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D I hereby 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.
Lie. No _______ Class
I hereby affirm that I am exempt from the Con-~~0{~~!~::: ~: ~f~~l~l~~~~g;e~;
county which requires a permit to construct
alter. improve, demohsh, or repair any structure,
poot to its issuance also requires the applicant fOf
such perm,t to hie a signed statement that he 1s
tfCensed pursuant to the prov1s,ons of the Con-tract0<'s License Law (Chapter 9 commencing with
Section 1'CO) of 01v1s1on 3 of the Business and Pro-
fesst<>ns Code) or that ,s exempt therefrom and the
basis tor the alleged exemptk>n. Any VK>lation of
Section 7031.5 by an applicant for a permit subjects tne apphc.nt to a civil peNlty of not more than ftve
hundred dollars (S5()()).
□ I. as owner of the property, or my employees ,.,th wages as their sole compensation, will do the wont. and the structure 1s not intended or offered fOf sale (Sec. 70.U. 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 throug~ tus own employees. provided that such Improveme.its are
not 1nteode1 or offered for sale It. however. lhe
building or improvement Is sold w1th1n one year ol completion. the owner-builder will have the burden
of p,oving that he did not build or improve for the pui;pose of sale).
I. as owner of the property, am exclusively
~n9 w,th licensed contr~tors to construct
the pro,ect (Sec 7o«, Business and Professions Code· The Contractor's license Law does not apply
to an owner ol prQPerty who builds or improves
thereon. and who contracts for each pro1ects with a
contractOt(s) license pursuan1 to the Contr.cto,·s
License Law).
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I D Jam exempt under Sec ____ , B & PC }
tor th,s reason _______ I
~fl6~~
D I hereby affirm lhal I hai'e a cert1t1cate ol consent J
10 self-insure. or a cert1t1cate ol Workers'
Compensation Insurance. or a cert1l1ed copy thereof 1
(Sec 3800. Labor Code)
POLICY NO
COMPANY ______ _
0 Copy 1s Med with the city
D Cer11hed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed 1f the permit
,s tor one hundred OOllars (S100) or less)
D I cert,ty that In the performance ol 1he work for
which th1s permI1 ,s ,ssued. I shall nol employ any
person m any manner so as 10 become sub1ect 10
lhe Wo(1(ers· Compensatton Laws ot California
NOTICE TO APPLICANT If. after makinJ this Cert•
hcate of Exemption, you should become sub1ec1 I? lhe Wonit.ers· Compensa11on prov,s1ons of the Labor
Code. you must forthwith comply w11h such provIsIons or this permll snall be ~med revoked
0 I hereby affirm lf\41 there 1s a construction lending agency tor lhe ~rformance ol the wonc. tor
wh1ct'l lh•S permI1 ,~ issued (Sec 3097. C1v11 Code)
lenders Name ___ ~--------
Lenoer·s Address __________ _
v ....... ..-~---• -··· •• -·· -··-
J CARLSBAD BUILDING DEPARTMENT
...
APPLICATION & PERMIT \)
1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS ?, Al Tri/'~,-... A~;.T·I DqE,1~:P~NI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
>u)J /,,. ~ )500 i).,"
OWNERS NAME ;"l~~jf OWNER'S PHONE PRIME CONo,A CONTRACTORS PHONE • ZONE 3~ J. ~ /1.uPJ ~C--q/JJL_ -0, I 7 J
OWNER'S MAILING ADORESS • , CONTRACTOR', AOORESS LICENSE NO. PLAN 1.0. # BLDG USE CODE
.-,. II, • A _,,r -
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE ,; STANDARD PLAN # BUILDING SQ. FOOTAGE
DESCRIPTION OF WOR K
DESIGNER'S ADDRESS DESIGNER'S PHONE
~ ~~ 9/02/6227'4 6 ----. ·----F/P F LR ELEV. NO OCC GP EDU 4,,,;,~
STORIES ----·-.
vO NO --000127"5 ~1~21 e:e 41;~75 . , ·---'
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS 1 GRADING f'.ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Unlffs Machine wrtified
QTY. PLUMBING PERMIT -ISSUE 7,.S-o QTY. MECHANICAL PERMIT -ISSUE 3-r,/-c) SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-0on.422n ,, ~ I r"V'\
EACH BUI LO ING SEWER OVER 100.000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000·4806 Jl-,'1~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPR ESSOR 3-15 HP TOTAL PLUMBING 01-000·4222
,
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223
EACH INSTA~--ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 -000·4224
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ( INSIDE) SOLAR 01-000-4226 ~r,
TOTI.L MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING r FIRE SPRINKLERS 01-000-42?7
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25-000-4933
.:J,()tJ BRIDGE FEE
NEW CONST EA AMP/SWT IBK R COLLECTORS SCHOOL FEE • OISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinilas 65-624-0519
1 PH 3 PH PUMP San Oieguilo 65-625-0519
REMOOEL/AL TER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS -
TEMP OCCUPANCY (30 OAYS) --
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 4 \ .-,C-..,
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT'. AND DO HEREBY Expt11tion. Every perm,I ,ssued by the Building Oll1c11I under the prov,sions of this * AN OSHA PERMIT IS REQUtMD FOR EXCAVATIONS OVEII
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmitat,on and become null and void If the bu1Jd1ng or work s· 0 .. DEEP ANO DEMOllTION OR CONSTRUCTlOH Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,s not commenced within 180 days from the date of such STAUClVR£S OVEII 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-:~~::Cn':c, 1!t t=~y ~~!':ffe~~h=~~,:~:h:~:S.:le:~~~ r~7i~'~t'f~~~ or !I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APPLl~S ~URE .. p_ OWNEiA.._ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ 1Ct-1..-~-l EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ":f.... I!-\ 11 t;;1 D,. ...1 .1 u. 9Yi n BY PHONE o GRANTING OF THIS PERMIT.
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INSPECTION TYPE I DATE INSPECTOR
BUILDING I I
• i IC7 ,lO·~Z... CU-FOUNDATION
REINFORCED STEEL I II
1
.MASONRY ! -
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME f
I
I SHEATHING J
FRAME I
EXTERIOR LATH lNSULATION I
i INTERIOR LATH & DRYWALL ' PLUMBING i
I SEWER AND BL/CO I
PLUMBING UNDERGROUND I I
PLUMBING TOP OUT I
TUB AND $HOWER PAN ' I ,,
GAS TEST ,,
ELECTRICAL I
TEMPORARY POWER l
ELECTRIC UNDERGROUND I I -
ROUGH ELECTRIC I
ELECTRIC SERVICE I
I BONDING I
G. F. I. -SMOKE DETECTOR I
I
MECHANICAL I
' DUCT & PLEM., REF. PIPING I
HEAT -AIR COND. -SOLAR SYST~MS L
VENTILATING SYSTEMS :
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL ' . A
PLUMBING I /' .... ~ 1../~
ELECTRICAL ) __ , V''__,.-J
MECHANICAL I ""'''-''" (V""\ -7 /
GAS ,, I l'v' V _....-:.,. ,\'..\~
BUILDING ,,,,.. ....... ri , WI~
SPECIAL CONDITIONS fl , V u..--
CERT OF OCCUPANCY ISSUED I ' V
., ~
-
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ. IF INSPECTOR'S 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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INSPECTOR'S NOTES
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