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' D 1 hereby affirm that I am licensed under 1 provisions of Chapter 9 (commencing. with 1 Section 7000) of Ol~lslon 3 ol the Business
and Professions Code. and my license is in 1
lull force and effect I
I
I he•eoy atl,rrn lhat I am exempt 'ro"' the Contrac_ I 'ors license Law for the follow·ng reason 1Sec 7~·31,
Business and Profess,ons Code Any c1ly or cou~ty wn,u, re I
quires a permit 10 consrrucl i11er ,r1pove demo ,sr or 1 repa,r any slruclure. prior to ,ts issuance also reqJrres ·~e ap
01,cant lor such permit to 1,1e a s,~~ed statemert t~at ~e 1s I
lrcensM PU'SJant 10 the prov,s,ons ol tre ~ontractor s 1 6',~.(s~~~ j~f.~~~0Js11~e;s ~~~~;;t~'tB0~;1~,~!:1;~~h~?~s0e~1 I
em.it trerefrorn and the bas,s for lhe aIIegeo exemption An1 I
violation ol Section 7031 5 by an appl•can1 for a pw'l'IT ,ub
Iects the apol,can\ to a c,v,I oer.a,1y of nol mo,e lhon live n,Jn-I
dred dollars '.$500' I
as owner of 1ne oroperty or my ernp.oyees w,·h ;,-ages !
as tneI° sole cornoensatIon will do lhe work ard lhe s··uc 1
~~; ~ro~~~~:~~d~~d~r 01i~r:dc~~rtr;~fo:-5,etc:~:: L~~,~~!: I
~o: app y 10 an owner of property who builds or ,rnproves I
thereon ano who does such work h1msel1 or lhrough h's own
employees pro,ided that such ,mpravements are nol In:end-ed or offered tor sale II, however The building or ,rnorove 1
ment •s soid wIth1n one year of COf'lplet,on. lhe owner-bu,lder
will have The burden al proving thal he did not build or ,m
prove 1or lhe purpose o' sale)
I as owner ot the properly, am exclusively contract,ng
w,th licensed contractors to construct the proIect I Sec 7044
Bus,ness and Profes»ons Code Tne Contractors l ,cew;e law dOe5 not apply 10 an owner of property who bu,los or ,m .
proves thereon, and who contracts for each p'0Iects wI!h a I
cont,acto,(s) license pursuant to the Cortractor's L>cense Law)
As a homeowner I am ImprovIng my home. and The follow 1 ,nq cond1t1ons e,isl , The work Is being perlorned prior to saie
I have I,ved In my home for twe·,ve months
DrIor to completion ol th15 work
I have not claimed th,s exe"'pt,on durIn~ the
;ast lhree years
I am exempt under Sec _____ _ B & PC I lor Th,s reason ____________ _
I hereby affirm that I have a cer1 f1cate ol conse~, to l
!~~~:~cst:; i~=r~;,:~t,~:~~ ~fe~~~;~;~sc ~;o~:~~:'~~~:; I
POL1CY NO
COMPANY
~Y ,s :,,ed ·;.1th 1\"le c,ty
__ Cert,t,ed cooy Is nereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
1Th,s sec1,on need not be completed if the perm,t
,s for one hundred do•lars ,s,001 or less)
_ I certify that m the per•ormance of the work for wn,ch
th,s permit ,s ,ssued. I shall not employ any person ,n any
manner so as !O become sub1ect to the Workers Coll'pe,
sat,on Laws of Catdorn,a
NOTICE TO APPLICANT II, atter making this Certificate
of Exempt,on. you should become sub1ect to the Workers
Compensation prov,s,ons of the Labor Code vou must
lorthwIth comply w,th such prosIsIons or th,s permit sha:1
be deemed revoked
__ I hereby affirm that there ,s a construc'.,on ,eno,nc;
age~cy lor the performance ol tr,e wor~ lor ·.sh co th,s ~er
m,t Is issued ,Sec. 3097 Civ11 Code,
.enders Name
Lender's Address
I
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr, Carlsbad, CA 92009-4859 (619) 438-1161
J08 ADDRESS fl A-V /I-iL
AV, ST, RO. NEAREST CROSS ST.
10/;,:~~:ln:,N
BUSINESS UCE.NSE # VALUATION PERMIT NUMBER
:i..ofro /' A-f' IS J:, A-cl c~ ~~-/?---~-+-COT BLOCK SU80~1SION ASSESSOR PARCEL NO C.1TRACT01 CONTRACTORS PHONE# ZONE
,1-fl. ev ✓,·c...Q.Co 7z..<;-111r OWNER'S NAME 14-?f:i;;_i 5;tn I £7 j, V r-l rl-7 JbA) CONTRACTOR'S AODAESS /' STATE LICENSE NO. BUILDING SQ FOOTAGE
L.75"?9 f" 7H-7e...J/ I ---II l.::i P'iL l"J ? / OWNER'S MAILING A
D/~111'½ ~/rk19,1 _?n?,;i I R. ci DESIGNER DESIGNER'S PHONE
OESC~~ORlj-'/ .-.,/,, .-lie p_ .d.A.v DESIGNER'S ADDRESS STATE LICENSE NO. , f,I ,
--. -. ---
--------------NO e. e F LR ELEV OCC GP EDU Li LI l.c: U\.11 1.0:::/ .L '..1. :;0.-., ~ · ' -
STORIES ,c [\J~'
I
! PAF'K1NG SPAC~ RES UNITS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE OCC LOAD FIRE SPF'
AREA CONST
•O 'D ,'.:J -...□ vO r-s.[J Not Valid Unless M;1ch1ne Certified
QTY. PLUMBING PERMIT -ISSUE 700 II QTY MECHANICAL PERMIT -ISSUE 3· c)O SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP \ INSTAl l FURN DUCTS iJP TO 100 000 BTU BUII_Oll'.G PERMI~ DO' -31 J-OC·-OC-822C
---
I EACH HUil.DiNG SE:.WER OVER 100 000 BTU SIGN PERM'T oo· 21::i-oc--00-2-?2·
~ -~----------j------L----------------~
EACH ½ATER HEATER AN[) OR Vt NJ i BOILER-COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
EACH GAS SYSTEM 1 TU 4 lJUl LETS ~_-·-i;:-;.t, HOILER·COMPRESSOR 3 l'.1 HP TOTAL PLUM811JG 001-2·0-oo oc-222:· /o -------·---------L_ ___
EACH GAS SYSTEM J OR MO Rt 1-i~!A'_ F ::JE~LAC~ ELECTRICAL C01 !l'0 OiJ-00-8?23 --
---------------t----+--------------
EACH INST Al Allf.R. REPAIR \';ATER PIPF VENT FAN SINGLE DUCT ____ .:..___ MECHANICAL -00. -81 0-IJLI-IJLl-i:l( ;14
-~------i -----
EACH VACUUM HR EAKER II MECH EXHAUST HOOD DUCTS MOBILEHOME 00' -8 I D-00-00-82 2J -
VVAH.R SOFTf\JER RELOCATION OF E:.A FURNACE HEATER SOLAR :JC 1-8 • C-00-00-8226
~
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: .'\'.:I-' Rr:-•:::r r1~.w, \S-r:F, 11 DRYER VENT STR.UNG MUTIC\ sso-:;.,9.92-33
TOTi-iL MECHANICAL E'Vl\~J:<;I_ERS
-------
I (f) ,_:I 001-81 o-:o-~0-82 27
-,, 0 ft. R... ·ut-°FACILITIES FE:
-
TOTA! P\tJMHINi, 320-8' 0 -OO-,JQ-87..\,J -
I QTY.!
.._,. J...' c5.oa BRIDGE FEE 360-810-00-0C-87-'-0
QTY. ELECTRICAL PERMIT -ISSUE MOBILE HOME SETUP ~IN:LiEU :,:.9EA
NEWCONSfEAAMPSWI f-lKR
'I CAR PORT T'F 134-810·00-DD-883~
-· -·•a &BAJ> 33-.SjO.oo-oo-l\s3s -
I PH I PH I AWNING ------~ it~ o1 • '-'= 1isG S~Sc----rx.1sr tlLOG EA AMP SWT SKH ' GARAGE -----
I PH 3 PH LICENSE TAX -00, -31 J-JD-2CI-S • 62 -I .:;;0°,;#n
REMOnEL Al HR Pf.R CIHCUIT MFF 880-519-92-57
---------' --------. --------~--
TE~1p POLE' }[)() AMPS -------------
ovu~ 200 AMPS -: ---
-~
~
I E'v1P lJCCUPArl/CY 'JO DAYSI i '
' I -r-CREDIT DEPOSIT
,------------'-------
T1ITAL [L!:LlRiCAl
'
':J! Al ]_
;I I TOTAL FEES PAYABLE /I) --~
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMlr AND DO HEREBY Exp1rat1on Every permit 1$Sued by the Bu,lding Off1c,s! under the provIs,ons otth1s I * N 1~S REQUIRED FOO EXCAVUIONS OVER
CERTIFY UNDER PENALTY OF P!:RJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m,t811on and become null and void II the building or work 5' O" DEEP D DEMOLITION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed b~1I ,snot commenced w•th1n 180 days from the date 01 sucl°' STRUC S OVER 3 STORIES IN HEIGHT permit, or 11 ui or~thor1zed by such permit ,s suspe~ iJr~
ISSUED· TO COMPLY WITH ALL CITY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON-abandon-! anv ~fter th ork ,s commenced for El n~r,od of 160 da"~ .. •. .· ·, ,.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~OWNER □ t--APPROc.~ 't/' I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAB!LITIES. JUDGMENTS. COSTS A~r ~ f< ::;r CONTRACTQ.liil"'[J
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH .4I ►~ BY PHONE [J I IP/ft,. GRANTING OF THIS PERMIT ' / -
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TYPE • DATE INSPECTOR ' BUILDING I Qlo -1--..
FOUNDATION '
I
FIELD INSPECTION RECORD
REINFORCED STEEL ' ' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
GUNITE OR GROUT INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL . ;,
SUB FRAME □ FLOOR □ CEl~ING SOILS COMPUANC:E --
SHEATHING D ROOF □ SHEAR PRIOR TO
FRAME .
I
FOUr\lOATION 1NSP I
-------------
EXTERIOR LATH I
'
STRUCTURAL cor--CRFTE
OVER 2000 PSI
INSULATION '
INTERIOR LATH & DRYWALL .
I
'
PRES TRESSED
CONCRETE -
POST TENSIONED I ' CONCRETE ---...
--__ PLUMBING ' FIEL_O WELDING -~ □ SEWER AND BUCO □ ~UCO
UNDERGROUND □ WASTE □!WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ' .
GAS TEST I
□ WATER HEATER □ SOLAR WATER
' ' ELECTRICAL I
'
-----~-rll(]rl STRENG-TH· . BOL fs
SPECIAl MASUNRY ~.t'I -v,.~ --y· --C r.\""' .,, .. ..,_'fr~',-L__ ____
! \}\. '-... t-~:~9-'+-~ PILES CAISSOr,,.::-'. --_ -' --r-=~ -----
"lj'P ~'-" '--. ,:-· .,o~
D ELECTRIC UNDERGROUND [] UFFER ~,c., I_
ROUGH ELECTRIC I ----j -------
D ELECTRIC SERVICE □ TEMPbRARY ----------~-------. □ BONDING □ POOL I
' . _ .. L -------
I
MECHANICAL ! ---------~ -------
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . , ' I '"'••":.~: --' '
~-.. : . -
,
ITEMS ABOVE H_A,VE BEEN APPROVEQ
FINAL I ; .. . . --
. -. •-•' .
,_
PLUMBING I i'J-//X· -, ,-"J~
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. ' '
ELECTRICAL ' I '
. .
MECHANICAL '
GAS ·,: \ '1 ~--' •
. \ -· -' ---. • I
BUILDING ' I
SPECIAL CONDITIONS I
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