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Home My WebLink About2382 OCEAN ST; ; 80-1; 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 ,Business and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, Of repair any structure, prior to its Issuance also requires the applicant tor such permit to me a signed state- ment that he is licensed pursuant to the provi- sions ol 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.S by an ap- plicant for a permit sub)ects the applicant to a civil penalty of not more than five hundred dollars ($500). 01, 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. 11, however, the building or improve- ment Is sold within one year of completion, the owner•bullder will have the burden of proving that he did not bulld 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 ._.,ho builds or im· proves thereon, and who c ntracts for such pro· jects with a contractor( lie s ursuant to the contractor's License L ). I am exempt under , B. & P.C. for this rea Date V -\fOwner _____ _ 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. D Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE {This section need not be completed If the per• mil Is for one hundred dollars ($1Cl0) 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 or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency tor the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). ' CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. J ' USE BALL POINT PEN ONLY HO. 1'Z31f1l..1 101C.e1M.__i OWNER r::; R V'Y--t TT APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 JOB ADDRESS ,Si-tr I 1~, .. "'l,1,1,, .. ,J., OWNER'S PHONE AV. ST. •• 1 1 1 1 1 1 • 3 a ·;/'.;°iACTs .. ., iJ ; (.f Co lie~oc.ls; PERMIT NUMBER &o-I OWNER'S MAILING ADDRESS 2. '1 f L (/) C,.6-,9 ,t/ .Sr __ Cdt-/Jbo,L CONTRACTOR'S -2£'1'1 ADDRESS r~;.. jr CONTRACTOR'S I PHONE ,,.., .-.. '/'1.r LOT BLOCK SUBDIVISION I Ao"!i'if~~';j\-~ pp, , ~II I l~"-1 DESIGNER 1 DESCRIP~:r LiN, J {!fer~ t DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE BLDG SQ. FT. BLOG USE OTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT ~ EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYST~R MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATJR SOFTNER r.A.A.i~D TOTAL PLUMBING CONTRACTOR OTY. E LE CTR ICA L PE RM IT NEW CONST EA AMP/SWTIBKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWTIBKR 1PH .25 JPH REMOOEUALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (JO DAYSI ZONING l ""· UNITS I PARKING SPACE occ. OP I STANOAaD PLAN. lPLANID# I TYPE CONST AMT. ~ .o-, ..:2.0 .::f ~ 7,.ro AMT. OTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16.JO HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOTAL MECHANICAL CONTRACTOR OTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME -STATE Llc'ENSl° DESIGNER'S PHONE Q ) {~'.B{i~ >\7;~b I'"~ '.~: ~-~ T NUMOE• OF STORIES Not V•lid Unlila MM:hiM c.rtifiad l occ. LOAD l AMT. BUILDING PERMIT I I , I I I SIGN PERMIT I I , I I PLAN CHECK I I I . I I ALLINCLUSIVE PERMIT I I I . . I AMT. ,1 TOTAL PLUMBING I I T/e ,, r ELECTRICAL I I I MECHANICAL I I I . I MOBILE HOME I I I • I SOLAR I I , I I . l I , _l__l _l I , I I _l MICO-FI LM I , _l__l I I I I I I I I I I I I · I .) .,., "' I ~ ~ ;:: al 0.. V, ~ TOTAL ELECTRICAL CONTRACTOR TOTAL FEES PAYABLE I I I ,7,.~'d' I HAVE CAREFULLY EXAMINED THE COMPLETED .,APPLICATION ANO PERMIT, AND DO 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 ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR 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 1N CONSEQUENCE OF THE GRANTING OF THIS PERMIT. •AN OSHA PERMIT IS REQUIRED F. EXCAVATIONS OVER 5'-0" DEEP EMOLITION CONSTRUCTION OF STRU VER 3STO '"!,:_IGHT _/ 4~,,;v,,a.,, ' APPLICANT'S S1GtJATURE • ~ • OWNER□ AGENT 0 ~ , CONTRACT~RA !APPROVED BY BY PHONl□ . DATE~ I.,,, 1(-~ I SITE ADDRESS: t • .• OWNER: . . PERMIT NO:. " --, ·. ·-' . . -·--. . . . . -. FIELD INSPECTION RECORD INSPECTION DATE ;IN~O:GTOR .. . ' ' . ' "> ··~-. ~ '· INSPECTOR'S NOTES ,, l: 1'.' .. WOOD FLOOR > • .. ·--, •,",,,:. ·. V .,,_ •.· __ ...... ,-. •, '-.. . :, .. ·. •, . . .. . . ~ <;' -FOUNDATION• FORMS•SET BACK •TOILET ' . . • ' UNDER FLOOR PLUMBING UNDER FLOOR HEATING . OK TO INSTALL sue FLOOR . '--:._ ., ·-;'. -:,. SLAB FLOOR UNDER SLAB PLUMBING FOOT! NG• 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 T!Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN Fl NAL l NSP BY BLDG DEPT OTHER bEPT"S REQ COMPLETED ELEC METER-PERM-TEMP !GAS METER-PERM-TEMP ' ,. ' . .. .• ' CERT OF OCCUPANCY ISSUED , ..