HomeMy WebLinkAbout1861 VALENCIA AVE; ; 80-624-M; 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 t 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 reQulres a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to Its Issuance also reQulres 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 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. ff, 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•
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.
tor 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 flied 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-
mit is for one hundred dollars (S100) 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 wor;.ers' Compensation Laws of California.
NOTICE TO APPLICANT: 11, after making this Cer-
tificate of Exemption, you should become subject
to the Wa.t,ers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provlslomfor 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 permit Is Issued (Sec. 3097, Civil Code).
CITY OF CARLSBAD-BUILDING DEPARTMENT t" ro .,,,, APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
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OWNER OWNER'S PHONE PRIME CONTRACTOR
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OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
eus. LICENSE PERMIT NUMBER
2 9A'r18' 9o-,iLf STATE LICENSE M
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CONTRACTOR'S
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J°q BLOCK Jj;;:;;1;t';6u~,:] • -~-~"7 ~}f+'",2, OD DESIGNER -,I STATE LICENSE I
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;_tCRIPTI0N OF WORK f), . ,r::-, ' / YIL. ,t)) n.i'l //)//? ,-, i"'IL 1-s:f" ~-, I U DESIGNER'S ADDRESS DESIGNER'S PHONE
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CENSUS TRACT1 GP LAND USE 7 ZONING
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sf RES. UN ITS
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I P~RKI NG SPACE I NUMBER OF STORIES
Not Valid UnlllSs Machin, Cartifi«J
BLOG SQ. FT, BLDG USE acc. GP I STANDARD PLAN 11 I PLAN ID II I TYPE CONST I occ. LOAD I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. L::'-!>J-/
/;? EACH FIXTURE TRAP -~J'>.-J INSTALL FURN. DUCTS UP TO 100,000 BTU 4--
/ EACH BUILDING SEWER ._,-__ OVER 100,000 BTU I
I EACH WATER HEATER ANO/OR VENT ..2 --BOILER/COMPRESSOR UP TO 3 HP
I EACH GAS SYSTEM 1 TO 4 OUTLETS ...l.-BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE J VENT FAN SINGLE DUCT .2--l!>-t?3cJ, -
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODO/DUCTS VALUATION:
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT -.. I I~--?.'f,I _,._
Issue :s .. u u Issae :S .. UL SIGN PERMIY ~ \ I I I I
TOTAL PLUMBING 3~--:-TOTAL MECHANICAL 7,_-PLAN CHECi 7t#~J ,,s:.o I I i(.1'2 V'l .
CONTRACTOR CONTRACTOR ALL INCLUSh-e-t<RMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I J.:?°...? t-
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I "2 .7,1 ---
NEW CONST EA AMP/SWT/BKR /~ ,4. .JS.-AWNING MECHANICAL I I q/I_.. ...
1 PH .25 3 PH PORCH MOBILE HOME I I I
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I i
1 PH .25 3 PH RAMADA, CABANA I . I I . I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I . I I . I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM I . I I I
OVER 200 AMPS I . I I : I
TEMP OCCUPANCY (30 DAYS) STRONG MOTION: I . I I ,") ,1::/
Issue 2.00 I . I I I ,
TOTAL ELECTRICAL ;;..7.-TOTAL FEES PAYABLE I 3,5i".S:Jt CONTRACTOR I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONSOVOCHOOL FEES:
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCT I F
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; T O COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT 1/,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
1--~---//., ~ / I
SPECIFIED HEREIN QA NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP~-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOG
0
MENTS, COSTS ANU 4/
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSE;;-:::::OUENCE
OF THE GRANTING OF THIS PERMIT. i..!!'P~'S SIGNATU~• OWNERQ CONTRACT:~,APPROV~Y Jj___ ~/2 --AGENT O BY PHONE O C/ -~ . -I 7
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BUILDING
FOOTINGS
FOUNDATION l-7-h
REINFORCED STEEL
MASONRY
GUNITE OR
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO ~ WATER_· ___ _
PLUMBING UNDERGROUND
COPPER
TOP OUT
TUB AND
GAS TEST
ELECTRICAL
UNDERGROUND½,,;
• ROUGH
• CEtLING HEAT
BONDING
MECHANICAL -I
"DUCT .& PLEM, REF. PIPING ~ 2, ... ~
HEAT--AIR
VENTILATING SYSTEMS
FINAL: ---------------
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/4 t ~ CI TY OF CAR LSBA D ; ~ This Certificate issued pursuant to the requirements of Section 306 'Vl .... Rt:,.•-=---.. ~.,,~ ~
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicabl e ordinances of the City ~ 3 regulating buil~ing cons~ruction u~e. i
j Use Classification Single Family Dwelling Bldg. Permit No. 80-624 M ~ ~ Group _____ Type Construation _____ Fire Zone ______ Use Zone______ t
/4 Occupant Load ~-,,. ~
~ O~ne~ofBuildinl:i:·:·_~i..~•-·R : :_artn~rs}lip :Address P. 0. B:ox 11i5~, Carlsbad ~
/4 Budd,ng Address •• ~, ~861-yale4ci~. Ave_,. Locality Carlsba~, ~'):· ?2~0.8 ~
/4 • 1·e."'.'(-ll., __ ~ ~ ~I JZ....1),..-.~ •
/4 /4 _________________ ay,c '1~4"--/" rrla&e-
/4 ~ NOTE: Aherotions, changu, additions or changu of occu
/4 (Post in conspicuous pfoc•l ~
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This is to certify that insulation has been installed in conformance
with the current energy regulatio~s, California Administrative Code ,
Title 25, State of California, in the building located at:
SITE ADDRESS /9(,p / Valencia, Carlsbad, CA
EXTERIOR WALLS o.~ens-Coming and
Manufacturer John·s -Mansville ______ .::..._=.c..-=.c __ _ Thickness/Type 3½" Frktion R-Val ue __ 11
CEILINGS
Batts : Manufacturer
Dlown: Manufacturer
Wt./Bag
FLOORS
Manufacturer
o.~ens-Corning and
Johns-~1ansville Thickness/Type 611 Kraft ------'---'----
---------Thickness/Type ________ _
Sq. Ft. Covered ____________ _
R-Value 19
R-Value
R-Vctlue
-----
------------Thickness/Type ------
GENERAL CONTRACTOR LICENSE# ____ _
TITLE DATE -------·----
LICENSE # 221517 C-2
TITLE President DATE