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Home My WebLink About1448 FOREST AVE; ; 82-519; Permit"' z 0 ~ ~ ~ u w C ~[ :! .. z 0 u "' :!: ~ 3 ~ w z ~ z 0 ~ z w .. ,. 0 u !!' a: w "' "' i ![ 0 I heret,1 affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. l,c No ____ ___ Clas, I hereby affirm that I am exemp1 horn the Contrac- tor's License Law for the following reason {Sec 7031.5 Business and Protess1ons Code: An'! city or count)' which re· qu,res a permit to construct. alter, improve, demolish, or repair any structure, prior to its 1ssua~ce also requires the ap-plicant for such permit 10 Ille a s1gne<l statement that he 1s licensed pursuant to the prov1s1ons ot \he Contractor's License Law !Chapter 9 commencing with Sectmn 7000 ol D1vis1on 3 o1 !he Business and Profess,ons Code) or that ,sex- emp11here1rom and the basis for the alleged exemption. Any violation of Sectoon 7031 5 by an applicant for a permit sub- Jects the applicant to a c1v1I penalty ol not more than five hun- dred dollars ($500) J I, as owner of the property, or my employees with wages as their sole compensation, will do the work. and the struc- ture is not intended or o!fered tor sale {Sec. 7044, Business and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees. provided that such improvements are not mtend- eo or offered for sale 11, however, the building or ,mprove- m_ent 1s sold wi1hin one year o1 completion._ the owner-builder will have the burden of proving that he did not build or im- prove for the purpose ot sale) :.J I, as owner of the property, am exclusively contracting with licensed contr2ctors to construct the pro1ect (Sec. 7044, Business and Proless1ons Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each pro1ects with a contractor(s) license pursuant to the Contractor's license Law) [j As a homeowner I am 1mprov1ng my home, and the follow- ing conditions exist: 1. The work 1s being perlormed prior to sale. 2 I have live(! in my home for twelve months pnor to complet1on of this work I have not cla1meo this exemption during the last three years D lamexemptunderSec , B&P.C lor this reason ____________ _ 0 I hereby affirm 1ha1 I ha~e a ce'11flcate of consen1 to sell-msure, or a cer111,cate of Workers Compensation Insurance, or a cert,f,ed copy thereof (Sec 3800. labor Code) POLICY NO COMPANY D C-Opy ,s hied with the c,ty 0 cer1,11ed copy ,s hereby furn,she<l CERTIFICATE:. OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Th,s sect,on need not be completed ,f the permit ,s for one hundred dollars IS100) or less) 0 I cer11!y tha! in !he performance of the worls for which this permit ,s ,ssued. I shall not employ any pe1son ,n any manner so as to become sub1ect 10 • the Workers· Compensa11on Laws of Ca1,torn,a NOTICE TO APPLICANT It. alter makrn;i 1h•s Cer1, 1,cale of E•empt1on. you should become sub1ec1 l'J 1he Wor'o:.ers· C-Ompensa1,on pro111s,ons ot the Labor Code. you must fomiw,th comply with such prov,s,ons or th,s perm,t shall t>f' deemed re11oked D I hereby affirrT' Thal tnere ,s a cons1ruc1,or 1end,ng agency lor the pPrtorrnance o' tl\e wof\, tor wn,ch 1h,s pe<m,1 ,s ,ssued ,Sec Yl97 c,.-,1 Code, Ler"lder s Name------------ Lenders Address----------- USE BALL POINT PEN ONLY & PRESS HARD ---------------------'A.::P...:P..:Lc.lC:cA.cNc.:.T.c._T<' ~ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAL-JUILDING DEPARTMENT APl"'LICATION & PERMIT 1200 Elm, Carlsbad. California 92008-1989 (619) 43B-?52L VALUATION PERMIT NUMBER ,o{;;;. kE~T /ftJ o~y·s NAME ~ l ~~IN \d Z,71;9 d. -~mAJ "b;:;;;~~ AY~ST,j DATE OF A1°f\lCATION AP•' ; CO,N"t~AC'rOA /Uh.._ l'J bUSINESS LICENSE # , CONTRACTOflS PHONE. LONE bf 5 / .1 OWNER'S MAILJNG ADDRESS ~ CONTRACTOR'S ADDRESS LICENSE NO. ~<i"'rl?nF. LOT I BLOCK I SUBDIVISION ASSESSOR PARCEL NO. DESIGNER LICENSE# OESCAfPTION OF WORK 1---..._.._~-~~~---------~-~-~----~------:._~0ESIGNE~'SAODFIESS OESIGN-Efl'S PHONE _Ptu. f' t-._Cm,~~~,y__ __ ___:__J--;:::--;-:-;;~~--,r-::M-=-::~-=""""' ~~~ ~~ ) -f/P FLA ELEV. NO OCCGP EDU I , "' STORIES GP LAND USE PAAKING~PACE GRADING ~ERMIT ISSUED vO NO TYPE CONST DCC LOAD FIRE SPR PLAN 1.0. # BLOG USE CODE STANDARD PLAN# BUILDING SQ_ FOOTAGE CENSUS TR Ar RCS UN'TS T y D ND I REDEVELOPMENT AREA vO NO vO NO Nor Valid Unless Machine Cerrified QTY. PLUMBING PERMIT -ISSUE -; ~ QTY.[ MECHANICAL PERMIT -ISSUE [ 3 ~ 1 SUMMARY/ACCOUNT NUMBER I PERMIT EACH FIXTURE TRAP I ' ~' INSTALL FURN. DUCTS i.JP TO 100.000 BTU BUILDING EACH BUILDING SEWER I b -:-OVER 100,000 BTU SIGN F EACHWATERHEATERA~~}~ -_1_ --~---~ER/~OMPRESSORUPT03HP____ PLANI ERMIT ---- :HECK ----t,_. _ . BOILER/COMPRESSOR 3-15 HP TOTALP --=+ METAL FIREPLACE ELECl EACH GAS SYSTEM 1 TO 4 0 UT LETS -------- _UM BING RICAL EACH GAS SYSTEM 5 0 R MO RE ------------------------- 1 EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECH! ,NICAL -MECH EXHAUST -HOOOIOUCTS -~ L. _ __J_E:CA~H_V_A_C_U_U~~~-E~~- ----- :HOME t· --RELOCATION OF EA FURNACEIH,Y"lER .. 7 WATER SOFTNER L--+ EACH R0_9F DRAIN !INSIDE~---__ ----~ - TOTr..L MfCHA~ t___J_ TOTAL PLUMBING / f11 ELECT_Rl~AL PER-~I~ -ISSUE <~~~~~~~~-S~OLAR -ISSUE NEW CONST EA AMP/SWT·BKR I PH ROCK STORAGE ----------'-----JL_ 1 PH PUMP \--+--PLAN CHECK r"EE ----- ---- ----- - MOBILEHOME PARK INSP §_OL~R 1--STRONG MOTION FIRE SPRINKLERS ---r-PUBLIC FACILITIES FEE BRIDGE FEE . ------ SCHOOL FEE -DISTRICT ------------- Carlsbad Encinitas San Die~uito San Marcos 01-00-00-8226 80-92-33-0519 01-00-00-8227 32-00-00-8923 80-92-21-0519 c..+- 80-92-22-0519 80-92-23-0519 80-92-24-0519 ---- ---- ----' __ _l__TEMPOCCUPANCYl30 __ ---~---;:;-AL:0~-----~""'""""" I I 7,~] ~E C:Af3EFULLY EXAMINED THE COMPLETED "APPUCATION AJD PERMIT'" AND 00 HEREBY Ex:pi.ration. E~ryper_mi_li.s~9dbythe8uilding. Otticialun~rlheprovisionsofthis ~ u:: >-m 0 0. E ~ I "O 0 " C rn .~ 0. 0. "' I ~ C ii: 0 "' "' " "' "' "' I ~ .2 ,; >- "' "' " " 0 a: rn <ii " ~ " " C rn C ii: ,::_ C " " a 0 13 " 0. "' C CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ex:pire by hm1tat1on and become null and void. If the building or work *-AM.JlSHA PERMJT IS REQUIRED FOR EXCAVATIONS.OVER 5' o•· DEEP AND OEMOLITK>N OR CONSTRUCTION Of STRUCT\IRES OVER l STOAtES IN HEIGHT DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT !S aut~~:1z~d ~y such ~r'!Jit ts not commenca.d within 180 days lrom the date of such ISSUED TO COMPLY WITH All CITY COUNTY AND STATE LAWS GOVERNING BU!LDlNG CON-~ d() r if the b~ilding or work a~thorized by such P8 it is suspended or STRUCT10N, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO L~'~';;"~"~edij'i'a~t~'"~~bm~e~aft:••~l~h~e~w~o~•k!..!!"~o~o~m~me!!!!"~oed~;;fm~~f,;~od~~f:l80~d~:;::-nt.:::::mwesoii';°--"'::'f'.°A:"'"-----;~~'"':r~r'-~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES, JUDGMENTS, COSTS AND • '$ SIGNA~URE OWNER CONTRACTOR O APPROVED BY DAT.E x-i,,i I !YryfY1';: EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH.f"··_,,.A,....,)".:; .... ,.-, GRANTING OF THIS PERMIT. -BY PHONE 0 ~ V INSPECTION TYPE DATE INSPECTOR BUILDING - FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLO,OR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING I / --- SEWER AND BL/CO Al Jr'J -~ PLUMBING UNDERGROUND ., . V PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF ocr• 'PANCY ISSUED FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL -- SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE ---~ POST TENSIONED CONCRETE FIELD WELDING -. ----1-ilGH STRENGTH BOLTS --L ---- SPECIAL MASONRY ' !-------------- I PILES CAISSONS I -~ -----------~ ------------ ------------- I --~ -----------------~ -------- ~ - --L__ ' -------------------- -----·-·------~ ----· ------- ~ ----------·-- ----- - --- ~----- .. APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD SE ENGINEERING DEPARTMENT 438-5541 ' IJJ ISSUED BY -. --FOR APPLICANT TO FILL IN ~ I " ( --DATE ISSUED BUILDING ADDRESS VALIDATION OWNER MAILING ADDRESS LATERAL CHARGE COMPUTATION CONTRACTOR STANDARD 4" (Max. H. 30', V. 10') OVER 30' H. @ FT. CONTRACTOR'S OVER 10' V. @ FT. ADDRESS STANDARD 6" (Max. H. 30', V. 10') OVER 30' H. @ FT. NEW BUILDING I EXISTING BUILDING I OVER 10' V. @ FT. LEGAL DESCRIPTION TOTAL CONSTRUCTION COST --r -"~ SERVICE CHARGE (REPAVING ETC.) - TOTAL LATERAL CHARGE c.-l (. REMARKS: LINE COST DATA ASSESSMENT DIST. NO. FRONTAGE COST PER FT. TOTAL OTHER LATERAL LOCATION I CONNECTION FEE ..: I I ..: V) V) NO. UNITS COST PER UNIT TOTAL '' ' '\ PUMP STATION FEES \..j \.../ NO. UNITS COST PER UNIT TOTAL I ST. I ro TOTAL CHARGES (LATERAL ETC.) LATERAL NO. INSTALLATION DATE WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter