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Home My WebLink About2615 STATE ST; ; CB880025; Permit.,, z 0 ;:: C CIC C ... () "' 0 g[ ~ ... z 8 CIC "' 0 ... 5 I "' z 3 0 z 0 ;:: l z "' ... :IE 0 () .,, iz: "' " CIC 0 3 ir ~ hereby affirm that I am llcensad under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profusions Code, and my license Is In lull fo,ca and effect. I neret>y afhrm lhat I am exempl lrom the Conlrac~ ,o,.s License Law tor 1he following reason (5ec: 7031 5 Bus,ness ano Profess10ns Code Any city or county wh,cr. re• quires a permit lo conslruct. alter. improve demohsh, or repau any slructure. prlOf to I1s rssuance also reQutres the ap- phcanl lor such permit 10 hie a s~ sta1emen1 that he. 1s licensed pursuant 10 lhe prov,s,ons of the ton1rac1o(s license Law (Chapter 9 commencing with Secrion 7000 of Otv1s10n 3 ot the Business and Protesswns Code) or I hat 1s ex empl 1t1eretrom and thf! basis lor the.alleged exemp1Ion Any vIola11on of Sectoo 7031,5 by an apphcarn lor a perrrut sub-1ects the apphcanl 10 a ctvtl penaJty ot not moJe lhan 11ve hun- dred dollars ($500) I as owne, ot 1ne property. or my emptoyees wllh wages as their sole compensallOn wilt do the work, and the struc- ture ,s no1 ,n1ended or offered to, sale (Sec 7044. Business and Pro1essl0fls Code The ConHactor·s lttens-e Law ooes nol apply 10 an owner ol properly whO bu1kJs or improves !hereon and who does such work himself or through h1s own employees. provtded that such Improvemen1s are not mtend- ed or offered lor sale. If, hOwever. !he bu11d1ng Of mprov• ment Is sold w1th1n one year ol comp}ehon lhe owner-builder wlll have lhe burden ot pr<Mng !hat he did not build or im-prove !or lhe purpose ol sale) 11 I. as owner ol 1ne property, am exclus,vely contractmg with ltcense(l conlractors to construe! lhe prOfetl (Sec 7044, Busmess and Professions Code The Contractor's license Law does no! apply lo an owner of p,ope1ly who builds or im- proves thereon. and who contracts tor each pro,ects w11h a contraclor(s) ltcense pursuanl lo the Contractor's Lttense Law) fl_ As a homeowner I am 1mprov1ng my home. and !he tollow 1ng conchUon~ ex,st 1. The work 1s being performed prior to sale 2 I have hved 1n my tlome lor twelve months pnor to complet,on ol this work I have not claimed this exemptlOO dunng the 1.ast three years D 1 am exempt under Sec ------· B & P C lor this reason ------------- C I hereby affirm thal I have a cen,hca1e of consent 10 self•1nsure. or a certificate ot Workers· Compensation In- surance. or a cerllfied copy thereof tSec. 3800. Labor Code) POLICY NO COMPAN'Y Zcopy IS Med w1lh lhe C1ly .D Cert1hed copy ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE iTh1s section need not be compteted ii the perm11 is for one hundred dollars (S 100) or less} 0 I cenlty lhat in !he performance o1 the WOf'k for which this perm11 1s Issued. I Shall nol employ any person ,n any manner so as to t>eeome subject to lhe Workers' Compen- sation Laws of Cahtorn1a. NOTICE TO APPLICANT. If. after making ttus Certificate of EJtemption. you should become subJect to the Wmkers Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby afhrm that there is a construction lending agency for the performance of !he work for wl'Hch this per• m1t ,s issued (Sec. 3097. C1v1I Code) Lender's Name ______ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---. -. ·--. CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 J08 ADDRESS AV,.ST,RO, THOMAS BROS NO . I DATE OF APPLICATION! BUSINESS LICENSE# VALUATION PERMIT NUMBEl'I 2..61..5-.STA-Tt: .rr /-6 -'f"'r' I 'rl to c~~OJ-a~ LOT &LOCK I suao, v1s10N I AssEssoR~LD4%"-4 1<;,( 0 0 CONTRACTOR CONTAACTOflS PHONE • ZONE - VIKIN(;. Cl~'r(ZlC '!'to-~roo OWNER'S NAME I OWNER'S PHONE ·-- PAv<. 's Av l"b ;v, on v e CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE . pc:, ,7o;r 62.tJ OC€A-,./S I 1)c:: '16 7 7 <"f<t OWNER'S MAILING ADDRESS :Z61l .J ,,,.-r ... ~ s' C A-flt..S fIA" DESIGNER OESIGNER"S PHONE DESCRIPTION Oc~ORJ( 121' ~ -.S€1ll/. (-1.,,,,. .. ,~~ ,=n_o/04. /OOA ('1 DESIGNER'S ADDRESS STATE LICENSE NO. /00/1 :J1tll" ADC> I 2.0~ ..3/ Cf/1 -FIP FLRELEV. NO DCC GP EDU STORIES Cv I,. vO NO --I CENSUS TRACT [ PARKING SPACE l RES UNITS I GRADING PERMIT ISSUED REDEVELOPMENT TYPE DCC LOAD FIRE SPP AREA CONST -y D ND vO NO vO NO Not Valid Unlns M1chine Certtfi~ QTY. PLUMBING PERMIT· ISSUE 7P QTY. MECHANICAL PERMIT -ISSUE ,soo ) -SUMMAR Y/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU llUILUINu rtMMIT uo 1 ·81 U·OU-OO·auu EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 0Ql'~10·0Q·JJ0;~2?1 _ _ _,, --.. --. o.ob -EACH WA TEA HEA TE A ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ilo'{~ttl-o'd='Ot>-~~1 " v4.. v-.1.•.Lu, DJ"' EACH GAS SYSTEM l TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP . TOTAL PLUMBING 001-810-00·00·8222 EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ' ELECTRICAL 001·810-00-00-8223 ~~--- EACH INSTAL. ALTER, REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00·8224 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001 ·810-00-00-8226 EACH ROOF DRAIN IINSIOEl DRYER VENT STRONG MOTION 880-519-92·33 TQT/;l MECHANICA L FIRE SPRINKLERS 001 ·810-00·00·8227 TOlAL PL UMBING T /44567h~ PUBLIC FACILITIES FEE 320·810-00-00-87 40 .s~ ~1--'C. ~J:\ BRIDGE FEE 360-810-00·00-8740 QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE E SETUPii~ -" ~ PARK·IN·LIEU (AREA ) NEW CONST EA AMP SWl HKR CAR PORT l<:f ll ll 1nnn -~\ TIF ~'1'6'-llf1'H&,1 ~14".ll I PH 3 PH AWNING ~ UI\I~ wuv $~ LA COSTA TIF EXIST BLOG EA AMP SWT BKR GARAGE ~ crrv ~. ,, -.,, -1 FMF 01. -___ ... l PH 3 PH \~ \ii~•. vr l;l!IIL)ib:Af\ 0, I ' LICENSE TAX 001-81(Jl)NJ0·81Q l~uc, REMODEL Al TtR PER CIRCUIT \C:-a CUZlll~uhJI, 1,,1\ ,-MFF 880-519·92·57 ~ ---- TEMP POLE 200 AMPS ~,$'~ ' ... ...,~ ..... -a ~- OVE A 200 AMPS , .. , ~77\"7.0-~ ----. eon E~~lft\i )511 .a, j EMj OCCUPANCY 130 DAYS! -···-- I IA,J~ _,. .. ---/l-,/'J • ...:2.c,.--CREDIT DEPOSIT , .. lOIAL ElELl RICAL T I I ~o , ... TOTAL TOTAL FEES PAYABLE 36 ---: I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT AND DO HEFIEBY Exp.rat,on Every permit issued by tt\e Bulld,ng Ott,c,al under the prov111ons of trus * AN OSHA PEMIIT IS AEQUlflED FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PEFIJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm1taJ1on and become null and "wOtd If the building or work s· o· DEEP ANO Df.MOUTIOH OR CONSTRUCTION ~ DECLAFIATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT If> authorized by such permit 1s not commenced w1th1n 180 days from 1he date \)I such STAUCTVRlS OYER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNTY ANO STATE LAWS GOVERNING BUILDING CON ::::a,:, '!1 •=~v ~,:•~-~~,!~~,:~!h:~~Jec0~7 ;>9~':!~'~t1 ~~-~ 0' -STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE • OWNER□ CONTRACTOR J.?' APPaA 1D11?/f P' 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 t'o:J ti~ BY PHONE fJ GRANTING OF THIS PERMIT - 2! u:: >, oi 0 a. E G> ~ I 'O 0 C, C "' u a. a. <( I ~ C ii: 0 (/) (/) G> (/) (/) <( I ,: .2 ai >- G> u C "' C IL C G> ~ C, 0 u G> a. (/) C G> .c ~ ' ' r .. TYPE ! DATE INSPECTOR . BUILDING l Cib~~~ FOUNDATION I FIELD INSPECTION RECORD I REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S N OTES MASONRY ! REO IF INSPECTORS GUNITE OR GROUT i INSPECTION CHECKED APPROVAL D ATE SUB FRAME □ FLOOR D CEILING ,· SOILS COMPLIANCE r., . ._ .. , . ~ SHEATHING □ ROOF D StdEAR PRIOR TO --,:•C.:• .,,',-;::r.1:~ ·~ 1:}r1..c,,;,.,;· .c:-v .. "!· FOUNDATION INSP . 7' "" I_ •~ C!-~lt-t FRAME ! Cll. -r 1. ~-..-.,~,11.•..... · , I • -·-'YO .. ; ... t .. '"·-~ .... ;~ STRUCTURAL CONCRETE EXTERIOR LATH J OVER 2000 PSI i! -. INSULATION PRES TRESSED l : \.' ll t:,!,f;• I CONCRETE J INTERIOR LATH & DRYWALL I I ~ POST TENSIONED .• . (.,.__~ ·-..~ "•· I CONCRETE ·\ 1 l. ;:-/ / .r~ ·~· ~ --,. .. .; ,.. • _,, _4, .. ~~ PLUMBING I FIELD WELDING I □ SEWER AND BUCO CJ ftl/CO HIGH STRENGTH UNDERGROUND □ WASTE □'WATER -BOLTS ~ TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN I -! GAS TEST I -> ·, -PILES CAISSONS D SOLAR WATER -~ □ WATER HEATER I --I .l ELECTRICAL I . -- □ El,,ECTRIC UNDERGROUND q UFFER -- C ."i .c:v-i ct .. -:r C: ~ r:;•c. .... ---,. __ .. •· ~~.... . ... .. --" RO)'.)GH ELECTRIC ! J / I [L~ ___.-> j q ELECTRIC SERVICE □ TEMPORARY 1-7-8~ IL~. ' . -~ I D BONDING □ POOL I . I' i--,..-> -I I ~ l ' - MECHANICAL I I □ DUCT & PLEM., □ REF. PIP1NG -- HEAT -AIR COND. SYSTEMS ! --VENTILATING SYSTEMS I - ' I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAYE BEEN APPROVED. ' -, . . FINAL I ' PLUMBING ,, I ' l . I •· ELECTRICAL ! -I .l ....... t / /"'\ MECHANICAL ! .......... . ..... \.. I I ,/ . GAS - I // ff ,I./.., .-BUILDING I J-7-87 --~ ----- SPECIAL CONDITIONS I , __..... -C ,-, C •• I• C I., J f --r 'I ,•1. t , t. ' L • I -.,. . L' ' ~ .). I -~ .. --' . I ---. --.. .,