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Home My WebLink About2687 SAUSALITO AVE; ; 87-76; Permit"' z 0 ~ C C ... iil 0 ~[ : ... z 0 0 C "' 0 ... 3 I "' z ~ z 0 ;:: C "' z ... A. ::t 0 0 "' ir "' "' C 0 3 il 0 I hereby affirm that I am licensed under prcwlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. I hereby affirm 11'\at I am exempt from the Conlrac-tor's License Law fOf !he loltow1ng reason {Sec. 7031 S Business and Professt0ns Code Any CJly or county wh1c.t. re-quires a perm,1 to construct. alter, improve, demohsh. or repair any structure. prior to its issuance also requires !heap-pt,unt tor such permn 10 hie a s1i:inet1 statement Iha! he ,s hcensed pursuanl 10 lhe prOV1s,ons of !he GontractDf s license Law (Chapter 9 commencing w1lh Seclion 7000 ol Olv1s1on 3 of the Business and Professions Code) o, that 1s ex- empt lherefrom and 1he basis for 1he alleged e.xemplion Any vt01a11on ol Section 7031.5 by an applkant for a permit sub· teels lhe apphcanl to a crv,1 penally of no1 moJe lhan live hun~ dred dollars ($500) ~ as owner ol the property, or my empioyees wilh wages Ir sole compensahon. will do the work, and lhe strut· s not mtended or ollered lor sate (Sec 70411, Business and Prolessoos Code The Contractor's License Law does not apply lo an owner of proper1y who t1uIlds or improves thereon and who does such wm himself or lhrough his own employees, provided 1~1 such Improvements are not intend· ed or ottered for sale If. however. ltle bu1tdIng or improve· rnenl Is sold within one year of completk>n. lhe owner·bmlder will have !he burden of proving that he did nol bt.11\d or im· prove tor the purpose of sale) n t. as owner ol the property, am exclusively contract mg with licensed contract0ts to construct the pro1ec1 ( Sec 7044. Business and ProlessK>ns Code The Conlractor·s license Uw does no! apply 10 an owner at property who bu1kis or im-proves tne,eon, anel who contracts for each protects wllh a ~)~tor(s) license pursuant lo the Contractor's License O As a Mmeowner I am improving IT1Y home. and lhe follow 1ng condttions exist· 1 Tl'le work ts being performed prtOJ to sale 2 I have lived 1n my hon"le lor twelve months 3 r'tav~ ~~pc~~of l~i: ::~ption dunng the last three years 0 I am exempt under Sec ______ • B & P C for !his reason ____________ _ 0 I hereby afftrm thal I have a. certificate of consent to self-insure. or a cert1fica1e of Workers· Compensa11on In• surance. or a certified copy t!"lereot (Sec. 3800. Labor Code) POLICY NO. COMPANY 0 Copy •s tiled with the c11y 0 C&Jt1lied copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be compleled ii the perm,1 t 1s for one hundred dollars (S100) Of less) I certify that in the performance of the work for which permit 1s issued. I shall not employ any person in any manne,. so as to become subject to the Workers· Com pen, satton Laws of California. NOTICE TO APPLICANT: If, afler making this Certificate of ExemptiOf"I. you should become subject to 11'\e Wo,kers· Compensation provIsIons of the Labor Code, you musi forthwith comply with such provisions or uus permu shall be deemed revoked. 0 I hereby atllrm that there is a construction lending agency tor the performance of the work for which this pe,• mlt Is issued (Sec. 3097. Civil COde) Lender's Name Lenders Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . . CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT JOB ADDRESS AV ST. AO. NEAREST CROSS ST 1,;~F ;:L,;;;1 BUSINESS LICENSE # v5525--,_ PERMIT NUMBER 26◄~7 SAV~!lLI ft, A,1/fE. f5L CAM fJJf) ~GA1 i1·76 LO"< BLOCK J sueo,v1s10N I ASSES10t q-~r ~ i q o u CONTRACTOR CONTRACTORS PHONE • ZONE ,,, OWNEA"S NAME I OWNEA"S PHONE I-IAR.R'-/ Dt!7MON f) CONT AACTOA'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE e!)Wtf}/5P OWNE R'S MA LING ADDRESS ) /,. 'I. '"'J <' Au.SA Lt 1b A IJ E DESIGNER DESIGNER'S PHONE OESCR,PT10N OF WORK lrA1t' b ~ eJJ fl 1::: /) DESIGNER'S ADDRESS ST A TE LICENSE NO. . -F/P FLRELEV. NO STORIES OCC GP EDU 0036 02/03 0101 02Blcht 21.•c vO NO -- I I PARK ING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOA D FIRE SPA AREA CONST y D ND vO NO vO NO Not Vil/id Unl~s Machine Certifi,d QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100,000 BTU BUILDING PERMIT 001 ·810·00·00·8220 / lo 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 001-810·00-00·8821 EACH GAS SYSTEM 1 TO 4 OUTLETS ___ ~ BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810·00·00·8222 -L----- EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 001-810·00·00·8223 ~ EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001·810·00·00·8224 -~ --- EACH VACUUM BREAKER MECHE XHAUST HOOO DUCTS MOBILEHOME 001 ·810·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226 EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880·519·92·33 ..,;<U TOT t=.L MECHANICAL FIRE SPRINi<LERS 001·810·00·00·8227 TOTAL PLUMBING I -PUBLIC FACILITIES FEE 320-810-00-00·8740 BRIDGE FEE 360·810·00·00·87 40 QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA ) NEW CONST EA AMP SWT BK R CAR PORT TIF 134·810·00·00·8835 I PH 3 PH AWNING LA COSTA TIF 133·810·00·00·8835 EXIST BLOG EA AMP1SWLBKR GARAGE FMF 1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162 REMODEL ALTER PER CIRCUIT MFF 880·519·92·57 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY !30 DAYSI -~~ CREDIT DEPOSIT j. I • TOTAL ELEURICAL I TOTAL TOTAL FEES PAYABLE I ,J7~ f~ I I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION ANO PERMIT" ANO DO HEREBY Expiration Every permit issued by the 8u1ldmg Othc,al under the provisions of th IS * AN OSHA PE-:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON ,NCLUDING THE Code shaJI e-.pire by hm1ta11on and become null and vo,d II the building or work 5 o·· DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenceci within 180 days from the dale-.,, sucti STAUCT\/RES OVER 3 STORIES IN HEIGHT ISSUED. TO COMPLY WITH ALL CITY COUN1Y ANO STATE LAWS GOVERNING BUILDING CON ;~~~~on°.:c, '~,~~v ~~~:1:Pte~;h:~~r:~!he°i~:e~le~~~~ r~~~1~,s~;g~~~~ 0' STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND rLIC~;:_ • --OWNE?CL CONTRACTOR 0 APPROVED BY IDATi/io? KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH-MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE PJ GRANTING OF THIS PERMIT ,-0 (/1 " BY PHONE 0 ,, TYPE I DATE INSPECTOR -~ BUILDING I I }· • . 57-,fP . . FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY I I GUNITE OR GROUT I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTORS DATE -CHECKED APPROVAL SUB FRAME D FLOOR D CEILING SHEATHING D ROOF □ Sl4EAR SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LATH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I I INTERIOR LATH & DRYWALL I I I PRES TRESSED CONCRETE POST TENSIONED CONCRETE PLUMBING I FIELD WELDING D SEWER AND BUCO D RUCO HIGH STRENGTH UNDERGROUND D WASTE O WATER BOLTS TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN I ~ GAS TEST I I □ WATER HEATER □ SOLAR WATER PILES CAISSONS I ELECTRICAL I I □ ELECTRIC UNDERGROUND [!J UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE D TEMPpRARY ' . □ BONDING D POOL I I MECHANICAL : □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS l VENTILATING SYSTEMS I I ~ OS\Ol 010:r ,05Bl~t 5.1•20 I -.... --. ....... ................... ITEMS A_l30VE HAiVE BEEN APPROVED. FINAL : . PLUMBING I • ·-' f .. ,. . ' ', 1 ELECTRICAL I ~ ' . MECHANICAL : ,. ,~ GAS ' ~ ....... ,_' \I ,' I \,_ . ' .. , BUILDING I ......__ ~- SPECIAL CONDITIONS I ~ . - I I -