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HomeMy WebLinkAbout1891 VALENCIA AVE; ; 80-624-I; 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• slons Code, and my license Is In full force and ef- fect. OWNER-BUILDER DECLARATION □I hereby alllrm 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 (Chap1er 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 live 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. 704-4, Business and Profes· slons 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- fer"fl 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 s!!e). '.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. _____ 8. & P.C. for this reason ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby alllrm 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 filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is tor one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Worker,' Compensation Laws of California. NOTICE TO APPLICANT: II, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, y~ 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 ..... ,.,.. ,,.., ____ , .. ,. 1 ....... ~ ,c ... ,. -,nin,. r1 .. u r ... ..t ... , i<~f0/1 CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. PERMIT NUM8ER ttJ4J.1-f PARKING SPACE sf SLOG SO. FT. BLOG USE occ. GP I ST AN DARO PLAN It PLAN ID It TYPE CONST QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP EACH BUILOING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EAQI INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 -3 PH EXIST BLOG EA AMPISWT/BKR I PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL CONTRACTOR .-- ,;1..So .:l~·~o AMT. 3.0 7,-- INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER Issue TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, •AN OSHA PERMIT IS REQUIRED 5'-0" DE SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO AR"" COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGMEN~ A EXPENSES WHICH MAY IN ANY W AY ACCRUE AGAINST SAID CITY IN CON OF THE GRANTING OF THIS PERMIT. Not V1/id Unlm Madlin. Clrtifi«J OCC. LOAD AMT. t;pv-1 ~!6??</ ,.--, BUILDING PERMIT //Ith) ALL INCLUSIVE PERMIT . J• ~ AMT. TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR M ICO-F I LM TOTAL FEES PAYABLE SCHOOL FEES: AGENT D ~ 0 ~ LOT 9' FOOTINGS FOUNDATION REINFORCED MASONRY GUNITE OR SHEATHING FRAME /,.._ 2.< INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND PL/CO WATER PLUMBING UNDERGROUND ~ I /-C COPPER TOP OUT TUB AND SHOWER GAS TEST ELECTRICAL UNDERGROUND ROUGH ~ /~ '2. f CEILING HEAT BONDING MECHANICAL DUCT & PLEM , REF. PIPING To /-'/..f HEAT--AIR VENTILATING SYSTEMS FINAL: -~ ............... - ";..~ ,~\.~./i~-.1.~~--~/1111~./AAt.M~UA/AA/wxAA~A /A/N;..~M-.AAA,IJ..\fl.~1~ ):t ~ ~ ~ ~----...... ► 3 illrrttftratr uf Wrrnµaury t/';;)~ E ~ CifTV r:,r --1" n a c ~'"" ~ .. D , 1 ~~ • ► <{ ~ 8 1 tJ •-L -i ,,. ~-...: Df-~ ,. ~{J§()J. ! ► l This Certificate issued pursuant to the requirements of Section 306 \(/::;/ E ~ of the Uniform Building Code certifies that at the time of issuance t ~ this structure comp lies with applicable ordinances of the City ~ ~ regulating bui lding co nstruction use . ~ ~ S. l F • 1 11. ~ ~ Use Clossificotion ing e ami Y Dwe ~ing Bldg.PermitNo. 80-624 I ► j Group. Type Construction _____ Fire Zon<: ______ Use Zone______ ~ ~ Occupant Load______________________________ ~ 3 OwnerofBuildin~ .. L ... R. Partnership ·Mdress P . 0 . Box 1 1:5 5, Carlsbad ~ .. ~ ,l' 1 1 8 91 V ·1 • • l b d 9 8 ► ~ BuildingAddress · ... • ...... -~-~ ~ncia Ave ! Locality Cars a, CA . 2 00 ► ~ •• P.l •• ., •. -• .~ ~. ► ~ ~~-ff----► ~ _________________ By4--~=i=-1------Lr....+....&4.<=~----► ~ _________________ D0,.,. ____ -1-----+--------► 4 ' ► ~ NOTE: Alterations, changes, additions or chon·ves o occ I iccte. ~ ~ (Post in conspicuous place) ► ):.t"~~'W'~'fWVW--¥/'~~~WWWTI M Y. ' WW~ff)( • J. •• _1 ~ ..... • • .. .. J : 1 L L i, •. J. 1 r i <-, \ 1 • • N This is to certify that insulation has been in sta ll e d in conformance with the current energy regulatio~s, California Administrative Cnde , Title 25 , State o f California, in the building located at : SITE ADDRESS /S9/ Valencia, Carlsbad , CA EXTERIOR WALLS Olvens-Corning and Manu fa cturer Johns-Mansville --=--=.:.cc..-=---'---'-':...::..::.=--=-=-=-=---Thickness/Type 3½" Frfrtion R-Value __ ll CEI LINGS Ba tts: Manufacturer Blown: Manufacture r Wt ./Bag O.vens-Corning and Johns-Mansville Thickness/Type 6" Kraft --------- --------Th ickness/Type R-Value R-Value R-Value 19 --------Sq. Ft. Covered ______ _ FLOORS Manufacturer ------------Thickness/Type R-Va l ue GENERA L CONTRACTOR BY SG-HMID BY TITLE INC. TITLE LICENSE# ------- DATE ------------ L I CE NS E # 2 2 1 5 1 7 C -:_L President DATE -----------