HomeMy WebLinkAbout1660 Oak Ave; ; 80-620; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl·
slons 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
01 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 !o 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·
pllcant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
(S500).
D 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-
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 P.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. tor this reason ____________ _
Date Owner
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per-
mit 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 Workl!'ts' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer·
tlflcate ol Exemption, you should become subject
to ')4 ·'Vorkers' Compensation provisions of the
Labor C."e, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby aff_irm !hat th~re Is a construction len·
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
/~1li/J1 t/f4( Ki I
JOB ADDRESS tRr 1:;:;i:P~TION
I I I I I I I I I I I I I I I I I rr ~ (1~-~
OWNER'S PHONE PRIME ~TRACTOR ~
'I ... P~~ .0 7 :i-f l!f j_J? .2 -... --V • _._ / r ,
q>No'r-t;L~ ADASS ~ _ 0 ~ R I 9.;1..0~
CONTRACTOR'S~SS
"' ...... &-1 BLOCK , ~=:Ill.'.'.-:/1-8 l91ASSESSOR':;ARF.L~.z, < &IGNER Id,,-,, • •
1
/) ,lj .I) I 1/ 10u ~ ---
DESCRIPTION OF '11..K ll ~ ::-T7-~ ~ -T _,,,..
DESIGNER'S A~ ...:z ~----4 a.a.
AiO c_ -C. W,,3i,3 "" ~ -c ~ 1'?1').,,r
CENSUS TRACT \J GP LAND USE ZONING .
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
/87P&7
STATE LICENSE fJ,t,2 0 b;l83:3S-7
~TRACTOR'S {I HJ'. .-, '--
STATE ~E
DESIGNER'S PHONE
~3-i-l-~c-d-1\d>
~; 'i;J ' . '
er: 11-7 te-J I RES. UNIT/ l P~~ACE·~
70
1 NUMBER•i STORIES
Nat Valid Unless M11chin11 C.rtifi«J
BLDG SO, FT. BLDG USE OCC. GP STANe~LAN II 'PLAN~-~ ITYPE c;;;u I occ. LOAD I /4.:3 S~// .£13 t:;/)()-/ AV (!J t'!J ,. -
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
/~ EACH FIXTURE TRAP ~~ / INSTALL FURN. DUCTS UP TO 100,000 BTU L..1.-
7 EACH BUILDING SEWER ~,, OVER 100,000 BTU l
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 ¥--}/~.'~~ EACH LAWN SPRINKLER SYSTEM -MECH EXHAUST -HOOD/DUCTS .
WATER SOFTNER Rl;_LOCATION OF EA FURNACE/HEATER BUILDING PERMIT I •. ~ J 'f!/ .IJ-t't}
a... .A • ~ S:r7-(l TM.,.. hi ~ SIGN PERMIT I . I ( I
TOTAL PLUMBING TOTAL MECHANICAL -PLAN CHECK ~9£!-#;vi, J' I I 1/.Pt#
CONTRACTOR 3f.,, CONTRACTOR /I ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING 1.::t1d-;-
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1~1~-+-
NEW CONST EA AMP/SWT/BKR ;is-.--AWNING MECHANICAL 1/JI .-+-
1 PH .25 3 PH PORCH ~ "" MOBILE HOME I I I
EXIST BLOG EA AMP/SWT/BKR SET-UP --\ SOLAR I I ./1 "l,; -t-
1 PH .25 3 PH RAMADA.CABANA ,/"'° ,/ I . I I I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' / / ' • A I I . I I I
TEMP POLE 200 AMPS TOTAL MOBILEittDMV,., Q}J ".h \ MICO·FI LM ! . I I I
OVER 200 AMPS '/ ,.\ l()J/,, •.I' I / "~ ,M, , . I I I I -'
TEMP OCCUPANCY (30 DAYSI ./ \.. ..., .VV\I .v 7 /"'4~ /~p~ I . I .u.~r
..,,_ ~ ~.,,, ., ~ / ,,::; IJ • I V V ,
I I I . I
TOTAL ELECTRICAL ;1.7-\ {'1 7 TOTAL FEES PAYABLE I .~~Si! CONTRACTOR \ / I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 ·AN os~~IT IS R~I FOR EXCAVATIONS OVER / ~ ~., -IJ -
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I ~"' A '" --,o. OS OONm "mo• o,
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, CTURES OVER 3 STORIES IN HEIGHT
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-,,, V ~ A LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO ' ~-'t:nL1u --EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNA~REr OWNE~ CONTRACTORO !APPROVED BY DATE
~--AGENT D BY PHONE O -~ -------____ , _ ·--
• w ~ ~
ts i= ~ 0... V) ~
vr
SITE
ADDRESS: ,. OWNER: PERMIT NO: I
0 FIELD INSPECTION RECORD ..
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES '
WOOD FLOOR ..
FOUNDATION • FORMS • SET BACK • TOILET '
' ' ' . UNDER FLOOR PLUMBING . , ' .. .f'.-. . .
UNDER FLOOR HEATING
OK TO INST ALL SUB FLOOR ' . . ~ -.. '
, •' ' ' .
..... '. I , . .. ; -,r_, ! ~, ..!v -· ' SLAB FLOOR ' .,. \. ' . -. UNDER SLAB PLUMBING ' -' , -' ' FOOTING• FORMS• SETBACK • TOILET c.· ' " . µ " .. •.. ' OK TO POUR CONCRETE . . ' ' ·• -
FRAME '
ROUGH ELECTRICAL ·-..
' " r -ROUGH PLUMBING
ROUGH HEATING/VENTILATING
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE ..
'• .
EXTERIOR LATH OK• PLACE STUCCO ' -
-... ' -''-" FIREPLACE ,. -.,_ ..
DAMPER 8: STEEL .
PLATE Tl Es/HEIGHT OF C HIMNEY
~ .... ·.
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK ' ... ,
• FENCE PREPLASTER
SHOWN • FRAME r-
. ' ... . • PAN -,. . • FINAL INSP BY BLDG DEPT ''
OTHER DEPT'S REQ COMPLETED -C,..
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP ~-.,. ,.
..
~ .
_ ..... -=-::.....:.... .... . , : . \~ . . ..
. Y"" C ~ •. . ·, J '\, .
CERT OF OCCUPANCY ISSUED '· •. ~' ·1 ..,~-~, '\ ",,... j '-· -'--~ __. . .,_ ---1
"'· .
...
I
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, IN THE BUILDING LOCATED AT:
SITE ADDRESS
Number Street City
EXTERIOR WALLS
Manufacturer __ o_w_E_N_s_co_R_N_I_N_G __ Thickness/Type ___ 3~_2'_' _ R Va 1 ue 11
CEILINGS
Batts: Manufacturer __ o_w_E_N_s_c_o_R_N_I_N_G __ Thickness/Type __ 6'_' _ R Va 1 ue __ 19_
Blown: Manufacturer----------Thickness/Type----No. Bags __
Wt ./Bag --------Sq. Ft. Covered ------R Va~ ue __ _
FLOORS
Manufacturer---------Thickness/Type-----R Value ___ _
SLAB ON GRADE
Manufacturer----------Thickness/Type-----R Value ___ _
Width of Insulation ____ Inches
FOUNDATION WALLS
Manufacturer ----------Thickness/Type -----R Va 1 ue ----
GENERAL CONTRACTOR LICENSE NUMBER ---------------~ --------
BY ------------TITLE ----------DATE --------
B
INYSUL~ CONTRACTOR _D_AN_A_J_O_HN_so_N_IN_s_u_L_A_TI_O_N_,_IN_c_. __ LICENSE NUMBER ___ 30_6_4_93 __
/Lb TITLE Autho,faed R,p"~nt,t;ve DATE 3 /Ja-lJJ/
Bl Form #121
22175