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Home My WebLink About2408 JACARANDA AVE; ; 80-664; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that l am licensed under provi· sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proles• sions Cog_e, and my license is ln full force and el• feet. OWNER-BUILDER DECLARATION =:1 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. atter, 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 penally of not more than live hundred dollars " ~ owner of the property, or my employees .>tT,~_i~h.:~ages 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 C ."i!tl. -,-'/-e,o , •t~ ,n . tJ 0 __ :I, 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). ~g~~~ir-------------- l.Copy is filed with the city. CCertified copy is hereby furnished. '."\, ~RTIFlCATE OF EXEMPTION FROM -v w5~KERS' COMPENSATION INSURANCE (This section need not be completed if the per· mil 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: 11, after making this Ger· tilicate 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- CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 "· JOB ADDRESS tR~T· 1~7;F;;~ICATlON 1 ,4-,0, Y, ,Ji;J-,c, ,4t t!,tt,lf,D,A., /l ,14, o,,, c, A .IL n, I I I I I OWNER < 'ti ~;~7~f i )RIME CONTRACTOR ::Jo r,p II. M (!, IP ,.( ,... . o;NLE~A?AIL~Nf:_~;51, r/i rd/% #i).p (1,,,rf ~/,✓,/ CONTRACT~'S ,n;-,E - ,.-, /.l A l\.1; l7LOCK .) il~ON ~ ASSESSOR'S PARCEL NO. DESIGNER f/ , ·;i. i R ' • ·1,>,,V ,;-..I ~--<., ,I"\,-,, A, .,1, ~. I - ~~CRIPT!ON ,0:.t.ORK f , ·, ,,-,n I' ,--.,,..Lr. /11', ,)/J ~ DESIGNER'S ADDRESS -~5;-, Ji? J ' ~ CENSUS TRACT GP LANO USE ZONING sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERMIT NUMBER STATE LICENSE S"u -bb~ CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE ♦ 1 RES. UNITS l P#RKING SPACE I NUMBER OF STORIES Not Valid Unless Machine Cartifi«J BLOG SQ. FT. BLDG USE acc. GP l STANDARD PLAN" IPLANID/t I TYPE CONST I occ. LOAD I OTY. PLUMBING PERMIT AMT. OTY, MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 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 ~/7'' EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS -- WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I/-<( r ,/ ISSUE < (\(\ '" ' --SIGN PERMIT I I ' ' TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I a-S_, ¢-, CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I AMT, TOTAL PLUMBING I I I OTY. ELECTRICAL PERMIT AMT. OTY, MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EAAMP/SWT/BKR AWNING MECHANICAL I I I 1PH ,15 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .15 3 PH RAMADA, CABANA I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM ! I I I OVER 200 AMPS I I I I TEMP OCCUPANCY (30 DAYS) I I I I ISSUE 2.00 ~ ,_ " "" . I I I /0 TOTAL ELECTRICAL TOTAL FEES PAYABLE I ,r -, CONTRACTOR I I ,/,L_,1,1 . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 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;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT SCHOOL FEE: 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 ANO A . - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE , OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE• OWNER~ CONTRACTOR□ 1 APrtr£{_c{_. DATE Q_" YI. ~ 0 ' -./ AGENT 0 7r-·J ·" -BY PHONE n 0 Sl•TE '80 ~!c~"t 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 OK TO INSTALL SUB FLOOR SLAB FLOOP 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 Fl REPLACE DAMPER 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN ,,rJ,. FINAL INSP BY BLDG DEPT /I I, ~ OTHER DEPT'S REQ COMPLETED '/7--1,/,. /~ : E~EC METER-PERM-TEMP " /1 / GAS METER-PERM-TEMP I I i r j CERT OF OCCUPANCY ISSUED, INTERDEPARTMENTAL INFORMATION SHEET ~ BUILDING DEPARTME~N=T=-===c.c.====~=-=-..c.==="----===-=-DATJ.l£'c EI v ED t BUILDING ADDRESS: JU~ 7 1980 ' SulldlOI l)epartment PLANNING DEPARTMENT ZONE _________ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ___________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED % COVERAGE ALLOWED __________ PROVIDED __________ _ _____________ PROVIDED BUILDING HEIGHT ALLOWED ___ -,,,.~ ____ __q FRONT SETBACK: ALLOWED ------- PROVIDED ______ _ INTRUSIONS _____ _ LANDSCAPE & IRRIGATION ENVIRONMENTAL PROTECTION REQ: 1111111 .... t ADDITIONAL COMMENTS: REAR SETBACK: , .•. -·. OK TO ISSUE: l"iJlt .. OATEW~K TO FINAL _______ DATE. ___ _ /' ENGINEERING R.o.w. ______ IN WASTE _____ IMPROVEMENTS _______ _ SEWER CONNECTION. ________ DRIVEWAY GRADING PERMIT EASEMENTS LEGAL DESCRIPTION p?:;,e-I/ 73- AD,DITIONAL COM •••• • FIRE DEPARTMENT SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _ • FIRE ALARMS EXITS. _______________ _ FIRE HYDRANTS LOCATION. _________________ _ ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE. ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _