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HomeMy WebLinkAbout2018 PINTORESCO CT; ; 80-123; PermitLICENSED CONT~CTOR'S DECLARATION I herebjl .affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Oivislon 3 of the Business and Profes- sions Code, and my license Is In lull force and ef- fect. OWNER-BUILDER DECLARATION 0 1 ~eteby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any el:.~ county which requires a permit to con• strut!, alte<, Improve, demolish, or repair any structure. prior to Its Issuance also requires the applicant tor such permit to Ille 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). D I, 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- fered for sale (Sec. 704-4, 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 sate). :JI, as owner of the property, am excluslvely eon• traetlng with licensed contractors to construct the project (See. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property c•ho builds or Im- proves thereon, and who contracts for such pro• jects with a contraetor(s) license pursuant to the contractor's License Law). t am exempt under See. ____ -B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATI t hereby affirm that I have i,.c sent to self-Insure, o< a certl Compensation Insurance, con· ers' opy thereof (Sec. 3800, Labor ~ ~ POLICY NO-----.lJ.--'d------"-'r--COMPANY __________ ,.,__ )(°Copy Is liled with the city. D Certified 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 shalt not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Callfornla. NOTICE TO APPLICANT: If, alter 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. CONSTRUCTION LENDING AGENCY 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. HO • JOB ADDRESS AV. ST. IDATE OF APPLICATION BUS. LICEN~ PERMIT NUMBER .Q ,0 1 I 1 '8 1 1 ~, \ j n 1,1A 1R1i=' ,_c-,,-,o, RD 1C" ,iT, I I I I I j I I I I I I I I I 'J.-\K-7q .J:~ 9-e a OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE ffjr/~3 t~~~R f"\chnr.RA\/ ~5?..-i5f-l\ l\lnr1£r. r.,.", r-&'o~l"lf f111t-o,"'4 34-::>..,,, OWNER'S MAILING ADDRESS CONTRACTOR'S AOOAESS CONTRACTOR•s -i~· 'd..o I g f>\(\)0 Rl=.~n c..,. ~ucL10 A,,~. PHONE u.~c~ ~ •~)f/ ..&..1~\ LOT BLOCK I SUBDIVISION ~ ysxs10R'~ l/.~/~• 13 .,. DESIGNER liMrr~/4~t/ ,'STATE LICENSE /\.:;,,,:· '/ I DESCRIPTION OF WORK ~ \1\AT~D 6~ "'V I -~n\ ~R. l \(\\, /"\n DESIGNER'S ADDRESS ~ y DESIGNER'S PHONE Ro(\~ ·✓ 2/ 13/802368 CENSUS TRACT GP LAND USE ZONING y I Oe-5' I RES. UNITS I PARKING SPACE t NUMBER OF STORIES Not V•lid Unless MachiM CMtifi«J BLOG SQ. FT. eLDG USE OCC. GP I STANDARD PLAN# I PLAN ID II I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. . EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU I EACH WATER HEATER AND/OR VENT ~r BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ,--- EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS ~000 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I SIGN PERMIT I . I I I TOTAL PLUMBING i5 -TOTAL MECHANICAL PLAN CHECK I I I I CONTRACTOR s::-.---CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I C:. J-"' QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I 1~1-- NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP ("""'(" SOLAR-,) I I I A,. i-'°' -. I 1 PH .25 3 PH 411-. -RAMADA, CABANA I . I I I REMODEL/ALTER PER CIRCUIT -FENCE OVER 6' I . I I I TEMPPOLE 200 AMPS TOTAL MOBILE HOME MICO·FILM I I I I -OVER 200 AMPS ---I I I :.,~ ':/ -..,-,-\ . TEMP OCCUPANCY (30 DAYS) .,, I . I I I '2. --I . I I I TOTAL ELECTRICAL -?..,--TOTAL FEES PAYABLE I i.lf?iS t) CONTRACTOR " I I I . . I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION ANO PERMIT. AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0'" OEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY A NO KEEP HARM-"-.1\o"""' \ \6n~nA) 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 SIGNATURE• OWNER□ CONTRACTOR□ IAPPR~Y DATE AGENT'lti BY PHONE O 6 • --.b-/11~) ! < 0 ~ ~ i= ~ n. V') ~ r > SITE . ADDRESS: OWNER: PERMIT NO: ?ft)-,;>:_°';),, ' FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ... ~ WOOD FLOOR FOUNDATION • FORMS • SET BACK • TOILET -.. t UNDER FLOOR PLUMBING I --=--· --C < . --C - UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR . • SLAB FLOOR UNDER SLAB PLUMBING I FOOTING• FORMS • SETBACK • TOILET I ,, OK TO POUR CONCRETE . - FRAME ROUGH ELECTRICAL ROUGH PLUMBING . ROUGH HEATING/VENTILATING ' t-. ' ..... FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD -1 ' WALLBOARD OK• PLACE TAPE .•. EXTERIOR LATH OK • PLACE STUCCO C FIREPLACE DAMPER ll< STEEL ........ -._ PLATE Tl Es/HEIGHT OF CHIMNEY ~ OTHER TEMP POWER (POLE) SEWER --· GAS TEST ' ·• SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME J • PAN !.. I , l ·~ FINAL INSP BY BLDG DEPT J " \ I\ JI,.. OTHER DEPT'S REQ C OMPLETED ~ ELEC METER-PERM-TEMP -• GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED ..