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HomeMy WebLinkAbout1277 FOREST AVE; ; CB891033; Permito & UJ o o CO z o H < c 3 oUl JO.. o p o o (/) E o rn I horoby Affirm that I am Ifcenaed urxftr provlstona of Chaptar 9 (commencing with Section 7000) of Division 3 of the Buslneas and Professions Code, and my license Is In full force and effect. I hweby illirm that I vn exempt from the Contrac tor's License Law tor the following reason (Sec 7031 5 Business and Protessrons Code Any city or county wtuch re- qura a perrnt to construct, alter, improve, demoksh. or repair any structure, pror to its issuance also requires the ap plicant for such permu to fSe a signed statement that he is hcensed pursuant to the provisons ot the Contractor s Lxinse Law (Chapter 9 commenong with Section 7000 of OvTSTon 3 o( the Business and Prolessnns Code) or that s ex empt therefrom and Ihe basis for the alleged •<Bmplion Any vioUtion of Section 7031 5 by an apolicartt tor a permi sub tects the appbcant to a crvri penalty of not more ttian five hun dred doltars ($500) I I I. as owner of the property, or my employees with wages as Ihtrr sole compensation wiU do the work, and the struc ture is not intended or offered for tale (Sec 7044 Business and Professwnt Code The Conlrtctor's License Law does not appfy to an owner of property wtw binkls or improves thereon and wtw does such work hmsed or through hts own emptoyees. pmidad that such mprovements art not intend ed or offered for sale It, howwer, the bmlding or improve ment IS sold within one year of completion, the owner-builder Will have tt>e burden of proving that he did not truild or im- prvve for the purpose of safe) I I I, as owner of the property, am exdusivety contracting with ftcensed contractors to construct the protect (Sec 7044, Business and Professions Code The Contractor's LicenseLaw does not appfy to an owner of property who buids or improves thereon, and who contracts for each proy^s wdh a contractor(s) Ficense pursuant to the Contractor's IxenseLaw) n As a homeowner I am tmprovtng nry home, and the follow ing corxktions exist • 1 The work is bemg performed prior to sale 2 I have lived in my home ror twelve monthspnor to completion of this work3 I have not claimed ttus exemption-during the last three years □ I am exempt under Sec ,tor Ites reason ,B&PC CH I hereby affirm that I have a certificate of consent to Mif-ineure or a certificate of Workers Compenealion Irv euiance. or a certified copy thereof (Sec 3600 LaborCode) POUCY NO COMPANY O Copy 18 filed with the city ED Certified copy is hereby fumiehed CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURA7JCE (This eection need not be completed it the permit 18 for one hundred dollare ($100) or leea) ED I certify that in the performance of tr>e work for which this permit is issued. 1 shall not employ any person in any menner so as to become subject to the Workers' Compen sation Lews of California NOTICE TO APPLICANT: If. attar maKir>g this Certificate of Exemption, you should becorrie subtect to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisioni or this permit shall be deemed revoked ' ED I hereby affirm that there is a conatruotion lervdrng agency for the performance of the work for which this per mit IS issued (Sec. 3097. Dvil Code) Lender's Name Lender's Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARAHONE CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carisbad, OA 92009-1915 (619) 438-1161 APPLICATK)N & PERMIT JOB ADDRESS AV. ST.RD. THOMAS BROS NO. (2^11 SUBDIVISION ASSESSOR PARCEL NO.o-l OWNER'S NAME STUvC'^t y OWNER'S PHONE OWNER'S MAILING ADDRESS iCFUPT ION ftF WORKA CCMssia Ay r 2^^ SfP/CA^ mr Fd/c QTY. 2 . ..FACH FIXTURE TRAP, EACH B CENSUS TRACT PARKING SPACE PLUMBING PERMIT - ISSUE UILUING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO t OUTLETS EACH GAS SYSTEM b OR MORE EACHINSTAL ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) CONTRACTOR DATE OF APPLICATION /^, itw BUSINESS LICENSE * CONTRACTOR'S ADDRESS DESIGNER'S ADDRESS F/P FLR ELEV yQ nG RES UNITS GHAbiNG PERMIT ISSUED Y □ N □ .50 TOTAL PLUMBING QTY.ELECTRICAL PERMIT - ISSUE NEW CONST EA AMP'SWT BKR I PR 3 PH EXIST BLGG EA AMP/SWT,'BKR 1 PH 3 PH REMODEL ALTER PER CIRCUIT TEMP POLE 1 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 OAYSI total electrical 22 77^ QTY. REDEVELOPMENT AREA Y □ nD MECHANICAL PERMIT - ISSUE INSTALL FURN DUCTS UP TO 100.000 BTU OVER 100.000 BOILER/COMPRESSOR UP TO 3 BOILER/COMPRESSOR 3 15,5> METAL FIREPLACE VENT FAN SIN MECH EXH>lrffsS [D 1< UCT T HOOD'DUCTS RELOt^AcflGN OF EA FURNACE/HEATER dr:VENT TOTAL mechanical STORIES TYPE CONST CONTRACTORS PHONE » STATE UCENSE NO. OeSIGNER'S PHONE STATE UCENSE NO. OCC LOAD QTY.MOBILE HOME SETUP CAR PORT AWNING GARAGE TOTAL I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT ' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE 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 CON STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 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 GRANTING OF THIS PERMIT 'W FIRE SPR yG nG VALUATIONcg.^O TONE PERMIT NUMBER JIL^Q SUMMARY/ACCOUNT NUMBER BUILDING PERMIT SIGN PERMIT 001-810-00-00-8221 PLAN CHECK 001-810-00-00-8891 TOTAL PLUMBING 001-810-00-00-8222 ELECTRICAL 001-810-00-00-8223 MECHANICAL 001-810-00-00-8224 MOBILEHOME 001-810-00-00-8225 SOLAR 001-810-00-00-8226 STRONG MOTION 880-519-92-33 FIRE SPRINKLERS 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 880-519-92-57 CREDIT DEPOSIT TOTAL FEES PAYABLE X3- Ut Expiration Every permit isaued bythe Buildjr>g Official under the provisions of thisCode shall expire by limitajion and Ijecome null and void If the building or workauthorized by such permit is not commer>ced within 160 days from the date of suchpermit, or if the building or work authorized by such permit is suspended or■tiandoned at any tune after the work ts commenced for a period«of 160 days APPLICV^T'S SIGNATURE owner B''' contractor E] BY PHONE G * AN OSHA P€FMrr IS REQUIRED FOR EXCAVATTONS OVER 5' 0 ' DEEP AND DEUOUTIOI OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT APPROVED BY 8275 07/14/89 0001 01 02BldPfflt 126.0C1 Not VoBd Unkss Machine CerHfitd TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING I□ SEWER AND BUGO □ PUG^ UNDERGROUND □ WASTE □ WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WAT^R ELECTRICAL □ ELECTRIC UNDERGROUND □ UFfER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL -t- MECHANICAL □ DUCT & PLEM., □ REF. PIPING| vHEAT — AIR COND. SYSTEMS }■- vfi - VENTILATING SYSTEMS 1 ■IV ^ ^11 1 w \ - < ■ DATE . y-ft-fi INSPECTOR Sk: CALL FOR FINAL INSPECTION WHEN. Al-L APPROPRIATEITEMS ABOVE HAVE B^EEN APPROVED.' ' ^ FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS • V' iVI tSs k FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTIlilN'REO IF CHECKED INSPECTOR'SAPPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED — CONCRETE \ - 1 FIELD WELDING HIGH STRENGTH BOLTS special MASONflV • 1 PILES CAISSONS - ■ •- - - Ik W V y ;; I \1 ' • ; 1 -\ f , \ ' I [Trr-- V ' . - N ■.^ V " > ~ . " ■ ' - 5*^ accessonjI 7FIC.I\*■lOf-r4r- M9'^f4 'V^'JX34'loo013'^^X'IX;t^'"VKn!.;4'A6WI^ioft-*Snacrntr^onliLll Forest A<3cLn-)iO[ejf/o'C f/tx^N1989ii»f O^LSBAL■DING DEPTScMti ;/ " : /sf-f<-7Z*^ e a: i" =ioo' 1" cj *..1^1 Kts^wSvR curr 7Z ^ ]S3line "5 li3.SZy^•2 SOUTH Si"-3?ST. ^WID. T //A9'Ji8-£<fO^\S^g A/e? 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