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) ►
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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 -----------