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HomeMy WebLinkAbout2001 PINTORESCO CT; ; 79-5326; 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 lull force and ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con- tractor's License Law for the lollowing reason (Sec. 7031.5,Buslness 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 live hundred dollars ($500). ~. as owner of the property, or my employees USE BALL POINT PEN ONLY APPLICATION & PERMIT CITY OF CARLSBAD-BUILDING DEPARTMENT 93<!' s~ss .:1 APPLICANT TO FILL IN INFOR- <t714) 438 5525 ___ ...__J MATION WITHIN RED LINES. 1200 ELM AVENUE r----=-------=--------"".":""C--c::-=..,,..,....,-----------------~:;::;DATE OF APPLICATION BUS. LICENSE p ERM IT HUM E I u I I O /l•/4t- 0~p-) ,,c:-• OWNER'S PHONE STATE LICENSE '1t:J-5'3 'Yb OffiR'S MAILING .«>DRESS /PBovl:! SA.MG 715 l~ol B~s ..:;-ls"#J'1J~ IJ-i/SS1Eki~½ $$~cJ:< 1 DESCRIPTliN (lvF WORK -r:.u• .,.t-41. c; n.LJ --, CENSUS TRACT 7-· ,~ EOL//PMt!:_N7 GP LANO USE DESIGNER I I DESIGNER'S ADDRESS ~ ~ CONTRACTOR'S PHONE ST ATE LICENSE DESIGNER'S PHONE I ef.P? / 79 ZONING I RES. UNITS I PARKING SP;t.CE FR-OF STORIES Not V11id Unless Mlchin, C.rtifitld BLOG SQ. FT. BLOG USE OCC. GP STANDARD PLAN II PLAN I D II TYPE CONST OCC. LOAD . ., the work, and the structure Is not Intended or of-1--~---------J'-----------+----"--~--------J'-----------'----~------'-~----------' "nh wages as their sole compensation, will do X lered 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 himsell or through his own employees, provided that such improvements are not Intended or of- fered for sale. II, 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 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 u~ S~_jfy ~7f{_ f.dr thli reaso~ • • ,.LJ _ ~ --·X 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 flied 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 ($10!)} or less). I certify that In the performance of the work for which this permit Is Issued, I shall n_ot employ any person In ,any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: 11, after making this Cer- tllic.,_e of Exemption, you should become subject Jo 1:-ie Workers' Compensation provisions of the Labor Code, yO\I must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- dl~1g age 1 ncy for 1 the, pe_rfor~ance of t~e. work for QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. .. ~ EACH FIXTURE TRAP ~ ~ ~rrll INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU ~ 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 tj,WHP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGl,p-C1iCT EACH LAWN SPRINKLER SYSTEM MECH EX~T -HODO/DUCTS 3~ ~/~/ J '/tJ-fJ- 1/12/,rtJ WATER SOFTNER rl,., --. 4 TOTAL PLUMBING CONTRACTOR QTY.I ELECTRICAL PERMIT / I NEW CONST EA AMP/SWT /BKR 117) 1 ·~ 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI ( 1----1,71 TOTAL ELECTRICAL CONTRACTOR ~ ~ fil-d AMT. 5~ }A?) ?P REl))d:TION OF EA FURNACE/HEATER c::: TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AMT. AWNING PORCH / SET-UP / RAMADA, CABANA ./ FENCE OVER 6' / TOTAL MOBIL~ME 7 7 / 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0 " DEEP ANg..oEMOLITION OR CONSTRUCTION OF STRUCTURE~~ER 3STORIES IN HEI~. HT ~~ / ~ ~ BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO -fl LM TOTAL FEES PAYABLE * I HAVE CAREFULLY 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. I.ALSO AGREE TO SAVE INDEMNIFY ANO 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 THE GRANTING OF THIS PERMIT. APPLICANT'S SIG~• (( ow~ AGENTU CONTRACTOR□ BY PHONED .... l . I I l I I I I ! I I I I -1-I#] , I l_t,tO I I . I -g~ : f?.~ I I.. I I I . I I I I I I I , I I I I I I I I I I I l I I I ' 1117.l"t12 !APPROVED BY ./7 --;2____,/'_~./-~ -;p 7 ! ~ 0 ~ > ~ i= u w 0.. <I) ~ Sl·TE ADDRESS: OWNER: PERMIT NO:, 7q _, :S-':b ~ .\-.t : ,,. 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 -~ I SLAB FLOOR ' UNDER SLAB PLUMBING FOOTING• FORMS • SETBACK • TOILET OK TO POUR CONCRETE I FRAME ' ' -.. ROUGH ELECTRICAL -, ~ .. .. J ROUGH PLUMBING ROUGH HEATING/VENTILATING .... ! : ' . .. • ' . -. FRAME OK• PLACE INSULATION ' INSULATION OK • PLACE WALLBOARD ..:. WALLBOARD OK • PLACE TAPE ', .. . -. . EXTERIOR LATH OK• PLACE STUCCO .... . . ·--. FIREPLACE ~'~. ·-.. j ' ..... ~, DAMPER 8c STEEL ... PLATE Tl Es/HEIGHT OF CHIMNEY OTHER ':, f-.-' TEMP POWER (POLE) ., SEWER GAS TEST SWIM POOL • STEEL BONDING ~ • PRE DECK ' • FENCE PREP LASTER SHOWN • FRAME . • PAN ' . ~._ ., , .. ' I--... _ .... ·=~.... .. . . ' FINAL INSP BY BLDG DEPT _ ... _ . OTHER DEPT'S REQ COMPLETED ""' -..· ~ ... ' ELEC METER-PERM-TEMP \ I GAS METER-PERM-TEMP \1 I I //,,, 1 ~o lvlr" ' . . } 'I I ·y . 'I.. . \ I CERT OF OCCUPANCY ISSUED I ·q;-"" y • ...... --. .. ,,.,. INFORMATION SHEET _RECEIVED DATE : BUILDING DEPARTMENT BUILDING ADDRESS: ;2.CJO/~~ ~, --------- DEC 1 3 1379 76 ZJ-7 CITY OF CARLSBAD Building Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED UNITS PROVIDED ------------------------ PROVIDED PARKING SPACES REQUIRED ---------------------- _____________ PROVIDED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: OK -TO ISSUE: ENGINEERING DEPARTMENT 4 "'-- REAR SETBACK: .AMOUNT : DATE ------------- ~-d J z- IMPROVEMENTS R. O. W . ______ INDUSTRIAL WASTE --------------- SEWER CONNECTION GRADING PERMIT fIRE DEPARTMENT SPFiliKLING SYSTEM FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS'-. _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _