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Home My WebLink About1917 PALOMAR OAKS WAY; ; CB881242; Permit"' z 0 ~ C a: C .., u Ill a C I[ 8 C Ill a .., 3 ~ Ill z 3t 0 z 0 ~ C "' z Ill Q. ::I 0 u "' ix: Ill "' C 0 3 ![ ,, O I llereby affirm that I am llcen!.ed under pro,,l1lon1 of Chap!..-9 (commencing with Section 7000) of Division 3 of the Business and Prolffelons Code, and my license Is in lull force and effect. I hereby athrm that I n e.emp1 from the Contrac lor s Lcense Law tor lhe lotlow,ng reason (Sec 7031 S Business and Professions COde Any cI1y Of county wh1tt. re-quires a permit to cons1ruc1, alter improve, demohsh. °' repai, any structure. pnor to tts issuance also requues !heap-Olteint lor s.uch peunrt to file a Stgned stalement that he 1s hcensed purSUJnt 10 lhe prDYtslOl'ls oC lhe tontr.tclor s Lcense Law fCllapler 9 conwnenc,ng w~h Secl,on 7000 ot Otv,sK>n 3 of the Business arlCI Pfotrssions CooeJ or that 1s ex empt theretrom and the basis tor the allegea e.xemphon Any =I~: ~D~~r,:~Jclj ::n!~:~:r;::; fr.fn'1:: ~~~- dred dollars (SSOO) I as owner of the property or my empSOyees with wages as their soie compensaltan wtM do the wOfk and lhe slruc- lure 1s not tnlended or ol1ered to.-sale (Sec 7CM4, Business and Prolesston$ Code The ConlrattOf·s LK:ense Law does not apply to an owner of prQptrly who builds Of improves thereon and wno does such work htmseft or through hrs own emptoyees Pf"CMCJed that such mprOYements ire not mtend· ecs or ottered tor sale II howeYef. the t>u1kMg or wnprove· men! ,s sold w,th,n one year of complet100. the owner·bu1!der will have the burden of proving that he did not build or im· prove lllf !he purpose ol salt) I I._ as owner ot the p,openy. Mn exciusrvtty contractmg wilh hcensed contractocs 10 con$1tUCt the pro,ect (Sec 704' Busmess and Pfofess,ons COde fhe Contractor's La:nse Law does not appfy 10 an owner of property who bu1kjs Of 1m• proves thereon. and who contracts lor each prOJtCls with a conlractM{S) license pursuant 10 lhe Contractor's license Law) As a oomeowner I am lffl&)fOYmg my home. and the Joek>w ,ng cond11tons ex1s1 1 fhe work 1s being pertormed prlOf 10 sale 2 I have hved ,n my home !or twelve months PflOf' lo compte11on of 1h15 WQ(k 3 I have nol claureO lh1s exemphon Ounng lhe lasl lhree years ~r /h~~r!~:f' under Sec ______ . B & P C ------------- C I hereby allum that I have a certificate ot consent to self-insure or a certihca.te of Workers' Compensatioo In• sur.ince Of a certified copy thereof (Sec 3800 Labol Codel POLICY NO COMPANY :J Copy IS tiled with lhe city 0 Certified copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not t>e completed 1f the permit 1s to, one hundred dollars CSH'.>Ol or less) C I cer11ty thal in the pet'IOfmance ot the work for whteh this permit IS issued. I shall not employ any person many manner so as 10 become sub1ect to the Workers· Compen• satlon Laws ol Callfornia NOTICE TO APPLICANT II. afte, making this Cer11ticale ol Exemption you should t>ecome sub1ec1 to tf'le Workers Compensatt<>n provisions ol the LabOf Cooe. you must lorthw111, comply wm, such provisions or this permit $hall be deemed revoked D I hereby altirm that 1h1re Is a consttuc11on lending agency tor the performance ot the work to, which this per• mll 1$ Issued {Sec 3097. CIVIi Code) Lendef'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 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB AOORESSf/}f.~,,m/.1,~ AV ST RO THOMAS BROS NO. I DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER /'J/? (1 iFU: 0,1111< .. ~✓ 2~7./ /f,~ LOT BLOCK L:U8 0' VISION I ASSES_jR P~CEL NO CONTRACTOR CONTRACTORS PHONE • ZONE Cb ~f'/ 1-f2-~o ---/A,~· .Jt . 1 '2 ,..,..,, , , r. rv') D ~-,/ ~--~ .,._ OWNER'S NAME -----L ·o wNER"S PHONE ··--V - D~ ~",1.-~ ---CONTRACTOR'S Aooz.s ~ ~ STATE LICENSE NO. BUILDING SO. FOOTAGE . ,. ~---'6-4~/Z~ -;~!~~-,.a~.-1!~ ~-O!E R"✓~L "'l ACOR~ A' .. , r>cs,-OlfER --, <~;;:,:;:~~ r.z~ -.. 'I!.. A~-·---~ ,,-,. ~2"'77 -,I~~ ~-~ OESCAl".!'fON OF WORK'5'i * Lj}/..f ~ ---l!lS _ w ..: /, 0 I .J.-.J _ ~~iE}_ .. ~~--4 ~ S?: STATE LICENSE NO 2399 10/11/88 0001 01 02 . -. GZt;oS¢-BldPat 208- F/P FLA ELEV. , -NO OCC GP EDU STORIES vO ,-,Q --I CENSUS TRACT I PARKING SPACE RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST y D ND ,□ ... o vO NO Not V•l1d Uni,ss Machint Ctrttfi«J QTY. PLUMBING PERMIT · ISSUE ,.~{) QTY. MECHANICAL PERMIT · ISSUE 1~m SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU ~UILUINli rcnMII vu,-~ IU·UU·VU·oau ,y Ir EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810·00·00·8221 EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 001-810·00·00·8891 /J'"' EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00-8222 , EACH GAS SYSTEM 5 OR MORE MFT Al FIREPLACE ELECTRICAL 001-810·00·00·8223 EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00-8224 EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 001·810·00·00-8225 WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR 001·810·00-00-8226 . EACH ROOF ORAlN tlNSIDE) DRYER VENT ST RONG MOTION 880·519·92·33 I ou- TOTI.L MECHANICAL FIRE SPRINKLERS 001·810·00·00-8227 T01Al PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00-8740 BRIDGE FEE 360·810·00-00-8740 QTY. ELECTRICAL PERMIT · ISSUE ,C, ffi QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA l NEW CONST EA AMP SWT llKR CAR PORT TlF 312·810-00-00·8835 1 PH 3 PH AWNING LA COSTA TIF 311·810·00-00-8835 EXIST BLOG EA AMP SWT BKR GARAGE FMF 1 PH 3 PH LICENSE TAX 001 810·00·00·8162 REMODEL AlltR PER CIRCUIT MFF 880·519·92-57 TEMP POLE lOO AMPS OVER ]00 AMPS TEMP OCCUPANCY 130 OAYSl CREDIT DEPOSIT LJ;9 ~ TOTAL ELELTRICAI I TOTAi ; TOTAL FEES PAYABLE I.A6r~:; ~ I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Exp1r1tton e~ery permit issued by the Bu1ld1ng Ott1c1al under the provisions of th,s * AN OSHA PUW:T IS AEQUIAED FOR EXCAVATIONS OVEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde shall expire by 1,m1tahon and become null and void Ir the building or work 5 o· DEEP ANO OEMOUTION OIi CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I', authorized by such permit 1s not commenced within 180 days from the dale of such STAUCT\JAES OYER 3 STOAIES IN HEIGHT perm11. or 1f the bu1ld1~ or w°:,;,,IM 1 thonzed by sucn permit ,s suspended o, ISSUED TO COMPLY WITH ,.LL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any hme a er the s commenced tor a oer10<J ot 180 ttauc. STRUCTION WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND p T .r .,-)~ ~~~--IDA7¼~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND AP LICAN y~ /_ J ~ CONTRACTO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -BY PHONE n GRANTING OF THIS PERMIT ,'?"'"& M.-r"T~ - >, a. a. a. Ill Q) ~ (!) £ u Q) a. rt) C Q) C. ~ ' ' . \ '- TYPE DATE INSPEqTOR •· . Oo g-8-"frZ-Lfc-BUILDING I / I) / - FOUNDATION A,,,'fl( ,, ..I FIELD INSPECTION RECORD .. -~~ REINFORCED STEEL . ,,., . 'r REQUIRED SPECIAL INSPECTIONS . INSPECTOR'S NOTES MASONRY . GUNITE OR GROUT INSPECTION REQ IF INSPECTOR'S DATE .. CHECKED APPROVAL . SUB FRAME □ FLOOR □ CEILING SOILS COMPLIANCE SHEATHING □ ROOF □ SHEAR PRIOR TO FRAME FOUNDATION INSP EXTERIOR LATH STRUCTURAL CONCRETE OVER 2000 PSI INSULATION PRESTRESSED CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING FIELD WELDING □ SEWER AND BUCO □ PUCO HIGH STRENGTH UNDERGROUND □ WASTE □ WATER BOLTS TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN ... GAS TEST PILES CAISSONS □ WATER HEATER □ SOLAR WATER ELECTRICAL . . □ ELECTRIC UNDERGROUND □ UFFER . ROUGH ELECTRIC . "' • ... □ ELECTRIC SERVICE □ TEMPORARY D BONDING □ POOL MECHANICAL D DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS . . . --VENTILATING SYSTEMS -·-., El~-.-,.)vU ., . ' . . -' ' . ":' .I.Jr, .. .,.r"-... ,~ 0001 er OS . --~-. h CALL FOR FINAL INSPECTION WHEN A[L APPROPRIATE_ " ' . -. ... " .. '- ITEMS ABOVE HA VE BEEN APPROVED. • " . . . . -.. '11 "' • c .. FINAL . '· . ·, 't " -" ... . . '~ \•. , . . . . . . PLUMBING .. . .. ' -. ' i• ~ " /' -~·' _·'-S -ELECTRICAL " ' . -:-~ ,; ,: MECHANICAL \ '\ .. / I -. . ~ ' . . . ' \ \\ J 1 ' GAS -BUILDING . (\ Y\'0i \. \ i'V I SPECIAL CONDITIONS \' J ~T ' I , \ j DEVELOPMENT PROCESSING SERVICES DIVISION 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009-4859 (619) 438-1161 MISCELLANEOUS FEE RECEIPT Applicant Please Print And FIii In Shaded Area Only ASSESSOR'&Cor 20 _;1 ~,,,_ ~ / ~-~.a di PARCEL N 0. /Vr ~ Ne' r , '-"', ":Tc:;7 PLAN ID NO.? 1923 09/16/88 0001 01 05 Hise 129-00 CITY ZIP TEL. VALIDATION AREA CONTRACTOR'S MAILING 2 78 2 ;;z 5L. / ~ PLAN CHECK FEE 001-810-00-00-8821 A_D_D_R_E_S_S __________ -'~'--'-~=t>"::--.;;....::;Oc.::.>li'...c._'.:::>=---1 IF THE APPLICANT TAKES NO ACTION £7/-,,t. WITHIN 180 DAYS, PLAN CHECK FEES p o/ _,? ~ 7 TEL. ~.$ -c:::, WI LL BE FORFEITED. BUSINESS ICENSE NO. ~ 2~ / SUBDIVISION------LOT(S)----------+----------------------- CHECK IF SUBMITTED: 3 □ 2 ENERGY CALCS □ 2 1987 ENERGY CALCS FOR NON RESIDENTIAL BLDGS DESCRIPTION OF WORK □ 2 STRUCTURAL CALCS □ 2 SOILS REPORTS □ 2 SELF ADDRESSED ENVELOPES DATE GIVEN/ SENT TO APPLICANT DATE CONT ACT PERSON LA COST A LETTER ADDRESS SCHOOL FEE FORM P & E CORRECTIONS LIST CERTIFICATE OF OCCUPANCY DATE White· File Yellow -Applicant Pink -Finance Gold · Assessor