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Home My WebLink About2564 STATE ST; E; 85-737; PermitC/l z 0 .:: C re C ..J u l&,I 0 II: I[ 0 u II: l&,I 0 ..J 5 ~ l&,I z 3 0 z 0 .:: C C/l z l&,I IL :I: 0 u C/l a: l&,I " re 0 3 tl O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of lhe Business and Professions Code, and my license is In full force and effect. Lie No ______ Class I hereby alhrm lhat I am exemp1 1,om the Con1rac· IOf's License Law for the following reason (Sec 7031 5 Business and Professions Code Any c11y or coun1y which re-quires a permit 10 construe!. alter. improve. demolish. or repair any structure. prior to its 1ssuaoce also requires :heap-phcant IOJ such perm11 10 file a s1qned statement lhat he 1s hcensed pursuant to lhe prov1s.t00s ol the t:omractor s L1Cense Law {Chapter 9 commel\Clng w11h Section 7000 of Olv1s1on 3 of lhe Business and Professions Code) OJ that 1s eK· empt therefrom and the oa~s fOt the alleged exemption Any vJOlataon ol Sechon 7031 5 by an apphcant !Of a peunil sub· Iects the apphcant to a civil penalty ol no! mo,e than hve hun· dred dollars ($500) I, as owner ol lhe property, or my emp~ees wIlh wages as 1he1r sote compensa110n. will do the work. and lhe struc- ture is not mtendecl or ollered tor sale (Sec 7044. Business and Proless,ons Code The Contrac.tor's l1tense Law does not apply to an owner ol property who builds Of improves !hereon and who dOes such work tumsel1 or throogh his own employees. provided that such Improvements are nol mlend-ed or offered tor sale II. howe>Jer Ille bu11dmg or improve· ment ,s sold w1lhm one year ot complehon. tne owner-builder will nave !he burden ol proving that he duf nol butld or im- prove lor the purpose of sale) [ I, as owner ol lhe property. am exclusively contraclmg with hcensed contractors to construct lhe protett (Sec 7044, Business arnf Profess10ns Code The Contractor's License law does nol apply 10 an owner ot property who builds or lffl· proves thereon, and who contracts 1or each pro,ects with a contractor(s} hcense pursuant to the Contractor's license Law) 0 As a homeowner I am improving my home. and the follow ,ng cond1110ns exist 1 The work is being performed priOI' lo sale 2 l have l1>Jed m my home f01 twelve months prtor to complehon of th,s work 3 I have not clauned this exempt10n dunng the last lhree years. □ I am exempl under Soc ______ , B & P C for this reason ____________ _ 0 I hereby affirm that I have a ce1t1f1cate of consenl 10 sell-Insure_ or a certificate of Workers Compensation In• surance. or a cert1f1ed copy !hereof (Sec. 3800. Labor COde) POLICY NO COMPANY D CQPy ,s hied 1A1th the city C Cer1,hed copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This section need not be completed 1f the perm II 1s IOr one hundred dollars (SH>O) or less) 0 I certify ltlat in the performance of lhe work for which 1t11s permit is issued, I shall not employ any person 1n any manner so as to become sub1ect 10 the WOfkers· Compen- sa11on Laws of Cahfornia. NOTICE TO APPLICANT: If. after making this Certificate of Exemption. you should become sub1ec1 to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there Is a construction lending agency l0r the performance of the work for which lh1s per- mit is issued (Sec. 3097. Civil Code) Lender·s Name ____________ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD -----APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. I CARLSBAD BUILDING DEPARTMENT I APPLICATION & PERMIT 1' Carlsbad, California 92008-1989 (619) 438-5525 I ;;;;;:4-< /l<V ST.~ NEAAESTCAOSS ST. l o~~#~;?NI I BUSINESS LICENSE rt VALUATION PERMIT NUMBER I ~ y-#8 ___. ~ /; L/1.t111 lt IJ ~ ~ 1137 I I LOT BLOCK I SUBOI VISION I ASS~~SEJ!NO ,_./ CONTRACTOR CONTRACTORS PHONE • ZONE I Pl nl ii~ (e :Z R¼#/J Mid btti}tXJ~dr f ~4w~7?~q~e CONTRACTOR"S AOORESS LICENSE NO. PLAN 1.0 . It BUILDING SO. FOOTAGE I OWNER"S MAILING ADDRESS / I 1%.~~ l//lfA?l!tJe /4,,;o ,,,5fp200 DESIGNER DESIGNER'S PHONE I I DESCRIPT•ON OF WORI( I 0/Llti/i.JJ I/, I DESIGNER'S ADDRESS LICENSE NO P.• I. f I I "' ... C;,tU !,41 / I li.J/C.c..,-6:J P(-~: I : ~M, ,._:jo ~ A,)._~ T7 {),V .s. F,P FLA ELEV. NO CCC GP EDU I ' STORIES I OFF\,...~ vO NO I CENSUS TRACl I GP L ANO USE PARK ING SPACE l RES UNITS I GRADING PERMIT ISSUED I REDEVELOPME NT TYPE CCC LOAD FIRE SPA I AREA CONST I r □ ND vO NO vO NO Nor Valid Unless Machine Cerul,ed I -7.£!-QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE :!--SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP , INSTAL L FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001 ·810·00·00·8220 /0- EACH BUILDING SEWER .. OVER 100.000 BTU SIGN PERMIT 001·810·00·00-8221 EACH WATER HEATER ANO OR VENT ./ BOILER/COMPRESSOR UP TO 3 HP ~ PLAN CHECK 001-810·00·00·8806 ~--✓-c EACH GAS SYSTEM I TO 4 OU T LETS../ BOILER /COMPRESSOR 3 15 HP_,/' TOTAL PLUMBING 001-810·00-00-8222 --10 EACH GAS SYSTEM 5 OR MOR V MFTAI FIRE PLACE ~ ELECTRICAL 001 ·810-00-00·8223 -I I EACH INSTA~. ALTER, R~ WATER PIPE VENT F~UCT MECHANICAL 001·810·00-00-8224 I EACH VACUUM BllmER -~ I MECHE UST HOOD DUCTS MOBILEHOME 001-810·00·00·8225 I WATER SOF:LH('R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I EACH ROOF DRAIN I :NSIDE I I SOLAR 001·810·00·00·B226 I TOTJ;L MECHANICAL STRONG MOTION 880-519·91:33 ..:....__ I TO I AL PLUMBING I FIRE SPRIN~LERS 001·810·00·00·8227 I I 1 QTY. ELECTRICAL PERMIT · ISSUE 5 --QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 332·810·00-00·8930 I I NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT I I PH 3 PH STORAGE TANKS _,. --As -..,. 'I"!' ~ Carlsbad I EXIST BLOG EA AMPISWT BKR ROCK STORAGE l .... L .Ci fi .1, .£J J.J I ' Encinitas - I 1 PH 3 PH PUMP San Diegu1to I REMODEL ALTtR PER CIRCUIT ... r ·---PLAN CHECK FEE IIIN 1 A 1QAS San Marcos I ... ,.., ... " ---- I TEMP POLE 200 AMPS I OVER 200 AMPS _.....__ -• .. a•• •••1 ~ LICENSE TAX 001 ·810-00·00·8162 I -----· --... --MFF 880-519·92·57 I TEMP OCCUPANCY (30 DAYSI --• ---••-••-,~tflUI' f DVC:. I UI:'. -•-I • ••----CREDIT DEPOSlT I TOTAL ELECTRICAL 1 I I /0.-TOTAL SOLAR TOTAL FEES PAYABLE ~.'10 I I Exp1r111on E\'8ry permit issued by the 8wtd1ng Off,c1al under ttte provisions of ttHS I I HAVE CAREFULLY EXAMINED THE COMPLETED c'APPLICATION ANO PERMIT' ANO DO HEREBY * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1ta1,on and become null and void If lhe building or work s· o· DEEP ANO 0£MOLITION 0A CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGFIEE IF A PERMIT IS authorized by such permit 1s not commenced w ithin 180 days from the date of such STRUCTVR£S OVER 3 STORIES IN HEIGHT I ISSUED TO COMPLY WITH .ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON perm,t. or 1f the budd1n~ or work. authottzed by such perm it ,s suspended or abandoned 11 anv hme • er the *Ork Is commenced for a oenod of 180 davs I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO 711-;~ z;d".7(,tf'e'.1,,,;;:;:.::: ~ APPf VED BY 1 °ro /~ J ir-· I KEEP HAFIMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -. "Ir~ I GRANTING OF THIS PEFIMIT 11;.....V ~ u.. >-.; 0 a. E (1) ..... I -0 0 (.'.) C co 0 a. a. <( I .:£ C 0:: 0 (/) (/) (1) (/) (/) <( • I 3: .Q (1) >- Cl) (/) (1) 0 0 it co -:0 0 ~ (1) 0 C co C u::: ::::.. C (1) ~ (.'.) 0 u (1) a. (/) C ~ £ s: TYPE DATE BUILDING FOUNDATION ·REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR D CEl~ING SHEATHING D ROOF D SHEAR FRAME EXTERIOR LA TH INSULATION INTERIOR LATH & DRYWALL PLUMBING D SEWER AND BUCO D PL/CO UNDERGROUND D WASTE D ;WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN GAS TEST 1 D WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D'. UFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL MECHANICAL I D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS ' l I \ CALL FOR FINAL INSPECTION WHEN ALL AP ITEMS ABOVE HA VE BEEN APPROVE. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS INSPECTOR FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS ' REQ IF INSPECTORS INSPECTION CHECKED APPROVAL SOILS COMPLIANCE r: [Mt 0~,;t.'fl4.1 !'-: PRIOR TO t:!! }, ,,, ~ FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI ,r,!1 ' PRES TRESSED CONCRETE POST TENSIONED C,I"'E\ CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSO"-S . . ;' . . . ! - -~ --. ~ ~. \ -.. ·- ~fi,.7s) INSPECTOR'S NOTES ,. DATE -- '<()( ti/l~• r? 1, ~A-,· 'It!, r ;;,1 I!' ti~ . . ~ I"". • ~'..i ,., ~J , f:{f: r> \" ' ' .... .. . - ' .... ' -i ' j ',\ ' ..... " ' \ ' ' \ - 1,Q/J' I ~?/JI I ,,/~L a~<!Jl20V£o UL f 8 1985 City of CARLSBAD- BUl tDfNG O~~:·_