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Home My WebLink About2010 SUBIDA TER; ; CB880929; PermitIll z 0 ;::: C a: C ... 0 .., a II: I[ 0 u a: .., a ... 5 ~ .., z J: 0 z 0 ;::: C .,, z .., ... :I 0 u .,, i,c .., :.: a: 0 J: ![ . 'F.n I hereby affirm that I am licensed under 1,&,111on1 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profnalons Code, and my license is in full tore• and effect. I heteby allirm lhal I am exempt from lhe Conuac- tor's License Law lor !he lollow1ng reason (Sec 7031 5 Business and Profess100s Code Any city or county wh1C.t, re• u,,es a perm11 to construct. alter. improve, demohsh or pair any structure. pflOf 10 11s issuance also requires ?heap· p nt tor sucn oermII to tile a s-gned statemenl Iha! he Is he sed pursuant to the prov1s1ons ot the con1rac1or s lice se Law (Chapter 9 commencing with Sec11on 7000 of Otv1s1 n 3 of lhe Busuiess aoo Professions COile) or !hat 1s ex• empt t efrom and 1he basis for the allegea exemphon Any vtOlaHo ol Section 7031 5 by an applicant tor a permit sub· Iects the phcant lo a CIVIi penalty ol not more than hvt hun- dred dolla ($500) I. as ow r 01 lhe property. or my employees w11h wages iS 1he1r sole ompensation, will do the work and lhe Slruc• lure 1s not ,nt or ollered IOI" sale (Sec 7044 Business and Profession Code The Contraclor's license Law does nol apply to an ner of property who bullds or improves thereon and who s such work h1msell or through his own emoloyees. provld Iha! such 1mprovemen1s are M>l m1eno· eel or otlered fOf sa II however. the building or improve-- men! 1s sokl w11h1n o year ol completion. the owner·bu1lder will have the burden proving Iha! he did not build or im-prove !or Ille purpose o sa~J f I. as owner ol !he pr rty, am exclusively coolracung with licensed con1rac1ors 10 onstruct the pr01ec1 (Sec 7044. Business and Professions e The Contract0<'s license law does nol apply to an owne of property who builds or im-proves !hereon. and who contr Is for each protects with a contractor(s) license pursuant I lhe Conlractor's License Law) 11 As a homeowner I am ifflJ)fOVIng m home. and lhe lo11ow mg cond1IKK1s exist 1 The work ,s being pertom-.ed 1or to sale 2 1 have lived in my home lo twelve months prior to completion ol this work 1 have not cta1med lh1s exemp110 during the lasl three years D I am exempl under Sec _____ _ ,& p C IOf this reason ____________ _ ;;;;2:, I hereby alfum 1hat I have a certificate of consent lo !e1f,nsure. or a certificate of Workers Compensation In• surance or a cer11t1ed copy thereof (See. 3800. Lat>orCodel POLICY NO ~J..-J (.-c:;e;,-Q °'llcaBo8 COMPANY G Nr--,. ""5l, Copy 1s hied with the city ::J Cert1f1ed copy 1s hereby furmshed CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (Thi section need not be completed ,t 1he permit 1 or one hundred dollars (S H)Ol or less) :J I certily I in lhe performance of ttte work lor which this permit 1s 1s ed. I shall not employ any person in any manner so as to ome sub1ect to the Workers· Compen- sation Laws of Cali alter making this Certificate of Exemption. you shOuld be e sub1ect to the W01kers· Compensation prov1s1ons of th bOr Code. you must forthw1t1, comply with such provis1 r thJs permit shall be deemed revoked. 1ereby affirm that there Is a construction tending agency~ performance ol the work for which this per- ic. 3097. C1v1I Code) ' Lendefs 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 JOB AOORESS AV.ST.RO. THOMAS BROS NO. lo?~F ,;~e Ae ONI BUSINESS LICENSE • VALUATION PERMIT NUMBER s 1\rt. \v ~ \2,'i9"") ,.,,_ c~ord 9 ?.n10 -r.==-p ~ 2.;::-~\ 7 /Y.:i.,_ LOT BLOCK l SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE c.f --Z..\ 1,..,-y~ -rit OWNE R•s NAME OWNER•s PHONE l~\~t\'7)~ '"'bv-.1 t S;:-n",..,\ _) /-r ~'Bl'>s-f"-~ "-\ qc;'2 -~n7A CONTRACTOR•s A DDRESS STATE LICENSE NO. BUILDING SQ. FOOT AGE ""')55 32l4tu,0 OWNER'S MA IL I NG ~DOR ESS ( -'t> JI. I\.)'('\ ~ \J-;: -s~~~ -DESIGNER OESIGNER•s PHONE 1134 08/-08/88 0001 01 02 DESCRIPTION o.;:,00KL I h I\D ~) ').. ,_ u J("\..>.,:;:.,~c:"P BldPmt J.4&.1 il r~ DESIGNER·s •DDRESS STATE LICENSE NO. -, A,\ ~ -o."£ \) F/P FLR ELEV. NO ace GP EDU STORIES vO NO I CENSUS TR.ACT I PARKING SP•CE I RESUNIC~~i~:R:~~ED I REDEVELOPMENT TVPE ace LOAD FIAESPR AREA CONST vO NO vO NO Not Valid Unll!St Machine Cvtified 1§1. ◄ QTY. PLUMBING PERMIT · ISSUE "\)'. "\. µ ~~~~~fitMIT · ISSUE /S-!L SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP 1A1Sli,,rFill\thUllL 1S uP TO 100.000 BTU u ~tHMIT 001·810·00·UU·oau ,, 7 EACH BUILDING SEWER ~ ~-.• ~~v-OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221 I EACH WATER HEATER ANO OR vrnT l\iro-1LER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00-8891 ?~ .n.v I EACH GAS SYSTEM 1 TO 4 OUT LETS ftY ... BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOJ.810·00·00·8222 I~ EACH GAS SYS I EM ~OR MORE METAL FIREPLACE ELECTRICAL 001·8 10·00-00-8223 I !fJ EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001·810·00·00·8224 I EACH VACUUM BREAKER MECH EXHAUST HOOO'OUCTS MOBILEHOME 001-810·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226 EACH ROOF DRAIN 1INSIDE1 DRYER VENT STRONG MOTION 880·519·92-33 I 1 r:i) TOH,L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227 TOlAL PLUMBING I ) ~ PUBLIC FACILITIES FEE 320-810·00-00·87 40 ~,. BRIDGE FEE 360·810·00·00-87 40 QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA ) NEW CONST EA AMP SWl HKR CAR PORT TIF 312·810·00-00-8835 I PH 3 PH AWNING LA COSTA TIF 31 J.810·00·00-8835 EXIST BLDG EA AMP.,swr BKR GARAGE FMF 1 PH J PH LICENSE TAX 001·810·00·00·8162 "7 ~ REMOOEL A LTtR PER CIRCUIT MFF 880·519-92-57 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI CREDIT DEPOSIT L' -"7 C. > ~ TOTAL ELELTRICA l I 1(·.r-4 TOTAL TOT AL FEES PAY ABLE I /Yf° ro I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY E•p1r1t1on Every permit 1ssuect by the 8u1ld1ng Otflc1al under 1he prov1s1on.s of this * AN OSHA PEMit:T IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,-;p1re by hm1tat1on and become null and void It tf'\e building or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF authorized by suctt permit 1s not commenced within 180 days horn the date or such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 :~~~ '!t t=~y ~,:1:x:~h=~~,:~!~~:1~ie:~~~ r~~~1~.5~~nded o, STRUCTURES OVER 3 STOAIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON A STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE • [l CONTRACTOR"l>c: APPRM°I-0 y I DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND 0 'Q_ c__.. (i:) ~ ~WNER EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE , & -, BY PHONE f] GRANTING OF THIS PERMIT R -.. :.. -:,-~ . ....l I\ V ~1 ~ LL >, ;;; 0 a. E Q) t- i -0 0 C) C (I) 0 a. a. <( I ~ C 0: 0 (/) (/) Q) (/) (/) <( I '!: Q Q) >- Q) 0 C (I) C u: s C Q) ~ <.'.) 2 0 Q) a. (/) C ~ .c ~ TYPE DATE INSPECTOR BUILDING FOUNDATION , _q{ v,,1 C.SfS~O '5~ \ FIELD INSPECTION RECORD REINFORCED STEEL n-\1 rt+" MASONRY REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT -~ SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR ~ INSPECTION REQ IF INSPECTOR"S DATE . CHECKED APPROVAL I I " l . tE::>~ ~ llc...1 l ~ ~ SOILS COMPLIANCE PRIOR TO FRAME FOUNDATION INSP r ., t-_ r - EXTERIOR LA TH . 1· --.. '-J STRUCTURAL CONCRETE OVER 2000 PSI INSULATION PRESTRESSED INTERIOR LATH & DRYWALL CONCRETE POST TENSIONED CONCRETE ~ PLUMBING FIELD WELDING □ SEWER AND BUCO . 0 -PL/CO . - UNDERGROUND □ WASTE □ WATER HIGH STRENGTH BOLTS TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN I GAS TEST i 'f-t.J-'<>' v--PILES CAISSONS □ WATER HEATER □ SOLAR WATER . ELECTRICAL U~/ . □ ELECTRIC UNDERGROUND □ UFFER 11.u, rY ~ ....... -1, ., ... < ROUGH ELECTRIC □ '7ECTRIC SERVICE □ TEMPORARY • I [)"BONDING □.!POOL 1a.c, v1 ~ t~ --. \ '· -. .... " " . '· (. \ . \ I -· MECHANICAL ,. .•,.. ,.., I ,= □ DUCT & PLEM., □ REF. PIPING , HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS - . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE A VE BEEN APPROVED -- .. -·"'"",,...,'-'.Lo.,, • I • "" I . I-. .. . . , . ' . -~ ~ ... FINAL .. .. ' ' PLUMBING A ..... ELECTRICAL ik> ~ . -. ' . . ' I . MECHANICAL \: _.,.I) GAS ( \ BUILDING :Q SPEC'IAL CONDITIONS "\..