HomeMy WebLinkAbout1660 JAMES DR; ; 80-597; PermitUCENSED 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
QI hereby affirm that I am exempt from the Con-
tractor's License Law tor !he following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit to con-
struct, al!er, 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 tor a permit subjects the applicant to a
civil penalty of nol more than five 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. 11, 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 e1.nd 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
1 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 ____________ _
C::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•
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 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 thls permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.
/611,ci·I I ..r~-'o/1'?, ,P;t,;;;~,'
OWNER ~ k c..__p
OWNER'S MAILING ADDRESS Po~ ·•g. ,,... oi-' \ ... ... tJ \i
'¥ BLOCK J~ao1vbs19'j
DESCR)P;r1p~,.Q# WO.Ii,( 0o il ~ L,,t( .,, __. __
7 m
CENSUS TRACT ""'iJ GP LAND USE
I I I I I I I I I l tRrlDA;E~F;PP~~~r 7t7'%r
OWNER'S PHONE
7-.)-.'f 9 ;).-if, :2-
PRIM~ STATE LICENSE
i.:z8..? 3 .,7
C":J....c,o 7 \I coNTRAcToR's
7 J ..---IX /; ,c >., -
CONTRACTOR'S ADDRESS ,_-
STATE ~NSE
.;_.,-,...,..__,,....,,"'...,....,"-,J/ D:2/ 1R:S PHONE
G... C}1 7 ;:Lv: '? ~ e:; u.,v'Il
PERMIT NUMBER
fo~s-97
C s-o -1oc.')
,o"'"' I "' "'' I . ~---, -/'f:;J;'" ' ,s / ";"~ACS S-~_,
1
,oMesA /STOS,,s
Not Valid Unless Machine Cartifi,d
BLDG SQ.1/ t STAC~LAN # pdi, # TYV/:J
QTY, PLUMBING PERMIT AMT, II QTY, MECHANICAL PERMIT
1-:e EACH FIXTURE TRAP ..;t/.., -II / INSTALL FURN. DUCTS UP TO 100,000 BTU
/ EACH BUILD1NG SEWER ---OVER 100,000 BTU
EACH WATER HEATER ANO/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 I BOILER/COMPRESSOR 16-30 HP
EACH INSTAL., ALTER, REPAIR WATER PIPE 7 2 VENT FAN SINGLE DUCT
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER
\ I 7 \ I 7
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER \ \ I 7 ,. nn :i:ssue
iOTAL PLUMBING TOTAL MECHANICAL
CONTRACTOR '17s'+,~ CONTRACTOR
QTY.
7 NEW CONST EA AMP/SWT/BKR
ELECTRICAL PERMIT~{~' AMT.
\rR ., _..:t..,.-:--
1 PH .25
EXIST BLOG EA AMP/SNT/BKR I flPV ~ r \F
1 PH .25 3PI
REMODEL/ALTER PER CIRCUIT 7 ~
TEMP PO LE 200 AMPS 7 l\i;II
OVER 200 AMPS ,.
TEMP OCCUPANCY (30 DAYS) I"
QTY. MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMADA, CABANA /
FENCE OVER 6' ./
TOTAL MO¢ HOME
/
/
/
./
) .......
1 OCC, LOAD I
AMT,
Q,llf") -,
EDv-1 ~ ~ --" ,~ -· ~ -~
·-'Q )>-~ __:,..._, ~
<'::__) ~ -
1/-.,t}
7 r, 77, r2t~
BUILDING PERMIT I .~.3.6'10 ""3:-mT SIGN PERMIT I I I _1 ___ 1
II ~ PLANCHECK/;U~ ft.y//
fL___:__ All INCLUSIVE PERMIT
AMT,
I I I
TOTAL PLUMBING I I -1-,-1
l!LE0f1t1ei11t l'fv,-., h
M!CIIAHICAL C-/@C,
Wl,BIL,lii IIQUE /1'.Jec LL
SOLAR
MICO-FILM -y;
-zr. .Jfr,.£;.,
i.3f t::
1..27±
ll'.12 ~
I 1/1-Z,., 10
I I I · I
I I I · I
I I I , I '
Issue 7
TOTAL ELECTRICAL
CONTRACTOR 1
-z,oo I/ ~7~Ct~==~~~=t==I / 7
TOTAL FEES PAYABLE
: : :s~ :l
I
I I I I · I
I I .~1.Z1'1-3
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL lNFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTlFY AND AGREE IF A PERMIT IS ISSUED;To COMPLY WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. \.ALSO AGREE TO SAVE INDEMNIFY ANO 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
STRUCTU~S OVER 3 STORIES IN HEIGHT
~..{.)..l,._ . Y..
APPLICANT'S SIGNATURE• / 'o/
--~
OWNE~
AGENT D
SCHOOL FEES: ..--/) -
CONTRACTOR □ !APPROVED BY
BY PHONE 0
DATE
I
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~
6 e= u w a. V,
~
SITE
ADDRESS: OWNER: PERM!T 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 FLOOP
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• PLAC~ STUCCO
FIREPLACE
DAMPER & STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
i • FENCE PREP LASTER
i SHOWN • FRAME
I • PAN
l FINAL iNSP BY BLDG DEPT
OTHER QEPT'S REQ COMPLETED
( ELEC METER-PERM-TEMP i GAS METER-PERM-TEMP -~-
i -· I L.
L__
L_c~':~.?F OCCUPANCY ISSUED
..
INSPECTION
RECORD
MISSING
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1 This Certificate issued pursuant to the requirements of Section 306
<i; of the Uniform Building Code certifies that at the time of issuance
~ this structure complies with applicable ordinances of the City
,1 regulating building construction use. <$
</ Single Family Dwelling 80 597 ~ Use Classification ___ _:_ ____ :._ ___ ---=. _____ Bldg. Permit No. ___ -____ _
~ Group _ ____:R:.::3::_ ___ Type Construe:tion __ VN"-'-___ Fire Zone 3 Use Zone R1 ~/~ ---='-------==-----
" ,.,-; Occupant Load ________________________________ _
.1 Owner of BuHd;n-Carlsbad Development Add,ess -=pc.:•:__:O:..:·c,-::B:.::o::.x:....::B:__ ________ _ <l ,..
-~ Bu;Jd;ng Address . · 1660 -James. Drive
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