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Home My WebLink About1239 KNOWLES AVE; ; 80-965; 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 c.1 hereby affirm that I am exempt from the Con· tractor's License Law tor 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 !He 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 live hundred dollars ($500). [~ !, 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• fared 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). -::_1, as owner of the property, am exclusively con· tracting with licensed contractors to construct \he 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. ______ , 8. & P.C. for this reason _____ _ Date Owner WORKERS' COMPENSATION DECLARATION 1 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 _____ _ 'fl copy is filed with the city .tkertilied 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 performance of the work for which this permit is issued, l shall not employ any person in any manner so as to become subject to the Work.ers' 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 l hereby ~'l.ffirm that there Is a construction len• ding agency for the performance of the work tor which this pe'rmit is issued (Sec. 3097, Civil Code). USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 MATION WITHIN RED LINES. /,7.,Jo,'7, / JOB ADDRESS AVRr· 10/~;z;;;LICATlON BUS. LICENSE PERMIT NUMBER ,KvlJ1o•W1l. 1i.1>1 ,A,;/,p_,../,1.c, ' ' ' ' ' I I I I I 1 , 1. ,, s 1 ;,r c, :,;._c,9 3<J t'J-f'£j I..----' OWNER OWNER'S PHONE PRIME CONT~CTOR I F STATE LICENSE C, ;,? /tC -r )/.;1;Jr I 7..:i--z.._ (:.. k. A " &'\_ p,__./ Ji.-<.,._, 66C2 O"NER'S MAILING ADDRESS 't";A;:;,•v;'t',! , • • J);: -:, AC'!fOR'S ~ ,<;..-a__~ rt''JJt~flY 3 : :' ✓:~ r: / ,: --. co, 8 LOCK I SUBDIVISION I/ ASSE~R'S p~/.LZ.-c:/ 1\1 I I ' I ,/'J:3 DESIGNER I ATE LICE DESCRIPTION OF WORK .Rc,J. /;? ,;{, <K. J ./.< --tl.,,,,t__/, --OESJGNER'S ADDRESS DESIGNER'S PHONE v' I/' V6~C/ £Z? CENSUS TRACT GP LAND USE ZONING 1 RES. UNITS PARKING SPACE I NUMBER OF STORIES , Not Valid Unless Machine fArtified BLDG J°I Fl-. J /LD<IUSE acc. GP I STANDARD PLAN 11 l'!b'°-'%5,,, l TYPE CONST I occ. LOAD I 7 1}'1" -HAAA&~- UTY. PLUMBING PERMIT AMT. UTY. MECHANICAL PERMIT AMT. I EACH FIXTURE TRAP 7-.-INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU -, EACH WATER HEATER ANO/OR VENT 'Z--, .-BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP t./-"64-c EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT (/4 /},, ,/ J;-;_) St J ,~g EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PER -------I , ,,,.,_ - # •.• ,U_--J'. ~ -~ J -SIGN PER'll4 /,,l. /v ' I I I I TOTAL PLUMBING ,_..,.,, TOTAL MECHANICAL PLAN C~/~. o,fr/~,s,? J ----v I 1/1/_ --r- CONTRACTOR CONTRACTOR All INCLUS1 I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I r7,_,.. UTY. AMT. UTY. MOBILE HOME PERMIT ELECTRICAL I 11-z---- NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I 1/. I 1 PH .25 3 PH PORCH MOBILE HOME I r I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I I lPH .25 3 PH RAMADA, CABANA A"/4 •--.._.,. ,/ . I I I .r10 REMODEL/ALTER PER CIRCUIT -T. / FENCE OVER 6' ,:;,' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I I OVER 200 AMPS ;-, . /> /J I • ~•I ·' I .,. TEMP OCCUPANCY (30 DAYS) T 1T 't"C r-"' 5' \\ ~ I .{,/,t-- ~ :,.. -I ,~l I TOTAL ELECTRICAL 7 TOTAL FEES PAYABLE I , //_ CONTRACTOR -I I 0 ./4./4,+Z ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'.Q" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT lS ISSUE □;T□ COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM· ~I, 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. A0P7lf,N;J?J~T:1. //. ,1f OWN,'.J CONTRACTORLJ .. ,A~VEO BY ' ,\ lA " rl,"1.,.-. AGEN BY PHONE O I A .A • • • • - , ; l, \-'" I c' i ~ 5 ;:: ~ a_ "' ~ i SITE ADDRESS: OWNER: PERMIT NO: ~0-'J(.ps ! ~I 'l 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 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 FINAL INSP BY BLDG DEPT ,.,,.. I OTHER DEPT'S REQ COMPLETED " I ELEC METER-PERM-TEMP ,/ , GAS METER-PERM-TEMP I I 'I ;{ I/IAJ ,i I ---• I ' ; f CERT OF OCCUPANCY ISSUED LICENSED CONTRACTOR'S DECLARATION I hereby affirm thal 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 01 hereby affirm lhat I am exempl from the Coo· tractor's License Law for lhe following reason (Sec. 7031.5.Buslness and Professions Code), Any city or county which requires a pe.-mit to con- struct, alter, improve, demolish, or repair any structure, pri0< to its issuance also requires the applicant for stteh permit to file a signed state- ment thal he is licensed pursuanl lo lhe provi- sions of the Contractor's License Law (Chapter 9 commencing with Seclion 7000 of Division 3 of the Business and Professions Code) or I hat is ex· empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicanl for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). CI, as owner of the properly, or my employees wilh wages as their sole compensalion, 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 lo an owner of property who builds or improves thereon and who does such work hi msell or th rough his own employees, provided that such improvements are not intended or of- fered tor sale. II, however, the bu;lding or improve- ment is sold within one year of completion, the owner-builder will have lhe burden of proving that he did not build or improve for the purpose of sale). :::: I, as owner of the property, am exclusively con- tracting wilh licensed contractors to construct the project !Sec. 7044, Business and Prolessions 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 exempl under Sec. ____ B. & PC. to, this reason Date Owner WORKERS' COMPENSATIOEL I hereby affirm that I have rtifi sent to self-insure, o, a ce · icate Compensation Insurance, or a thereof (Sec. 3800. Labor Code). POLICY NO. ____ _ COMPANY ____________ _ l(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 (S100) 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 lhe Workers· Compensation Laws of California. NOTICE TO APPLICANT: II, after making this Cer- lilicate of Exemption, you should become subject to lhe Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. -• CONSTRUCTION LENDING AGENCY ··1 hereby affirm thal there is a construction len- ding agency )or the performance of the work for which this permit is Issued (Sec. 3097, CivH Code). USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. .JOB ADDRESS tRr-lDi!thiLICATlON / 12 I 31c.J I ,k~,/i.:, l",111:L 1;:"1S"1 ,A I/.;-IN~./ I J::'.1 I I J I I I I I I I OWG~k~ #µff OWNER'S ?HON.E 7<E ~c:T#-l 0~/7 R~liL A:;# j ...,.,, '1 -'7J? ~v./ OWMR'S MAILING ADDRESS -, , 1 -,, CfJNfRA·CnR'S ADDRESS SA-n~ i8'1'1 {tt[f;fi~-, }) t. OCEA#-_ ,,fl~ LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER I J I l I I I I I I ' -· - DESCi::f TION OF WORK .II, I -c '} -" :ti , •.• --~ r;:.. CA<' 11,,f~,?:# DESIGNER'S AO DRESS 'l-, -,-,I -,, . ---=----··- CENSUS TRACT GP LAND USE ZONING At-'l"'LILAN I I U t" ILL 11'1 INt"UK- MATIQN WITHIN RED LINES. !USe L.tCENSE P ERMlT NUM 9 ER :2.c13o ·,1, ,fo_c7rt"· STATE LICENSE R ~c-5o21.. CONTRACTOR'S 1~~-.'lfl-3 STATE L!cdisE ---~ DESlGNER'S PHONE -~ " ' -;.~ f-: _, :--.. ~ _: ~ ; /Cf-,/'"• , ; . 1 RES. UNITS I PARKING SPACE I NUMBER OF STORIES Nat Valid Un/t/ss Ma,;hine c.rtifi«/ Bl.OG SQ. FT, BLOG USE occ, GP I STANDARD PLAN It I PLAN ID 11 I TYPE CONST I occ. l-OAO I OTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT 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 -801 LER/COMPRESSO R 3-15 HP / EACH GAS SYSTEM 5 OR MORE ?-. I! -BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT v~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I l I b-,AJ, 17 R .'!,::!-?'):;;_....,,,11/ =?-~ SIGN PERMIT I . I l I TOTAL PLUMBING ~ TOTAL MECHANICAL PLAN CHECK I I l I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I TOTAL PLUMBING I 1"').V-~ -QTY. ELECTRICAL PERMIT AMT. OTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I 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 I PH .25 3 PH RAMADA. CABANA ,J1_ ,~ .... ~ I . I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ,A'/~/~-I , I I I TEMP POLE 200AMPS TOTAL MOBILE HOME ,/ M1CO-FILM I I I I . OVER 2D0 AMPS I . I I I TEMP OCCUPANCY 130 DAYSI I . I I I () -.,, JI .-.?~ I I I I ... l TOTAL ELECTRICAL TOTAL FEES PAYABLE cP. CONTRACTOR I I I -. . "AN OSHA PERMIT 1S REQUIRED FOR EXCAVATIONS OVER /v~-7~,' ~ I HAVE CAREFULLY EXAMINED THE COMPLETEO "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I !>'-0" DEEP AND OEMOLITlON 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 SPECIFIED HEREIN OR NOT. (ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CA A LSBAD AGAINST ALl-LIA81l.lTIES, JUDGMENTS, COSTS AND I i EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE --. -. OF THE GRANTING OF Tl<IS PERMIT. rJ;;::J·¼~~ ;~-,Lh·: OWNER □ CONTRACT~ I APPROVED BY lfAI, lfilf; ' A ,>-r.. 'L/'t. ---AGENT 0 BY PHONE 0 , '(/ 1· " .. l:" -/ ( .. ; -i •• ... SITE 80---'ilP-5 f} ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR i NSPECTOR'S NOTES 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 8' STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL• STEEL BONDING I • PRE DECK I • FENCE PREPLASTER SHOWN • FRAME • PAN f / FINAL !NSP BY BLDG DEPT er; I /f ,v OTHER DEPT'S REQ COMPLETED ''} /.,/lA .I, I I ,nv J' ELEC METER-PERM-TEMP ✓,,~ VI / r ,j !GAS METER-PERM-TEMP I U' . ! r i CERT OF OCCUPANCY 1SSUED - i 11'. -· .. INTERDEPARTMENTAL INFORMATION-SHEET BUILDING DEPARTMENT BUILDING ADDRESS: = PLANNING DEPARTMENT °'!'ECEIVED DEC 151980 C1TY OE CARLSBAD Bulldlnt Department ZONE_~g,-..;z.. ___ , _____ LOT SIZE ________ LOT WIDTH ________ _ ... UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED -----O~•-fL.=· _____ PROVIDED--__ -_-_~~@==~============= BUILDING HEIGHT ALLOWED PROVIDED ---------- ":-FRONT SETBACK: SIDE SETBACK: REAR SETBACK: i"LLOWED ---=----.-,.---- PROVIDED __ +(P .......... ~-=---- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ()(< ENVIRONMENTAL PROTECTION REQ: ~ES~~~---PTL-.Ji---------------- _______ DATE ____ _ / ENGINEERING DEPARTMENT R.o.w. INDUSTRIAL WASTE VEMENTS ------------ SEWER CONNECTION /:IJ (.,/ !.5 DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT EASEMENTS DRAINAGE -------------- LEGAL DESCRIPTION _________ _._/ .... -..... Ll ..... <tt ..... _-____./_6,__f_-__ (!)_~ _____ _ ADDITIONAL COMMENTS ~~ .. -------------- FIRE DEPARTMENT SPRINKLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARMS EXITS ----------------FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS -------------------,,------------ OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ ~~ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _