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Home My WebLink About172 SEQUOIA AVE; ; CB890723; Permit.., z 0 .:: C IIC C .., 0 Ill ,o a: I[ 8 IIC Ill 0 ... 5 I Ill z ~ 0 z 0 .:: ~ z Ill 4. :I 0 0 .., a: "' "' IIC 0 ~ il O I ,,.,.eby affirm that I am licensed under provlalona ol Chapter 9 (commencing with Section 7000) of Division 3 ol the Business and Profaaalona Code, and my license is in lull force and effect. I hereby iltirm tl'lal I am exempl lrom ll'le Cootrac- lor's License Law !Of lhe followmg reason (Sec 7031 5 Business and Pfotess,ons Code Any city or county wtucr. re· qunes a petmtl 10 consiruct. aller, improve, oemoi,sn o, r~1r any struclure, pnor 10 11s issuance also requires :heap- plant tor such oermll to Ille a s,qned s1a1ement lhat he ,s hcensed pursuant to the prov1s1ons ol the ton tractor· s Llunse Law (Chapler 9 commencmg w1lh Section 7000 ol Dt.mton 3 of the Busmess and Professaons Code} or lhal ts ex empl 11\erelrom and lhe baSIS '°' lhe allegeiJ exempbOO Any v.aia1ton ot Sect.on 1031 5 by an applt<Ant lor a permit sub )KIS 1he apphc.an1 to a c1vtJ penalty of not mo,e than five hun- dred dollars ($500) I. as owner ot the property, or my employees w11h wages as lhen sole compensation wiN oo lhe work and the slfuC· ture 1s not Intended Of offered IOJ sale (Sec 7044, Business and Pl'ofesslOl'I$ Code The Conuac1or·s litense law does not appfy to an owner ot property who builds Of ,mprO¥es !hereon and who does such work h1msell or through his own empk)yees, pnwided that such improvements are not intend· td OI' ottered lor sale 11. however rhe buffeting or 1mprove- men1 ,s sokl w11tun one year ot tOfJ'lplet10n. the owner-builder will have ltle burden of proving thal tie dKI no1 brnld 01' lrTl· prove I« lhe purpose ot saie, I, as owner of lhe Pfoperly, am exclusively conrractmg wit11 hcensed conlractors to construct the PH!iJetl (Sec 70-44 Business and Professt0ns Code The Contractor's License law does not apply to an owner ol property who builds or 1m• proves !hereon. and who conuacts lor each pcOjecls with a contractor(s) lteense pursuant to the Con1rac1or·s license Law) [ l As a riomeowner I am ,mprovmg my hOme and lhe lollow mg cond1ttons ex.1st 1. The work 1s bemg performed pnor 10 sale 2 I have ltVed 1n my hOme tor twelve monlhs pnor to complet10n of nus work 3. I have not clam\ed this exemptioo during lhe lasl three years D I am exempt under Sec ---~--. B & PC IOf th,s reason ------------- 0 I hereby au.rm that I ha"e a cert,ttcate of consent to self-insure. or a cert1fica1e of Workers· Compens;111on In- surance. or ill cert1hed copy triereof tSec 3800. L,.abor Code) POLICY NO COMPANY Copy IS filed With the city D Cerllf1ed copy 1s hereby lurmshed CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Ttus section need not De completed tf lhe perm11 is tor one hundred dollars tS 100) Of less) :J I certify that in !he performance of the work for which !his permit 1s ,ssued. I shall not employ any person ,n any manner so as to beeome subJect 10 the Workers Compen• sat1on Laws of California. NOTICE TO APPLICANT; If. after making this Certihcate of E,:emp1ton. you should become subject to the WOJkers· Compensa110n pro..,ls,ons of lhe Labor Code. you must forthwith comply with sueh p,o..,,sions or this permit Shall be deemed ,e..,oked. 0 I hereby affirm that there 1s a cons1ruct1on lendmg agency tor the performance ol tile worti; for which ttns per- mit 1s issued (Sec. 3097. C1v11 Code) Lendefs Name ___________ _ Lender's Address________ _ __ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---. .. -.. --. ..... -·-····· ·--·---·--·-· -· ----. ------- -CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS 4w., ,0{w~ THOMAS BROS NO. los;;z,;;ONI BUSINESS LICENSE • VALUATION PERMIT NUMBER 11 L S"'1:Quo rA LOT BLOCK I SUBOIVIS•ON I ASSESSOR PARCEL NO CONT'c5~ f CONTRACTORS PHONE • ZONE {_ h '6 1/)7~~ OWNfR"S NAME 6f. ~luJD'/!tLf" 1 7').C, ,ow NiJS PHONE Wt l ll tr,., ~ ?IJ!,'/; 6 I/ CONTRACTOR"S AOORESS STATE LICENSE NO. BUILDING SO. FOOTAGE ttof~0z;;;~:ss ~ TliJT?tJ,D DESIGNER DESIGNER'S PHONE DESCRIPTION OF WORK OESIGNER"S ADDRESS STATE LICENSE NO 6934 05/15/89 0001 01 <!Jµµ~C,-HOUf'Jf ro JJ:ll/;Jf-J-1 ~e 02 BldPmt 14-C F p F LR ELEV NO OCC GP EDU STORIES vO "O -- --I CENSUS TRACT I PARK ING SPACE l RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST y D ND vO NO vO NO Nor Valid Un~i ~chine Certified QTY. PLUMBING PERMIT· ISSUE 7 .SO QTY. MECHANICAL PERMIT · ISSUE 15'. (JO SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP ..... INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING YtHMI I UUl ·810·00·00·8220 I EACH BUILUING SEWER (/J .'( C-, OVER 100,000 BTU SIGN PERMIT 001·810-00·00·8221 ( EACH WATER HEATER ANO DR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 001 ·810·00·00·8891 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222 ,a - EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001 ·810·00·00·8223 EACH INSTAL . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00·00·8224 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226 EACH ROOF DRAIN (INSIDE l DAYER VENT STRONG MOTION 880·519·92·33 TDTI.L MECHAN ICAL FIRE SPRINi<LERS 001·810·00·00·8227 TDIAL PIUMBING I I IL . PUBLIC FACILITIES FEE 320·810·00·00·8740 BRIDGE FEE 360·810·00·00·8740 QTY. ELECTRICAL PERMIT · ISSUE 5,o1J QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA ) NEW CONST EA AMP SWI UKR CAR PORT TIF 312·810·00·00·8835 I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835 EXIST BLDG EA AMP•SWT 8KR GARAGE FMF l PH 3 PH LICENSE TAX 001·810·00·00·8162 REMODEL ALTtR PER CIRCUIT MFF 880·519·92·57 TEMP POLE 700 AMPS OVER 700 AMPS TEMP OCCUPANCY 130 DAYSI CREDIT DEPOSIT TOTAL ELELTRII.Al I TOTAL TOTAL FEES PAYABLE I ;~-- I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT ANO 00 HEREBY hp,ratron Every permrt ,ssue<lbytheBu,ldongOtt,c,el undef theprov,s,onsolth,s * AN OSHA P£AM:T IS AEOUIAEO FOfl EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••pore by hm1telion end become null and vo,d II the bu,ld,ng or work s· 0 .. DEEP ANO OElrlOllTION 0A CONSTRUCTION OF authorized by such permit 11 not commenced within 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I~ permit or ,I the budd•::x or work au~ozed by such permit 15 suspended or STRUCTURES OVER l STOfllES IN HEIGHT ISSUED TO COMPLY WITH All CITY. COUNl Y ANO STATE LAWS GOVERNING BUILDING CON abendOnad at an-~ a er the work I ommenced tor a oenod ol t80 "••• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TD SAVE INDEMNIFY ANO ,I 1Jfi' If CONTRACTOR 0 ~ t ~M.~:,,. ID;7r</!J KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO~ J I'. GN,~ 0 WNER[1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE \..---7 BY PHONE fJ GR~!'ITING OF THIS PERMIT ) .!!! u: >, ;;; 0 a. E Q) I- I u 0 C) C (I! (.) a. a. <t: I .:,< C a: 0 VJ VJ Q) VJ VJ <t: I s: .Q ai >- Q) (.) C (I! C u.. ;=- C Q) ~ C) 0 u Q) a. VJ C Q) .c ~ TYPE I DATE INSPECTOR BUILDING I FOUNDATION l REINFORCED STEEL I MASONRY I GUNITE OR GROUT ( SUB FRAME □ FLOOR □ CEILIN(3 SHEATHING □ ROOF □ SHEAR FRAME -, J EXTERIOR LATH I I INSULATION I INTERIOR LATH & DRYWALL I I PLUMBING ( □ SEWER AND BUCO □ PUCb UNDERGROUND □ WASTE D WATER TOP OUT □ WASTE □ WA1iER TUB AND SHOWER PAN ' 1 GAS TEST I □ WATER HEATER □ SOLAR WATliR 7 I ELECTRICAL I □ ELECTRIC UNDERGROUND □ UFFER ROUGH ELECTRIC ' I □ ELECTRIC SERVICE D TEMPOR,1RY □ BONDING □ POOL I ' . MECHANICAL I □ DUCT & PLEM., □ REF. PIPING1 HEAT -AIR COND. SYSTEMS I ' VENTILATING SYSTEMS I T I CALL FOR FINAL INSPECT/O1, WHEN ALL APPROPRIATE ITEMS ABOVE HAVE EEN APPROVED. . FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS I I I • I I I I I I I I ~ I ~ ~ \) ,.. , .. ' ' \\ l\.'- 'S \l"'- \. .. \.'\ -~ ' ... --.. (7~B-'10 7>3· J ,\ \ \"~ ·-\ . -~ \ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL " ..... _- SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS . SPECIAL MASONRY PILES CAISSONS . ' I • \ , _, . ,: , . ·-:\ .. ., •\ L .. ~ _•:! ·< ---· I ..... ,: -_ _} -" r II, ·• I . • - -. . ~ -... \ 1c.',. ~ ' . . \''·"' . C I T Y 0 r C A R L S B A D DEVELOPMENT PROCESSING SERVICES APPLICATION AND COST ESTIMATE or SANITARY SEWER LATERAL CONNECTION PART I ·-TO BE COMPLETED BY DPS SEWER LOCATION: ADDRESS: / 72 ..S&g>uoi1 Av . LEGAL DESCRIPTION: WORK ORDER NO.: BUILDING PLAN CHECK NO.: APN : ----- ----- ------------------------ CONTACT PERSON: WiwA;M S Au...;oeas PHONE NO.: 338-~6f 71 0~ f/£o,V::. Mm/~ ~, .... 7.29~"3/03 di{ 757-23/() I I MINIMUM ..6f_ INCH ABS SEWER PIPE IN PLACE -NOT TO EXCEED $ Gfo !:!!?-- 10 FEET DEEP AND 30 LINEAL FEET HORIZONTAL DISTANCE. ADOIITONAL CHARGES FOR ANY DISTANCE EXCEEDING 30 LINEAL FEET HORIZONTALLY FEET AT ____ PER FOOT ADDITIONAL CHARGES FOR ANY DEPTH EXCEEDING 10 FEET ____ FEET DEEP AT ____ PER FOOT ADDITIONAL CHARGES FOR PLUGGING EXISTING SEWER LATERAL TOTAL CHARGES FOR CONSTRUCTION ADDITIONAL CHARGES FOR CITY Of CARLSBAD SERVICES AT 50% OF ABOVE CHARGES TOTAL CHARGES 1911 ACT A.O. NO.: DWG. NO.: RECT. NO.: --- PART II -TO BE COMPLETED BY UTILITIES DEPARTMENT FOR SEWER LOCATION $ $ $ $ $ $ ~yc)SL!!-- BY: Main Depth: ___ _ Lateral Depth at Property: ---- SEWER PERMIT APPLICATION Development Processing Services Division 2075 Las Palmas Drive Carlsbad, CA 92009-4859 (619) 438-1161 APPLICANT TO Fl LL IN SHADED AREA BUILDING ADDRESS: ) 7-:;_ '$e.q v o lA-- OWNER: . " . I MAILING ADDRESS: CONTRACTOR: MAILING ADDRESS: LEGAL DESCRIPTION: ASSESSORS PARCEL NUMBER: COMMENTS: V •.-., I ,, I CASHIER'S VALIDATION 9 SEWER PERMIT NUMBER: SE BCJ O,;l-'3 BUILDING PLAN CHECK NUMBER: PC BUILDING TYPE: ( ,_ NUMBER OF EDU'S: I ' CALCULATIONS: . J L . IH CONNECTION FEE COST PER UNIT J X , ) UNITS = LATERAL CHARGE: TOTAL CHARGES: _j//9'fog_D - PREPARED BY: v, l_ (PRINTED NAME) ., J u:: WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant