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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. -~,,,:,.. ~ r .• ; II • ~ : ' ~ ~ (Post in conspicuous plocel / ): ~ffWWMMMMMMMMMMMMMMWW~wwp~~wwnwwx j . j __ ~....,,..._.... ___________________ [· I \ \ \ \· '.I '. .. , . .,--, (