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Home My WebLink About1672 JAMES DR; ; 80-595; PermitLICENSED CONTRACTOR'S DECLAAATlON 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 ~l hereby affirm that tam 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 five hundred dollars ($500). ,. I, as owner of the property, or my employees with wages as their sole compensation, wilt do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's L:i~se 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) ::: I, as owner of the property, am exclusively con- tracting with licensed contractors•to construct the project (Sec. 7044, Business c'.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 sell-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 :certified 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 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 this permit shall be deemed revoked. CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 1/,(;,,?.oZ I f ,.# 1,1'/4 --:--r5 I) I? '°" ,'if" ' ·, I I j I,, I I I I I I ' I I I I ~VRr·lo/~;i8L~k3N OWNER OWNER'S PHONE PRIME {/TRACTOR C,9-P,.u· B A-'° D ,=V. ('cR.v 7 ;i. o/ 9 ~ lt-2. . ., ' OWNER'S MAILING ADDRESS CO~TRACTOR'~ESS Po {3t.,.., ,. R' CAf<.L581/-D t:7 ;l.-c C 5 ~ BLOCK · t,BDIVl_sjoN,, ,. g ASSESSOR'~iARCEL.N~1; I ·-DESIGNER /dtJ: · · · 'i,0,0,1' ,s-;i;,. I ,D,S ~~JU._ _,A,, -,. & ~-"If~' -U -:i P.~ t/J, -. 1 . C r:7 7-'} D_ES!GNER' S ~DRESS (1..._ :)_ ,&,j- /3 J " ,n ~ ('_ A-RJ_, '")-I r· Q,7:z_.,L CENSUS TRACT \J GP LAND USE , ZONING PARKING SPACE sf APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER /J'"/ gt STATE LICENSE f21·£95 ;;2.iJ>3~1 CONTRACTOR'S (so~c;'J -~ STATE LICENSE ,__.... DESIGNER'S PHONE 1~{:wv.Y I RES. UNITS # l NUMBER OF STORIES Not Valid Unless Machine Cartifi«I BLDG SQ. FT. BLDG USE acc. GP I STANDARD PLAN# I ";;:t1 l TYPE CONST l occ. LOAD I '\ -• OTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. ,, ~ /"'f EACH FIXTURE TRAP -?L . .-/ INSTALL FURN. DUCTS UP TO 100,000 BTU #-.-~'~ I EACH BUILDING SEWER -<.-OVER 100,000 BTU -~\ ~ EACH WATER HEATER ANO/OR VENT I . BOILER/COMPRESSOR UPTO 3 HP "-.J \ EACH GAS SYSTEM 1 TO 4 OUTLETS J BOILER/COMPRESSOR 3·15 HP EACH GAS SYSTEM 5 OR MORE -I BOILER/COMPRESSOR 16-30 HP ~!!!-... EACH INSTAL., ALTER, REPAIR WATE~ PIN: I .::J. VENT FAN SINGLE DUCT .,, . - VAllJATION: ' EACH LAWN SPRINKLER SYSTEM \ . ' MECH EXHAUST -HOOD/DUCTS WATER SOFTNER \ I RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I , _:;;t. /1~.,:, io \ I ~-""' 3,00 SIGN PERMIT -I I I . I TOTAL PLUMBING /~ YI.!!-TOTAL MECHANICAL // !!!---PLAN CHECK /4,f~' /ij~f? I I 1/_,,,_.,, CONTRACTOR h CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PVM~ 11 A.'V) AMT. TOT Al PLUMBING '"' r.,rv OTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I" '"7 .--"'" I NEW CONST EA AMP/SWT/BKR ; \ \ -:l'r: -AWNING MECHANICAL 1·/ .-t" 1 PH .25 I PH , 'a PORCH MOBILE HOME I I • I EXIST BLDG EA AMP/SWT/BKJ( I\ 1\ SET-UP ./. SOLAR I i / ,-? .-t- 1 PH .25 I 3P \ RAMADA, CABANA I,, I I I • I REMODEL/Al TEA PER ¢jRCUIT \ FENCE OVER 6' ./ I I I . I TEMP POLE 200 AMP!/ TOTAL MOBILE HOME ./ MICO-FILM I I I . I OVER 200 AMPS I / //; A , I I I • I TEMP OCCUPANCY .lJO DAYS) / 7,/,,...,, ~ ////~ c.,,-,. I I tll_-<"i~ r~~"-2.00 / v I I I . I TOTAL ELECTRICAL ,;?J-TOTAL FEES PAYABLE I .~1&1.r.4!-CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF SCHOOL FEES: FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUE□;T□ COMPLY WITH ALL CITY. STA,Tu.:_es_:VER JSTORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-1---:i,, / If.._ · }k ·,, ' LESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ·---··---·· ........... ! 0 ~ 5 >= ~ a. Vl ~ SITE ADDRESS: OWNER: PERMIT 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 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 WAL,LBOARO 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 PREP LASTER SHOWN • FRAME • PAN Fir..JAL !NSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELECMETER-PERM-TEMP GAS METER-PERM-TEMP i I cE~:~oF occuPANCY 1ssuEo .. -.. --------- • ---- • • ◄ ◄ -- • .. • .. • .. • .. --- (/ BUILDING FOOTINGS FOUNDATION REINFORCED MASONRY SHEATHING FRAME INSULATION EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING -j,,A. SEWER AND PL/co):'-( Ywl.T~-;-7--, y PLUMBING UNDERGROUNDk: ]-l?-tf-0 . COPPER TOP OUT TUB AND GAS TEST ELECTRICAL UNDERGROUND ROUGH CEILING HEAT BONDING MECHANICAL 'f-t? o/d2 DUCT & PLEM, REF. PIPING1,-/7-h. HEAT--AIR VENTILATING SYSTEMS r ? ;~ i\/c.,;~,~-/4.A,0-AlAAiA1~./A;J."1Al1;J).v1t..,A,;~~,~/4Al»JM.1;,A1fl.A/iiJ».AlMM,\,;:vJN;~AAIAM!ll.:i11: .(•·; -~-~ .. .,.:; , < l . C•-, .. y j J . ,> This Certificate issued pursuant to the requirements of Section 306 C ::, of the Uniform Building Code certifies that at the time of issuance ✓J this structure complies with applicable ordinances of the City <, regulating building construction use. ,;; "' Single Family Dwelling 80-595 <~ Use Classification _______ "------=------Bldg. Permit Na. _______ _ .-~ R3 .,..';J Group_~=---Type Construction 'VN Fire Zone _ _.,_ ____ Use Zone__,R,_).._ ___ _ " ~ ·« <-.S ·~ ·~ <~ <S -:-,; <":I «i ',,. Occupant Locd __ ,;--.--.--,-;,,--~---------------------- 0 fB 'Id' _Car.lsbad Development .A"d P. 0. Box B wner o u1 in~ .... · _..,.....,,-.,.--c---...-.-=-----u ress -~~~~---'-e~------1672 James Drive Carlsbad, CA. 92008 Building Address--~---~--~-~- • ff": ,,