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Home My WebLink About1671 James Dr; ; 80-615; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am hcensed under provi- sions of Chapter 9 (commencing with Section 7(X)(J) of Division 3 of the Business and Profes· sions Code, and my license is in full force and ef· feet. OWNER.BUILDER DECLARATION SI hereby affirm that I am exempt from the Con· tractor's License Law tor the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con· slruct, 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 five hundred dollars (S500). c_· !, 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· fared 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• fared 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 tor the purpose of sale). :: I, as owner of the property. am exclusively con• lracfing 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• 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). J <j 9 POLICY NO.\,v £;:..,. Ji. - ,£,f)MPANY Oef.. tr'..v ~opy is filed with the city. LCertified 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 ($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 th!i Workers' Compensation Laws of California. NOT!CE TO APPUCANT: If, after making this Cer- tificate of Exemption, you should become subject ·o the Workers' Compensation provisions of the , ~.hor Code, you must forthwith comply with such .,, ..,-Jislons or this permit shall be deemed revoked. r.nNC:Tl:lllf'T1n>J I i::;>Jnll\Jn a.r.i:::tJf'V 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. /~l71 ~<J/ df,l~, ,oe AOD"SS -I I I I I I I I I I I I I l I I l I I I I I I I tRr ·1D;: ~:«alON! B/gL)38 PERMIT NUMBER f0"0 Ir; OWNER --c ~..;.__ ~~(',,,,, OWNER'S PHONE 7;;Lqc-,u-, IP'b;;;;; ~""zg' -~~ y:;,_fJ() g, PRIME v~RACTO~ -, ~ coi<TRACTOR'~ss ~ 0 ' STATE LICENSE l-:1-P 5.3 .)-1 CONTRACTOR'S ,~ STATE ~E PHONE 1./~ c~-w~ CENSUS TRACT \J c1>11-1 GP LANO USE '°""' RI I"'· ""l'~ . .w"i"' SPAZ'it~ I NUMBER OF STORIES / Not Valid Unless M8chine Cartifi«J BLOG SQ. FT • BLDG USE .., 0 '32.. 5Pl'l QTY. PLUMBING PERMIT /" EACH FIXTURE TRAP / EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 0 R MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM I~~" I ST'""~':,,,o I"" S-R I '"'t'0 N AMT. QTY. 10.-11/ ,.,-_ -f ~ MECHANICAL PERMIT INSTALL FURN. oucrs UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS - l0~1JA~ -\ I AMT. ?f--:-- ,,,,. -1/41~ _, /3 /;.% ~ ----·-___, • ~ C ~ W_A.TER SOFTNER TT;; -::,, (.w(/, -BUILDING PERMIT ~ SIGN PERMIT i= RE.!.J)CATION OF EA FURNACE/HEATER C_J_...,..,... ~--,.., r.V , .. PLAN CHECK a 1l! TOTAL PLUMBING '?B"c TOTAL MECHANICAL Is-CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT Z TOTAL PLUMBING - AMT. QTY. MOBILE HOME PERMIT AMT. lr----:-EL;-;Ec;:CT"'R:-:l::-CA:-:L--------t-----..-QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKA -AWNING MECHANICAL 1 PH .25 3 PH PORCH M ME EXIST BLOG EA AMP/SWT/BKR SET-UP I , I 1 PH .25 3 PH RAMADA, CABANA REMODEL/ALTER PER CIRCUIT FENCE~ I \ I I TEMP POLE 200AMPS I II I TOT,;tMOBILES.HOME .°'\ I II MIG □ Ell OI I [ , I I . I OVER 200 AMPS I \I I c Y ~ ( \ I II L ,,h/, ....,....-I I • I I I TEMP OCCUPANCY 130 DAYS) I II I i ~ I/ Jj!'/1,: (' / ,4~ _#7._A /'7tz.,?:,-7<-• I I ,')"°X,"2 . ) -.J ... " ~(J-t J" I I I . I TOTAL ELECTRICAL CONTRACTOR ~7- CY 'fii~1J-/ . ' 7 TOTAL FEES PAYABLE I I I . 3, J{. J /J;L I HAVE CA REF LILLY 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 \/1/AY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT \ 7 •AN OSHA eeRM<T ,s Rrnu,RCD ,oR SXCAVAnONS OVER ~ fev/ --t>- 5'-0"' DEEP AND OEMOLITlON OR CONSTRUCTION OF yt!A • STR\T:ES OVER 3STORIES IN HEIGHT l....---1,,)., '1L . ).,,.,_,./ / __,, 9t ,. - AP,LICANT'S SIGNATUR,~ c.,;:::, oWNE~ CONTRACTOR□ I APPROVED BY D/tTE SITE AOC:RESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSF PECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• 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 DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN I r-lNAL INSP BY BLDG DEPT i OTHER DEPT'S REQ COMPLETED : ELEC METER-PERM-TEMP \ GAS METER-PERM-TEMP . • '-I_ ~-~=-?__:__ occ_UPA.~CY 1s5uED ·---~ • -~----- ?' BUILDI~ FOOTINGS ~ / 0-( 'f .. FOUNDATION -REINFORCED STEEL / 0-/ I-( 1 -MASONRY GUNITE OR GROUT SHEATHING ... FRAME -INSULATION ... EXTERIOR LATH -INTERIOR LATH & DRY\i1ALL --- PLUMBING ~-. 1SEWER AND PL/CO ( 0..::9 Wq;E~==----- PLUMBING UNDERGROUNpJ_2_-_½_._ __ _ COPPER -TOP OUT ... TUB AND SHOb GAS TEST • ELECTRICAL • • UNDERGROUND~ ROUGH • CEILING HEAT • BONDING • MECHANICAL DUCT & PLEM, REF. PIPIN~ -HEAT--AIR • VENTILATING SYSTEMS ' .. FINAL, 3-Z'i q.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, IN THE BUILDING LOCATED AT: SITE ADDRESS I lo') I .:Yct,nq '2 ]¢,, C,1~6ld, 0A Number Street City EXTERIOR WALLS Manufacturer OWENS CORNING Thickness/Type 3½" R Va I ue II CEILINGS Batts: Manufacturer --'-O_W_E_N~S~C~O~R~N_IN~Gc......_ Thickness/Type __ 6'_'_ R Value __ 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 Value ___ _ GENERAL CONTRACTOR _____________ _ LICENSE NUMBER ____ _ BY ____________ TITLE __________ DATE _______ _ INSULATlrr:TRACTOR BY 1 Bl Form #121 22175 DANA JOHNSON INSULATION,INC. TITLE LICENSE NUMBER __ 3_06_4_9_3 __ DATE _.....:3::::..:....://_~...:..../_8_;_ Authorized Representative l l 1 , r r , .. ,, ,_:.,-,,., . -~ .I ~-:!:.''· "· .:~~· ~J.J lill,;,--' .•-::~~.,--:::~~~"":r'_""~' •.. .J .,_;·:.~.-~--,..'::, ··~-;7)·,"" -~:-"":-·~,~-:;,i:·::'t·_ ,, -,•'' . . .,., . . . . .l - •. :;:· :·, ,_....J· "~ X ;\,;;,,//.,A/'\A,~l,A/AAAAA/AM..l:v..~AA,1/-v~./AAAJ• /• AA/!.. :\t .. L···. t, \ ,~./-..:\,i;.J:-.,l, ,\A.Ab.A·" :.,-)>, •-~ 1 ~ <{ <{ ~ <{ ffirrttftratr 11f QOrr1r11 ;111r1t ' '• . CITY OF CARL,-:~ r, n '' "' ..,!Ji·\,,. This Certificate issued pursuant to the requirements of Section 306 ,.,,,,-· ·--1 /,,. ·,,> ,', k·?~----~· --_}f -'i ,,~, ri ~:.,·:$-;⇒: of the Uniform Building Code certifies that at the time of issuance this structure complies with applicable ordinances of the City regulating building construction use. 1 3 ! Use ClassiHcati~SINGLE FAMILY DWELT.ING Bldg. Pe,mit Na 80-615 Group R3 Type ConstruC!tion VN Fire Zone 3 Use Zone ______ _ Occ.upont Load ____________________________ _ >--~ ~ ~ p ~ R "' ;,> ~'> ~ ~ Owne, ol Buildin,. Carlsbad Dev: CQ;!:"]?. ;Add,... r ,Q.,_,_D_QX __ D,,, ___ C.s\.liSP.3.~_,__<;;8_ 4 Building Add,eu..l!)7 l James ~rl. ve . _Lacolity __ (&..r.ll,_b_a,9-, CA ',;,-1 _______ ·_·_;_._"'_·_ ... _•-_ .. _•_. _·_{_:.._, _____ ay_,t!.-:::--:-=:---::l~~=1----2:::::U11,~t===---~ ~ _____________________ Oate...:,,=-~2.::..;l!.::..!!..L-J:__________ ~, ◄ ~ <{ ~ « (Put in conspicuous place) \~ ~ r ><.W''fWW~~W''/f/WWffo/W" M M \ft"'' ';1"7~":!''f~i'l(/:}'lf'l~'V'c!IV'rC-: ,)