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Home My WebLink About2225 NOB HILL DR; ; 80-814; 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 lull 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 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 llcensed 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 penally of not more than live 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· fared 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 1>.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 ______ _ 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 LJCopy Is filed with the city. 7Certified copy is hereby furnished. ~ CERTIFICATE OF EXEMPT/ON FROM ORKERS' COMPENSATION INSURANCE is 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 per,;on in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: lt, after making this Cer- tificate of Exemption, you shoul become subject to the Workers' Compensat' rovlslons of the Labor <.:ode, you mustJprt i I com~ wij.h _§Uch provisions or this p.effii1i, I b~ked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this oermit is issued /Sec. 3097. Civil Godel CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ,o. JOB ADDRESS AV.ST. IDATE OF APPLICATION , 222.5 ,Noh Hill, flrive , ,o I I I ' ' ' ' o I I I I I I I I I , 9-8-80 OWNER OWNER'S PHONE PRIME CONTRACTOR Hank Jourdav 757-8900 <'o~.,..t-..,." Cl7Y\::.t. (}6 OWNER'S MAILING ADDRESS CONTRACTOR'S ¼ooRESS same 3o 31 i.f Lo-Jot<. R-iiJ ,o, BLOCK I SUBDIVISION ;ss.6s7.°R'i iA5.C~l r· {)DI T.Jif,7-ey {' e-,, t fr-. '1-voYI/ 16 ' DESCRIPTION OF WORK addition to bedroom DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING "IF APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER ~ /tJtl?> STATE LICENSE 80-814 ,f/,lf/ CONTRACTOR'S 7~_;1.c,?/-2-. STATE LICENSE DESIGNER'S PHONE 1 RES. UNITS Sd. ,I-, l PARKING SPACE I NUMiER OF STORIES Not Valid Unless Machine CartifitJd BLOG SQ. FT. BLDG USE occ. GP I STANDARD PLAN ii! I PLANID# I TYPE CONST I occ. LOAD I 250 bdr add 80s814 V-N OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP cir 4 •. uu 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 BOILER/COMPRESSOR 3-15 HP / EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HjV EACH INSTAL., ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT/ 1/~r EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HQ.8'"0/DUCTS /d (r--rl WATER SOFTNER --· RELOCATION OF ~URNACE/HEATER .. BUILDING PERMIT .PC. -,_. )c/.;").-.P-' I ';,l\,Ll. dl"'V ~n----~---"" ~ ":ii:~ -< d(J i'A.AJ ... ~ ~-1-U-O SIGN PERMIT I I I. I TOTAL PLUMBING /~.!!!. TOT~AL PLAN CHECK '/ L 'ft,-({,/-,J'b~, ~II'!, I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I ..,........-;;OBILE HOME PERMIT A!:'lJ. TOTAL PLUMBING I/ "r-1["0 OTY. ELECTRICAL PERMIT AMT. OTY. ELECTRICAL I , NEW CONST EA AMP/SWT/BKR I 1./ AWNING V MECHANICAL I , I 1 PH .25 3 H .v PORCH ./ MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR , ./. SET-UP / SOLAR I I I . I 1 PH .25 J I _.l PH _., . RAMADA. CABANA / I I I • I REMODEL/AL TE PER CIRCUI bl& /o _,_;.,,-FENCE OVER 6' ./ ,,,/. -I I . :;? A TEMP PD 1E.A'01 AMPS ,--, TOTAL MOBILE HOME •vMICO.,ryLM I I ! I OVER 200 AMPS , /I-, '.V r • I I I ' I TEMP OCCUPA YSJ YI I I I . I ./ _ _,.~\. ,,_., ' 17,~ r,lff ~ ,.. Y.~-... I I I I ,ZE~fJ s1cU I 0¥~ TOTAL FEES PAYABLE I ' Ii 3, ;z._!!;.. ~ CONT OR I I I v-/4 ~ 11r1 • I HAVE CAREFULLY EXAMINEDT COM 0 "APPLICATION AND PERMIT. AND OD "AN OSHA ,SAMO~~XCAVATOONS 0~ ~ HEREBY CERTIFY THAT ALL INFORMATI REON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITI OR C STAUCTION OF ~ ' FURTHER CERTIFY AND AGREE IF A PERMIT I ISSUED; TO COMPLY WITH ALL CITY, ST::::VSA3S a,es~~e: ' COUNTY AND STATE LAWS GOVERNING BUILC tAGV~~ ~~~~~;; ~O :i,. ~~EETE~ EHRA RM-SPECIFIED HERE!N OR NOT. I.ALSO AGREE TO LESS THE CITY OF CARLSBAD AGAINST ALL< !ABILITIES, JUDGMENTS, COSTS ANO -.t1 EXPENSES WHICH MAY IN ANY WAY ACCRUE A A!NST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ""'""'u~-s SIGNATURE· OWNERQ CONTRACTO~ ~~ D:). 9'--lf "tJ AGENT D BY PHONE 0 i ~ 5 ;:: u = 0.. V) ~ INSPECT OWNER ADDRESS 0 FOUNDATION 0 FRAME PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING □SEW ~/CO 0 TUB 0 GAS D WAT D Fl READY FOR INSPECTION: SPECIAL INSTRUCTIONS • TIME-· ___ .,,...._ __ _ __,_,_DATE: ~ (l~£-IN IC UNDERGROUND LECTRIC G MISCELLANEOUS PLENUM AND DUCTS COMBUSTION AIR N GRADING ~D~D AIR SYSTEMS ~•;~R PIPING D FINAL □TUESDAY □WEDNESDAY □THURSDAY o FRIDAY REQUESTED BY Mi PHONE N0·-----~-- "--ff PERSON TAKING REP0RT __ _,.74,"''/_,~~~~--- i~s~~~:ST 4PECT:~~T No. OWNER A®RES s c,2__;;:_ ;2 c; '{l,Jtr 1 -ay1[DING'). CJ FOUN -- [] REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME [] SHEATHING FRAME [ EXTERIOR LATH CJ INSULATION [] INTERIOR LATH OR DRYWALL D FINAL ( P'LUMBING ; ') --------------·-~· ,,,.,...,..,. [] UNDERGROUND PLUMBING [:::J UI\JDERGROUND WATER ~OUGH PLUMBING [:::J"'roP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN [J GAS TEST C::J WATER HEATER D FINAL 0P.M, / )1;,e,t ,,..,.,-··/-....__ (.ELECTRICAL ') ---------___ / Ci TEMPORARY SERVICE ~ELECTRIC UNDERGROUND ROUGH ELECTRIC POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. [] SMOKE DETECTOR D FINAL MISCELLANEOUS l~I PLENUM AND DUCTS D COMBUSTION AIR D PATIO U SIGN Ci GRADING Ci DRIVEWAY Ci CONDITIONED AIR SYSTEMS Ci REFER PIPING D FINAL □WEDNESDAY D THURSDAY D FRIDAY READY FOR INSPECTCION: -;-~7UESDAY SPECIAL INSTRUCTION -~-___/"'----------------------- PHONE N? 7 7-t:7 ?,/ ,2_, PERSON TAKING REPORT_,L.,#;,c_,#-c..··4--· ___ _ ct.a_ f) ~ . a,q Lei«--( . ~ o fL Z" /4ut.';,6 REQUEST £9R INSPECTION INSPECT~R ~rt--= PERMIT NO. ,ft;-fl+" OWNER ______________ ____,,__ _________________ _ ADbRE~~Ld~-< 3 S-l}d-lJJie JI)~,, ----(BUIL61NG /) ELECTRICAL 0 FOUND)°--Y•~ .. 0 REINFORCING STEEL 0 TEMPORARY SERVICE 0 MASONRY 0 ELECTRIC UNDERGROUND 0 GROUT· GUNITE 0 ROUGH ELECTRIC 0 FLOOR AND CEILING FRAME 0 POOL BONDING ~HEATHING 0 ELECTRIC SERVICE FRAME 0 CEILING HEAT _g~XTERIOR LATH 0 G.F.1. NSULATION 0 SMOKE DETECTOR 0 INTERIOR LATH OR DRYWALL D FINAL D FINAL PLUMBING MISCELLANEOUS 0 UNDERGROUND PLUMBING 0 PLENUM AND DUCTS 0 UNDERGROUND WATER 0 COMBUSTION AIR □ ROUGH PLUMBING 0 PATIO 0 TOP OUT PLUMBING 0 SIGN 0 SEWER AND PL/CO □ GRADING 0 TUB OR SHOWER PAN 0 DRIVEWAY 0 GAS TEST 0 CONDITIONED AIR SYSTEMS 0 WATER HEATER 0 REFER PIPING D FINAL D FINAL ·~ "\ C ~ READY FOR INSPECTION: □MONDAY UESDAY} □WEDNESDAY □THURSDAY D FRIDAY DA.M. fYJ, . " , P.M. SPECIAL INSTRUCTIONS ___________________________ _ 7Yf u1 7/:2_, PHONE NO. ~ PERSON TAKING REPORT· I ~ ~ JC /4,d I' K µ-X, ~µMf 4 °/::: •• ~~ /.]~ ~ J~y~~t~ ~~