HomeMy WebLinkAbout1853 Lilac Ct; ; 84-391; Permit'
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I hereby atllrm that l am Ucensed under
,visions of Chapter 9 (commencing with
§ictlon 7000) of Division 3 ol the Business
and Professions Code. and my license is in
lull fo'§'-.!Ul,d_Af~ 0 ~
Lie No~. (101,-
I hereby alf1rm that I am exempt lrom the Contrac
tor's L,cense Law for the follow,ng reason 1sec 783' S
Busmess and Professions Code Any c,ty or county whIcn re-quires a perm,1 lo conslruc1. aller ,mprove. demolish. or
repair any structure. prior to ,1s issuance also r~qu,res '.heap
pI1cant for such permit to file a siqned sta:emenl that he Is
licensed pursuant to the prov,s,ons 01 the Contractor's
L,cense Law IChaoter 9 commenc,ng with Sec1,on 7000 o!
o,v,s,on 3 of the Business and Professions COtle; or tha! ,sex-
empt therefrom and the basis for the allegeo exemphon Any
v1ola1,on of Section 7031 5 by an appjIcant !or a perrn,I sub
1ects 1he applicant to a c1v1I penalty 01 not more than live hun-
dred dollars ($500)
i I. as owner o1 the properly, or my employees w,th wages
as their sole compensation, will do the work, and lhe struc·
ture Is no1 intended or oflered 1or sale (Sec 7044, Business
and Protess,ons COde· The Contractor·s License Law does
not apply 10 an owner 01 property who builds or improves
1Mreon and who does such work h,msel1 or through his own
employees, provided t/ial such 1mDf(111ements are not intend•
ed or offered !or sale If, however, the buildrng of ,mprove·
menl Is sold within one year of completion. 1he owner·bu,lder
will have the burden of prov,ng that he d•d not build or ,m.
prove tor the purpose of sale)
LJ l,_as owner of the property, am exclusively con1rac11ng
w11h_ licensed contractors 1o construe! the pro1ect {Sec 7044.
Business and Professions COOe: The Con1ractor's License
Law does not apply lo an owner of property who builds or ,m.
proves thereon. and who contracts !or each proJects wth a
contractor(s) lrcense pursuant to the Contractor"s License Law)
LJ As a homeowner I am ,mprovmg my home, and the Joi low
mg cond1t1ons e~•st
1 The work is-being performed prior to sale
2 I have hved In my home lor twelve months
prior to comple!fon of this work
I have not claimed this exemption during the
last three years
D I am exempt under Sec ______ , B & P C
for this reason
D I hereby af!irm !hat I ha-.'e a cert,f,cate of consen1
to self-insure. or a cert,!,cate of Workers
Compensa11on insurance. of a cert11,ee copy thereof
(Sec 3800. Labor Code) Ill::., I 7 POLICY NO ~-,· .:;}""f
COMPANY -z..en ' t\,\
Q Copy >S filed w+lh the c11y
D Cert,l1ed copy ,s heret.,y turn.shed
CERTIFICATl OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need no! be comple1ed 1f lhe-perrn,1
,s to, one hundred dollars ISH)J) or 1ess1
0 ! cert,ty !hat m the performance u1 Irle wuli< 1or
whoch !his perm,! ,s ,ssued. I shall not employ any
person m any manner so as to become sub1ect tu
the Worlo;ers· Compensa11on Laws ol CaI1forn1a
NOTICE TO APPLICANT If, alter makmJ th,s Cer1,
t,cale of Exemp1>on. you should become-sub1ect 10
the Wo'11ers· Compensa1,on prov1s,ons of the-
~:~S,o~~u o, ';1,-,~!'0:~,~~~=I• ~~~~ym~oked
O I he,etly aft,rm tt1a1 !here s a con~1ruct,on
lending agency tor tht' performance 01 T~e wo,1, t,:i,
wh•ch !his perm,t ,s ,ss ... e-d ,Sec l,091 Civ•I Ccxle,
Lenders Naf'1e ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, Califo!_nia 92008•1989 (619)~38-5525
NEAREST CROSS ST.
GRADING PERMIT ISSUED
¥0 ND
QTY.I PLUMBING PERMIT -ISSUE QTY.
EACH FIXTURE TRAP INSTALL FURN
EACH BUILDING SEWER
EACH WATER HEATER AND:OR VENT
YO NO
REDEVELOPMENT
AREA
vD NO
APPLICANT TO FILL IN INFORMATION WITHIN SHAD EA AND DECLARATIONS.
APPLICATION & PERMIT
TYPE
CONST
BUSINESS LICENSE# I VALU~ I ; "'7RMIT NUMBER 25,-
1 I ZONE I 3f(
PLAN 1.0. # BLOG USE CODE
STANDARD PLAN# BUILDING sa FOOTAGE
EDU
ace LOAD I FIRE SPP
vO NO Nor Valid Unless Machine Certified
SUMMARY/ACCOUNT NUMBER
01-00-00-B220
SIGN PERMIT 01 ·00-00-8221
PLAN CHECK 01 ·00-00-8B06
EACH GAS SYSTEM 1 TO 4 0 UT LETS P,I I""'"""'"""'"""""""""'""__.><( J I TOTALPLUMBING 01-00-0_0·B222 l__lQQQ -.
EACH GAS SYSTEM!"> OR MORE -1--iO----+------=-::'.'~-ELECTRICAL
EACH /NSTAI,.. All ER. REPAIR WAH_~~~~~ -----...,_,.__ __ !----_,.~f--'---MECHANICAL
01 ·00-00-8223
EACH VACUUM BREAKER ~--t M0BILEH0ME
01·00-00·8224
01 ·U0-00·8225
WATER SOFTNER V I VII l.]!i-rOCAflON OFjE,Yli'JR'IJ'CE/HEATER 1--.. U MOBILEHOME PARK INSP
I I EACH ROOF DRAIN IINSIDl, e:1 I . /U...-:C I A l ,1.4 J. v , 1 , I SOLAR ---·
ji I~ TT o Ul\•11rl\1 I/ '-.__J)J-QQJ2Q:B226 -+----------f
80-92·33-0519
QTY.
PER CIRCUIT
200 AMPS
TEMP OCCUPANCY 130 DAYS!
TnTAl ELEURICAL
: ,, , ', ;, , ;., ;" ;_:-,,----,,-,/4:f'T\i;;,
I HAVE'tAREFULLY EXAMINED THE COMPLETEQ "'ApPUCATION AND PERM1r·,1 AN~Jl,'¢'t~R'
.CERTIFY UNDER PENA\.TY OF PERJURY JHAT ALL INFORMAT!Ol<i(HEREOl.f1_1\1cl,tjj)iN<¼
DECLARATIONS ARE TRlJE AND CORRECT AND I FUATHEA,CEFrtlFf AN
ISSUED·' TO ~PLY WITH ALL CJTY, COUNTY 'ANO srAte LAWS,,GQV,
sTRucTmN. w11ETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TQ. SJcyi-tr-tDEJ.AJlFY_ Aflt'.i
KEEP HARM.LESS THE c,rt:Of ,CA.f\LSBAO 4GA'tNST ALL UABJUTtES, JUOO. MEN'.TS. cpsf~fAMO
EXPENSES Wt(iCH MA'fi,IJJ AN-Y-,W~Y ~GGRtJE AGAtNST SAID CITY ffl CO~QUENCE'9f1
GRAHJl~G.OE, THIS f'EI;lMEr.. , .. ' ' '
TOTAL SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
LICENSE TAX 01-00-00'8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE
01-00-00-8227
32-00-00·8933
80·92-21-0519
B0-92-22-0519
80-92-23-0519
80-92·24·0519
* AN 0SNA PERIHT IS ~FOR EXCAVATIONS OYEFI s· o·•. tfft:P AIII! ~---011 OONS1'IIUCfloN ,,.
STFI.JCTUAE$ ~A 3 STOAtes 1N HE:KiHt
APPROVED BY DATE
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
I
I
l
GUNITE OR GROUT 1
FLOOR & CEILING SUB FRAME 1
SHEATHING □ ROOF □ SHEf\R
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
I
I
L
I
_j_
PLUMBING 1
SEWER AND BUCO .. □IPUCO 1
UNDERGROUND tJWASTE _Q__'if_ATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ l!JFFER
ROUGH ELECTRIC ,
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL
, MECHANICAL :
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
DATE INSPECTOR
i.
CALL FOR FINAL INSPECTION WHEN ALL APPROPR/A TE ITEMS ABOVE HAV6 BEEN APp_ROVED. . __
FINAL
PLUMBING
ELECTRICAL I
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
'
I
·.
-
~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
.
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE ! ..
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING -
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
-
PILES CAISSONS
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