HomeMy WebLinkAbout1881 VALENCIA AVE; ; 80-624-K; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
alons 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 ef•
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempl from lhe 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 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 lor the alleged ex-
emption. Any violatlon ol Section 7031.5 by an ap-
plicant for a permit subjects Jhe applicant to a
civil penalty of not more than five hundred dollars
($500).
O 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. 70«, 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).
.... I, as owner of the property, am exclusively con·
tractlng 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.
lor 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.
□Certified 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 (S1Cl0) 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' Com,nensalion Laws of California.
NOTICE TO APPLICANT: II, al1er making this Cer·
tilicate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must !l)rthwlth comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby alllrm that there Is a construction len-
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Clvll Code).
tl\\O" CITY OF CARLSBAD-BUILDING 01::t-'At< 1 Mt:.N t
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
s
#
BLOG SQ. fT. BLOG USE occ. GP I STANDARD PLAN II PLAN IO II TYPE CONST
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT
EACH FIXTURE TRAP I ~ -11 / I INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER I ,5. -II I OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT I .....2 .. -II I BOILER/COMPRESSOR UP TO 3 HP
AMT.
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
PERMIT NUMaER
t0-'~1.,k
Not V1fid Unlffl Mlchin1 Cmifi«J
OCC. L0 ... 0
~Pu ,-J
.-
• EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ~
EACH GAS SYSTEM 5 OR MORE SO BOILER/COMPRESSOR 16-30 HP ~
EACHINSTAL,ALTER,REPAIRWATERPIPE VENTFANSINGLEDUCT )-, VALUATION: OJI/ q6 _ ~
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS c:? 7 6 / ' >
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER 6
I s I ue 3. 0 , j::::
TOTAL PLUMBING
3~,~CJ TOTAL MECHANICAL ,-, , .. , J.i ,Si ~
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR /t)--r)
1 PH .25 3 PH
EXIST BLOG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
Issue
TOTAL ELECTRICAL
CONTRACTOR
3 PH
CONTRACTOR
AMT. QTY. MOBILE HOME PERMIT AMT.
~ AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
2.00
J..1~ --
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVA
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTR¢IO
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OYER 3 STORIES IN HEI
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP H
LESS THE CITY OF CA RLSBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUE
OF THE GRANTING OF THIS PERMIT.
VI ~
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
M ICO-F I LM
STRONG MOT ION :
TOTAL FEES PAYABLE
SCHOOL FEES :
AGENT 0
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chaptel 9 (commencing with Section
7000) of Divislo/f 3 of the Business and Profes-
sions Code, and my license is in lull force and ef-
fect. '
OWNER-BDILDER DECLARATION
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
NO.
11 K'r Kr 1, 116A:1t1EI/JCJ 118: 1 1 1 1 , , , , , , , ,
JOB ADDRESS
I I I I
AV. ~DATE OF" APPLICATION
OWNER OWNER'S PH~IME CONTRACTOR J STATE LICENSE
/(,q-mM i1BL2sz'.i1JC'T1L1L1 & Tn c. ~ 1// , ~m£ A ,> "1v11 'I? lh/99_/"
o·wNER'S MAILING ADDRESS --1/
I hf l/1 I c -1__,,.C.0,__-....,__· --'-"-'---",.____,___,_,,_~
C0NTRACTOR"sADDRESS
IAD.&x llf[!T f1 A8LS 13.ii) ('iL ~tJM" 'J) LBLOCK JsuB61v1s10N /)_ . . _ I_ ASSESSOR'S PARCEL NO.
M-G/J/JALJZlt'IU.liLll> I •• JU)?r-/101O1 :i,5T"/,
~-< 'f /-fmE
,~,.,,,,,.,. .,, • .& k. a ) I 'f.)/JCRPTB'L e Ck )A-~<:, ~811"2t/l~, DESIGNER'S ADOREss
'N .I/I LJ/J/?~i. .er . .1/1 UM'#
DESl"l:"NER
dAmo A r__)')w/J F,e
CENsUs TRACT
UIW>1t:7'
GP LAND USE/
CONTRACTOR'S
PHONE ~79//
STATE LICENSE
/tt,/99r
DESIGNER'S PHONE
7:;_9.,791/
PERMIT NUMBER
$0 -ii9a-
I
'DI
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 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 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).
z"oNtNG l RES. UNITS
~;.J;,SPA:~: vJ;:MBER OF STORIES
Not V•lid Unlt!Ss Machin, c.rtifiltl
DI, 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).
BLDG SQ. FT, BLDG USE occ. GP I STANDARD PLAN It l-PLANll>/I r 11 TYPE CONST J occ. LOAD J
QTY.I PLUMBING PERMIT AMT. QTY.~ MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP lL INSTALL FURN. DUCTS UP TD 100,000 BTU __.-<
EACH BUILDING SEWER I ____:___,.L.. OVER 100,000 BTU IL
J I, 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. _____ 8. & P.C. for this reason ____________ _
Date Owner
EACH WATER HEATER AND/OR VENT I L___
EACH GAS SYSTEM 1 TO 4 OUTLETS I L
EACH GAS SYSTEM 5 OR MORE IZ
EACH INSTAL.. ALTER. REPAIR WATE~PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
/A.A,J~L / 1 a .fJ"
TOTAL PLUMBINi'
CONTRACTOR
QTY. ELECTRICAL PERMIT AMT.
BOILER/COMPRESSOR UP TO 3 HP /
BOILER/COMPRESSOR 3-15 HP _L_
BOILER/COMPRESSOR 16-30 o/
VENT FAN SIP!GLE oucj::7
~ECH EXHAUST :)HfOO/OUCTS
RELOCATI~ EA FURNACE/HEATER
~
TOTAL MECHANICAL
CONTRACTOR
QTY. MOBILE HOME PERMIT
NEW CONST EA AMP/SWT/BKR
WORKERS' COMPENSATION DECLARATION p R
I hereby affirm that I have a certificate of con-1 PH .25 3 PH . 0 CH I/
AWNING
sent to sell-insure, 01 a certificate of Workers' EXIST BLOG EA AMP/SWT/BKR V SET-UP / Compensation Insurance, or a certified copy •
c--;,' ,.,
AMT.
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
ALL INCLUSIVE PERMIT
TOTAL PLUMBING I ELECTRICAL
II MECHANICAL
MOBILE HOME
SOLAR
thereof (Sec. 3800, Labor ~e). 1 PH .25 3 PH . / RAMADA, CABANA _/
POLICYNO A!(•'_/()J}oi(/3 h REMODEL/ALTER PERCIRCUIT / FENCEOVER6' / I 11 .,.,1 ____ ,..,.,~✓ coMPANY m r s-:$10 4 -,q_s: GeLJ1 • _,,, • --
~py ls filed with the city. r, TEMPPOLE 200AMPS /. TOTALMOBILEHOME L I 11 .. , __ -···
' -.. . . . >
□Certified copy is hereby furnished. OVER 200 AMPS _/ . /
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per•
mit Is for one hundred dollars ($100) or less).
TEMP OCCUPANCY (30 OAYSt _,.,v . _ _/
~~ / I ~oo U --I 7
TOTAL ELECTRICAL II I /
CONTRACTOR .,
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTIO
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 •
Ml~U M
TOTAL FEES PAYABLE I certify that in the performance of the work for
which this permit is issued, I shall not e.mPloy any
person in any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: II, af1er making this Cer•
tllicate of E,;emptlon, 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
SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND _.,f-1:;;-,'~-:'.°:~~~~~~~~;;~1~-=-~~~;'~~~~:::_ _ __:__J:::C::~~~~~~~~;:-~~::::---:--=--:~v; EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE It
,
,
I : : : : ,
I I I I
I I I I
: :
. ~;,:o I
/G//4Ap
• .... I-< 0 ~ >
~ .::: ~ 0.. V) z -
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).
OF THE GRANTING OF THIS PERMIT. APP OVED BY / ~~ /4
AGENT D ~ .:l l &'()
LOT
BUILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR
SHEATHING
FRA..ME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO
PLUMBING UNDERGROUND
COPPER
TOP OUT Z-J
TUB AND SHOWE¼:
GAS TEST Z-J
ELECTRICAL
UNDERGROUN~
ROUGH
CEILING HEAT
BONDING
/J-c.
MECHANICAL
DUCT & PLEM , REF . PIPING" t-.J
HEAT--AIR
VENTILATING SYSTEMS
):( IRv~J/MNJJN~,JAAt.~MMAJA~/A/A~~M~)( j O:r rtifirutr nf ®rnq.ntury ·"""'· f
~ CITY OF CARLSBAD ; ~ This Certificate issued pursuant to the requirements of Section 306 ~ ..... t1a .. -.1:.~-~ ~
j of the Uniform Building Code certifies that at the time of issuance i"'
~ this structure complies with applicable ordinances of the City' "' l regulating building cons~ruction u_se. ~
1 Use Classification Single Family Dwelling Bldg. Permit No. 80-624K ► ~ Graup _____ Type Construction _____ Fire Zone ______ Use Zone______ t ~ Occupant Load .. ~,.. ~ ~ O~ne~ofBuildinV·"!:-·:~':··~~ ~.i;i_;_t~~fq_h~~:·.rA~~ress_ :p. o. Bf>X; ... 1~5.: Carlsbad ~ ~ Building Address ··.ii :1~'-'8,:~ ~tt.r1-~~~M:· ~reri ;~~:oHty Ca!l~ba?.'.·;;~~:;· _9f_~~
~ ~ ~ NOTE 1 4h•rotlOl't, chongu, odditlont or chongu of oc
~ (Po•t In conspicuou• ploce/ { ~ )(WWWW~ww~~wwwwwwwwwww~wwnwwx
__________________ B~ '4~1 -'' I fi:"'!'
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l . , ., " .. , , 1 1 t., l I L L h i l t 1 L , 1 , l u N
This is to certify that insulation has been installed in conformance
with the current energy r c gulatio~s, California Admini s trative Code ,
Title 25, State of California, in the building locate d at:
SITE ADDRESS ;<;?re/ Valencia, Carlsbad, CA
EXTERIOR WALLS o.~ens-Corning and
Ma nufacturer Johns-Mansville Thickness/Type 3½" Frktion ------------
CEILINGS O.~ens-Corning and
R-Value 11
Batts: Manufacturer Johns-Mansville Thickness/Type 6" Kraft R-Va lue 19
Blown: Manufacturer
Wt./Bag
FLOORS
Ma nufacture r
-------
---------Thickne ss/Type ---------
Sq . Ft. Covere d ------·------
R-Value
R-Va lue
R-Va lue
----
------------Thickn ess/Type
GENERAL CONTRACTOR LICENSE# -------
TITLE DATE
LI CENSE# 2_11517___,s;_=.1._
TITLE Preside nt DATE