HomeMy WebLinkAbout2551 STATE ST; ; CB880954; PermitVI z 0 ~ C a:: C ..J 0 w 0
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~eby affirm that I am licensed under
pro.talons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Cod •. m~II se 1s in
full for,;,/ t _ -:.?/
Lie N;,' ~jU,~l:il.,.,_1"".,1•ss
I herebf aft1rm Iha! I am exempt lrom tl'le COnlfiilc;
tor's License Law lor tne !Oltowing reason [Sec; 7031.~ Business ana ProtessiOos Code Any c1fy or coun1v wtuen re
quires a penml 10 construe!. alter ... "11prC"1!. demobsh. ar let)alr any slrtteture. price 10 ,ts issuance also requires ?fle ap·
pt1can1 toe such permit tG ,~ a St!lne<f statemefl1 :na! 'he is ttceftsed -pursuant 10 tne prtr,,~!Ql'lS-ct ~ t.:ontract>r s
Lteense Law (Ctiap1er 9 COIIWfrtCil'lg ·1,1!1'1 Sec!JOn 7000 OI
o,v,s,on 3 ot.1~e Business a,a ProfeS!.IQfls C~elot lf'lal Is ex
empl lherelrom ar'ld !he ba~s fpt roe ateoeo ex~. ~ny v1olal!Ort of Sect,on 7031.5 by a,, appltcant tor a perm,, SlJb·
1ects the apphcant 10 a civil petldtty of not "'ore lhal'!: live hun-.
died dollars \$5001
I, as owner of lhe property, Ot my emplO'tees with wag~
as 1he1r SOie compensation, w1D do the work. and lhe s1ruc-1u,e Is not mlended or otlered tor sa1e (Set. 70U _ Bus mess
and Prntes!irons Code The Contrac1or·s bcense Law does
nol ,1pply 10 .an owner ot prOl)Orty who 0011<1s or, improve, lhereoo and who does such WOOi; h,mselt or through his own
employees, provided tna:1 such improvements are 001 intelld·
ed or offered for sale. If. h:Owever, lhe building or 1mprove-men1 1s sold W1thrn one year of compfehon. ll1e owner·btJOdei
w,11 have Ille burden ol prow,g 11\al l>t did no! build or im-prove for 1ne purpose of sale!
~th1 ·11t:n:S"~~n~a~~~r1~~Str~~t ~l~~~r ,~'-rid~~~
Business and Profess,ons COde The Contractor's License
Law does nol apply 10 an owner of property whO builds or un-proves !hereon. and who contracts tor each projects with a
~factor(s) hcense pursuant to the Contractor·s license
□ As a homeowner I am ,mprovang my home. and lne lollow·
mg cond1hons exist 1 The work IS being perlormed pnor lo sale 2. I have lmd ,n my home for twelve monllls
3. r':.!° ~~:1:: t
1
~i
1i ::~Piton during lhe
last three years
g :nfs'',~:\'I under Sec ______ . B & pc -------------
~eby affirm that 1 ha.-e a cert1hcate or consen1 ~• ~';I,• insure. or a cert1t1caIe of Workers ~~t~~~e.a<ace;~";;'
~LICYNOA'4//~~: ~:,~if :0/?~
D Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sechon neeo not be completed 11 lhe perm,1
Is to, one hundred dollars {$100) or less)
O I cert1ty that 1n the pert()(mance ot the woB-ro,
wh1Ch lh1S pem'III IS issued. I shall no1 employ any person In any manner so as 10 beeomP sub1ecI 10
the Wor1':ers Compensation Laws of Cahlorn,a
NOTICE TO APPLICANT It. aller makmJ ltus Gen,
hca1e of Exemphoo. you snould t>ecome sub1ec1 t?
the Won<.ers Compensation provIsIons 01 tl'le L.abOr
cooe yO\.I must torthw.llh comply wtlh S\.ICh
prov,s10ns or o·us perm11 shall oe deemed revokeo
0 I nerebY alf,,m that thefe Is a con'!thJ<:tion
1end1ng ctgency fCH the per1o,mance ot the wOfll lo,
wtuch thIS pe!mIt ,~ ,ssue<l 1Sec-3097 C1Y,l Code,
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
i 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
PERMIT NUMBER ,, ., " •ORFSS A s-RO. NEARFS" CR"SSS'i VALUATION ~ ~ -~~ ~,, .. m,o ------'--L..-~--=--~ '---==----+-------i'I ~ i O 1 s ~
\r1 ~ IE ~ ,_, ~ _ C'' f BLDG USE CODE
~~6AV-/~.&>Lb ~ ' az__ ~~ STANDARD PLAN # BUILDING SQ FOOTAGE
.__ --~Je 61<"--'-'"""-OESIGNER"S ADDRESS DESI_GNER'S PHQNE
F/P F LR ELEV NO
STORIES OCC GP EDU 0884 07/26/88 0001 01 02
vO NO -BldPmt 10-00
CENSUS TRACT I GP LAND USE. I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
YO ND I REOEVELOPMENT
AREA
YO r,,O
TYPE
CONST
OCC LOAD FIRE SPR
vO NO Not Valid Unless Machine C~rtdied
QTY. PLUMBING PERMIT -ISSUE 7,!;:--!QTY. MECHANICAL PERMIT· ISSUE ~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00·00·8220 /0
EACH BUILDING SEWER OVER 100,000 STU SIGN PERMIT 01 ·00-00·8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS ~ I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE i ~ -0 '\t V ! METAL FIREPLACE I 1 ELECTRICAL 01·00·00·8223
EACH INSTAl . ALTER. REPAIR WATER PIPE ~-_ VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER G}:p Q. MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01·00·00-8225
WATER SOFTNER I _ ,, C), l \'::1p0 I RELOCATION OF EA FURNACE/HEATER I H MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) ~J t U [ .:.Ill,~ _,,. I I SOLAR 01-00-00-ll??~ I I I G~~--,c, s~\'1!!)f.i;L MECHANICAL I srnoNG MoT,oN
TOTAL PLUMBING I --~ o\ -... :('\~\l.. FIRE SPRINKLERS
80-92-33-0519
01-00-00·8227
IQTY. ELECTRICAL PERMIT. ISSU~~"~'P?~ ~ ~ QTY, I SOLAR . ISSUE I PUBLIC FACILITIES FEE
BRIDGE FEE
32·00-00·8933
NEW CONST EA AMP SWT BKR
I PH 3 PH
EXIST BLDG EA AMP/SWT 'BKR
1 PH 3 PH
REMODEL Al HR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ElEClRICAL 1
COLLECTORS SCHOOL FEE · DISTRICT
STORAGE TANKS Carlsbad 80·92-21-0519
ROCK STORAGE Encinitas 80·92-22·0519
PUMP _S_an Dieguito 8(}•92-23·0519
PLAN CHECK FEE San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-81 62
CREDIT DEPOSIT -TOTAL SOLAR TOTAL FEES PAYABLE 1 /_O
E11piration Every permit issued by tt')e8u,ld1r,gOf11c1al under.the prov14>,on, ot this Code .shall e11;p.,<1 by l1mitahon end-~ome null and v-o,() 1J the bu,ld,"9 or wo,k
authorized by such permit ,snot commenced witn,n 180 days trorn the da1el)f sue hi
pe,n-.It, or 1f lhe butld,ng: o« work aythorized by such perrrut 1s suspended or
* AN OSHA PERM:T IS REQUIRED FOR E.XCAVATIOll!S OVER
s· 0 ' DEEP ANO DEMOUTION 0A CONSTRUCTION c~
STRUCnJR£S OVER 3 STORIES IN HEIG>H
~
• I
I HAVE CAREFULLY EXAM•'IEO THE COMPLETED APPLICAT.ON ANO PfRMIY. ANO 00 HEl'!EBY
C~RT f:V IJ.NQ~R PEN.AL.TV OF PERa'J.RY TH>.T ALL INFORMATION HEREON INCLUDING THE
OECLARAT ON'> ARF TRµE ANO CORRECT AND I FUR1HEJICERT!FY AND .IIC,AE!'.. •~ A n:l'IMIT S
ISSl,::i) 10 COMPLY VliTlj_f,l.L ("!TY,.COUNlY AND STAIE LAWS GOVfRNING Bl..11.DINC. .C.ON-
,TRL::::TtON. WHETt<f:~ ':.PE(..,~IEO HEREIN OR NCH I ALSO AGREE TO SAVL 'lOEMNIFY ANO
:Hr HARMLESS THE C'JY QF CARLSBAD AGAINST ALL LIAB.LITIES. JUDGMENTS. GOSTS ANO
EXPfNSES WI-IICH MAY IN ANY l'IAY ACCRUE AGAINST SAID CITY IN CONSE'OUENCE OF THF
GRANTING OF THIS PERM11
~> ~wo,: •~ ~Pn.,. after lhe work .. commeoc&d tor a peuod-of 180 da
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