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Home My WebLink About1611 James Dr; ; 80-610; 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. feet OWNER.BUILDER DECLARATION C71 hereby affirm tnat 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 lhat 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 lhe 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 tnan five 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 himself 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 exclusively con· tracting with licensed contractors to construct the project (Sec. 7044, Business .?.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 !or such pro• jec\s with a contractor{s) license pursuant to the contractor's License Law). \ am exempt under Sec. __ --· B. & P. C. for this reason _____ _ Date _____ _ Owner WORKERS' COMPENSAT\ON DECLARATION \ 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...ql;Qo_r.Code). JJ ~ 3 f'J_ POLICY NO. ~~ COMPANY ~~.~~ _ CJ 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 {$100) or less) l certify that in the performance of the work for which this permit is issued, I shall not employ any ,1erson in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: 11, 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. CITY OF CARLSBAO-SUIL .. OING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ¼ SO. .&~-,z/ 4..,A.<',~' AODSSSS /, ,,/./1 I I·, I I I I I I ,I I I I I I I I I ' ' ' tR~T .loi:_01.0:~DoN OWNER OWNER'S PHONE PRIME C~ RACTOR ~~ ~ C.LJ? 7~,;--,_ . , -, ' -, ~ f'NER'~-~G ADDRESS -0 . 73 C'..vJ?. 1l 0 I 9' ;).-0 () :? CONiRACTOR'~SS >?1 BLOCK l~~~~fl?L-sJ &-"19,A.:,s,E~S.Oa~ ;~fi"L~~ I I/ 1 0, J-~DESIGNER i I ~ . ' ~ ~If-. _ oESCR\PTlo; o; ~~ ·fl ~~ ~ IP. • . {\ ,,1 -\..J--.~ DEs)NER' s 1,9fR~ss /A CT.'°17· 1 ( lV, r ;1 --.n 171._ ,3.,., ;-," ' '•?:z..71 CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER /f'Jt'J' STATE LICENSE 7/J~t/ j X§3311 ~~i;iACTOR'S ~ (Pt. so ..(oG -, STATE L~ DESIGNER'S PHONE ::f f J ::.n 'f-K \ ~-I I RES. UNIT/ . ~AR-2 SPACE S~~ J NUMB/ Of STORIES Not Valid Unless Machin• CartifitJd oco, '°j"?/& ""'s/LJ °i!ip I STAc;;LAN # 1 PLA~ l~j;o~e\ 1 TYPE co:u p ~ --,,., t/, l";/";°v-1 I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. I~ EACH FIXTURE TRAP ..,,,, -/ INSTALL FURN. DUCTS UP TD 100,000 BTU /~ .- / EACH BUILDING SEWER .s-:-7 OVER 100,000 BTU 7 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 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE 7 VENT FAN SINGLE DUCT ~---7-zs-'J~fC!-EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS 7 VAUJATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I .~~:5'.dd Issue 3 .. 00 Issue 3,00 SIGN PERMIT I I I • I TOTAL PLUMBING ~r.-TOTAL MECHANICAL //-PLAN CHECK /42/ ?...::-f"?G/Y-i' I I -, I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I-<' "" ...... QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL ,-:.. .., _._. NEW CONST EA AMP/SWT/BKR ~~-AWNING .-MECHANICAL ,,., ,/.-4-- 1 PH .25 3 PH PORCH . \ MOBILE HOME I I . I . EXIST BLOG EA AMP/SWT/BKR SET-UP ,, .• 'v i SOLAR I 1/IY.- 1 PH .25 3 PH RAMADA, CAB.U-A ~ y ; I I I . I REMODEL/ALTER PER CIRCUIT FENCE OVEIJ,1;" <tJ' 1 I I I I . I TEMP POLE 200 AMPS TOTAL MOO I LE HIM~ 1 , I MICO FILM I I I . I OVER 200 AMPS : ,,. ; !' I lh /JlA J-,,-. I I I . I TEMP OCCUPANCY (30 DAYS) r,,\foF /I) 7 n, .... ~ II/// tJ/1./A,.,,_, I I I -S .o/1 ;1. -? /V\ .\' / , ~ . . I ' I I I TOTAL ELECTRICAL .)1--\ ,/ TOTAL FEES PAYABLE I I 6 '3 J-< .ri _3 CONTRACTOR -I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 0 AN OSHA PERMIT IS REQUIRED FOR EXCAVAT\ONSOVER SC.HOOL FEES:-.:(- HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I ~~~ ANO DEMOUTOON OR CONSTRUCTOON De FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, S UCTURESOVER 3STORIES IN HEIGHT COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ~ ; .I~.-~ SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND 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 •. ---_,.,.," <>o:,::,"•IT APPLICANT'S SIG,,,., -f"PC OWNE~ CONTRACTOR □ I APPROVED BY DATE "'"'c::",,. n .,v ""'n"•~ n I ~ ;t > ~ i= ~ Q. "' ~ ,.,._'f" S!TE ADDRESS: OWNER: PERM!T 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 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 T AI\E EXTERIOR LATH OK. PLACE s'rucco . FIREPLACE . DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING I • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN I FINAL !NSP BY BLDG DEPT O<HER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP C--- ~ --j CERT OF OCCUPANCY ISSUED -- ----- - - ' ' • .. • - -• .. .. • • • • _LOT . /.S- /4// ~#~ .?/ BUILDING FOOTINGS FOUNDATION REINFORCED MASONRY GUNITE OR GROUT SHEATHING ' FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBINGL"' ..:'.,·-°' SEWER AND PL/~ WATER ____ _ PLUMBING TJNDERGROUNt tJ-:11:-& COPPER TOP OUT TUB AND SHa GAS TEST ELECTRICAL UNDERGROUND ROUGH ~ CEILING HEAT BONDING MECHANICAL DUCT & PLEM, REF. PIPING HEAT--AIR VENTILATING SYSTEMS FINAL: _3=---.~ ..:::..2 ;;::_{'_--2f-. -+J.'+d-"""""'---- ,, ' COMPLETE IN DUPLICATE AND POST WITH THE INSPECTION RECORD CARO THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS 11.,11 Sa,n(L..:;, ::J;i ( Cac b f»1cl Cr1 Number Street City EXTERIOR WALLS Manufacturer OWENS CORNING Thickness/Type 3½" R Va 1 ue 11 CEILINGS Batts: Manufacturer __ o_w_E_N_S_C_O_R_N_IN_G __ Thickness/Type __ 6'_' _ R Value __ 19_ Blown: Manufacturer _________ Thickness/Type ____ No. Bags __ Wt./Bag ________ Sq. Ft. Covered ______ R Value __ _ FLOORS Manufacturer _________ Thickness/Type ____ R Value ___ _ SLAB ON GRADE Manufacturer _________ Thickness/Type ____ R Value ___ _ Width of Insulation Inches ---- FOUNDATION WALLS Manufacturer _________ Thickness/Type _____ R Value ___ _ GENERAL CONTRACTOR ______________ LICENSE NUMBER ____ _ BY ____________ TITLE __________ DATE _______ _ B INYS~ION CONTRACTOR _D_AN_A.;,J_O_H_N_s_o_N_I_N_su_L_A_T_r_o_N-'-,I_N_c. __ LICENSE NUMBER __ 3_06_4_93 __ ~ T I TL E Authorized Representative DATE , ?.b Jc,~) Bl Form #121 22175 A ' -· -•:, "-· ---~ ,.•-.... -. __ --. ,l :~ .... -.,":-~:~ .. -..:..;.- •i.' ,._ _, ~J,;,..· :,.,.-~--~ ·\Y~; -:,>r1".: 1 _; ... --,~ .,·, ... --,._, .. _._,;:;,. ' ·'~ :~~~;~~~:-~-. ........ "'I"'."..,• ... .: '• ·_;.:.: X A/A/A/A A /i.JA/i,./AMA/AA/AAAIM/A/J,.l,AAA!fe./AAAIA ,0, :\ A \ /\t •. « .. \1A· ,,\,/:.,/:\ ,:Zv-\ /.' . ./\ 't'.\ ~ 1 --,; <~ <~ ·<{ <{ /4; l 3 (!T1~rttfirutr nf (!)rr1ti1anr11 !I, ..... f CITY O r.: rAr~! ~P"'f" il \.......-· t: "',· .. -, >J t~.;: 1-, ~:' This Certificate issued pursuant to the requirements of Section 306 {,•" ~,_~ < ;c~'. .. , it{_"\f;?)1 \~~~~t " ~ of the Uniform Building Code certifies that at the time of issuance this structure complies with applicable ordinances of the City regulating building construction use. ~ Use Classificotior,SlNGT.E FZ\MTT.Y DJ&ET.T.TNG Bldg. Permit No. J Group_EJ'--___ Type Construc:.tion VN Fire Zone 3 Use Zone ______ _ BD-6JQ '< ---1 Occupanl Lood ________________________ ~-·----- ;--... i> ~;>-> :> j> ~ ..... .~ ,:; ...... ~~ '?;> "' ,.. ~ 5.,--:-. ( :--·- '.~~ '.>,',-j Owne, of 8uildin~.C~d,_Dev, CQ~ ~ Building Add,e,; 1;£;11 :J~ll\es P1i V!\) . /4; ' ' ',,. ::>' _Add, ... I' .,o. Jlox __ n_carlsbad,t_C-,,A.,____ Locality_Cil.rl,,sbad, Calif. 92008 ,> ~> .d ~ <.{, ____________________ By.f-_..J.s.t,~~'.__-=:.J"Lj.~&l!L______ ~ 4 ----------------------------r~~-"-'4'-"-"'-----------?~ ~ ~ ~ ~ /4; ~ )('~W'~~vMWWW'fW .''>( ' '