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Home My WebLink About2643 SAUSALITO AVE; TP; CB881008; PermitCl) z 0 ;;: C Cl: C ... 0 "' Q a: I[ 0 0 a: "' Q ... 5 I "' z ~ 0 z 0 ;;: C Cl) z "' A. 2 0 0 Cl) cc "' "' Cl: 0 3 ir O I her.t>y affirm that I am licensed under prOYlalona of Chapter 9 (commencing with S.Cllon 7000) of Division 3 of the Business and Profeaalons Code. and my license is In full forca and effect. I hereby attirm lhat I am exempt from the Contrac-tor's bcense Law for lhe lollow1ng reason {Sec 7031 s Business and Professions COc:le: Any c11y or county wh,ct. re-quires a perm,I 10 construc1. al1er, improve, demohsh. or repair any structure. prtOf to 11s issuance also requires !heap-plicanl for such permit 10 file a signed statement that he 1s lttensed pursuant to lhe ptov1s1ons of the Contrac1or·s Ltcense Law (Chapler 9 commencing with Sechon 7000 of OiV1s1on 3 Of the Business and Professions Code) or Iha! 1s ex· empt therefrom and the basis tor !he allegea exemphon Any violation of Section 7031.5 by an apphcant tor a permit sub· ,ects the applicant to a civil penally ol not more than hve hun- dred dol~rs ($500) I I I, as owner of the property, or my employees wI1tt wages as their sote compensat10n. will do the WOl'k, and lhe struc-ture Is not intended or ollered tor sale (Sec. 7044. Busmess and Prolessions COde: The COntractor·s Lteense Law does :r:g:~~o :~ ~=rs~~f~rr:1~1::1 ~~i~~~~~~;'=~ employees. provided Iha! such improvements are nol intend- ed or offered tor sale. If, howe-ver. the building or improve• ment is sold within one year o1 comple110n. lhe owner-builder will have lhe burden of proving th.al he did not build or im- prove for !he purpose or sale) rJ I. as owner of !he property, am exclusively contrachng with licensed contractors 10 construct the project (Sec 7044. Business and Professions Code: The Contraclof's license Law does not apply to an owner of properly who builds or im-proves thereon, and who contracts for each projects with a contractOf{S) license pursuant to the Contractor's license Law). 0 As a ~wner I am improving my home, and the lollow· ing cond1hons exist: 1. The work is being per1omted prior to sale 2. I have lived In my home tor twelve months prior 10 complehon of this work. 3. I have not claimed this exemptlOR during the last three years. 0 I am exempt under Sec. ______ . 8 & P.C fOf this reason 0 1 hereby affirm !hat I h&'Ve a certificate ol consent to self-insure. or a certificate of Workers· Compensation In- surance. or a cert1lied copy thereof (Sec. 3800. Labor Code) POLICY NO. COMPANY 0 Copy 1s filed with the city D Certifie4 copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is lor one hundred dollars (S100) Of less) D I certify that in the performance of the work lor which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compen- sation Laws of California. NOTICE TO APPLICANT: If. after making this Cer1ificate of Exemption. you should become subject l'o the Workers' Compensation p,ovisions or the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. D I hereby affirm that 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 P~N ONLY & PRE~S HARD CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 AV. ST.RD. NEAREST CROSS ST. JOB ADDRESS ~ • <~Y.3 ~ SAuSA.Lrro AV. 64t2MGL ~ BLOC!( OWNER'S NAME 'J:,-oc:,Tt:., l SkD1/ ISION__ . r3~ I ASS~OR PARCEL NO 7-AJ..~-HI<.-<.,) P,s-v.st..oPIYl.r;Nl I 6bq~~;;;ONE OWNER'S MAILING ADDRESS 02-. CONTRACTOR SAM-e CONTRACTOR'S ADDRESS DESIGNER APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT DATE OF APPLICATION-, 7-2-7-W BUSINESS LICENSE # VALUATION CONTRACTORS PHONE • .EZ1-r(i3 ZONE {;l PERMIT N UMBER W !DO'D STATE LICENSE NO. BUILDING SO. FOOTAGE ~ DESIGNER'S PHONE u:: 6_ 2.0$" I< 1;:AR.t:::&_ DESCRIPTION OF WOR&< 7 Vt.<-(....A .tflAv I Sutt?i Zit }..v DESIGNER'S ADDRESS STATE LICENSE NO. 1007 08/01/BB JOO~ v1 Bldf'mt >, 02 1s. I t E t-~It). 1J .s~ .. ,,,,7r.. ?ov..i~'1... '?u~ j 1 PARKING SPACE I RES UNIT1 QTY. IQTY. PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUI LUING SEWER EACH WATER HEATER ANO /OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM ~ 0 R MORE EACH INSTAl . ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN I INSIDE) TOTAL PLUMBING 1 ELECTRICAL PERMIT· ISSUE NEW CONST EA AMP:SWT BKR 1 PH 3 PH EXIST BLOG EA AMPISWTIBKR 1 PH 3 PH REMODEL ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPAN CY (30 DAYSI TOTAL ELECTRICAL l ---.cu ~ ~00 /000 /.s.~ F/P FLRELEV. vO NO GRADING PERMIT ISSUED JREOEVELOPMENT AREA YO N □ vO NO QTY. MECHANICAL PERMIT -ISSUE INSTA LL FURN. DUCTS UP TO 100,000 BTU OV ER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP METAL FIREPLACE VENT FAN SINGL E DUCT MECH EXHAUST HOOOIOUCTS RELOCATION OF EA FURNACE/HEATER DRYER VENT -TQTJ;1 MECHAN~v -1'.\\ QTY. C\Jfl;,C:'\ H~ETUP CAR PORT -C: Q \) ).. '. ~lll!ll~o .L AWNING ~ 1 . • lfiC,....,. ~~1'\f ~• --lllr.:W'> ···'-::I GARAGE ·• G, ~:~riC,~\l' C\"-'J .d,\'\ y ... - _ .. ,~\.O'i"''" \1~ ... TOTAL NO STORIES TYPE CONST -..;:"'2IZI:T OCC GP EDU OCC LOAD FIRE SPR vO NO Not Valid Unl~r Machine Certified SUMMARY/ACCOUNT NUMBER 001-810-00-00-8220 I t ~ BUILDING PERMIT ::, SIGN PERMIT 001 ·810-00-00-8221 PLAN CHECK 001-810-00-00·8821 TOTAL PLUMBING 001-810·00·00-8222 - ELECTRICAL 001-810-00-00-8223 MECHANICAL 001 ·810-00-00-8224 MOBILEHOME 001-810-00-00·8225 SOLAR 001-810-00·00·8226 STRONG MOTION 880-519-92-33 FIRE SPRINKLERS 001 ·810-00-00-8227 PUBLIC FACILITIES FEE 320-810-00-00-8740 BRIDGE FEE 360·810·00-00-87 40 PARK·IN-LIEU (AREA ) TIF 134-810·00-00-8835 LA COSTA TIF 133·810-00-00-8835 FMF LICENSE TAX 001-810-00·00-8162 MFF 880·519-92-57 CREDIT DEPOSIT TOTAL FEES PAYABLE J JI' • PPL CAT ON AND PERMIT" ANO 00 HEREBY Expiration Every permit issued by the 8u1ldtng Offtc1a1 under the provisions ofth1s I HAVE CAREFULLY EXAMINED THE COMPLETED 'A I I Code shall exp1re by lim1tar1on and become null and void 11 the bu,ldong or work CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE authorized by such permit 1s not commenced within 180 days from the date <>f such * AN 06HA PERM:T IS REQUIAEO FOfl EXCAVATIONS OYER 5' O" DEEP ANO OEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permit or 1f the budding or work authorized by such permit 1s suspended or ISSUED TO COMPLY WITH All CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON 1....!•!_l;ba~n~do~n~ed!!!_,!lt!_a!!n!!l_!!l1!!m!!e:..!•!!ftt!!e!!_r,!th!!!•~w~o!!!rk~1S!_:Ce!O:!!m!!.'!m!!e;!!n£_Ce!!d~lo:!!r~a~~r~•odQ!!..Qo!_l ,!l BO!!Q_J!d!:•l'.L---=:"'1~~~':"::'~~---~--------::-:-:~------, STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE • OWNER D CONTRACTOR D APPRDO BY ~ OAl KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ ~ • X /f'v<' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _ 1 / BY PHONE DA, , 1 11 l ~ / ,~ O GRANTING OF THIS PERMIT LA'/l:)(4\ (_ , --~~_..A.,M.a ___ __ STRUCTURES OYER 3 STORIES IN HEIGHT 7 . ..., V Q) t- I 'O 0 CJ c "' u a. a. <( I .x C a: 0 (/) (/) Q) (/) (/) <( I :;: 2 Q) >- Q) u C "' C u:: !::. C Q) ~ CJ 2 u Q) a. (/) C Q) .c. ~ TYPE I DATE INSPECTOR BUILDING t FOUNDATION I . . REINFORCED STEEL I MASONRY l GUNITE OR GROUT I SUB FRAME D FLOOR D CEI _ING SHEATHING D ROOF D SI iEAR FRAME I EXTERIOR LA TH I INSULATION ! 1 INTERIOR LATH & DRYWALL I i PLUMBING I D SEWER AND BUCO D RUCO UNDERGROUND D WASTE [ WATER TOP OUT D WASTE D NATER TUB AND SHOWER PAN t GAS TEST l ! D WATER HEATER D SOLAR \1ATER 1 ELECTRICAL I D ELECTRIC UNDERGROUND [!I UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPPRARY D BONDING D POOL ! l MECHANICAL i D DUCT & PLEM., D REF. Pl~ING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS l I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE JTEMS ABOVE HAWE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS Ge:,g~,cot FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PR IOR TO FOUNDATION INSP STRUCTURAL CONCRETE /JfAff( OVER 2000 PSI )J., •• _ PRESTRESSED ~," ~ ,,ti t, '<o CONCRETE 0.1 " (J: , •• POST TENSIONED -.. -~(;r, . .,,e CONCRETE ..... ~E111< ' ,-.,.., "0 FIELD WELDING ,.· : I r ' r-.. ,I ,,.,,. HIGH STRENGTH \_, l...., ~ t.__.. ·~ c· sou's SPECIAL MASONRY ' lf/f ,,\ ....... .. PILES CAISSONS .. ..._ . -. - - ( r