HomeMy WebLinkAbout1618 JAMES DR; ; 80-604; 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 tor the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or coullty Which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to Its Issuance a1so requires the
applicant for such permit to Ille 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 baSls for the alleged ex-
emption. Any vlolatlon of Section 7031.5 by an ap-
plicant for a permit subjects the appllcant to a
civil penalty of not more than five hundred dOllars
1$500).
0 I, 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•
tered for sale. If, however, the bullding 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).
'.JI, as owner of the property, 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. 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 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).
I certify that in the performance of the work for
which this permit Is issued, t shall no.t~IJIPloy any
person In any manner so as to become subject to
the Workers' Compensation Laws of Callfomia
NOTICE TO APPLICANT: If, after making this Cer•
titicate 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
1 h .. ,.,h., affirm that there is a construction len-
l CITY OF CARLSBAD-BUILDING DEPARTM!t:.N 1 APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
J APPLICANT TO FILL IN INFOR -MATION WITHIN RED LINES. ,
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1-1
.) #~ JOB ADDRESS
I I I I I I I I I I I I I I I I I , , , tRr· 11TE~:io•oN1 ik?KEiE PERMIT NUMBER
0r'~ A. I_ ';" I A--r .. ~
OWNER'S PHONE
7 :i_19~'1-'l..._ PRz::::_ t;;T3331Xo/ ft;--6~i
~l)s~Ao;sss (l ,._D • IQ ~(J~~ CONTRACTOR~ESS CONTRACTOR'S
PHj,'J'c-• __ A
STATE ~E
L Pc. -aD -<14°)
CENSUS TRACT ' GP LAND USE ~ ZONING ,R-Z:-l REs. ums / I :'f.~i,.?E SF ~~Q NUMBEFfo/ STOROES
Not V•lid Unlffl MachiM c.tifial
8LDG SQ, f"T.
/9/~
BLDG USE
S?/2
QTY.I PLUMBING PERMIT
/~ I EACH FIXTURE TRAP
/ I EACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR 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
OCC. GP
1£3
ST AN OARD PLAN #
~ l"~'h l"v:,i;
AMT. II QTY. MECHANICAL PERMIT
-?L,o/1 / INSTALL FURN. DUCTS UP TO 100.000 BTU
<.u4 OVER 100,000 BTU
BOILER/COMPRESSOR UPTO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
::::, VENT FAN SINGLE DUCT . MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
_3.00 Iss110
I / --TOTAL MECHANICAL
96NTRACTOA 3¥.-
MOBILE HOME PERMIT
AWNING
PORCH v
EXIST BLOG EA AMP/SWT/BKR
1 PH .25 3PHJ\
~:" SET-UP
RAMADA, CABANA ./
./
REMODEL/ALTER PER CIRCUIT J
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
\ 1\.IT/ ,·~ .•. i
}'I \/ -1\\1
-A ' -;;
FENCE OVER 6'
TOTAL MOBILE HOME/
__.L.
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./
l occ. COAD J
AMT.
q,_-
EDtl-/
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LL.~
Vi\lllATICN:
BUILOINGPERMIT 1zslt: ~ I ~e_:;;ffi3. d I 4
-:i,nn SIGN PERMIT I I • I I . I
/I.
AMT.
-~ PLAN CHECK ,7.;2)-f!:-~ YI&./ I I I I . I I
ALLINCLUSIVE PERMIT I I . I
TOTAL PLUMBING I .CH.it ,j...
ELECTRICAL I 7:a_6. -+-
_/ MECHANICAL / I /I/ . .....-
MOBILE HOME I I_ J _. J
SOLAR I l , 1./~ .-t-
I I I I
I I I --1
,.MICO-FILM I I I I
F/_ ·-·......,,..
/1/,, / ,.✓. J I I ~ I I 1~3
TOTAL ELECTRICAL
CONTRACTOR I .,__ nn
p1. '7_.. I
// o:==~~=±==1
,, (7 I • I I · I
TOTAL FEES PAYABLE r I I -~1.2.'ii3 -
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;To COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
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
OF THE GRANTING OF THIS PERMIT,
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF SOlOOL FEES: -tJ -II STRUCTURES OVER 3 STORIES IN HEIGHT
!4:1L • _h_....,_,.,_, -
I ~LICANT'S SIGN~UA{• OWNERJ(°
AGENT 0
CONTRACTOR□ lAPPROVED BY
_BY~ON!._0
DATE
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FOOTINGS
FOUNDATION
REINFORCED
MASONRY
GUNITE OR GROUT
SHEATHING
FRltME
INSULATION
PLUMBING
SEWER AND PL/CO
· COPPER
TOP OUT
TUB AND
GAS TEST
ELECTRICAL
UNDERGRO~
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF.
HEAT--AIR
PJ'PIN~ <j,___,p----_
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~ CITY OF CARLSBAD t ◄ > 1 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 > j regulating building construction use. ~
4 . ~ <i1 Use Classification Single Family Dwelling Bldg. Pe,mit Na. 80-604 t .i G,oup R3 Type Const,uction VN Fi,e Zone 3 Use Zone R1 ~ 4 Occupant Load_______________________________ ~
~ 0wne, of Buildin!J<Cstrlsbad Development 'Md,ess P. 0 • Box B, Carlsbad ~
B 'Id' Add ,1i;1s James Drive Carlsbad, CA. 92008 4 u1 1ng ress -· ____________ ,---->
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