The URL can be used to link to this page

Home My WebLink About2806 VIA CLAREZ; ; 81-113; 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 DI 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 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 ($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 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 i p ofesslons Code: The Contractor's License La d t ap- ply to an owner of property ,.ho eil or i proves thereon, and who contracts or s ch p jects with a contractor(s> license p u t tJ contractor's License Law). I am exempt under Sec. 'I\ ,'\"\>, !"' for this reason~-----.J~~"->---~~-+_.,.- 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 ___________ _ D Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit is for one hundred dollars ($1()0) 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 which this oermlt I~ l~ct11M ISor '\n07 r-1 .. 11 ,.._ ... _, CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (71 4) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. NO. JOB ADDRESS AV, ST. ,DATE OF APPLICATION BUS. LICENSE PERM IT NUMBER ~1·)1<10 1 ,ll, i ,A, I r._,{,,, lh 1P. I £.1 Z I I I I I I I I I I j I I I I 1 R~ 3 .:> ~ I .:JJ~>"C/, q,/13 OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE /< C'r --f-~' l'"-1c., ~:.?I<) 1 G J2CJ-e'°:::>S 4 a~1L1,,. ,i, e,rc 1.•/'n Pli11.1A t :J.1..1 ~ . .J. '10 OWNER'S MAILING AOORESS C,'C'{~c CONTRACTOR'~ ADDRESS5f CONTRACTOR'S ,.J. u c C, I CJ e::_ Cc: ~/sJ,,,,/ l/:rlj-l/9/t{ L,-...t..fc1''i 'St~7C-; LOT BLOCK I SU8DIYISION I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE I I I I I I I I I I I DESCft.fPTION OF WORK G-:C'\<:,, 11'."'"'K DESIGNER'S ADDRESS DESIGNER'S PHONE 3/03/816285 s.0( I RES. UNITS I PARKING SPACE I NUMBER OF STORIES 000 I 6285 .. _ 3i03 I a I 5 .cil ei:i TL CENSUS TRACT GP LAND USE ZONING on• I~::)· .. r· 3/n't ·~ Nat V1lid Unlm Machin. c.rtifi«I - BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II I PLAN ID II I TYPE CONST I occ. LOAD I ' ClTY . PLUMBING P ERM IT AMT. QTY. M E CHANICAL P ERMIT AMT . EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100.000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS . -ii BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE "")/4/ -BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT ./J/c~t~ ,/;~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNE.!3. RELOCATION OF EA FURNACE/HEATER BUILDING f>ERMIT I I I I t' ,.,..,, .A _f I O i ~-0~ SIGN PERMIT I , I I I TOTAL PLUMBING ~-? '" TOTAL MECHANICAL PLAN CHECK I I I I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I .-J,.n -,.;;- QTY. E L ECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT . TOTAL PLUMBING I ~-~ ELECTRICAL I -r I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I , I I I 1 PH .25 3 PH RAMADA, CABANA J .. ~ I , I I I REMODEUALTER PER CIRCUIT FENCE OVER 6' l./41---(..,,'L,oYJ c;._ ~ I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME -MICO-F't1..M , I , I I I OVER 200 AMPS I I I : I TEMP OCCUPANCY (30 D__AYS) I . I I I _r........ ) ,.. -. • ~ 00 I I I I . TOTAL ELECTRICAL TOTAL FEES PAYABLE I ,~--CONTRACTOR fl . . I I , J--- ...L /, .e-re~ ./ ~ L -.. I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIO VER • J -- HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5•.o•• DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT .... cJi 1/r (..,"" 1J-?17-U,--. \.} , COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER . SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-\;1,A -i LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ' EXPENSES WHICH MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APP'l:-rt:ANT'S SIGNATURE' OWNER□ CONTRACTO)~APPROVEO BY rlJl/tt trt r AGENT 0 BY PHONE n ~- SITE ~ I -I 13 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 ,-,,·\ .t :,di ..... 1 SLAB FLOOR ~~ _:,· U -, V 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 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDLNG - • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN I FINAL INSP BY BLDG DEPT \ I .\'l OT HER DEPT'S REQ COMPLETED 1\ \ci\ "~ ~ ELEC METER-PERM-TEMP Wh\ \)' t\, \ ~ METER-PERM-TEMP v \I\ l '~ \ \ . CERT OF OCCUPANCY ISSUED