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Home My WebLink About2142 SERENO CT; ; 85-215; Permit<II z 0 ;::: C a: C ..J u "' a a: ![ 0 u a: "' a ..J 5 • « "' z 3 0 z 0 ;::: ~ z "' ~ :IE 0 u <II a: LU "' a: 0 3 1[ O I hereby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaalons Code, and my license Is In full force and effect. lic No ______ Clm I hereby athrm that I am exempt lrom the Conlrac-lDf's license Law for lhe lollowmg reason {Sec 7031 S Business and Professions COde Any city or county which re-quires a permit to construcl. aller. improve. demolrsh. or repair any structure, prtor to its issuance also requires !heap· pUcant tor such permil to file a Slgned statement that he 1s hcensed pursuant to the prov1s1ons ~ the Contractor's License Law (Chapter 9 commencing wrth Secrion 7000 ol Otvis,on 3 of the Busmess and ProlesSJons COde) or Iha! ,sex· empt therefrom and the basis tor the aHegeo exempuon Any vi01auon ol Section 703L5 by an apphcanl for a permit sub· 1ects ttle applicant to a C1V1I penalty ol not more than five hun- dred dollars ($500). D I. as owner ot the property, or my employees w11h wages as lheir sole compensation. will do lhe work, and !he slruc· lure 1s not intended or offered lor sale (Sec 7CM4. Business and Professt00s Code The Contractor's license law does no1 apply to an owner of proper1y who builds or improves thereon and who does such work h1msett or through his own employees, provided !hat $UCh improvements are not intend· ed or offered for sale. II, however. the bu1ldmg or 1mpcove· men! is sold w1th1n one year of complettOn. the owner-builder will have the burden of proving Iha! he did not build or im-prove for the purpose of sale) 0 I, as owner of the property, am exctus1vety contracting with licensed contractors to construct lhe proiect (Sec 7044. Business and Professions Code. The Contractor's license Law does not apply 10 an owner of property who btulds or 1m• prOYes thereon. and who con1rac1s !Of each pn~ecls w11h a contractor(s) license pursuant 10 the Contractor's License Law) □ As a homeowner I am 1mprovmg my home, and the lollow mg con<:htJOns exist. 1 The work 1s being pertormed priO< to sale 2 I have hved in my home IOJ twelve monlhs prior 10 completion ol this work. I have not claimed this exemption dunno !he last three years. D I am exempt under Sec ______ • B & PC '°' this reason ------------- O I heret>y affirm ma1 I ha-,e a cer1,hca1eot consen1 10 self.insure. or a certificate ol Workers Compensa11on Insurance. or a cen,tied copy !hereof (Sec JBOO. Labor COC!e) POLICY NO COMPANY □ Copy IS !tied Wilh the cily 0 Cer111ted copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (This sechon nee<i not be eomp1e1e<1 11 the perm,1 ,s fOf one hundred OOllars tS 100, or 1ess1 0 l certify !hat 1n lhe performance ot lhe work tor •h1ch this penml 15 issued I shall nol employ any person 1n any manner so as 10 become sub1ect 10 !he Wor1(ers· Compensa11on Laws ol California NOTICE TO APPLICANT It. after makin] Hlls Ceo, hcate of Eiemp11on. you should oecome sub1ec1 I? the Workers Compensation pro'l1s1ons ol the Labor Code you mus! tonh--.1th comply w1lt'I such pro"1st0ns or !his perm,1 Shall be oeemed revoi,,,eo 0 I hereby altirm Iha! !here 1s a construct,on tending agency tor the perto,mance or lhe won: tor wruch lh1s perm11 is issued (Sec J097 Civil Cooe1 Len<Je, s N.ime ___________ _ Lenoer s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD ------...... -APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 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 ,R,RMIT NUMBER d.. I J/-ix.. S~~tNO Co L1t<[f r:....A'2..L$J3.A f) 6'=> ~ LOT I BLOCK I SUBOIVIS,QN I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE ~{-:::, ~ OWNER"S NAME 19~:3~78 C~oc..E: ~c.R..££ CONTRACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE ' OWNER"S MAIL•NG ADDRESS.,.,, sf\ 1'1€ DESIGNER LICENSE v STANDARD PLAN # BUILDING SO. FOOTAGE DESCRIPTION OF WORK OESIGNER"S AOORESS OESIGNER"S PHONE G-As ~EPAi~ --.. F/P FLA ELEV. NO DCC GP EDU ~I l~tbui,..it; JO~C STORIES Lt.ult!:l,c ~h IJI PS lli~E vO NO --r , l , f· it l·."I I I '3/,,, CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST YO ND vO NO •□ NO Not Valid Unless Machine Certified QTY. PLUMBING PERMIT · ISSUE 7,~ QTY. MECHANICAL PERMIT· ISSUE .2-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS iJP TO 100.000 BTU BUILDING PERMIT 01 ·00·00-B220 I EACH BUILDING SEWER ·-,,£J_ OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221 I - EACH WATER HEATER ANO OR VENT /) !::> . .::-......--BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00-8806 A-d I I / EACH GAS SYSTEM I TO 4 OUTLETS -BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00·00·8222 /0,:;.---- I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE -ELECTRICAL 01·00·00-8223 I EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 I -r-· I EACH VACUUM BREAKER MECH EXHAUST H000"0UCTS MOBILEHOME 01·00·00·8225 I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN (INSIDE) SOLAR o 1,00-nn-R??~ I r::. ~ TOTJ:.L MECHANICAL STRONG MOTION 80·92·33·0519 I I TOIAL PLUMBING I L_V-. FIRE SPRINKLERS 01 ·00·00-8227 I 5,,,...-, PUBLIC FACILITIES FEE 32·00·00·893) 1 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR · ISSUE I BRIDGE FEE I NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT I I PH 3 PH STORAGE TANKS Carlsbad 80-92-21·0519 I EXIST BLOG EA AMP SWT BKR ROCK STORAGE Enc1mlas 80-92·22·0519 I I I PH 3 PH PUMP San 01egu1lo 80·92·23-0519 I REMODEL A L TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519 I TEMP POLE 200 AMPS I OVER 200 AMPS I LICENSE TAX 01-00-00-8162 I TEMP OCCUPANCY (30 DAYSI MFF 80-92-57-0519 I CREDIT DEPOSIT I TOTAL ELECTRICAL I . I ' TOTAL SOLAR TOTAL FEES PAYABLE /CJ~ I HAVE CAREFULLY EXAMiNED THE COMPLETED ·APPLICATION AND PERMIT" AND DO HEREBY Exp,rat1on Every permit issued by the Bulldtng Qft1c1al unde, the prov1s1ons of this * AN OSHA PEFW:T IS REQUIRED FOIi EXCAVATIONS OVER I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUOING THE Code shall exptre by hm,tat,on and become null and vo,a If the building or worll. ~-0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s no1 commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT permit. or if lhe bu1ld1~ or work authorized by such pe~ 1s suspended or ' ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON abandoned at ■nv trme ■ er the work os commenced for Ii ood of 180 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~IGNATUn O:N~ CONTRACTOR D APPROVED BY #-1W~ 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 .,.. ~ 0 BY PHONE 0 I GRANTING OF THIS PERMIT., /7 TYPE I DATE INSPECTOR BUILDING I "'5 ~S''dt$ •· -. FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL FLOOR & CEILING SUB FRAME I SHEATHING □ ROOF □ SHEAR SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LATH I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I PRES TRESSED INTERIOR LATH & DRYWALL I CONCRETE POST TENSIONED I CONCRETE PLUMBING I FIELD WELDING SEWER AND BUCO □\PUCO I HIGH STRENGTH UNDERGROUND □ WASTE □ \1'ATER TOP OUT □ WASTE □ WATER BOLTS SPECIAL MASONRY TUB AND SHOWER PAN I _1 GAS TEST I PILES CAISSONS □ WATER HEATER □ SOLAR WATER I ELECTRICAL I □ ELECTRIC UNDERGROUND □ lllFFER "' . - ROUGH ELECTRIC I I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL ' _1 , - I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ' ITEMS ABOVE HA V.S BEEN APPROVED I FINAL I ~j PLUMBING I j'V I ELECTRICAL I \1 ~ \ I L. MECHANICAL ,, \ \ t'{ J I s GAS I \ i /l \_f \ \ / BUILDING I V Ir • \ . -~ -. SPECIAL CONDITIONS I - I