HomeMy WebLinkAbout2910 Lancaster Rd; ; 83-12-233; Permit., z 0 ;: .. "' j u ...
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and Professions Code, and my license is in
1,11 to,c~ "?~'g'/l' L,c No 6 (lilS\ fi=_l__
I hereby affirm that I am exempt •rorr. The Contrac
tor's License Law for the following reason 1sec 7031 5
Business and Profess,ons Code Any city or county wh,c~ re
quires a perm,1 10 construct. alter lrPprove. demolish. or repair any structure. pr1or to ,rs issuance also requires !heap
pl,can11or such permit to Ille a s,~ned statement that he ,s
licensed pursuant to 1he prov,s,ons ol the Contractors
License Law (Chapter 9 commencing w1lh Secl<On 7000 of
o,v,s,on 3 of the Busmess and Proless,ons Code) or that ,sex-empt therefrom and the basis for the allegeo exemption Any
violation of Section 7031,5 by an applicant for a perm,t sub
Iects the applicant lo a c1vrl penalty of not more than five hun
dred dollars ($500)
I, as owner of the properly. or my employees w1lh wages
as the,r sole compensation, will do the work. and the struc-
ture 1s not intended or offered for sale (Sec 7044 Business
and Profession~ Code The Contractor's License Law does not apply to an owner of property who builds or improves
1hereon and who does such work himself or through his own
employees. provided that such improvements are not mtend-
ed or o!lered for sale If, however, the building or improve·
ment ,s sold w1!hin one year of completion, the owner-builder
will have the burden of proving that he did not build or im
prove 'or the purpose of sale)
L! I •. as owner o1 the properly, am exclusively contracting with licensed contractors to construc1 the proJect (Sec 7044
Business and Professions Code: The Contractor's L•cense Law does not apply to an owner of properly who builds or im-
proves thereon_, and who contracts !Of each pro1ects with a
conlractor(s) license pursuant to the Contractor's License Law)
[1 As a homeowner I am improving my home, and !he 1ollow
ing conditions exist 1 The work Is being pertormed prior to sale
2 I have lived 1n my home for twelve months
prior lo compJet,on of this work
I have no1 claime<I !ht$ exemphon durmg the
last 1hree years
:J I am exempt under Sec _______ . B&PC for this reason ____________ _
D I hereby art,rm tha,1 I ha~e a cert,t,cate of consent
to sell-insure or a cert111ca1e ot Workers
Compensa1,on Insurance, or a cerM>e<l copv lhereol
ISec 3800. Labor Code)
POUCYNO KWP 265 92 50
coMPANv Fireman' s Fund
O Copy ,s !oled w11h the c,ty
0 Cert1l1ed copy ,s he,eb~ !urn1she<l
CERTIFICATl OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
(Th,s section need no! be completed 11 ttie permrt
,s tor one hundre<l dollars 1$100\ or less)
D I cert,ty !hat In 1he pertormance 01 the worl< •or
which !his perrn1t ,s rssued. I shall not employ any
person ,n any manner so as to becomf> sub1ec• tu
1he Worl<.e,s· CompensaJ,on Laws 01 Calitom,a
NOTICE TO APPLICANT tl, alter makInJ 1t1Is Cert,
ficate of Exempt,on, you should t>ecome subIec1 1,,
the Worl<ers Compensai,on prov,s,ons of the Llbo,
Code you musl lorth,...,!h compl; w,1h such
prov,s,ons or th,s permI1 shall be deemed re,o~eo
0 I hereby att,rm that ttie,e ,s a consrructIor
lending agency for !hi" perlorrnanre u' :he worl< 'c,r
wh,ch th,s perm,1 ,, ,s<,ued 1Sec l097 C,,-,, Code,
LeMersName Tloion Bank
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
__:!!OO Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADO~ESS AV. ST. RO. NEAREST CROSS ST. DATE OF APPLICATION! BUSINESS LICENSE # t;JfJ~"1 PERMIT NUMBER
liga.o Lancaster Road Woodstock 2-3-84 1710 83-12-233
CONTRACTOR CONTRACTORS PHONE ~ ZONE
UNLIMITED 299-5100 eLAN LO.• s,oc use coo,
OWNER'SMAIL!NGADDRESS 272686 83-12 SFD
900 ijarney "Street, San Diego, CA 92110 oe~10NeR, LICENSE# sTANDAR □PLAN# eu1LotNGsa.FooTAGE
OESCA<PT<ON o, WORK Lorimer :&·cAse C-9037 1641
fiJ..Ii.glJ~..E.aJJniJ.,[l-.A:t.l:a.clti.e>d ___ c.__'----~---~-IQESlGN~~'.~ NOQ!:f,E.~ DESIGJ"l;f\'S PHON,E
1 .. , ~Id\ :!.S' oO. 3344'., Fotl»th Aienue, S.D. 291-0660
• F/P FLRELEV NO OCCGP EDU I
Plan~'DR, :,; -,
CENSUS TRAC1
81-47
GP LAND USE I
RLM
PARKING SPACE RES UN<;_S I GRADING PERMIT ISSUED
YO N □
STORIES
vD NO 1
l REDEVELOPMENT
AREA Y □ l\je
TYPE C"ifN
R-3 1
OCC LOAD FIRE SPR
YO NE Nor Valid Unless Machine Certd1ed
QTY.I PLUMBING PERMIT. 1ssuE 2 7 /'. II orY.I MECHANICAL PERMIT. 1ssuE I ". r r.
T7 EACH FIXTURE TRAP 1 ::]'/ ,~/: INSTALL FURN. OUCTS iJP TO 100.000 BTU /7 """)J) BUILDING PERMIT 01-00-00-8220 ~·~I cc·;
SUMMARY/ACCOUNT NUMBER
L__J__ EACHBUILUINGSEWER I /· ./J/ OVER100.0008TU_ . SIGNPERMIT 01-00-00-8221 -~~
j EACHWATERHEATERAND:ORVENT I ·) .J:;/ B01LER/COMPRESSORUPT03HP_______ • PLANCHECK 01-00-00-8806 c_;}/~::;--1 1-!;,·-
I EACHGASSYSTEMl T040UTLETS _____ 4-----<2 /.;(' BOILER/COMPRESSOR3-15HP TOTALPLUMBING 01-00-00-8222 '/fr.L~L·_
MET Al FIREPLACE -;;~ .[:() ELECTRICAL 01-00-00-8223 .. 3( ~. /) /) EACH GAS SYSTEM 5 OR MORE -------------
EACH INSTA~ ALTER, REPAIR WATER PIPE 1---+---
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN !1NSIDEi
TOT Al PLUMBING 7
QTY. ELECTRICAL PERMIT· ISSUE
----
NEW CONST EA AMP SWT BKR I{} (1
I PH J PH
'II· ,;::,,
✓"';,{."(
2;,,,,C(
II
QTY.
VENT FAN SINGLE DUCT ·--__ I U .,;Y) MECHANICAL 0H0·008214 /</, {.V ' I
MECH EXHAUST HOOOIOUCTS
RELOCATION Of EA FURNACE/HEATER
TOHil MECHANICAL
SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
MOBILEHOME 01-00-00-8225
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION 1-I .ccJ---""'sP,1N,,,,s
QUJ].Jl.Q~, I ~ 80·92·33·0519 1/, 'j .2 __
01·00·00·8227 I .0,,/:,c;; 1 CL"
PUBLIC FACILITIES FEE 32-00-00-8933
BRIDGE FEE
SCHOOL FEE -DISTRICT ----------t---------
Carlsbad 80-92-21-0519
ii I ROCK STORAGE I I Encini_tas. 80-92-22-0519 _
PUMI v1P San D1egu1to 80-92-23-0519
PLAN CHECK FEE ECK FEE ·--II San Marcos 80·92·24-0519 --
--I I TE MP POLE 200 AMPS I 1: I ----------
0VE:R 200 AMPS . / LICE~TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI --z -~
'Y)/;();:::: :=. od, CREDIT DEPOSIT
-!CC, [ (
TnTAL ELECTRICAL 1 ~·· TOTAL FEES PAYABLE l .;; 3 •--/<)' ,'.~.:::i..-
I HAVE ciA.RfFUll Y EXAM!!. NED THE COMPLETE. D "APPLICATION AND-PERMIT .. A~m DO fl&AE~~' ;-. ~ --~ jjst. f»ed~lMeu. ildirig Gfflci1111 und~ lhlft>roviitotls \)tthl& CERTiFY" UNDEFI 2Et,\AL"tv ,{)F PERJURY THAT ALL 1Nf:0RMATION HEREON INGLUO!&<i THE ~1~1.aU_lll'XPQ'by ttm_lt111tio1ramt becormJnutt~ void ,tf the buildmg or WOf"k
DECLARAT10NS~E l\Rue AND CORRECT AND I FURTHER Cl;RTIFY ANO AGREE f1F A BEAMIT 1$ =~rzed ~y h-~it_ispotcomm&r1~withm'l&Odaysfrom thedate-,:,tsuch
4S6UED: TO COM?t..Y Wtl'f{P,tl Cll'.¥, COUNTY ANO STATE LAWS GOVERNtt,,16 BUII.J)ING CON,, ~if tiuitd(i ,.,or-'":'thoozed by ~h per~tt 15 sosperu:ied Or
* AN OSHA PERMIT IS RE0U1RED FOR EXCAVATIONS OYER
$' !'. .~~-~,~ CONSTIIUCTION OF
$TNUt;~l::A 3 STOfftS IN HEKiHT
Lender'sAddress 525 11 B11 Stre~t
San Diego, CA
STRUCTt0!'1, WH~TttEA SfEC!FIEO-H'ERE!N OR NOT. I ALSO AGREE TO SAVE INDEMN\FY ANO , f 1S , ::0, a nod of 1 d
KEEP M,1F{M-l.ES.$,,Tl-H: Clli~ CAAl.SSAO. AGAINST ALL UABIUTlES, JUOGMENTS, CQSTS ANO. Appt,.~f!r' $ -----4...._ QWNEA O CONTRACtbR tJ,
EXPENStS WHICfli'},1AY IN ~NY:;,~ .;~E ~GA,1NST.SAIO CITY f!"'CONSEOUENCE Of; THE 't;,' 1 ~ 4 .. ,
GRAN TI-OF ~""f' ~ . · , __ , · lO l ., 'J:.,s..;\ QY PHONE tJ
APPROVED BY· ( ;::h, 171¼-(,,(
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I 7,,77,ti!U ,11.j...
REINFORCED STEEL I "1
MASONRY ' I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING O!J ROOF 00 SHEAR .S,!"' .' ,,1 L
FRAME I /mJ:;:, ~-~
EXTERIOR LATH I (,,' /t:;-•fr >-
INSULATION ' r, iA-,Q< I " INTERIOR LATH & DRYWALL I &,,jt:; ...... ,
I
PLUMBING I
' SEWER AND BUCO DIPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT 11!1 WASTE I)!! WATER fn ,-OJ . . , f.J.L
TUB AND SHOWER PAN I ·w .
GAS TEST I 1,.12, 84' et+
□ WATER HEATER D SOLAR WATER . ~
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □1 UFFER
ROUGH ELECTRIC I (,,, [~, A4 (IJ..I.
□ ELECTRIC SERVICE D TEMPORARY • ·w
□ BONDING □ POOL I
'
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING /,, ,I Ji: I J;iA (tfJ--
HEAT -AIR COND. SYSTEMS . fl I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL '
' PLUMBING I
ELECTRICAL I
MECHANICAL ' ' .,,.....
GAS l.\,JJY .
BUILDING (,\~'<;' 1,11n-AA f u.,
SPECIAL CONDITIONS \ ' --'
' I
S<:5-l :;)..-,.).33
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE ',
PRIOR TO
FOUNDATION INSP
-~------STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRt--,
FIELD WELDING
HIGH STRENGTH
BOL.fs
SPECIAL MASONRY
Pll_ES CAISSON~
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