'S sold within one year of cornplelion, the awn er-builder
will 11.ave the burden gt proving that he -did nor build or im-prove for Ille porpose of sal<).
rJ I, as ow-ner of the proper1y, am exclusively con'tfacting
with licensed contracl0<s lo construct the project (Sec. 704~.
Business and .Profess.ions Code: The Cootrac1or's License
Law does not apply to an lllNner ot property wtio btJilds or im-proves ttiereon. an.d who contrac1s fer each projects with a
contrac1or(s) licen-se pursua.,1 lo the Con1rac:tor"s License Law).
D As a hom-eowner I am improving my home, anL1 the follow·
ing c:onditicns exist: 1. The work is being pertcrmed prior to sale.
2. l have lived Tn my home for 1we,ve months prior to compJe1ion G11his work.
3, I have not ,r;;laimed 1his exempUon during tll.e
last three years.
l;, :h-:i,:•;;;:i onder Sec ------· B& P.C.
□ I hereby a.fhrm fhal I lla-..-e a ceft1f1ta.te 01 consent to selt-,nsure, or a cert1f1c.a1e of Wmkers·
Compensahori ll"'tsurar,ce, or a. cer11hecl copy tf)e,eo,f
!Sec 3800. Labo< Code) I
POLICY NO
COMPANY
KWP 265 92 50 1
Fireman 1 s Fune~
0 Copy is hied w1"1 lhe Ct~y
□ Cen•hed copy 1s hereby furnished
CERTIFICATl OF EXEcMPTION mar,,,
WORKERS· COMPENSATION INSURA"CE
(This sechon need r'IO( be compleled 1f !he permI1
1s to.-one-hundfed t1011ars IS HX)} or less i
d I cer111y tha1 m the perf0tmance ot ll'le won-. •or
which this pe-rm11 1s issued. I stiafl nor employ any
person in .any ma.nine, so as lo become subJec• to lhe Wor'ke,s· Cornpens.a.hon Laws at Cahfmn1a
NOTICE TO APPLICANT It. atte, mak.1n;i 1h15, Cert1
hca.te ol E:iiemJl!1on, you should be-come ~l)b1e-c, 10
the Woir'k.efs· Compensation proy1s1ons of lhe Labor Cooe. ~Ou must forth,...:1tr, comply with sucPl
.p,ovIs.Ions o, 11'W!I permn sr,atl be deemed ,e..,oli.ecJ
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
.lOB ADDRESS ' AV.S.T.RO .. · NEARESTQROSSST. l>~lE.Of APP(♦CATiO,-i BUSINESS L.ICENSE # PERMIT NUMBER
., ·+
vO "'D
REDEVELOPMENT
AREA
'~2:3·;;.;sr-';:~·-,
TYPE
CO"IST
171ll
-:;.L::_\ ·: .. _ .. ___ ,_, __ _
ace LOAD FIRE SPR
83-12 SFD
STANDARD PLAN# BUILDING SO. FOOTAGE
1100
_., l -
81-47 RLM YO ND YO NM! VN v□ Nia Not Valid Unlt!ss Machine Certified
QTY. PLUMBING PERMIT -ISSUE MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
01-00-00-8220
EACH BU1LOING SEWER lr· OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANOiOR VENT , ). /J,,.. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 / ·-:•.~, .::) ,.;--
t----t-_EA_C_H_G_A_S_S_Y_ST_E_M_l_T_0_4_0_U_T_L_E_T_S _____ i-----'':.=-•-·_..,,..:l'--.,-ll---...-B-O_ll_E_R_IC_O_M_P_R_E_S_S_O_R_J_.1_5_H_P ______ -+-------11---T_O_T_AL_P_L_U_M_B_IN_G ____ ~ 01-00-00-8222 -,✓-~ ~-1-;_;,;.
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 . ~. • c. ,
EACH INSTAI. .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01·00·00·8224 ( i ----+-----+------------------1--------1----..::.:.==-=---------''-'-"-=-=-==-t-----'--.,_..,_=-----1
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOB)LEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACEiHEATER MOBILEHOME PARK INSP
1----+--EA_C_H_R_O_O_F_O_RA_I_N_(_IN_S_ID_E_) --------1---------11----'--~~~==-=-==-,--,------.----'------..--.J?JJiAR _01-00-00,8,221.,._+--------~ce--t
TOT;;L MECHANICAL STRONG MOTION 80·92·33-0519 :'J, /'J ~ -· -----
TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
NEW CONST EA AMP!SWT BKR // (; COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Garlsbad 80-92-21-0519
EXIST 8 LOG EA AMP/SWT .'BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH J PH PUMP San Dieguilo 80·92-23-0519
REMOOEl'ALTfR PER CIRCUIT PLAN CH ECK FEE San Marcos 80-92-24-0519
TEMPPOLE 20DAMPS
OVER 2.00 AMPS 1-00-00-8162
TEMP OECUPANCY 130 OAYSI ·~:.,:;::_/ ,6
TOTAL EU:ll RltAL , I
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51
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TYPE ' DATE INSPECTOR I
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' !
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I
SHEATHING ll( ROOF 'rjf SH~AR t::;,-,,_py/.. f'-JI-
FRAME I t ,J !?/ /1 tL ' ..
EXTERIOR LATH ' (.(\di. [.;Pi, .. f'I I
-
SOILS COMPLIANCE , -, .--.
PRIOR TO
FOUNDATION INSP
, _____ -~ ---~--•-------~--STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I ~ijz,.p:; (1 -
I
INTERIOR LATH & DRYWALL I I(,, • IA-I 4N i-If I--
PRESTRESSED
CONCRETE
POST TENSIONED
' • w CONCRETE I
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE □ WATER
TOP OUT f1l WASTE 1,i:1 WATER IA~4• M ('Jf-
--HIGH STRENGTH
SOL TS
SPECIAL MASONRY
TUB AND SHOWER PAN I -LI
GAS TEST I fn,,.fM {',k I PIL.ES CAISSONS
D WATER HEATER D SOLAR WATER IJ ---
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D 1UFFER
ROUGH ELECTRIC I ~ ,A , fli4 I"-#
□ ELECTRIC SERVICE □ TEMP~RARY -1,
□ BONDING □ POOL I
j
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING &,,4.P.4 r~
HEAT -AIR COND. SYSTEMS --LI
I
VENTILATING SYSTEMS I
I
<
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS