HomeMy WebLinkAbout1859 VALENCIA AVE; ; 80-624-N; 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
0 1 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 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-'lf:l~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 proRerty 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).
'.31, 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.
for this reason ____________ _
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.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
,., 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
p~rw, In any manner so as to become subject to
thf-..,rkers' Compensation Laws of California.
N01 il!E TO APPLICANT: If, after making this Cer-
tificate.of Exemption, you should become subject
10 the Workers' Compensation provisions of the
Labo,lcode, you must forthwith comply with such
provisions ~r this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affitm that there Is a construction len-
ding agency for the performance of the work for
which this permit Is Issued (Sec. 3097, Civil Code).
~'\ i fU' I CITY OF CARLSBAO-BUILOING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
J
BLDG SQ. FT. BLDG USE OCC. GP STANDARD PLAN II PLAN I D It
AV. ST. 110
. Inc:..
J?JC
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
PERMIT NUM8ER
t6-,J.~ .ti STATE LICENSE
//;/ $?-
CONTRACTOR'S -· -PHONE
"'7{).
F
sf NUMBER OF STORIES
Not V•lid Unltlss M1chin1 c.rtifilld
TYPE CONST OCC. LOAD
,
QTY. PLUMBING PERMIT AMT. QTY.
EACH FIXTURE TRAP -EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT -
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE S'O
MECHANICAL PERMIT AMT.
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BO I LE R/COMPRESSO R UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
EDcJ-/
-,,%/ ~;/,, ! < 0
EACH INSTAL., ALTER, REPAIR WATER PIPE I • VENT FAN SINGLE DUCT ·-
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
TOTAL PLUMBING 3'/.So TOTAL MECHANICAL f,-CONTRACTOR CONTRACTOR
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT.
NEW CONST EA AMP/SWT/BKR AWNING C
1 PH .25 PORCH I 1 f
EXIST BLDG EA AMP/SWT/BKR SET-UP , i ~
1 PH .25 3 PH RAMADA, CABANA I f i
REMODEL/ALTER PER CIRCUIT FENCE OVER 6'
TEMP POLE 200 AMPS TOTAL MOBILE HOME
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
Issue 2 .. 00
TOTAL ELECTRICAL
CONTRACTOR J, ,-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVAT
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5"-0" DEEP AND DEMOLITION OR CONSTR
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVE
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN O R NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KE ARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. C
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUEN
OF THE GRANTING OF THIS PERMIT.
VALUATION: J /(;..i..o,
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK ,....r" ), -
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO -FI LM
STRONG MOTION :
TOTAL FEES PAYABLE
SCHOOL FEES:
AGENT D
-
ro
~
~ ~ ::d Q. Vl ~
SITE . . '80-(/J_L} -/J ADDRESS: . OWNER: ' •. PERMIT NO:
' -• "◄ .. ,• ' FIELD INSPECTION RECORD ' •
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION • FORMS• SET BACK • TOILET 0 --.
UNDER F LOOR PLUMBING I \_ I . J...._-s -· -~-. -' -~ .
UNDER FLOOR HEATING -' JI -'.. -··/.1·: ~' ., • OK TO INSTALL SUB FLOOR -· ' :.. ' ., ~ . I ' ' \-....
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS • SETBACK • TOILET
OK TO POUR CONCRETE
FRAME J
ROUGH ELECTRICAL •'· ,. / ROUGH PLUMBING
/ ROUGH HEATING/VENTILATING "
FRAME OK • PLACE INSULATION / INSULATION OK • PL ACE WALLBOARD
WALLBOARD OK• PL.ACE TAPE ,/
EXTERIOR L ATH OK • PLACE STUCCO ,/
/ .. . FIREPLACE . . . DAMPER 8c STEEL / PLATE TIES/HEIGHT OF CHIMNEY -1 /
I ' ... v , <(I /
OTHER / ()./' ~ TEMP POWER (POLE) \ / I ~
~ / ,' .. !\/ J SEWER I
GAS TEST '// j rv I ' SWIM POOL • STEEL BONDING .,/ \. I ..... v ~
• PRE DECK /~ // t/
• FENCE PREPLASTER 1 ( /
SHOWN • FRAME 'x'I I
• PAN /
FINAL INSP BY BLDG DEPT /
OTHER DEPT'S REQ COMPLETEV ~
ELEC METER-PERM-TEMP /
GASMETER-PERM-TEMf;Y' ~
/ -.
/ ·~·:--:-,
.. , .
~ L. . .
CERT OF OCCUPANCY ISSUED ' ...
'•
BUILDING
FOOTINGS
FOUNDATION ·-l-l,
REINFORCED
MASONRY
GUNITE OR
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO ~WATER ____ _
PLUMBING UNDERGROUND
COPPER
TOP OUT 2-1)
TUB AND SH~
GAS TEST 2-/J
ELECTRICAL
• UNDERGROU~
• ROUGH (,... /;J
• CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPIN~ C-t.J
HEAT--Aik • ·
VENTILATING SYSTEMS
FINAL: ______________ _
:" I ,,, . ·l
X~MA~~~~A~~li~X ~ ~ t
} (£: Hit fir at r n f ® r riqnt lt r y .·"""',, ,. e
:j CITY OF CARLSBAD f ~ This Certificate issued pursuant to the requirements of Section 306 '1'Jnl'9'~ I
j of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances · of the City ~ 3 regulating bui_lding con~truction ~se. ~
1 Use Classification Single Family Dwelling Bldg. Permit No. 80-624N ~
~ Graup _____ Type Construction _____ Fire Zone _____ Use Zone ______ t ~ Occupant Load • ~-... ~
·, ~ OwnerofBuildin~--... :t:,t'·R.-Part_nershiJ?, • '·Address P. 0. Bo?C 1135 Carlsbad ~ ~ Build ing Addressi',_l ~,t~59~v ?'i:7nc~a ,J1V~•!; .1Locolity Car_lsbad; -CA.i 920Q8 , ~
A 1 · S • "' .. ... . l /_ . . ,l' , ~ • C. -~,,,:,..
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~ ~ (Post in conspicuous plocel / ):
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