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Home My WebLink About2060 JANIS WAY; ; 80-575; 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 full force and ef- fect. OWNER-BUILDER DECLARATION ~1 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. atter, 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 five hundred dollars ($500). [_'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} :=-I, 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 under Sec-----B. & P.C. for this reason _______ -\\----- Date Owner --\t , \V WORKERS' COMPENSATION DECL I hereby affirm that I have a ce~if a\lof c sent to self-insure, or a certific of ~r:_k, Compensation Insurance, or a rtifie, thereof (Sec. 3800, Labor Code) POLICY NO. __ _ COMPANY________ ·--·- ~opy is filed with the city r'vertif1ed 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 ($100) or less) I certify that in the performance of the work tor which this permit is issued. I shall not employ any person 1n any manner so as to become subject to the Worl<;ers' ~ompensation Laws of California NOTICE TO APPLICANT: If, after making this Ger· tificate of Exemption, you should become subject to the Worl<;ers· Compensation provisions of the Labor Code, t"l'.11.! must forthwith comply with such provisions or this0permit shall be deemed revol<;ed. CONSTRUCTION LENDING AGENCY I hereby aflirl'n that there is a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code]. USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 "°· JOB ADDRESS AV,ST. IDATE OF APPLICATION z,o,t:,,o, , Til~uVi i ,S, 1 ~/,A 1 'f1 " . I I I I I I I I I I I I I I I I ~ -ifl--q<? OWNER OWNER'S PHONE PRIME CONTRACTOR 11'1£.-'-""'"S .AA.An.: ~ t:l,4LLP~,:,,,/; "f 33 -5 9o I ~ElF CEF4-m,v=✓ ,1vt, r,,, OWNER'S MAIL!NG ADDRESS CONTRACTOR'S ADDRESS 20 t•C1 -n..;v/~ W,A V C//. ,e~·µ,, ,_, i) CA-, 92.cc,y-3 0$.c-s13;,, Jr s",A!.,,-z::r-c:, .JiLS _c,,1,~ (',4. s, ;z,,,.y 51/ 8 LOCK ~;BDIVISION !. 2-:l ASSESSOR'S PARCEL NO: DESIGNER .,_Jt.'->/34./) , ,,,.,,E , Z., O , S , -, I , S , Z , -,/ , 2., ,th-r c~~ I( £mo0€Z/_,.,,.,,_,,,o. DESCRIPTION OF WORK 4=a~r?\ t:',Jf-/l'!At r Alc7V ,;:;,1,1,..,-7 Si-U<"o:, DESIGNER'S ADDRESS ',. 9 ,t:1--:2</ V ';)_/ ../;T, <!.,! ;n F CENSUS TRACT GP LANO USE , ZONING sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER i g /,, 6, t/ " l\~-~1< STATE LICENSE t 3723•/9 CONTRACTOR'S PHONE I '7 ~9-=·s·sl STATE LICENSE DESIGNER'S PHONE .s;,+n,, G' I RES. UNITS I #A;KING SPACE I NUMBER OF STORIES Not Va.id Unktss Machine C.fflfi«J BLOG SQ. FT, BLOG USE occ. GP I STANDARD PLAN# 1;;~'.s-?S-I TYPE CONST I DCC. LOAD I OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. ' EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER -OVER 100,000 BT.lv EACH WATER HEATER AND/OR VENT / BOILER/COMPRESSOR UP TO 3 ~ EACH GAS SYSTEM 1 TO 4 OUTLETS ./ BOILER/COMPRESSOR 3-Ur'AP EACH GAS SYSTEM 5 OR MORE / BOILER/COMPRE~ 16-30 HP VALUATIO~ .536 !;:!-EACH JNSTAL., ALTER, REPALR'WATER PIPE VENT FAN SJ.N'GLE DUCT EACH LAWN SPRINKLi;« SYSTEM MECH EJ<liAUST HOOD/DUCTS WATER SOFTNER-' RELOCATION OF EA FURNACE/HEATER BUI LO ING PERMIT I 1-s'1)--c,,,.. Toone> ,.nn Tc..-.~1A :S -00 SIGN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I Y&.~ CONTRACTOR CONTRACTOR All lNCLUSIVE PERMIT I I I ~ELECTRICAL PERMIT ~ TOTAL PLUMBING I I I QTY. AMT. OTY. MOBILE HOME PERMIT ELECTRICAL 1/J.Z i1 ii 'fl) "N~ CONST EA AMP/SWT/BKR /(1 .er· ~ AWNING __.,v MECHANICAL I I . I 1 PH .25 3 PH PORCH / MOBILE HOME I I . I EXIST BLOG EA AMP/SWT/BKA SET-UP / SOLAR I , I I . I 1 PH .25 3 PH RAMADA, CABANA / I I I . I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' / I I I . I TEMP POLE 200 AMPS TOTAL MOBJ,J.niOME MICO-FI LM I I I . I OVER 200 AMPS ·-~ I I I . I TEMP OCCUPANCY (30 DAYSI ....-c, I " n, Mn1 InN: I I I . I Too"" z. or I I I . I TOTAL ELECTRICAL Ii<. .t-'!, 1,.-TOTAL FEES PAYABLE I ,£vr.t;!!--CONTRACTOR I I . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5' O" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT /)1 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~.Jif'·,!'L~';f?J\!;1,,,,~ ('{? -OWNER□ CONTRACTOR,P(.. IAPPRO BY /J /J DATE ~~-~d.' /4/f.PPc~ AGENT 0 BY PHONE 0 ~ , - 1,.-- ; ~ ti ;:: u w 0.. .,., ~ SITE ADDRESS: OWhiER: PERM!T NO: .U>·S 1 FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR i INSPECTOR'S NOTES - WOOD FLOOR . -- FOUNDATION• FORMS• SET BACK• TOILET # I 'V'-'I ' ~. UNDER FLOOR PLUMBING I UNDER FLOOR HEATING OK TO INST ALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING = FRAME OK• PLACE INSULATION 1.-r, ., INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE _,,; !U ~l .,, EXTERIOR LATH OK• PLACE STUCCO t-' ...... : FIREPLACE DAMPER &STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SW!M POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME j / • PAN V] I IA ' : FINAL INSP BY BLDG DEPT 'I /f'Ji/(J(/ JI/, o,{/)'VV OTHER DEPT'S REQ COMPLETED f t .,, ELEC METER-PERM-TEMP GAS METE~-PERM-TEMP I -- ' r --! i I-- ~ ! L::J_W;-OF OCCUPANCY !SSUU) I -- ,, INTERDEPARTMENTAL INFORMATION SHEET • CITY Of. ...... n, .... DEPARTMENT 81111c11ns ZONE _____ ~/?,____-£ ....... _LOT SIZE _________ LOT WIDTH ________ _ PLANNING UNITS ALLOWED ___________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED _____________ PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED tj-)/ PROVIDED=======t=:;:lf:::.= INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS:~-~---------------- ENVIRONMENTAL PROTECTION REQ:~~~'"'7~'/ _________________ _ • , ... 1111• • • ' . ~--.' .. ADDITIONAL COMMENTS: --------------------------,. •. .... . ~ ........ " . '. yoK TO ISSUE:/&, A,tJ<: f?&'WoK TO FINAL _______ DATE ____ ...,, , · ENGINEERING DEPARTMENT c R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ~EWER _C_O_N_N_E_C_T_I_O_N _________ DRIVEWAY LOC&T ONS. -------- GRADING PERMIT EASEMENT};J{lu,,.?'~z'::nRAINAGE ____ _ LEGAL DESCRIPTION :4i"s:t' /4L.L _,-:5~.~-:;:-w ,,., .,, . ., ... , 1 //I• . j SPRI!lKLING SYSTEM FIRE PROTECTION EQUIP. //[_. ~ FIRE ALARMS -----------EXITS ___________ / _____ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS l 4,....--------------------------------------- OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ ' WATER DEPARTMENT REQUIREMENTS OF AP~ROPRIATE DISTRICTS MET ________ DATE ________ _