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Home My WebLink About1666 JAMES DR; ; 80-596; 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 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 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 hve hundred dollars ($500). r 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). ~I. as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business ~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 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_~-------- [""'Copy is filed with the city. :::JCert1fied copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per- mit is for one hundred dollars ($100) 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 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 this permit shall be deemed revoked. CON.C::TR!lr.Tll'U,J I ~r..in1r..ir.: At::~r..ir.v CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 1£2~61 1-7?~'Pi51-'?/i?l'.t/1~':' __[__j__J I I I I I I I I AV,ST. IDATE OF APPLICATION ,o ' -?0: I I ,---fi) '?'<' \._,a..,,C.,,U. g ~.~ OWNER'S PHONE PRIM~ 7::L19"~~.2... APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. 9US. LICENSE PERMIT NUM9ER J..j_Jg s: STATE LICENSE .2_g33 r-p J)o ·-SJ'(, j_9-5rn•s -0 MAILING '\°DRESS , o _ r , . .,, •" ,~ _ ti 11 O , ---.> JI CONTRACTOR'~RESS I CONTRACTOR'S ~ P ~~ 7~oc_0 :,:!N•E.,_.,,,,_ C 8"0-c,,, 1:jT l BLOCK DESCRIPTION ,_,_ CENSUS TRACT '1 GP LAND USE UN ITS '"'"' rz .. , I "'· I ,.;~' ""(4 70 I"""'" I STD"'' Not Valid Unless Machine Cartifi«J BLOG SQ. FT. ,~~3 BLDG USE 'SF I> '~Ji I"";:;, e:.i·1 I"'Q' 0..: B TYPE QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT .1_;::,,, EACH FIXTURE TRAP -,r. -INSTALL FURN. DUCTS UP TO 100,000 BTU LI EACH BUILDING 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 BOILER/COMPRESSOR 16-30 HP CONST y Al l occ. LOAD I AMT. / .FPI,,\ 4--. ~~ ~~ ·: ~ '-;;, -.~ .· 'XC; ---"( ,;· _,. ~ ~ =·· EACH INSTAL., ALTER, REPAIR WATER PIPE 1 VENT FAN SINGLE DUCT ,If--EACH LAWN SPRINKLER SYSTEM j MECH EXHAUST -HOOD/DUCTS I VAWA'IION: &, ~ -t;,QJ" £::"- WATER SOFTNER ssue I 3 •. oo TOTAL PLUMBING CONTRACTOR /1f.- QTY.I ELECTRICAL PERMIT\ )i/ AMT. M NEW CONST EA AMP/SWT/BKR 2.-5. 1 PH .25 i EXIST BLDG EA AMP/SWT/BKR / j( \ 1 PH .25 3 PHI\\ / _ll REMODEL/ALTER PER CIRCUIT ~ \J l TEMP POLE 200 AMPS _J_ _,,,J~ t\\' OVER 200 AMPS f '\~ TEMP OCCUPANCY (30 DAYS) RELOCATION OF EA FURNACE/HEATER Issue TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME 3.00 _Jl-- AMT. BUILDING PERMIT SIGN PERMIT PLAN CHECK/,?,/~ :11-jy/i,J' ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL M~ME ((SOLAR/ MICO-FILM -:If~ ' A n -,,, ., Issue -.,, 2.00 -v TOTAL ELECTRICAL CONTRACTOR :J..J_ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. COUNTY AND ST ATE LAWS GOVERN! NG 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 THF f:;AANTINf:; ni; THI<:. Pl=AMIT •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5"·0" DEEP ANO DEMOLITION OR CONSTRUCTION OF S~URES OVER 3 STORIES IN HEIGHT ~4_-_2~ TOTAL FEES PAYABLE SCHOOL FEES: _,-6' - I I ;1 I ,.;ll/~&16 I I I I I • I I/ • .o iO. ...1 _l _l ...1 l I I I I I ·. I I .:fT I I J2.11-r IYll-,- 1 I • I I '/fJ.I -r- _l_j_ . _j j _l_-_J I I I : ~-5" I I · J :?~K ~ ..c i ~ b i= ~ a. V, ~ SITE 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 PLUMB I NG ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD ·• WALLBOARD OK• PLACE TA~~ ... EXTERIOR LATH OK• PLACE' STUCCO \ FIREPLACE DAMPER~&STEEL .· PLATE TIES/HEIGHT OF CHIMNEY OTHER I TEMP POWER (POLE) SEWER GAS TEST' ' SWJM POOL • STEEL BONDING I : • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN Fl NAL I NSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP I GAS ME_TER-PERM-TEMP :--· t---------- ( ----- I L CE:C.T OF OCCUPANCY !~SUED --------... .. -.. ---- • • ---l-, -- LOT 3 ///t( ¼&,#<21 ~~ cP BUILDING FOOTINGS FOUNDATION REINFORCED MASONRY SHEATHING FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND PL/CO2:-:, J/4z:TER rJr' PLUMBING UNDERGROUWI) d?'\ 7-J 7-~ . COPPER TOP OUT GAS TEST ELECTRICAL I -... UNDERGROU?= I ROUGH ~ Cj'.-/ 2 i .., · CEILING HEAT .. ---... • . .. • BONDING MECHANICAL DUCT & PLEM, REF. HEAT--AIR PIPING-/m, b,? VENTILATING SYSTEMS ,, . .,., W I 2-r ,:-h I I I ' l ' " -