HomeMy WebLinkAbout1889 VALENCIA AVE; ; 80-624-J; 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 full force and el·
feet.
OWNER-BUILDER DECLARATION
D I hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 703 t .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 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 therefrom and the basis for the alleged ex-
emption. Any vlolatlon 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).
D 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-
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•
tracling 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•
jecls with a contractor(s) license pursuant to the
Cvntractor's License Law).
I am exempt under Sec .. _____ B. & P.C. for this reaso,,._ ___________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, or. a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO ___________ _ COMPANY ___________ _
□Copy Is filed with the city.
D Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per•
mlt Is for one hundred dollars ($100) or less).
I certify that in the performance of the work for
which this permit Is Issued, I shall not employ any
person In any manner so as to become subject to
the ~orkers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
to t.he Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provl!.ions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len-
ding agency for the performance of the work for
which this Dermlt Is Issued !Sec. 3097. Civil Codel.
Q;'\JO "I C IT Y O F CARLSBAD-BUILDING DEPARTMEN T
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
, , , , , , , t•~' 1'"'·2'-· 801Az'.r.1! 1$o-6;;iY~ ~ I 1_1/ib".£,71 #i~1~ I I I I II I
PERMIT NUMBER
sf
BLDG SO. FT. BLDG USE occ. GP I ST AND ARD PLAN # PLAN ID II TYPE CONST
QTY.I PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL, ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR/.?-V
I PH .25 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH .25 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
CONTRACTOR
AMT.
3 ,00
:JJ.-
AMT.
"S':-
2 ~00
J-7.-
QTY. MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UPTO 3 HP
801 LER/COMPRESSO R 3-15 HP
BO I LE R/COMPRESSO R 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
I ssu e
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. ANO 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,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO Kec:ic:w:;
•AN OSHA PERMIT IS REQUIRED FO s·-o--DEEP ANO DEMOLITION o¢oN
STRUCTURES OVER 3 STORI
LESS THE CITY OF CA RLSBAO AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENC
OF THE GRANTING OF THIS PERMIT. •
NUMBER OF STORIES I Not Valid Unlttss Machin, Cartifird
OCC. LOAD
AMT -II& Du-1
VALUATION : 7:;-§>30,-
BUILDING PERM~
SIGN PERMIT
,,~ PLAN CHECK7£,, '?/fi/J 1 / ,Q ,S'"'~
ALL
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR --
--
MICO -FI LM
TOTAL FEES PAYABLE
1ER SCHOOL FEES :
OWNER□ CONTRACTO
AGENT D
• w I-< 0 ~
DATE
,. .,.
,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under prov!•
slons of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is In full force and el·
feet.
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 prov!•
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 penally of not more than five hundred dollars
($500).
0 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-
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).
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.
No. JOB ADDRESS AV. s:;:-rATE OF APPLICATION! BUS. LICENSE
L,rfi?Lf, 1JliAi.1E/lC~l1A. 1 1 _L_LL1 1 1 , 1 1 1 1 1 1 1 ~1° lc-1<.v-~ 1/28_1.3
o;;i;;~ p~;;;CTOR STATE LICENSE ~o-~ i
PERM IT HUM BER
OWNER'S MAILING ADDRESS
JAJ.~M ll5iI' r!Ak'L,/.<~f)
-,_µ...,.~LL-:':--L,.._.'=""""~~wLL.L...L.s.,L..-.1.....L..lo<L-L-...... ~--r----'-'-~....:..----':....:..i~
(:,4,_ ......... ..........,...__ __ c flimE
_LQ l BLOCK~.oii:,n?/:;;g'u/a?H Ill
~CRIPTION OF WORK A
'/?12CA'ETF~aCI<
M'!;SESSOR'S PARCEL NO.
1.Q10t71, /it>101 ::t.Jii'1
tfl) L1n1UU..__/.=r
~,&I/Jl/16' ~)ALL
f I J/J6J/
,,
DESIGNER
C rJ:JmP-/+S OW/JE/<,
ST ATE LICENSE
/619R5"
DESIGNER'S ADDRESS OESIG NER' S PHONE
CENSUS TRACT GP LAND u'sE
~/q/?1/T 7~9-7Y/_L
ZONING
I
I RES. UNITS
Not V•lid Unlffs M•chiM CMtifild
BLDG SO, FT, BLOG USE OCC. GP ST AN OARD
I PARKING SPACE 'fli'_ L1✓.-, .A.c g~o
_, NUMBER OF STORIES
PLAN It j PLAN I D # rrYPE CONST I occ. LOAD j
QTY. PLUMBING PERMIT AMT. y-t-!' MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP J ' INSTALL FURN. DUCTS UP TD 100,000 BTU
EACH BUILDING SEWER L L
OVER 100,000 BTU L
EACH WATER HEATER AND/OR VENT IL BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS L. L
BOILER/COMPRESSOR 3-15 HP z
EACH GAS SYSTEM 5 OR MORE /
EACH INSTAL., ALTER, REPAIR WATER J;IPE
BOILER/COMPRESSOR 16-30 HP_/
EACH LAWN SPRINKLER SYSTEY tJ~ :v.ftt,12
• ... < a ~ >
'.JI. as owner of the property, am exclusively con•
tracting with licensed contractors to construct
the project (Sec. 7044, Business end 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 ____________ _
WATER SOFTNER /
./.A..ll /
TOTAL PLUMBING
CONTRACTOR
RELOCATION OF EA FURNACE/HEATER a,. ~
TOTAL MECHANICAL
CONTRACTOR
BUILDING PERMIT ~~ 6...t\-1) _l ,B .do SIGN PERMIT --S:nr:-~-<
PLAN CHECK -~
..1
l
ALL INCLUSIVE PERMIT
TOTAL PLUMBING ~~
Q..
V)
~
Date Owner QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL
NEW CONST EA AMP/SWT/BKR . AWNING . MECHANICAL
WORKERS' COMPENSATION DECLARATION l PH 25 3 PH PORCH MOBILE HOME I hereby affirm that I have a certificate of con· • • ·
sent to self-Insure, o< a certificate of Workers' EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR l Compensation Insurance, or a certified copy • • .
thereof (Sec. 3800, Labor Code). 1 PH .25 3 PH / RAMADA, CABANA / . , J
~~~~~v0-;#/fJ1/~f/'fld: AfbtJ,ti REMODEL/ALTER PER CIRCUIT / • FENCE OVER 6' / . A'7A -~ h ~ ../. J I , 1 1
~pylsflledwlthlhecily. TEMPPOLE 200AMPS [/ . TOTALMOBILEHOME / . MICO-Fµjf' I ..:......1
□Certified copy is hereby furnished. OVER 200 AMPS / . / .,.. J
TEMP OCCUPANCY_ (30 DAYSI L . L J
• I I
I I
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per•
mlt is for one hundred dollars (S1CIO) 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 Workers' Compensation Laws of California
NOTICE TO >.l>PUCANT: If, after making this Cer•
tlficate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, yoL• must forthwith comply with such
provisions or thlr..permlt shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction Ion•
ding agency for the performance of the work for
which this permit is issued (Sec. 3097, Civil Code).
~ / r ~ 11 1 L__ 1 11 , 1
TOTAL ELECTRICAL II I /
I I
J ..1 I
CONTRACTOR .,
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVAT
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRU ON
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIG
COUNTY ANO STATE LAWS GOVERNING BUI LOI NG CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
I . I
TOTAL FEES PAYABLE
-=r~ I. l?i:7t10
~
.J,._, l__
LOT __ _;,_/c_O_
FOOTINGS
FOUNDATION
REINFORCED STEEL
I
MASONRY 1
_GU_N_IT_E_O_R_G_R_O_U_T ____ ~--++---·----1
SHEATHING %.-J:-d:::12,_ I
F_RM_M_E --~-'--_ __,_/_~_2_(_-__.f...__ __ i
INSULATION I ------------------' !
EXTERIOR LATH !
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO
PLUMBING UNDERGROUND
COPPER b TOP OUT I-'l'
TUB AND SHOWER
GAS TEST h I-
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
2... (
DUCT & PLEM, REF. PIPING 7H /
HEAT--AIR
VENTILATING SYSTEMS
FINAL: --------------·
.,1' ... _!•~:4 l t..,.11, ,c,,.t l l N
This is to certify that insulation has been installed in conformance
with the current energy r cg ulatio~s, California Ad mini s trative Code,
Title 25, State of California, in the building located at :
SI TE ADDRESS _/~8'~8~9_V_a_l_e_n_c_ia~, _C_a_r_l _sb_a_d_,_CA _______________ ---~ __
EXTERIO R WALLS 0.vens-Corning and
Manufacturer Johns-Mans ville ------"--'-'-~---Thickness/Type 3½" Friction
CEILINGS O.vcns -Corning and
Batts : Manufacturer Johns-t1ansville Thickness/Type ---------6" Kraft
Dlown: Manufacturer ---------Thickness/Type ---------
Wt./Ba g --------Sq . Ft. Covere d -------------
FLOORS
Manufacturer ------------Thickness/Type
GENERAL CONTRACTOR LICENSE#
TITLE DATE
R-Va lue
R-Valne
R-Value
R-Va l ue
R-Va lue
----
11
19
TITLE
LIC ENSE # 221 517 C_-2
President DATE
REQUEST FOR INSPECTION TIME;_·----
INSPECTOR ~ PERMIT NO. _______ DATE:__,_~~~,LA½......._ __ _
OWNER
ADDRESS,_-+/___;:/J___;:Z__,_t_----6)/4L..-...;;..._~___;:~L..?<,d~.,~-----------
BUILDING
□ FOUNDATION
□ REINFORCING STEEL
□ MASONRY
□ GROUT -GUNITE
□ FLOOR AND CEILING FRAME
□ SHEATHING
□ FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
□ UNDERGROUND PLUMBING
□ UNDERGROUND WATER
□ ROUGH PLUMBING
0 TOP OUT PLUMBING
□ SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
□ TEMPORARY SERVICE
□ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
□ POOL BONDING
□ ELECTRIC SERVICE
□ CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
□ PLENUM AND DUCTS
□ COMBUSTION AIR
□ PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
□ REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY □ WEDNESDAY ~URSDAY □ FRIDAY
'.s,,~-M.
~.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
0 f (_,-0 ~ 1)#1
~
)'( A,~./N,./AA/~..;~./4.~-~./AA~../J,v~.JA/,vAMAIA/4JAAAM~M,.,.\Mk~~ )'.;{ ~ ~ ~ /" -» ~ O:rrttfiratr of (Drr1,,,·a11r 1, //:-::~::,✓-,\ ~ ~ j' !:J t ~,.~ ~ CITY OF CARLSBAD , ,,,t;{f) ! ~ ~ \. ··_,--/ ►
j This Certificate is sued purs uant to· the requirements of Section 306 '" .. --· ,.-· ~
~ of t he Uniform Building Code certifies that at the time of issu ance ~
~ this structure com pl i es with applicable ordinances o f the City ► 3 regulating building construction use. ~
A u Cl ·f· t" Sing le F amily Dwel l i ng Bid P • N 80-624 J ~ ... --.;;::: se oss, ,co ,on ___ ~-----'=-------'=-------g. erm,t o._______ :::, ~ Group _____ Type Construction _____ Fire Zone ______ Use Zone______ ~
~ Occupant Load _______ __,______________________ ► ~ Ownerof Buildin~··-· L. R. Pa rtnersh ip "Mdress P . O . Box 11 55, Ca r lsbad ► ~ rt·'"' . . . ► ~ Buildin g Address ,_,·· ~889 y alenci~ Ave . Locality Ca rlsbad , CA. 92008 ►
~ • !·(<. • •·•s•· ---+r----~ ~ ----------------f---1~.=.c~-~_..:.;"..j.J,!=~-----► ~ t ~ --------------------+----,'--------~ ~ NOTE: Altorations, changes, additions or changes of oc ~
A (Post in conspicuous place) ~ ~ :;> "Jt.WVV~ ~tr'¥/ V'~'~"::;·•~,Tf/\'F\7'~riJ'v v V\·1 1\;? :1 V \ \tf.:~,'J'V/\r•r•:; "-1\;;'\!;'·\J"'"i''WWV'~'i''tlTI'';:.(