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Home My WebLink About2802 STATE ST; ; 83-110; PermitIll z 0 ~ a:: ~ 0 ... 0 C ![ 0 0 C ... a ~ 5 I z ~ •• z 0 ~ .~ z ... IL :If 0 ·~ ii: .., ..: a:: 0 3 i[ 0 I hereby affirm that I am licensed under provlalona ol Chapter 9 (commencing with Section 7000) ol Division 3 of the Business and Professions Code, and my license Is In lull force and effect. lie No _______ Class _____ _ I hereby allirm that I am exempt trom the Contrac· tor·s l1C8nse law lor the following reason {Sec. 7031.5 Business and Professions Code: Any city or county which re-quires a penrnt to construct, alter, Improve, demolish, or repair any structure. pnor to its issuance also requires the ap- plicant lor such permit to me a sipned statement that he Is licensed pursuant 10 the provisions o1 the Contractor's license Law (Chapter 9 convnencing with Sec1ion 7000 o1 OlvIslon 3 of the Business and Professions Code) or that Is ex· empt therefrom and the basis for the alle',jed t1Xemptlon. Any vlolatIon o1 Section 7031,5 by an applicant for a permit sub- jects the apptlcanl to a civil penalty oi no1 more than five hun· dred dollars ($500). O I, as owner o1 the property, or my employoes with wages 35 lhelr sole compensation, wHI do the work. and the strut· ture· Js not intended or offered for sale (Sec. 7044, Business and Prolessiorls Code: The Contractor's License law does not apply to an owner o1 property who builds or Improves thereon and who does such work himself or through his own employoes, prO\lided that such Improvements are not Intend· ed or ottered tor sale. 11, however, the building or Improve-ment is sold wrthin one year of complelion, the owner-builder will have the burden of proving that he did not build or Im-prove for lhe purpose o1 sale) . 0 I, as owner o1 the property, am exclusivoly contracting wrth T,unsed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or Im-proves thereon, and who contracts for each projects wl1h a contractor(s) license pursuant to the Conlractor·s license law). 0 As a homeowner I am Improving my home, and the follow· Ing conditions exist: 1. The work Is being pe~ormed prior to sale. 2. I have lived In my home for t,vetve months 3. l"~O: '.:"'::.iOI /~i~ :'..':ipt1on during the last three years. D I am exempt under Sec. ______ , B & P.C. for this reason ------------- D I hereby affirm that I ha:,,e a certificate oJ consent to selt-msure, or a cert111cate of Workers· Compensation Insurance. or a certthed copy thereof (Sec 3800. labor Code) POUCYNO ~ COMPANY □ Copy IS hied with !he city 0 Cert1t1ed CoPy ,s hereby lum,shed CERTIFICA Tl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section neecl not be completed 11 the pem11I Is fOC' one hundred dollars ($100) or less) 0 I certify tt,•t in the perlormance of the work for which lh,s pennit 1s issued. I shall not employ any person '" any manner so as to become subIect 10 !he Workers· Compensation Laws of CahlOl"ma NOTICE TO APPLICANT 11, alter maktn;i lt>IS Cen1- ftca1e of Exempoon, yoo shOukj become subIec1 IIJ the W()l1(ers· Compensation pr0¥ISIons of the Labor Code. you must fot1hw1th comply w11h such provisions o, this permit shall be deemed revOked 0 I hereby affirm thal there Is a cons1ruct10n lendmo agency tor lhe performance ol Ihe wortl tor which lrllS permit ,s issued lSec 3097, C1v1I Code} lenders Name ___________ _ Lender's Address __________ _ USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS • CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PE~ JOB AOORESS '2-'&C'L S-ro..~'2.. 5'. A~:T: I OA3 ;:;;pATf01 OWNER'S NAME M.'2.~\"\a.~ 1:>. \"\.. \)e,"'-.)~~~ l-rz~W~E\~;~NE CONTRACTOR t) r,/) /'II jE R__ De.. w ~ ~'2 ~ ~ ~ "':>C,:,c.. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 34 <-"'S"" S1~~ ui..~-c: \)IL IP.o. '6o"K-c:;;,~ ~.:foll.a LOT I BLOCK I SUBDIVISION DESCRIPTION OF WORK l ASSESSOR PARCEL NO DESIGNER a.~~0'1 Q_c, C \. '-"'-""'-'-t C\ rt I ~ -~ ........ .., .. ~ ,L, __ _ ~ _-i ?-/l) _,fl'~ __ --~ '1~. ~o,-c;,1.; F/P fLR ELEV. LA~ollo. NO STORIES vO NO TYPE CONST ERMIT NUMBER LICENSE NO. PLAN 1.0. # BLOG USE CODE ·s\ I q '2 7 LICENSE It STANDARD PLAN# BUILDING SO. FOOTAGE OESIGNE R'S PHONE 4~4-~\)'2..<- OCC GP EDU OCC LOAD FIRE SPA * CENSUS TRACT I LAND USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED y D ND F VELOPME-NT A vO NO vO NO Nor Valid Un/ffs Machine ~rtifi,d QTY.I PLUMBING PERMIT -ISSUE •--~ -?~ QTY.I MECHANICAL PERMIT -ISSUE "?;-SUMMARY/ACCOUNT NUMBER, r_ ~ A EACH FIXTURE TRAP 7 INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 I 711 ,,,.. ./<) EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00·822V I ' . ~, , ---- ~LAN CHECK ----O1--00-00·8806"1~·~.r ~ I ) EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP I I TOTAL PLUMBING 01-00-00·8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ,, ------------1-----~--I-- EACH INSTAl. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 • ... -··-····-·· MECH EXHAUST -HOOO/OUCTS ' I I MOBILEHOME 01-00-00·8225 EACH VACUUM BREAKER WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I I MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR _0J_:_OO·!!ll:.82'~ TOTAL MECHANICAL STRONG MOTION 80-92-33-0519 TOTAL PLUMBING FIRE SPRINKLERS 01-00-00·8227 IQTY. I ELECTRICAL PERMIT -ISSU~ -~--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923 BRIDGE FEE NEW CONST EA AMP/SWT/BKR COLLECTORS I I I SCHOOL FEE -DISTRICT - 1 PH 3 PH STORAGE TANKS I I O Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ,~ I II I ROCK STORAGE • I U Encinilas 80-92-22-0519 --~-~-------1--,,,,;;. ~ P~ 3 PH PUMP San Dieguito 80-92-23·0519-1---------1 c:t<W f~EL/ALTER PER CIRCUIT L,.-Z, PLAN CHECK FEE San Marcos 80-92·24-0519 TEMP POLE 200 AMPS OVER 200 AMPS I I TEMP OCCUPANCY 130 DAYS) I--:;- TOTAL ELECTRICAL 1 ~~~ TOTAL SOLAR TOTAL FEES PAYABLE l 111CZS- I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT'".AND DO HEREBY Expiration Everypermrl •-bytl'leBuildtng0ff1etalundert1MtprovtS1on1o(th1S CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llmttatton and become null and void II t!Mt building or wort< * ~JI OSHA PEMIIT IS IIEOUIAED ~CAVA~EA DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorlled by such permrt II not commenced wrtrun 180days from the dale of such 5• 0" DEEP ANO DEM0UTION OR TRUCTION 01' ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• ~ml!, ,:,1~ the building or wort< authorrzed by ouch per 11 IUlpended or STRJCT\JIIESOVER 3STORIES IN IGKT STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~~~~~~a~n~t1-~~aft;;er;2the~_!!W:5!ont!!!._!il!...£COtn!!!!!;tnen!!!!a!!ced~~,or~~'f9-od~ol~112.!!IXiL-;:~~=~~~~--~-----..!.--------1 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND U ANT'S SIGNATU~< _,. ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE } /) n GRANTING OF THIS PERMIT. ~ ( ( BY PHONE 0 DATE r$flf_; ~ u::: ~ as 0 Cl. E ~ I " 0 (!) c as .!2 a. a. < I .>:: C a: 0 V) V) Ql V) V) < I ~ .2 Q) >- ,,; V) Ql 0 0 a: as ni Cl ~ Ql 0 C as C ii: C Ql Ql " 0 0 Ql a. V) C 2 :c 3: INSPECTION TYPE DATE INSPECTOR .. BUILDING I I I FOUNDATION i J REINFORCED STEEL I ~ - MASONRY . J GUNITE OR GROUT I ,. FLOOR & CEILING SUB FRAME SHEATHING I FRAME . 1 EXTERIOR LATH lNSULATION ' , 4 INTERIOR LATH & DRYWALL PLUMBING I -SEWER AND BL/CO I PLUMBING UNDERGROUND . ' \\;"? ~i~ ~ PLUMBING TOP OUT \\ '' TUB AND $HOWER PAN .. GAS TEST - ELECTRICAL : . TEMPORARY POWER I .. ~ ELECTRIC UNDERGROUND . I ROUGH ELECTRIC i ' " ' , ELECTRIC SERVICE BONDING . 11. F. I. -SMOKE DETECTOR ' I. MECHANICAL I . bUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL \ I ' PLUMBING ,. I I J~- ELECTRICAL ( \ I "' MECHANICAL ' !\. \~ r-..~" GAS V I \Y t__\ r BUILDING ' ' "' SPECIAL CONDITIONS - CERT OF OCCUPANCY ISSUED •, ,, ' 8'3--J JD C. 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 PRESTRESSED ' CONCRETE POST TENSIONED CONCRETE FIELD WELDING ,·· HIGH STRENGTH ~ \ ,, BOLTS . SPECIAL MASONRY -.. ., . i ' PILES CAISSONS ' ,· • . I' ' .. . , ... . . ~' - ~ . - ' . ' . -· . . ' - ,. . --·--. .. I . ' ...... -i r • ~ J : ·r -. --• 0 .. .. . ~ -,--- " . . '< . ,, ~ ,. :, ' :1 -J ~ , INTERDEPARTMEN I AL l NFORMAlliLSJiEEI. lECEIVED BJ.UllilljG DEPARTMOO DATE: MAR 21 1983 BUILDING ADDRESS: ,.2fe.,z~ A CITY OF CARLSBAD ~ Building IJep.:irtment A. P. N: --C. T: _________________ _ MIJ.NING DEPARTMENT ZONE: ______ SCHOOL FEES: SAN DIEGUITO SAN MARCOS -------- ENCINITAS _____ CARLSBAD _____ _ ·lJNITS REQ'D: PROVI.DED: ----------~i--P+--, - % COVERAGE ALLOWED: PROVIDED: __ -f·--j-·7-:::::===---- PARKING SPACES REQ'D: _______ PROVIDED: __ --'("7'---+-/ ______ _ , BUILDING HEIGHT REQ'D: PROVIDED: --------- FRONT SETBACK ALLOWED: ------ PROVIDED: ______ _ INTRUSIONS: IR!i-DEVELOPMPlT APPROVAL REQ' D ~ SIDE SETBACK REAR SETBACK LANDSCAPE !; IRRIGATION PLAN COMMENTS: _______________ _ ENVIRONMENTAL PROTECT I ON REQ: _.,frz/"-'-''-"-'IMrt,p.l ________________ _ -,,..,, ADDITIONAL COMMENTS: _______________________ _ OK TO ISSlJE: @-(/ DATE:A)t,\ I ;ft/ OK TO FINAL: DATE: ___ _ . 7~ ,Z/----- ENGINEERING DEPARTMENT R.O.W: ______ _ IMPROVEMENTS-'-: _________________ _ PUBLIC FACILITIES FEE:_·--+-+--------SEWER CONNECTION: ___ _ \ DRIVEWAY LOCATION ( S) : --11-----1---A--------__ _ GRADING PERMIT: ___ _.__-f-h,f------------------- EASEME NTS: ---------++--+- LEGAL DESCRIPTION: ________________________ _ ADDITIONAL COMMENTS=----+--------------------- 1'CHECK IF ENGINEERING INSPECTION REQ'D. ON FINAL: ----------- 0 K TO ISSUE: ___ DATE: ____ PIH: ____ OK TO FINAL: ____ _ DATE: ___ _ * IF TIIIS ITE~l IS NOT CIIECK!.'D, 13lJIL.llTNG DEP/\llTM[N'J' WILL MAKE FINAL INSPECTION.