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Home My WebLink About1852 TULE CT; ; 80-193; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm lhal I am licensed under provi- sions of Chapter 9 (commencing wllh Section 7000) of Division 3 of lhe Business and Profes- sions Code, and my license Is In full force and ef- fect. OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con- tractor's license Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permll to con- struct, alter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provi- sions of the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therelrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a clYII penalty of not more than five hundred dollars (S500). 0 I, as owner of the property, or my employees wllh wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such Improvements are not lnlended or of- fered for sale. If, however, the building or Improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ••ho builds or Im• proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self•lnsure, or a certificate of Workers• Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). J?: POLICY NO ( o ~;: ~ / i {p f3 COMPANY I • ~~py Is filed wit:: e cl,/ ~o foc;rtlfled copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars (S HlO) or less). I certify that In the performance of the work for which this permit Is lssued~I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- llflcale of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097. Civil Code). _ ..... -... -""""" _..., • ._..., .... __, uc.,...At< 1~MENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1;,..t/-//f'/ 1200 ELM AVENUE (714) 438 552S- APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. ,l ~~, -;\1/)iL ,S , ec) VJcJ7 I AV, ST. IOATE OF APPLICATION IIUS. LICENSE / ~ PERMIT NUMBER RO 2(t)~~ &D-11:s I I I I I I I I I I I I OWHEB/ZA-f) \AJ(I\C( f( 1~~ p~OiARH-°ART STATE LICENSE Y1~t.:t'i OWNER·, isxORE1 0 Lt; CbURT co~5ll0 ° 0DUnH, Lu COHTRACTbR'S J:)3";;..--(5~~ r?--12/17/CL '/ 9 LOT BLOCK I SU8DIVISION I ASSESSOR'S PARCEL NO. DESIGNER ST ATE LICENSE I I I I I I I I I I I DESCRIPTION OF WORK I NRT"A I I 'llJ/Af DESIGNER'S ADDRESS DESIGNER'S PHONE \ \!Alfi<: 1¥11 rt,~ CENSUS TRACT GP LANO USE ZONING • ~ • \ " I RES. UNITS I PARKING SPACE I HUMBER OF STORIES Not V•lid Unlm Machin, c.rtifild BLOG SQ, FT. BLOG USE occ. GP I ST AH DARO PLAN # I PLAN ID # I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MfZCHANICAL PERMIT ' AMT. EACH FIXTURE TRAP ,,/(J/.f'!'a»~ ,3 ./fl:, INSTALL FUR~UCTS UP TO 100,000 BTU EACH BUILDING SEWER ""-OVER 100,000 BTU I EACH WATER HEATER ANO/OR VENT n . /11) BOILER/COMPRESSOR~ TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-1 s'l(r EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 H1'_ EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT ' //~~ .-.:i-.s-err> EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS ' , WATER Sftf'INEff"",.PVmr .:,...,.tn> RELOCATION OF EA FURNACE/HEATER ......... " BUILDING PERMIT I ./ .<",fV-C -<, . trt> "-SIGN PERMIT I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I /0 d'1) CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT ELECTRICAL PERMIT MOBl~OME PERMIT AMT. TOTAL PLUMBING QTY. AMT. QTY. ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING " MECHANICAL 1 PH .25 3 PH PORCH " MOBILE HOME EXIST BLOG EA AMP/SWT/BKR SET-UP "' SOLAR I 1 PH .25 3 PH RAMAOA, CABANA " I :.J... REMODEL/ALTER PER CIRCUIT _"'5" .O[) FENCE OVER 6' " I ... TEMP POLE 200 AMPS TOTAL MOBILE HOME " MICO-FILM I OVER 200 AMPS " I TEMP OCCUPANCY (30 OAYS) ' I ./S(U~ ,.;L../f'[) "" I TOTAL ELECTRICAL {fV "" -. TOTAL FEES PAYABLE I CONTRACTOR 7. ' . I I ·• \ I HAVE CAREFULLY EXAMINED TME COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND /) ..... EXPENSES WHICH MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ~ OF THE GRANTING OF THIS PERMIT. ftCA~ff)l}/1$-OWNER□ CONTRACTOR□ IAPPROV~E BY AGENT_Sg() BY PHONE O _/. •~ /_/-' , 7 7 . , . . . , . . . I I I I I I I 1-"-~1?> I I I I /1,-, · Z>I l> I 17 . .:,1& I I I I I I I I I I I I I I I I I I I I I I I I I I I 1?R.bO DATE ! ~ ~ > ~ j::: ~ Q. V) ~ ,Jo ~•Pl', SITE ~o .,,,c;3 ADbRESS: . OWNER: PERMIT NO: I -" FIELD INSPECTION RECORD -. INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR .. FOUNDATION • FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR .. SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS • SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ' ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO - FIREPLACE DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER . TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT / OTHER DEPT'S REQ COMPLETED 'JI J /_ - ELEC METER-PERM-TEMP , !?/Pl '/~ GAS METER-PERM-TEMP I 1 1 {..-' CERT OF OCCUPANCY ISSUED