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Home My WebLink About2412 MAJANO PL; ; 80-165; 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 el• feet. OWNER-BUILDER DECLARATION C'I 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). CI, 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 or 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• men! 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). ::::1, 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. OC\ Labor Cod~ ~ ~ -.... 1-.1 POLICY NO. V.. }5.. ~~'--1 -z,(? ~- COMPANY ~~n. ""'-::, t.:"--'.'.r" ..- ')(Copy is filed with the city ·1certified 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, alter making this Cer- tilica~e 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) APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INt-U~- MATION WITHIN RED LINES. NO. JOB ADDRESS AV. 51. DATE OF APPLICATION BUS. LICENSE PERMIT NUMBER A: w v L A c.. e: " , 1i...\ a ----1---' ___ CONTRACTOR 0 o -1 lo r 1 'To~~ @--tc.,,f2... ASSESSOR'S PARCEL NO. ---->---------DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LANO USE ZONING UN ITS T '"· I "'""' ""' I"""'" °' STO"'S Not Valid Unless Machin• Cart.ified BLDG SQ. FT. BLDG USE UTY. 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 0 A MO RE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER ../ AA..,I..,. .:J TOTAL PLUMBING CONTRACTOR UTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EAAMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) ., -A TOTAL ELECTRICAL CONTRACTOR acc. GP I sT ANDARD PLAN 11 T"'" ,o. l"" CONST AMT. UTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU .9.. _cu BOILER/COMPRESSOR UPTO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN Sl~!GLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER ' "I lfu' __/~ ., TOTAL MECHANICAL .5 CIC> II CONTRACTOR AMT. UTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME --~( ,.--;, .i'-r r.in-n.Ll.\._-·, -1-~ ....._"'")f_")..--j An iJ ...-.. l"' 0 7, ~,; v •' _,..., __ --~ _{_ -, I acc. LOAD j AMT. ' "'i' .cJ-tJ AMT. r)cd,__,~J BUILDING PERMIT SIGN PERMIT PLAN CHECK All INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME :fr (c,y1) SOLAR ..::.,-{ °3, /} :z, ---Jr,.,,.?, .. _ ) ,d MICO-FI LM TOTAL FEES PAYABLE I 7 1)_ 0 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO • NO A F'ERMIT IS AEQUlftED FOR EXCAVATIONS ovE<17 .,,: 17 FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRU U OVE Sf IES IN HEIGHT SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AN□ KEEP HARM-.._. \ ' J_ I I I I I I I I I I J_j_ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I J_ I I I ."'ft I . I I /410( ~ I I I I I _,____j___ I /,t:r:. HEAEBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0" D EP AND DE OLIT NOR CONSTRI{_CTI N OF COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION WHETHER ' 7• - LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND \ 1/ I E XPE NS Es WHICH MA v IN AN y WA y ACCR uE AGAINST SAID c1T Y IN CONS E auENCE lf-cc::'/t:,::4.cc'~:',.,.f:~~'..,ll..l;-"'~~:<l!c::o<e'::C:::l. __ 7 :::::c:-;c;---:-:cc=c---=,-,ccccl==----------~~b OF THE GRANTING OF THIS PERMIT APP ICANT•s SIGNATURE" OWNER□ CONTRACTO ! ~ ~ 5 i= ~ C. V, ~ AGENT o O SITE 'il'O-l<ab ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES '. ' WOOD FLOOR FOUNDATION• FORMS• SET SACK• TOILET UNDER FLOOR PLUMBING UNDER 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 STUCCO FIREPLACE DAMPER &: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME I /. ,.J • PAN i. r1l '/If' FINAL INSP BY BLDG DEPT I ,v ... . . : OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP --i i j CERT OF OCCUPANCY 1S~UED I