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Home My WebLink About2818 ROOSEVELT ST; MULTI-PERMIT FILE; 85-753; Permit"' z 0 j:: < llC < .... 0 ... 0 C i[ 0 0 llC ... 0 .... 5 .. ii ... z 3 0 z 0 j:: < "' z w CL ~ 0 0 "' a: w >o: llC 0 3 i[ 0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 1s in lull force and effect. lie. No ____ _ Class I hereby afhrm lhat I am exempt lrom the Contrac· tots License law tor the l<Xlowmg reason (Sec 7031 5 Susmess and Professions Code Any c,ty Of counly wh1tri re· qutres a permil to construct alter. improve demohsh, or repair any structure. prior to IIs issuance also requires !heap· plicant tor such permit 10 hie a s19necl statement that he 1s lteensed pursuanl to lhe prOV1SIons o1 the GonIrac1o(s License Law (Chapter 9 commencing with Sec1100 7000 al 01v1s,on 3 ol lhe Business and Professions Code/ or lhat is e~-empt lherelrom and lhe baSJS for the allegea exemphon Any v1ofatwn of Sec110n 703 t 5 by an applicant for a permit sub 1ec1s the aophc.ant to a ctvil penalty ot not more lha/1 hve hun died dOl~rs ($500) 'l I. as owner of the oroperty, or my employees with wages as their sOfe compensation, wdl do the work. and the struc· ture 1s not intended or ottered lor sale (Sec 7044 Business and ProlesstoM COde. The Contractor·s Ltcense Law does not apply 10 an owner ol property wtlO builds 0t improves thereon and who does such work h,mselt Of through hts own employees. provided that such improvements are not in1end· ed or offered for sale If. however the bu1k!mg °' improve· ment tS sold w1th1n one year of completion. the owner•bu1lder will have lhe burden of proving !hat he did not bo1\d OJ im· prove tor the purpose of sate) 0 I. as owner ot the property, am e,c;clus1vely contracting with licensed con1Jactors lo construct the protect (Sec 7044, Business and Prolessions Code The Contractor's License Law does not apply to an owner ol property who builds or 1m· proves thereon, and who conuacts for each proiecIs w11h a contractm(s) license pursuant to the Contraclof's Ltcense Law) O As a homeowner I am ImprovIn9 my home. and !he tollOW mg condtlions exist. I The work 1s being per1ormed pnor lo sale 2 I have hved m my home for twelve months 3. rr:v~o ~:ip:~~of t1 ~t~ :~~p11on during the last three years D lamexemptunder$ec. _______ 8&P.C lor this reason ____________ _ C I hereby aff1rm that I have a certificate of consent to sell-msure. or a cert,hcate of Workers Compensa11on In- surance. or a cert1f1ed copy thereof (Sec 3800. Labor Code} POLICY NO COMPANY =i Copy lS tiled with the City 0 Cert1hed copy ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (This section need not be compteted 11 lhe permit is for one hundred dollars ($100) or less) 0 I certify that In the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as 10 become subject to the Workers· Compen• sauon Laws of California. NOTICE TO APPLICANT: If. after making this Certificate of Exemption. you should become subject to the Workers· Compensation provisions of the Labor Code. you must forthwith comply with such provisions or 1111s permit s11all be deemed revoked. 0 1 hereby affirm tl1at there is a construction lending agency for the performance of the work for which this per- mit is issued (Sec. 3097. Civil Code) Lender's Name, ______ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ' ,I' I Carlsbad, California 92008-1989 (619) 438-5525 >OB ADDRESS A V.ST.RD. NEAREST CROSS ST. I DATE OF APPLICA~ONI BUSINESS LICENSE " VALUATION PERMIT NUMBER I ;::i_g l<S l<.oose.vJ,t .;t, ~ ~oo5-eV~ ~~,- I ti~+ 10-\ l. ~,) -Z.-00 1 LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTR,.CTORS PHONE • ZONE ;if? I 0 l,V fJ ef2.. I l611t) f:;7·~;;~~ QWNf R'S NAME I LICENSE NO. I CAfv\ +tUU Pt-lAfJ CONTRACTOR'S ;>DD RESS PLAN 1.0. # BUILDING SO. FOOT AGE I ;2 ~ I 15 1-.,coJ<.Vdt' I OWNER'S MAILING AOORESS I ~$? 18 ~069l.vrilf , ~dM ,. CA q:1008 DESIGNER P-HA-N DESIGNER'S PHONE CAH HUU fl,q)fff7-33S, DESCRIPTION OF WORK I( f' V, ; I 14 t·f. "' f!} <;;; ~I h <:: .J •1 I DESIGNER·s ADDRESS LICENSE NO. I) 4'.· v q112. 7n'1r-~A•re..G.G. CAqU<J,t --~·~e,, b1fif''\ F/P FLR ELEV. NO OCC GP EDU STORIES vO NO -- CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA 10/11 ~B!i~e ~ I r,~e~ AREA CONST y D ND vO -..O YO NO nf!'V{~it( f11tes11¥f9'>f'i (jef;Ji/i,ed Yt!' C:.fl QTY. PLUMBING PERMIT -ISSUE '?~ QTY. MECHANICAL PERMIT -ISSUE -?-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , INSTALL FURN DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 001-810-00·00-8220 /lf'J - EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00·00·8221 ·---(.,' ...ro EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8806 EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810-00-00-8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810·00·00-8223 I EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCI MECHANICAL 001-810·00-00·8224 I -1- I EACH VACUUM BREAKER MECH EXHAUST HOOO DUCTS MOBILEHOME 001-810-00-00·8225 I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN (INSIDE) SOLAR 001 ·810·00-00-8226 I I TOTt;L MECHANICAL STRONG MOTION 880-519-92·33 --- I TOI AL PLUMBING I FIRE SPRINKLERS 001 -810-00·00·8227 I I ~-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810-00-00·8930 1 QTY. ELECTRICAL PERMIT -ISSUE I NEW CONST EA AMP SWT 8KR COLLECTORS I SCHOOL FEE • DISTRICT I 1 PH 3 PH STORAGE TANKS Carlsbad I EXIST BLDG EA AMP1SWT BKR ROCK STORAGE Encinitas I I 1 PH 3 PH PUMP San Dieguito I REMODEL ALTl:R PER CIRCUIT PLAN CHECK FEE San Marcos I I TEMP POLE 700 AMPS I OVER 700 AMPS LIC ENSE TAX 001·810-00-00·8162 I TEMP OCCUPANCY (30 DAYSI MFF 880-519-92-5 7 I I CREDIT DEPOSIT I TOTAL ELEl:TRICAL I TOTAL SOLAR I /t:,.~ I TOTAL FEES PAYABLE I I I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT AND DO HEREBY Expiration Every permit ,ssued by the Bu,ldtng Oft1c1a1 under lrte prov1s,ons ofth,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tatton and become null and ~o•d If the building or work 5· 0" DEEP ANO DEMOLITION OR CONSTRUCTIOH OF I DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such perm,t 1s not commenced w1thm 180 days from the date ◊f such STRUCTIJR£S OVER 3 STORIES IN HEIGHT I ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-:~~~~ 1~t 1:~v ~~:1~e~~h=~~,:~!h~~~e~le:~~7 r~~~d1~fs~:ged~~ or I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . ~ CONTRACTOR 0 APPRO,J BY 0'1/0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO 9.ANT'(!IGNATURE lf, OWNE .... ....._. I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ 0 ~ BY PHONE 0 -. -. • .J I GRANTING OF THIS PERMIT .:Svf • . 1 / J ...__, -, I t.r I / ~ u:: >-;;; 0 0. E w f- l -0 0 ('.) C CG '::? a. 0. ct .x £ BP 'l'L! 0 "' "' w "' "' ct I 3 0 w >- f/) f/) w (.) 0 ct CG iii 0 ~ w (.) C CG C u.. C w ~ ('.) 0 u w 0. "' C ~ .c. ~ TYPE I DATE INSPECTOR BUILDING I I FOUNDATION I I REINFORCED STEEL I MASONRY I GUNITE OR GROUT I SUB FRAME D FLOOR D CEI IJ.ING SHEATHING D ROOF D SKEAR FRAME I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING I I D SEWER AND BUCO D PU CO UNDERGROUND D WASTE □,WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR W}\TER I ELECTRICAL I □ ELECTRIC UNDERGROUND □: UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I I MECHANICAL I D DUCT & PLEM., D REF. PIPl)\JG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED FINAL , ·' PLUMBING I l -ELECTRICAL .1 ~ \ MECHANICAL I I \. "-' GAS I ,.'::} ' I ("",,,.. < BUILDING I .• J ......... ,.__, SPECIAL CONDITIONS I ..... \ "- I '--= I . ... ---.. -. .-. ~-7.:8 ' .. ► -. < FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE , CHECKED APPROVAL . SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSON~ - . . ' c~ ~ .... : r, i ~:-'\ ! (~Ir I ll •e., J. ! ,._ -_., - lC\u: ',C:-2:'t . 1.l;:l, . , • - . ~ ..... -. . ,-~ . ' ........ Cl) z 0 .:: Cl[ a: Cl[ ., u UJ 0 II: i[ 0 u a: Ill 0 ., 5 ~ UJ z ~ 0 z 0 .:: Cl[ Cl) z Ill CL 2 0 u 0 I hereby attlrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proleaalons Code, and my license Is in lull force and effect. Lie No ____ _ Class I hereby alhrm Iha! I am exempt from lhe Contrac- lof's L.cense Law for lhe lollowtng reason (Sec 7031 5 Busmess and Proless1ons Code Any c,ty or county whttl'l re· quires a permit to construct, alter. improve. demot1sh, Of repair any s1ructure, pnor to its issuance also reqwres ?he a p-p he.ant for such perm,t 10 hie a s,qned statement Iha! he ,s hcensed pursuant to lhe prov,s1ons of the Contractor·s license Law (Chapter 9 coovnencing with Seclt00 7000 ol 0tv,s1on 3 ol lhe Busmess and Profess1011s CodeJ or !hat 1s ex· empl lheretrom and the basis tor the aJlegeo exemption My v1olatton of Seclion 7031 . 5 by an apphcanl lor a permll sub- ,ects the applicant to a ctv1l penalty ol not more than five hun· dred dollars ($500) 7 I, as owner ol lhe property, or my employees with wages as their sole compensatt0n. Wlll do the work. and the struc· ture ,s nm intended or o11ered lor sale (Sec. 7044 _ Business and Professions COde The Contractor's license Law does not apply to an owner of property who buitds or improves thereon and wl'IO does such work himself or through his own employees, provided that such rmprovements are not intend· ed or offered !Of sale II, however. the budding or 1mprove-menl is so1d within one year ol completion. !he owner-builder will have ttle burden ol proving thal he did not build OJ Im· prove for !he purpose of sale) □ I. as owner of the pcoperty, am exclusIvety contrachng with lteensed contractors lo construct lhe project {Sec 7044. Business and PfolessIons Code. The Contractor's license Law does nol apply to an owner ol property who builds or im- proves thereon, and who contracts tor each prOjecls w1Ih a contractor{s) license pursuant to the Contractor's License law). 0 As a hOmeOwner I am unprovmg my home. and the tallow-ing cond1t1ons exist. 1. The work Is being per1ormed prtof 10 sale 2. I have hved in my home for twelve months 3. r~~v~o ~~PC~~of t 1~~ ~:~PIIOO during the last lhree years 0 I am exempt under sec ______ , 8 & P C lor this reason ____________ _ C I hereby affirm !hat I have a cen,llcate of consent to self•1nsure. or a certihcate of Workers· Compensalion In- surance. or a certified copy !hereof (Sec. 3600. Labor Code) POLICY NO COMPANY 1::J Copy 15 Med With the city 0 Certified copy Is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE !'> (This seclion need no! be comP'eted U the permit ffi ~ is to, one hundred dollars {S100) or less) ~ I certify I~aI in the performance of the work for which 0 lh erm1t is issued. I shall not employ any person in any 3 mann so as to beeome subject to the Wo,kers· Compen- sation Laws of Cahfornia. il NOTICE TO APPLICANT. If. after making this Certificate of Exemption. you should become subject to the Workers· Compensation provisions of t~bor Code. you must forthwith comply with such prf/v1s~s or »9is permit shall ~evoked. 0 I hereby aftlrm that there ls a construction lending agency ro, !he performance ol the work to, which lhls per- mit 1s Issued (Sec. 3097, Civil Code} Lender's Name ____________ _ Lender's Address, ____________ _ I I I I I I I I I I I I I I I I I I A ....... ~ -··--. ----· . -·· .... ---· --··---······- \ \ CARLSBAD BUILDING DEPARTMENT APPLICATIO,. & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 ~sitfss~vd,/ sr AV ST.AO. NEAREST CROSS ST. I DATE OF APPL ICATION! BUSl,r LICENSE • VALUATION PERMIT NUMBER & {3 LOT 81.'.0CK I SUBDIVISION I ASSESSOR PARCEL NO 7D "4~~T;:J;tr:iw ~•c.e. CONTRACTORS PHONE • ZONE 'lf-ff./.-!1°9 a:;~ uliA Ru~ I OWNER'S PHONE CONTRACTOR'S ADDRESS A-t/ tJ)~ Lu~1i~t 7 PLAN 1.0. # BUILDING SO. FOOTAGE OWNER'S MAILING ADORl:'ss t.f.2 0 I ~ _ A ~ , /'-~ '~ ~ DESIGNER . -vu -DESIGNER'S PHONE r DESCRIPTION OF WORK I DESIGNER'S ADDRESS LICENSE NO. ~· ltJ3/bb ~~7 3Q~( J;/f'c. + C l uo> 1 65 ;,n. -. F/P FLA ELEV. NO DCC GP EDU JI.ii !J ( 5/C STORIES vO NO --.... ~ CENSUS TRACT I GP LANO USE I PARK ING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIAESPf'\ ~~ AREA CONST ,\ ~ I N~a\,f'J,,less Machine Cerrilied YO N □ vO NO YO NO QTY. PLUMBING PERMIT -ISSUE :7~ QTY. MECHANICAL PERMIT -ISSUE -:3~ SUM~\i~cco~\~uMBER EACH FIXTURE TRAP , INSTALL FURN DUCTS i.lP TO 100,000 BTU BUlLDING PERMIT \. ~o 1-810-00-00-8220 EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221 ~ EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS 801LERi COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 "A.,,'!.:---EACH INSTA~. ALTER . REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 - EACH VACUUM BREAKER MECH EXHAUST -HOQO,OUCTS MOBILEHOME 001-810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 001-810-00-00-8226 TOT,;L MECHANICAL ~RONG MOTION 880-519-92-33 ". TOTAL PLUMBING l FIRE SPRINKLERS 001-810-00-00-8227 s--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930 QTY. ELECTRICAL PERMIT -ISSUE I NEW CONST EA AMP SWT BKR /(J/J IJ-•S 2 1...· -COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH ff STORAGE TANKS Carlsbad EXIST BLDG EA AMP/SWT BK R ROCK STORAGE Encinitas 1 PH 3 PH PUMP San Dieguito REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 001-810-00-00-8162 TEMP OCCUPANCY 130 DAYSI MFF 880-519-92-57 CREDIT DEPOSIT lOTAL ELECTRICAL l S-{j~ TOTAL SOLAR TOTAL FEES PAYABLE I 3~c__ I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT AND DO HEREBY Explfat1on Every perm,t issued by the Bu1td1ng Off,ctal under the provIsIons of th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by flmttatIon and become null and void If the buIld1ng or work S' 0" DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit Is not commenced w1th1n 180 days from the date of such STRUCTURES OVER J STORIES IN HEIGHT permit, or 1f the bu1ld1~~ork authortzed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY. COUN1Y AND STATE LAWS GOVERNING BUILDING CON abandoned at any IIme a work ,s commenced for a n11nod ot 180 davs STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ,0 ~ ~.? OWNER□ CONTRACTO~ APPROVED BY Dt/J KEEP HARMLESS THE CITY OF CI\RLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND AP h~ SIGNATU &/ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT, 't'-· "/. ~ GRANT1NG OF THIS PERMIT --.._.._..' -BY PHONE 0 I ·/3//.J ~ u.. >-;;; 0 a. E Q) I- 1J 0 (.'.J C ro u a. a. ~ I -"' C 0:: 0 (/) (/) Q) (/) (/) ~ I 3: .2 ai >- (/) (/) Q) u 0 ct ro co 0 ~ Q) u C ro C u.. :::. C Q) ~ (.'.J 0 0 Q) a. "' C ~ .c ~ TYPE I DATE INSPECTOR BUILDING I I FOUNDATION I REINFORCED STEEL I MASONRY ' ! GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEIi.LiNG SHEATHING D ROOF D S~EAR FRAME I EXTERIOR LATH I INSULATION ' I INTERIOR LATH & DRYWALL ' I PLUMBING I I □ SEWER AND BUCO □ PUCO UNDERGROUND D WASTE □,WATER TOP OUT D WASTE D '4'ATER TUB AND SHOWER PAN I GAS TEST I D WATER HEATER D SOLAR W~ TEA I ELECTRICAL I D ELECTRIC UNDERGROUND d UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPQRARY D BONDING D POOL I J I MECHANICAL I D DUCT & PLEM., D REF. PIP.NG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ' I - ! CALL FOR FINAL INSPECToJON WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL I MECHANICAL I GAS I BUILDING I SPECIAL CONDITIONS ' I I ' FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES IN~PECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS ,, - t. ~ . l - ' I '' ~ fl) z 0 j:: < ac: < .., 0 ... 0 C ![ 0 0 ac: ... 0 .., 5 • ii: ... z ~ z 0 j:: < fl) z ... Q. ~ 0 0 fl) a: ... >£ ac: 0 J il 0 I hereby affirm that I am llcen•ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Uc No------Clm l hereby afhtm !hat I am exempt from 1he Conlrat· 1or·s L1tense Law tor tne tOllowmg reason (Sec 7031 5 Business and Professt0ns Code Any ctty or county wh1c.ti re-quires a permit to construct. alter. improve. demohsh or repair any structure. pn°' to 11s issuance also requires !heap• plicant tor such permit lo Ille a s,qned s1a1ement !hat he 1s hcensed pursuanl 10 the prov1s,ons ot lhe Con1rae1or s license Law (Chapter 9 comrnencmg wnh Se<:hon 7000 of Otv1s1on 3 of lhe Business and Professioos Code/ or that 1s ex-empt 1nerelrom and the basis for lhe a!legea exemp11on Any vK>la11on of SectlOO i'031.5 by an applant tor a permit sub- 1ects the apphcant to a CIVll penalty ol not more than hve hun· dre<l dollars ($500) I. as owner ot the pr<>perty, or my emp!oyees w1!h wages as lhetr sole compensa11on. wdl do the wOI'~. and lhe siruc· lure 1s not intended or ottered for sale (Sec 704-4, Business and Protess1on5c COde. The COntraclor's License Law does not apply to an owner ol property who builds Of improves thereon and who does such work himself or lhrough his own employees. provided lhal such 1mpr0vements are not in1end· ed or ollered !or sale II. howtver the bu1k:hng or improve· ment 1s sold w1lhm one year ot complehon lhe owner-btJ,kler will have the burden of proving that he did nol build or tm· prove for the purpose ot sale) L as owner of lhe property, am exclusively contracting w11h ltCensed contractors to construct the pr01ect (Sec 7044, Business and Professions COde: The Contractor's License Law does not app?y lo an owner of property who builds or 1m proves thereon, and who contracts for each proiec1s with a contractor(s) license pursuant 10 the Conlractor's Ucense Law) Ll As a homeowner I am lfflp!'OYlng my hOme. ancJ the fotk>w mg cond1hons exist. 1 The work is neing performed prior lo sa~ 2. I have hved m my home fOf twelve months poor to complelKm ot this wo,k 1 have not claimed lh,s exempHon during the las! three years □ I am exempl under Sec ______ B & P C fOf this reason ____________ _ C I hereby affirm thal I have a cemllcate ol consenl to sell-insure. or a cert1flca1e of Workers· Compensation In• surance. or a cert1f1ed copy thereof (Sec. 3800. Lat>or Code) POLICY NO COMPANY ~ Copy IS Med w1lh the city D Certified copy ts hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE {This section need not be compleled if 1ne permit 1s lor one hundred dollars l$100) or less) 0 I cenify thal 10 the performance of the work for which 1h15 perm11 ,s Issued. I shall not employ any person in any manner so as to become subjecl to the WOfkers· Com pen• sat1on Laws of California NOTICE TO APPLICANT: If. after making this Ceoiticate of Exemption. you should become subject lo the Workers· Compensation provisions of the Labor Code. you must forthwith comply with such prov1s1ons or this permit shall be deemed revoked. 0 I hereby aflirm that there is a construction lending agency for lhe performance of the wor1<. lor which this per- mit 1s issued (Sec. 3097. Civil Codel Lender's Name ______ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV.ST.RO. NEAREST CROSS ST. t/~ ~~p !091;;t;0 Nl~E~~71~ VALUATION PE_!l.b61T NUMBER CU,.iAJ,4 a,ry k.AiS'TJIH,(IVMJT ~SI t ~uef.1-SI-, :3Jo j~ _.. LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRl,CTORS PHONE • ZONE V1 (pt-'6 OWNEktJ7;E?f rL I OWNE R"S PHONE" d-WN~ J ' /;, /\!t;,kr,Ji_.")J ,i'_ ~ ) ,,, ~ fl 1, 'f -7 R_ {J ~ CONTRACTOR"$ ADDRESS LICENSE NO. PLAN 1.0 . # \DING SO. FOOTAGE .flrll S t.ea;~ 1,.,2//. J.,4/- OWNER"S MA· NG ADDRESS "f r • • Jlg /f 14.,--0:Z eve/.;# I ~f> &dst~£.. '1.J. Pel,., DESIGNER ; DESIGNER'S PHONE \\ 1?--1 v~ JI? !..i:'<J.-Y) ,:!..Q',1-'{ 1:1/ :l/2d, l'l,~J DESCRIPTION Of WORK ./. t.JL01d _qa7 ~h SJ~ ,.._c. K.@~ ./-au f-Q ~ J...., OESIGNER"S ADDRESS LICENSE NO. 's.·,1 I -z.. ac~,};-II c~, ;;f ~ C, ~// 3g1s-OJ2.hN4e /41'f7 , Ct . Sl>K~cx;u{:·7 I : 0-C ,, f IP FLR ELEV. NO OCC GP EDU I I\ C-~'.J«:--'!>€:.__ ~F"F r STORIES I vO 1'<0 --r' I CENSUS TRACl I GP LANO USE_ I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA I AREA CONST I YO N 0 vO NO vO NO Not Valid Unlt!Ss Machine Certifi,~ I 757> .S/ 1 QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER I BUILDING PERMIT 001-810·00·00-8220 /t} -I EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TO 100.000 BTU I EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810-00-00·8221 I EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 ~ ~ I I EACH GAS SYSTEM 1 TO 4 OUTLETS I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00-00-8222 I EACH GAS SYSTEM 5 OR MORE 1 METAL FIREPLACE ELECTRICAL 001·810-00-00-8223 I I EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00-8224 -I EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001-810-00-00-8225 I I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN IINSIOEl SOLAR 001-810-00·00·8226 I TOTI.L MECHANICAL STRONG MOTION 880-519-92·33 I - I TOI AL PLUMBING I FIRE SPRINi<LERS 001-810·00-00-8227 I PUBLIC FACILITIES FEE 332·810·00-00-8930 1 QTY. ELECTRICAL PERMIT -ISSUE s ✓ QTY. SOLAR -ISSUE I I NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE · DISTRICT I STORAGE TANKS I 1 PH 3 PH Carlsbad EXIST BLOG EA AMP/SWT BKR ROCK STORAGE Encini1as 1 PH 3 PH PUMP San Oiegu1to REMODEL AL HR PER CIRCUIT PLAN CHECK FEE San Marcos - TE MP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 001 ·810·00·00-8162 TEMP OCCUPANCY (30 DAYSI MFF 880-519-92-57 CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABL E I__, /t .ro I I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT ANO 00 HEREBY Ex.ptrahon Every permit ,ssued by the 80,ldtng OU1c1a1 under the provisions of tt11s * AN OSHA ~lflED FOR EXCAVATIONS OVER I CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall exp,re by 1tm1tahon and become null and void II the building or work 5· O' DEEP AN [;or!()LU;2t OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit IS not commenced within 180 days from the date vt such STROCl\JRf. ER 3 STlft'I ·s IN HEIGHT I ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• :~~n~ 1!t 1:~y ~~=1~ffe~~h=~~,:~!h~i~~eit~~~~ r~'::~1~,S~:g~~~!d or I STRUCTION, WHETHER SPECIFIED HEREIN OR NOl I ALSO AGREE TO SAVE INDEMNIFY AND APPLICA~/4 ~i/ OWNER~ CONTRACTOR 0 APPROVEDU- 1~5:r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE __,;,, I GRANTING OF THIS PERMIT. BY PHONE 0 I , ~ u:: >, o5 0 C. E Q) f- l "O 0 " C nl u C. C. <{ I -"' C a:: 0 ff) ff) Q) ff) ff) <{ I 3 .Q ai >- ff) ff) Q) u 0 ct nl co 0 ~ Q) u C nl C u:: :::. C Q) ~ Cl 0 0 Q) C. ff) C ~ .c ~ TYPE I DATE INSPECTOR . BUILDING I FOUNDATION I I . I " . : . S?<.--:-1'. ( /7~ ' . I --'-" ~ .... "· FIELD INSPECTION RECORD '· REINFORCED STEEL I MASONRY I ,, REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NO TES GUNITE OR GROUT I I REO IF INSPEC TO R S \ . .. INSPEC TION CHECKED APPROVAL DATE SUB FRAME D FLOOR D CEll!ING SHEATHING D ROOF D SHEAR SOILS COMPLIANCE PRIOR TO FRAME I I FOUNDATION INSP EXTERIOR LA TH I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRES TRESSED INTERIOR LATH & DRYWALL I I CONCRETE POST TENSIONED I CONCRETE PLUMBING I FIELD WELDING D SEWER AND BUCO D P(../CO UNDERGROUND D WASTE D 'WATER HIGH STRENGTH BOLTS TOP OUT D WASTE D WATER SPECIAL MASONRY TUB AND SHOWER PAN I I GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR WATER I ELECTRICAL I D ELECTRIC UNDERGROUND D1 UFFER ROUGH ELECTRIC I I . .. D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL I I MECHANICAL I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS I .. .. i-!. ~ . VENTILATING SYSTEMS I .. • .. _., . I " • . . I CALL FOR FINAL INSPECTYON WHEN ALL APPROPRIATE ITEMS ABOVE HA 'IE BEEN APPROVED. ' . < \." FINAL I '-··-··-\ ' PLUMBING I . I ELECTRICAL I .. -.-, -; ~ 1'-, " t L ... .. . '1-' J,, .., ,v • ~ ~' ( :"~ ... ... .. . - MECHANICAL I " GAS I ... / j J'. BUILDING I ~~ .. ~ · u/dfl . SPECIAL CONDITIONS I I ' I