HomeMy WebLinkAbout2688 FLOWER FIELDS WAY; ; 84-110-105; Permit.. z
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'rv!(' I hereby affirm that I am licensed under
~11lslons of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is 1n
full force ang~q '""'b /
LIL No 2'2';S Cia,\ ~
I hereby atf,rm that I am exerrot from •ne Contrac
10, s license Law for the fol,ow,ng 'easo~ !Sec 7031 5
Business and P,otess1ons COOe Any city o, counTy wh,cn re
quires a perm,1 to cons1ruc1 alter. ,mpro-,e demolish, or
repair any structure. prior to ,ts issuance a;so ·eouires :~e ap-p11cant lor such perm,1 :o He a s,qned s:atecr,ent that ~e 15
licensed pursuant to the orov.s,ons of :ne Lonrractor s
L ,cense Law 1cnaoter g commenc,nq with Ser.tion 7000 o'
D1v1s1on 3 ol the Business and Pro1essrons Codei or that 1s ex-
empt t~erelrorn and the bas,s 1or the a'leged e,em;it,on Any
v,o·at,on ol Sec1,on 7031 5 by an appl,canr for a perrP1' sub-
1ects lhe app11can110 a ClVII penalty of not more than 1,,e ~'Jn-
dred dollars ISSOO!
I as owner ot the property. or my errip1oyees with wages
as their sole compensation. w,I' do the wo·k and the struc
ture 1s nm ,ntended or oflered for sale 1sec 7044. Business and Professions Code The Conlraclor s License Law does
not apply to an owner of property w~o builds or improves
thereon and who does such work himself or through his own employees. provided that such ,mprDvements are not ,ntend-
ed or oflered lor sale If. however. the bu,ld,ng or ,mp,ove
ment ,s sold w,th,n one year of completrnn. the owner-builder
will have the burden of proving that he d•d not build or ,m-
prove lor the purpose of sale)
I as owner of the property am exclusively contracting with licensed contractors rn construct the pro1ect !Sec 7044
Busmess and Professions Code The Contractor"s License Law do,es not apply to an owner of property who builds or ,m proves thereon. and who contracls to, each pro1ects with a
con1,actorls) license pursuan1 to the Contractor's License Law)
As a homeowner I am ,mprov,ng my ~ome. ana The lollow
,og cond1t1ons exist
1 The work 1s being performed prior to sa1e 2 I have lived 1n my home for twelve mont~s
prior !o completion o1 this work I have nol claimed this exemp1,on curing t~e
last three years
~r t'h~~ r~:~~t under Sec -------B&PC
"c:!, hereby a/form 111a1 I na,e a cen,1,ca1" ot :o..-,se"' ~ell ,nsure. or a cert1l1ca1e o1 Wor~ers
COmpensat,on Insurance. or a cen,t,e<J COP\ rhereo'
!Sec Ja()(l Labor Code1
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POucrno #a:=. -B4--/67(,4b 1
COMPANY Fk;tl(o,t+ .:t;,Je;,,,,-tu :
~opy ,s foled w•1h the crty ' -{ I z w ~ :,;
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0 een,hed copy ,~ ne,eby turn,shed
CERTIFICAH OF EXE:MPTION FROM
WORKERS COMPENSATION INSURANCE (Th,s sect,on need no! be completed ,1 lh<> ;,e·m,1
15 to, one hundred dollars ,$100, or 1ess1
D I cen,ty tha! ,n !h!" per1ormance ·J' the ... o,~ ''"
wh,ch 1h15 perm,! ,s ,ssued. I shall oot em~luv ar,1 person ,n any manner so as lo become suo1ec• I"
the Workers COmpensat,on Laws ::i• Ca1,lorn,d
NOTICE TO APPLICANT 11 alter ma~rn] •h,s Cert,
•,ca1e ol Exempt,on you should b<>c-orne sub1ecr 1, lhe Workers COmpensat•on provis,ons ol The Latx>r
Code you must lonhw,th compl\· with such prov,s,or>s or th,s perm,! shall De deemed re,c,,ecJ
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,~ h p s a ror•slrucr,,~~ I he<eby aJ!,m, 1ria1n:07~.ac'.ce .·,' ;.,e ,...or•,,,, I
<Cl ien rng a~ency Jo, The p d $er 1091 r1 CJOD W wri,ch ,ri,s P€'"'~ __ fe I 0 e :f:-.e ~ c,o,e,s Name B ,:oa,;/L i ~ ,o @• Lender 5 Aaa,ess 1
st:,,, Cit '12,01
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
/1 t ,,(3--\ :> CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad. California 92008·1989 {619) 438·5525 w
"19"}:=?8 Fi/...O/,,JEI:. ~1&.C,.:S,· ~~ROSS ST. IOATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER u:
~ :z~ zo ,~_,'itE~i!:IM i; ,~,~ 1,=,;~ 74.3Ei 3t.os9 ,l, ,< ~ 10-~
~ BLOCK .. ~DlVlS10,-n '4.SSESSOA PARCEL NO. • .54-CONTRACTOR CONTRACTORS PHONE # ZONE -f I 10-0
• J..l,l -IIE-1:> 1"'-il:>A t I,,, 03o -~£RS GNSi'ic'lJCT10N
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23'2-1812 B -E
OWNER'S NAME 1 4 ~qW:E;:z;;;; w
5..b£ii::. f--
-lE~l:t,/ CONTRACTOR'S ADDRESS b1-&;c: LICENSE NO. PLAN 1.0. # BLDG USE CODE i f=, sf-: J 'SA.N ZZS!.-4"7 ,JJ OWNER'S MAILING ADDRESS .24"lG> A • D
p.o. &;x' Ut -.loLU\ J C4 ~1n;; 0
308, 9.zo.3e3 DESIGNER LICENSE# sf}~ BUILDING SO. FOOTAGE (0
NAEGLE J/ssoc/ A,z=::s. CZA-1.S 6..3(:)~
OESCR!PT!ON O~ORK I L . j...,... .,.----, C> 11 "~ DESIGNER'S ~ss d ' ,=::::,,LA-t.tA-OE.SIGNER'S PHONE [/ v( I ' c
z.::z1D . "' ~ 46q-24,,o)~ m
'"RLt,e,, =il=J~_ -=iJ=.105 LA-.--J6 J J A. . Ll
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-----F .'P FLR ELEV NO ace GP EDU 0.
STORIES *2'-1 8 "' YO -.,o --5 I
CEcNSUS TRACl l GP LANO USE ! Pt;•; :;ACI' RES8TS I GRADING PERMIT ISSUED l REDEVELOPMENT TYPE. OCC LOAO Fl RE SPF> ~
AREA ..... ¥ CONST C
,o ' D ,o' V-t+IR ,o ,t,( Nar Valid Unless M•chme Certified 0:
QTY. PLUMBING PERMIT· ISSUE
! 7--~ QTY. MECHANICAL PERMIT -ISSUE .3-SUMMARY/ACCOUNT NUMBER 0 m
I, n EACH FIXTURE TRAP ' 1,5;; -a INSTALL FURN DUCTSiJPTOlOOOOOBTU ~z BUILDING PERMIT 01-00-00-8220 /r,q3--:-_ m w m
A ' OVER 100.000 BTU SIGN PERMIT EACH BUILDING SEWER 5:Z.. -· 01 ·00-00-8221 m
+ --~--·--------------, I ,-.,~ ""'6 -"' b EACH WATER HEATER ANO OR VENT -,~ -i BOILER:COMPRESSOR UPTO 3 HP PLAN CHECK 01-00-00-8806 I
P-.. EACHGASSYSTEMl JLJ.~OUTLETS ~---i SOILER:COMPRESSOR 3 1'.l HP ------TOTAL PLUMBING 01-00·00-8222 =,4,.:50 ~
---t------· ----· ----------0
EACH GAS SYSTt.M SOR MORE '.1ETAL ~'REPLACE ELECTRICAL 01-00-00-8:!(3 z .......,,ro -" -··-----------"-----------
EACH INSTA~ ALTER, REPAIR ''Ji.'ATER PIPE '+-VENT FAN SINGLE DUCT 18 --MECHANICAL 01-00-00-8224 Sa -->-
-------------+ jt --· -----··
EACH VACUUM BREAKER I ,, MECH EXHAUST HOOD OUCTS MOBILEHOME 01 ·00·00-8225
V,'ATER SOfTr..JER RELOCATION OF EA FURNACE:HEATER MOBILEHOME PARK INSP ~ m w
[-_ACY RD~:F rli-1.ll'J I l'J:'--1[',[ SOLAR 01-00-00-82.26__ ~---" --------0
I I TOT kl MECHANICAL STRONG MOTION 80-92-33-0519 __ "2::S. -1, ii:
---, 53 -I-----
TUI Al PLUMRINl. I ' FIRE SPRINi<LERS 01·00-00-8227 rn
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PUBLIC FACILITIES FEE 32·00·00-89:Il 72.7..8..-0
QTY. ELECTRICAL PERMIT -ISSUE SOLAR· ISSUE ~ I BRIDGE FEE
Q NEW CONST EA AMP S\.Vl f-iKR ,~_,j 2-CO. __ -[· ::OcU:.c·r1RS
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SCHOOL FEE -DISTRICT u C
I PH :; PH sioRAGE -A'·J~,S Car'.sbad_ -~--1,.-T~ 80·92·21 ·0519 m
--. -----C
EXIST HLDG EA AMP·SV,'T BKR ROCK SJC,RACiE Encinitas 80-92-22-0519 LL
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I PH 3 PH ' PUMP San 01eg_~_11_0 ___ 80-92-23-0519 ---I REMOnEl AL ltR PER CIRCUIT P'.A\ r:1~:u: FFE San Maccos 80-92-24-0519 ----i:.;;,,, ==>.4 7 z. _:_ . C
TE\1P POLE:. )UU Al,IPS I T:> ' L ,_; --"" ,.., 43 -+--w w
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-. --. -i5 0\/E:.R 2lJU AMPS LICENSE TAX 01-00-00-8162 ----------,,~-TEMP OCCUPAr-.CY ·:JO DAYSI MFF 80-92-57-0519 8X880 --~ --:-----· <.., z.= . ..._8, I CREDIT DEPOSIT 0 ---
lilTAI ElfLTRlf.Al
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TOTAL FEES PAYABLE I q-4 ;;zz · Cf 4 w
'205 -:i I 0. m
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! HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT"' AND DO HEREBY Expiration. Every per.mi.I issued by the Building Ollicia! und8f !he provisions oftllis * AN OSHA PF"awrf IS REOUIREO FOR EXCAVATIONS OYER I
CERTiFY UNDER PENALTY OF PERJURY THAT ALL 1NFORMATION HEREON !NCLUO!NG THE Code shall expire by llm1tat1on an)~ come null and void lf the building or work !i' O" 06#" ANJl'[)EMOLITK>N OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ~ by such~ C1'1t 1s not co ~Je with,n 180days;;~ the date of such ST OVER 3 STORIES IN HEIGHT 2
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-
J'' the bu1 '::tte or w• -': • ed by such perm! IS suspended or / . . .c andon at anv ti a ••~he I menced for a "'"r of 180 davs
STAUCTION. WHETHER SPECIFIED HEREIN OR NOT. t ALSO AGREE TO SAVE INDEMNIFY AND APPLJ OWN~~ CONTRACTOR 0 APPROVED r --1.\ ~/~ ,:
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO \.._ pn ~ _j ~) .#.. '(,/.,,4
EXPENSES WHlCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. , / lo • v-f /' BY PHONE 0 r-..__,
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TYPE I
BUILDING I
FOUNDATION I
DATE INSPECTOR - - ----------- ' ,,..------~-=----------~ -84-llD-\D~
FIELD INSPECTION RECORD
REINFORCED STEEL
MASONRY REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES
REQ IF I INSP' ECTOR s I DATE I CHECKED APPROVAL ' '
SHEATHING D ROOF D SH6AR -I ~~i't! ~~MPC ""E. I . ~~~lice' ---
1 FOLINC-A-:-10"' l~SP I FRAME _ -----+------______ _
STR0CTL.1nA: '.":tlNC:RfTE:_ 1 EXTERIOR LATH I OVER 2000 ,,,;,. ! 1 INSULATION I PRbTRESSED I . '
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
INSPECTION
::-:ONCPETE
INTERIOR LATH & DRYWALL I I I 1 ~osT r~~rns,ec -f ---+'
cor-,,,cR~, E _ _
PLUMBING : J:IELD
1
NE-~IN(; __ - -'·-+-----·----------+ ----
r-i!GH STHE:.NG fH r SEWER AND BL/CO DIPL/CO
UNDERGROUND D WASTE D WATER 80, TS
TOP OUT D WASTE D WATER '-i~'E:~ Al. MA~(Jr,.,.i::;v
----
TUB AND SHOWER PAN
G I 1------
AS TEST I ''" ES uisso,-, + =+ D WATER HEATER D SOLAR WA~ER e----------·· -T-. -------
--·· ELECTRICAL , ~~----1------.
D ELECTRIC UNDERGROUND D ~FFER >----------f------+-----
ROUGH ELECTRIC , ~ ~~~~~ ses~c;,,0~ ""'o~m ~ .~ ~=~~ l ~ rf--------------------------s
D DUCT & PL:ME~HA~I~::: PIPIN:G -. ------:--_---+' ~-----+---11
HEAT -AIR COND. SYSTEMS , I --+--f--------------------------_j
VENTILATING SYSTEMS ;
CA.LL FOR FINAL I.NSPECTTiSN WHEN ALL APPROPRIATE _ ITEMS A_BOVE HAV/! BEEN APPROVED.
flNAL I I J.....,
PLUMBING I -, 7f7J . , Y""-ELECTRICAL I -
MECHANICAL I V '?' /
GAS I / 1'I'
BUILDING I : ... --""" ........ -'' ,· '
I i SPECIAL CONDITIONS I L ____ , _L ____ l_ ___ .........J I