HomeMy WebLinkAbout2675 FLOWER FIELDS WAY; ; 84-110-115; Permit"' z 0 ;:: : :5 " "' a
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~ I hereby affirm that I am l!cem1ed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
lull force and ef~ ,::, 1 Lie No 22S2: Cl.11s ------D:'.:-1
I hereby afhrm tha1 I am exempt trom lhe Contrac
1or's License Law lor the following reason (Sec 7031 5
Business and Profess,ons Code A.ny c1ly or county wh,ch re-
quires a perm,t to construct, alter. ,mprove. demol•sh, or
repair any structure. prior to ,ts issuance also requires !heap-plicant for such permrt to hie a s,~ned statement Iha: he is
t,censed pursuant to 1he prov,s,ons o1 the contractor"s
License Law !Chapter 9 commenc,ng w1lh Section 7000 ol
D1v1s1on 3 ol the Busmess and Pro1ess,ons CMeJ or lhal 1s ex-
empt therefrom and lhe basis !or the allegea exemption Any
v1ola11on 01 Sect,on 7031.5 by an applicant for a perm11 sub
1ects the applicant to a civil penalty of no1 more ttian frve hun-
dre<:.t dollars ($500)
' J I, as owner of the property, or my employees w1lh wages
as their sole compensahon. will do the work, and the struc·
ture is not intended or offered 1or sale {Sec 7044. Business
and Profession~ Code The Contractor"s License Law does
no1 apply to an owner 01 property who builds or improves
thereon and who does such work h1msel1 or through h•s own
employees, provided that such ,mprovements are not intend·
ed or offered for sale 11. however, the building or ,mprOVll-
ment 1s sold w1th1n one year of complehon. the owner-builder
will have 1he burden of proving that he did not build or rm·
prove 1or the purpose of sale)
J I. as owner of the properly, am exclusively contracting
with licensed contractors to construct the proiect (Sec 7044,
8usrness and Professions Code. The Contractor's License law does not apply to an owner 01 property who builds or 1m·
proves thereon, and who contracts for each proiects with a
contractor(s) license pursuant to 1he Contractor's license law)
0 As a homeowner I am improving my home. and the follow ing conditions exist 1 The wor~ ,s being perlormed prmr lo sate
2 I have lived in my home 1or twelllll mon1hs prior to completion of thrs work
I have not claimed 1h1s exemption during !he last three years
0 I am exempt under Sec . B & P.C
for this reason-------------
..,,J, hereby a!fir.m that I ha-.,e a cert1f,cate of consen1
~el!-msure or a cenit,cate of Workers
Compensa,,on Insurance. o, a cert,1,ed copy thereat
(Sec 3800. Labor Code)
e()UC, No#=-84--/ ~ / 011.c,
COMPANY t--J\Rn<.o,rl" r~~
~Copy ,s filed w,th the city
D Cer11hed copy ,s hereby furn,shed
CERTIFICATE. OF EXE:MPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section ne,ed not be completed ,1 the pe,m,1
1s lor one hundred OOllars ($1001 or less)
D I cert1ly that ,n the pertormance of the wor1< tor
which this permit ,s issued. ! shall no! employ ;rny
person 1n any manner 5-0 os to become subrect tu
the Wor1<ers· Compensation Laws of Ca1,torn1a
NOTICE TO APPLICANT I! a!ler makm;i 1h•s Cem
!,cate ol E•empt1on. you should become sub1ec1 T'J
!he Worl<ers · Compensation prov1s,ons o! the Labor
Code you mus! tonh-..·1!h comp1, with such
prov,s1ons or !h,s perm,1 shall be deemed re,okea
J he•eby a!11rm thal there ,s a con~truc1,on
~,ng agency to, 1he pertormance ol lhe wor1< tn,
wh,ch this pe,m,t. ,s J~~ued 1Ser~1 (~•~I (~~'
LendersName----'f-l_,,c,.,_,_r"'1''-"''-----c'~-""'""--"'"'-
lendersAdd•ess 707 Eroa.d~
Su1 CA 92,ot
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
c..r:e5110. ~CROSSST.
ASSESSOR PARCE~ NO. 1 • . r ..i tt,:,, -030-_=-r_
1.2.3::'.::l e:, 1 D ~ D
coNtRAk:i:Qf's ·,,-.-.. -~»
YO NO
REDEVELOPMENT AREA
>0 N
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
!_A;rE OF APPLICATION ,' ·-, BUSINESS LICENSE # VALUATION PERMIT NU;:_
14-38>
E'--I
OCC LOAD
~/~
ZONE
STANDARD PLAN#
0~' \\
BLDG USE CODE
BUILDING SQ. FOOTAGE
o'.2.o3
<, e<t~
.J €1)
Not ~.o'<9i~s ~chine Certified
PLUMBING PERMIT· ISSUE MECHANICAL PERMIT· ISSUE SUMMAR/~
EACH FIXTURE TRAP I j'-] _""S, .-j ~ I INSTALL FURN. DUCTS iJP TO 100.000 BTU l 17_ ---t BUILDING PERMIT
EACH BUI LUING SEWER I :62 .-OVER 100,000 BTU SIGN PERMIT
EACHWATERHEATERANO/ORVENT I zo .-B01LER/C0MPRESSORUPT03HP PLANCHECK _0_1-00-00-8806-t'-f {
EACH GAS SYSTEM 1 TO 4 OUT LETS ____ ~-+---·~--:--_ I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-0SJ·.~0-822~-_---2...l~--~
EACH GAS SYSTEM 5 OR MORE iMETAL FIREPLACE ELECTRICAL 01·00-00-8223 40S ---
~~ACH INSTAL.. ALT~~~ R_EPAIR WATER!~ VENT FAN SINGLE DUC'.__ IP, --MECHANICAL 01-00-00-8224 6 3,, I
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I H MOBILEHOME PARK INSP
EACH ROOF DRAIN {INSIDE! SOLAR 01-00-00-8226
STRONG MOTION -~q-~2_-_33-0519 I ,/ 5 ~
FIRE SPRINKLERS 01-00-00-8227
TOTI..L MECHANICAL
TOT AL PLUMBING 74 5D 63
QTY. ELECTRICAL PERMIT· ISSUE s--QTY. I SOLAR · ISSUE I PUBLIC FACILITIES FEE 32·00·00·8933 I l.2 J. E:, -
NEW CONST EA AMP'SWT BKR
I PH 3 PH
EXIST BLDG EA AMP,iSWT:BKR
1 PH 3 PH
REMOOEL·ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELELTRICAL zo
I HAVEJ;ARE!:UW:E'XAMtNEO~E OOMf?L:¢l"E@i~UcAf«)N ,.:~ibvP~Mirt""
CERTlf'Y Utt!lEFLf?ENAl.TY OF. P£RJ\J~-1'.l:t>,T-l,IJ_" l~FOAfi6AtJOt'.i?ij/ftf:I~
DECLARATIONS ~fiE TRUE ANO ,OORREC"'f';AM) f F°J.JR.'tl:iffi-:c~FJ;TIR' lf\(i,~~
ISSUE:f:t. , TO COMP!.¥ wb:'t:J ALLJ1tlt--~ 4\J!tO ~TATE.!.AWS 60~9.Nttfil'B·-·
STRUC'rJON, Wt!ETHEff ,F'ECIFl(O, HEi,ElN _()A ~~, l-AL$Q, 1,G~, lO SAV~ ft!"'?
KEEP HAAML~ JH!l;OIJY·Of',CAAl.$8AQ.:IGAj!IS1 ALL .UABllfTIEll, JYO(!~
EXPENSES ~MA:'l'tl~ ~IJl.t,~Y<G~';'?~,u;,sr ~tp ,f:~:! 1!"~-~ G~~tll1s_e~r1:-,;4::"'. -~-"''*"'..:-0-,_ -,:~ __ , :""--. -:-,,--'. ,>> _ , __ ":.-~ r;u.*:
BRIDGE FEE
COLLECTORS SCHOOL FEE· DISTRICT
STORAGE" TANKS Carlsbad ....-L.:: 80-92-21-0519
ROCK STORAGE Encinitas 80-92-22-0519
PUMP San Dieguito 80-92-23-0519
PLAN CHECK FEE
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TOTAL SOLAR
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION ' I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEiAR
FRAME I
'
EXTERIOR LATH I
INSULATION ' I
INTERIOR LATH & DRYWALL I
' I
PLUMBING I
SEWER AND BUCO DIP UCO I
'
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
'
ELECTRICAL I
D ELECTRIC UNDERGROUND D (JFFER
ROUGH ELECTRIC ' '
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL ' I
I .
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYS:rEMS I
;
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVI;. BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
J •
FIELD INSPECTION RECORD ~4'-\lO-~ t 'S"'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION AEQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELD/NG
-~
HIGH STRENGTH
BOL Ts
SPECIAL MASONRY
f---
PILES CAISSONS
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