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Home My WebLink About2760 TIBURON AVE; ; 87-439; Permiten z 0 ;:: C a: C .., 0 "' 0 IC I[ 8 a: "' 0 .., 5 ~ "' z ~ ~ I hereby affirm that I am licensed under ~l1lon1 ot Chapter 9 (commencing with Section 7000) ot Division 3 ol the Business and Proteaalona Code, and my license Is In lull force and ettect. I tor'! t~:~ at~'..: 1!~:~ ::.:~~~~a';: (~c c~o~fs 1 Business and Profes~ons Code: Any cdy or county wh1tt, re-f quires a perm11 to construct, alter, improve. demohsh, 01' repair any structure. prior to ,ts issuance also requires ?heap· plicant for such permit to t,le a s,Qned statement thal he is licensed pursuant to the prov,soos of !he t:ontractOI' s license Law (Chapter 9 commencing with Sechon 7000 ol O1v1s10n 3 ot the Busmess and Protessoos COde) or lhal 1s ex· I :f!\1~~~'~:0": ~~;t~5~y1:n 1:;~::'1:~m:e1;:, s~~~ I ,eels the applicant to a crv1I penalty of not ITlOfe lhan hve hun-I dreo dollars IS500) I I I I, as owner ot lhe property. or my employees with wages 1 fir!h1~1'no~1~::~~~:;;~~~1~'1~:k 7~~, 1i~::i; I and Professions Code The Contractor's license Law does I ~~r:g'Jn~0 ;~ :e":rs~~f=t~,;~U ~~1:~~~~~:°:~ I emplOyees, prov.Oed that such improvements are not intend· I eel or ottered tor sale If. however. the building or improve• 1 men! 1s sold w1th1n one year of complehon. lhe owner·bu11der will have lhe burden ot proving thal Ile did nDI build Of lffl· prove 10< the purpose ol sale) rJ I. as owner of the property. am excluswely contraclrng w11h licensed contractors to construct the prOfeCt (Sec 7044, Business and Professions Code The Contractor's license Law does not appty lo an owner ot property who buikJs or 1m· proves thereon. and who contracts for each projects wnh a contractor(s} license pursuanl to the-ContractOf's UCense Law). D As a homeowner I am amprovmg my home, and the loUow· ing condihOns exist 1 The work 1s being perlormed prior 10 sale 2. I have hved 1n my home lor rwelve months pnor to completion of this work I have nor claimed tl'ns exempt10n dunng the last three years O I am exempt under Sec ______ , B & P C for this reason 0 I hereby alhrm that I have a cert11tcate Of consent to se11•tnsure. or a cerhhcate of Workers· Compensation In-I surance. or a cert1f1ed copy thereol (Sec. 3800. LabOr Code) I POLICY NO. I I ~1 ~PANY ~ ~opy IS Med w,th lhe city ~ 0 Cerlified copy ,s hereby furnished "' CL ~ 0 0 en a: "' ,-: a: 0 3 1[ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE tTh,s section need not be com~eted it u,e permit 1s !or one hundred dollars ($100) or tessf 0 I certify that in the performance of the work lor which 1 this permit 1s Issued. I shall not employ any person in any I manner so as to t>ecome sut:11ec1 to the Workers· Compen-I uhon Laws or Call torn1a. 1 ~tOET~~P~~:.~~l~~~i~ ~~~ ~:~1i~t !~1:;~~~:,~~ I Compensation provisions of the Labor Code. you musl I forthwith comply with such provisions or tt11s permit shall I be deemed revoked. 0 I hereby affirm that there is a construction lending I agency for the perfonnance ol the work for wh1cn th,s per• I mit Is issued (Sec. 3097. C,v11 Code) I Lender's Name, _____________ 1 Lender's Address, ___________ _ USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 JOB ADDRESS Z1ft?O T/'131.,1RlJ,J AV. ST.RO. fl-V£. NEAREST CROSS 'RJIJTl A-<... LOT 1BLOCK I SUBOJ VISION ~q.,-3S'" I ASSESSOR PARCEL NO OWNf R"S NAME FooTE ~\/8..0Pt?lf~ I E1d/~1~g3E CONTRACTOR ~If CONTRACTOR'S AODRESS OWNER'S MAILING A DDRESS L~ KE/hleNY V,~_l)_X . * V( DESIGNER APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. APPLICATION & PERMIT PERMIT NUMBER rA5IllizNI BUSINESS LICENSE II V ALUATION /3 3 /0 .,..., CONTRACTORS PHONE• ZONE ~y~37 STATE LICENSE NO. BUILDING SO. FOOTAGE DESIGNER'S PHONE STATE LICENSE NO. ~ u::: >-oi 0 0. DESCR IPTION OF WO'C ....:3 )_ DESIGNER"S A.OORESS 1<£Trh NI v '=, tµflu._,~ i- TO JZIO fl F/P FLR ELEV. ----;;m- STORIES occ GP I EDU 0022 05/22 0101 02BidPrtt E 172-,3~ 6TY ~t'EC'S I I PARKING SPACE QTY.I PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND 10R VENT EACH GAS SYSTEM I TO 4 OUTLETS --- EACH GAS SYSTEM 5 OR MORE EACH INSTAl . ALTER. REPAIR WATER PIPE --EACH VACUUM BREAKER RES UNITS I /')-~ , vO NO GRADING PERMIT ISSUED REOEVELOPMENT AREA y D ND vO NO QTY. M ECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS i.JP TO 100.000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER /COMPRESSOR 3 15 HP METAL FIREPLACE VENT FA N SINGLE DUCT MECH EXHAUST -HOOD DUCTS TYPE CONST /_S"·o() OCCLOAO I FIRE SPA vO NO Nor Valid Unless Machine Cerrtfied SUMMA RY/ACCOUNT NUMBER BUILDING PERMIT 001 ·810-00-00·8220 SIGN PERMIT 001 ·810·00-00-8221 PLAN CHECK 001-810-00-00-8821 TOTAL PLUM Bl NG 001 ·810·00-00-8222 -- ELECTRICAL 001 ·810·00·00-8223 MECHANICAL 001-810-00-00-8224 MOBILEHOME 001-810·00-00-8225 -- I I .... ' ·-·---I ~ I -I STRONG M0TI.Q!!_ -__ 880·519-92-33 I ' 93 I •nT., u r I I WATER S0FTNER RELOCATION OF EA FURNACE /HEATER EACH ROOF DRAIN (INSIDE) DRYER VENT 1 U 1 l<L MtCHANICAL SOLAR 001-810·00·00·8226 FI RE SPRINKLERS 001·810-00-00·8227 I PUBLIC FACILITIES FEE 320-810-00-00-8740 BRIDGE FEE 360-810-00-00-87 40 TOT Al PLUMB ING ~ QTY.I ELECTRICAL PERMIT -ISSUE 5 · 0 O II QTY.~ MOBILE HOME SETUP NEW CONST EA AMP SWl BK R CAR PORT I I I '-J II I I I PARK-IN-LIEU (AREA ) I I ,..An nnnT I II TIF 134-810-00-00-8835 ) PH 3 PH AWNING LA COSTA TIF 133·810-00-00·8835 EXIST BLOG EA AMPISWT BKR GARAGE FMF 1 PH 3 PH LICENSE TAX 001·810-00-00-8162 REMODEL ALHR PER CIRCUIT MFF 880-519·92·57 TEMP PO LE 200 AMPS 0 VER 200 AMPS TEMP OCCUPANCY 130 DAYS) CREDIT DEPOSIT TOTAL ELECIRICAL l TOTAL TOT AL FEES PAYABLE l 112-9~ I T .. NO DO HEREBY Exp iration Ever ed bytlieBu1ld1ngOft1c111tunder1heprov,s1onsof1h1!. I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERM! A Code snail exp,r n and become null and vo10 ti the budding or work CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by commenced w1th1n 160 days 1rom the date of such "7 * AN OSHA PEAM:T IS REQUIRED FOIi EXCAVATIONS OVER 5 o· DEEP ANO OEMOlITION OR CONSTRUCTION OF STRUCT\JRES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& pe s suspenOed o, ISSUED TO COM PL y WITH ALL CITY COUN' Y ANO STATE LAWS GOVERNING BUILDING COt~-l.!•~b~~~.!!.~~~..!!!~!J!~~.!.!.;':7-!:'.!!!!!!.!~c.!2~~!!!!!!..9.0l!....!Jl60!!!Jdl.Jaras_-:::--1~::':.~~~~---"""'.-,------;~~"7.,._"'.""_., STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO CONTRACTOR O APPROVED BY ~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND l1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE fJ I / ii GRANTING OF THIS PERMIT. 7 T -, 7 u 0 (!} C ~ <.) a. 0. <( I .:,:: C a: 0 f/) f/) <l) f/) f/) <( I :'!: .Q a; >- <l) <.) C ~ C u.. :::::. C <l) ~ ('.) 0 0 <l) 0. f/) C <l) .c :!: TYPE I DATE INSPECTOR BUILDING I I FOUNDATION I REINFORCED STEEL i MASONRY l I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEliLING SHEATHING □ ROOF □ S(,iEAR FRAME I EXTERIOR LA TH ! INSULATION i INTERIOR LATH & DRYWALL I . l PLUMBING J I □ SEWER AND BU CO □ !JUGO UNDERGROUND □ WASTE d WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN l GAS TEST . I □ WATER HEATER □ SOLAR ~ATER . I ELECTRICAL I □ ELECTRIC UNDERGROUND GJ UFFER ROUGH ELECTRIC ! □ ELECTRIC SERVICE □ TEMPPRARY □ BONDING □ POOL ! I MECHANICAL I □ DUCT & PLEM., □ REF. PIP'ING . I . -. HEAT -AIR COND. SYSTEMS I - VENTILATING SYSTEMS l t \ \ . .. -- I ' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS . ·--" -... _.,; g)-'f6"j . ~ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY . PILES CAISSOl';S . -. . . \ \"'~'I._ . ' -, c· -I, ..... . -. ' 005:5 02\SS 0101 1U~ti.J ~t ·~ .1-1 04 : t-, f J ,, . ' ---. ...... _. -' . \-• ' .. . • PLAN CHECK NO. ___ _ ADDRESS -~-~_?J_a ........... ~------- ~ Q) 3: Q) ·-Q) > ..... <l> ro a::: 0 ' PLANNING ZONE: A--( -~, ..... -- SCHOOL DISTRICT: TYPE OF PROJECT ANO USE, 1.,a( c:). {\I. I\.~ \ I \J \ SAN DIEGUITO ENCINITAS CARL~AD X SAN MARCOS SETBACKS: FRONT ~ f\. SIDE ~ REAR ---M--",/\,.___ _____ LEGAL REQUIREMENTS DATE: ENGINEERING C::..TB'I -'}5 .if;z LEGAL DESCRIPTION VERIFIED? APN CHECKED? RIGHT-OF-WAY: /f/,-jl. EASEMENTS: __ ....,t:t::::::.....__.?._~_;;:_. _____ _ ---------- EDU Is =----4"1----..:.i¢-'-----------'--DRAINAGE: ~ IMPROVEMENTS: ~ _x-r $'.r----=--'------.-----,F==I=E,,..,LD~C=H=Ec=K-=-=D-:-:A T=E--=-&--,I=-=-N=I=T=rn,..,.L""'s-: ------ PERMITS REQUIRED GRADING: ~ GRADING COMPLETION CERTIFIED: ~ DRIVEWAY: ,-,,-,,. INDUSTRIAL WASTE: ~~ FEES REQUIRED PARK-IN-LIEU QUADRANT: ~~ , FEE PER UNIT: TOTAL FEE: ----:, P.F.F.: ..,,c.-4. TRAFFIC IMPACT FEE PER UNIT: TOTAL FEE: ,.,,,..-? D □-FACILITIES MGMT. FEE: ~~ BRIDGE & THOROUGHFARE FEE: -"1/4~ SEWER FEE (CONNECTION): /V",,,,,,,.. SEWER LATERAL: ,,..,,...A .. ,:;(, u (1) .c U VI C VI ('CJ (1) "O a: ~ Q) O'l ..... Ol O a, C ~ 0. a.. E "O 0 C: u ::::, co ro ..... ' ' c: ADDITIONAL COMMENTS : ____ _.A<z;.......,_;;.,o-;,,f; .... 1 __ ,,v.....;r""'",..-__,.6...___,,4d-::},c;.:;;_,;_~...__•_1....,5:"--"-...;:;<>:;;..;_l'f./_L_Y-_________ . Q) ..... ro O OK TO ISSUE =--•"'-~"""O4'-'""~"-=--------'-----DATE: S-,, 1/ if? DPD2:DPD6:10/24/86