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Home My WebLink About1810 VALENCIA AVE; ; 81-10; 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 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior lo 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 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 (S500). 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. 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). '.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 Lew 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 pur the contractor's License law). I am exempt under Sec. ____ 4 p .C. for this reason. _________ -¥-P'--- Date Owner WORKERS' COMPENSATION DEC~RATI ~ I hereby affirm that I have a certificate o sent to self-Insure, or a certificate of Wo Compensation Insurance, or a certified thereof (Sec. 3800, La~~ f POLICY NO.Bfj; 7 COMPANY "t,, □Copy Is filed with the city. □Certified copy Is hereby furnished. CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 HO. JOB ADDRESS J S'1 /1 !)1 1V1A1L1 e,i/,(! .. d .A1 ,A,v,e.r-, I I I I I I I I I I I APPLICANT TO FILL IN INFOR - M~ION YJITHIN RED LINES. (?(.3 j 1.1-q __ tR~T-10/~F;P~IP/N BUS. LICE~!~ PERM IT NUMBER -, -.... '/ O'\ I r OWNER OWNER' 5 PHONE PRIME CONTRACTOR g/,. ;T:,~;;~ /tJ ~;,J'; '~ ~h . ~__,,-".-/ 7,:,.CJ-SIJD n~ -, -~~ . ~ . '-Ill~ /BI ~1.1,c. . -· OWNER'S MAILING A,oR6"s (l, fl j} CONTRACTOR'S ADDRESS • ~ CONTRACTOR'S . ' _,. i J/l/t:J 71,7a~au..e, .,,A ,1. -.5'PHONE .5. 000 12u ~6 / ZJ ~ ~ t, m/1,.i' ~ /) .)d"~ I-~ '"3 :, . . '" ... ·-l /1?/B1 a22 • LOT BLOCK I SUBDIVISION , l1 ASSl7Ess 1 o"R'S PAR s;-;CEL NO. 35 DESIGNER STATE LICENSE f>1 1-1.:2. 101 I.'. I I OE,~CRIP ~WORK n,J. ,--f; A._ 'A .h J :....-. "-' '7/4 ~ ~ DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LANO USE ZONING RES. UNITS I PARK! NG SPACE I NUMBER OF STORIES Not V•lid Unless MM:hiM (Mtjfi«J BLOG SQ. FT. BLOG USE occ. GP I STANDARD. PLAN II I PLAN IO 11 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP ~u-ecmx< -:s .m.; INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER ,., OVER 100,000 BTU EACH WATER HEATER ANO/OR V~.d-~ / -::) -CT7J BOILER/COMPRESSOR UP TO 3 HP --'· U'/ EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ./" EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP /" /~ EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT .-,,,,-//~),) EACH LAWN SPRINKLER SYSTEM -MECH EXHAUST -HO~CTS WATER$0~:J:Nt11 ~,>,;>,,,,,.-,~_Cl) RELOCATION~ FURNACE/HEATER BUILDING PERMIT I I I I .,, ---,,, ~ , J,:'?.oo / .A~,i .I ,. -=< ·" ~ SIGN PERMIT I , I I I TOTAL PLUMBING/ Jlc> ~ TOTAL MECHANICAL PLAN CHECK I I IJ.h!O . CONTRACTOR . en) .----ALL INCLUSIVE PERMIT I I I ELECTRICA~MIT y ~ MOBIL~MIT AMT. TOTAL PLUMBING I 1/1)~1 (> QTY. QTY. ELECTRICAL I '1 I NEW CONST EA A~il/r/KR ~/Y CJ ,.,WN INY'f .J V .r.l MECHANICAL I I I 1 PH .25 I/ 1/4'1'.fe"" 1"7. t?-V. / I ~R9{/ IV MOBILE HOME I I I EXIST BLOG EA AMP/SWftep,,,' y, .I I :'(J;.u( SOLAR t I . I I I 1 PH .25 K 3 PH II / 4 AM)DA, CABANA .A.h J.,_ •• 7; -J I I I I REMOOEL/ALJ.a'ft /rl rH CIRCUIT ... ~ FIJ(CE OVER 6' /7 I I I I TEMP P~ 200(AMfs Jl)TAL MOBILE HOME MICO-=-FILM I . I I I ~200AMPS V I I I I : I / TEMP OCCUPANCY (30 DAYS) I,, I . I I I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the p~r-• ',,, /.A.A~ ,, ~; I I I I mil Is for one hundred dollars ($100) or less). I certify that In the performance of the work or which this permit Is Issued, I shall not employ any person In ~Y manner so as to become subject to the Workers· Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of ~xemptlon, you should become subject to the Won<ers' Compensation provisions of the Labor Code, )'ou must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENOING AGENCY I hereby affirm that there Is a construction Ian· ding agency for the performance o_f_ th_e ~O!k fo_r TOTAL ELECTRICAL CONTRACTOR 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 HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOUENCc OF THE GRANTING OF THIS PERMIT. TOTAL FEES PAYABLE I 1/13. <>T'D . I I . ~---~ "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ----., 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT ~ y ~.,,,,,.,, • ., ./ / APPLICANT'S~URE• ~ -OWNERef'"" CONTRACTORg"' !APPROVED BY • DATE AGENT 0 BY PHONE O 7, ,.,::::?/ ..... ~ ~ v•f .y/ 0 BP 0 ., tr- ! < 0 ~ > ~ i= ~ n. V) ~ ..