HomeMy WebLinkAbout1654 James Dr; ; 80-598; 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 Proles·
sions Code, and my license is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
c.1 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 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 basis tor the alleged ex-
emption. Any v1olation of Section 7031.5 by an ap-
plicant tor a permit subjects the applicant to a
civil penalty of not more than live hundred dollars
($500)
LI, 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. !f, however, the building or improve·
men! 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).
:=:!, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business end 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
iCopy is filed with the city.
C 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: 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
CONSTRUCTION LENDING AGENCY
, '-~•~"" -,fli,m ,.,,., +1,,.,., ;., ",.,-,,.,,,_trnt".linn len-
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.
/ I 3.~ ,;_/ J/0-,,--/-sJ ~:,,;,A:, ADD,CSS P, I I I I I I I I I I I I I I I I I I I I I I I I ,l tRr· IO~T~O:,;~~RbNI 7~;c~3 PERMIT NUMBER
OWNER -OWNER'S PHONE PRtM,E-~ STATE L!CENSE
~ ~~ ·.:i..t.p--:;l.,'f?3}"J , 0-S-9Jl
OWNER'S MAl~;ESS 1 CONTRACTOR'S/ESS CONTRACTOR'S ? o, · 'B ,, PHO~ ( 80-~<f)
'e-BLOCK s~:::_
DESIGNER'S PHONE
C;.7 -c-c.. 3
CENSUS TRACT j\lP LAND USE ZONING /CJ I "'· UNlT./ I PA::i?.SPACE S!o/71NUMBE/OF STORIES
Not VaHd Unless Machine Cartifi«J
BLDG SQ. FT. BLDG USE
--4... /f/73 <;""yl)
QTY. PLUMBING PERMIT
/7 EACH FIXTURE TRAP
~3 / '"2¼,"".
AMT. QTY.
I "~H "I '"l)°}) I 01i'°o I)
I
MECHANICAL PERMIT AMT.
),-"' de / INSTALL FURN. DUCTS UP TO 100,000 BTU ll,
I "< -);~~,
.. _..../I EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH tNSTAL., ALTER, REPAIR WATER Pl PE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER \
I '
I -7
l
/. ~ I/ 3.00
TOTAL PLUMBING
CONTRACTOR l/,,3t/.~
QTY.
/t,d
ELECTRICALPER~T # .IJT
NEW CONST EAAMP/SWT/BK]P
1 PH .25
f V
PH----n;
AMT.
..2 :s-:-
.:'J ,--...-
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
Issue
TOTAL MECHANICAL
CONTRACTOR
QTY. MOBILE HOME PERMIT
AWNING
PORCH ./
v
&:S.::/t1f~
4-VALUATION: Q ~t t. p ~
-✓Z<'ii
BUI LO ING PERMIT " T.UU SIGN PERMIT
,1/ ':!!. II . -~ .. ""'""/VO -I,,.. I I I Pl AN ruc:rv #J(7.$"~ J..,..,1~ I
ALL INCLUSIVE PERMIT
AMT. TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME ~ EXIST BLOG EA AMP/SWT/BKR / SET-UP ./
lPH .25 / 'PH ~ •II RAMADA, CABANA /
I 'l'f
SOLAR
: ~i~
REMODEL/ALTER PER cu,tun
TEMP PO LE 200 AMPS /
OVER 200 AMPS I
TEMP OCCUPANCY 13,vbAYSJ
Issue -/
TOTAL ELECTR~L
CONTRACTOR
'
FENCE OVER 6' /
TOTAL MOBILE HO~
/ 7
2 •. 00 11 I 7
~1~ / I TOTAL FEES PAYABLE
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 AND AGREE IF A PERMIT IS ISSUED;To COMPLY WITH ALL CITY.
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. 1,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
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
S D DjP AND DEMOLITION OR CONSTRUCTION OF ~i~:""~:t~ _e
SCHOOL FEES: -() ·-
OF THE GRANTING OF THIS PERMIT Af'Pt'tCANT"S SIGNATURE 7 C: OWNE~ CONTRACTOR□ [APPROVED BY
AGENT 0__ BY PHONE 0
I
I
J'
5ig
DATE
I
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S1Tt:.
ADDRESS: OWNER: PERMIT NO:
FIELD INSPECTION RECORD
INSPECTION DATE 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 TAPE
EXTERIOR LATH OK• PLACE STUCCO
FIREPLACE
DAMPE:.R 8: 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
i OTHER DEPT'S REQ COMPLETED i ELEC M_ETER.-PERM-TEMP
1GASMETER-PERM-TEMP
I
CER7 OF OCCUPANCY ISSUED
.. -... -... -.. -.. -... ---... ---.. -..
--..
----.
... ...
... -.. -
LOT ~ /~5'~~ ;p BUILDI
FOOTINGS
FOUNDATION
REINFORCED STEEL /J:'.b,-:
MASONRY
SHEATHING
FRAME
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWAU,
PLUMBING
SEWER AND PL/co7~f j"wATER7,,-£ r
PLUMBING UNDERGROUWl) :fn-. 7-J J-f,
. COPPER
TOP OUT
TUB ANO SHO~
GAS TEST 'f ~{ '
ELECTRICAL
UNDERGRO~
ROUGH
. CEILING HEAT
BONDING
MECHANICAL
DUCT & FLEM, REF •
HEAT--AIR
PIPING& 't--t C
VENTILATING SYSTEMS
j:( J1,A..~v.\\r~./4\A\1,~;~AIAv~~/~,J;., ;)J1 .. /AJA\,i~1,\J~\l~i\,A\l},::-~v·;:.,l~;;.:_,. '. \1~i~Jh1J..\./\_)v,\_,~~-,l'~v;:..\/~\J~:.lt.;~,\..: ,\i~\;;
0
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4 '~.>'!!".;?\. ;!> --~ (f r r t i f i r u t 1:\ n f (D r r n 1.1 u tt .r 11 , :,,.,,, ':1~ t -~1 ' ~l f"'f::f;;tl' "-' ~ ,1 c~1 .. ·1 ·o· cc (~, .... L-'~'D ~ D , ·c,f., . ""' <~ ,i ~ -·, . ....,/-\ i{ .\ ~bi~\ t·· \~•,1--:_'.:;1.,~:?:,; ___ ) §> ~ ~~ t <'( This Certificate issued pursuant to the requirements of Section 306 ~
j of the Uniform Building Code certifies that at the time of issuance t
<f this structure complies with applicable ordinances of the City ;;>
d ~ ,'~ regulating building construction use. :v ~ ► j Use Clossification __ S_i_n.:,gc.l_e_._F_a_rru_· _ly<.__Dw_e_l_l_i_n_,g'--------Bldg. Pe,mit No. 80-598
~ Group R3 Type ConstruC!tion __ \lN= ___ fire Zone 3 Use Zone __ .,Rl..._ __ _
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-r..~ Occupant Lood _.....,...,,..~-.--..~--.-----------------------------
.. ~.-~ 0 r Id Carlsbad Development . A'd·••• P. O. Box B ~ wner o Bui in~'-'-'"---------'-----a , ________________ _
~ Building Add'"" _;_·,...;:.l..:.6.::5..:.t--=J..:am=e:.:s;...,:Dr:.::..;1::.· v:...e::.,. __ ~_Loco lity _=====-CA=ce.· -=-=='------
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