HomeMy WebLinkAbout2330 FARADAY AVE; ; F030-88; PermitIll z 0 ;::
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
full force and effect.
I hereby afl1rm that I am exempt from 1he Contrac-tor's License Law tor the following reason (Sec. 7031 5
Business and Professions Code: Any ci!y or counly wh1cr, re-quires a permit to construct. alter. improve, demohsh, or
repair any structure. p~ior lo its issuance also requires !heap-plicant for such permu to me a s19ned statement that he 1s
licensed pursuant to the provisions ol 1he Contrac1or's LIcanse Law (Chapter 9 commencing w1lh Section 7000 01 01v1s10n 3 of the Business and Professions Code) or tha1Is ex-
empt therefrom and !he basis for the allegea exemption Any
violation o! Section 7031 .5 by an applicant for a permI1 sub· 1ects the applicant lo a civil penalty of not more lhan live hun·
dred dollars ($500).
I I I. as owner ol the property, or my employees with wages
as !heir sole compensat10n, will do lhe work. and lhe slruc·
lure 1s not intended or oflered lor sale (Sec 7044, Business
and Proless1on~ Code: The Conlraclor' s License Law does
not apply lo an owner ol properly who builds or improves
lhereon and who does such work h1msell or through his own
employees, provided that such improvements are not mlend·
ed or ollered !or sale If, however, lhe building or improve·
menl 1s sold wilhm one year ol completion. lhe owner-bu1lder •
will have the burden of provmg that he did nol build or im-
prove tor the purpose ol sa!eJ.
I I I, as owner ol the property, am exclusively contracting
with licensed conlractors lo construct !he proiect (Sec. 7044,
Business and Professions Code: The Contractor's License
Law does not apply lo an owner of property who builds or im-
proves !hereon, and who contracls lor each proiecls with a
contractor(s) license pursuant to the Conlraclor's License I Law).
fl As a homeowner I am improving my home, and the follow·
tng cond1flons exisl.
1 The work is being performed pnor to sale
2. I have lived m my home lor twelve months pnor to complellOn ol lh1s work.
3. 1 have not claimed this exemption durmg the last lhree years.
D I hereby aftirm that I have a certificate of consent to
sell-insure. or a certfficate of Workers· Compensation In•
surance. or a certified copy thereof (Sec. 3800. Labor Code) I
POLICY NO.
COMPANY
)(" Copy is filed with lhe city
D Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the permit
is !or one hundred dollars ($100) or less) . n I certify that in the performance of the work !or which
this permit is issued. J shall not employ any person In any
manner so as to become subject to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
al Exemption. you should become subject to the Workers·
Compensation provisions al the Labor Code. you must
forthwith comply with such provisions or this permit shaH
be deemed revoked.
0 I hereby affirm that there is a construction lending
agency for the performance of the work for which this per•
mil is issued (Sec. 3097. Civil Code)
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 APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV ST RD. THOMAS BROS NO ; f I
DATE OF APPLICATION! BUSINESS LICENSE # V A LUATION PERM IT N UMBER ,, ,.~ .,_ '')· \.:\\~~ \l f\'---{
.,J '2.-'2.4-"2,~ \'3€,2 .. ~ f oJD JI ,_ -· ' 1> ~'C:\ :~ ~:c \"2..,9~~80 ,
L OT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE II ZONE
O WNER'S NA ME I OWNER'S PHONE ~'F\..\~\ r... \.~ L ,;:\.',;.,{::"' '""?"l;:i,,.t-,~ 'S-7'2:i-~6'2>0
CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING 50. FOOTAGE
\-\ ~ ¼l--1 f\\l.. (",..,\lL_~~~ c:: l::, ~ ':'\ \..)l.(~ '1(\_ '2 ~ ~ s \ ~"' ~--C,-\ "= OWNER'S MAILING ADDRESS -u.o"'\ ~
DESIGNER DESIGNER"S PHONE 1 lo'S"C ~ ~t)~ ~~l.f::\ ~\.. ~s--.., ~ P>.¼E:' DESCR IPT ION OF WORK
,~"--'~"-\.\ \ "1'\'?~~\Jca. \J"\~\...\.-C DESIGNER'S ADDRESS STATE LICENSE NO.
<!..~t,..,\,~
F/P F LR ELEV. NO ace GP EDU STORIES 0022 02/29 0101 02P.ld .t 162-"' vO NO ---I CENSUS TRACT I PARKING SPACE I RES UNITS
I
GRADING PERMIT ISSUED I RE DEVELOPMENT T YPE ace LOAD Fl RE SPA
AREA CONST
Y O N 0 vO NO v O NO Nor Valid Unless M~chine Cerrified
QTY. PLUMBING PERMIT -ISSUE QTY MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TO 100.000 BTU tlUILUINb r'ERMI I uu 1-~ 1 u-u0-00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810-00-00-8221
EACH WATER HEATER AN010R VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 f.o 4,oS
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESS OR 3 15 HP TOTAL PLUMBING 001·810·00-00·8222
EACH GAS SYSTEM o OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00·8223
EACH INSTAL , ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 -810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOO!OUCTS MOBILEHOME 001·810·00·00-8225
WATER SOFTNER RELOCAT ION OF EA FURNACE/HEATER SOLAR 001 -810-00·00·B226
EACH ROOF DRAIN I INSIDE I DRYER VENT STRONG MOTION 880-519·92·33
TOThL MECHANICA L FIRE SPRINi<LERS 001-810·00·00·8227 C\8.so .,,. ~s~t-,:l~ TO I AL PLUMBING I PUBLIC FACILITIES FEE 320-810-00·00·87 40
MOBILE HO~f$8 UP ~ .. .,.~ BRIDGE FEE 360-810-00-00-87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. PARK·IN·LIEU (AREA )
NEW CONST EA AMP 'SWT HK R CAR PORT t,.; F/:IJ '" ~! ilF 312-810-00-00·8835
1 PH 3 PH AWNING l1-~ ,._ 11.,~•vv, ~ LA COSTA TIF 31 1-810-00-00-8835
EXIST BLOG EA AMPiSWT ·BKR GARAGE 1'10 Cifi,1,..!j 'rk111» en FMF ' -1 PH 3 PH \"'.n "'!HJ,., :nLf:li• -vJ LICENSE TAX 001-8 ,-0-00·00-8162
REMODEL AL HR PER CIRCUIT 'cA. -,...,. rn""J. MFF 880-519-92·57
TE MP POLE ?00 AMPS ,q,._ •'-()1/
OVER?OOAMPS x__;..-i,Z1'1£1.l. '7
TEMP OCC UPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL TOTAL FEES PAY ABLE I \~ct.cs ~
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT' AND DO HEREBY Expiration Every permit issued by 1he Building Off1c1al under the prov1s1ons of this * AN OSHA PERMIT 15 REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and void If the burld1ng or work ~-0" DEEP AND DEMOllTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date of such STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~~~~~n°~ 1
:1 t=~Y ~~~~1;Pte~~h:~~r:~~hc°~~~e~Ze~~~~ a"~~~~d1~t~:g~na~~d or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE ,.. OWNER □ CONTRACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE:~~,' ~ ~ BY PHONE []
~,A ~J , Br .. ~ ,L~ I ol/21 u,, GRANTING OF THIS PERMIT -~~ ~o...__~ , -/
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