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2728 GROVE AVE; ; 83-512-95; Permit
., z 0 ;:: .. "' :l ~ 0 ~ I hereby affirm that I am licensed under ~ ~islons of Chapter 9 (commencing with ~ l Section 7000) of Division 3 of the Business ~ and Profe. salons Code, and my license is in IE full force and effect. 'lJ ~ t,c No ~Z!I/ C1w, -.~"'---- U "' .. 0 ~ 5 .. ii: .. z 3 0 z 0 ;:: ~ z .. .. "' 0 u ., ic w " "' 0 3 ![ I hereby afllrm lhal I am exemol from lhe Car-trac- tor's License Law lor the f~llow,ng reason !Sec 7031 5 Business and Profess,ons Code Any c,Ty or county w~Icc, re qu,res a perm,1 lo rnns!ruct. alter ,..,wave cemol,sh. or repair any structure. p·,or to ,ts issuance also requires !he ao-plIcant for such oerm,I :o Ille a s,anec st2·ement that he ,s licensed pursuant to lhe provIs1ons ol The Con1r<1cIor s L,cense Law !Chapter 9 commenc,nq w1Th Sen,o~ 7000 ol o,v,s,on 3 of the Bus,nes, and Professions Code1 or that ,sex- e'Tipt t~eretrom and the basis 10° the alleqed exempt,on Any v1olat1on of Section 7031.5 by an applicant for a permit ,u:i- 1ecls the applicant to a civil penalty of not more than live hJ1 dred dollars ($500'. I. as owner of lhe oroperty, or my employees w1tr wages a, their sole compensation will do the work a~C tf'e struc- ture ,snot 1n1ended or oflered to, sale !Sec 1044. RJs1ness and Proless,on~ Cooe· The Contractor's License Law does not apply lo an owner o1 property who builds or 1mp•oves thereon and who does such work h1mselt or through h,s own employees. provided that such improvements are ~01 1nfenc ed or of1ered tor sale II. however. the building or improve- ment 1s sold w1th1n one year of completrnn, the owner-burlder will have the burden o1 proving that he did not build or 1m prove for the purpose 01 sale) I I. as owner o1 the prooerty, am exclusively contracting w,th lrcensed contraclo<s to const<ucl tne pro1ect (Set 7044 Business and Professions Code The Con1ractor s L,cense Law does not apply to an owner of property who builds or ,m-oroves thereon. and who contracts lor each pro1ects with a con!ractor(s) license pursuant to the Conlractor's L•cen~e Law) As a homeowner I am 1r1prov1ng my home and t~e fol ow 1ng cond1t1ons exist 1 The work 1s being performed prior to sale 2 I have l,ved 10 my home for !welve mon!hs prror to completion of this work I have not claimed this exempt>an during :he last three years for /h~: r~~~~t under Sec ~-----B&PC ~ I hereby ;,!1,rm thal I hil•e a cert,J,r,ate ol consent ~ self insure. or a cert1t1cate o' Workers ~~~·;;~~·y1""0' POLICY NO(:/;:J '"Ort. COMPANY/J?ctlMr ~~ 0 Copy ,s f,led w•1h the city 0 Certified copy 1s her.,,by lurr11sh!"<! CERTIFICAH. OF EXl::MPTION FROM WORKERS COMPENSATIO'-INSURANCE (This section need no! tie completed .I'"'" ;.,er"' ,5 for c;n"' hundr!"d dOllar5 ,SHXJ1 or iess;·, D I cert1!y that ,n the pertorm;ince ot 'he ,,.or!< t,:,, ,.,.h,ch this perm,! 1s issued. I shall not ernp1,,, dn, person ,n any mannf'r so as to become suC!eC' 1, lhe Workers Compens.a11on Laws o' Ca1dorn,,1 NOTICE TO APPLICANT " a!ter mak1nJ ,r,,s Cert, '•c31e of E•empt1on vou should become sub1ect 1, lhe Worl<ers Compensa1ron pro.is,ors c,I the LltXJ' Code you musl to,th.,,,!h com pr, .... 1:" su'. h prov1S10"5 or lh1s perm<! shal' b<> 1f'<'""!"<: '"'"""",: 0 I r.ereby aft,rrn lhat tr.ere ,, a '.,onsrruc1,or ending a,;iency ror th<> pe<io,m.:,r·,.,e c..' :o,e ,.,ork ,, which thrs perm,, ,, ,~sJed ,Sec )097 C,.-I Co<lf' Lenders Name ___________ _ Lenders Address __________ _ USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 APPLICATION & PERMIT : ,oa 24-'fB $f/Q'{6 IJveJuiv ST RO NEAR-.;;;:;;TAAY I DATE OF APPUCAT<ON' .......... ,.,,.,... .. ... ' COJltTAACTOA If"!,. \A,-_ d ---• i.:~~.1,,,.::;::.;._._K~~=f-T..~~~-;"L,~~:;-.__,;;.,bt-'"'~~~~~~~~e"I ~y C"""-· ............. ~,... • - I CONTRACTOR'S AODRESi_ '°'1M1--:f ! OWNEo Mr;;;;;;;~ 5Tb 103 LA:reilA '1Z£B J,.U\lt.''lt. cv,.,n,__,_, '"-''-'"'~""' ,. ..,,., ... ...,,..TION PERMIT NUMBER :5"'?13 83,,,5rz--~q~ CONTRACTORS PHONE # ZONE ~~~ts Ll\,,Cl'UtC f'IV. I !"LAN 1.U. # [ BLDG USE CODE ~~ Z.9/ e --1o9"b STANDARD PLAN# BUILDING SQ FOOTAGE !i;3:J- :t--------------,----,--=--------------1 5, P, zl57'asiG I .,,_. ~--/l,NY/, ---· F P FLR ELEV NO OCC GP EDU ST.ORIE$ I? -~ I I <:J "-Q __ 2, F} ,:? I AREA CONS 1 CENSUSTRACl GPL.ANOUSE RESur-.1TS GRAD1NGPERM1Trssue.o REDEVELOPMENT TYWE OCCLOAD FIRESPP I y • ~ • , ::J , vO N Not Valtd Unless Machine Cert1f1ed 1f-----,----,--_J__ ____ _j___:_c=,L_---,.L-'------'-,,--.--'--"-'-:c:___--L_--....='..-""'-L....-,-_L_:__:_----,L_ __ _L--"'.__J"'-..aL_,-_-,-_________ -,------I : QTY. PLUMBING PERMIT. ISSUE ',,_50 QTY MECHANICAL PERMIT -ISSUE 3_ --------SUMM~ ACC UNT NUMBER ,,,,.,ii 1 /:) EACH ~IXTURf TRAP INSTALL FURN. OUCTS iJP TO 100.000 BTU ·;,;,,.,,---+---~ZJ..1_~_ / EACH SUIL0ING SEWER OVER 100,000 BTU 00-8221 I / EACHVvATERHEATERANOORVENT---~ BOILER-COMPRESSORUPTOJHP ------PLANCHECK z;;"i/0- 1 ---~ EACHGASSYSTEMlT04UUTl.ETS ____ 80I~E_R_.~(_Q_MPRESSOR315HP _____ TOTALPLUM £J,5c) EACH GAS SYSH.M :1 OR MORE ----+-____ _,/ iMUAI r l"l[f''_ACE -() _, : EACHINSTAI,. ALTER,REPAIRIJ;ATERPIPE --~ _.klVENT_FANSINGL_~-~-~CT __________ -'-1---~ J -- I EACH VACUUM BREAKER MECH EXHAUST HOO •·•LJCTS I I I I I .IOTY WAHR SOFTNER RELOCATION OF EA FURNACE,HEATER MOBILEHOME PARK I:IJSP i FAC>-1 ROOF J;.;A1'·J , -.~ nF ____ . SOLAR TOHiL MECHANICAL 1UlALPLlJ!,161Nl., --------I 5/ -j:; ELECTRICAL PERMIT· ISSUE IL/- SOLAR -ISSUE ·-STRONG MUl ION FIRE SPRINKLERS PUBLIC FACILITIES FEE BRIDGE FEE o:-oo-o_o:.82..2..6.__ 80-92-33-0519 01-00-00-8227 32-00-00-893) I NEW CONST EA AMP SW! BKR ~ ----1.)JLL~L 1 l14:i ___ ,r _Sc1-1_qoL_ FEE· D,cl~.-T,.R"IC.,T _____ _ 3 PH STOKAGF l ,\J,KS Carlsbad v" l:J"'Jl s-l QTY. -;_C: -- I I PH 1------l--------------------------80-92-21-0519 fXISI BlOG E:.A AMP:SV.'T 8KR ROCK S'ORAllE Encrn1tas 80-92-22-0519 I PH J PH P'.IMP -------------,---REMODEL Al HR PfR CIRCUIT P'_N·J CHLCK F~E ~-+---- ----------------t--------lf--San D1egu1to ~v VL L San Marcos Rn.o?-?3-0519 L-- 80-92-24-0519 HMPPOlE ?UOA'viPS OVER 2lJU AMPS LICENSE TAX 01-00-00-8162 ,2-x= j_ 'L2.. - ·---- - I 1---t---·-·-------------+-------11---1------------------+------•I----------------+-------,-&-,~-- TEMP 0[[UPANCY ·30 DAYSI _ MFF ~-0-92-57-0519 ---+---, - I --~ --------~ -·,-CREDIT DEPOSIT I ]()JAi E'lFLl!-11(,Al .-,-li)-f1l sn AR TOTAL FE ':J:21::l.{ i.LI 1 . --. ES PAYABLE ~ ·( 'f.LIJ :r7,:H:A:V:E~C~A:R:E:F7U~L7L:Y~E;X7A~M=IN:E;D~T:H~E~C=O:M:P:L~E;T~E~D~··:A:P:P~L:IC~A~T~l~O~N~A:N~O~P:E:R:M~IT~.•.:A:N~D~D~O~H:E:R:E:B~Y1-~E:,:p:i,:.,:,o:,~.~E~,:,;,,y~~=,:m:,1~i:n:,:,:.~b:y~l;h:e~B:,:,,:a:m:9~0;""'°'~'~':'"":d:,:,~1h~•~P:,~o:,7,,.:,o:o:,~o=l~<h~,:,-r-~*~==:~~CIT~IS~R:E:OO:~=E:O~FOl!=~U=~:V~A~T=ION==S~O:V:E:A-1 I CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by hm_itahon and become null and v01d. If the bu1ldmg or work ANO DEMOLITION OR CONSTRUCTK>N Of , . authonzf.'O by such permit 1s not commenced w11hin 180 days from the date of such 1 DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY A~D AGREE IF A PERMIT IS permit, or ii the butldmg or work authorized by such Pf!fmit is suspended or R£S OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at an time after the work 1s commenced for a n 180 da s ~ I STRUCTION, WHETHER SPEC1FrED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND , ~ I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB!UTIES. JUDGMENTS, COSTS AN APP-UC TS $!GNAT If. OWNER CONTRACTOR 0 : ~~~~~;~~ 6:~c:is~~~~/NY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF TH iJ!1 . BY PHONE 0 APPROr;;~ ~l/- ✓ / ~ IL >-~ 0 0. E w f-- 1 D 0 " C ro 0 0. 0. <t I ~ C ii 0 m m w m m <t ~ 0 © >- ,n m w 0 0 a: ro <ii 0 8 w 0 C ro C IL ,::. C w ~ " 0 ;; w 0. m C w ~ ~ TYPE I BUILDING FOUNDATION I REINFORCED STEEL MASONRY I GUNITE OR GROUT I FLOOR & CEILING SUB FRAME 1 SHEATHING • ROOF • SH~AR FRAME I EXTERIOR LATH I INSULATION I INTERIOR LATH & DRYWALL _j_ I PLUMBING "T SEWER AND BUCO •IPUCO I UNDERGROUND • WASTE C \/YATER TOP OUT • WASTE • WATER TUB AND SHOWER PAN ' GAS TEST • WATER HEATER • SOLAR WATER ELECTRICAL • ELECTRIC UNDERGROUND • llJFFER ROUGH ELECTRIC • ELECTRIC SERVICE • TEMPORARY • BONDING • POOL , MECHANICAL ' • DUCT & PLEM., • REF. PIPING HEAT -AIR COND. SYSTEMS -:- VENTILATING SYSTEMS T DATE INSPECTOR d;,.--__,1£,hl:7( CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VB BEEN APPROVED. FINAL ; PLUMBING I ELECTRICAL --MECHANICAL I GAS BUILDING I SPECIAL CONDITIONS ---- c____ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION r S01LS COW'~ ANC E. 1 P::ilQR TC F C·L,N2·A il0r-.. 1'.SP REQ IF~ INS-PECTOR s I CHECKED APPROVAL ,-- I _ _j_ DATE STH.JCTURAL C()NCRE-TE:. CVE9 2CUD F'::=:1 ·--+--- PRE.STRESSED (:ONC:RfTE POST T~e~N~,-, ~'.J~N~c~[~, ----i--- C ON CR U [ F,fLO ·AiE-LDINC; Hl-'.]H S'':ffNGTr-< --+-----+----------+------, i T ---- BOLTS --------+----~-------i-------, ':)~EC,AL MAS.Y'<i=;y ----+-----------+---- L------" -J_ -----+-PI L. E '.:->CA>::-,<... • -+ --I '-----I 1 ---, ----t--! +----a -1-----+------+---- --+ --+----- r-----l----+---~ t------------+-----+---------- --~-·----------1---------j I I I ---~ I - '3 ~-S I d--q S--------- INSPECTOR'S NOTES