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Home My WebLink About2805 VIA CLAREZ; ; 80-435; Permit,r LICENS'p) 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 DI 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 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 bullds 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. II, 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 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). f I am exempt under Sec. & P.C. for this reason ~ ,.. M Date =7/~ CITY OF CARLSBAD-BUILDIN G DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. 1 a A\,iT. 8US. LICEfv; PERMIT NUMBER ?P✓'-/$.<' "e~r Ga/onfe ::;}~d;;e /.JR1 R/I./ v!M;E ~0_Ja ll1v a1✓1: ONTR;_T;R~S ~. l::;1rc;;~ ' " I L.",;i/ ' ,--, OWNE,;s MAILIN~DDRESS 0 -- d.. 'l uo. / Jc'/)t0 LOT BLOCK I SUBDIVISION DESCRIPTION Of' WORK _A Yi£,~/~--..., PcENSUS TRACT GP L ANO USE BLDG SO. f'T. BLOG USE QTY. y PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT 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 I SSUE TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT I ASSESSOR'S PARCEL NO. I I I I I I I I I L _ 1 DESIGNER DESIGNER'S ADDRESS PARKING SPACE # ZONING I occ. GP I STANDARD PLAN# I PLAN ID II s q . f t. 1 TYPE CONST AMT. ~ ---·"""""'"" 3 .0 0 ~ AMT. QTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER ISSUE TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT I/ sufE i: 1~ENAE DESIGNER'S PHONE l NUMBER Of' STORIES Not Valid Unt,ss Machin, Cmifilld I occ. LOAD 1 AMT. VALUAT I ON , BUILDING PERMIT I I . I~ I 3 ~00 SIGN PERMIT I I . I I . I PLAN CHECK I I . I I 1 ALL INCLUSIVE PERMIT I I I I TOTAL PLUMBING I I 1>-UW AMT. ELECTRICAL I I -- 1 • I NEW CONST EA AMP/SWT/BKR • AWNING . MECHANICAL I I . I WORKERS' COMPENSATION !;JECLARATION I hereby affirm that I have a certificate or.,_w,n-1 PH .25 3 PH • PORCH • MOBILE HOME I I sent to sell-Insure, or a certificate o! wilfii,/ EXIST BLOG EA AMP/SWT/BKR . SET-UP SOLAR I I I I I I Compensation Insurance, or a cert1fi • • ' • thereof (Sec. 3800, Labor Code). ./..,. • • I PH 15 3 PH , RAMADA, CABANA . I , I I • I ~~~X:J REMODEL/ALTER PER CIRCUIT . FENCE OVER 6' • I , I I • I □Copyisfiledwlththeclty. TEMPPOLE 200AMPS • TOTALMOBILEHOME • MICO-FILM 1 , I I • I □Certified copy Is hereby furnished. OVER 200 AMPS . 1 , 1 I ; I CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is 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 person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: II, alter making this Cer· tlflcate of Exemption, you should become subject to the Worl<ers' Compensation provisions of the Labor Code, you must forthwith comply with such ·ls Ions or this permit shall be deemed revoked. TEMP OCCUPANCY (30 DAYS) • I • I I I ISSnE I 2 .. ooll I ISSUE I 5 . ooJ stronq __ mot ion I 1 1 TOTAL ELECTRICAL II I I II TOTAL FEES PAYABLE CONTRACTOR •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF SCHOOL FEES I I ---I ~ I~ I • .... < 0 ~ ~ i= ~ a. V) ?;; ~STRUCTION LENDING AGENCY "firm that there Is a construction len- inr thA n11-dnrm:1nr111 nf th111 wnrk fnr 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 A LL 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 CONSEQUENCE OF THE GRANTING OF THIS PERMIT. iZ~1s~~TJ,g?Lo APPLICANT'S SIGNATURE• OW~R(] AGEll!Pe) I I ,J_L /i ! .. CONTRACTOR□ rPPRO't/::J!llf7 BY PHONED ' I '1/JW ~-... SITE \:. Ji8-''-i36-ADDRESS: OWNER: . ,· PERMIT NO: FIELD INSPECTION RECORD --,_ ... . . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES .WOOD FLOOR FOUNDATION• FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING ~ .. --. UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR -;. SL AB 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 T APE EXTERIOR LATH OK• PLACE STUCCO ., FIREPLACE DAMPER &STEEL - PLATE TIES/HEIGHT OF CHIMNEY , OTHER A•_/ TEMP POWER (POLE) ~ n "'-"' i~ SEWER /\ \ --z:; .... GAS TEST '")_ J ~ \ SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP I CERT OF OCCUPANCY ISSUED