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M I hereby affirm that t am llcenHd under 1 il'tcwl■lona of Chapter 9 (commencing with
Section 7000) of Dlvl1lon 3 of the Business
and Prot .. 1lon1 Code, and my license Is In
lull force and affect.
I hereby affirm that I am exempt trom the Coolrac tor's l1tense Law tor lhe lollow!ng r .. son (Sec 7031 5 1 Bus,ness and Proless,ons Code Arr, ary or counry .,hK.t. ,e-
quns a perm.t to cons1ruc1. after, improve. demohsh. or repair any structure, pnor to I1s issuance also requires !he ap·
pl,unl lor such penn,I 10 lile • Slllned Statement that he IS hcensed pursuanl to the prOV1s10ns of the (;Onlrac1or s license Law (Chapter 9 cornmenc,ng w,th Sect,on 7000 ol
Otv1s10n 3 of the Business and Professeons COde) or that 1s ex· empt therelrom and the basis lo, the allegea exemption Any
YIO!at,on ot SeclJOn 703 t .5 by an •pplQnl !of a permct sub IOCIS the appliunl to a cMI penally ot not ...-e than l<Yt hun•
dred dollars ($500)
I I. as owner ot the Pfoper1y or my employ .. s w,th wages
as lhe,r sole compensation. waH do the wortc:. and the struc· ture ,snot intended or offered tor sale (Sec 7044. Business
and ProttSsions COde The Conlractor's license Law does
no1 apply 10 an CNrfner of property who builds or 1mpr0Yts thereon and 'Nho ooes such work htmsett or through his own
employees, provided lhat such improvements are not intend· ed or oNered for sate It. however. the budding or improve-ment rs sokf W1ltun one year ot compaetion the owner•but.lder
WII have the burllen crl prO'l1ng thal he did not bulld or ,m-l)fOYe lor lhe purpose crl salt)
n I. as owner ot the property, am OJ<clusl'ltly cont,acbng wrth licensed contractors to construct the pro,ect (Sec 7044.
Business and ProfesskM'ls Code The Contractor's bcense Law does not apply to an owner or property who builds or 1m•
PfOV.s thereon. and who conllacts tor .. eh p,oiects wrth a contractOf(s) hcense pursuanl to lhe Contractcw·s License law)
□ As a homeowner I am ,ml)fovmg my home. and the follow 1ng cond1hons exist t The -k ,. being perlonned Pf"' to salt
2 I have hYOd in my home lor twelve months P'IOf to completlOO of this WOfk I have not ctalfflOd th,s exemplJOn during the last three years
~ /;:r":.."::.' under Sec. ______ . B & P C -------------
t I I hereby alhrm that I have a certificate of consent 10
nsure. or a cert1llca1e ol Workers CompensallOf'I In-i
surance or a certified copy 1hereol (Sec. 3800. Labor Code) I
POLICY NO. 1013568-87 COMPANY ~ Copy ,s t,~c•Fund
Cxc•rtlhed copy ls hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec11on need nol be comp4eted If the permit
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Is for one hundred dOtlars (S100, or less) I
D I certify thal In the performance ol the work for which I
1h1s permit is issued, I shall not employ any person in any
mannef so as to become subject 10 the Workers· Com pen-I
sation Laws of California. f
NOTICE TO APPLICANT: If. after making this Cert1hcate I
~=~~':(;,~":o~7:!s~~= ~:C~~::,or!::t I
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 I hereby affirm that there Is a construction lending I
agency tor the performance of the work for which this P8f• I
m1t is issued (Sec. 3097. C1vd Code)
Lender's N•m•---NGAe'--------
Lenders Address ___________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
-/i-~
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92~9-4859 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS AV ST RO NEA:7; CROSS ST. I OA~~;3 ;;~CATIONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2503 SOnbrosa Pl. E Camino Real 19451 i1'fy(d
LOT BLOCK I suB01v,s,oN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
OWNERS NAM[ I
753
_o;;;;s PHONE
?.rl~n ;:---Pl1nnh;nn 697-.1.1 i;1
CONTRACTOR'S AOORfSS STATE LICENSE NO. BUILDING SO. FOOTAGE
George Asuncion
2819 Central Ave. 443348 <>WNE R'S MA,. , NG AOORl SS
2503 Sont>rosa Pl. Carlsbad 92009
DESIGNER DESIGNER'S PHONE
OESCR1PT1QN OF WOF\K
t.J::.~or l-10::.~pr Doril--,+-DESIGNER'S ADDRESS STATE LICENSE NO.
.... --F/P FLRELEV. NO OCC GP EDU
STORIES
vO NO --
I
I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRESPR
YON Q<) AREA CONST 0004J.U~n~ <uch9t1~J,#f,';at 10.0 vO NO vO NO
QTY. PLUMBING PERMIT -ISSUE $r/>~ QTY. ~HAtg.,_CAL P~,!_.t,·1SSUE .=s 0€> SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP IN!'Nwl FUR~CTS;..~, uuau.000 BTU /. BUILDING PERMIT 001·810·00·00·8220
EACH BUI LUING SEWER (""~.,. (' ' -· '1VJiF100.000 STU ;/ SIGN PERMIT 001 ·810-00-00·8221
1 EACH WATER HEATER AND OR VENT $2 50 ,I,,. i'!'ILER/~PRES.... ..... IJqO 3 HP ./ PLAN CHECK 001-810-00·00·8821
EACH GAS SYSTEM 1 TO 4 OUTLETS r .. "so, L~OMPRl'S3°D ~ S,15 HP / TOTAL PLUMBING 001·810·00·00·8222 ill) ..fill -----~
EACH GAS SYSTEM ~ OR MORE -ME~FIREP~ q_-..:-/ ELECTRICAL 001-810·00·00-8223
EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FA~'!_~~~U9"" MECHANICAL 001·810·00·00-8224 -
MECH ~1wal''/4oo DUCTS EACH VACUUM BREAKER MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOC°J't~F EA FURNACE/HEATER SOLAR 001·810·00·00-8226
EACH ROOF DRAIN (INSIDE} DRYER~ STRONG MOTION 880·519·92·33 --_/ TcrtM MECHANICAL FIRE SPRINi<LERS 001 ·810·00·00·8227
TOTAL PLUMBING I Sl0.00 PUBLIC FACILITIES FEE 320·810·00·00-8740
BRIDGE FEE 360·810·00·00·8740
QTY. ELECTRICAL PERMIT -ISSUE ~l) QTY. MOBILE HOME SETUP / PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT HK R / CAR PORT ./ TIF 134·810·00·00-8835
I PH 3 PH ./ AWNING / / LA COSTA TIF 133·810·00·00-8835
EXIST BLOG EA AMP/SWT 'BKR / GARAGE / FMF
1 PH 3 PV / LICENSE TAX 001·810·00·00·8162
REMODEL ALTtR PER c1¢i'T ./ MFF 880·519·92·57
TEMP PO LE 200 AMV /
OVER 200 AMPV /
TEMP OCC,JJf"ANCY 130 OAYSI ./
/ / CREDIT DEPOSIT
_/ TOTAL ELELTRICAl I ./ V TOTAL TOTAL FEES PAYABLE I sin nn
HAVE ...:AREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AN[' DO HEREBY Ex.p,rehon Every permit 1uued by the 8uil<1ing Ofhc1a1 under the prov1s1ons of tn1s * AN OSHA PEAM:T IS REQUIR£D FOR EXCAVATIOHS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e11:p,re by 11m1ta1tori and become null and void If the bu•td,ng or work s· o· DEEP -'ND 0£MOLITIOH OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I •URTHER CERTIFY ANO AGREE IF A PERMIT I~ autnor,zed by such permit 1s not commenced within 180 days hom the date ..:,t such STRUCTVMS OVER 3 STOAIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING co~-:'~~n~ i!t ·=~y ~!~tJe~~h:c:~,:~~h~~~.:i~~~~ :9~!,'~1$r~':' Of
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE lf-OWNER O CONTRACTOR,,
~BY~
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL llABILITIES, JUDGMENTS. COSTS AND ,✓M1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY N CONSEQUENCE OF THE .~,.N'lr1C'On 1,_ I BY PHONE '.] GRANTING OF THIS PERMIT l'lAI .,,,I-,,...
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TYPE I DATE INSPECTOR I
BUILDING I ~7--9~~
FOUNDATION ! FIELD INSPECTION RECORD
REINFORCED STEEL :
MASONRY I .
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
SUB FRAM E □ FLOOR □ C E LING SOILS COMPLIANCE
SHEATHING □ ROOF □ St,IEAR
FRAME l
EXTERIOR LA TH I I
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL l
PRES TRESSED
CONCRETE
POST TENSIONED
l CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO D I >uco
UNDERGROUND D WASTE C WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
-,
TUB AND SHOWER PAN I
GAS TEST 1
I PILES CAISSONS ,,
D WATER HEATER D SOLAR WATER .. . _: .. .,...
I ,~
ELECTRICAL I ... "'. ,.. ,I,-.
D ELECTRIC UNDERGROUND [l] UFFER .. #
ROUGH ELECTRIC ' I ~ -.r1 ·-
• ' J.:. ' .
D ELECTRIC SERVICE D TEMPi()RARY >",. :;• ' , .. -D BONDING D POOL I
l
MECHANICAL l I
c-:.::: ~---·= c;{,~ \.1~! !"('"';<-v ~o·i:
D DUCT & PLEM., 0 REF. PIRING
HEAT -AIR COND. SYSTEMS I
l
VENTILATING SYSTEMS I
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CALL FOR FINAL /NSPECJION WHEN ALL APPROPRIATE }TEMS A-BOVE HA1VE BEEN APPROVED ITEMS ABOVE HA1VE BEEN APPROVED.
FINAL I
PLUMBING I -/
ELECTRICAL I .'\ w I
MECHANICAL I ._. "\_,. ..
GAS I 11) ,..\\
•. ', J
'· ,-. . '
BUILDING I ,.() " I .. -·•
SPECIAL CONDITIONS I ~ ..
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