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Home My WebLink About2624 EL CAMINO REAL; F; 83-45; Permit{I) z 0 ~ a: C ..., 0 "' 0 C I[ 0 0 m: "' Q _, 5 ~ "' z ~ • 0 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 fu II force and effect. Lie No __ ·--Class ___ _ I hereby affirm that I am exempt from the Contrac- tor's License Law for the following reason (Sec 7031.5 Business and Professions Code· Any city or county which re-quires a permit to construcl. alter. improve, demolish, or repair any structure. pnor to its 1ss_uance aiso requires the 31?'" plicant for such perm,t to tile a s,gned statement that he IS licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of 01vis1on 3 of the Business and Professions Code) or that ,sex- empt therefrom and the baS1s for the alleged exemption. Any v,olatoon of Section 7031.5 by an applicant for a permit sub- ,.cts the applicant to a c,vtl penalty of not more than five hun· dred dollars ($500) · [J I, as owner ol lhe property. or my employees with wages as their sole compensation, will do the work, and the struc· ture IS not Intended or offered for sate (Sec. 7044. 8uS1ness and Prolessions 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 no.t mtend-ed or offered for sale. If, however. the bu1ld1ng or improve-ment 1s sold w11h,n one ye.tr ol complolion, the owner-builder w,11 have t burden of proving that he did not build or Im- prove for 11u~) I, 1, a ,;r {1 the prop;rty. am exclusively contracting ~Ii contractors lo construct the prOjecl (Sec 7044, BuSI s and Professt0ns COde The Contractor's License z : 0 ~ {I) z "' A. :Iii 0 0 {I) a: "' ~ a: 0 3 ![ Law oes not apply to an owner of property who builds or Im· proves thereon. and who contracts for each protects w,th a contractOf(S) license pursuant to the Contractor's license Law). D As a homeowner I am Improving my homo. and lhe lollow· Ing conditions exist; 1 The work. Is being performed prior to sale 2. t have lived m my home for twelve months 3. r·~:: ~p~~/:l :~.;; :~!ption dufing the last three years _____ ,B&P.C. [J I hereby affirm lhat I have a cer11t1c.te of consent lo self.msure or a cer11ticate of Workers· Compensation Insurance, or a ceri,hed CoPY thereof (Sec 3800. Labor Code) POLICY NO COMPANY D Copy 1s filed w11t, the c,ty 0 Cert1f1ed copy ,s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be compteted 1f the permu ,s f0< one hundred dollars ($100) or less) 0 I certify that 1n lhe performance ol the wof'k. tor which this perrrut ,s 1ssued, I shall not employ any person ,n any manner so as to become subJect to the Wof1\ers· Compensation Laws of Cahtorma NOTICE TO APPLICANT II alter mak1n;i this Gen, flcate ot Exemption. you stlOuld t>ecome sub)ect I? the WOOC.ers · Compensation provisions ot the labOr Code you must forthwith comply with such provisions or 1h1s penmt shall be deemed revoked 0 I hereby athrm lhat !here 1s a cons1tuc11on lending agency to< the perlormance ol the work lor wtuch ttus permit ,s 1ssued 1sec JIE7 C1vd Code) Lender s Name ___________ _ Lenders Address ------------ USE BALL POINT PEN ONLY & P..RE}S HA_R_I)_ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 JOB ADDRESS A~~-Tr~ 0 t~r;.;N1 BUSINESS LICENSE # VALUATION PERMIT NUMBER ~"~4-F 6<-~AM I f,,J O Re-~ L-~I/JO OWNER'S NAME 14~::;~H;: CONTRACTOR CONTRACTORS PHONE • ZONE lf3-45 AFSAR M1~~~~·~\..1 OWNER'S MA,LING ADDRESS CONTR;7,.;;:RESS LICENSE NO. PLAN I.O. # BLOG USE CODE ~ ..... _""!C.. p s;:,5::1' t)P Al I& tr ~Ii:_o~, :I sueM ,s ON .J::SSESSOR PARCEL NO . '3 DESIGNER' LICENSE # STANDARD PLAN# BUILq~.AGE , r: l ,A..b .CV... I ~7---..... _ '2. ;:~IPTION OF W ~~•~-r. V.A..e~N, ~~,. _ _. ,s,..,Ld'.t, .i.: • .-DESIGNER'S ADDRESS DESIGNER'S PHONE 'to --' di;;; • ~r4u("a.A.N.-,- .... • . ~ F/P FLRELEV. NO OCC GP EDU ,(" vO ,.rJ -- STO?ES 'B-2 'J..,lt CENSUS TRACT I GP LANO USE l PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REOE<,ELOPMENT TYPE DCC LOAD FIRE SPA YO N /J AREA si CV!;J ~@ vO N~ vO N Not Valid Unless Machin~ c~rtifilHi , ' QTY. PLUMBING PERMIT -ISSUE "I . !;v QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER &::::; EACH FIXTURE TRAP ;.z_q INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 74,00 EACH 8UILOING SEWER . OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 I -h-~ -t-4.~.~ EA CH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 -, n .,c;;r --,,c..' rr'} EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3·15 HP TOTAL PLUMBING 01-00-00-8222 • EACH GAS SYSTEM 5 OR MORE -J ELECTRICAL -.,,, METAL FIREPLACE 01-00-00-8223 ------------------------ EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 -- EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-00-00-8225 - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MDBILEHOME PARK INSP EACH ROOF DRAIN (INSIOE) SOLAR 01-00-00-8226 TOTt.L MECHANICAL -~ STRONG MOTION 80-92-33-0519 ~------r-,,, .::: :e,t; TOTAL PLUMBING FIRE SPRINKLERS 01-00-00-8227 PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERMIT -ISSUE ;::;',t./0 QTY. SOLAR -ISSUE BRIDGE FEE NEW CONST EA AMP SWTiBKR COLLECTORS SCHOOL FEE · DISTRICT 1 PH 3 PH STORAGE TANKS I Carlsbad 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ' ROCK STORAGE Encinitas 80-92-22-0519 1 PH 3 PH PUMP San Die~ ____ 80-92-23-0519 --JIii{ . tJC:.. ' REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519 ~· . TEMP POLE 200 AMPS -<..... -,...,:;.7~ l) - --. OVER 200 AMPS t'r\ 'Zf~/ 9J~ -- TEMP OCCUPANCY (30 DAYSI ------L•-• ---------1 ·-t-- TOTA L ELECTRICAL ,n.--TOTAL SOLAR TOTAL FEES PAYABLE I 0 21~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY Expiration. Every permit iuu.d by the BuHding Official under the prov1s,ons of th11 * AN OSHA P£1WIT IS R£QUIREO FOA EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim,tatton and become null and void If the building or work !I" O" DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authorized by such permit•• not commenced wolhon 180 days from the date of such STRUCl\JAES OVER 3 STORIES IN HEIGHT permit, or 11 the build•nft or work authorizad by such permit ,s suspended or ISSUl;D: TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a er the work II commenced tor a t>Ar,Od of i'iiii d•"• STRUCTION. WHfTHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE ' ., OWNER)( CONTRACTOR o· APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND iffJ' 11 ·l~S~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 'I.. t1l11 /)A/, J /1 I BY PHONE 0 GRANTING OF THIS PERMIT I n. I V V .!!? u:: >, ~ 0 0. E Q) I- "O 0 (!) c 111 .!2 a. 0. <( I ::.: C a: 0 Cl) Cl) Q) Cl) Cl) <( I :!: .2 a; >- ui Cl) Q) 0 0 ct 111 iii 0 §: Q) 0 C 111 C u. s C Q) Q) (5 0 0 Q) 0. Cl) C ~ .c. ~ INSPECTION TYPE : e DATE , INSPECTOR ---... • • .. "" BUILDING X: 1(3 '81S 4-S°" - FIELD INSPECTION RECORD FOUNDATION • REINFORCED STEEL ,. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES r=======~~~~====~~~~~~~==~=================d MASONRY INSPECTION REO IF INSPECTOR'S DA "'-' CHECKED APPROVAL TE "-• GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME I PRIOR TO , FOUNDATION INSP f r.-,· .'. \ f ,<,\ )~ • SHEATHING •. ::, ~,,. ,. "· ..... ~, , -. • - \. STRUCTURAL CONCRETE FRAME OVER 2000 PSI -.• EXTERIOR LATH lNSULATION PRESTRESSED CONCRETE INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING _ FIELD WELDING SEWER AND BL/CO ' -~ r-;-;H~IG~H~S~T~R~E~NG~T~H-- 1---t----+----~~~~----l J--~----~~--~----~-~~--~------~-----1 PLUMBING UNDERGROUND I ~~~ ~ r--BO_L_T..:_S _____ -+-----+------+---......J r-----------------~----------------1 PLUMBING TOP OUT I -SPECIAL MASONR'i' _T_U_B_A __ N_D_S_H_O_W_E_R_P_A_N-----'--' ----+-------+------r--------1------+-----+-----l ~ _- • i: GA~ TEST PILES CAISSONS ELECTRICAL I - TEMPORARY POWER I • t ,.-. "t--...... --:- ELECTRIC UNDERGROUND 1 : · • • \ , • .'' ~',. ROUGH ELECTRIC : •· -· ~·~ \1 ' ELECTRIC SERVICE I t f • {.$. • , 7 BONDING • ~ ~ ' ~ .. G. F.1. -SMOKE DETECTOR r--------------~·--------------~ MECHANICAL ' \ P·.\.'1 ',.•" ·,-;:, \. DUCT & PLEM., REF. PIPING --\. 1 " • --• _ HEAT -AIR COND. -SOLAR SYSTEMS ., '·:, ~ -., ,. " - -" VENTILATING SYSTEMS " ' S • '1 \'?V' ' CALL FOR FINAL INSPECTION WHEN ALL APPROP~IATE v' ' ·., :. . _· • .t ·.. ; J ; ITEMS ABOVE HA VE '/JEEN APPROVED. ~ , r , ~ .... ~ ~-1 --1 _{ t C}' •. ili / .-, ! • JOB SITE FINAL ----i ~ / 'L· " •1 ••• • A;;-. PLUMBING "• ~ ~ ~ ~= t-~ ..... ,.-' -· . ' I _...,_ • >-' ., / ~ , ELECTRICAL '\. :..-f\ y ,JP "'7' /~ :j(,~;-..__ • '-· \ MECHANICAL rir/ S.X-/ . >"" ·) \ • .f1 -G_A_S ____________ .-,,,:::;.~:__~~..V'--·-'---<~_::,::'-::__··.:..::··:__~·--.' -.• ,r" ',.-,-\ \ ! c" \~ •• \I F ,. .. ......~ ' • .,. t . .-.; • .-1 • .... r "'t-r; -~ ' . .,;.~ '-.~ 1 BUILDING ·~ ._ -' ''--· · .• ;-'"--• • • ·--·--------1 SPECIAL CONDITIONS -• CERT OF OCCUPANCY ISSUED , . -11 •r• J j m\1,f ;.' APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING LEGAL DESCRIPTION REMARKS'. 24 f-Et-~AM\~I t.J. A . • EXISTING BUILDING LATERAL LOCATION L-x1 - ST. ...: (/) LATERAL NO, _______ INSTALLATION DATE------- ISSUED BY ___ _.__-==-----,-,---------- DATE ISSUED----------------- VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10'>---------- OVER30'H. @ FT. _________ _ OVER 10' V. ___ @ ___ FT.---------- STANDARO 6" (Max. H. 30', V. 10') _________ _ OVER 30' H. @ FT. _________ _ OVER 10' V. @ FT,---------- TOTAL CONSTRUCTldN COST---------- SERVICE CHARGE (REPAYING ETC.) TOTAL LATERAL CHARGE LINE COST DATA ASSESSMENT DIST. NO.-- FRONTAGE COST Py FT. TOTAL OTHER CONNECTION FEE NO. UNITS 2 COST PER UNIT t TOTA(l PUMP STATION FEES NO. UNITS COST PER UNIT TOTAL TOTAL CHARGES (LATERAL ETC.) ~ WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter