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
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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
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GP LANO USE
DESIGNER
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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
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!APPROVED BY ./7
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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
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·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 ________ _