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Home My WebLink About190 WALNUT AVE; ; 81-164; 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-BUILOER DECLARATION 0 1 hereby afllrm that I am exempt lrom the Con- tractor's License Law tor lhe following reason (Sec. 7031.5,Buslness and Professions Code), Any cily or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure. prior to Its Issuance also requires the applicanl lor such permit to Ille a signed stale- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Secllon 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therelrom and the basis tor the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant tor a permit subjects the applicant to a clvll penalty of not more lhan 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 ot- tered tor sale (Sec. 704•, 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 ot- tered tor 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 tor the purpose of sale). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2nd 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 contr 's License Law). I am exe under Sec _____ B. & P.C. tor this reason,....,. __________ _ Date Owner WORKERS' COMPENSATION OECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, o, a certificate of Workers' Compensation Insurance, certitl copy thereof (Sec. 3800, Labor POLICY NO .. __ -,,r-1'-+-+-b"+--=-t+--l tgMPANY opy Is tiled with the cit . ertlfled copy Is hereby turnlshe CERTIFICATE OF EXEMPTIO FROM WORKERS' COMPENSATION IN URANCE (This section need not be complet d It the per- mit is tor one hundred dollars (S 100) or less). I certify that In the performance of the work tor 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 Calltomla. NOTJCE TO APPLICANT: It, after making this Cer- tlflc.l:to ot Exemption, you should become subject to ti.., 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 tor the performance of the work tor which this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 JOB ADDRESS C Av 0 DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING RES. UNITS PARKING SPACE BLOG SQ. FT. BLDG USE OCC. GP STANDARD PLAN# PLAN IO II TYPE CONST QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER ssue ssue TOTAL PLUMBING TOTAL MECHANICAL CONTRACTOR CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH 15 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI ;If' -Issue TOTAL ELECTRICAL CONTRACTOR AMT. QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP f!AMAOA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HAR LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA.ID CITY IN CONSEOUE OF THE GRANTING OF THIS PERMIT. APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. PERMIT NUMBER STATE LICENSE DESIGNER'S PHONE NUMBER OF STORIES I.& /02/81852" 01~185~-~10?181 AMT. 3,00 AMT. OCC. LOAD VALUATION BUI LOING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR TRONG NOTION: MICO-FILM TOTAL FEES PAYABLE OWNERQ AGENT D Not V11id Unlffs Mlchin, c.rtifild KKDJOOJ<K SCHOOL FEES: 5.0 s.o • w I-< Cl ~ > ~ j:: ~ 0.. Vl ~ ,, I .... SITE ADDRESS: INSPECTION WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING DK 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 8c STEEL PLATE TIES/HEIGHT OF C HIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST 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 CERT CF OCCUPANCY ISSUED DATE INSPECTOR I I I . I u I I 1,,.J \ 1 11.\ ,U' I .v I V OWNER: . FIELD INSPECTION RECORD INSPECTOR'S NOTES PERMIT NO: ' 8'/-/0(/' - j I