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HomeMy WebLinkAbout2312 MARCA PL; ; 81-27; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) pf Division 3 of the Business and Profes- slonsfode, and my license Is In full force and ef- fect. • OWNER-BUILDER DECLARATION 0 1 hel9by 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). 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 do~t ap- ply to an owner of property \•ho i' Im- proves thereon, and who contracts f ,s pro jects with a contractor(s) license purs n to th contractor's License Law). I am exempt under Sec. ____ ..,.. for this reason , J '\\ \1 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 ____________ _ □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 16 for one hundred dollars ($10!)) 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. NOl~E.TO APPLICANT: If, after making this Cer- llflcate of Exemption, you should become subject •to the Workers' Compensation provisions of the l~bo• Ct>de, you must forthwith comply with such 'provl!,!lls or this permit shall be deemed revoked. • • CONSTRUCTION LENDING AGENCY I ·heretiy 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). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY CENSUS TRACT GP LANO USE BLOG SQ, FT, I BLOG USE QTY.I PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/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 WATER SOFTNER CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 ZONING RES. UNITS PARKING SPACE OCC. GP STANDARD PLAN# Pl~Dlt ;:, /_ TYPE CONST AMT. QTY. INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BO I LE R/COMPRESSO R 16-30 HP VENT FAN Sl~!GLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CONTRACTOR :V. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME ,::,2--.uo 3- APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. IONI SUS. LICENSE _ I • PERMIT NUMBER !/-:27 2/17/816169 Not V•lid Unlllss M•chin• CMtifi«J OCC, LOAD AMT. ,,,,- <{7t/-fl) AMT. TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND DO HEREBY CERTIFY THAT All INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH A ll CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OA NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO 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 •AN OSHA PERMIT IS AEQUIAEO FDA EXCAVATIONS OVER 5'-0" DEEP ANO DEMOLITION OA CONSTRUCTION OF {J~~""Z~',:,C....~,....,;;/.~~-:,r;-,,.,,. STRUCTURES OVER 3 STOA I ES IN HEIGHT OF THE GRANTING OF THIS PERMIT. 3Lit;,3 BP · ! < 0 ~ > ~ ~ ~ Q. V) ~ SITE <;s/-oo;;,. 7 ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD JNSPECTION DATE INSPECTOR t INSPECTOR'S NOTES ·--.•. "'" WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET ''+lNDER FLOOR PLUMBING Ut'l-QER 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 ST0UCCO FIREPLACE , DAMPE8 &STEEL . . . PLATE Tl ES(. HEIGHT OF CHIMNEY OTHER TEMP F'OWER (POLE) •· SEWER GAS TEST SWIM POOL• STEEL BONDING .. • PRE DECK .- • FENCE PREPLASTER SHOWN • FRAME ·• . /"'\ . P,AN .. // FINAL \NSP BY BLDG DEPT ?-/,1..-J'/ fil OTHER OEPT'S REQ COMPLETED ~ : ELEC METER-PERM-TEMP iC,AS ~ETER-PERM-TEMP r I .. , .. f C"_:C:FOCCUPANCYOSSUE; . ; , .. . .• .. ,,. . CITY OF CARLSBAD NC! ENGINEERING DEPARTMENT 2/ 171816 189 03967, 1 □ □a 181 HIF f/_.i'-52,-P/ .. . " PERMIT FOR WORK ON CITY RIGHT OF WAY BUILDING ~A~D'..!:::D~R,.!:E=S~S___Jz::=::.:!J.L:::.:::!_...L.:.~~~~~~~~~----1VALIDA TION ST AMP CITY Emergency TEL. NO. STARTING DATE EST. DATE OF COMPLETION I hereby acknowledge that I have read this application and state that the Information given ts correct. I agree to comply with all applicable City Ordinance$ and State Laws and with the requirements of this permit. ADDRESS AUTHORIZED AGENT ENDORSEMENT OF COMPLIANCE I have examined this application and have found that It complies with all requirements of the Carlsbad environmental protection ordinance. DATE Planning Director PERMITTEE CALL CITY ENGINEERING DEPARTMENT FOR INSPECTIONS CHECKED BELOW: 24 Hours Notice Required. 0 EXCAVATION 0 FORMS 0 BACKFILL 0 PAVEMENT 0 PRIOR TO BACKFILL 0 PRIOR TO CURB CUT DATE SPECIAL CONDITIONS INSPECTOR (A) ALL WORK MUST CONFORM TO REQUIREMENTS OF CITY OF CARLSBAD STANDARDS, PLANS AND A.P.W.A. SPECIFICATIONS. (Bl INTERFERENCE WITH TRAFFIC MtlST BE KEPT TO A MINIMUM. (Cl PERMIT EXPIRES SIX (6) MONTHS FROM DATE OF ISSUANCE UNLESS EXTENDED BY CITY ENGINEER. (DI OTHER PERMIT FEE INSPECTOR'S SIGNATURE $ TOTAL $ APPROVAL FOR RELEASE DATE COPIES: BLUE-OFFICE YELLOW-INSPECTOR GREEN-FINANCE PINK-PERMITTEE MANILA CARD MUST BE POSTED ON JOB } ) • INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT 'BUILDING ADDRESS: • PLANNING DEPARTMENT LOT SIZE LOT WIDTH JAM 211981 ZONE (Z-1 ----------------- UNITS ALLOWED UNITS PROVIDED ---------------------- PARKING SPACES REQUIRED Ai~ PROVIDED ___ -A-~'-/ _____ _ % COVERAGE ALLOWED -----bl-----~~-----PROVIDED ____ () __ .~fC------i ____ _ BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: :~~::::D====c::):~::,:::~ INTRUSIONS LANDSCAPE & IRRIGATION PLAN otc arr COMMENTS: ~N~~F-+------------ ENVIRONMENTAL PROTECTION REQ: ~~~~~=m;..L....~f-~-1--------------- 7~ ENGINEERING DEPARTMENT Sf}) -- R.o.w. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _ SEWER CONNECTION gou'J DRIVEWAY LOCATIONS __________ _ GRADING PERMIT. ~. ~A EMENTS , LEGAL DESCRIPTION~ 2 5' _ ~ ti~ ADDITIONAL COMMENTS .,,,,~ ...... -c..., ra.~~-,.-.J---=--~-:..L<...,,-----~---r,1...,,._ ________ _ DRAINAGE -----.J./' -:3J-(J -J-~ FIRE DEPARTMENT SPRINKLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARMS EXITS ______________ _ FIRE HYDRANTS LOCATION ________________ _ ADDITIONAL COMMENTS \OK TO ISSUE: DATE OK TO FINAL DATE ---------------------------.. WAfER' ::D§P ARTMENT REbutREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _ · ....... ..... f/-.27 .... • 4/21/78 LEUCADIA COUNTY WATER DISTRICT APPUCATION FOR SEWER SERVICE Owner's Name J9mes §00s31velt Mailing Address T29 egap~; ia Phone No. 753-9009 Encinitas, CA 92024 !,[;\'/E:t Frnl,llT ISSUED U?ON Service Address: Marca Place r:~:F.!:1r o;:: BUILD!NG PEm-Ali. 1ract Description: lot 94, Spanish Village c.:J.L:.:i:::. PERMiT MUST Bi: 83~ A I l ll APPLIED r-or. r.y £., ·-c~lc,;-~. s ses sor s Paree 110. '"2...,l 6u..:-c....3 ... 5.u;Q-=2;...,,,3.___________ ~' Type of Buildi.ng Spanish Vj]]age No. Units l Connection Fee $ 600.00 Lateral Size: 411 611 811 Saddle Easement Connection (pre-pd 200.00} Extra Footage:· @ $.---Extra Depth: __ @ $ __ ,,4(X') ·CO Amount Rec I d $41.CO .rn Ck. No/Cash ,::u=::L\ 0 Date 9-\0-3 Rec'd By ~so Lateral Fee Prorated Sewer Service Fee Total $ lc,CQ•Qv The application must be signed by the owner (or his authorized representative) of the property to be served. The total charges must be paid to the District at the time the application is submitted. If a service lateral is required, it will be installed by the Leucadia County Water District. The service lateral is that part of the sewer system that extends from the main collection line in the street (or easement) to the point in the street (at or near the applicant 1 s property line) where the service lateral is connected to the applicant's building sewer. The applicant is responsible for the construction, at the applicant's expense, of the sewer pipeline (building sewer) from the appli- cant's plumbing to the point in the str·eet (or easement) where a connection is made to the service lateral. The connection of the applicant's building sewer to the service lateral shall be made by the applicant at his expense. The connection must be made in conformity with the District's specifications, rules and regulations; and IT MUST BE INSPECTED AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT. THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT;THE TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC- TION LINE WITHOUT PRIOR APPROVA~ AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED. Tne prorated sewer service fee is based upon the date the District estimates that service will begin and covers the balance of the fiscal year. There will be no additional fee or refund if service actually conmences on a different date. For succeeding fiscal years, the sewer service fee will be collected on the tax roll in the same manner as property taxes. · The undersigned hereby agrees toat the above information given to the conditions as stated. d!l2. .. ~a...----Owners~1gnature d-/~4 ~ --... ---~ .... .-. ...... ......, ...... , . ...,., .. ,,. . is correct and agrees lOQO , Account N ' r._•_. i . i ' ! l I f l