The URL can be used to link to this page

Home My WebLink About2708 VIA ROBERTO; ; 80-551; 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 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). □ 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). )ti, as owner of the property, am exclusively con• ~cling 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 4/ZL{fo Owner J,F-(;.J WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or 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· mil Is for one hundred dollars ($100) or less). I certify that In the perfonmance 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• tlflcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provl~;ons or this permit shall be deemed revoked. ~.)NSTRUCTION LENDING AGENCY I he.'lfbY affirm that there Is a construction len- dlno aoencY for the Derformance of the work for CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (7 14) 438-5525 NO. JOB ADDRESS AV. ST. IDATE OF APPLICATION '2 1 7 1 n 8 1 ~\/, n A, , ~.o,tl ,E.,K,T,o, RD -f I I I I I I I I I I I I I I I t'l..J"'""~ f<J OWNER OWNER'S PHONE PRIME CONTRACTOR ~~clJ K lu ise. ?5"7-l4Kt1 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS II\, <(16. lfiU1:1t. Or-.~~ t,.,,J£ .fe¥..,J a~. qz.oo7 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUM8ER STATE LICENSE J'd-'S~/ CONTRACTOR'S PHONE LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE 6 / 12 l6CJ"i:"f, i, j I I I I I I I I I I I OESCRIPf[TION OF ~ORK C0d962G ,,/12/llQ i;.C ~-~Y o.f (fr,. J ~-"" e. DESIGNER'S ADDRESS DESIGNER'S PHONE --, OLJ,,..~r. '!],,A,:tJ~ r CENSUS TRACT GP LAND USE ZONING . l RES. UNITS PARKING SPACE # I NUMBER OF STORIES C::l'"T -f +-Not V•lid Unwss Machin# c.rtifi«I BLOG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II I PLAN ID II -1 TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTA LL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP .--17 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP _/ / EACH GAS SYSTEM 5 OR MORE ...., tr'D BOILER/COMPRESSOR 16.;Ji1fP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGL~CT EACH LAWN SPRINKLER SYSTEM MECH EXliP.,t1S'T -HOOD/DUCTS VALUATI ON: WATER SOFTNER RELOcnlON OF EA FURNACE/HEATER BUILDING PERMIT I . I I I TC::C::TlR ~-nn IC::C::Tlli' 3.00 SIGN PERMIT I . I I I TOTAL PLUMBING ~ TOTAL MECHANICAL PLAN CHECK I I I I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. 0AMT. TOTAL PLUMBING I h-VT,; QTY. QTY. MOBILE HOME PERMIT / ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING ./ MECHANICAL I I I 1 PH .25 3 PH i--PORCH _/ MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR ----SET-UP / SOLAR I . I I I 1 PH .25 ..,,.,.-3PH RAMADA, CABA111,1(' I . I I I REMODEL/Al TER fift"C I RC U IT FENCE ov¢s· strona motion I I I I TEMP PO LE llKl"AMPS TOT~OBILE HOME MICO-FILM I I I I OVER 208'1.MPS 7 I . I I ; I TEM?' OCCUPANCY (30 DAYS) r7 I . I I I 'ISSUE 2 .. 00 ISSUE 5 .00 I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I I I ~.VTU I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMIT, AND DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES : HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'·0"" 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 COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ~.,,_,._o.,,. K. SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-Cuk 1 LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY VVAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE A ~ ., OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE' OWNER.a... CONTRACTOR□ IAPP•~ ~ ¥Jpt) AGENT D BY PHONED '). ! ~ 0 ~ ~ j:::: hl 0. V> ~ SITE 8t) ,Sb J 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 •· -. • C \ > 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 -PLATE Tl Es/HEIGHT OF CHIMNEY OTHER - TEMP POWER (POLE) SEWER GAS TEST . SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER - SHOWN • FRAME • PAN ,, I I /, FINAL INSP BY BLDG DEPT YJfljfl ~ ... OTHER DEPT'S REQ COMPLETED I I V / ELEC METER-PERM-TEMP V GAS METER-PERM-TEMP , CERT OF OCCUPANCY ISSUED -, .,