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Home My WebLink About1232 PINE AVE; ; 79-5352; PermitI hereby affirm that I am licensed under provl- slona of Chapter 9 (commencing with Srotion 7000) of Division 3 of the Busirtess and-Profes sions Code, and my license is in full force and ef fect OWNER-BUILDER DECLARATION □ I hereby affirm that i am exempt from the Con tractor's License Law for the following reason(Sec. TOSI^Business and Professkms Code), Anycity cx'^^^ltty which requires a permit to construct, alter, improve, demolish, or repair anystructure, prior to its issuance also requires theapplicant such permit to file a signed statement tjx-K he is licensed pursuant to the provisions oKfhe Contractor's License Law (Chapter 9oommencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex empt therefrom and the basis for the alleged ex-emptkxi. Any vk>iation of Section 7031.5 by an applicant for a permit subjects the applicant to a cMI penalty of not more than five hundred dollars (S500). □ I, as owner of the property, or my employeeswith wages as their sole compensation, will do the work, arxl the structure is not Intervded or offered for sale (Sec. 7044, Business and Profes sions Code: The Contractor's License Law doesnot apply to an owner of property who builds orimproves thereon and who dc^ such work himself or through his own employees, provided that such Improvements are r>ot Intended or of fered for sale, if, however, the building or improve ment is sold within one year of completion, theowner-builder will have the.burden of proving thathe did not build or Improve for the purpose of sale). Gl, as owner of the property, am exciuslveiy contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractor's License Law does not ap ply to an owner of property \«ho builds or im proves thereon, and who contracts for such projects with a contractorfs) license pursuant to the contractor's License Lavr). i am exempt under Sec. , B, & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATIONI hereby affirm that i have a certificate of consent to 8eif-ifi8urerbr~S" (Srtiflcate of Workers' Compensation insurance, or a certified oopy thereof (Sec. 3800, Labor Code), POUCY NO,COMPANY □ Copy IS filed with the city. □ Certified copy is hereby fumished. CERTIRCATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not t>e completed If the per mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit is issued, i shall not employ anyperson in any manner so as to become subji^ to the Workers' Compensation Laws of California. NOTI9E TO APPUCANT: if, aHer making this Cer-tiflcatVlbf Exemption, you should become subject to the Workers' Compensation provisions of theLabor Qk>dti, yuim^st forthwith comply with such ged revoked. _\> DN^UCTfONTOltyihGrA^^ i hereby affirm that there is a cohstructldding agency for the performance of the vrork^which this permit Is Issued fSeo. 3097. CMI CodeL"" UbttJALLf-uir.! rc:r.ur.LT 1200 ELM AVENUE (714) 438-5525 fy\M I \Kjn YYM niiN rxcu l-iinco. NO. ^ J0^,.^DRE3S AY. ST.RD J_L OWNER'S PHONE I I I I DATE or APPLICATION OWNER'S MAIL1N9 frPDH^SSy~// ^ BLOCK SUBDIVISION ASSESSOR'S P.AHCEL NO. ' . ^ \\Q\X0\ 1 PRIME CONTRACTOR yQ STATE LICENSE CONTRACTOR'S ADMESS CONTRACTOR'S DESCRIPTION OF WOR/ fP )( ^ \ CENSUS TRACT SPLA^USE ZO^Q CJ■m'i QTY. PLUMBING PERMIT / / •V' 72 EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL, ALTER. REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER Issued STA DESlONER'a ADDRESS RES. UNIT7 NDARD PLAN # AMT. ^2. 3OT TOTAL PLUMBING CONTRACTOR QTY, Z f.T. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH 25 EXIST BLDO EA AMP/SWT/BKR y- — 1 PH 25 REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 ■Icsuanoe-2,00 TOTAL ELECTRICAL CONTRACTOR QTY. y' INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100 PARKING SPACEsq. ft # BUS. LICENSE Ism PHONE state LICENSE DESIGNER'S PHONE NUMBER OF STORIES / TYPE CONST -j/M. MECHANICAL PERMIT ,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE OUCT MECH EXHAUST - HOOO/DUCTS RELOCATION OF EA FURNACE/HEATER Issuance PERMIT NUMBER S72a/79PI5S lO'j-U I -:'' Hot VoM Unhts Uachino Cartifitd AMT. "3TUD" TOTAL MECHANICAL CONTRACTOR QTY.MOBILE HOME PERMIT AWNING PORCH _SET_-UP RAMAOA, CABANA FENCE OVER G' TOTAL MOBILE HOME Issuance I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED.'TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. [.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AMT VZ\LUAnCN: - BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-FILM TOTAL FEES PAYABLE 3® I • I 19 1 zo •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER B'-O" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OyER 3 STORIES IN HEIGHT'' SOiOQL FEES: JCANT■3 SIGNATURE OWNERQ CONTRACTO AGENT □ BY phoned DATE f SITE ADDRESS:: OWNER:• ''V .PERMIT NO: 5'3_S^'^ FIELD INSPECTION RECORD ; - INSPECTION . .- DATE,INSPECTOR." WOOD FLOOR FOUNDATION* FORNIS • SET BACK •TOILET , . UNDER FLOOR plumbing .. ,, -UNDER FLOOR HEATING -, n OK TO INSTALL SUB FLOOR -- - n - - sLab floor _ UNDER SLAB PLUMBING '. r . FOOTING . FORMS . SETBACK • TOILHT . OK TO POUR CONCRETE . FRAME ROUGH ELECTRICAL' ROUGH PLUMBING ,, ROUGH HEAtIng'/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE VVALLBOARD . WALLBOARD OK* PLACB-TApE— V-^ EXXERIOR LATH OK* PlXcE STUCCO '■ ^ . J ■ - - FIREPLACE ; . , . . D'ASlPERVaWSTEEL ■ ■ PLATE TIES/HEIGHT OF CHIMNEY - , OTHER . - . , . TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING . . * PRE DECK , *.FENCE PREPLASTER SHOWN * FRAME * PAN final'INSP-BY BLDG DEPT / OTHER DEpV'S'REQ COMPLETED i ELEC METER-PERM-TEMP GAS METER-PERM-TEMP ' ' jX-CERT OF OCCUPANCY ISSUED INSPECTOR'S NOTES -trr J ' 4 < REQUESTER INSPECTOR ^ ^ SPECTION OWNER. PERMIT NO TIMEl .DATE ADDRESS- BUILDING ELECTRICAL □ FOUNDATION □ REINFORCING STEEL ,□ TEMPORARY SERVICE □ MASONRY □ ELECTRIC UNDERGROUND □ GROUT - GUNITE □ ROUGH ELECTRIC □ FLOOR AND CEILING FRAME □ POOL BONDING □ SHEATHING □ ELECTRIC SERVICE □ FRAME □ CEILING HEAT □ EXTERIOR LATH □ G.F.I. □ INSULATION □ si^ke-deji;ector □ M^lT-ERTCrR-bi^H OR DRYWALL FINAL ) ! JW'^INAL^X '' PLUMBING MISCELLANEOUS □ UNDERGROUND PLUMBING □ PLENUM AND DUCTS □ UNDERGROUND WATER □ COMBUSTION AIR □ ROUGH PLUMBING :□ PATIO □ TOP OUT PLUMBING '□ SIGN □ SEWER AND PL/CO □ GRADING □ TUB OR SHOWER PAN □ DRIVEWAY □ GAS TEST n CONDITIONED AIR SYSTEMS □ WATgBJdEATER □ REFER PIPING □ FINAL READY FOR INSPECTION: SPECIAL INSTRUCTIONS. □ MQiiDAYt-A^ □ P.M. WEDNESDAY □ THURSDAY □ FRIDAY STYVN dJiM.tdnn- PERSON TAKING REPORT .PHONE NO.REQUESTED BY_aAa/o. Q fC /d 2 - ^ sy REQUES: INSPECTO OWNER_ FOR INSPECTION ^ 'I ' - ^ L PERMIT NO_ TIMEl. .DATE: ADDRESS.I 23 Z BUILDING Q FOUNDATION j □ REINFORCING STEEL j □ MASONRY : ! □ GROUT-GUNITE , □ FI^OR^ND CEILING FRAMEQ/S^E?CfHING □ EXTERIOR LATH j □ INSULATION ^ j □ INTERIOR LATH OR DRYWALL □ FINAL I PLUMBING □ UNDERGROUND PLUMBING. i □ UNDERGROUND WATER □ ROUGH PLUMBING □ TOP OUT PLUMBING j □ SEWER AND PL/CO ( □ TUB OR SHOWER PAN i □ GAS TEST . □ WATER HEATER . ' ' , □ FINAL , ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE , □ CEILING HEAT □ G.F.I.. ■ , □ SMOKE DETECTOR □ FINAL miscellaneous - ■- □PLENUM AND DUCTS □COMBUSTION AIR - □PATI,0_ - □SIGN ; □GRADING ' . □DRIVEWAY □CONDITIONED AIR SYSTEMS REFER PIPING , - ■ □FINAL A.- READY FOR INSPECTION: □ M^NtfAY □ TUESDAY □ WEDNESDAY □T^HURSDAY. □ FRIDAY □ P.M. SPECIAL INSTRUCTIONS. REQUESTED BY._J PHONE NO PERSON TAKING REPORT X - , ; REQUEST FOR iNSPECjTlON v'time:—^ iMSPPrrnR ^cSS'^—OArE: ^ ^ OWNER. h .ADDRESS-' /oZ ^ BUILDING I □ FOUNDATION □ BEINF0RCIN9 STEEL, [T^'mASONRY, m GROUT - GUNITE , . ^ , □ FLOOR AND CEfLrNG FRAME/ ^ 1 , " -• ' y, O SHEATHINGl^FRAME ^ XTERIOR LATH □ INSULATION ! I □ INTERIOR LATH OR DRYWALL n FINAL > ELECTRICAL ■ I ■ '. VI'. □ TEMPORARY SERVICE ; □ ELECTRIC UNDERGROUND1□ ROUGH ELECTRIC, □ PqoL^BbNDING □ ELECTRIC SERVICE - □ CEILING HEATTi^G.F.I. - " ^ ^ , "■ Xn SMOKE DETECTOR ' □ FINAL '■j/ T PLUMBING T—i ■ O underground PLUMBING□ UNDERGROUND WATEFI j ^ □ ROUGH PLUMBING □ TOP out, PLUMBING ,□ SEWER AND PL/CO □"TUB OR SHOWER PAN □ GAS TEST □ WaVeR -HEATER ^ □ .FINAL i ■ MISCELLANEOUS V □ P.M. SPECIAL INSTRUCTIONS. .."■V ' , ■ N □ PLENUM AND'DUCTS □ COMBUSTION AIR ^ □PATIO ^ -/ □ s;iGN □ grading. ) □ DRIVEWAY-' , , , r□ CONDITIONED AIR SYSTEMS □ REFER PIPING ' □ .FINAL ' . ^ f ' , . ,READV for INSPECTION: □ MONDAY , □ TUESDAY WEDNESDAY^ □ THURSDAY □ FRIDAY ' . □ AJW. ' I < ' I /REQUESTED BY^.PHONE NO. ,PER^6n TAKIf^lG report. REQUEST FOR INSPECTION TIMEi INSPECTOR OWNER_ «_ PERMIT NO :}2x ADDRESS. BUILDING 1 ELECTRICAL □ FOUNDATION | □ REINFORCING STE^L □ TEMPORARY SERVICE □ MASONRY □ ELECTRIC UNDERGROUND □ GROUT-GUNITE |□ ROUGH ELECTRIC □ FLOOR AND CEILING FRAME □ POOL BONDING □ SHEATHING □ ELECTRIC SERVICE □ FRAME c □ CEILING HEAT □ EXTERIOR LATH □ G.F.I. □ INSULATION □ SMOKE DETECTOR □ INTERIOR LATH OR DRYWALL □ FINAL □ FINAL } PLUMBING j MISCELLANEOUS □ UNDERGROUND PLUMBING □ PLENUM AND DUCTS □ UNDERGROUND WATER f □ COMBUSTION AIR □ ROUGH PLUMBING □ PATIO □ TOP OUT PLUMBING 1 □ SIGN □ SEWER AND PL/CO 1 □ GRADING □ TUB OR SHOWER PAN 1 □ DRIVEWAY □ GAS TEST 1 □ CONDITIONED AIR SYSTEMS □ WATER HEATER □ REFER PIPING □ FINAL □ FINAL READY FOR INSPECTION: □ MONDAYD^i SPECIAL INSTRUCTIONS □ WEDNESDAY □ THURSDAY □ FRIDAY » REQUESTED BY_.PHONE NO PERSON TAKING REPORT. a, _J(L.j\^c>~^vA-i, ;JL 2 '^iM ^tAjz^ (?^<-«/ ■^aJ^ £«-*-«- C - ^ '7x1-3/ fs INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS:/ <3 3 oJ. , DAif?JECEIVEO 3 f'EC 5 1579 crry OF carls^ Building D PLANNING DEPARTME LOT SIZE epamm ZONE \ LOT WIDTH ^^UNITS ALLOWE PARKING SPACES REQUIRED % COVERAGE ALLOWED UNITS PROVIDED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED _PROVIDED_ PROVIDED PROVIDED iTliUi WiulA SIDE SETBAQK:REAR SETBACK: INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: /fA ENVIRONMENTAL PROTECTION REQ r\ ADDITIONAL COMMENTS OK TO ISSUE:uWljOK TO FINAL DATE ENGINEERING DEPARTMENT / f~r~xj , IMPROVEMENTSR.O.W. INDUSTRIAL WASTE SEWER CONNECTION DRIVEWAY^ LOCATIONS_ GRADING PERMIT na EASEMENTS LEGAL DESCRIPTION DRAINAGE Ajl ADDITIONAL COMMENTS OK TO ISSUE: DATE PWI OK TO FINAL DATE FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS _FIRE PROTECTION EQUIP. EXITS LOCATION OK TO ISSUE:DATE OK TO FINAL DATE .WATER DEPARTMENT " REQUIREMENTS OF APPROPRIATE DISTRICTS MET_DATE