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Home My WebLink About2122 SUBIDA TER; ; 87-611; Permit"' z 0 ;::: < CIC < .J 0 loll 0 IC I[ 8 CIC loll 0 .J 3 I loll z ~ z 0 ;::: < "' z .., c:t.. 2 0 0 "' ~ .., " CIC 0 3 ;[ O I hereby affirm that I am licensed under p,ovlalona of Chapter 9 (commencing with Section 7000) of OIYlalon 3 or the. Business and Profeaalons Code. and my license is In full force and effect. I hereby alhrm lhat I am exempl from lhe Contra(> tor's License Law tor the t01low1ng reason (Sec 7031 5 Business and Proless1ons Code Any city or county wt11ct. re· quires a perm11 10 construct. alter. ,mprove. demolish. or repair any structure, prtor to ,ts ,ssuance also requires !heap· phcan1 to, such perm11 to file a signed statement lhat he 1s licensed pursuant to the prOV1ssons ot !he Con1rac1or s license law (Chapter 9 commencing with Sec11on 7000 01 1 Orvmon 3 o1 the Busmess and Profess10ns Code) or I hat 1s ex- empt therefrom and the bis1s !or lhe allegeo exemption Any VlO!atoon of SectJon 7031 5 by an appl,tant f0< a perrrul S<Jb• iects the applicant to a cMt penalty o1 not rTIOfe 1han five hun- dred dot~rs !S500) I I I, as owner of lhe property. or my employees w11n wages as lhe,r sole compensatt0n. will do the work. and !he struc· lure 1s not intended or offered loc sale (Sec 7044. Busmess and Pfotess,ons Code The ContriCtor's License Law does not appfy to an owner of properly who builds oc improves thereon and who does such work h1mseM or lhrough tus own em~oyee.s, prov·lded that such improvements are not intend· ed or ottered tor sale, If. however. lhe building or improve- ment Is sold wIthm one year of completlOn. lhe owner-builder will have tne burden of proving thal he did not build or im-prove for the purpose of sale) n 1. as owner of the property. am oxcfusovely contractong witn hconsed contractors lo construct tne prOJed (Sec 7044. Business and Protessions Code The Contractor's Ltc:ense Law does not apply to an owner ol property who builds or tm• proves !hereon. and who contracts for each projecls with a L~)actor(S} lleense pursuant to the Con1rac1or·s License D As a homeowoer 1 am improving my home, and the follow mg conditions exist. 1. The wOfk Is bemg performed poor lo sate 2 I have lived in my home for 1welve months prior to compleUon ot lh1s WOf"k 3 I have not clatmed this exempllOll during the last three years 0 I am exempt under Sec. ______ • B & PC for this reason ____________ _ X D I hereby affirm that I have a certllicate of consent to self-insure. or a certificate of WO<kers· Compensation In- surance or a certified copy thereof tSec 3800. Labor Code) I POLICY NO 1013568-87 COMPANY 0 Copy IS hl.§t,g t.~c11f und CJX;ertlfied copy ,s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed if the permit 1s tor one hundred dOllars ($100) or less) D I certify that ,n the performance of the W()(k for which this perm,1 ,s issued. I shall not employ any person ,n any manner so as to become subject to the Workers· Compen- sation Laws of California. NOTICE TO APPLICANT: If. after making I.his Cert1tica.te of Exemptioo. you should become subJect to the Wor"-ers compensation provisions of 1he Labor Code. you must torthw1th comply with such provisions or this perm ii shall be deemed revoked. 0 I hereby affirm that !here is a construction tending agency'°' the performance of the work for which this per• mil IS Issued (Sec. 3097 -~&) 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 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT JOB AOORESS AV. ST.RO NEAREST CROSS ST. I DATE OF APPLICATION I BUSINESS LICENSE tt VALUATION PERMIT NUMBER 2122 Subida Terr. Reposado Dr. 6-24-87 15402 't7-' LOT 'BLOCK I SUBO VISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE t I I 2..,\~ ~ I I "'.l Q7i Arlen Foster Plumbing 697-4151 OWNER'S NAME I OWNE R"S PHONE Mrs. Meyer 753-1975 CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE OWNE R"S MAI NG ADDRESS 2819 Central Ave . 443348 2122 Subida Terr. La Costa, ca. 92009 DES GNER DESIGNER"S PHONE OESCRIPT10N OF WORK 0022 07/20 0101 02BldPat 10-C C Water Heater Replacement OESIGNEA"S ADDRESS STATE LICENSE NO. '-F/P FLA ELEV. NO OCC GP EDU STORIES YO NO -- I I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST YO ND ,o NO vO NO Not Valid Unlers Machine Certified QTY. PLUMBING PERMIT -ISSUE $~ QTY. MECHANICAL PERMIT· ISSUE <30o SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220 EACH BUILDING SEWER OVER lD0.000 BTU ./"' SIGN PERMIT 001·810·00-00-8221 T EACH WATER HEATER ANO OR VENT ~2.~p BOILER/COMPRESSOR UP TO 3 HP _,,,,. .... PLAN CHECK 001-810·00-00·8821 EACH GAS SYSTEM I TO 4 OUTLETS .J-BOILER/COMPRESSOR 3 15 HP ./"' TOTAL PLUMBING 001-810-00·00·8222 $10 . 00 - EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ./ ELECTRICAL 001 ·810-00-00-8223 EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUC1/ MECHANICAL 001·810·00·00-8224 -----MECH EXHAUST .A1"Cfoo DUCTS EACH VACUUM BREAKER MOBILEHOME 001 ·810·00-00-8225 WATER SOFTNER RELOCATIO.¢°F EA FURNACE1HEATER SOLAR 001-810-00-00·8226 EACH ROOF DRAIN (INSIDE) DRYER ¢f STRONG MOTION 880-519·92·33 ---- 7TOTI.L MECHANICAL $ ro--.-trcr FIRE SPRINKLERS 001 ·810-00-00·8227 TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00-8740 5tJO BRIDGE FEE 360·810·00-00-8740 QTY. ELECTRICAL PERMIT· ISSUE QTY. MOBILE HOME SETUP _/ PARK-IN-LIEU (AREA ) NEW CONST EA AMP'SWT BKR CAR PORT __,,,,,,., TIF 134-810·00·00·8835 1 PH 3 PH / AWNING _/' LA COSTA TIF 133·810·00-00-8835 EXIST BLOG EA AMP/SWT,BKR / GARAGE ./ FMF 1 PH yif / LICENSE TAX 001·810·00·00·8162 REMODEL ALHR PE _!j,e1R CU IT ./ MFF 880·519-92-57 TEMP POLE 200_)),!6s / OVER 200 A¢ / TEMP g,.e('UPANCY 130 DAYSI / ./ / CREDIT DEPOSIT TOTAL ELEClRICAL l TOTAi TOTAL FEES PAYABLE I $10.00 f HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT AND DO HEREBY Exp,rahon Every permit issued by ftle 8u1ldmg Otf1c1al unde, the prov,s,onsof this * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code snall expire by I,mItahon and become null and vo,d If the budd,ng or work ~ 0 .. DEEP AND OEMOllTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTlFY AND AGREE IF A PERMIT I~ aulhonzed by such permit IS not commenced within 180 days from the date .,>f such STRUCTURES OVER 3 STORIES IN HEIGHT permit. or 1f the buItd•n~ or work authorized by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any hme a er the work 1s commenced for a OAnod of 180 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND OWNER□ CONTRACTOR [J APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN~S SIGNATURE lf ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH ~ ~ ....... ?'-C\._ ~......,_ )t\HONE [] I GRANTING OF THIS PERMIT ~ '-- Q) u:: >, ~ 0 0. E Q) I- I -0 0 (!) c <II .S? 0. 0. <( I .:,£ C a: 0 1/) 1/) Q) 1/) 1/) <( I ~ g ai >- Q) u C <II C u. ::::. C Q) ~ (!) 0 u Q) 0. 1/) C Q) .c ~ TYPE I DATE INSPECTOR I BUILDING I ~7-<_p t I FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I I MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT I INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SUB FRAME □ FLOOR □ CEIPNG SHEATHING D ROOF D SHEAR SOILS COMPLIANCE PRIOR TO FRAME I FOUNDATION INSP EXTERIOR LA TH I I STRUCTURAL CONCRETE OVER 2000 PSI INSULATION ! PRESTRESSED INTERIOR LATH & DRYWALL I I CONCRETE POST TENSIONED CONCRETE PLUMBING I FIELD WELDING D SEWER AND BUCO D FJUCO UNDERGROUND D WASTE q WATER HIGH STRENGTH BOLTS TOP OUT D WASTE D WATER SPECIAL MASONRY TUB AND SHOWER PAN ' J GAS TEST l I PILES CAISSONS .□ WATER HEATER D SOLAR WATER I I ELECTRICAL I I D ELECTRIC UNDERGROUND [] UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPPRARY D BONDING D POOL I ,, I MECHANICAL I I D DUCT & PLEM., D REF. PIRING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I I ~ ITEMs-;,fBOVE HA 1VE BEEN APPROVED. 'U-.I.» cu~ OTOT OSBJ~f ro·oo FINAL I PLUMBING I . ELECTRICAL ' I C \ \ ' \ MECHANICAL l .. ~ /) GAS 1hl 1!!_·1 1--1 rcr. J.J( V BUILDING v-1·-'. . . . . I SPECIAL CONDITIONS I I