HomeMy WebLinkAbout1678 JAMES DR; ; 80-594; Permit0~~~
.J--.UCENSED CONTRACTOR'S DECLARATION
/\.1 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'I 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 stale·
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 penally of not more than five hundred dollars
($500).
r · 1. 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-
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}.
-::.1, 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 DECLA1,°ATION
I hereby affirm that I have a certificat'e of con-
sent to self-insure, or a certificate of Workers·
Compensation Insurance, or a certified copy
thereof (Sec._ 3800. Lab~ Code? •• <{
~g~~!~vo~;'a;~:;~
i'c,opy 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.
r.0111<.;T~l lf"'Tlf"H,1 I i::tJOIIJr.. At::i::PJr.Y
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
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OWNER OWNER'S PHONE PRIME CONTRACTOR
,.::111:.. i. S £31}-f) D -,,, C <Jr-.? 7 v.; > -, : '· .., .<S/f-lY\ 8... I= .
?Eos M8,~ ;DR{.8 .. C'~/4LS l3'9-b CONTRACTOR'S ADDRESS 9 .::i-c, ,, y :,_,-,---
L°/ I 6LOCK SUBDIVISION ~ ti ASSESSOR'S PARC.L~~ . --DESIGNER I 1'~,,.., ,._ -~:11 .,,,ri,0 ,,, . .1" ,/91.) 1=-tv1>r. ~ ff A JI} (.;o5 OE SCRIP TIOi/F WORK EA R i:s/ bJ2.;vC.-r er.11-1 A DR"'-,;l_ :;_JJ';'] 'Jl';},/ilP~'M"e-tls,-{J IY -A-:i.. /r .G-/ t>;J;.n/"-,..,._ cL,-,.E
CENsus TRAcV GP LAND USE ZONING PARKING SPACE sf
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE eESMl~i I 3 7Sg
STATE LICENSE cflJ 6,;9--2J?-;, S--1 ~-' CONTRACTOR'S {_so -<.2~ PHONE ,.
Sr-1-t"ht=-
STATE ~ENSE
DESIGNER'S PHONE
::LL,1-
71.~ C, -41 '14'
CT-77-7
I RES. UNITS
If
I NUMBER OF STORIES
Not Valid Unless M8chine CMtifi«J
BLOG SQ. FT. BLOG USE acc. GP I STANDARD PLAN# I ':.n'~t ;t I TYPE CONST I acc. LOAD I -OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. ~ ~ ---
/J EACH FIXTURE TRAP ",IL -/ INSTALL FURN. DUCTS UP TO 100,000 BTU P.-.~ -..__,_:, <as
' "' / EACH BUILDING SEWER r.-OVER 100,000 BTU ~
EACH WATER HEATER AND/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 .2 VENT FAN SINGLE DUCT ~--VALUATIO'l: ( ti). Jato ~
EACH LAWN SPRINKLER SYSTEM /. MECH EXHAUST -HOOD/DUCTS ,
WATER SOFTNER I RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT , . ,_, I , :iLJ . .,_ 1-
Iccno / 3.00 Issue ] •. lllJ SIGN PERMIT ,.,..Y• I I I I
TOTAL PLUMBING /34_-TOTAL MECHANICAL // -PLAN CHECK / /"\?, Q) /:f,, 1 £. ,P I I 1,r' .....
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERM{T I AMT. TOTAL PLUMBING I .:I?"" . __,..
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL l..:Z.,[7.-+-
/ NEW CONST EA AMP/SWT/BKR p fl': r.: _:;/ ,, . .... AWNING MECHANICAL 1/V.-+-
1 PH .15 ,t_ Ill' PORCH / MOBILE HOME I I . I
EXIST BLOG EA AMP/SWT/BKR ''U I SET-UP ./ SOLAR I I A'.7.-r
1 PH .15 /3 H ,1' RAMADA, CABANA / I I I . I
REMODEL/ALTER PER CIRCU;f \ " FENCE OVER 6' .,,,-I I I . I
TEMP POLE 200 AMPS / .\ TOTAL MOBILE HOME ./ MIC □ FILM ! I I . I
OVER 200 AMPS / .. ./ // IA~ . I I I I.
TEMP OCCUPANCY 130 il"AYSI '\ / J./"'~7 /I/tu' V,-,v I I l'T./1(/
Issue 2.00 / 1/ I I I I
TOTAL ELECTRICAL ,;?7~
,_
TOTAL FEES PAYABLE
I .~1~11( CONTRACTOR I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 0 AN~eERMIT IS REQUIReD SOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND l 5'-0" EP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, ~ U~SOVE~ SST,/>SIN HEIGHT COUNTY AND STATE LAWS GOVERNING 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 ANO ·,11 ,,1/£_,__ . ~ "/./ -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
()F THF r.AANTIN(":; f"'>I' Tl-II<: Pi=IH,AIT A"'J>PI IC:ANT'S SIC.NATU«E:'( /" / OWNERU'I r:nNTR"rTnRn I APPROVED BY D.6 ... -
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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 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. PLACE sTI.JecO·
FIREPLACE
DAMPER 8: STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER {POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING .
• PRE DECK
! • FENCE PREPLASTER
i SHOWN . FRAME
'
• PAN
FINAL lNSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED .
ELEC METER-PERM-TEMP -----GA~, ME·r ~R-PERM-TEMP
-
--
CERT OF OCCUPANCY IS:':UEC j ···-
-.. -----...
•
•
1•
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•
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-
..
•
-..
•
LOT /
/67~~ .
BUILDING
FOOTINGS
FOUNDATION
REINFORCED STEEL
MASONRY
SHEATHING
FRAME
INSULATION
EXTERIOR LATH .
INTERIOR LATH & DRYWALL
PLUMBING
· SEWER AND PL1co]-/ ,,~WARR 7,-I r
· PLUMBING UNDERGROUND _ 7:--17-b , .
. COPPER
TOP OUT <j',,.. I I
TUB AND SHOWE~
GAS TEST f-17
ELECTRICAL
UNDERGROUND%;:
ROUGH . 't~t 7
CEILING HEAT
BONDING
MECHANICAL
DUCT & PLEM, REF.
HEAT--AIR
PIPING~
VENTILATING SYSTEMS
i ! l
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