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Home My WebLink About2111 ESCENICO TER; ; 80-516; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm thal 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 C11 hereby affirm that lam 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 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). ~•1, as owner of the property, or my employees w\th 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 pr,g_ving that he did not build or improve for t~·r;Ur~se of sale}. ,-J j .. ::::1, 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 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 -.JCopy is filed with the city. ::.Jcertified 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 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California NOTICE TO APPLICANT: If, after making this Cer· tilicate'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 I hereby affirm that there is a construction len- ding agency for the performance of the work for u,hirh +h;., n.,.,m;+ ;., ;.,.,.,,.,1 /~,,.,, 'U)!:17 Civil Code\. CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 /:;,, /,!,"/I .'-"'":-,1// ,<,O, ,T.6~RP~6 I I I I I I I I ;Vfl~T lDATl, 7APPL1CATION ow,'J:::;. Po~t-tCZ!f}-) 94 ;;;859 PRIM£ CONTRACTOR 1.., 0'1<111. ,o ,.- OWNER'S MAILING ADDRESS "", / CONTRACTOR'S ADDRESS ~ I • / ,101.. 0LOCK /su71~0_: 7 ,, A~S 1 E/SOR'S ~AR_~EL~O. ~ . , DESIGNER ----, --'11 i I • ~ I..;_ 1;""'t ~")I~-Ii~ 1,:.> I ' DESCRIPTION OF WORK / ~/'1'.ltL "¥-----'C_ ,·: . . -· DESIGNER'S ADDRESS -::JI 7 I CENSUS TRACT GP LANO "" ZONING PARKING SPACE APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. L!C£NSE PERMIT NUMBER STATE LICENSE gc -.)-It CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE ! RES, UNITS I # sf I NUMBER OF STORIES Not Valid Unless Machine t:artifitld BLDG SQ. FT. BLDG USE acc. GP I STANDARD PLAN 11 IPLANID!t l 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 ~ EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP / EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP / / EACH GAS SYSTEM 5 OR MORE y;..-1.l BOILER/COMPRESSOR 16-3a...tf1S" ,, EACH INSTAL., ALTER, REPAIR WATER PtPE )..-. ,;-{J VENT FAN SINGLE DUe'I EACH LAWN SPRINKLER SYSTEM MECH EXHAUSYHOOO/DUCTS VALUATION: /, ~Oo WATER SOFTNER RELOCAT.J.O"N OF EA FURNACE/HEATER BUILDING PERMIT ' Issue 3 .. £1 I 1 ~;s-ue 3.0C SIGN PERMIT I TOTAL PLUMBING ,~ TOTAL MECHANICAL PLAN CHECK I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT ~-TOTAL PLUMBING QTY. ~CTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL --~ NEW CONST EA AMP/SWT/BKR $PU. ~tr" AWNING / MECHANICAL . 1PH .25 \/3 PH . PORCH / MOBILE HOME EXIST BLDG EA AMP/SWT/BKR sn.uP / SOLAR I 1 PH .25 3 PH / RAMADA. CABANA / I REMODEL/ALTER PER CIRCUIT ii J ·,1 FENCE OVER 6' / I TEMP POLE 200 AMPS // ,,v riJ_ J ., TOTAL MOBILE HnM'E MICO-FI LM I OVER 200 AMPS r,_,, ,, I ,.,._,. /,) / I TEMP OCCUPANCY (30 DAYS) /{// ,;v'? , / <'Tnm.](' "f"\'l'Tm,. I Issue V ·11,,-2....0-0 -I TOTAL ELECTRICAL --..A' TOTAL FEES PAYABLE I , CONTRACTOR , I I I HAVE CAAEF ULL Y EXAMINED THE COMPLETED '"APPLICATION AND PERMIT. ANO DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5"-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT 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 ANO . EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT APPL~N~.A~ OWNER~ CONTRACTORO ,~ov~::y .i::t:///. .. .. C (/ i7 "l AGENT D BY PHONED " ~., .. t / / - I /,4_ "'11"' I 17~ I ( I I I I .r I I I I I I I I I I I I I I I I I I I I I . ""i /, I I . • I • w ~ ;t > ~ ;:: u w Q. Vl z - ~,d ,?...?~' ,, DATE I:) lh -,;,--) I SiTf: F_E:_E_SS_, ---------- i INSPECTION DATE INSPECTOR WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET i UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL 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 lNSULAT!ON INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO i FIREPLACE I DAMPER & STEEL LLATE Tl Es/HEIGHT OF CHIMNEY I OTHER I TEMP POWER (POLE) I SEWER GAS TEST SWIM POOL • STEEL BONDING i • PRE DECK I . FENCE PREPLASTER I SHOWN • FRAME ----=----t----+----------j L . PAN _j J ! FINAL INSP SY BLDG DEPT A/ ('// I. I , j OTHER DEPT'S REQ COMPLETED /Y VMJ ! ELEC METER-PERM-TEMP f I ;AS METER-PERM-TEMP -i ---------------------t------+-------t ~-~---------------------t-----+----------{ ' ;---------------------+------+-------; f-------------------+----+-------; I CEi~T OF OCCUPANCY ISSUED ___j-l __________________ ---''-----~------ OWNER: PERMIT NO: ---------------- FIELD INSPECTION RECORD ------- INSPECTOR'S NOTES = - [ ----------------------------------------< -· INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DM5*1 #'l&ilf VE D ./?{','!"-' ',. ., ~ -I-nJ ii, "-4 D ~ BUILDING ADDRESS: -~,;2.__,(~/:....,.../ _ __.~.:=..~-~~==-==~c,q--=-~=f.LiA..,=:.,:,:.=-~~~~~~~~~~- MAVl019IQ PLANNING DEPARTMENT • P~RKING SPACES REQUIRED PROVIDED __________ _ % COVERAGE ALLOWED _____________ PROVIDED----------- BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED------- PROVIDED. ______ _ INTRUSIONS ------ LANDSCAPE & IRRIGATION PLAN COMMENTS: OK TO ISSUE: ENGINEERING DEPARTMENT+()._., R. 0. W. INDUSTRl,AL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT EASEMENTS DRAINAGE. ____ _ LEGAL DESCRIPTION Ai:-/ 't, 7$'"' -7 ADDITIONAL COMMENTS----------------------------- 1• ,. ,... m=: OK TO ISSUE: DATE._l;;-=-·-3_-~80,..._~PWI. ___ ~OK TO FINAL ___ ~DATE ___ ~ FIRE DEPARTMENT SPRI!iKLING SYSTEM ___________ FIRE PROTECTION EQUIP·-------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ,ADDITIONAL COMMENTS----------------------------- OJ< TO ISSUE: _____ ._DATE ___ _.;.. ___ OK TO FINAL. _____ ~DATE ___ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET _______ ~DATE _______ _