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Home My WebLink About2091 TRUESDELL LN; ; 81-138; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In lull force and ef- fect. OWNER-BUILDER DECLARATION D I 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 permit to con• struct, alter, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to Ille 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 therefrom 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 civil penalty of not more than five hundred dollars ($500). □ I, as owner of the property, or my employees with 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 Intended or of· fared for sale. II, 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 1•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-insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ____________ _ COMPANY ___________ _ □Copy Is flied with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th~• section need not be completed If the per- mit Is~, one hundred dollars ($100) or less). ~I certify that In the performance of the work for wtiil;h this permit Is Issued, I shall not employ any perso,.,ln any manner so as to become subject to the Warkers' Compensation Laws of California. t:QTICE TO APPLICANT: If, after making this Cer- tificate 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 ten- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). VI l I "-'r ""'_...,__,J ___ --•--•••---• 1 ...,0 .., • •••-•• • APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 HO. JOB ADDRESS ~vR~T. ID;/:F_;/;;ION I"' ,,., ,._. ·t l~t...<71t../l/ I Lf.l I &...:JI O ILi) /I ,,-,...b1..1:.1 .-1_,-,1A1~v I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR _9 c, ,.,z.r _/' fl I ;.,,¢._/" /", ,6_ / / / ..-!>~/~ OWNER'S MAILING AODRESS ~Cs6'~, ~ cJ, .::z.. 0 ~ ? CONTRACTOR'S ADDRESS LOT 1 BLOCK I SUBDIVISION I ,,A;;E!rn/ljc~a:n . EJn ' DESIGNER S uN <:;:t,4 A ....2yv'c._ DESCRIPTION Of" WORK .. , ... /'A.A > •/.A' ,._ / .h /,,"'AA / A~ <,"'.,./ ~ ...... DESIGNER'S ADDRESS .;, ,,,-.6)/ C:: s.r.?;, .;-, ,,. ' /~ -,j:: ~ c-. ~,'2. b~.A. ,,,>-~~, -'-~'2-k CENSUS TRACT GP LAND USE ZONING PARKING SPACE APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER STATE LICENSE <Kl-,~<t CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE anJ1e 111i.0 i o. c;n I RES, UNITS I NUMBER OF STORIES ~ Vafitf Ur,11111 M11d/i1r'F"JiP;f'f Ir'.-,' BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN 11 I PLAN ID II I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP '. EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT . EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/OUCTS \../ 'r4--~ l< A, I O JV r...S-on WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I ,~~v....-e__ 3. 00 ' ~Sl.t..<'::. -~ "0 SIGN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I . 11~-~-- CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING if I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I 8~ I • Tl,;-- ! ~ ~ ~ ;::: ~ 0. V) ~ NEW CONST EA AMP/SWT/BKR / AWNING MECHANICAL I I ........--.J 1 PH .25 fiPH PORCH MOBILE HOME .., .Yi7."' r' C i~ EXIST BLOG EA AMP/SWT~ SET-UP SOLAR i-;. I - u• f 1 PH .25 ./ 3 PH RAMADA, CABANA I 1 • I I REMOOEL/ALTE_rPER CIRCUIT FENCE OVER 6' ~ ~ I l< I\ hJfl h16-\ l ()}\) I I I I TEMP PO LE /40 AMPS _i9filrt ll'IOBI[~ RoMEt3o l-#dl.-MICO-FI LM I . I I I OVER~AMPS ,,. ~' J .,. ,. ;:f'f)(2..,S ,;';}-I . I I ; I TEjM'OCCUPANCY (30 DAYS) T ,,.._ " /" , __ I . I I I I/ 1<>~1...1..e_ J.. Co .kl,' ,-/\ ~ v-I . I I I TOTAL ELECTRICAL Pr~~-~~t... TOTAL FEES PAYABLE I i/0. P(_ CONTRACTOR //) ~.;..-. I I . •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER Se-h.ol)l t" e e_ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 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 ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ,,6NT-S SIGNATUR~E• OWNERliB" CONTRACTOR□ IAPP]VED BY ~ --,/ ../' ,,,,.,-:~ 1'2-AGENT D BY PHONE O r--. /!. . ~ A ' 7 SITE ~I ✓13~ ADDRESS: -OWNER: --. PERMIT NO: ' • ' -. . r FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING .. , ..... UNDER FLOOR HEATING -.• ., I ~ -' OK TO INSTALL SUB FLOOR . .. .. ,f'--' . '· > . -. . ' . -. . 'J SLAB FLOOR .,l\f .,\t 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 . I -• DAMPER 6:STEEL . PLATE Tl Es/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 ..---~ . ~ ELEC M.ETER-PERM-TEMP . \q\ GAS METER-PERM-TEMP ,./V:/, I\ • 1.._'\ . _,r· > J \ \\..~ V CERT OF OCCUPANCY ISSUED C . --