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Home My WebLink About2663 STATE ST; ; 82-248; PermitIll z 0 ;::: ,c a: ,c .., u Ill Q C I[ 0 u II: Ill Q .., 5 I Ill z ~ z 0 ;::: ,c Ill z Ill A. :I 0 u Ill a: Ill ~ a: 0 3 tl O I hereby a,..,,n that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. ltt No _______ Class _____ _ I hereby affirm th.at I am exempt from the Con- ~~~•~~!fr:',S: ~ ~t~':1~~c!l.~~i~ county which requires a permit to construct alter, 1mprow,, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to hie a signed statement that he ,s ltCensed pursuant to the p,ov1s1ons of the Con-tractor's license Law (Chapter 9 commencing with Section 7Q)0 of 01v1sion 3 of the Business and Pro- fessions Code) Of that 1s exempt therefrom and the basis for the alleged exemption. Any vt0lation of Section 7031.5 by an applicant for a permit :sub;ects tne applicant to a civil penalty of not more than five hundred dOllars (S5(]0). 0 I, as owner of the prC>perty, o, my employees ,.ith waoes as their sote compensation, will do the woric:. and the structure ,snot intended or offered tor sale (Sec 7044, Business and Profess,ot'ls Code· The Contractor's License Law does not apply to an owner of property who builds or Impr0Yes thereon and wno does such WOO. tum self o, through h,s own empkJyees. prOYided that such Improveme:its a,e not intende-j or offered for sale. If, hOwever. the building or 1mpr0Yement ,s sold within one year of compM!tIon. the owner•bu•lder will have the burden of pro..,ing that he did not buHd or ImprO't'e for the purpose of sale) C I, as owner of the property, am exclusively contr.c:t1ng with licensed contracto,s to construct the p,o,ect (Sec. 7044, Busines·s and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves ~~~i~ ~~ncs':t~:!~~~ ~~crt!'~~!.:!:-: License law). D I am exempt under Sec _____ • 8. & P.C for !his reason ___________ _ □ I hereby affirm that I have a certIt1cate of consent 10 self-insure. or a cert1f1ca1e of Wort(ers· Compensation Insurance, or a cer11f1ed copy thereof (Sec. J800. Labor CO<!ef. POLICY NO. _____ _ COMPANY ::'-"-~~~~ . ~y IS hied with the Cti~ 0 Certified copy Is hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need no! be compleled tf the permit Is for one hundred dOllars (SlC)0) or less) 0 I certify that in the performance ol tne wOfk for which 1h1s permit Is issued, I shall noI employ any person in any manner so as to become sublecl to the Workers· Compensation Laws of California NOTICE TO APPLICANT If. after makind this Cert, ftcate ot Exemption, you should become subIect ,., the Workers· Compensat10n pro ... IsIons of rne LabOr Code. you must forthwith comply w,th such provisions or lh1s permit shall be deemed revoked D I hereby affom Iha! lhere Is a consrruchon tend1~ aoency tor the performance 01 the wor11. tor which this permit •s issued (Sec 3097. C1v,I CO<Je) Lenoer s Name ___________ _ Lender's Address __________ _ USE BALL POINT ~EN Of'-\,& PRESS HARD ,-... APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA A~ ! CARLSBAD BUILDING DEPARTMENT V APPLICATION & PERMIT .DECLARATIONS. 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 JOB 2' 3 ' fa $\1: ~ . ' . -·-·· ----· -··- AV.ST.,DATE OF APrLICATION RD. t, 1 2-J ./il2_ 9USINESS LICENSE # --:;)41 45 VALUATION J-' ---,Ul'NAME ~'!> . .<.' I "Bv:,'({#1!.~ CONTIIACTOAS PHONE f ~-,n~ ZONE F .... ,, ...... ~48 OWNER"S MAILING AD~ESS I -"'....._ ~ -----, CONTRACTOR'S ADDRESS uee.se•NU. OS?i PLAN 1.0. # ~USECODE~ ,u./_ () ,o, I ococ, '?(.::!!:..~ ~"'"""'° o~ DESIGNER --· .. _. ---· ..... ~TAN OARD t-"LAN # I BUILDING so. FOOTAGE tl ~01, 0~ IO _0 Q DESCRIPTION OF WORK DESIGNER'S PHONE 1-----------------------------::,-------'~'------I DESIGNER'S ADDflESS _&/L/m,/l _.~-~-_t..Jaw ______ F/P FLRELEV. -~ I OCCGP I EDU vO NO --- CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ' AREA YONO vONO STORIES TYPE CONST OCC LOAD FIRE SPR vO NO ti re ,1,r~u::ic:o 000 17625 6/21162 tO I,.._ I --I I Not Valid Unkn llladliM Clrtifitd cC:f",-- 25 ,0, QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE dotJ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01·000-422!) EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·000-4221 EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 EACH GAS SYSTEM 1 TD 4 OUTLETS BOILER/COMPRESSOR 3.15 HP TOTAL PLUMBING 01-000·4222 '1 ... ~'11: EACH GAS SYSTEM 5 OR MORE ~.(1[) METAL FIREPLACE ELECTRICAL 01 ·000-4223 EACH INSTAL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·000-4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·000·4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01-000·4226 TOTI.L MECHANICAL ~ STRONG MOTION 65·640·0519 TOTAL PLUMBING QTY. ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP/SWT/BKR ~dQ ,J,oo I QTY.I SOLAR -ISSUE COLLECTORS FIRE SPRINKLERS 01-000·4227 PUBLIC FACILITIES FEE 25·000-4933 BRIDGE FEE SCHOOL FEE -DISTRICT 1 PH 3 PH STORAGE TANKS Gartsbad 65·623·0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624·0519 1 PH 3 PH PUMP San Dieguito 65-625·0519 REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626·0519 TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL 1 TOTAL SOLAR TOTAL FEES PAYABLE l !l-!J.tJlJ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON- STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT. . ......._ ....... ....., ........ oadl!IIINllrdle=olw. ._..._ • · · l!f llillllllailt 1ilNI .___.•¥UICI. N .,_ or-ii ......_.::.. .... 1a11111-o11111.-...1m11ap1rom.. dllictl ......, or If tw=.L" .-......... 11¥ Midi pennll ia .._.. or . . -~·~ !WWllllco E ·v1P!fl0dot1lil-.. -r-.?r-.. L OWNER□ r ~ .17i!__J:flf ~ L. ~ -~ .... ·5' r DIP ANO D8ll0Un0ff OF * ANOlttAPPMITBae:=· .. PCAVATIONSOWSI STIU:1\IWBOV£113 .... APPROVED BY DATE ~ I {.,, ·1d: t:4?_ ~ u: >, ai 0 a. E CD I- I "C 0 (!) 2· as ,gl a. a. < I .>t:. C a: 0 rt) rt) CD rt) rt) < I 3:: .Q Qi >- ,,; rt) CD 0 0 a: as ni 0 §: CD 0 C as C u: r- C CD CD c'.; 0 i3 CD a. rt) C ~ s::. ~ - INSPECTION TYPE DATE INSPECTOR .~ ~"7-~1.f <'6 I I \ BUILDING i FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECT'OR'S NOTES INSPECTION REQ IF INSPECTOR 'S DATE MASONRY . CHECKED APPROVAL GUNITE OR GROUT I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME : PRIOR TO ! FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME i OVER 2000 PSI EXTERIOR LATH lNSULATION PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL ! POST TENSIONED CONCRETE -PLUMBING t FIELD WELDING -i SEWER AND BL/CO HIGH STRENGTH l PLUMBING UNDERGROUND ! BOLTS ~ --,_. PLUMBING TOP OUT I SPECIAL MASONRY - TUB AND $HOWER PAN ; -- GAS TEST I 9. 2.-")-..°2 ~ J -A _JI_ J PILES CAISSONS ! -ELECTRICAL TEMPORARY POWER I ---I ~: ELECTRIC UNDERGROUND ! ,_ -s-~ "~ - ROUGH ELECTRIC I \ ELECTRIC SERVICE I ' ~.,. BONDING A l -~ I G. F. I. -SMOKE DETECTOR MECHANICAL i I DUCT & PLEM .• REF. PIPING ' 1·> '._(.:"~\• '. 1--....-. HEAT -AIR COND. -SOLAR SYSTEMS -... -> r _, . ' ' ,, -VENTILATING SYSTEMS \:" ,"< ~. -~ - CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . i'..: ITEMS ABOVE HAVE BEEN APPROVED. •· ·---- JOB SITE FINAL --t ' ' . ,. 11;, ,.. J -,-.t...,., ----.,. ·-.... , -~ r-..,d "'-. ''J\ " ~-14 .... ~ S ,,. .. ..,, '..JC•'\\~_..-l ....:,:) ... , "'· PLUMBING i ___, -,L".: ,,..- ELECTRICAL I --r, ¥"-;. ,,--.. ... , ..--,,. . I \ I ~ r-.\ -~ \...' .. \~\ \\.\~ - MECHANICAL I 7f"-A/~-~ ~-..... , --. ....... \ - GAS I ( ~ h ~ y:,,,,,__ -.::>~ ' .t.. ~ ..-....., ., '-l~,-'-5 ,, J .,,. 1' ~ " ... -~ ' ~ ~-. --'--.. BUILDING '• lee - SPECIAL CONDITIONS . CERT OF OCCUPANCY ISSUED ; •, J l ~ -