HomeMy WebLinkAbout1871 VALENCIA AVE; ; 80-624-L; 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 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,Buslness 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 tor a permit subjects the applicant to a
civil penally of not more than five hundred dollars
($500).
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. 704-4, 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-
f/red 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
,.e did not build or Improve for the purpose of
iale).
::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. B. & P.C.
tor this reaso"'-------------
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.
D Certified copy is hereby furnished.
ct.::iTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed It the per-
mit Is for one hundred dollars ($100) or less).
I certify Jhat 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 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 aftlrm that there Is a construction len·
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Civil Code).
~J\.Ou , CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
QTY. 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 0 R MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMPISWT/BKR / #-t)
1 PH .25 3 PH
EXIST BLDG EA AMPISWT/BKR
1 PH ,25 3 PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYS)
Issue
TOTAL ELECTRICAL
CONTRACTOR
APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
occ. GP I ST AN OARD PLAN II PLAN ID 11 TYPE CONST
AMT. QTY. MECHANICAL PERMIT
INSTALL FURN, DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
;J._.s?J BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOO/OUCTS
3JrSZ, CONTRACTOR
TOTAL MECHANICAL
AMT. QTY. MOBILE HOME PERMIT
) AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
2.00
ol-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO AN OSHA PERMIT IS REQUIRED F
HEREBY CERTIFY THAT ALL INFORMATION HEREON 15 TRUE AND CORRECT ANO I DEEP ANO DEMOLITION 0
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH CTURES OVER 3 STOA
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WH HER
SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY ANO IC
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. •
AMT.
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
PERMIT NUMBER
t0~6':>.1-L
Not V•lid UnJ.ss lbdliM c.rtifild
OCC. LOAD
Eb u '"'I
-VALUATION : fl/tf6, --
BUILDING PERMIT
3 .. OQ SIGN PERMIT
1,-:--
AMT.
PLAN CHECK
ALL INCLUSIV
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO -FI LM
STRONG MOTION:
TOTAL FEES PAYABLE
OWNER□
AGENT D
SCHOOL
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-~
~ ~ Q.
Vl ~
LOT /~ -----
2£c
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH &
PLUMBING
SEWER AND PL/CO WATER
PLUMBING UNDERGROUND $ I J ~ '
COPPER
TOP OUT
TUB AND SHO]i;:
GAS TEST 2 -v/
ELECTRICAL
UNDERGROUh:
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIP IN~ '2-f
HEAT--AIR
VENTILATING SYSTEMS
FINAL:
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-CITY OF CARLSBAD ~ ~ -..~~~ ~
This Certificate issued pursuant to the requirements of Section 306 .__..,_~ ~
of the Uniform Building Code certifies that at the time of issuance :
~ this structure com plies with applicable ordinances of the City ~ 3 regulating building cons'.ruction use. I:
j Use Classification Single Fami.ly Dwelling Bldg. Permit No. 80-624 L ~
' ~ Group _____ Type Construction _____ fire Zone ______ Use Zone______ ~
Occupant Load -; •• ~ ~ OwnerafBuildint';·•·--,Ii .. -R. Partnership •Mdress P. 0. Bbx 1155, Carlsbad ~ ~ ~ r r·q' • . ~ ~ Building Address --~~l:~ii...,,__Y ·1 _ n~1a_ ~~e!. ·.Lo:olity Carlsbad, CA. 92008 ~
~ .1.J!!1~.....>1-... -'. .;,' ···~ .-JJ---~ ~ By E ~ ------------------Dote,__,.._____:::..::__...:...J~---1--------~ . .. '· ~ NOTE: Alterot,on•, chong .. , odd11!on• or chan·gH o occup » ~ (Po,t in conspicuou• ploce) ~
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This is to certify that insulation has been installed in conformance
with the current energy r c gulatio~s, California Administrative Code ,
Title 25 , State of California, in the building locat e d at:
SITE ADDRESS -~/~~~2~/ _V;_a_l c_n_c_i_a~,_C_a_r _l _sb_a_d~,'--CA ________________________ _
EXTERIOR WALLS
Manufacturer
O.vens-Corning and
Johns-Mansv1lle Thickn ess/Type 3½1 ' Friction R-Value_ll
CEILINGS O.vcns -Coming and
Batts: Manufacturer Johns-Mansville Thickness/Type 6" Kraft ------R-Value 19
R-Va lue
R-Value
Blown: Manufacturer
Wt./Bag --------
FLOORS
Manufacturer
GENERAL CONTRACTOR
Thickness/Type ________ _
S q. Ft. Covered ____________ _
Thickness/Type ---------R-Value
TITLE
TITLE
LICENSE # ----
DATE ----------
LICENSE # _2215J.i_C-_L
President DATE