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Home My WebLink About2663 STATE ST; ; 82-247; Permitu, z 0 ~ CIC ~ 0 w 0 ~[ ~ ... z 8 CIC w 0 ... 3 I w z ~ z 0 ~ Ill z w ... :IE ✓ihereby atflrm that I am licensed under prO'tllalons 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. Lie No~~ Class \1< -\O I hereby affinn !Nit I am exempt lrom the Con-~~o;-~!f:: ~w ~t~~:~c!J.~t:,~r county which requires a permit to construct alter, improve, demolish, Of repair any structure, pnor to its issuance also requires the applicant tOf' such permit to file a signed statement that he is licensed pursuant to the p,OYisk>ns of the Con- tracto,'s License uw (Chapter 9 commencing with SecttOO 7tXX) ot 01vis1on 3 of the Business and Pro. fesstOns Code) or that ,s exempt therefrom and the basis tor the alleged exempttOn. Any vJOlation of SectlOO 7031.5 by an applicant lo, a permit subjects 1ne applicant to a c,v1I penalty of not ff'IO(e than five hundred doll~ ($500). O I, as owner of the property, o, my employees -.1th wages as their sole compensation, will do the wori(, and the structure is not intended or offered for sale (Sec 70,W, Business and Professions Code. The Contractor's Ucense Law does not apply to an owner of J)(operty who builds or improves thereon and who does such wonc. himself or through his own employees, provided that such ,mproyeme.its are not 1ntende1 Of offered for sale. II, however. the bu1ld1ng or improvement Is sokt within one year of complelton, the OWnef-bui1der will ha¥e the burden ol proving that he did not bu1k1 Of Impr0Ye for the purpose ol sate). Q I, as owner of the property, am exclusively contractInsi with hcef"lsed contr~tors to construct the P'OJeCI (Sec. 7(),,U, Business and Professtens Code· The Contractor's license Law does not apply to an owner of property who builds Of improves ~~=,~ 7.~nC:~~!~: ~~r~~~~:::-: Ltcense Law) 0 I am exempt undef Sec _____ , B. & P.C for this reason ___________ _ D I hereby affirm that I ha-..e a certificate of consent to self•msure, or a certificate of Wortc.ers· Compensation Insurance. or a certified copy !hereof (Sec 3800. Labor Code) POLICY NO _________ _ COMPANY □ Copy IS filed With 1he City D Cert1fted copy 1s hereby furnished 0 CERTIFICATl OF EXEMPTION FROM O WORKERS' COMPENSATION INSURANCE !') (This section need not be completed ii the pemut ffi ,s for one hundred dollars ($100) or less) ~ ~cen,ty that in the performance of the wort( fOf O w h th,s perm,t ,s ,ssued. I shall not empl0y any 3 person m any manner so as to become subJeC,t to lhe Wol1(ers· Compensation Laws of California 1[ NOTICE TO APPLICANT If, after makin1 this Cert, flcate of Exemption. you should become sut,iect tlJ the WOf'kers· Compensation provIsIons of the L.abOf Code, you must forthwith comply with such p,ovIst0ns or this permit shall be deemed revoked 0 I hereby affirm lhat there ,s a consI,uct10n lending aoency lor lhe performance of the wof1o. !or wtuch this permit 1s issued {Sec 3097. C1v1I Code) Lenoer·s Name ___________ _ Lender·s Address __________ _ USE BALL POINT PEN ONLY & PRESS HARD --------... -.-· ---~-.-----C"i°RLSBAD "')1LDING DEPARTMENT ~ -l 1200 Elm, Carlsbad, California 92008 (71-4) -438-5525 APf.L.1CATION & PERMIT APPLICANT TO~• .LIN INFORMATION WITHIN SHADED AREA AND DECLARATIONS JOI AODR£$S AV. ST.,OATE OF APPLICATION! B~E# VALUATION PERMIT NUMBER RO. i> -~l .. L.~ --...c;_,-,-t.-~,-~~ .. . - 0-EA'S~~ I OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE • ZONE ~f7 ~-r.:... .. ~ . ..._ -,~,-.~4, ~,•-\(.c... E LIIPC-~ \L .~-4~~"'::ia. 0-ER"S MAILING AODR~-CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLOG use CODE '· ?-,.~':I, 'S»-C-\A.~ ~.o.~v ~"\,.-r"JJi.41•,,,. .,.., ,.. LOT I BLOCK I SUBOI YISIOl'I I ASSESSOR PARCEL NO. DESIGNER . STATE LICENSE # STANDARD PLAN # BUILDING SQ. FOOTAGE DESCIUPTION OF WORK DESIGNER'S ADDRESS DESIGNER"S PHONE U~L. r~\ l~r\ .a ... ---s.~'-'-~----~t2 ,l/~271iB~ /.17~L~ " F/P FLR ELEV. NO OCC GP EDU q~o.1.~~e~ ~{2,1_182 47,0C ·--STORIES vO NO -- CENSUS TRACT l GP LAND USE I PARKING SPACE l RES UNITS I GRADING f'.ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST YO ND vO NO vO NO Not Valid Unlt!ss ~chine lArtifi«I QTY. PLUMBING PERMIT -ISSUE -ZSo QTY. MECHANICAL PERMIT -ISSUE ,_g~ SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000·422" EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP Pl.AN CHECK 01 ·000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000-4222 ~ EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000-4223 #'7.!-7-- EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·000-4224 , EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS 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 I FIRE SPRINKLERS 01-Mn-4227 QTY. ELECTRICAL PERMIT -ISSUE 21Ja QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933 BRIDGE FEE ::J NEW CONST EA AMP/SWT/BKR ~I) Al,~ 7Z~~ COLLECTORS SCHOOL FEE · DISTRICT I PH 3 PH STORAGE TANKS Carlsbad 65-623-0519 EXIST BLOG EA AMP/SWT /BK R ROCK STORAGE Encinitas 65-624-0519 I PH 3 PH PUMP San Dieguito 65-625-0519 REMODEL/Al TER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 OAYS) . I -TOTAL ELECTRICAL I ¥1!:-~ TOTAL SOLAR TOTAL FEES PAYABLE I .//7~ . ~ I HAVE'C:NIEFUU.Y EXAMINED~PLETED "APPLICATION AND PERMIT'" AND DO HEREBY .....,.._-..,Y...,.illllllfl,t.,_C 11 COMcieluncllr._=o(tllia * AN C8tA PEMlff. REQUl'8) fOII EXCAVATIONS OVEII CEflTl'Y UNDER PENALTY OF -THAT ALL INFORMATION HEREON INCLUDING THE ea. ......... llr ~ ----null and llGicl. ff Ille or work -5' 0-DEEP AND 08tlOUn0H OllCONSTAUCTION OF DECl.ARATIONS ARE TRU£ ANO C0RAECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ........ , ........... ■Ml aa■■I Tmdwlllill l.,U,.lrofflllle ohucti STRUCnas OVER 3 S10RES * HEIGHT ISSUED: TOCOMPl.V WITH ALL CITY, iXMilTV ANO STATE LAWS GOVERNING BUILDING CON-~rC:d.1!t~ .. -::.....__. llr ':'e:-..!!.~~ or I STRUCnON. WH£tHER SPECIFIED H1iAE1N OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND AflPllCANT'S SIGNATURE If. OWNER□ CONTRACTO~ APPROVED BY " ~ 71X,ffY KEEP HA"V!ESS THE CITY Of CAfllWO AGAINST ALL UABIUTIES, JUDGMENTS, COSTS ANO EXPENSl!S WHICH -y IN Aff,'( Wirt .ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THEQ A. ~ () _ . BVPHONE 0 jr'\ GRANTING OF TNIINAMIT. · , • • ·• , a .a ~ I ,' :ti \I I., 7 ~ u:: >, ni 0 a. E Cl) I- I 'O 0 C!) C 111 g a. a. <I! I -" C 0:: 0 "' "' Cl) "' "' < I ~ .2 Q) >- "' "' Cl) 0 0 a: 111 iii 0 §: Cl) 0 C 111 C u:: C Cl) ~ C!) 0 0 Cl) a. "' C ~ ~ ~ .. ___.._. •T' 'L .. ' I ,/ '· ~ 1 ' ' . INSPECTION TYPE I DATE INSPECTOR ~~-~ .... ,,-, j ... BUILDING I FIELD INSPECTION RECORD FOUNDATION I REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES "' ! INSPECTION REO IF INSPECTORS DATE MASONRY CHECKED APPROVAL ·' I GUNITE OR GROUT l SOILS COMPLIANCE FLOOR & CEILING SUB FRAME I PRIOR TO I FOUNDATION INSP SHEATHING I I STRUCTURAL CONCRETE FRAME I OVER 2000 PSI I PRESTRESSED EXTERIOR LATH lNSULATION I CONCRETE INTERIOR LATH & DR YWALL I POST TENSIONED CONCRETE PLUMBING r FIELD WELDING - SEWER AND BL/CO HIGH STRENGTH ' PLUMBING UNDERGROUND BOLTS PLUMBING TOP OUT SPECIAL MASONRY TUB AND ~HOWER PAN I GAS TEST PILES CAISSONS ELECTRICAL \ TEMPORARY POWER -- ELECTRIC UNDERGROUND . ..::.-.. -~ ··---- ROUGH ELECTRIC ELECTRIC SERVICE BONDING ~ ' ~~--:.~ G. F. I. -SMOKE DETECTOR I MECHANICAL I I DUCT & PLEM., REF. PIPING ~ : HEAT -AIR COND. -SOLAR SYSTEMS , ~ -....... , I'. -.... . ~ : .·• .... ~ t) VENTILATING SYSTEMS .. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL -' .. ·-. ---. -.:'"-:. -. ''· . -! / V -. PLUMBING I ~-~ I ELECTRICAL I /l \J ,~ . I;: /: l-" t j-• I ,• r· J::°' . ., ,-1::r: :.,~} ~~ \ . < -::'~ ~ kMl y ~ MECHANICAL '<J • '"-1 GAS L·~ ., ~i }_/ -, I . ~ .,, -.'-=-~ \.. ~ . - ~,\~~ . , BUILDING y_...... :'7 )~· SPECIAL CONDITIONS . ,--) . . CERT OF OCCUPANCY ISSUED ' --: jl, 'b: