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2086 PLAYA RD; ; 87-983; Permit
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" a: ~ 1[ O I hereby affirm that I am llcenaed under provisions of Chapter 9 (commencmg wilt, Section 7000) ol Division 3 of the Business and Protesalons Code. and my license 1s 1n lull force and effect I hereoy affirm lhal I am e,empt trom the Cont·ac tors License Law lor lhe following reason (Sec 7031 5 Business and Professions Code Any coly or counrv wh,co 'e qu,res a perm,t to cons1ruc! alter. improve demol,sh or fepaIr any structure pr,or 10 ,1s issuance also reQu11es !heap pl1cant for such permit lo !11e a s,Qned stalement t~at he ,s 1,censed pursuan! to The prov,s,ons ol the Contracror s L,canse Law !Chapter 9 commencing w•th Se~1,on 7000 of D,v,s,on 3 ol 1ne Business and Proless,ons Code1 o, lhal ,sex emDI the,etrom and the bas,s for me allegeo exempl1on Any ,.01a1>0n of Sec11on 7031 5 by an appl1can1 for a perm,! sub 1er,ts the appl1can1 TO a c101I penally ol not more lhan five hun dred dollars 1$5001 I, as owner ol the p,operty or my employees w,m wages as Their sole compensation. w111 do the work ana lhe struc ture ,s no1 intended or offered for sale !Sec 7044 Business and ProJess,on~ Code The Conlrac\o•·s License Law does not apply to an owne, 01 properly who builds o, ,mprooes !hereon and wno does such worl< n,msell o, through h,s own employees. provided that sucn ,rnprovemenls are nol ,mend-ed or ottered lor sale 11. how eve, rne bu1ld1ng or improve ment ,s sold w11n,n one year ot cornplet1on. 1ne owner-builder w,11 have lhe burden 01 proving that he did not build or rm prove !or lhe purpose ol sale1 I, as owner ol the properly am exclusively conlrac\1ng with licensed contractors to conslrucl lhe pro1ec1 (Set 7044 Business and Proless,ons Coae The Contractor's License Law does not apply to an owner 01 property who builds or 1m pro,es thereon and who conlracts to, each pro1ects with a fontractor(s) l,cense pursuanl 10 1he ConiraclOr s License Law) As a homeowner I am ,mprovmg my home and lhe to,low 1ng cond1t,ons e"st 1 The work 1s being performed prior to sale 2 I have lived 1n my Mme for twelve rnonlhs prior to cornp1et1on o1 this wo<k I have not claimed this exemp1,on during the lasl three years lor in~~ r!~~;t under Sec ~-----B & PC I Mreby attirrn 1hat I hase a cert,lrca!e of consent to self ,nsure or a cemf1ca1e o! Workers Compensanon In su<ance or a cert1foed copy thereol 1sec 3800 Labo, Code! POLICY NO COMPANY Copy ,s l,ied wrlh the city Cert,l,ed .::;opy ,s hereby !urn,shed CERTIFICATE OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE 1Th1s sect,on need not be completed If the perrr>,t ,s for one hundred dollars 1$100) or 1e-ssl I ce,tily that ,n the performance 01 the work lor which th,s permit ,s ,ssued I shall nol employ any person ,n any manner so as to become sub1ect to the Workers Com pen sa1ton Laws of Calrforn,a NOTICE TO APPLICANT If. after making th,s Cert1J,cate ot bempt,on you should become sub1ect to the Workers Compensation prov,s,ons ot the Labor Code. you must to,thw,th comply with such pro,is,ons or th,s pe,m,t shall be deemed revoked :J I hereby affirm 1hat there 15 a construction lending agency for the pedormance ol the work for wh,ch this per m1\ ,s ,ssued (Sec 3097 Cr,rl Codel Lenders Name Lender s Address USE BALL POINT PEN ONLY & PRE~S HARD APPLICANl TU t-lLL IN 1Nt"Ut1Ml\11Unll n11 nu,. ,;ion.,...,._., ............. ~•·---~ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS-. Al/. ST. RO. THOMAS BROS NO. DATE Of" APPLICATION BUSINESS LICENSE # VALUATION zs-/E!!_MIT NUMBER ,:t()lf"~ '7/4y.,. ~el. /.z/4/r,, ,ct> COT Bt.OCK l sveo, 111,s10N I ~;;;,li~'fi-lo .. l>'-f C()NTRACTOR . CONTRACTORS PHONE# ZONE .. . '· . C't?.r2sr Z>/.vM k4 ,,_ OWNER'S>NAME . -OWNEJ"'S Pl!._ONE .1"""" 1>. N" rds -f-,,-fJ'7l1 /Y,J r -Y" tf'..3 CONTRAc;TOR'S ADDRESS STATE LICENSE NO. BUILDING SQ FOOTAGE OWNER'5,MAIL1NG ADDRESS ;~,~ 7'/14.v-, ~ {J.,~1s .611d. . 9~"()<:!. 'T QES1GNER DESIGNER'S PHONE . '.!!e.~~f!; ~f" -~OK~_-,1~ ' t ~ "' _,,-. ...... ~ .~ . ,_, ... ,-DESIGNER'S ADORES$ .. STATE LICENSE ,NO • . . i . . . . . . . . . . . " FLA ELEV NO ace GP EDU . STORIES ; . vO -.□ . ---! CENSUS TRACT j PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPP AREA CONST 0015 N},;;/,\))vn9,l,(lJ.cliJJN,gf,);;t 10.(); I ,o 'D ,r ,;,O vO "0 QTY. PLUMBING PERMIT. ISSUE 7.SJ-QTY MECHANICAL PERMIT. ISSUE /y<;P SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU uu, -'-'''"" '--' ,,.,11 uv · -o 1 u-uu·uu-0220 EACH BUILOING SE:WER OVER 100.000 BTU SIGN PERMIT 00: -810-00-00-8221 EACH WAHR HEATER ANO OR VEN! BOILER,COMPHESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 EACH GAS SYSTEM l T04 OUTLETS BOILER..-COMPRESSOR 3 1':, HP TOTAL PLUMBING 00 ·, -81 0-00-00-8222 /0 EACH GAS SYSTEM ':i OR MORE 2._ ,SU ME: l AL F1REPLACE ELECTRICAL 001-81 0-00-00-8223 EACH INSTAL AllE:H. HH'AIK ',\'ATER PIPE V[NT FAN SINGLE DUCT • MFCHANICAL 001 -810-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOll lJUCTS MOBILEHOME 001 -81 0-00· 00-8225 WATER SOFTNER RELOCATION OF EA FURNACE·HEATER SOLAR co 1-810-00-00-8226 FACH RGCH il 0:..1r, :\S rJf 1 DRYER VENT STRONG MOTIOI'. 880-5'9-92-33 ,_ --TOHL MECHANICAL FIRE SPRINi<LERS 001-810-00-00-8227 TO!Al P\IJMBINL I IV PUBLIC FACILITIES FEE 320-8 10-00-00-8 7 40 s-~ BRIDGE FEE 360-810-00-00-87 40 QTY ELECTRICAL PERMIT· ISSUE QTY MOBILE HOME SETUP PARK-IN-LIEU (AREA I NEW CONST 1:.A AMP SW! !:\KR GAR PORT Tlf 312-810-00-00-8835 I PH l PH AWNING . LA COSTA TIF JU-·"" HI J EXIST BLOG EA AMP·SVI/T BKR GARAGE FMF l -,I ,1:J.1.~ . I PH "l PH LICENSE TAX 001-51 0-D0-Q0-8 1 62 -~ REMOOElALTtR PER CIRCUIT nc~ :" ,, Mff ll8<J61f)'92 stl 11:l 'I' TEMPP(HE /00 AMPS ----OVER llJll AMPS -• . . --"' TEMP OCCUPANCY ·JO llAYSi . -•-• ...... 1., DIil( . CREDIT DEPOSIT o~--- l[J!Al flU.lRII.Al I I QT Al TOT AL FEES PAYABLE I JD~ . .. Expiraboti. E~ry perm,t iuued bytheBt.rild1ngOfficntl under the provt.Sions of this * AN OSHA PERMIT 1$AE0L.NRfO,FQR,fXCAV4TK>NSOYER I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPllCATION AND PERMff" ANO. 00 HEREBY CERTtFY UN-DER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall expire by limit&t0n and become-null ~d void If the bu1ld1ng or work s· o·· DEEP ANO ~mbN OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND ! FURTHER CERflFY ANO AGREE IF A PERMIT 16 aulhonzed by such permit 1s not cornmence_d w1th1n 180 days from the date of such STAUCTUMS OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH AU CITY.,COUNlV AND STATE LAWS GOVERNING BUILDING CON-::.:~:a I~! t~y ~!l~e~;h:C:r:~t:i:~~~~~~ r~~~t~fs~:r;a~~ Of . STRUCT10N. WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANT"S SIGNA lUR£ lf-OWNE;>'5 CONtRACTOR 0 APPROVED~ , 1 1°!~/t /f7 KEEP H'ARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB!LITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUE:'.NCE OF THE _J_~ --✓ -BY PHONE [] GRANTING OF THIS PERMIT. ~ ~ ii: ~ rn a 0. E w f- l " 0 (.? ;= m u 0. 0. "' I ~ C C: a ~ ~ w ~ ~ "' ~ 0 © >- w u C m C u. :::. C w ~ (.? a u w 0. ~ C ~ ~ ;: ! TYPE I BUILDING FOUNDATION I REINFORCED STEEL MASONRY I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEl~ING SHEATHING □ ROOF □ SHEAR FRAME I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL ! I PLUMBING I □ SEWER AND BL/CO L~P)JCO UNDERGROUND D WASTE □'WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER ' ELECTRICAL fJ ELECTRIC UNDERGROUND ROUGH ELECTRIC 7 0 UFFER 7 □ ELECTRIC SERVICE □ TEMP()RARY □ BONDING □ POOL , MECHANICAL 1 □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS 1 VENTILATING SYSTEMS I DATE I INSPECTOR CALL FOR FINAL INSPECf.lON WHEN ALL APPROPRIATE ,,o..,ru.1 r,..,..., • ._ ,,,....,._ ..,._._,. ,,. • ,,..., • .._..,. FINAL I PLUMBING I ,r, ELECTRICAL ! 'v \ , h ·-MECHANICAL ! /'-I/ GAS I ~·,, BUILDING ! .....__..,, ~'-I ' SPECIAL CONDITIONS ! \ I '?7-1~3 FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL !, ., SOILS COMPLIANCE PRIOR TO "''? t .. < • F-OUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI :-, PRESTRESSEO cnNCRETE POST TENSIONED ! ; ' . CONCRETE i" _.) FIELD WELDING HIGH STRENGTH SOL Ts SPECIAL MASONRY PILES CAISSON::': -----'--~-' - --~ - -