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Home My WebLink About2111 ESCENICO TER; ; 80-560; 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 DI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5,Buslness and Professions Code), Any city Of 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· pllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001. 114, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of· fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon and who does such work himself or through his own employees, provided that such improvements are not Intended or of- fered for sale. It, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpos~ sale). ~ :JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not ap- ply to an owner of property 1•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. , B. & P.C. forth ls reason ___________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, o~ a certificate of Workers' Compensation Insurance, or a certified copy thereof {Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ____________ _ DCopy Is filed with the city. D Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per- mit Is tor one hundred dollars ($U)0) 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- tificatrof 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 !en- ding agency for the performance of the work for CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. . ) NO. JOB AOORESS ~VR~T· 12E O/A3L~C'Jll BUS. l lCENSE PERMIT NUMBER .:J, r, 1 , I 1 /:.-r v--,E.,A,11 ,c ,c1 ~J7 71, -·--' 1/ 1 . -,-';:?,t'J T--, I ' ' ' /t?-S60 OWNER (' dt_"k. 7.:;:: £3WN~-;~t10NE PRl~CONTRACTOR STATE LICENSE V..·L; ,, r ·-'( --,~() r'o s · -v-e_ .,,. L, ..,_,.,. A S9 ,.....,_,, < ,...,. .. -A-1 / OWNER'S MAILING ADDRESS -, CONTRACTOR'S ADDRESS / CONTRACTOR'S ;:: /11 6x:.J.>1-1 t~·,,, -r-( "-;/s:f.a:-1' PHONE / ~ ~ /.OT;;.I BLOCK I ASSE~OR'S PARCEL NO. ~ I SUBDIVISI.ON DESIGNER / STATE LICENSE 'L. -/5-7 .,,, I, ;, -,4is,'l,C::-,0,J, ' DESCRIP TION8W~RJ5 . -\-i /') F 0,,-('.,Y-~Po¥ • ., DESIG~uDRESS DESIGNER'S PHONE '/ CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARKING SPACE lt I NUMBER OF" STORIES ,...,., -ft. Not Valid Unit/IS Machi• Cartin.I BLDG SQ. f'T. BLDG USE occ. GP I STANDARD PLAN II 'PLAN ID II TYPE CONST I occ. LOAD I OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100.000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BO(LER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH INST AL, ALTER, REPAIR WATER PIPE VENT FAN Slr>!GLE DUCT tA> EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION/, ->3' ,--.. WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I •/!". (1fU ISSUE 3 .. 00 ISSUE j.UU SIGN PERMIT I . I I I . TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I ,.._,,.,. CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I OTY. AMT. OTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOB(LE HOME I I I EXIST BLDG EA AMP/SWT/BKR 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 MOBILE HOME MICO~FILM I . I I I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYSI I I I I ISSTTE 2 •. oo ISSUE 5.00 strona motion I . I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I ,-::r ti. I!!!, CONTRACTOR I I , 0 AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FE~~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-o·· DEEP AND OEMOLITIO.N OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;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-/JJ LESS THE CITY OF CAR LSBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ' -EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANVS~ATUA~~ / ) A ow~ CONTAACTOR~.AP~ ~BY I. ~T';.. ...... <7 ---.-,1-;,.,., AGENT O BY PHONE ~ urntf··uc.,.., SITE ADDRESS: OWNER: PERMIT NO: - FIELD INSPECTION RECORD .- L INSPECTION DATE INSPECTOR t= WOOD FLOOR FOUNDATION• FORMS• SET BACK • TO!LET INSPECTOR'S NOTES 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 INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE -EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER 8:STEEL PLATE Tl ES/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) SEWER GAS TEST I SWIM POOL• STEEL BONDING • PRE DECK ' • FENCE PREP LASTER SHOWN • FRAME . PAN 1 ' FINAL INSP BY BLOG DEPT /l ,// /I ' I OTHER DEPT'S REQ COMPLETED --v/,' ,,, ,._ .... , .. /" ~ ELEC METER-PERM-TEMP " " :";AS METER-PERM~ TEMP -- ' r -=1 ~ '--· I CERi OF OCCUPANCY ISSUED --j _J ----------------------------------------------~ "'" BUILDING INTERDEPARTMENTAL INFORMATION SHEETRE C EIVE D DEPARTMENT 'DATE:~~~-=-~~-~- 'BUILDING ADDRESS: ,?{/// ~~ JUNt9190 ·• CITYOF:~D Bulldlngnt PLANNING DEPARTMENT UNITS ALLOWED~~~~-----~-UNITS PROVIDED~----------~~- PARKING SPACES REQUIRED PROVIDED~-~~-~-~~~- % COVERAGE ALLOWED --~-~-~-~----PROVIDED-------~--- BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED O If PROVIDED __ ~---- INTRUSIONS ~----- SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: SCHOOL FEES: $ ADDITIONAL COMMENTS: REAR SETBACK: P F EFES· ~ OK TO ISSUE: P,41'$ DATE@~oK TO FINAL _______ DATE. ___ _ ENGINEERING DEPARTMENTr ~-3.?Yfa/-,?S-3i;'i?f!:- R.O.W. INDUSTRIAL WASTE IMPROVEMENTS~------- SEWER CONNECTION ----~---DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT· EASEMENTS·~--------DRAINAGE.~---- LEGAL DESCRIPTION 2.:7/t,~ -~. z,;-7 ADDITIONAL COMMENTS~---------------------------- p. F. FEES: $ OK TO ISSUE:m DATE 1:,--/1,,-'2!) PW! OK TO FINAL DATE! ·~-~-·~---·~--- FIRE DEPARTMENT l SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS ______________ EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: WATER DEPARTMENT REQUIREMENTS OF APrROPRIATE DISTRICTS MET~ _______ DATE _______ _