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Home My WebLink About1044 PALM AVE; ; CB880366; Permit"' z 0 -= C ac C .., u "' a a: I[ 8 ac "' a .., 5 I "' z 3 0 O I ,,.,eby affirm that I am licensed under provlalona of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profeaalone Code, and my license is In full force and affect. I hereby athrm !hat I am exemp1 lrom the Contrac· 1or·s L,cense Law 10< Ille following reason (Sec 7031 S Business and Proless'00s COde My city or coonly whK.r. re-quires a perm11 to conslruct. alter, ,mp rove. demolish. or repau any struclure, poor to 11s 1ssuaoce also requires !heap· plica,nl to, such permit to file a s1qned statement lhal he 1s 1icense<1 pursuant to lhe prov,sk>ns ol the t:on1rac1or s License Law (Chapter 9 commencing with Section 7000 of Otv1s1on 3 of lhe Business alld Professions Code} or lhat 1s eJC· empt the,etrom and the basis fo, the allegea exemp11on Any v,otall()n of SechOn 7031.5 by an apphc.anl tor a permit sub· ,eels lhe apphcant 10 a c1v1I penalty of no! more than f,ve hun· dred dollars {$SOOI 1, as owner ot !he property. Of my employees with wages as !heir sole compensation will do lhe work. and lhe slruc· ture Is not intended or ol1ered tor sale {Sec 7044. Busmess and ProfessK>ns Code The conuactor's License Law does nor apply 10 an owner ol property who bu1IC1s or improves thereon and who does suc.h work himself or through his own employees. provided thal such improvements are not intend• ed or ollered 101' sale If. however. lhe bu1khng or improve· ment ,s sold within one year ol complehon, lhe owner-builder will have the burden of proving that he did not build or 1m· prove tor the purpose of sale) I I I, as owner of the property, am exclusively contracting with hcensed contractors lo construct the protect (Sec 7044. Business and Protesst0ns Code: The Conlractor's license Law does not apply to an owner ol prcperty who builds or im-proves thereon, and who contracIs fOf each prOjects with a con1racIor(s} license pursuant to the Con1rac1or·s License Lawl 11 As a homeowner I am ImprovIng my home. and lhe tooow ing CondlllOOS exist· t The work ,s being perfDfmed pnor to sale 2 I have hved In my home tor twelve months pnor 10 compleuon of IhIs work I have nol clatrned lh1s exemphon during the tast lhree years • 0 lamellemptunderSec ______ ,B&PC for lhlS ,eason ------------- z 0 -= ~ z "' CL :I 0 u "' a: w ><: ac 0 3 i[ 0 I hereby affirm 1hat I have a cert1hcate of consent to self-insure. or a cer1ilicate of Workers· Compensation In- surance Of a certified copy lhereot {Sec 3800. labor Code) POLICY NO COMPANY :::; Copy IS hied with the city 0 Ceri1t1ed copy 1s hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This seclion need not be completed if the permit 1s for one hundred dollars {$100) or less) 0 I certify that in the performance of the wo,k for which nus permit 1s ,ssued. I shall nol employ any person 1n any manner so as to become subject to the Workers· Compen• sa11on Laws of California NOTICE TO APPLICANT If. after making lh1s Cef1if1cale ol Exemption. you should become subject to the Wofke,s· Compensa11on provisions of the Labo, Code. you must forthwilh comply with such provisions or this perm,t shall be deemed revoked 0 I hereby affirm that there is a construction tend•no agency tor lhe performance ot the work for wtuch this pet• mil is issued (Sec. 3097. C1v,I Code) Lender's Name ____________ _ Lende(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 92009-1915 (619) 438-1161 APPLICATION & PERMIT JOB ADDRESS AV--ST. RO. THOMAS BROS NO. BUSINESS LICENSE# VALUATION c.. rr_ - LOT I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE. lo-51qoo;\-8-0 OWNER'SNAME I OWNER'SPHONE I Qtµv<e,,- ~~Q\o 1-b,rr•.J bc~e.~c.,. ~'?4-S ~lJ, CONTR CTOR'SAOORESS OWNER'S M ILING ADDRESS c;, A 1 he.A "? '?'?} ~/le /)..,. ZONE STATE LICENSE NO. DESIGNER DESIGNER'S PHONE PERMIT NUMBER c~rgo3t-G BUILDING SO. FOOTAGE ~ u. >, ,;j 0 oesCR1PTlON OF w 6RK DESIGNER'S ADDRESS ... -------------------------------1 STATE LICENSE NO. 0052 03/23 0101 02BloPmt 13-1"'~ Ql P/n -b.,.... / i:; 1,k I. ruC. 7 ,,/JJ1 7i OAJ /0 1J7-2. Z-e:, F/P FLR ELEV, vO NO ----,:m- STOR I ES l CEl'ISOS"'TR'ACI l PAAKING SPACE I RES UNITS l GRADING PERMIT ISSUED y D ND F VELOPMENT A vO NO TYPE CONST QTY. PLUMBING PERMIT -ISSUE 1~ QTY. MECHANICAL PERMIT· ISSUE (S:<xJ QTY. EACH FIXTURE TRAP 5 . INSTALL FURN DUCTS iJP TO 100,000 BTU EACH BUI LUING SEWER I II I OVER 100,000 BTU EACH WATER HEATER ANO OR VENT I II I BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS I II I BOILER/COMPRESSOR 3 1~ HP EACH GAS SYSTEM~ OR MORE I II I METAL FIREPLACE EACH INSTAL . ALTER, REPAIR WATER PIPE I II I VENT FAN SINGLE OUCT EACH VACUUM BREAKER I II I MECH EXHAUST HOOOIOUCTS WATER SOFTNER I II I RELOCATION OF EA FURNACE/HEATER EACH ROOF DRAIN !INSIDE! I II I DRYER VENT TOI AL PL UMBING I ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP SWT BKR 1 PH 3 PH EXIST BLDG EA AMP,SWI BKR I PH 3 PH REMODEL ALTER PER CIRCUIT TEMPPOLE ?OOAMPS I'-If# s,D'DII QTY. TOT t.L MECHANICAL CAR PORT AWNING GARAGE ~ ~-'\Y ,~. ~ r.ffi: dtrro,~;;-.;.. CARLS!3.(0, CA ,,i ... /) ~ OVER 200 AMPS ~lfn. I ~ia"'7 TEMP OCCUPANCY 130 DAYSI ~0811-~ TOTAL ELECTRICAL ] TOTAL ace GP EDU OCC LOAD FIRE SPA vO NO Nor Valid Unkss ~chine Certilitd SUMMARY/ACCOUNT NUMBER emcrmm~mm lllll-BIO•!IO-llll-mll SIGN PERMIT 001-810-00·00·8221 PLAN CHECK 001·810·00·00-8891 TOTAL PLUMBING OOi ·810·00·00·8222 ,~- ELECTRICAL 001-810·00·00·8223 MECHANICAL 001·810-00-00·8224 MOBILEHOME 001-8 10·00·00-8225 SOLAR 001-810-00·00-8226 STRONG MOTION 880-519-92·33 FIRE SPRIN~LERS 001 ·810·00-00-8227 PUBLIC FACILITIES FEE 320·810·00-00-8740 BRIDGE FEE 360-810·00·00·8740 PARK-IN-LIEU (AREA ) TIF 312·810-00-00·8835 LA COSTA TIF 311·810-00-00-8835 FMF LICENSE TAX 001 ·810·00·00·8162 MFF 880-519·92·5 7 CREDIT DEPOSIT TOTAL FEES PAYABLE l /3 ..0 PPLICATION AND PERMIT AND DO HEREBY Exptrat1on Every perm,t issued by the Bu1ld1ng Ott,c,al un<ler the prov,s,ons ofth,s I HAVE CAREFULLY EXAMINED THE COMPLETED A Code shall exptre by 1!mItat1on and become null and vo,d II the bu1ld,ng or work * AN OSHA PE,_.:T IS AEOUIAED FOA EXCAVATIONS OVER 5· O" DEEP AND DEMOLITION 0A CONSTRUCTION OF STRUC'I\JAES OVER 3 STOAIES IN HEIGHT CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authonzed by such perm,t ,snot commenced w1th1n 180days from lhe date,>I such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT lb permit or ,t the bu1ld1ng or work authonzed by such permit 11 suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· L.!•~b!;&n~do~n!!ed!!!Ja!!l_!a!!n!lJl[!!1me!!!_.!•!!!lt•r~th!!e~w!!:o!!!rc!!k.!1ls.!:c2o:!'.!m!!;m~en~c:!!e2d.!f2o!..r !.•.l!:!!!!"c!!od!!.J0!!.I.Jl,!!80!!..!i!IY.L---p~~~~~~------------::-~~------, STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLJTEI:·s SIG ATURE JJ OWNER[] CONTRACTOR O APPRO&v-oD BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS. COSTS AND q/ ~ 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE o I 3 , ., . 4,. tY GRANTING OF THIS PERMIT ,..._.,.._ _ _,.._::_-_-______ ,. -"Y1 > ')/~ ( I- I 'O 0 (.'.) c n) .~ a. a. <! I ,:,; C: a: 0 "' "' Ql "' "' <! I ~ 0 Ql >- Ql (.) C: n) C: ii ~ I C: Ql ~ (.'.) 2 (.) Ql a. "' C: ~ .c ~ TYPE DATE INSPECTOR BUILDING Ci:>%&::>~ .. (- FOUNDATION -. FIELD INSPECTION RECORD REINFORCED STEEL MASONRY REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . GUNITE OR GROUT INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME SOILS COMPLIANCE . ,,. ' iit'c,~ PRIOR TO .if:. ... ', •• ~(., FOUNDATION INSP ,' iv' ,,.. ' L.,_·, "" \. EXTERIOR LATH STRUCTURAL CONCRETE , l • ~\ ! OVER 2000 PSI ,. INSULATION ~ INTERIOR LATH & DRYWALL ' ,, . PRES TRESSED ~ •. 'I CONCRETE a ,, ~J POST TENSIONED ~~ -~ 'F"O •; CONCRETE ,. ' PLUMBING □ SEWER AND BUCO D PL/CO UNDERGROUND □ WASTE □ WATER ~J,,.. -1 FIELD WELDING ,;f.>7/ HIGH STRH;!GTH ~ ~ i'P' BOLTS ' s,: TOP OUT □ WASTE □ WATER SPECIAL MASONRY TUB AND SHOWER PAN GAS TEST PILES CAISSONS D WATER HEATER □ SOLAR WATER . ELECTRICAL \ . -. □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC . □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL " MECHANICAL □ DUCT & PLEM., □ REF. PIPING ' . . . \ . . ' HEAT -AIR COND. SYSTEMS . VENTILATING SYSTEMS . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. -----. ---····-----·· .... ··----· FINAL \ PLUMBING u...,. ELECTRICAL '-) MECHANICAL • l"'-.. ~ GAS \.) \ \' . . BUILDING "\j \f'--v SPECIAL CONDITIONS \. -~ ---