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Home My WebLink About2250 Nob Hill Dr; ; 80-31; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi• slons 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 0 1 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 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). D 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). '.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. 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 ____________ _ □Copy is filed with the city. □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 Californla. 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 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 which this permit Is Issued (Sec. 3097, Civil Code). USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 Z,7,s:n £t\,~1h1 1H1; 1 I 1 \ I JOB ADDRESS tRr· IDA:z;~c;~r I I I I I I I I I I I I I I I ORR, P. 7 OWNER'S PHONE PRIME ~7ZT°H YY\. '?1./,/.. ,... /.,,- ~N;;S. ~l~:DRES\ \ \ \ t> _A~ l-:,J,.) A-J CONTRACTOR'S ADDRESS LOT 8LOCK SUBDIVISION I ASSESSOR'S PARCEL NO. OESIG NER I I I I I I I I I I I DtSCRIP~~~ OF W( J\iQ.. 0 RK • .J..P '\Pn II'!> 'i>,.. 0 l~re YYI '° n--i-DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. eu/Jt/f.s PERMIT NUM8ER 8CJ-3/ STATE LICENSE 2.. '-4lA ~ ~ CONTRACTOR'S PHONE 7Z:Z-3oo0 ST ATE LICENSE I/ 17 IBO 649 . t, DESIGNER'S PHONE I RES, UNITS I P;RKING SPACEgf I NUMBER OF STORIES Not V•lid Unless M•chin• c.rtifilld BLDG SO. FT. BLDG USE occ. GP I STANDARD PLAN It I PLAN ID # I 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 I EACH WATER HEATER ANO/OR VENT 2...t'Y::l 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 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT VALUATION: EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I"'"'',.,. 3.00 Issue 3.00 SIGN PERMIT I , I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I 5 .Oc<: . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I AMT. TOTAL PLUMBING I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I 1 PH .25 3 PH PORCH MOBILE HOME I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I . I 1 PH .25 3 PH RAMADA, CABANA I . I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM I . I OVER 200 AMPS I I TEMP OCCUPANCY (30 DAYS) I . I Issue 2 .. 00 I . I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I I . I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DD ·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS DVERSCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TD COMPLY WITH ALL CITY, ST7CT)~::::,Nrf; 1H Jo COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,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. APPLICANT'S SIGNJURP OWNERQ CONTRACTOR□ rPPROVED BY AGENT D BY PHONE D I I I I I I I I I I I I I I I I 5.0 I I I I I I I I I I I I ; I I I 5, 10<t) DATE I ///7 i ~ ~ j::: ~ a. V'l ~ SITE . -' ' ADDRESS: ,. ·-' OWNER: PERMIT NO: - \ = -FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING ,_ ~ . ; i .,t li. l ' L' ~ 1•,. OK TO INSTALL SUB FLOOR •J ..:. 6· . 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 SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP . . . I CERT OF OCCUPANCY ISSUED I ' I • • I~ ·. ). .._ BUILDING □ FOUNDATION D REINFORCING STEEL □ MASONRY □ GROUT -GUNITE D FLOOR AND CEILING FRAME □ SHEATHING □ FRAME D EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND PL/CO □ TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER D FINAL TIME:...· ______ _ ......,,Pc"-'('.]:c__-~3 I,___ DATE:_,/_-_/ 7,___ ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT OG.F.I. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS □ PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO D SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY (□FRmlY DA.M. DP.M. SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY_~4~4--<'~"""':::.._..:..:::.::...::.:::__-43z.-,<.:;~"''-===:........---'PHONE NO. _______ _ PERSON TAKING REPORT _______ _ , //,'A,<----, ,..,, . '• £1/?7