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Home My WebLink About2736 VIA TULIPAN; ; 81-207; 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 prov!, 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 and Professions Code: The Contractor's License Law does not ap- ply to an owner of property 1•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 Owner 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- mit Is for one hundred dollars ($1<l0) 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 faemption, 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 thl• oermlt Is issued !Sec. '.3097. Clvll Codel. C IT Y OF CARLSBAD-BUILDING DEPARTME NT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. P. 1 71;:v:~~V I I 1A 1 JOB .O.DORESS tRr-l0 Jt~t~17N eus. LICENSE PERMIT NUMBER ,r.u ,'-, 1 1P1A iN , I I I I I f I I I I ~~<1 r 41?1 OWNER \ OWNER'S PHONE PRIME CONTRACTOR I STATE LICENSE THE 1{16.J-IJ..iii.JD {:p,1p,tNY 72'1 -7ltJ8 -r,.,£ /11(,dLA,l'ID {Zll"'fPI\N'/ 1,,819919 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S ~~ IJJ" I • Lil i.a I/ 8- 3105 AVE.NIDA PE. flt,11 rli L31t1Jr Avt:JJ,t:¥1 a rt,v,rn PHON1 --, -I ?ze ·7/~J• J."o, I 8LOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE I I I I I I I I I I I DESCRIPTION Of" WORK ;:::, FC'T77ft!. /'1~"/T-n. H:t VAn,> l,atr,,.,;t NVCI DESIGNER'S ADDRESS DESIGNER'S PHONE ->Pl'( I WI( LEI?, 6,une.6'~.EIV 1/.o A-/ll\£l /t f a-',ti CENSUS TRACT GP LANO USE ZONING I RES, UNITS I PARKING SPACE I NUMBER Of" STORIES Not Valid Unlllss MachiM CtNtifild 8LOG SO, f"T. 8LDG USE occ. GP I ST .O.NOARD PLAN II I PLAN IO II I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 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 _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 -HOOD/DUCTS U,., 1 ",, +; r,n WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUI LO ING PERMIT I ' I ; C C 11<" ~.()() iss ue 3. 0 ( SIGN PERMIT I . I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I ' I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I TOTAL PLUMBING I I \" r, I .,., I I I I I I I I I I . QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL i/.J? ✓ 17V NEW CONST EA AMP/SWT /BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I I EXIST BLDG EAAMP/SWT/BKR ¥CJ _4,A 6/" /n . 00 SET-UP SOLAR I ' I I I 1 PH .25 3 PH V ( RAMADA, CABANA I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I ' I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I ' I I I OVER 200 AMPS I ' I I I TEMP OCCUPANCY (30 DAYS) ./ I . I I I i <:; c:;11 <" 2-. oo / Strong Mo t:1on I I I ' I TOTAL ELECTRICAL /4~ TOTAL FEES PAYABLE I .~,~ CONTRACTOR I I IV I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER School Fee HEREBY CERTIFY THAT A LL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;T o COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~~~ ~~-v--SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO 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. APPLliANT 'S SIGNATURE• OWNERQ CONTRACTOR□ IAPP&R ~ ,ff;;;,.~ AGENT at:: BY PHONED / ~. _J~ ., ., ~ 77 l. .... ' '- ~ ~ 0 ~ ~ i= ~ 0. V) ~ a n , J .. r ..) SITE ADDRESS: INSPECTION DATE WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR 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 TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENC E PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ C OMPLETED -,/ I ELEC METER-PERM-TEMP // ... ~ GAS METER-PERM-TEMP I ~-;n I' IV I CERT OF OCCUPANCY ISSUED OWNER: P ERMIT NO: i /-d-fJJ FIELD INSPECTION RECORD ' INSPECTOR INSPECT OR'S NOTES -• .,.,_ -- -- ) .... ., -. . .. .. . ,, /1 ~ ., . £a/Tlh", / ✓