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Home My WebLink About2230 NOB HILL DR; ; 80-215; PermitAPPLICATION & PERMIT MW 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- W MATION WITHIN RED LINES. USE BALL POINT PEN ONLY LICENSED 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,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). Di, 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). Di, 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 0 Copy Is filed with the city. 0 CertifIed 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- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions 0r3h1s permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirni that there Is a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). NO. JOB ADDRESS AV. R ST.D , I bATE OF APPLICATION I 111-/09/ Bus. LICENSE PERMIT NUMBER To" OWNER OWNER'S PHONE PRIME CONTRACT e dRi ' STATE L ' LICENSE OWNER'S MAILING ADDRESS CONTRACTOR'S ARESS /lJ4Iflt14Jj4 J 1/#3wJ (Q PHONEna CONTRACTOR'S -- - Not Valid Unless Machine Certified ASSESSOR'S PARCEL NO. DESIGNER LOT BLOCK SUBDIVISION ..,I DESCRIPTION F WORK ZJ,j't,g.L/,. jL.j4 /Z J€ig L rIt 7/ zo. DESIGNER'S ADDRESS STATE LICENSE DESIGNER'S PHONE CENSUS TRCT I GP LAND USE ZONING RES. UNITS PARKING SPACE NUMBER OF STORIES BLDG 50. FT. BLDG USE 0CC. GP STANDARD PLAN 4 771 0 It TYPE CONST AMT. OTY. MECHANICAL PERMIT AMT. . INSTALL FURN. DUCTS UP TO 100.000 BTU . OVER 100,000 BTU - BOILER/COMPRESSOR UPTO3HIP . BOILER/COMPRESSOR 3.15 HP BOILER/COMPRESSOR 16.30 HP . VENT FAN SINGLE DUCT . (i1AIICTIflflIflUCTQ.1Q)71 0CC. LOAD QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM FTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I • I I . I d-e.,- ____________ SIGN PERMIT I • I I . I TOTAL PLUMBING CONTRACTOR . TOTAL MECHANICAL CONTRACTOR PLAN CHECK I • I I . I ALL INCLUSIVE PERMIT I I I uTY. ELECTRICAL PERMIT AMT. OTY MOBILE HOME PERMIT AMT. TOTAL PLUMBING I I I ELECTRICAL NEW CONST EA AMP/SWT/BKR - AWNING . MECHANICAL I . I PH .25 3 PH PORCH . MOBILE HOME EXIST BLDG EA AMP/SWT/BKR . SET-UP . SOLAR 1 PH .25 3 PH RAMADA, CABANA REMODEL/ALTER PER CIRCUIT FENCE OVER 6' - TEMPPOLE 200AMPS . TOTAL MOBILE HOME . MO-FILM I • I I . I - OVER 200AMPS . So/i'-' P" 6?__ c'.Ot) __________________________ I • I I I TEMP OCCUPANCY (30 DAYS) U.). (4.eJ-" I I I 2c2A-t 1. I TOTAL ELECTRICAL CONTRACTOR - OTJ __ ..77-') __ _______________ TOTAL FEES PAYABLE I .Az'z, I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMITS AND 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, 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. *AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE 5-O" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTU yEA 3 STORIES IN HEIG rPPLrCAiiT'S SIGNATURE OWNERD CONTRACTO AGENT 0 BY PHONE APPRO DAT C/72 iv& A w w ' F