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Home My WebLink About2020 GAYLE WAY; ; 81-39; Permit'-_/iCENSED CONTRACTOR'S DECLARATION ~ereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 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 app!icant 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). 1· 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. 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 e.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 -~I Owner "i KEAS' COMPENSATION D !'J t: !,(ATION eby affirm that I have a ce i fie te of . l sell-insure, or a certific ' ,· ,nsation lnsuran~e~a , ifiE PY I (Sec. 3800, labor .\ '( NO. ,\ t - <NY V ~· ; is filed with the city. ified copy is hereby furnished. ;ERTIFICATE OF EXEMPTION FROM AKERS' COMPENSATION INSURANCE , section need not be completed ii the per• for one hundred dollars {$100) or less) tIfy that in the performance of the work for this permit is issued, I shall not employ any in any manner so as to become subject to )rkers' Compensation Laws of California. E TO APPLICANT: 11, after making this Ger- t of Ex~--nption, you should become subject Workers' Com""pensation provisions of the :ode, you must forthwith comply with such ons 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 "'· JOB ADDRESS A\r -1D;T,:F ~P,~C1ATION !2,0,2,0, 6-,.t,\i ,t..,Ei , w,J,.,v . ' I ' ' ' ' ' ' ' ' ' ' ' OWNER ' OWNER'S PHONE PRIME CONTRACTOR A •. • •• ,,_,; l:>,d7p,,,.,, .tt',A~ ... ,,,,,.._.f 7.7c:;_ 3""o.. . -. "A,>,,-• . -__ , OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS /.•J. -A~ .d_.C,,,:./v' l~o . B D l<.. ·u,,,., ,,,.,, fl.I.:>. / L2i BLOCK I ~;g~b , , •. t ASSESSOR'S PARCEL NO. DESIGNER \. " ..,, ,-,.Ar,_,/ ,<":I, .,o,-"· ' \. DESCRIPTION DF WORK ,.,.,.,11,,..,.r EX.J.S.r ,., I,,:,., '-.4/'ZA6.e .• ,-, r,,,., ,.,_ -I. ESIGNER'S ADD~ ' -.. - APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. ;{. L;EjSl ~ PERMIT NUM8ER ?/-37 :s:i'ATE LICENSE 2ae>Lv-.9 ~ ~., l,-P"U ' ' --b 7Z"-{; (, 3 c) STATE LICENS'!!' \ DESIGN~ PHONE rr .,A,, n ,~v"-" 21s!!> Ats~" ,,,t.l) ...,..,,,x:.,~111Mrf. ✓ ~~-· CENSUS TRACT GP LAND USE ZONING RES. UNITS l PARKING SPACE l NUMBER OF STORIES t;/lJC'/E i /~;~? ';;.. :: . :, ; Iv.; v,~; iJ,iiJ, Maii.,ifc.,i;i;,J 'i-· .. BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN# I "'"J;~3r l TYPE CONST l occ. LOAD I ~ I QTY. PLUMBING PERMIT QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP r V INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER .Y OVER 100,000 BTU EACH WATER HEATER AND/OR VE w I BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OU.LA' ~s I , BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 DR.M1JRE /' I I V 801 LER/COMPRESSOR 16-30 HP EACH INSTAL., ALTEw,' REPAIR Wi ER PIPF VENT FAN SlflGLE DUCT KJ.,.t-: EACH LAWN S_jfl'INKLER SYSTEM I MECH EXHAUST HOOD/DUCTS :2.,o, ~ 0 .s--. --. WATER S_p,'l NER I RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I 1'11f,. ,r i/ ~ , ' --~-~""'""--I l -~ ••. -7 . 3 ,,. --SIGN PEftMJTa "'•y• --/-2.P ~ ' I I I / TOTAL PLUMBING ' TOTAL MECHANICAL PLAN~• c.P,-= ~,7.,_,1., ,-I ;'\ 1£A.5J. -r CONTRACTOR CONTRACTOR ALL INC RMJT _,1 I. I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING I I I ELECTRICAL I i-/.A1n NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I 1/ . I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I .. I' 1 PH .25 3 PH --RAMADA, CABANA // / ,., J..-I I ·, •• REMODEL/Al TER PER CIRCUIT .I . ..., FENCE OVER 6' ,, , /f/iiA'UYv I I , 1.u..o TEMP POLE 200 AMPS TOTAL MOBILE HOME r.tfl'D'Fl[M I I ,·.'I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYS) I I I I I/) A • . ..:) "" . ..c--I I I I TOTAL ELECTRICAL -;'! TOTAL FEES PAYABLE I ,;...rr:;,,,,/. CONTRACTOR I I I 7JJ~~-, #1 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER /1,iJ--HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'.Q" DEEP AND DEMOLITION OR CONSTF.UCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIF JED HERE!N OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM· J 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. ~•s SIGN~/RE" / OWNER• CONTRACTOR• I APPROVED B 'I ~ tr -6..,.., / . // .... AGEN~ BY PHONE 0 f). I , rJ~ T ! 0 ~ 5 ;:: u w Q. V, ~ SITE i /,. 34 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 STUCCO FIREPLACE DAMPER '&STEEL . PLATE TIES/HEIGHT OF CHIMNEY OTHER: TEMP POWER {POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN I / FJNAL INSP BY BLDG DEPT IA ,, i A / OTHS:R DEPT'S REQ COMPLETED I , l I //I{'/ ELEC-METER.....IPERM-TEMP ' GAS METE:.R-PERM-TEMP . r CERT OF OCCUPANCY :ssUED , /' -----------------------------~--/ INTERDEPARTMENTAL INFORMATION SHEET DEPARTMENT BUILDING ADDRESS: DATE: . hJ.-<JP~iv~,..dlECEIVED PLANNING DEPARTMENT JAN 281981 CITY ~ CARLSBAD Bulfdlng Department ZONE LOT SIZE LOT WIDTH --------------------------- UNITS ALLOWED ________ -+1-11--rJ...ITS PROVIDED ___________ _ PARKING SPACES REQUIRED C I 0......:. PROVIDED ___ (!),__,-~------ % COVERAGE ALLOWED PROVIDED ~ILDING HEIGHT ALLOWED __________ PROVIDED---------- ... ~ :~::~,:"'""o ! PROVIDED Cl::--., SIDE SETBACK: REAR SETBACK: ot ... INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ~t:l~X;-C!._!".'.l,tf~~-·-------------- DATE ------------ o,->fj,,' ~• v o;.~~.....,._, t2, 0 I J.. 0 S, - R.O.W. _____ INDUSTR Le,., __ · _____ IMPROVEM;NTS ______ _ SEWER CONNECTION .,!:i)l,, 's tlJ4 DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT ~ JEASEMENTS _________ DRAINAGE LEGAL DESCRIPTION ~ 3 ~,1'h~ 'l!r.,1 do,s:::-1s:1-<2!/ ADDITIONAL COMMENTS ~~ 9-~eJ,;,,--'.t?.,--1.-;,✓-7;u..-,----------------- OK TO ISSUE:~(., DATE l•l~·~\ PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _ FIRE ALARMS EXITS ______________ _ FIRE HYDRANTS LOCATION -----------------ADD IT ION AL COMMENTS ~TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _