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Home My WebLink About147 MAPLE AVE; ; 80-505; 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- lect OWNER-BUILDER DECLARATION C'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). 111, as owner of the property, or my employees ~h wages as therr 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· men! is sold within one year of completion, the owner-builder will have the burden of proving that he did no~ or i.:zro ~ r;r;he_J~rpose of sale). ~' !}lt1"(J:f'- -::.I, as owner of the pr e~y. 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 ·•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. tor 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 _________ _ 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 ii the per- mit is for one hundred dollars ($100) 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- '·''cate of Exemption, you should become subject 1e Workers' Compensation provisions of the ~ .. uor 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 permit is issued (Sec. 3097, Civil Code) CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ,o. ,,. JOB ADDRESS ~\;T-1D5•L7•Ll~TON I I I I I I I I I I I I ' ,/ .,.,7, ,M,A,P1L.,f:, ffL~ I I I I OWNER OWNER'S PHONE 'o".;/:;;;Tr ~ v.: \ \ ,1/ y/\._, FRED t GtN,q Hot-, l,-31L -"361/1 OWNER'S MAILING ADDRESS . CONTRACTOR'S AODRESS ILL 7 M,:. r,,_,a AY.J: C/9RLS8R-n ~~,BLn• 5;;;)/;s!o!:. -. I ~t:.:.EiJOR'; ;~i:,~-1/11 LL DESIGNER I 'ESCO~D ~· ~~~ . . ---.. • .. t...l1'T.I,./ ~Ll,Jt,11 1 ·~••~ DESIGNER'S ADDRESS ---·-Cl'7# __ ~ D~ ... -, .... , AC:Sl-/bWV CENSUS TRACT GP LAND USE ZONING RES. UNITS APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS, LICENSE i~"'j; 1j STATE LICENSE CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE I PARKING SPACE 1 NUMBER OF STORIES Not Vah"d Unless Machine Certifi«J BLDG SQ, FT. BLDG USE acc. GP I sT ANDARD PLAN 11 IPLANID# I TYPE CONST I ace, LOAD I UTY. PLUMBING PERMIT AMT. UTY. MECHANICAL PERMIT AMT. -. '~ .. 9~ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU (Z_.v,, L EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 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 ~06 . EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I Eur, SIGN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I '.'.l.1~0 CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I UTY. UTY. MOBILE HOME PERMIT 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 lPH .25 3 PH RAMADA, CABANA ' I I I , I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' S>,.{1-_,,,_.,... .vlo-\-11.rr-I I I . _,.., TEMP POLE 200 AMPS TOTAL MOBILE HOME M 1 C 0-F !'I.WI I I I . I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYS) I I I I I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I I I ~.1l)b CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO 0 AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERT/FY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO 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 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER -r I' -f / ,,z,, SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-/ .. ._ '--'l--7 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. APPLICA~'S SIGNATURE" V OWNER □ CONTRACTORQ 11;R~~;D., Bpa1, DAT~ AGENT D BY PHONE O '\ ' . ' _, "' ! < 0 ~ 5 ;::: ~ a. V, ,f SITE ADDRESS: OWNER: PERMIT NO: -g-o-sa~ - FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR PECTOR'S NOTES !NSF WOOD FLOOR • I ;•\ ~· , -{ • !. ·, l FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING t_:...,-\'~ UNDER FLOOR HEATING •\ ' OK TO INSTALL SUB FLOOR .. ·., ~ , .. \ :: , \ \·. SLAB FLOOP 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 I DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN ] F--INAL INSP BY BLOG DEPT " /,y/a - I OTHER DEPT'S REQ COMPLETED / / # C ELEC METER-PERM-TEMP . iGA:ME,ER-PERM-TEMP --------------- -- - CERT OF OCCUPANCY ISSUEIJ - INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: DATE:RECEIVED ~\JU?, MAY271980 Ctn' Ofi CAl!tt.SBAO PLANNING DEPARTMENT Bulldlng Department ZONE LOT SIZE LOT WIDTH ------------------------------ UNI TS ALLOWED UNITS PROVIDED -------------------------- PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED __________ PROVIDED ___________ _ _____________ PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS ___________ PROVIDED SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ,ENVIRONMENTAL PROTECTION REQ: ICHOOJ. nu, f ADDITIONAL COMMENTS: •• r. na,, • REAR SETBACK: OK TO ISSUE: ____ DAIT ____ OK TO FINAL ________ DATE ____ _ i) ENGINEERING DEPARTMENT ·. iRQ_ 0 \a..c.s,.._, ~ I'-,-'::, ~ 'r/ ,~ e,) "'vv 5 'yJ I aQ\,1/f'Y\ I)\ t.L-w--- '\ "5i,_M"---s, .;;l ~D\/Q. 'YV~ CL-O ::ihoW<\, R. 0. W . ______ INDUSTRIAL WASTE cfrMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _ GRADING PERMIT -------'----EASEMENTS DRAINAGE LEGAL DES CR IP TI ON _ _c_h_:Oc._\-_,__:2,.=.,0<.,j>--"(a""-\.\-J, <'2..<<...:-kc:,__-_,-Q::,:~,1--/..,__,,..Q-...,Q-_._~l:~:o.J::::0,.,,..-..::-✓~----_-------=--=--=--- ADD IT ION AL COMMENTS ------------------------------,. ... ..... . OK TO ISSUE: DATE PWI OK TO FINAL DATE --------------------- 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