HomeMy WebLinkAbout2913 Lancaster Rd; ; 83-12-212; PermitIll z 0 ~ a:: C .....
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license Is In
full forcll a net elje;s;1.
Lie No / 7 2 6~ 6 Class _R_-_] __ _
I hereby affirm that I am exempl from lhe Contra<:·
ror·s Lttense Law lor lhe following reason (Sec 7031 5 Business and Protesst0ns Code. Any city or county whtth re·
Quires a perm,1 to construct. alter. improve. demolish, or repair any slruclure. pnor to I1s issuance also requires !heap· phcant tor such permit to file a s1{Jned statement thal he is
lteensed pursuant to the provisions of the COntractor's
LJcense Law (Chapter 9 convnencmg wllh Sectt0n 7000 of 0Mst0n 3 ot the Business and Protesst0ns Code) or that ,so:-
empl lherefrom and the basis tor lhe anegea exemp110n Any v1olahon of Sechon 7031.S by an applicant tor a permit sub·
Jects lhe app!lc.ant to a CNII penatty of not more than hve hun•
dred dollars 1$500)
□ I, as owner ol the property. or my employees w,th wages
as their sole compensation, wdl do the work. and the strut· ture Is not intended or olfered for sale (Sec. 7044. Business
and Professions Code. The Contractor's license Law does
not appty to an owner of property who builds or improves thereon and who does such wor1c himself or through his own
employees, provided lhal such improvements are.not intend-
ed or offered for sale. If, however. the bu11dmg or lfflPlOVe-ment is SOid within one year of completion, the owner-builder
will have the burden of proving that he dtd not build or im·
prove tor the purpose ol sale)
D I, as owner of the property, am exclus1vety contrittlmg
with ttcensed contractors to construe, !he project (Sec. 7044. Business and Proless10ns Code: The Contractor's Ucense Law does not apply lo an owner of property who builds Of im-
proves thereon, and who contracts tor each projects with a conuactOl'(S) license pursuant lo lhe Contractor's License Law).
D As a homeowner I am improving my home, and the lolk>w·
ing conditions exist: 1. The work is being performed prior to sate. 2. I have I Ned in my hOme for twetve months
3. rr~;: ~:::t :~i: =~ption during the
last three years.
D I am exempt under Sec. ______ . B & P.C
tor this reason -------------
D I hereby atfum 1hat I na-.,e a cert1hca1e or consent to sell-insure. or a cer11hcate ol Workers·
Compensa11on Insurance. or a cert1f1ed copy thereol
tSec 3800, L.abOr Code!
POLICYNO KWP 265 92 50
coMPANY Fireman's Fund
□ Copy IS filed with the Ctly
O Certified copy 1s hereby tvm,shed
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need not be completed ,t lhe permI1
Is !Of one hundred oona,s ($100) Of less)
0 I certify Iha! in the per1ormance ot the work ,or whteh lh1s permit Is issued. I shall no1 employ any
person in any manner so as to become sub1ect 10
!he Wo111.ers· CompensatK>n Laws of Cahforrua
NOTICE TO APPLICANT If. afler makinJ this Cert1
hcate ot Exemp11on. you shoukl bec.ome s-ub1ect I?
the Wo11ciers· Compen~hon prov,s,ons of lhe Labor Code. you must torthw1th comply with such
provIsIons or this permit shall be deemed revoked
D I hereby aflum Iha! !here •s a cons1ructIon
1ending aoency tor the performance ol lhe wort-. to, which this perm,1 ,s issued !Sec YY.17 C1v1I CO<lel
Lenders Name Uni on Bank
Lender's Address
San
525 "R" Stretl
Diego, CA :
I
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
JOB ADDRESS AV. ST. RD. NEAREST CROSS ST. I CATE Of APPLICATION1 BUSINESS LICENSE ft (;:Ff-o I PERMIT NUMBER
1?913 Lancaster road Woodstock 2-3-84 1710 83-12-212
2°T BLOCK q SUBDIVISION -~ysessoR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
12 alavera Hi s Tract 81-47
OWNER'S NAME I 299:~N~~~HONE
Ol\r'Tl:'Tr' C',..J:'Nl:' T "',.. "Joa c;.1nn
IT'REETOPS UNLIMITED CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLOG use cooe
OWNER'S MAILING ADDRESS 1900 H;:arn~.v St __ S_D. 2726Rn 83-12 SFD
13900 Harney Street, San Diego, CA 92110 DESIGNER LICENSE« STANOARO PLAN# BUILDING SO. FOOTAGE
DESCRIPTION OF WORK Lorimer & Case C-9037 1641
'"~-~1-..,,..,..,;1 u l\+-+-~,..horl DESIGNER'S AOOAESS DESIGNER'S PHONE ., .
_tk,,4i, I l't®_ ·--3344 Fourth Avenue . S.D. 291-0660 ----F/P FLA ELEV. NO OCC GP EDU •~I _1'§1~~l1Qre STORIES 2349a'
~lan D vO NO 1 R 3 1
CENSUS TRACT I GP LANO USE I PARKING SPACE I AES UNl~S I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE CCC LOAO FIRE SPR
A REA CONST
8 1-47 YO ND y D Ni)Q VN YO Nl8J Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7,.60 QTY. MECHANICAL PERMIT -ISSUE -q,oo SUMMARY/ACCOUNT NUMBER
,1 EACH FIXTURE TRAP ;J. 7 ' ~-/ INSTALL FURN. DUCTS i.JP TO 100,000 BTU L../ ,r,,,,, BUILDING PERMIT 01 ·00-00-8220 ~~,. nn
I EACH BUILDING SEWER /,,., ,.. &:jf'. OVE A 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER AND/OR VENT ~ . "'Jr BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 ~,<. l r::,
I EACH GAS SYSTEM I TO 4 OUTLETS ,., ,-,, I" BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 'LL/,. ")'(')
EACH GAS SYSTEM 5 OR MORE -METAL FIREPLACE ;,;.,,,no ELECTRICAL -i.11_ r)r) 01 ·00-00-8223
EACH INSTAl .. ALTER . REPAIR WAT ER PIPE VENT FAN SINGLE DUCT L.J.,fr MECHANICAL 01-00-00·8224 / J, 0(.J
I
EACH VACUUM BAEAKE A MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00-0Q-8225
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER -. MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-R??l:
TOT,!;L MECHANICAL STRONG MOTION 80-92-33-0519 4 r,7 . I 4-.. t/JI" TOT AL PLUMBING I Lf//J,_9 FIRE SPRINKLERS 01-00-00-8227 -
I PUBLIC FACILITIES FEE 32-00-00-8933 I ~I)~, UO
QTY. ELECTRICAL PERMIT -ISSUE s;r::n QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWl •BK R COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH :::)~l;',/Y STORAGE TANKS Carlsbad B0-92·21-0519
EXIST BLDG EA AMP/SWl /BK A ROCK STORAGE Encinitas 80-92-22·0519
I PH 3 PH PUMP _,,,,,-San Diegu1to 80·92·23-0519
REMODEL 'AL TEA PEA CIRCUIT PLAN CHECK FEE / ~ San Marcos 80·92-24-0519 -
TfMPPOLf 200 AMPS /11 JL-/.
OVER 200 AMPS /f'flA A~ v U / LICENSE T~X 01-00-00,8162
TEMP OCCUPANCY (30 DAYS) I~ 'l C. ".,, ,,,,. l WFF--4-00, (JV
I -1-' ./" CREDIT DEPOSIT
TOT AL HEClRICAL I .~rn TOTA~ TOTAL FEES PAYABLE I :J -~ 4-q ~ :l_
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT" AND 00 HEREBY Expcrahon Every perm,1 -bytllellu,lding Olflc,at under the prov,51ons ofth,s * A;~ IS REOUIMD FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde 1hall expire by hmrtallon and bacome null and void If the bu1ld1ng or wortc 5' O" AND MOlfTION 0A CONSTRUCTIOH OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ■uthortZed by such permit 1s not com~ced w1th1n 180 days from the date of suet\ ST S ER 3 STORIES fN HEIGHT permit, or of lhe bulld•::X:,,✓-~~tied by such permit IS suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON-abandon..i at..., tome worll comrr.iced tor a ""nod of 180 ~--··
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APf't..lZGNATU~ • / ~ OWNER □ CONTlfACTOA 0 APPROVEOB7 ~ ,~1~1f~ t KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE l.t?A1-( ~ GRANTING OF THIS PERMIT BV PliONE 0 7 (7
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TYPE I DATE INSPECTOR I .
BUILDING I
..,..
\:
-
' ~&-l:l---;i 1'2. .... I .._ \. -
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I -
.. -.
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL -
FLOOR & CEILING SUB FRAME ' I
SHEATHING iz; ROOF 0 SH'EAR 5•7·8~1.J f q._
FRAME I t, .,4-,A,. t, ;I >-
EXTERIOR LATH ' &-i,l.+·~ "· I
' '\ SOILS COMPLIANCE : i,• '...' PRIOR TO "V .,._
FOUNDATION INSP \ .
STRUCTURAL CONCRETE
OVER 2000 PSI ' INSULATION I, &,.{'3,P, 1J
INTERIOR LATH & DRYWALL I (n ,;4,,.9-... t +-
PRESTRESSED
CONCRETE . ..
POST TENSIONED I . '1 CONCRETE '
PLUMBING I FIELD WELDING ,,
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT psi WASTE J.3 WATER C,,4.94, "11
HIGH STRENGTH L . -r
BOLTS --
~
SPECIAL MASONRY . I . ' . '
TUB AND SHOWER PAN . . -I I I
f '
GAS TEST I ,,4.B4-,ff.ft-I
D WATER HEATER D SOLAR WATER V, PILES CAISSONS I . r r ,, . L
I ~ -
ELECTRICAL I '· -·-· -♦t I .--I C •
D ELECTRIC UNDERGROUND □1UFFER V -)' -I
ROUGH ELECTRIC I fo • .f.B-4 CJ!-
D ELECTRIC SERVICE D TEMPORARY I J
,. -. ,._;,,L, . -. r-r.-' .:'\. r:-' . .
D BONDING D POOL I -.-' • . -I
MECHANICAL I . ' ·-1
i
D DUCT & PLEM., D REF. PIPING foi4B4 (tJf --,_
HEAT -AIR COND. SYSTEMS ' ~J I
VENTILATING SYSTEMS I
-~~ f C • .. ~ ,.
' 11,i,:... ...
I
CALL FOR FINAL INSPE~~ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I
I
MECHANICAL I ~
GAS .~ 1,?f\,94ir l~
BUILDING <(\f" " . -.., ' Ill
-.,, ' :, ~
\ ' SPECIAL CONDITIONS I
' I
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