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Home My WebLink About2787 STATE ST; ; 81-427; PermitCl) z 0 ~ ,z: ~ u w 0 C I[ 0 u a: w 0 ... 5 I w z 3 0 z 0 ~ z w ... :I 0 u Cl) a: w "' ,z: 0 3 il Q I hereby af111u1 tl'lill I am licensed under 11,ovlalona of Chapter 9 (commencing with Sect.Ion 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and eff,c!., /') _ "l r, UC No ~~ Class -1...t....'.'.'~ I hereby affirm that I am exempt from the Con· ~:~·~::;::: ~w ~f~~,~~~~9:~,(~, county which requires a permit 10 construct alter. improve, demohsh. or repaar any structure, PflOt' to its issuance also requires the applicant for such permit to hie a signed statement that he ,s tecensed pursuant to the prov1s1ons of the Con· tractor's License Law (Ch8')ter 9 commencing wtth Sechon 7000 of Otv1sK>n 3 of the Business and Pro- tesstOnS Code) or that 1s ex.empt therefrom and the bas,~ tor the alleged exemphon Any vt<>tation of Sectt()f'l 7031 S by an applicant for a permit sub1ects tne apphcan.t to a civil penalty ot not more than hve hundred dOllars ($SOO) D I, ~ owner of 11,e propeny, o, my employees ,.,th wages as their sole compensation, will do the work, and the structure 1s not intended 0t offered tor sa,e (Sec 704,.t, Business and Protess10hs Code The Contractor·s license Law does not apply to an owner ot property who builds or improves thereon and who does such WOik himself or through his otwn employees. provided that such ,mproveme:1ts are not 1ntende1 or offered fo, sate If, however, the bu1ld1ng o, improvement ,s sold w1th1n one year of completion, the owner-builder will have the burden of provtnQ that he did not build or ,mprove tor the purpose of sale) □ I, as owner of the property, am exclusively contractm~ with hcensed contractors to construc-1 the p,o,ect (Sec 7044, Business and Protess,ons Code. The Conlfactor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts tor each pro1ects w,th a contractOfls) hcense pursuant to !he Contractof's License Law). D I am exempt unde< Sec ____ , B & PC forth1s reason ___________ _ □ I hereby affirm that I hai'e a certtftcate ol consent to self-insure. or a cen,ticate of Workers· Compensation Insurance. or a cen1f1ed copy thereof (Sec 3800, Labor Code) POLICYN0 _ COMPANY )I( Copy IS hied with lhe c1ly ~ D Cer11hed copy Is hereby lurn,shed CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the perrrut Is for one hundred dollars (S100) Of less) O I certify that ,n the perlormance of the wor11. IOf wh.ch th,s pemut 1s issued. I shall not employ any pe,son m Niy manner so as to become sub1ec1 lo !he WOt'kers' Compensa11on Laws of Gahforn1a NOT.CE TO APPLICANT It, atte, makm1 lh1s Cert•· hca.te of Exemption. you should t>ecome subtect ,., the Work.e<s' Compensation p,ovIs1ons ol the ubor Code. you must tonhw1th comply with such provisions or th,s permit shall be deemed ,evoked 0 I heteby athrm lhal there 1s a construction lending agency 10, the performance ol trie won. tor wtuch ttus permit 1s ,ssued tSec 3097 C1v1I Code) Lenoer s Name ___________ _ Lenders Address __________ _ y USE BALL POlt ''..G-'ILY & PRESS HARD --z ~ ~ / .. • • --· . -· ----. ,. -------·-----·--------------... --------. CARLSBA\.. BUILDING DEPARTMENT V APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICANT FILL IN INFORMATION WITHIN SHADED AREA DECLARATIONS. l"'J0B A~RESS A ~i_T. 1 OA i~F. Ar~t TtNI BUSINESS LICENSE # VALUATION PERMIT NUMBER i..7't 7 ~Tt1TP ST1-11P T ~ 3 ,--- OWNER'S NAME I l/?,~~7;7;NE PRIME CONTRACTOR ~c;~;:~~o~ 1 ZONE i}--z, '1 ~ IJ JI-Lv..Mh"-l-I.LL.A ,., 1-1 ~-l J./2t111 ~1(3,J,-.,..J ;NG f'd OWNER'S MAILING A00RESS CONTRACTOR'S A00RESS I J /~NU;y PLAN l,D. # BLDG use CODE :i·x1 ST('I TP. 5-h 1-,:1iT ;~ 0 9 / R r,f\ ,t;',:J\J,, l T '-~l~'l-b LOT BLOCK I SUB0IVISION I ASSESSOR PARCEL NO. DESIGNER TATE LICENSEf STANOARO PLAN# BUILDING SO. FOOTAGE / ~\/ 7) (0., ~ti, -~/,1./"Jt,7 DESCRIPTION OF WORK , 1 -rNsia.J.. L \/,.., ,-r, l nT, n A) < 'v.-.7o Al\ DESIGN~'$ ADDRESS DESIGNER'S PHONE ,c -,,. t'IL) _,,.../ _ .-, ------· . ~ . -F/P FLA ELEV. NO 0CC GP EDU 10/01/819 8 □2 STORIES 13.G vO NO 00019802 I 0/01 / 8 I ;~.o CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE 0CC L0A0 FIRE SPA AREA CONST y D ND ,□ NO vO NO Not Valid Un~r Ahchine £4rtifitd QTY. PLUMBING PERMIT · ISSUE 7-,~0 QTY. MECHANICAL PERMIT· ISSUE 3-CD SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP / INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT EACH BUILDING SEWER / OVER 100,000 BTU SIGN PERMIT EACH WATER HEATER ANO/OR VENT/ BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK EACH GAS SYSTEM 1 TO 4 our!.¢ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING EACH GAS SYSTEM 5 OR .¢E METAL FIREPLACE ELECTRICAL -,.nC> EACH INSTAl .. ALT~PAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL /_ ....rJ EACH VACUU~EAKER I MECH EXHAUST -HOOD/DUCTS ~.oo MOBILEHOME "" WATER sa(°TNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP -- EA{Ji'1fOOF DRAIN (INSIDE) IA,l"YJ SOLAR ,....., TOT,t;L MECHANICAL ~ STRONG MOTION ---- TOT AL PLUMBING FIRE SPRINKLERS 2-oo ~ PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT· ISSUE QTY. so; AR -ISSUE / BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTOR1 _/" _,.V SCHOOL FEE · DISTRICT t PH 3 PH ~ STORAGE TA If , ./ l t--1 _/ Carlsbad EXIST BLOG EA AMP/SWT/BKR / 1 ROCK ~QB.-V L 1 /I(./ / Encinilas t PH 3 PH ww{.....,.....-\ V''f.,.,r I / San 01egu1to REMODEL/AL TEA PER CIRCUIT -/ , :ruN CHECK FEE1 j / ~r11. San Marcos TEMP POLE 200 AMPS V / I ..4 " - OVER 200 AMPS ---:,/' / I ,Ill V' -/. / I V TEMP OCCUPANCY 130 DAYS) /J)JfJ1,J,: r:;:L M~ --.J• LY'~~ . r,/' ./ / TOTAL ELECTRICAL ~ ') • ~ . TOTAL SOLAR V I ,~./JO I TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expuat,on Every permit n1sued by the Building Olltc1al under lhe prov1S1onsofth1s * AN OSHA PERMIT IS AEQUIAED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e11tpire by lim1tat1on and become null and void If the building or work 5' 0" DEEP ANO DEMOUTION OR CONSTRUCTION Of authonzed by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~::i~ 1 ~t tZ~v i:r.:1 ~::h:~~r:~t~:~~le~~~7 r..:::::~,,'~i"~:8".;'.c:' or STRUCTUMS OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNT'/, AND STATE LAWS GOVERNING BUILDING CON STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APP~SST~R~ OWNER□ CONTRACTO~ APPROVED BY 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 I 1n •1·f?I GRANTING OF THIS PERMIT - ~ u:: >-~ 0 0. E Q) I-- I 'O 0 (!) c "' .S? a. 0. <( ,,. I -" C a: 0 rt) rt) Q) rt) rt) <( I 3: .Q Q) >- rJi rt) Q) 0 0 a: "' ai 0 §: Q) 0 C "' C u.. C Q) Q) <'; 0 0 Q) 0. rt) C ~ LC ~ INSPECTION TYPE J DATE INSPECTOR j ~1~4~; -BUILDING FIELD INSPECTION RECORD C FOUNDATION REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -REINFORCED STEEL INSPECTOR'S INSPECTION REQ IF DATE MASONRY I CHECKED APPROVAL --. l . , ' GUNITE OR GROUT I SOILS COMPLIANCE FLOOR & CEILING SUB FRAME I PRIOR TO ' FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE ' FRAME OVER 2000 PSI PRES TRESSED EXTERIOR LATH lNSULATION CONCRETE t i -. POST TENSIONED I INTERIOR LATH & DRYWALL I CONCRETE I PLUMBING . FIELD WELDING I ... -SEWER AND BL/CO ' HIGH STRENGTH I .PLUMBING UNDERGROUND BOLTS -- PLUMBING TOP OUT I SPECIAL MASONRY I i ';_ ,_ TUB AND ~HOWER PAN . .. L-3 11 I GAS TEST ' -. • PILES CAISSONS \ ,· I ,.._ ELECTRICAL I ' TEMPORARY POWER I 's ' . .. I ELECTRIC UNDERGROUND I " - ROUGH ELECTRIC ELECTRIC SERVICE I I BONDING A G. F. I. -SMOKE DETECTOR . I I I . MECHANICAL j - DUCT & PLEM., REF. PIPING - HEAT -AIR COND. -SOLAR SYSTEMS -- VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. ' JOB SITE FINAL -. PLUMBING ,. I ~ V ,· ELECTRICAL ,. 1.--1. \ "' u~ ~ .. V I ..... -·-! '_JI I ~V"..._ -MECHANICAL ... ., ~J GAS I ' ~ , -I -•-'· r---BUILDING - SPECIAL CONDITIONS ' CERT OF OCCU~N''v -lSSUED ' ' .) ' , 11,_ { ~ > ' 't ' ,, r ~ -----