HomeMy WebLinkAbout1606 James Dr; ; 80-606; 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
~ I hereby affirm that lam e)(empt 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 e)(-
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 hve hundred dollars
($500).
CI, 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
himse!f or through his own employees, provided
that such improvements are not intended or of-
fered for sale. 11, 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 e)(clusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business e.nd 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 tor such pro-
jects with a contractor(s) license pursuant to the
contractor's License Law}.
I am e)(empt 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 tiled with the city .
. 7Certilied 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 ($100) or less).
I certify that in the performance of the work for
which this permit is issued,! shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: 11. alter making this Cer-
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
/,6 ,.~-\_J, , &::;, _ ~ ,-.J JOB ADDRESS i"Rr· 1D;:~Fe:PQlbT10N ,v:, ,-7i
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I I I I I I I I I I ' ' I I ' I I I ' ' ' I I ' 0t:1,_£Aa;J ~ C,,
OWNER'S PHONE PRI~ .,.., 7,;;z.q<7:u£2--Z'O ~-ABS$ (). o . a f';i...c;o,P CONfRACTOR~SS
~ LO, SLOCK I rJ'l'.0'":'rf'li_ ~ Ii ASSESSOR'S 1/.'l~t:O. r DESIGNER
/3 ~ 9,o,o,o, .,:2.1, 1,0, C , I ' . . -.
DESCRIPTION ~OR,!J 1 J ,fP TT /?a• 'C ~ ' , ~ 1/-i !;!ESIGNER'S A~ U 1dl
C T1?·'7 A £) . R 'R nn ?{,3(✓ .: .......
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CENSUS TRACT GP LAND USE ?'ARKING SPACE Sf /
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
181!'1?
~: LICENSE 33;-7 J?'o-6t1b
CONTRACTOR'S so-c,,9 ~ Pc.,
STATE LL:~E
DESIGNER'S PHONE -:i..,;i-
7~C _t, /!Ls,)
\J ZONl'k-/ I "'· ""7 I NUMB~STORIES
. ,.. ,1 ~ J../-6?3 Nor Valid Unless Machine Cartifi,cf
BL~~JT'!.,_ BLDG USE R"i I STANDARD PLAN#
Ip~~#_:_; T7}:7J lo~ LC}AJ-l I ·'!2™ 5rP ~ f
UTY, -PLUMBING PERMIT AMT, UTY. MECHANICAL PERMIT AMT. ( "' -IS_ -~
,I
,.__ I' ,-, EACH FIXTURE TRAP --, INSTALL FURN. DUCTS UP TO 100,000 BTU 4/C. -~ ~~ -, EACH BUILDING SEWER ~ --,, OVER 100,000 BTU '
r EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP /:/;:, ,s-;; EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP
EACH lNSTAL., ALTER. REPAIR WATER PIPE "7 VENT FAN SINGLE DUCT ~--
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS VAUJATION: , ' :...--:z,"'13-
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ,I)
Issue ~ "" Tc~"~ ., ·"" SIGN PERMIT I , I I'
TOTAL PLUMBING TOTAL MECHANICAL 11.--PLAN CHECK //3~ -/S-j>7i.,f I I t2r,(!)j:)
CONTRACTOR -'3~--CONTRACTOR) ALL INCLUSIVE PERMIT I~
ELECTRICAL PERMIT /4 AMT. TOTAL PLUMBING l ◄ .t/1 II
UTY. AMT. QTY, MOBILE HOME PERMIT ELECTRICAL .-:, l°7, C ~
/ NEW CONST EA AMP/SWT/BKR ~"'--/ ·,~,J.INING MECHANICAL I' i/,$ ~1
I PH .15 3 PH / / PORCH MOBILE HOME I I
EXIST BLDG EA AMP/SWT/BKR t ,/ SET-UP I 1/ 1'2.. t'1 L
1 PH .15 3 PH 71 "'r, ' RAMADA, CABANA I I I • I
REMODEL/ALTER PER CIRCUIT -; I"'//\ •• FENCE OVER 6' I I I . I
TEMP POLE 200 AMPS ,, ~ TOTAL MOBILE HOME MICO-FILM I I I I
OVER 200 AMPS 7 ,',L-"· .~ I I I ; _I
TEMP OCCUPANCY (30 DAYS) /, ,/,/,?-//y'/,,,..,,{c.~ I I .1"1, ":r°.,17
r---·-~ . ()()
7 ,Y I I I I
TOTAL ELECTRICAL j -:i.,-TOTAL FEES PAYABLE I ,31i/,1!1i ~ CONTRACTOR ~ I I
'
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT, AND 00 "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES =---b -HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0"" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED:TO COMPLY WITH ALL CITY, S~TURES 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-L-:o-i:.,;/. . ,; ✓ / / LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO -
------·---.•. ··-·· •••. , -~·A"'""""' A,-,--cll<= ll<"'.L>lr\JC:T SAln r:1TY IN r:nNSFntJFNr:F -•--,-, IA<><>n'"'""'"'DV ..... / nti.TF
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SITE 5rn -,_,__ ,_ ADDRESS: -OWNER: PERM-IT 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
-
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
OK TO POUR CONCRETE
FRAME
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSUL.ATlON
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
• FENCE PREPLASTER
SHOWN • FRAME
~ • PAN
1 FINAL INSP BY BLDG DEPT
I OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
~ G,,;s METER-PERM-TEMP
I >---------'
L~~~~ OF OCCUPANCY IS'.:;UEO
----
---...
-
LOT /3
/fe1( ~La< 4.-¾4 27
BUILDING
FOOTINGS
-FOUNDATION
-REINFORCED
MASONRY ..
GUNITE OR GROUT -SHEATHING -
.. FRAME
• INSULATION
EXTERIOR LATH --
◄
◄
◄
◄
◄
•
...
..
•
..
•
..
•
•
INTERIOR LATH & DRYWALL q,.. 2 )_ ~
PLUMBING
SEWER AND PL/Coin-WATER ____ _
PLUMBING UNDERGROUND _J-'I,._
COPPER
TOP OUT
TUB AND
GAS TEST
ELECTRICAL
UNDERGRO~
ROUGH
CEILING HEAT
BONDING
MECHANICAL .
DUCT & PLEM, REF. PIPING
HEAT--AIR
VENTILATING SYSTEMS
' \
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< ► ~ QI r r i t f i r ti 1 l" -~ ,.. {!') r-• · l · "l ,,~~ ~ 1 or -1.::,11-ci~,.s·\:t?Du Jr :.-:l ·1.''w.'; __ .,,,✓f,.. E .. Cl TY' , __ r ,.,,-.. ,. L~ t:,;:-, -• \"-":·.\:II? .. J ►
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j This Certificate issued pursuant to the requirements of Section 306 ,;~ ;:
:j of the Uniform Building Code certifies that at the time of issuance ~
--'( this structure complies with applicable ordinances of the City 3'>
:~ regulating building construction use, ~
/4 s· 1 ► <§ Use Clonilicotion ing e Family Dwelling Bldg, Pe,mit No, 80-606 3'>
<:$; Group R3 Type Construction VN Fire Zone 3 Use Zone RI ~ 4 ► /4 Occupant Load_-:::~:-:--cc-:::---:------------------------► ~ Owne, 0 1 Building, Carlsbad Development · Md,ess P. O. Box B, Carlsbad J> P-~ Building Add,ess :-1606· James Drive Locality Carlsbad, CA. 92008 ~
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~ ~~";------► <'. __________________ By.,-,,=~-=7-_,;~.;.t,7.-,~,!i!,,_____ ~
~ ----------------<----.-----+--------~ -~ '' NOTE: Alt•rotions, chonge5, addition, or chon·g•s of occupon 4. ~ /4 (Post in conspicuous place) ►
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