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Home My WebLink About2728 FOREST PARK LN; ; 83-512-59; Permitfi o> o o 3 lU z o a p 111 a. 50 fiC UJ DC o |2f^''l^riI hereby affirm that I am llcenaed ut>der provlalons of Chapter 0 (oommencing with 8actk>n-7000) of DMahon 3 of the Bu8lr>es8 - aryj Profesalona Code, ar>d my license Is In full forc^ ahd effect. Uc C13SS 1 heretry affirm tfiat I am exsmpt trom tha Contrac tor's iJCftTiM Law for the totmnng reason (Sec. 7031 5 Business and Professtons Code Any ctty or county wtilcfi re quires a permu to construct, alter, tmprove, demolish, or repair any structure, prior to its issuance also requra the ip-'picant for such permt to hie a signed statement that he Is Dcensed pursuant to the provisiofts ot ttie Contractor's Uconse Law (Chapter 9 commeoctfig witfi Section 7000 o< Divtsion 3 of the Business and FYofesscns Code) or that a exempt therefrom and the basis for the aBeged exemption Any violation of Sectran 7031.5 tiy an applKant tor a ixfrrnt subjects the applicant to a cmj p^tty of not more than hve hun dred doOars (J500). □ I, as owner of the property, or my employees wrth wages as their sole compensation, wd do the worft, and the structure Is not intended or ottered for-sale (Sec 7044, Busmessand Professfons Code: The Contractor's License Law doesnot apply to an owner of property who bukls or vnprovesthereon and who does such work mmseh or through his ownemployees, provided that such vnprovements are not intended or offered for sale. It, however, the buklmg or improvement b sold within one yeer of comptition, the owner-builderwiO have the burden of provmg that he did not build or m-' r the purpose ol sale). I. as nvner of the property, am exciusfvely contractingtlh bcensed contractors to construct the profeci (Sec. 7044. Business and-Professfons Code: The Contractor's LicenseLaw does not apply to an owner of property who buitdi or Im-proves thereon, and who contracts tor each prcy^ with agntractorts) Icense pursuant to the Contractor's License □ As a homeowner lam nprovlng my home, and the fciow-Ing condinonB eoostThe worft ts being performedI' have' bved in my home rto sale,twefre monthspmr to comptebon of tha wobt.I have not dained this exemptlast tfiree years.; exemption durmg the □ I sm exempt under Sec . for this reason pn fiereby affirm that i.have a cenificale of consantTO self-insure, or e certificate of Workers'Compensation tnsurarce. or a certified copy thereof(Sec 3000. Lebor Code),^ _ . POUCY □ Copy ie filed with the city .jC/r Q Certified copy is hereby furnished CERTIFICATt OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE(Tfks section need not be completed if the permii IS tor one hundred dollars (SlOO) or less) G I certify that in the performance of the work torwhich this permit is issued. I shall not employ anyperson in any manner so as to become subject tothe Workers' Compensation l.*ws of California NOTICE TO APPUCANT If. after making this Certi 'ftcate of Exemption, you should become subject tothe Workers' Compertsation provistons of the l.aborCode, you must forthwith comply with suchprovisions or this permit shall l:>e deemed revoked □ .I hereby affirm that there is a coristructioniendir>g agency 'or the perfcrrriance of the work lorwhich this permit is issued tSec 3097. Civrl Code) Lender 5 Name Lerxfer s Address . USE BALL POINT PEN ONLY S PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 72 7 CARLSBAD BUILDING DEPARTMENTIfflO Elm, Carlsbad, CalUomla 92008-1989 (619) 436-5525ij^uu cini, L/ansoaa, L.aMTomi!APPLICATION \ PERMIT NEAREST CROSS ST.. bLock 'sOboi vision OWNER'S NAME /)£y: a \ owMPO'f; AAAi i iNrt Annhp-<?<? • t ^ ^ ^ OWNER'S MAILIN^ ADDRESS CONTRACTOR'S AplSPESS DESCRfPTIQN OF WORK -CENSUS TRACT- QTY. Gp L-A'Nb'USE-C PARK ING SPACE PLUMBING PERMIT - ISSUE- EACH FIXTURE TRAP Ea|CH BUILDlff^l'SEWFR EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS ■ EACH GAS SYSTEM 5 OR MORE EACH INSTAE.. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) fOT/rL''l^LUMBING DATE OF APPLICATION 'BUSINESS LICENSE #VALUATION a- -si'\ gy/g. CONTRACTORS PHONE ZONE DESIGNER'S ADDRESS>DOC ^ ^ F/P • FLR ELEV yD nD RES UNITS GRADING PERMIT ISSUED Y □ N □ 2; QTY. QTY. ' ElECTRICAL PERMIT - ISSUE NEW CONST EA AMP/SWT/BKR 1 PH 3 PH EXIST B'bOG-EA AMP/SWT/BKR 1 PH 3 PH REMODEL/ALTER PER CIRCUIT TEMP.POLE. jOg AMPSg^^---. OVER 200 Amps TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL o& Z2 REDEVELOPMENT AREA - yD nD MECHANICAL PERMIT - ISSUE INSTALL FURN. DUCTS UP TO 100.000 BTU OVER 100.000 BTU BOILER/COMPRESSOR OPTO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST - HOOO/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL NO STORIES TYPE CONST s QTY.SOLAR - ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TOTAL SOLAR IHAVE dAREFULLY EXAMINED THE'jSOMPLETED "APPLICATION AND PERMIT- AND DO HEREBYCERTiEY Tinder' penalty CF-pdECjURY that all information heheon including theDECLARATIONS ARBTRUE AND CdRRECT AND I FURTHER G^TIFY AND AGREE IF A PEHMrf IS'-ISSUEa-'.JO COMPLY WITH ALL GJTY,"COUNTY aHd STATE IJJWS GOVERNING BUILDING CONSTRUCTION, WHETIjBR SPECIFIED'REREIN OR NOT. I ALSO AQREE TO SAVE INDEMNIRY AND.KEEP HARMLESS THE 'CITY OF C/lRLSBAD AGAJNST ALL LI/LBIL'tTlES; JUDGMENTS, COSTS 'ANDEXPENSES WHICH MAY IN ANY-IWAV'.ACCRUE AQAINST SAID^CITY IN CONSEQUENCE OF THEGRANTING OF THIS PERMIT. . . •, . ' ' t UCENSE NO.PLAN I.D. # S'431Z'9/ LICENSE #STANDARD LAN # DESIGNER'S PHONE * OCC LOAD FIRE S PERMIT NUMBER BLDG USE CODE BUILDINQ SO. FOOTAGE 2/15''.Sii^5U9- Not VaHd Unhss Machine Certified 3l4S7p.j7 SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 0H10-(X)-8220 SIGN PERMIT 01-00-00-8221 PLAN CHECK 01-00-00-8806 TOTAL PLUMBING 01-00-00-8222 ELECTRICAL 01-00-00-8223 MECHANICAL 01-00-00-8224 MOBILEHOME 01-00-00-8225 . MOBILEHOME PARK INSP SOUR 01-OG-00-fl?2fi STRONG MOTION '80-92-33-0519 FIRE SPRINKLERS 01-00-00-8227 PUBUC FACILITIES FEE 32-00-00-8933 BRIDGE FEE SCHOOL FEE - DISTRICT Carlsbad 80-92-21-0519 Enclnltas 80-92-22-0519 San Dteguito 80-92-23-0519 San Marcos 80-92-24-0519 LICENSE TAX 01-00-00-8162 .CREDIT DEPOSIT iLM jf ( 'g TQTAL FEES PAYABLE Expiration, Evbry permit i«*ued by tfte BuHrffng'Otfldal under the proviafona of tWaCodejShall expire by limitation and become mill and void ft tt>e building or workauthorized by such permit li r>ot comnyenced within 180 daya from the date of suchpermit or H the butkhno or work-authorized by such-permit is suapanded-orftbartdoned at any ttme^anef the .work Is commenced for a pylod ol 180 davi.' APfT-lC SfQNATUR v ^'.CONTnACtOR'D BY PHONE □ t /f * AN 08HA PERMIT IS REQUIFED FOR EXCAVATKms OVER 5' O" DEEP AND demolition OR CONSTRUCTION OF STRUCTUIffiS.OVeR 3 STORIES IN HEIOHT APPROVED BY-DATE TYPE 1 DATE INSPECTOR BUILDING 1 FOUNDATION 1 A GREINFORCED STEEL ] MASONRY ! GUNITE OR GROUT | FLOOR & CEILING SUB FRAME ' SHEATHING □ ROOF □ SH^R FRAME 1 EXTERIOR LATH i / INSULATION \7, \^r INTERIOR LATH & DRYWALL | ( PLUMBING- 1 /SEWER ANIXBOCa-'. OlPUCO' | . UNDERGROUND - CLWASTE-.D WATEFTTOP OUT □ WASTE □ w'aTER TUB AND SHOWER PAN [ GAS TEST 1□ WATER HEATER □ SOLAR W>^TER 1]ELECTRICAL i , □ ELECTRIC UNDERGROUND □jUFFER ROUGH ELECTRIC '1 ^lc>'5?-<av□ ELECTRIC SERVICE □ TEMPORAr\, □ BONDING □ POOL i ! - MECHANICAL i /□ DUCT & PLEM., □ REF. PIPir^G HEAT — AIR COND. SYSTEMS ! VENTILATING SYSTEMS i V- » 'v 1 1 CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABO VE HA VE BEEN APPROVE : FINAL 1 PLUMBING ELECTRICAL MECHANICAL , .1 cT--GAS T-: BUILDING .■i >i/7 - - - SPECIAL CONDITIONS y-../±• u / ■ >. FIELD INSPEGTiON RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES . ^ ...INSPECTION REQ IF CHECKED INSPECTOR'S APPROVAL DATE ,, ,—i'-r * - - ■■ ■ ^US' fZCT- SOILS COMPLIANCE PRIOR TO FOUNDATION INSP r, ' ^ \ STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING.'^ ' - HIGH STRENGTH BOLTS • ^ X ~ -»*- *•, . speCial-masonrt'\ ' ^ • J '-K . piles caissons - -- - ■ -v-.. . ) "T-V ' Cv .^7?::: \ ... -V -v ^ - W ■q »r W • • : ; "i \ ^ . ' \ """■•a \ • * 'A ' • • --% rv t-.*.-v:; V *^ \ <..Ss - ■- V «. V-- -'vLO "" t C-- \ n"" - ' ■. 'V,'• ■. ^ JOB ADDRESS: OWNERS NAME:_ USE D City of Carlsbad 1200 Elm Avenue, Carisbad, California 92008 INSPECTION RECORD DO NOT REMOVE APPROVED PLANS MUST BE KEPT ON THE JOB CALL FOR INSPECTION AT (619) 438-5525 51 /r](Lr./r/./A^ PIAA/ OM ZONE DATE PERMIT NO.CONTRACTOR BUILDING <r7^ PLBG./ Eif TRICAL /n MfcoHANIGAL / SEWER GRADING APPROVED TO COVER TYPE DATE INSPECTOR NOTES BUILDING FOUNDATION \ REINFORCED STEEL ^ MASONRY "V GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL FINAL PLUMBING □ SEWER AND BL/CO □ PUCO VU 2RGR0UND □ WASTE □ WATER*^ TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN GAS TEST □ WATER HEATER □ SOLAR WATER FINAL ELECTRICAL 1 □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL FINAL MECHANICAL 1 □ DUCT & PLEM., □ REF. PIPING HEAT — AIR COND. SYSTEMS VENTILATING SYSTEMS FINAL CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE FINAL Sign When Appropriate . 1 ^ BUILDING DEPT. 438-5525 FPF DEPT. 438-5521 /\Vj PL^ 4NING DEPT. 438-5591 hENGINEERING DEPT. 438-5541 SPECIAL CONDITIONS •0. SEE BACK FOR SPECIAL NOTES