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Home My WebLink About2814 SEASIDE WAY; ; 83-502-GAR; PermitJi[ 0 u "' z 0 ~ C ac C ..J 0 "' a ac "' 0 .... 5 • ii "' z ~ z 0 ~ C "' z "' ... 2 0 u "' ir "' "' ac 0 3 1[ O I heregy• affirm that I am licensed under p,ovJsiona of Chapter 9 (commencing with Sllctlon 7000) of Division 3 of the Business and Professions Code, and my license Is in lull forct -,w( 9ff"'k l lie No -=L.:c....cl--ce L.~O~o~o,_ Class B- I hereby affirm that t am exempt from the Contrac· tor's Lttense Law !or the foUowmg reason (Sec. 7031.5 Bustness and ProfesslOfls Code Any cdy or county which re-Quires a permll 10 construct. aner. improve, demolish, or repair any structure, pnor to tts issuance also requires the ap-plicant tor such permit io file a S?gned statement that he is hcensed pursuant to lhe prOV1siOns of the Contractor·s License Law {Chapter 9 commencing with Sect10n 7000 of OMs-,on 3 of the Business and Professions Code) or that 1s ex- empt therefrom and lhe basis tor the allegea exemption Any vlOlallOll ol SeclM>n 7031,~ by an applicant !or a perm,1 sub· teels the applicant to a civil penalty o1 not more than rtve hun- dred dollars ISSOO). O I. as owner of lhe property. or my employees wI1h wages as their sole compensa1ion. wtll do the work. and the strut· ture is noI intended or oflered for sa~ (Sec. 7(M◄, Business and Professions Coda: The CoolrattOf's License law does not apply to an owner ol property who butlds °' improves thereon and who does such work himself or through his own employees, provided ltlat such improvements are not mtend· ed or ottered for sale. II. however. the buildmg or improve- ment is sold within one year of completion, the owner-bu1kier will have the burden ol proving that he did not bllild or im· prove lor the purpose ol sale). D I, as owner ol the properly, am exclus,vely contrac1lng with licensed conlractors 10 construct the pro;ect (Sec. 70-4◄. Business and Pfole-ssiOns Code· The Contractor's license law does not apply to an owner ol properly who builds or im- proves thereon, and who contracts for each projects with a contraclor(s) license pursuant lo the Conlractof's license law). D As a homeowner I am improving my home, and the lollow· ing conditioos exist: 1. The work is being performed prtOr to sa~. 2. I have lived 1n my home lor twotv. mooths prior to completion of this work_ 3. I have not claimed this exemption during lhe last three years. D lamexemptunderSec, ______ ,B&P.C. Jor this reason ____________ _ O I hereby affirm that I ha"e a cert1llcate of consen1 10 self-insure.· or a cert1f1ca1e ot Workers· Compens.ahon Insurance. or a cert1t1ed copy lhereof !Sec 3800. l..lbo< COdel I 50 I POI.ICY NO COMPANY KWP 265 92 Fireman's Fund: 0 Copy 1s hied w1lh lhe Ctly D Cen11ted ce>py ,s hereby turn,shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Trus sechon need no! be completed 11 the permit 1s !Of one hundred dollars (SlCIO) o.-less) D I certify that in the per1ormance ot the woni. tor which U'US pemi1t 1s 1ssue<1. I shall not employ any person in any manner so a.s to become sub1ec1 to the WOtkers· Compensation Laws ot Cahlorn,a NOTICE TO APPLICANT II. afler mak1n~ tn1s Cert, ticate ot Exemphon. you snould be-Come subtecl I'> the WMers· Compensation prov1s,ons of lhe LabOf Code, you must forthwith comply w11n such p,ov1s1ons o, lh1s permit shall be deemed rev{»l.e<J I I I I I I I I I I I I I I I I D I flereby affirm 1hal !here 1s a cons!fuc11on I tending agency to, tne performance ol the wor1o. tor I wrucn 1ti,s perm,, 1s ,ssueo 1Sec J097 c, ... ,1 Cooe1 I LendersName Union Bank: I LenoersA<ldress 5 2 5 11 B" Sr.. I S . ) an Di ego, CA, APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS USE BALL POINT PEN ONLY & PRESS HARD --· - I ' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST. RO. NEAREST CROSS ST I DATE OF APPLICATION' BUSINESS LICENSE # VALUATION PERMIT NUMBER 2814A Seaside Way Seabrook Drive 8/23/84 · 1710 10,800 83-502 LOT ' J:LOCK i.;veot VISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE Garage 4 f" Z\.VE~ll TT.T.t:: R? Hi OWNER'S NAME I OWNER'S PHONE Pacific Scene. Inc. 299-5100 CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0.-# BLOG USE CODE Treetoos Unlimited 299-5100 3900 Harney St., S.D. 921 0 272686 OWNER'S MAILING AOORESS 3900 Diego. 92110 OESrGNER LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE Harney St •• San Ca Buzard/Hennina & DESCRIPTION OF WORK Ass. C4729 900 DESIGNER'S ADDRESS DESIGNER'S PHONE GARAGE 4883 Ronson Ct •. San Dieac 278-6855 --· L/.:_-;_;I ~~ ·------. ~----·-·• ------F/P FLR ELEV. NO OCC GP EDU ' STORIES vO NO ------ CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST y D ND vO NO vO NO Not Valid Unlns Machine Certifit!d QTY. PLUMBING PERMIT -ISSUE 7,5D QTY. MECHANICAL PERMIT -ISSUE 3. oc, SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 86.50 EACH BUILDING SEWER OVE A 100,000 BTU , SIGN PERMIT 01-00-00-8221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 56.25 EACH GAS SYSTEM 1 TO 4 OUT LETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01·00-00-8223 - EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224° EACH VACUUM BREA KE A MECH EXHAUST -HOOOIOUCTS MOBILEHOME 01 ·00·0Q·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-Q??~ TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 .75 TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8933 216.00 5_00 BRIDGE FEE NEW CONST EA AMP/SWT SKA COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80·92-21-0519 EXIST BLDG EA AMP/SWT/BKA ROCK STORAGE .. Encinitas 80-92-22-0519 1 PH 3 PH PUMP San Dieguito 80·92-23-0519 REMOOEL'AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 OAYSl mFP CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 359 .50 I HAVE CAREFULLY EXAMINED THE COMPLETED '·APPLICATION ANP PERMIT" AND DO HEREBY E,cpiratiOn Every-I -by the Building Olhc,al under Ille l)fOVISIOlll ollhtl * AN-~• --is REOUlflEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1tian ••pi,•~--become null and VOid If the bu,td,ng o, wort< s· O" ~MOUTION Ofl CONSTIIUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized b: i m,t as no1 witllm 180 days from the date of auc~ S -----R 3 STORIES IN HEIGHT ISSUED. TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• permit. or rt Ilda~ · t,v suet, permit II suspended or ./ -I abendoned at · ~ 11 tor• -oc1 ot 1oiii :..:.~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICZATr.... _/ .a OWNER 0 COI\ITRACTOR 0 APPROVED~;}.__ 1~h~ KEEP HARMLESS THE GrTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE 0 GRANTING OF THIS PERMIT --'"•--·.... ........ -~ . 2 u:: >, .;; 0 a. E ~ I -0 0 0 c <ti u a. a. <( I -" C a: 0 "' "' Q) "' "' <( I 3 .Q ai >- rii "' Q) u 0 a: <ti -; 0 §: Q) u C <ti C u:: ~ C Q) Q) C, 0 ti Q) a. "' C !£ .c ~ TYPE.. t DATE INSPECTOR BUILDING ' I . -U}tg 4 " w Cr FOUNDATION I _l FIELD INSPECTION RECORD •. REINFORCED STEEL ( MASONRY ' I GUNITE OR GROUT ! REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOT ES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL ·- FLOOR & CEILING SUB FRAME I SHEATHING D ROOF D SH~AR FRAME I J EXTERIOR LA TH I SOILS COMPLIANCE t PRIOR TO . FOUNDATION INSP . STRUCTURAL CONCRETE OVER 2000 PSI . . . INSULATION ' I INTERIOR LATH & DRYWALL I t PRESTRESSED ' I CONCRETE I, POST TENSIONED i - ! ' CONCRETE PLUMBING : ' FIELD WELDING . SEWER AND BUCO DIPUCO I UNDERGROUND D WASTE D WATER HIGH STRENGTH r BOLTS I, 1; TOP OUT D WASTE D WATER SPECIAL MASONRY ~ . TUB AND SHOWER PAN I f ~STEST I ., PILES CAISSONS .. D WATER HEATER D SOLAR W*TER I l ELECTRICAL I ' I ., D ELECTRIC UNDERGROUND □;UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPORARY ··-i ' ' ~ .•, ., ~ ! ! ' ' ,, ., D BONDING D POOL ' , I . .. ' 1, •t . :..."': -I . MECHANICAL I I ;·"• --I D DUCT & PLEM., D REF. PIPlt-,IG -:-' .. HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL ,, PLUMBING ELECTRICAL . MECHANICAL GAS BUILDING SPECIAt:· CONDITIONS ' f -· .. . 1 8 .,, z 0 ~ cc C ... 0 "' 0 cc "' 0 ... s ~ "' z ~ z 0 ~ .,, z "' A. 2 0 0 .,, a: l&I " cc 0 3 il . ' ~ O I her~ afflnn that I am licensed under provlalona of Chapter 9 (commencing with ~lion 7000) of Division 3 of the Business and Professions Code, and my license Is In lull for~~ .itl'I'\. l Loe No ~L.~/~ L._t>~O~O~ Clm B- I hereDy allirm lhal I am exempl from lhe conuac-tor' s License Law lor lhe lollow,ng reason (Sec. 7031.5 Business and Protessoos Code· Any city or county which re-quires a permit to construct, alter, llllprove. demolish, or repatr any structure, prior 10 its issuance also requires !heap-phcant tor such permit 10 hie a signed statement that he is licensed pursuant to the prov1srons o1 the coniractor' s License Law (Chapler 9 commencing w1lh Sect,on 7000 of Divis,on 3 ot the Business an<! Protess,ons Cooe) or lhat 1s ex· empt therefrom and the basis for lhe allegeo exemption Any vK>lallon of SectiOn 7031.5 by an apphcant lor a pe1m,1 sub· 1ects the applicant to a c,vil penalty of not more than five hun• died dollars ($500). O I, as owner of tne property. or my empk)yees with wages as their sole compensation. will do the work. and the struc· lure is not intended or otfered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner or properly who builds or improves thereon and who does such work himself or through his own employees. provided that such improvements are not Intend· ed or offered for sale. 11, however. the building or improve- ment is sotd within one year of completion. the owner-builder will have the burden of proving that he dtd not buikt or im-prove tor the purpose of sale). D I, as owner of lhe p,operty, am exclusively contracling with licensed contractors lo conslructlhe project (Sec. 7044, Business and Prolessions Code: The Contractor· s license Law does oot apply to an owner of property who builds or im· proves thereon, and who contracts for each projects with a contractor(s) license pursuant to the conuactor·s License Low). 0 As a homeowner I am nnprOVlng my home, and !he follow· ing conditions exist: 1. The work is being perlormed prior lo sale. 2. I have liv!d In my home tor twelve months prior to compJetK>n of this work. 3. I have no1 claimed lhis exemption during lhe last three years. D lamexemptunderSec. ______ , B&P.C. fOf this reason ____________ _ D I hereby att,rm thal I ha..-e a cen1flute of consent to self-,nsu,e, or a cert,t,cate of Workers· Compen$ahon Insurance, Of a cen1f1ed copy thereot !Sec 3800, Labor Code> POUCY NO KWP 26592 50 coMPANY Fireman's Fund □ Copy IS hied w1ll'I the city 0 Cert,hed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t !he perm,1 1s tOJ one hundred OOllars ($100} o, less) D I cen,ty that in the performance ol the wOOI tor which 1h1s permit ,s issued. I shall not employ any person m any manner so as to become sub1ect to the Workers· Compensation Laws ol Cahtom•a NOTICE TO APPLICANT It, alter maktn) (hi$ Cen, hcate ol Exemplion, you should become sut>1ect I? ttle WOOlers' Compensation pro-.i1s1ons ol lhe LabOr Code. you musl tonhw1lh comply w11h such pro-..,s,ons o, 1h1s perm1t shall be deemed ,e._,okeo 0 I hereby affirm that lhere 1s a construct,on Iend1ng ~ency 10, the per1ormance of lhe w~ to, which th,s perm11 1s 1ssued tSec .)()97 C1v11 COdel Lenoe,sNome Union Bank Lender"sA<ld•ess 5 2 5 11 B II St. San Die go, CA I I I I I I USE BALL POINT PEN ONLY & PRESS HARD --------------II APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. .... -·-····· . -. ·--------------------------····---···------------------------ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 JOB ADDRESS AV ST.RO, NEAREST CROSS ST. 1D•~~;;;~~ATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER 2814B Seaside Way Seabrook Drive 1710 8,400 83-502 LOT d BLOCK [~ suB01 v1s10N I Asslf~o~ 16cEL NO CONTRACTOR CONTRACTORS PHONE f ZONE ALAVER HILLS Garage 3 OWNER'S NAME I OWNER'S PHONE Pacific Scene. Inc. 299-5100 CONTRACTOR'S ADDRESS LICENS£NO. PLAN 1.0. # BLDG USE CODE TrP-etoos tJnlimited 299-5100 OWNER'S MAILING ADORESS ":\QOO 1-1 .. ...-nAv St-_ s .. n n; ,.,,..,. ?7?"A" DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE 'lonn 1-1,., ... ..,, ... u C'~ c--n n;onn I"' JI. Q?lln Buzard/Henning ·& Ass. DESCRIPTION OF WOR°t . -C4729 700 DESIGNER'S AOQRESS DESIGNER'S PHONE _ __ ___GARAGE_ __ IA DD"J n------I"'+ r, __ "~ ---~.,,. , occ;: ----~ --------F/P NO F LR ELEV. OCCGP EDU STORIES vO NO L/:.j . - I I CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT T YPE OCC LOAD FIRE SPA AREA CONST YO N □ vO NO vO NO Not Valid Unkn Ahchine Cerrified QTY. P LUM BING PERM IT -ISSUE 7.so QT Y. MEC H A N ICAL PERMIT -ISSUE 300 SUMM ARY/A CCOUNT NUMB ER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00·8220 74_c;o EACH BUI LO ING 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 AR At; EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 - EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00-0Q-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-0000 TOT,t;L MECHANICAL STRONG MOTION 80-92-33-0519 .58 TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00·8227 QTY. ELECTRICAL PERMIT -ISSUE 5_00 QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00·00·8933 lf;R_OO ' BRIDGE FEE NEW CONST EA AMP/SWT,BKR COLLECTORS SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TAN KS Carlsbad 80·92-21-0519 EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519 I PH 3 PH PUMP San Oieguito 80-92· 23-0519 REMODEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY 130 DAYS) mr==F CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 291.53 I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT" AND DO HEREBY Expif1llloft Ewery perffllt -byll1e8ullding Offictal un-Ille prOV1S1ons of 11111 * AN OSHA ~IS AEOUIIIEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall .. .,.,. by llfflflallon -beeome null -VOid II the bu,ld,ng or wortt !I" o·· DEEP DEMOUTION 0A CONSTAUCTIOH Of' ~ ~~mll ,a not commenced w1t111n t80days from Ille date of such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE If A PERMIT IS permit, o, 1f Udt;.'X o, ,.,;;z;;,..--p IUd by such perm11 ,a s:-:gencled or s, OVER 3 STORIES IN HEIGHT ISSUED· TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• abelldDliedM • is lora~odol t ·---7 • STRUCTtON, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPlyT~•_/ A OWNER□ CONTRACTOR 0 APPROVEO ~d---~ 1o/¥/s~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. -~ .. '7'iitt.. BY PHONE 0 --I ~ u. >, o'j 0 a. E Cl) .... I -0 0 (.'.) C m -~ a. a. <{ I .:L C a: 0 V) V) Cl) V) V) <{ I 3: 0 a; >- cri V) Cl) u 0 ct m iii 0 ~ Cl) u ~ C u:: C Cl) ~ (.'.) 0 0 Cl) a. V) C ~ .c ~ TYPE I DATE INSPECTOR l BUILDING I = -. /'n't'fl. 3 .. ; -' J FOUNDATION i , - FIELD INSPECTION RECORD REINFORCED STEEL ! I MASONRY I -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT i INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL - FLOOR & CEILING SUB FRAME I I SOILS COMPLIANCE SHEATHING D ROOF D SHEAR PRIOR TO FRAME ' I . , FOUNDATION INSP EXTERIOR LATH ' : STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRES TRESSED t I INTERIOR LATH & DRYWALL l J CONCRETE POST TENSIONED r CONCRETE PLUMBING l FIELD WELDING SEWER AND BUCO D IPUCO ' l UNDERGROUND D WASTE □~ATER - TOP OUT D WASTE D WATER HIGH STRENGTH ' ~ • BOLTS ,, H ~ SPECIAL MASONRY ~ .. •' TUB AND SHOWER PAN ' I OAS TEST I I ,. . . . ' " < -' PILES CAISSONS D WATER HEATER D SOLAR WATER i ' ' ELECTRICAL l D ELECTRIC UNDERGROUND □1UFFER I ROUGH ELECTRIC ' I D ELECTRIC SERVICE D TEMPQRARY ,, ' ' a . N ' , ,, I D BONDING D POOL I . •. . ' . , ,. ' • I - MECHANICAL I ,-., D DUCT & PLEM., D REF. PIPING ' • . HEAT -AIR COND. SYSTEMS I .. VENTILATING SYSTEMS ! I CALL FOR FINAL /NSPEC 1 ~ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. -FINAL I ~ r ... PLUMBING . y \ \/"' I .... ELECTRICAL ' 1 lt-\ \\ .. _l . MECHANICAL t {\"t,. \.,. \I"\'\ GAS I I ~ \ i ~\ BUILDING i I I \ SPECIAL·C,ONDITIONS I . ' -I - ~ . O IJl!!ril:N-•fflrm that I am licensed under ~ pr_ovlalon.:' of Chapter 9 (commencing wll h Section 7000) of Division 3 of the Business and Profeaalons Code, and my license Is In Ill z 0 ~ C IC C .., 0 "' 0 c full forc,1'14 ~~J.. ~ Lie No LL.I:> Class _B-1 0 0 C Ill 0 .., 5 I Ill z i ~ z 0 ~ C Ill z Ill A. 2 0 0 y, er: Ill " IC 0 3 if 1 hereby al!lrm that I am exempl lrom the Contrac;- 10<' s License Law ID< tilt lollowing reason (Sec 703U Business and Professions Code. Any c,ty or county which re· quires a permit to construct, alter. improve. demohsh, or repair aflY structure. pnor to 11s issuance also requires the ap-plicant !or such perrrut to tile a signed statemenl 1h31 he 1s lttensed pursuanl to the PfOV1sions ol the con1rac1or·s License Law ( Cha pier 9 convnenc,ng w1lh Sec110n 7000 DI Oivision 3 of the Business and ProtessiOns Code) or that is ex· empt 11ltrelr0<0 and tilt basis !0< the allegeo exemption Any Y!Olahon of Secoon 7031,5 by an apphcant 10< a perm,1 sub-jects the applicant 10 a c1v1I penalty ot not m0<e than five hun· dred dollars ($500). D I, as owner ol tile p,operty. or my employees with wages as their sole cornpensahon, wtll do the work, and the struc- ture 1s not intended or ollered for sale (Sec. 7044. Business and Protessklns Code: The Contractor's License Law does not apply 10 an owner of property who bu1tds or 1mpr0Yes thereon and who does such work himself or through his own employees, provided 1hal such improvements are not intend· ed or ottered for sale. It, however. the building or improve- ment is sold within one year of complettOn, the owner·buHder will have the burden 01 proving that he dtd not buOd or 1m-- p,ove 10< tilt purpose ol sale). D I, as owner of the property. am exclusfVely contrac1ing with licensed contractors to conslruct the pro;ec:1 (Sec. 7044, Business and Professions Code: The Conlractor's Lk:ense LJw does not appty to an owner of property who builds or im-proves thereon, and who contracts tor each projects_ with a contractor(s) license pursuanl to the ConlractOf's License Law). O As a ooneowner I am improving my hOme, and lhe follow· Ing conditions exist: 1. The work is being performed prt0r to sa~. 2. I have lrved m my home tor twelve months prior to compJelion of this wo,k. 3. I have not claimed this exemption during the last lhree years. D l•mexemptunderSec. ______ , B&P.C. for this reason ____________ _ 0 I hereby afh,m lhat I na.tt a cer11t1cate of consenl to self,msure. or a cert1hcate ot Workers Comp,ens.at,on Insurance. or a certified c0py thereot CSec 3800. Labo< Code1 POLICYNO KWP 265 92 50 coMPANY Fireman's Fund □ Copy IS hied with lhe city D cen,tted copy 1s hereby tum,shed CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed 1I lhe perm11 1s IOf one hundred dollars 11100) or less) 0 I cen,ty that 1n the per1ormance ot lhe woo. IOf which this pemut 1s issued. I shall no! employ any pet"son m any manner so a.s 10 become suoIec1 to the WM e1s· Compensation Laws ol Cahlom,a NOTICE TO APPLICANT If. afler makmJ lh1s Cert1 hcate of E•emphon. you should t>ecome subtect l'> the Wonters· Compensahon prov,s,ons ot the Labor Code. you must forth•;rr..-ith comply with such prov,s,ons or lh1s oerm1t shall be deeme<i revokeo 0 I hereby afllrm lhal !here ,s a cons1tuc11on lending agency tor the performance of 1t1e wo""' lo, wruch ttus per,n,1 1s issued tSec 3097 C,v,1 Code! Lenoe,sName Union Bank Lender's A00ress 5 2 5 " B II St • San Diego, CA I I I I I I I I USE BALL POINT PEN ONLY & PRESS HARD .... -·--------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ND t---.. 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 I JOB ADDRESS AV.ST.RO. NEAREST CROSS ST. I DATE OF Al'PLICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER 7R1A f" c ..... ,,..,,~,:i.,, r.r,,.u Co:a·~ ~~... T'\r i ve 8J'JJ/R4 1710 8.400 83-502 LOT ~~LOCK ,Al SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE Garage 3 ,T 1Hn:'D 1-ITT.T.~ 81-11. OWNER'S NAME I OWNER'S PHONE n.,.,.; -F;,. (!,....,..,....,. T--7QQ-"i1nn CONTRACTOR0S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE 'l'rppf-n..,..,, Tln 1; m; t-o~ 299-5100 OWNER'S MAILING ADDRESS ~900 H....rnev St-, San Dieac 272686 Diego, 92110 DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE 3900 Harnev St •• San CA IU'uzard/Hennina &-Ass: DESCRIPTION OF WORK C4729 700 DE$IGNER0S AD011£SS .. . ... ~---·--OESIGNER0$ PHONE GARAGE IA ~A ':t o,.,,..,c,nl"I rt-' ; ~--. -.ii;,,,.,.., 77R-1.A'-"i E:l/:;_L/t --------------· -----------......... F/P FLA ELEV. NO OCC GP EDU STORIES vO NO --. ~ CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND vO NO vO NO Not Valid Unlni Abchine Certifil!d QTY. PLUMBING PERMIT · ISSUE 7 _50 QTY. MECHANICAL PERMIT · ISSUE 3, 00 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01·00·00·8220 7/J. t;(\ 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 48.45 EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00·00·8223 EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·0Q·8225 WATER SOFTNER I RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR n1.nn.nn.oooo TOTi.L MECHANICAL STRONG MOTION 80·92·33·0519 -.58 TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227 QTY. ELECTRICAL PERMIT · ISSUE 5_00 QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 216.00 BRIDGE FEE NEW CONST EA AMP/SWT•BKR COLLECTORS I SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519 EXIST BLDG EA AMP/SWT /BKR ROCK STORAGE Encinitas 80·92·22·0519 I PH 3 PH PUMP San Oieguito 80·92·23-0519 REMOOEL'AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519 TEMP POLE 200 AMPS OVE A 200 AMPS LICENSE TAX 01-00-00-8162 TEMP OCCUPANCY (30 DAYS) vYJ F= F CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 359.50 I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND 00 HEREBY E-,,ltlt1lo,I. e-y....-ialuacllt¥11te&uillhgOlllcialunder the prOYISIOOS of this * AN ~IT IS AEQUlflEO FOIi EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code lhall 1 fflllr ......_,,and._""' ..,ftld n Ille buttd,ng or worlc s· O" DEEP. DEMOUTION 0A CONSTRUCTION OJ DECLARATIONS ARE TRUE AND CORRECT _AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authoriZed llr P9'mil la not -aci Willttn 110day1 lrom the dale of such STAUC OYER 3 STOAIES IN HEIGHT P9'fflll. or If bu:::2.,°' -" eulllorimd fir -,i penmt ,a 1uspended or ISSUED TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• ......... .._ .. :;....,,,,,,;. · fDra-nfUln"-• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APfll. BNA17'.----_/ A O!!fNERO CONTRACTOR 0 APPROVED~~ 1.J~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ..... _.1.I~ GRANTING OF-THIS PERMIT BYPHONE 0 I T7 I I ~ u::: >,. oi 0 a. E Q) ~ I 'O 0 ('.l C o:! u a. a. <( I -"' C a: 0 V) V) Q) V) V) <( I ~ .Q ai >- V) V) Q) u 0 ct o:! co 0 ~ Q) u C o:! C u::: C Q) Q) (5 0 u Q) a. V) C ~ .c ~ TYPE ! DATE I INSPECTOR . --· . BUILDING I I t --• -~ J. FOUNDAJ"ION I REINFORCED STEEL I ' I MASONRY ! FIELD INSPECTION RECORD -, REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT i FLOOR & CEILING SUB FRAME I I SHEATHING D ROOF D SHEAR INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL -. -. SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LATH I l STRUCTURAL CONCRETE OVER 2000 PSI ' INSULATION _I PRESTAESSED INTERIOR LATH & DRYWALL ~ I I I CONCRETE POST TENSIONED J ~ CONCRETE PLUMBING I FIELD WELDING I SEWER AND BUCO D IPUCO l . I HIGH STRENGTH UNDERGROUND D WASTE D V'/ATER TOP OUT D WASTE D WATER . BOLTS SPECIAL MASONRY . . ·" " .. TUB AND SHOWER PAN I I . .. G"AS TEST I I .. . I ' PILES CAISSONS -D WATER HEATER D SOLAR WATER .. I .. • ll ,. I I I ,. ·. ELECTRICAL I D ELECTRIC UNDERGROUND OIUFFER ROUGH ELECTRIC I I . D ELECTRIC SERVICE D TEMPQRARY t, " l " . I I II u .. ' I . ~ I: I· . . D BONDING D POOL I • " , I, 'I " ' . ' . ' ., . ._ - i ' MECHANICAL l D DUCT & PLEM., D REF. PIPING -. -I -l HEAT -AIR CONO. SYSTEMS I I VENTILATING SYSTEMS I I I CALL FOR FINAL INSPEC 1 u 1 0N WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. FINAL I I\ I PLUMBING I \)(\-\ v\, ELECTRICAL I ~~ .4...\\-I - MECHANICAL I \\\) \ /\ l. ' -. GAS ! ,. \ ' BUILDING , . I SPECIAL OQNDITIONS I . I ..