HomeMy WebLinkAbout1648 James Dr; ; 80-599; 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 el•
feet.
OWNER-BUILDER DECLARATION =:, I 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 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
{$&Kl).
c· 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•
fared for sa!e {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. !I, 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 2nd 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 ____ _
LCopy 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·
mil is for one hundred dollars ($100) or less}
I certify that in the performance of the work for
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: If, after making this Ger·
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 construction Ian•
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 --
r £ ,o,~ I I _ • /l4 / ~ -..e:;e A.OORESS AV.ST, IDATE OF APPLICATION
/ I 71; , ..41 ,--, I I
~v I •~ /-"Jf.,QEJ I ' I I I I I I I I I I I I I I
~ /j OWNER'S PHONE PRIME CONTRACTOR
&--,,-( -7:i..4-~:i...'f-2-J .
OWNER'S M·MORESS -:;:, .. /? ( t O -0. ,,, 1 9·2.c,oi' CONTf:iACTOR'~ESS
't', BLOCK l~~IO~I ,.➔ b ASSESSOR'S PARCEL,O. OES!GNER -,. ,, .... ,/l,".>1),,s,~,,2.,,,,1,0,, !:~ If _
DESCRIP;_:,r °Jt:_RIJ tlJ . . ...., .,. _..,, ~ "',,_,-
DESIGNER' s AOr;,~ss u ;{} JI
f.i[t '7 •7 /("') IO _ C.4-5' ~" ---:2..t }J ! 3 -C c:,,,-, 2....,-
CENSUS TRACT \) GP LANO USE
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
J,YJ9f
STATE LICENSE ft; ---::r'/1 1,::2.J';> 3 S-1
~~~~ACTOR'S c~o-<a-c;)
s~
DESIGNER'S PHONE
,?:;1};: Jl I.X
Z ON ING (/ • -t::'
)~-
I RES, UNITS / . I I -. , P~
0
RK2 SPACES~'" .3 NUMBER/ STORIES
Not Valid Unlesf Machina Cartifi«J
aco,;4/i BLDG USE DCC. GP STANOARD PLAN# IPLAN!D11 w TYPE CONST r OCC. LOAD I ( /-Z//) ,I? q 6?/4• V/4l ~ ,, . , ff Pv I -~-QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. ~ ~ ~ ...
I'< EACH FIXTURE TRAP ./£. --/ INSTALL FURN. DUCTS UP TO 100,000 BTU . .zz -~'\~ / EACH BUILDING SEWER ,,,-. / OVER 100,000 BTU -~
EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UPTO 3 HP ~ '
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE B01LER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE ./ ,?'i VENT FAN SINGLE DUCT ... , ·-VALUATION: 77., S'lb~ EACH LAWN SPRINKLER SYSTEM / MECH EXHAUST -HOOD/DUCTS ,
WATER SOFTNER 1 I. RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . ....,.1.4 a.o 10
-l">-M\ -., . (\(\ SIGN PERMIT I ;-I I
TOTAL PLUMBING L TOTAL MECHANICAL
// ,ti PLAN CHECK/o'/~ "1f7-y/bf' I I I I
CONTRACTOR /3'/..V-Z CONTRACTOR ALL INCLUSIVE PERMIT I I
ELECTRICAL PERMIT l AMT. TOTAL PLUMBING I . I
QTY. . , AMT. QTY . MOBILE HOME PERMIT El ECIPtCOI ///t, /,-1? I"< ,LJ,_.._
/ NEW CONST EA AMP/SWT/BKR I 1,r/ ..2f."-AWNING J4.EC11•me11:t Ale<> I --1,'"7. ~
1 PH .25 <" 3 PH ✓ ' ' PORCH M 'C -..,.,c J..I r ./f./ ·" w
EXIST BLOG EA AMP/SWT/BKR J ' , SET-UP .... / 'iJU.A.I'-c-/. , I I /~.t 'ti'-'
1 PH .25 3h ~ .\ ~ RAMADA.CABANA / I I I , I
REMODEL/ALTER PER CIRCUII/ "' ~ FENCE OVER 6' / I I I • I
TEMP POLE 200 AMPS J " ,,, TOTAL MOBKE HOME .. MICO-FI LM I I I . I
OVER 200 AMPS I I \ ./ II I. i , I I I . I
TEMP OCCUPANCY {30 OA~J'i 7 '\ / ~,,-;,;;,_;, ///A,// ,-,,, I I I .~:-u-. ..,
Issue 2.00 I/ 7 ~-I I I . I
TOTAL ELECTRICAL ;;27-TOTAL FEES PAYABLE I 3.r-li..7,"'i(.::. CONTRACTOR I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PEAMIT,AND DO •AN OSHA PERMIT IS AEQUIRED FOR EXCAVATIONS OVEA SCHOOL FEES:-,:? -HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, ~4S;~:ST•O:[,H~GH~; -COUNTY AND 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 APPLICANT'S SIGNATURE• /1 ~ OWNER" CONTRACTOR□ I APPROVED BY DATE
' I_ AGENT 0 BY PHONE 0
! ~ 0 ~
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SITE
ADDRESS: OWNER: PERMIT NO:
FJELD INSPECTION RECORD
INSPECT!ON 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 INSULATION
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
FINAL INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP
r:ERT-OF OCCUPANCY ISSUED
.. -.. ----... ----------... -
•
...
◄ •
• -
• --· .. .. ...
..
• .. -
LOT
BUILDI"
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL1CO"{~R 1--tr
PLUMBING UNDERGROU;; ~ :;-17-ro
COPPER
TOP OUT
TUB AND SHOWER
GAS TEST
ELECTRICAL
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPIN~9-rt--
HEAT--AIR
VENTILATING SYSTEMS FINAL,¥ 12-ls:-lo '
l t
'
;
.. 1
/'. ,': .):,hU,~1~/4 .. 1~. r,\ /\ iL~A~t1t;,t,t\.,~\/,~1~,A 1.t1;\ ,~ .. /~\,)\/!~.. \ /~'. ,t✓\..,;~._,;\\/Al·:-. ,~~:t::~~\-~4./4"u~V.~\/~ ?'
.,,..i.. HI
<i This Certificate issued pursuant to the requirements of Section 306
:'1 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 . . ~ ◄--;; /j U,e Clos,;f;co,;c,n _S_m_· ...cg.:...l_e_F_anu._·_1.:...y_Dw_e_l_l_i_n_,g'-------Bldg. Perm;, No. _8::..0.:...-...cS:.:9;.:9:__ ___ _
:; Group--=R.co3:__ ___ Type Construction VN Fire Zone 3 Use Zone _ _____.Ru} ___ _
---::
-<.{ Occupont Load ---::---:,----c--:c--c--'--'-----------------------~ Owner of Budd;n~ 1C6ar481sJb~: Des. vDre1~vopmene t · Address P. 0. Box B
CA. <, Budd;ng Address · "' =u~
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