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Home My WebLink About2697 SAUSALITO AVE; ; 87-48; Permitfl) z 0 ;::: C a: j u "' 0 2[ : ... z 0 u a: Ill 0 ... 3 I Ill z 3 0 z 0 ;::: ~ z Ill a.. :I 0 u fl) ~ Ill ..: cc 0 3 ![ O I hereby affirm that I am llcensed under p,ovlatona ol Chapter 9 (commencing with Section 7000) ol Division 3 of the Business and Proleaalona Code, and my llcansa Is In full force and effect. I hereby att1rm lhat I am e.xemp1 lrom the Con1rac- 1or·s L,cense Law tor Ille following <eason (Sec 70315 Business and Profess1011s Code Any city or counly whic.r. re· quires a perm,I 10 construct, atter. improve, demohsh. Of repair any S1ruclure. pnor to its issuance also requires !heap-phcant tor such permit to fife a signed s1atemen1 that he 1s licensed pursuant 10 the prov,ssons or lhe tontractor's license Law (Chapter 9 commencing with Sectton 7000 ol Dfv1sion 3 o1 the Business and Protess,ons Code) Of Iha! 1s ei· empt lheretrom and lhe basis tor the allegeo exemption Any vlOlaHon ol SectiOn 7031.5 by an apphcant fOf a perm,1 sub- 1ects e apphcant to a civil penalty of not more than t,ve hun- dr dollars ($500). I, as owner of the property, or my employees with wages as 1neu sole compensation. w,lt do lhe work. and lhe suuc-ture is nol intended or ollered tor sale (Sec 7044, Business and Protess10n5, COde The Contraclof's license law does no1 apply 10 an owner of property who omlds or improves thereon and who does such work h1msel1 or through his own :~~1:res~~~~:, $~r~r,;n:;:l~~e :::::: ment is sold w,thm one year 01 comptehon, the owner-builder will have the burden o1 proving lhat he did not build Of im· prove tor the purpose of sale) n I. as owner of the property, am exc1usIvety contracting with hcensed contractors to construct the protect (Sec. 7044. Business and Professions Code: The ContraclOJ's LK:ense Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects with a contracror(s) license pursuant 10 the Contractor's License Law) D As a homeowner I am 1mprovmg my home. and ll'le follow mg conditt0ns exist 1. The work is being per1ormed poor to sale. 2 I have hved in my home tor twelve months 3 rr:: :'1pc~:::f t 1 ~1 1 : :x~~pttOn during lhe last three years. D I am exempt under Sec. ______ , B & P C lor this reason ____________ _ 0 I hereby a!tirm that I have a certificate of consent to self.insure. or a certificate of Workers· Compensation In- surance. or a certified copy thereof (Sec 3800. Labor Codel POLICY NO, COMPANY □ Copy IS filed with the City 0 Certified copy Is hereby furnished CERTIFICATE OF EXEMPTION FROM ;i,ORKERS' COMPENSATION INSURANCE section need not be completed 1f the permit s for one hundred dollars (S 100) or less) rtIty that in the performance of the work for which lh1s permit Is issued. I shall not employ any person in any manner so as 10 become subject to the Worke,s· Compen. sat,on Laws of California. NOTICE TO APPLICANT: If. alter making this Cenif1ca1e of Exemption. you should become sub1ect to the Work.ers· Compensation provisions of the LabOr Code, you must forthwith comply with such provisions or ttus permit shall be deemed revoked. 0 I hereby affirm that there is a cons1ruction lending agency tor the performance of the work for which this per• mil is issued (Sec, 3097. Civil Codel Lender's Name ____________ _ Lender"s Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. --;..., . CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 JO~icf7 AV. ST.RD. NEA(f = S:c) I DA ~E-O;A7 ~g '7l BUSINESS LICENSE Ji-VALUATION PER-NUMBER ~{A--L1TQ A,;e.. .;2os-o <?7-~ LOT BLOCK I SU801V1S 10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE OWNE~;GHT \ I OWNER'S PHONE Ot..A,),-J~ S.w . 4-3(/ -80 7 '-1-CONT RA CT OR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE OWNER'S MA1 LING ADDRESS ~i:)....,v\e_ DESIGNER DESIGNER'S PHONE DESCRIPTION OF WORI( DESIGNER'S ADDRESS STATE LICENSE NO. _s-1~-~ . uso NO 0028 02/03 0101 05Hisc-75-C C F/P F LR ELEV. OCC GP EDU './7_ / A .,, STORIES ~ -vO NO I I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE CCC LOAD FIRE SPA AREA CONST y D ND vO NO vO NO Not Valid Unlt!n M~chine CertifiM QTY. PLUMBING PERMIT -ISSUE 7 50 QTY. MECHANICAL PERMIT· ISSUE _3,(X) SUMMARY/ACCOUNT NUMBER_ , - EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 001·810·00·00-8220 /.~. vu EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 00 l ·810-00-00·8221 -- EACH WATER HEATER ANOiOR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00-00-8821 EACH GAS SYSTEM I TO 4 OUTLETS 801LER/COMPRESSOR 3.15 HP TOTAL PLUMBING 001·810-00-00·8222 -- EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 00 l ·8 l 0-00·00·8223 EACH INSTAl . ALT ER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 - EACH VACUUM BREAKER MECH EX HAUST HOOD 1DUCTS MOBILEHOME 001·810-00-00·8225 WATER SOFTNER RELOCATION Of EA FU RNACE/HEATER SOLAR 001 ·810-00·00·8226 EACH ROOF DRAIN ( INSIDE) DRYER VENT STRONG MOTION 880-519-92·33 -TOTt;L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00·8227 TOTAL PLUMBING I PUBLIC FACILITIES FEE 320-810·00-00-87 40 0:otJ 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 BKR CAR PORT TIF 134-810-00-00-8835 I PH 3 PH AWNING LA COSTA TIF 133-810-00-00-8835 EXIST BLDG EA AMP/SWT 18KR GARAGE FMF l PH 3 PH LICENSE TAX 001-810·00·00·8162 REMODEL ALHR PER CIRCUIT MFF 880·519-92-57 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DA YSI CREDIT DEPOSIT TOTAL ELECTRICAL I TOTAL TOTAL FEES PAYABLE I 1S. l10 I HAVE CAREFULLY EXAMINED THE COMPLETED •'APPLICATION AND PERMIT' AND DO HEREBY E,i:ptrahon Every permit issued by 1t-ie Su,lding Otf1c1al under the provisions or this ~~~RM:T IS REQUIRED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,ta.t1on and become null and \/Old If the building or work. D A •D 0£.. ----OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonied by such s~•1 ~01 commenced w11t11n 180 days from the date of such rJ'vr-, OVE7 'T' rrs IN HEIGHT permit. or If. ,he bull "ft o work authorized by such permit •~nded or ISSUED TO COMPLY WITH ALL CITY. COUNl Y AND STATE LAWS GOVERNING BUILDING CON-abandoned at ny ti a ltr he work 1s commenced tor a oennA 180 davs STRUCTtON, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND AMk:~v.· 0WNER0"° CONTRACTOR 0 ~L)J!.:J~ DATE 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 BY PHONE 0 1/-30-f7 GRANTING OF THIS PERMIT ,,.,.,, ,)~ . - ~ LL >, .; 0 ci E Q) I- I 'O 0 c., C Cl'.I u ci ci <( I -"" C c:: 0 <f) <f) Q) <f) <f) <( I 3: 2 ai >- Q) u C Cl'.I C LL ::::. C Q) ~ c., 0 u Q) ci <f) C ~ C ~ . TYPE . I DATE INSPECTOR _! BUILDING l FOUNDATION i REINFORCED STEEL : MASONRY 1 GUNITE OR GROUT I SUB FRAME □ FLOOR □ CElpNG SHEATHING □ ROOF □ SlltEAR FRAME . I EXTERIOR LATH l. I INSULATION I INTERIOR LATH & DRYWALL I ! PLUMBING I □ SEWER AND BUCO □ ~UCO UNDERGROUND □ WASTE q WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN . I GAS TEST 1 I □ WATER HEATER □ SOLAR WATER ' l ELECTRICAL j j □ ELECTRIC UNDERGROUND [] UFFER ROUGH ELECTRIC ' I □ ELECTRIC SERVICE □ TEM~RARY □ BONDING D POOL I i MECHANICAL I □ DUCT & PLEM., □ REF. PIPIING _, -~ .. HEAT -AIR COND. SYSTEMS ' I VENTILATING SYSTEMS I -~- I CALL FOR FINAL INSPE~VON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED. FINAL I PLUMBING I -ELECTRICAL : ~ MECHANICAL I ' ) GAS I C ~ ~- BUILDING l . c-=:::- SPECIAL CONDITIONS ! ~ ! ,. 87~g_ FIELD INSPECTION RECORD ~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS - . ~ • . - . r ' ' ' '· , \ ~ ' \ ' , l .. ' \ \ ' ~ • ... .. · .. (j ': · M~ fl'ls\l'\? /\Tl'tT :o;>MJat• .... ,·. C •· I. l.:>•M ~ ~ • PLA~ CH[CK NO. /f'}-'J{f ADDRESS ..;;;;;;2--='b-'-f-,&.,Z~~~;__---~--___._ DATE ~~ I,., (l) ~ (l) .> 2 aJ ro c::: 0 PLANNING ZONE: :g:1 TYPE OF PROJECT AND USE: __ ---,,:i~;:::;._--_,,..:~------- ' SCHOOL DISTRICT: SAN DIEGUITO o\L ENCINITAS CARLSBAD ...51...__ SAN MARCOS __ R~ O K, SETBACKS: FRONT SIDE <2\L DISCRETIONARY ACTIONS: __ ~Ah--=-~-------------------- REDEVELOPMENT PERMIT REQUIRED: 11 ----------------------LANDSCAPE PLAN COMMENTS: i l --~--.----------..--------------- ENVIRONMENTAL REQUIRED:_~()i-~~=-4-,-~ll,,d,,Al~~~~~~--'-------------- COASTAL PERMIT REQUIRED: YE ,~6 ~ -...::L. ADDITIONAL COMMENTS: -------------------------- ENGINEERING LEGAL REQUIREMENTS LEGAL DESCRIPTION VERIFIED? ------ EASEMENTS:_ ..... C2~l,,...;C=-------- EDU 'S: -------------- APN CHECKED? ----------- RIGHT-OF-WAY: ---------- DRAINAGE: ------------ IMPROVEMENTS: __________ _,F"'"'I'""'E,.,..LD,..._,,C,.,..,H=Ec"'""K,,_.,,.D.,.,A T=E,,.....,..&-,I..,.N"""I=T""'IA,.,..L..,,,.S-: ------ PERMITS REQUIRED GRADING: ------------------------------ G~ADING COMPLETION CERTIFIED: ------ DRIVEWAY: INDUSTRIAL WASTE: FEES REQUIRED PARK-IN-LIEU QUADRANT: ____ , FEE PER UNIT: ____ TOTAL FEE: _____ _ P.F.F.: TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: --------------- D □-FACILITIES MGMT." FEE: BRIDGE & THOROUGHFARE FEE: -------------- SEWER FEE (CONNECTION): SEWER LATERAL: .. ~ u (l) .c U Ill C Ill £ ~ ~ en .,. O'l O ~ C i.. Q. Cl. E "O 0 C :::, u al c ADDITIONAL COMMENTS: _________________________ _ ~ OK TO ISSUE:_/45~"-.::.,_~i#b..11----;:;a....----DATE:--'(-"'~-;~;,"'-~-'-+------- DPD2:DPD6:10/24/86 f I