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Home My WebLink About1636 James Dr; ; 80-601; PermitLICENSED CONTRACTOR'S DECLARATION 1 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 lull force and el· feet. OWNER-BUILDER DECLARATION C'I hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.S_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). ~-· 1, 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· fared for sale. If, 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). : I, 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 ! hereby affirm that I have a certificate of con• sent to self-insure. or a certificate of Work:ers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ___________ _ COMPANY ________ _ ~Copy is tiled with the city. "]Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed il the per- mit is for one hundred dollars ($100) or less). l_cerj.ify that in the performance of the work for which 1his 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· 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 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a con.s_1.ruction,_I?~: 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. /,t 3.l, !)r~ --;_:z}~, ,oo AOOS,SS I I I I I I I I I I I I I I I I I I I I I I I I I I I I AV. ST. LICENSE I'~ 1 J'f OWN~J A...; (t. ,.., OWNER'S PHONE 7 .:U,¥f.--'1 lL-, PRIME~ STATE LICENSE .Z.f?s.?Jr PERMIT NUMBER ~~to/ OWNER'S MAILING ADDRESS ___f_ 0 . ~ ,.j:? ,, -- 0 .. A~ £). 0. -,. c;-:u.o? CONTRACTOR's.~ss -v --., CONTRACTOR'S :z:::' . '"'-Ci5o-wei) DESIGNER STATE LICENSE =2..1.;us.:.L::.!l..!,J..L.JL.l..Jii.t.1::SalL...IL..l.l!.~~ ,_.,., L~I BLOCK ]~~01v1r,oty/ DESIGNER'S PHONE ~,i -c:r.17-1 W--:'.-if..-.,..._ -+-'----~--~ -"q_ ,, .. ;"v CENSUS TRACT ""'01 GP LANO USE ZONING /2-/ I RES. UNITS/ NUMBER OF STORIES I Not VaHd ~rt;flotf PARt°ING SPACE sf / # ~ ~70 SLOG SO. FT, /5'.?3 SLOG USE 5~.t!> DCC. GP P-r '"'e°J~" · l '"ftJ €f_J'"'yA/ I OCC. LOAD ,G/)1/ -I J ,;?--,0. QTY.I PLUMBING PERMIT AMT. II QTY MECHANICAL PERMIT AMT. /-fl EACH FIXTURE TRAP ?_L -11 / INSTALL FURN. DUCTS UP TO 100,000 BTU a.- 2__ I EACH BUILDING SEWER ~~ OVER 100,000 BTU 7 Cc_) EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 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 _.::z VENT FAN SINGLE DUCT .,,~- EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS 7 VALUATION: ~£~di'~ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT Issue 3.00 Issue TOTAL PLUMBING CONTRACTOR ...... :) o/. II CONTRACTOR TOTAL MECHANICAL 3 .• 00 SIGN PERMIT //!!-PLAN CHECK ~ ~<Ir-. ,-11,j' All INCLUSIVE PERMIT QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. I TOTAL PLUMBING ELECTRICAL NEW CONST EA AMP/SWT/BKR ~J;':-AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP _,,/ SOLAR 1 PH .25 3 PH RAMADA, CABANA ./ REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ./ I TEMP POLE 200 AMPS TOTAL MOBILE HOME/ OVER 200 AMPS ./ TEMP OCCUPANCY (30 DAYS) ./ Issue 2.00 I TOTAL ELECTRICAL CONTRACTOR ;;. 7 ,.,,. TOTAL FEES PAYABLE I I .,~ 'ii" ~"'TS' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO HERESY CERTIFY THAT ALL INFORMATION HE'REON 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 AND DEMOLITION OR CONSTRUCTION OF STA UCT URES OVER 3 STOA I ES IN HEIGHT /£},-:✓,? - SCHOOL FEES: -0 - APPLICANT'S SIGNATURE' / OWNE~ CONTRACTOR□ IAPPAOVED BY AGENT O BY PHONE 0 DATE I ! ~ ~ 6 ;::: u = a. V, ~ SITE ADDRESS: OWNER: PERMIT 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 i 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;\{APE ;, EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEM'P 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 i ELEC METER-PERM-TEMP : GAS METER-PERM-TEMP ,---, ___ i I_ CERT OF OCCUPANCY ISSUED ... .. ---- • • -.. ---.. - • -----.. ... - .... - • ... LOT ? -~--- FOOTINGS FOUNDATION REINFORCED MASONRY GUNITE OR GROUT SHEATHING FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND PL/CO 7J;;.it::TER . PLUMBING UNDERGROUND 7-f t-b!--:, COPPER ,-r-,~ f - TOP OUT TUB GAS TEST ELECTRICAL UNDERGROUND½; ROUGH '1-I z_ CEILING HEAT BONDING MECHANICAL DUCT & PLEM, REF. PIPING~ 'f-1~ HEAT--AIR VENTILATING SYSTEMS FINAL, ~ ~ ;\j,A,,1tA~AAA,~itM~Aiwi:.l1;./4At,At,\.~AA./\:,1.'.v;\,,M..,.~;~,1~&,.M,~)I( ~ ~~~~~ ~ ·~ {fr~1•f1t·t·r-uto !1-t IJ)r,~1tf'ttllf"1'~ ► <; '\,;.Y ~ i ,l,. ... ~ .!; ).. I,.:_ ,, '• ·H ·;,! ,,,; H 4-H ;,:> /4 '~7.i ► 4 C1 TY o~ f"A', Rl S10 A·· D· ► <~ H , "~ -l."J -'Ill, p ~ ~~· ► :<] This Certificate issued pursuant to the requirements of Section 306 ' ~ <'\ 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. ~ 4 Single Family Dwelling Rn-601 <' j .~ U5e Classification Bldg. Permtf'No._:.._______ -;" ~G,oup ~ VN 3 R-1 , __ , _____ Type Construction_--""----Fire Zone_..=_ ____ Use Zone_~~---. . ~ Occupant Load ~ Owne, of Buildin!J ' _Ci;irlsbad Development <':; Building Add,ess ',. 1636 James Drive « ~·!:':,-' .. , .. :.~ ,, _., ► , Carlsbad Locolity-===="--='--'9"'2"-'0"-'0"-'8'---.,._---- %'> ~ ~ ;> t > ~ W'!J'\f~'''.J','f';":JO.:f\f'1W'\;';l(