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Home My WebLink About1859 VALENCIA AVE; ; 80-889A; Permit' ~· CONTRACTOR'S DECLARATION ~fllrm that I am licensed under provi• 'i/Jf' 9 (commencing with Section slon" 3 of the Business and Profes- sic, .,.,e, and my license is In full force and el· feet. 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 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 provl· 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· pllcant for a permit subjects the 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). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (7 14) 438-5525 NO. JOB ADDRESS BLDG SQ. FT. BLDG USE OCC. GP I ST AND ARD PLAN # PLAN I O # QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER AMT. APPLICANT TO F ILL IN INFOR - MATION WITHIN RED LINES. PERMIT NUMBER ~D -'b i1 I0/1(;/ Not V•lid Unwss ,.chint c.rtifi«J OCC. LOAD v~~-i,&, BUILDING PERMIT :JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2nd 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). 00 <.f.(1() SIGN PERMIT PLAN CHECK TOTAL PLUMBING TOTAL MECHANICAL I am exempt under Sec _____ B. & P.C. for this reaso '------------- C,ONTRACTOR ALL INCLUSIVE PERMIT CONTRACTOR QTY. ELECTRICAL PERMIT AMT. TOTAL PLUMBING Date Owner AMT. QTY. MOBILE HOME PERMIT ELECTRICAL NEW CONST EA AMP/SWT/BKR /. AWNING WORKERS' COMPENSATION DECLARATION / p I hereby affirm that I have a certificate of con-1 PH .25 3 PH • 0 RC H sent to self-insure, o, a certificate of Workers' EXIST BLOG EA AMP/SWT/BKR . SET-UP MECHANICAL MOBILE HOME SOLAR Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). 1 PH .25 3 PH . RAMADA, CABANA ~~~~~Yn,#f/i;;9l qfJs:¼:e.tJoO REMODEL/ALTER PER CIRCUIT 7 . FENCE OVER 6' / I • II _....,.. l'J,r~...n,v' I I , I I • I I ~ylsf;ledwltht~eclty. TEMPPOLE 200AMPS / ---·· ··--··-··-··-/ 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 ($10!)) 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' 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 affirm that there Is a construction len- ding agency for the performance of the work for .... ,_~ .... 1_ --.. -1. 1 .. 1 .... ,,...,.. ,c::.,. -U,,07 r.lvll r.rv1a\ TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVA 5•.0--OEEP AND DEMOLITION OR CON STRUCTURES OVER 3 ST TOTAL FEES PAYABLE ~.:::;..~ I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP ~,L A ~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS A EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ~ _ OJ ... ~ ~ pff /t:, h ~~ 1 OF THE GRANTING OF THIS PERMIT. ADD r-6.JrJT•C tr-JrJAT • nu. ,c:~ ,..,..,,.,,..,.. • -~-~ r'\\/C,.. .,..., ,-} ..._,.. • w < 0 ~ ~ j::: ~ Cl. V) ~ I SITE J 1. ~0-~8'9 -A-ADDRESS: OWNER: PERMIT NO: ' ...... FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR rnSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET ' ' UNDER FLOOR PLUMBING • . 'I. " . ,, .1 I . ,-~ ._ UNDER FLOOR HEATING .. . ' ' --OK TO INSTALL SUB FLOOR ~ ' -, -,, . ' · .. ~ I \ ' ,. -...;:--i. • ~ .,. SLAB FLOOR UNDER SLAB PLUMBING ·, ..... !-_ ' FOOTING • FORMS • SETBACK • TOILET ., OK TO POUR CONCRETE FRAME ' ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION -INSULATION OK• PLACE WALLBOARD WALLBOARD OK • PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO . ; FIREPLACE -· ' DAMPER &STEEL P L ATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING r • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN I FINAL INSP BY BLDG DEPT I .N -A /J OTHER DEPT'S REQ COMPLETED :) Ii I XI 1H 0 ELEC METER-PERM-TEMP I GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED