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HomeMy WebLinkAbout2425 LA COSTA AVE; F; 80-717; 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 0 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 cou~ty 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). , ~: as owner of the property, or my employees • N ·IwIth 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 end 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. _____ 8. & 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 _Rermit Is Issued, I shall not employ any person ~~ny manner so as to become subject to the Wo..._.,,_,-Compensation Laws of California. NOTI~ APPLICANT: If, after making this Cer· tl~e of Exemption, you should become subject to t:,e Workers' Compensation provisions of the Labor ~e. 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). CITY OF CARLSBAD-BUILDING DEPARTMENT --APPLICANT TO FILL IN INFOR ~438-5 ~ I.J 1L/I3:c 1Y1 [;A. /~161~1/i/~1° 0 1W -I ~J~~~1~1~Dil".~~~r l0 ATr~)&;it r BUS. LICENSE PERMIT NUM8ER ja' ~. ~ l~ 0 ~rv~o_~G. K~£:.rtV 4 ~,~Wft;H7E P)ME CONTRACTOR I I STATE LICENSE ~~717 J( r.;1 Bo ii .J owNE~~ M~LING~ooi/\-/n 't1 J'L~ ~ J ~n ~~ VCONTRACTOR'~S CONTRACTOR'S PHONE _, L cl s F J: n ..ll ~ s. 6 ___ .,, ~/! LO' BLOCK I SUBDIVISION ,-,., I AS,5Et,SOR'S PAR~L NO. DESIGNER -\,.../ STATE LICENSE ~ --l---'f ..;L I I I ~ 0, , _{j'C"";' I DESCRIPT~f'~~L ~-'2Jj) if. 00 ~ ~o•vi ~::.:·~~~r.:i ..,_J DESIGNER'S ADDRESS DESIGNER'S PHONE er, .er CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PA~KING SPACE sf I NUMBER Of STOR IES Not V1lid Unless lhchiM CMtifi«J 8L OG SQ. f'T, SLOG USE occ. GP I STANDARD PLAN II l p9~0:7r, I TYPE CONST I occ. LOAD l 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 EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT 3( l t£o EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/OUCTS VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I ' ~-u-,t} ISSUE 3 .• 00 ISSUE 3.0 SIGN PERMIY .... • ,--IV~ " I ' I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHE«il/ /i':t;,?i # /Yf.{f 4\ I I . ...,_ --- ' ,_.i~ ..., CONTRACTOR CONTRACTOR ALL INCwJwE Pt RM.IT J I I I TOTAL PLUMBIN't---I I I ELECTRICAL PERMIT AMT. AMT. QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I ' I I I 1 PH .25 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 I OVER 200 AMPS I ' I I : I TEMP OCCUPANCY {30 OAYSI I ' I I I ISSUE 2 •. o 0 STRm,1r, M()'T'Trn,r. I ' I I I TOTAL ELECTRICAL ' TOTAL FEES PAYABLE I ' ~ ~ JJ-f()_ CONTRACTOR ' I I - 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 ANO AGREE IF A PERMIT rs ISSUED; TO COMPLY WITH ALL CITY' ?t~ 3?:l! L~kf CHOOL COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-FEEE: 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 SIGNATURE• Cl 0WNE!'ll5r CONTRACTOR□ ~PROVED BPa DATE ,.. AGENT D BY PHONE D -~~Al~ .. ·--· .?,-'1J .. 9 r-., . . • .... < 0 ~ > ~ j::: ~ a.. VJ ~ i~ ,., ~- SITE PERMIT NO: 8:?-/ / / ADDRESS: I OWNER: ·• ... ' ~ . .. \·" FIELD IN SPECTION RECORD ' . \ . INSPECTION DATE INSPECTOR INSPECTOR'S .NOTES WOOD FLOOR FOUNDATION • FORMS • SET BACK • TOILET ., UNDER FLOOR PLUMBING ' .. -· -. -· -UNDER FLOOR H EATING . OK TO INSTALL SUB FLOOR -.. SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE -· . FRAME ROUGH ELECTRICAL L ROUGH PLUMBING ROUGH HEATING/VENTILATING ' FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO ' FIREPLACE 0 DAMPEB &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER T EMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENC E PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLOG DEPT .. lrhl I / ,A OTHE~ DEPT'S REQ COMPLETED If IL 'Ir' • I o rl ELEc--MErER-PERM-TEMP ' I GAS METER-PERM-TEMP ~ '111'1" ~ ., CERT OF OCCUPANCY ISSUED ~ ....... , ·• .. '\_.,., ... .~.,.;.-1 .. ., \ .r,~. ' ) INTERDEPARTMENTAL INFORMATION SHEET El'VE D DEPARTMENT flC BUILDING BUILDING ADDRESS: ,,,!1/ ,;;_ >" d ~ ~ -.,u-1.. i-s-=•-- PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED ___________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED _____________ PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- SIDE SETBACK: ----------- REAR SETBACK: ' INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: / I ENVIRONMENTAL PROTECTION REQ: 1CHOOL nu, f ADDITIONAL COMME , , .... OK TO ISSUE: ENGINEERING DEPARTMENT ~f?ft'•_;, f'/$ .3 ~'fo / R.o.w. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION DRIVEW~LOCAT1NS--; GRADING PERMIT -===========~-E.-A-SEMENTS ':1&~/4DRAINAGE ____ _ LEGAL DESCRIPTION~&-r~~-4-/ ___ · _C...~7~• __ 7 __ -_ 1 r-7 ____________ _ , • nu, 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 ________ _ \ \ '3~-711