HomeMy WebLinkAbout1659 JAMES DR; ; 80-613; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons of Chapter 9 (commencing with Section
7000) of rnvlsion 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 wtlich requires a permit to con-
struct, alter, improve, demollsh, or repair any
structure, prior to its issuance also requires the
appllcant for such permit to IUe 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
($5001.
DI, 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. 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).
: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·
]ects with a contractor(s) license pursuant to the
contractor's License Law). I am exempt under Sec _____ B. & P.C.
for this reaso,n_ ___________ _
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. 3&QO, Labor Cod~ / '2 f J POLICY NO ·w C-_... ::>
COMPANYa;,yi, IA , ~
□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 ($101)) 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 Wor~ers' Compensation Laws of Callfomla.
NOTICC: 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
provisionSior this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby af~irm ~hat th.ere is a construction len-
(' CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
("
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
/.£.~ fl
-~ ' JOB ADDRESS tRr· IDiT:.0_~0~~Az5N
1 '1 ,.A I I I I 1~1111 I I I I I I I I I
OWNrA _ 1 ~ 11 _ I ,&_,,-. ' ('I~
OWNER'S PHONE PAI~ ,.. 7~:----1/ . ., ~"-O~~o M~I jNG A:RESg rrl . r, ,. ?~of? CONTRACTOR'S~SS
'J. i, BLOCK ljj)ao1v~~1/_ ~, 7q
1
l)sEssoR's PARl~o. ("' • ,,r,J,I'), 1 , l ·,::t..../1 / 10• ,t:••••• I I ' "-• ·-,, --....
0EscR1Pno~ w~ , )/ ;;t /J _17'-· 1£ _ 7 . -
DESIGNER'S AD!A ss_ {I I) -
,. o -A ;;z_ ,, t.. ~ L.r-, f-W:31-3 , "' ___ a
CENSUS TRACT I GP LAND USE ZONING p;,(RKING SPACE
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
181!'8
STATE LICENSE ~rJ-/p/3 ~3'3.S-7
:~TRACTOR'S ( S'O-lo5j P NE • .
STATE v-5E
DESIGNER'S PHONE
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C(,77,7 ,e-_r:-1••s.~ ./ * A sf f /'b I .,M •• .-i sTo•••s
Not V•lid Unltlls MKhillll CMtifiad
BLDG SQ. F'T. BLDG USE 1:e; ISTANDA;:" I PLAN ~--~!d ITYPE7:U 1•~;: I I /~,s--:Z S/P AU
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
/-::. EACH FIXTURE TRAP ~~ -/ INSTALL FURN. DUCTS UP TO 100,000 BTU .u.-
/ EACH BUILDING SEWER ..-.-OVER 100,000 BTU
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 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 .-< VENT FAN SINGLE DUCT n.-
VAIDATION: ~~ ~_f b ~ -EACH i.b;N SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I .~o.P>p
.1ssue j.,.i.JU .Lssue 3.DD SIGN PERMIT I I I I
TOTAL PLUMBING 31_-TOTAL MECHANICAL II. -PLANCHECK/,:f7~ Y/v/4/ I I ,_,;:-..
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. " AMT. TOTAL PLUMBING I" 1 ..........
QTY. QTY. MOBILE HOME PERMIT ELECTRICAL ,~ 1-7--r-
NEW CONST EA AMPISWTIBKR :;;,1,. -AWNING ---------' MECHANICAL 'I/ . '"T"' I.,,
1 PH .25 3 PH PORCH / .r-MOBILE HOME I I • I
EXIST BLOG EA AMP/SWT/BKR SET-UP I .I✓, ' ' L,, SOLAR I 1./12. -r-
1 PH .25 3PH RAMADA, CABANA A"a t" ,o' _/ I ' I I • I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' ,.~ ./ / I I I • I
TEMP POLE 200 AMPS TOTAL MOBILE HO E ::, ./ / MICO-FILM I ' I I • I
OVER 200 AMPS .,, ./ ;, ,_ 11.,t 1.-,_ I I I I
TEMP OCCUPANCY (30 DAYSI / .,,,_ -,, I ' ' 1"7'. /Id'
Issue 2 .• 00 / -/ I ' J • I '
TOTAL ElECTRICAL ,;.7-. TOTAL FEES PAYABLE
I CONTRACTOR I I ,3/11'.11'
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEFS:....-t> ---
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION DA CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS LSSUED;TO COMPLY WITH ALL CITY, STJ ~CTURES OVER 3STORIES IN HEIGHT
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-I~~-. ,., LESS THE CITY OF CA A LS BAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING Of THIS PERMIT. Af>PLICANT'S StGNA OWNEIMt" CONTRACTOR□ rPPROVEO BY DATE
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LOT IL
4.S-J? -~./~~
BUILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SHEATHING
FRAME
&--I c.
/-{' '
INSULATION /-2,_ C.
EXTERIOR LATH ~, C.
PLUMBING
SEWER AND PL/CO .hr--. ,
PLUMBING UNDERGROUND
/ 0-9
WAfrER µ:_-oz~~,-r-
COPPER
TOP OUT ~ 1-tJ~ 11
TUB AND SHO~
GAS TEST
-ELECTRICAL ... ~ UNDERGROUr
ROUGH ~ /-(6
..
•
◄ ..
• -..
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF. PIPING
HEAT--AIR
VENTILATING SYSTEMS
FINAL :-=3_•_::2.:.;::.l_~---IL.~;:..a~~---
COMPLETE IN DUPLICATE AND POST WITH THE INSPECTION RECORD CARD
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE
OF CALIFORNIA,
SITE ADDRESS
EXTERIOR WALLS
IN THE BUILDING LOCATED AT:
I w59 ::Tci rr14.y ~ C
Number Street
Manufacturer --"'OW=E~N~S~C~O~R~N~IN~G"---Thickness/Type _ _,3'-"½'-"-
CEILINGS
R Value _.!.I.,_! __
Batts: Manufacturer _.....;;:O.,;,;W-=Ec;.;N.::.S...:C:.::Oc:.R::.N:.:.IN:.:.G:::___ Thickness/Type _ _;;_6'_' _ R Value __ 19_
Blown: Manufacturer _________ Thickness/Type ____ No. Bags __
Wt./Bag ________ Sq. Ft. Covered ______ R Value __ _
FLOORS
Manufacturer _________ Thickness/Type ___ _ R Value ___ _
SLAB ON GRADE
Manufacturer _________ Thickness/Type _____ R Value ___ _
Width of Insulation ____ Inches
FOUNDATION WALLS
Manufacturer _________ Thickness/Type ____ _ R Value ___ _
GENERAL CONTRACTOR _____________ _ LICENSE NUMBER ____ _
BY ___________ TITLE _________ _ DATE ______ _
INSULATION CONTRACTOR _D_AN_A_,Jc..O_H_N_S.:_O_N...:I;;..N.;.SU_L_A_T;;..I...;.O_N.:..,I_N_c_. _
BY ~l,
LICENSE NUMBER __ 3_06_4_9_3 __
Bl Form #121
22175
TITLE Authorized Representative
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~ CITY OF Cfo,Rl_S&J/\D \:•f:1!.J « . \.:._;-•:,...i .• ~ 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 3 regulating building construction use.
~ Use ClossH;cotion SINGLE FAMILY DWELLING Bldg. Pe,mit No. 80-613
~ Group RJ Type Constructi~ VN fire Zone 3 Use Zone _____ _
~ «
Occupant load _______________ _
Ownet of Bvildin~-...c.a..rl.sb.ad.J)ev, Corp, ~Md .... P, 0 • __ JIQ~_;_Jl_ __ ~~rls!?_~d, CA
Bvilding Add,essill'.9.' James'. l;)rj-v~ z Lo,oluy..J;;i,lr_ll;!.Q~d, Calif, 92008
t•"',t'<>-_,,• C ,~.~. "I]'
____________ By I"='(~ ,_,, /1J ¢.ea,
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~ ~ ~ ~ ~ « ~ NOTE: Alterations, changes, additions or chonges of occuian nullifies t 11 certificate. ~
~ (Past in consp1cuaus place) ~
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