HomeMy WebLinkAbout1612 James Dr; ; 80-605; 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
DI 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 lo the provi-
sions of the Contractor's license Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Bus·1ness 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).
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 rt, however, the building or ·Imprnve-
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).
-:: I, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business c",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 for such pro-
jects with a contractor(s) license pursuant to the
contractor's license law)
I am exempt 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 sell-insure. or a certificate of Workers'
Compensation Insurance. or a certified copy
thereof (Sec. 3800, Labor Code)_
POLICY NO.
COMPANY
~~Copy is filed with the city.
:::JCertified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPE~lSATION INSURANCE
{This section need not be completed if the per-
mit is for one hundred dollars ($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 California.
NOTICE TO APPLICANT: 11, after making this Cer-
tificate ol 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
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
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;vRrv:~A~S?bT!ONl B/t7Eir_
PERMIT NUMBER
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OWNER'S PHONE
7::J4 y.2-j{, L
PRIME co~c:OR
0
STATE LICENSE
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CONTRACTOR'S pH°l
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DESIGNER
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DESIGNER'S ADO
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CENSUS TRACT ij GP LAND USE ZONING UNITS
--,
DESIGNER'S PHONE
:2.13 -13 ~'i ¥1'€1__
NUMBER OF STORIES
( fl:.. S-0 -(o<i}
£-.r I "'-/ I ~'i,-~s,A['5f4'171 / Not Vah'd Unless Machine Cafflfiw:J
BLOG
aTY.
1/3
.I
SQ. FT. BLOG USE
/f/6 s'/o
PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 DR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
Issue
TOTAL PLUMBING
CONTRACTOR
QTY ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25 3 PH ~
EXIST BLDG EA AMP/SWT/BKR J.
1 PH .25 3 PH 7
REMODEL/ALTER PER CIRCUIT ~ I
TEMP POLE 200 AMPS
OVER 200 AMPS 7
TEMP OCCUPANCY {30 DAYS) /
Tc:c::.,,,.. /
1;;·_; I""?,; .. · / '"}i/
AMT. QTY.
1 TYP;;:u l acc. LOAD
/ ?~.
S7
I
MECHANICAL PERMIT AMT. IG"DV I
INSTALL FURN, DUCTS UP TO 100,000 BTU .L'.1
OVER 100,000 BTU --,
BOILER/COMPRESSOR UP TO 3 HP
~ ----.....~ -~ ~ --'> ~ ~,•, ¾--
c-~ ~ ~
BOILER/COMPRESSOR J.15 HP
BOILER/COMPRESSOR 16-30 HP
~ VENT F;;;;j;$1NGLE DUCT z.J.
MECH ,'J(HAUST -HODD/DUCTS ~ VAllJATION: 7Zs'k!!!-
RElA'.f'CATlON OF EA FURNACE/HEATER BUILDING PERMIT I
J,UU II I Assue 3.uu SIGN PERMIT l 3u -11 / TOTALMECHANICAL
7 · CO~ACTOR //~ PLAN CHECK/.,</~ ~vtbrf I
ALL INCLUSIVE PERMIT
MT. J:?ry MOBILE HOME PERMIT AMT.
TOTAL PLUMBING
ELECTRICAL
.7 I AWNING MECHANICAL
/I ,\ I PORCH MOBILE HOME
.}IY . -I l,t-11 SET-UP SOLAR I P7 .'I i" RAMADA, CABANA ---V,;-:'I\ I,/_/ -___L,t, ~' I
FENCE OVER 6' / //ij--,t.,f ~-~ I ' \ TOTAL MOBILE HOME / I/ Mloif-!iLM
v _/ I
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1._ nn _/ I
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1.-::,ol~.l. 1-.,,,..;z: +-
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I 1..,:--41[ '?
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TOTAL ELECTRICAL
CONTRACTOR / TOTAL FEES PAYABLE I I I . 3i:s +< ii 3
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY,
COUNTY ANO ST ATE LAWS GO VERN ING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CA A LS BAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT
"AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5',Q'" DEEP AND DEMOLITION OR CONSTRUCTION OF ~)_i;;S O~EA 7-TOAIES IN HSIGHT
, I ,>
IPPL1CANT'S S!GN~·u nwN►<>~
SCTIOOL FEES:-() -
.--.-.~,-rc,A,-.,-.-~~,-, ,,..,,,,c.-."cc,-, .,v
~ ~
5 ;::
~ 0. "' ~
SITE
.PERMIT NO: ADDRESS: OWNER:
FIELD INSPECTION RECORD
iNSPECTlON OATE INSPECTOR INSPECTOR'S NOTES
WOOD FLOOR .
FOUNDATION• FORMS• SET SACK• 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 TAP~\ .
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
FINAL INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
1 ELEC METER-PERM-TEMP
1 :3AS METER-PER~--TEMP
!
I ,-
@Fff OF OCCUPhNCY ISSUED ---------"-----
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LOT /,:2; /6/,? (L,,____ t(q /~ 27
BUILDING
FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR GROUT
• SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL b-,, Z..,
·PLUMBING
SEWER AND PL/CO
COPPER
TOP OUT
TUB AND
GAS TEST
ELECTRICAL
UNDERGROU~
ROUGH
CEILING HEA'l'
BONDING
MECHANICAL
DUCT & PLEM, REF .
HEAT--AIR
PIPING~ f ,...}/
VENTILATING SYSTEMS
f
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r~r.:?'~ ·' ~ , . OF C;:\RLSBA[» \~Uf~r.,;.j J This Certificate issued pursuant to the requirements of Section 306 "'/SiW
<{ of the Uniform Building Code certifies that at the time of issuance ~ this structure complies with applicable ordinances of the City
j regulating building construction use.
•:i
~{ Use Clossificotion __ S_i_·n_,g,,_l_e_F_aJilJ.c..=·_1y'---Dw_ecclc.:l=-in=g,__ _____ Bldg. Pe,mit No. 80-605
1 Group __ R3 ___ Type Construction ___ VN ___ Fire Zone _ _.c.3 ____ Use Zone RI '"< ---==-----
~ Occupant Lood _--,,=;-::,~,.;c::---::,-cc-~----~-=c--:=--=--=--=-c-c------<i Owner of BuHd;n!f Carlsbad Development . Mdress _ _,,P.c·-.-0~. r-B_o,...x_,B,,,,:....::C:.;ar:.;· .;:l;;sb.;;..::a.::d ____ _ < 1612 James -Drive Carlsbc.d, CA. 92008 ~ Building Address __ ~---_,;..--;,--,..--~-/4 . r: ...
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