HomeMy WebLinkAbout2873 SANFORD LN; ; 85-290; Permitii[
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R I hereby affirm that I am licensed under
pro•lelone of Chapter 9 (commencing with
Section 7000) of Dl•lslon 3 of the Business
and Professions Code, and my license Is In
full fo~:l.fre· Lie No "-'"--'""'-"u.L-Class C....:;Q
1 hereby a1hrm that I am exempt from the Contrac·
tor's L.cense Law for !he following reason (Sec 7031 .5 Business and Professions cooe: Any city or county wh1cn re-quires a permit to construct. aner, ,mprove. demohsh, or repair any structure. prior 10 ,ts issuance atso requires !heap-
pltcant IOf such permit to file a signed statement 1hat he 1s hcensed pursuant to the prov1s1ons ol the ConiractOf· s
License Law (Chapter 9 commencing with Section 7000 ol 0tv1s1on 3 of the Business al'ld Prolessions Code) Of' that 1s ex-
empt therelrom and the basis lor the allegeo ex.emp110n Any
v1olat1on of SecUoo 7031 5 by an apphcant !or a permit sub·
Jects the applicant to a c,vll penalty of not more lh.an live hun-
dred dollars ($5001
r-i I, as owner of !he property or my employees with wages as their sole compensauon. w1U do !he work. and the struc-ture ls not intended or o1fered for sale (Sec 7044, Business
and Professions COde: The Con1ractor's License Law does not apply to an owner of pre>perty who builds or improves
!hereon and who does such wOl'k himself or lhrough hrs own
employees, provided that such improvements are not intend-ed or offered lor sate. 11, however, lhe building or improve-
ment is sold w1th1n one year ol complelion the owner-builder
will have the burden of proving that he did no! build or 1m· prove tor the purpose ol sale)
0 I. as owner ol lhe property, am exclusively con1rac1tng
wilh ltCensed contractors to construct the proiect (Sec 7044, Business and Prolessions Code· The Contractor's L1cense
Law does not apply to an owner of property who builds or im-proves thereon, and who contracts lor each proteets with a
contractor(s) lteense pursuant to the Contractor's Ucense Law)
□ As a homeowner I am 1rnproving my home. and the 1ollow-
ing condillons exist' 1. The work ,s being pertormed prior to sale 2. I have li'iled in my home for twelve mooths r':v~ ~~P~f~1:: t1~1~ =~pt!On dunng the lasl lhree years.
D I am exempt under Sec. ______ • 8 & P C for this reason ____________ _
□ I hereby affirm lha1 I ha .. e a cert1llcale ol consent
to self-insure. or a cer11t1cate of Workers
Compensation Insurance. Of a cen1l1ed CoPY lhereol
(Sec 3800. t..aoor Code I
POLICY NO
COMPANY
□ Copy IS hied with lhe
CERTIFICATl OF EX~PTI0N FROM WORKERS" C0MPENS ION INSURANCE
(This seclion need not be c pteted 1I tne perm11
1s tor one hundred dOllars IS HX)I or less)
O I certify that 1n the pertormance ot the wori\ ror which this perm11 1s issued, I shall not employ any
person in any manner so as to beeome sub1ect 10
the Wonters' Compensation Laws ol Calltorma
NOTICE TO APPLICANT If, atler makin1 this Cer11
hcate ot Exemption. you shoulo become sub1ec1 I'> the Workers· Compensation prov1s1ons ol 1he UbOr
Cocie. you must torthw1lh comply w,th such
prov1s,ons or lh1s oerm,1 shall be cieemed revoked
0 I hereoy att,rm lhal !here ,s a construction
1end1ng agency tor tne performance ot the work for
which ttus permit 1s 1ss.ued tSec .3097 C,v,1 Cooe1
Lenders Name ___________ _
Lendefs A<'dress __________ _
USE BALL POINT PEN ONLY & PRE1S HARD -. u APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION ~--::-:IT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS -AV. ST.RO. NEAREST CROSS ST.
rAT~;L;;:N BU~ICEN~E# VALUATION PERMIT NUMBER
227-~ S',~ ·--~ L A) .. f ;:.. rift ji-10 ·,.
I~~ I BLOCK I SUBDIVISION l Ao/~
07~Rft7°? -4-:!:.. CONTRACTOR CONTRACTORS PHONE• ZONE ,~ ~,
,AA t-r' S"I'"""" ~'-y ~ ~ "2-bO-</II'/ --r •. ~ , ~~
OWNER'S NAME OWNER'S PHONE
-7• •
j
,.-Al<., "'I , ,,-.> C-cl.-V 4 JY-b 'ft!t' CONTRACT0R"S ADDRESS ', . LICENSE NO. 1 PLAN 1.0. # ,t.;)-; , BLOG u.SE C:~0E
A/2-1 -,s-.St---1 C~<~ ~~9J1' ... ,,
0WNER"S MAILING ADDRESS
~ h ~. "A...J~..0 G,J. 0ESIGNER LICENSE • STANDAR0 PLAN # BUILDING SO. FOOTAGE
DESCRIPTION OF WORK
~A / /""l DESIGNER"S ADDRESS DESIGNER'S PHONE
, Lt-a--~ -<Z_,~ -,½.,. -·17-F/P FLRELEV. NO 0CC GP EDU
STORIES
vO NO "/3l:J/bb l □7~ i'F~r:~
I
I CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRACING PERMIT ISSUED I RE0EVEL0PMENT TYPE 0CC LOA0 FIRESPR
AREA CONST
I v O N 0 vO ,_,Q vO NO Not Valid Unless Machine Certified
I
I QTY. PLUMBING PERMIT -ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE 3_..;.. SUMMARY/ACCOUNT NUMBER
I
I EACH FIXTURE TRAP
, INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220
I EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00·00-8221 -·--
EACH WATER HEATER ANo,oR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM I TD 4 OUTLETS ! BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00-8222 -A -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 / ~ ·;::...----,
EACH INSTAl. Al TEA. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 -
EACH VACUUM BREAKER MECH EXHAUST HDDD'DUCTS MOBILEHDME 01-00-0Q-8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE I SOLAR Ql ·OQ-On-oo,o
TOT,i;l MECHANICAL ~NG MOTION 80-92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00·8227
QTY. ELECTRICAL PERMIT -ISSUE ~--QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-893)
BRIDGE FEE
NEW CONST EA AMP SWT 8KR ,4 ,t. ./ COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH aiYY ,...,,,,,,,.... STORAGE TAN KS Carlsbad 80-92-21-0519
/ EXIST BLDG EA AMPiSWT BKR ~t!)~~ /I) .,, ROCK STORAGE Encinitas 80-92-22-0519
I l PH 3 PH PUMP I San Oiegu1to 80-92-23-0519
I REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
I TEMP PO LE 200 AMPS
I
I OVER 200 AMPS LICENSE TAX 01-00-00-8162
I TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
I CREDIT DEPOSIT
I
I /~
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I TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I /~
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIF AND DO HEREBY Expiration. Every permit issued by the Building Offlc,al under the provisions of this * AN OSHA PEFMIT IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 1tm1tat1on and become null and void If the bu1ld1ng or work 5· o·· DEEP AND OEMOUTION OR CONSTRUCTION OF
I DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
authorized by such permit 1s nol commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT
I ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· ~~'::::On°.:C, '!t t=~y ~~~~,~~.~~h:c:~,~~!~~~~~le~~~~ r~r;:~·~?f:rJ'.~-:1 Of
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPnS SIGNA~~ A OWNER□ CONTRACT~ APPROVED BY • . . K PATS )J I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -/./;~"' // . •· BY PHONE 0 • . .. I~~ /rs
I GRANTING OF THIS PERMIT -<...,; • ~
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.... ....; ""'I.~--...._ .. "" r, ... .:::.•.c..• ' TYPE I DATE INSPECTOR --___J_'.1f►-I ........ ..... ·.,. .;_....,.:L-•
I . . ,.,r . . . ... BUILDING
FOUNDATION I FIELD INSPECTION RECORD ss~d-40
REINFORCED STEEL I
INSPECTOR'S NOTES REQUIRED SPECIAL INSPECTIONS
MASONRY ' i REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPL ANCE
SHEATHING D ROOF D SHEAR PRIOR TO
FOUNDATION INSP FRAME I STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I ' PO~ TENSIONED
I CONCRETE
PLUMBING i FIELD WELDING
·-SEWER AND BUCO D IPUCO I HIGH STRENGTH•
BOLTS UNDERGROUND D WASTE D V:JATER
SPECIAL MASONRY TOP OUT D WASTE D W~TER
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSONS
0 WATER HEATER D SOLAR WAl'ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER
ROUGH ELECTRIC 1
D ELECTRIC SERVICE D TEMPOijARY -D BONDING D POOL i ': -·
I C MECHANICAL . I
D DUCT & PLEM., D REF. PIPINµ ' .
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ~ .
I
I
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED. · • • C
FINAL _.,,--. -I
l . ~ N€rfP ~t~ Jl-4-rt~~, \11'1.A' dA.J PLUMBING I . I"""/'-. I.
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ELECTRICAL I ,I 'f-..... __) -•.
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C R -~ l ~. r~ ~~o ·-~ ,,,,,, . ' ~ . -fa ( c,a-. . I .. _,. j -·-· ' ..
\ ll -./~ MECHANICAL . ~ . --aJ (0~ bl\'\.~, ·r-AL9 q-~ l.o· '°"' ~ I <
GAS I ,JV / / ......... ' . ~ I < . . -.. \ BUILDING I 1n / ~ I
SPECIAL CONDITIONS I '-» V . ' I