HomeMy WebLinkAbout2428 OVIEDO PL; ; 80-748; Permit_.,-,cu CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl•
slons of Chapter 9 (commencing)with Section
7000) of Division 3 of Ille Business and Profes-
sions Code, and my license Is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
D I hereby affirm that I am exempt from the Con•
tractor's License Law for the following reason
(Sec. 7031.5,Buslness 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 Ille a signed state-
ment that he Is licensed pursuant to the provi-
sions or 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 ror a permit subjects the applicant to a
civil penalty or not more than five hundred dollars
($500>.
Js owner of the property, or my employees ~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 wilhln 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•
tracllng 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 •~:.,so~ ~ /
-p:~,J,f,>owne~
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.
CERTIFlcATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the per•
mit Is for one hundred dollars ($100) or less).
I certify that in the performance of the work ror
which this per~lt Is Issued, I shall not employ any
person In any manner so as to become subject to
--Workers' Compensation Laws or Calirornia.
"ICE TO APPLICANT: If, after making this Cer•
,cate of Exemption, you should become subject
•~e Workers' Compensation provisions of the
-••,you must forthwith comply with such
,rthls permit shall be deemed revoked.
'lSTRUCTION LENDING AGENCY
affirm that there Is a construction len• ;y for the performance of the work for ,.,.,ff'la I• l•ou.A tc::-... ..,,_ .. ,..., •• -•
-,::;
'
•c rTV oF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525 --~ -
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
. _,
;,'}'":,· / -Oil.l~~o. ~BADO~ ~ IDA:r F i~~c;;;N Bu;;/J/4 PERMIT NUMBER
. ~ I I _a-111 I I I I I I I
OWNER , ~ OWNER'S PHONE PRIME CONTRACTOR IA~ !tJ-113 '-/ -,,,,9 ,,,:?/ ,,e'J L"J-.# --~# c.../.~/Jl'?E..? -
OWNER'S MAlLING ADDRESS CONTRACTOR'S ADDRESS ,
1 TOR'S
...s?' 6.r re,~~ _,,,-» .r td'L-V~ L~ ~L;F'"9 f#~ -<"4-#$'J'"# l/'?~ ~ONE D ;~....s7Z/ ),:{91 IILOCK I SUBDIVISION -~~ASSESSOR'S PAR.Pi~ NO. DESIGNER ~ATE LIC~ /,A'CC,S7,i9 ~/T /1£1 1/1 01 I I 1~13 ~.,e,:r ,.,eS'# ~~la OF WO~ ~~~-y at1//T v~-'?Z/.-t" // DESIGNER'S ADDRESS DESIGNER'S PHONE
0 ., ~ ~ .A'/~?'# C 4 ~ ,W,t,-J7Z-I
CENSUS TRACT GP LANO USE -ZONING
..13:-i
~,, .. -.,, ;-r:; .J
I RES. UNITS I P#KING SPACE s r I NUMBER oF sToR1Es
Not Valid Unt.ss ~;,,. CMtifiad
BLDG SQ. FT, BLDG USE occ. GP I STANDARD PLAN II
lp~~D~7'/8
I TYPE CONST I occ. LOAD I '
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
I
~ EACH FIXTURE TRAP 'V-INSTALL FURN. DUCTS UP TD 100,000 BTU 1/-. ./ ~1 EACH BUILDING SEWER 'hf-. -OVER 100,000 BTU
I EACH WATER HEATER AND/OR VENT 1.,,:-..,. BOILER/COMPRESSOR UP TO 3 HP
'"1t""r"t ,,
l..i I ",
EACH GAS SYSTEM 1 TO 4 OUTLETS
/ EACH GAS SYSTEM 5 OR MORE rJn -·~ EACH INSTAL, ALTER, REPAIR WATER PIPE 7-r--V
EACH LAWN SPRINKLER SYSTEM
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT '"'Z/.'/
MECH EXHAUST -HOOD/DUCTS VAT,UATION : ~~ -~ ~ ~
~ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERu·~ ,,
,'"'l,r/1!5-i--' I
T c::c:,rn:: l n TC:.C:.TlP -:i; .nn SIGN PE~,f Y-l L.-)' o -......., I , I I I
TOTAL PLUMBING /6 ..r.! TOTAL MECHANICAL 'I.'!. PLAN qfi(tl.:.,Z//, '1 d -ff I 'f 7 </ w I I I I .
CONTRACTOR CONTRACTOR ALL INb(.USIVE PERMI~ __-I I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUM811,u I /I t., . .JI .n QTY . QTY. MOBILE HOME PERMIT ELECTRICAL rl-f-"')-r -
NEW CONST EA AMP/SWT/BKR I 00 JI -Y~-✓ AWNING ., MECHANICAL I I ll-r
1 PH .25 3 PH PORCH __,,/ MOBILE HOME I I /. I
EXIST BLOG EA AMP/SWT/BKR SET-UP ./ SOLAR I . l I I
1 PH .25 3 PH RAMADA, CABANA _/ I . I I I
REMODEUAL TER PER CIRCUIT FENCE OVERV I . I I • I
TEMP POLE 200 AMPS TOTAL ~ILE HOME MICO-FILM ! . I I I
OVER 200 AMPS / . I . I I : I
TEMP OCCUPANCY (30 DAYS) ./ I . I I I
ISSUE 2.00 STR()NG M()TON· I I I ~'31 ¥
TOTAL ELECTRICAL 1,-7 '!,--TOTAL FEES PAYABLE
I I J;°Y!l It/ . ~ i CONTRACTOR I
f I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ~~ /.s?1 ~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT ~ /..2.t)(J COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER C ")_ ~ SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-I?' /.I~. SCHOOL FEE: LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. < ~ANT'S SIGNATURE' ~ ~~~-ErONTRACTOR~ ,APPROVEO BY DATE --
.:: ~ a.
V) ?;
.. . .. . . .,.. . .
.;
SITE
OWNER: • PERMIT NO: ~o --74%' ADDRESS: -,.
• i \
' . \ FIELD INSPECTION RECORD ·-
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES ' -
WOOD FLOOR '
FOUNDATION • FORMS • SET BACK • TOILET -----
\ UNDER FLOOR PLUMBING I ENGINEERING FINAL INSPECTION REQUEST ~ I UNDER FLOOR HEATING -.--
A G < I OK TO INSTAL L SUB FLOOR
~ ....... 1: I '
~"':7W. L~ -y_-~ L SLAB FLOOR TO: I
UNDER SLAB PLUMBING (lnspectL
'"~-~
(Date)
' FOOTING• FORMS o SETBACK • TOILET REQUESTED BY:_
OK TO POUR CONCRETE d~clX -;l.lf lo !f~!Y. ADDRESS: FRAME
9-.o-7lf!i ROUGH ELECTRICAL PLAN CHECK NO. -I ' ~~~.\ ROUGH PLUMBING
ROUGH HEATING/VENTILATING C. T. NO.
FRAME OK o PLACE INSULATION \'1 ~ Ml) i
INSULATION OK • PLACE WALLBOARD CH ECK LOTS
WALLBOARD OK • PL:.ACE TAPE
'~
EXTERIOR LATH OK• PLACE STUCCO . FINALED: YES __ NO i r
I FIREPLACE ' 1 . REnr N~NA(JQ q ~ ,.
DAMPER 6:STEEL 1~~1/1~1 PLATE TIES/HEIGHT OF CHIMNEY
v' ' \ \ \~II~~ OTHER ' J i~, , TEMP POWER (POLE) ~~1 SEWER
GAS TEST v SWIM POOL• STEEL BONDING t: • PRE DECK
• FENCE PREPLASTER \. (Inspector's Signature) \) \ SHOWN • FRAME
y I • PAN I
'
"-· r ' -llETURN TO El G_INEERING CURRENT DEVELOPMENT FINAL INSP BY BLOG DEPT ~ OTHER DEPT'S RE Q COMPLETED " ~ J :\ J •
ELEC METER-PERM-TEMP \~ r , ~ ,..J
G AS MET ER-PERM-TEMP ,, u " \~ V
\ \ 1..\-'
. ,\ \"t '\/ -.. -'. \. I -... ·,.
CERT OF OCCUPANCY ISSUED ~-°'\,, '------r=-.. ":'---.
~EOUEST INSPECTION TIME_· ---'/_;;l.._: _-.,_...._ __
/~--5 -6(
ADDREss_..::::::....._s::::::::::O'~:::::'-/::::=;;i._~t~--"-o _v_, _c....::lr======~o~tv~L~Y=========
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
IN
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
FINAL
t ·
~4,\·1
/ -
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOK ETECTOR
FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
------~
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY ~
.Lfi£>
O P.M.
REQUESTED BY ____ 0_\_0....._ ___________ PHONE NO. _ ___._""""'""-"----~
\ PERSON TAKING REPORT _______ _
Attention Property Owner:
An "owner-builder" building permit has been applied for in your name and b earing your
signature.
Please complete and return this information in the envelope provided at your earliest
opportunity to avoid unnecessary delay in processing and issuing your building permit.
No building p e rmit will be issued until this verification is received.
1. I personally pla n to provide the major l a bor and materials for construction of
the proposed property i mprovement {yes or no) \/.c 5
2. I (have/have not) #/}J/ e. ~
for the p r oposed work.
/
signed an application for a building permit
3. I havo contt"acted with the following person {firm) to provid"=! t h'?. proposed con-
struction:
Name
Address
City
Phone
Contractors License No.
4. I plan to provide po rtions of the work, but I have hired the following p e r son to
coordina te, supe rvise and provide the major work:
Name
Address
City
Phone
Contractor s License No.
5. I will ?r o vide some of the work but I have contracted (hired) the following per-
sons ~o provide the work indicated:
Na::,-"
Sig nP.d:
PropP.t"ty
Soc i a l
Da t e
. Address
9 -2-~ -/'o
Phone Type of Work
Building DepaTtment
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
Dear Pro perty Owner:
QCitp of QCarl.sbab
(ELEPHONE:.
17141 433;_5525
~n o~nlication for a building percit has been submitted in your name listing your-
s-,1( ns the Luildcr of the p.?:or,e rty imp.r.ovemer.ts _specified.
E'c.r. :four p rot:cctio n you i:.hould be a•.-,are that as "owner-builder" you are the r espon-
sil)lr. p ;.i:ty of record on suc h £, permit; Building permits a re not r~quired to be
signed b y propc,r.ty ownei·s unless they are personally perform.ing their own work. If
yo~u-woi:k ifl being perf0nne d by someone other than yourself, you may protect your-
self irorn posslblc liability if that person applies for the proper permit in his or
he,r nan,a,
Contracto rs i\re require d by Li,., to be licensed and bouded by the State of Califo:r.-nia
and to have a business licen;,;':! from the city or county. They arc also requirt'!•:'! by
lew to put th~ir licen se num~er on all permits for which t hey apply.
I~ you plan lo do your own work, with the exception of various trades that you pJ.,m
to subcon t n,c t, you should be aware of the following information for your benefit
a.nd prote.::ti-::.r..
If yo1J employ or otherwise engage any persons other than your immediate f amily, c:nc
the work (inclu:ling materials and other costs) i s $200 or more for the entire pro-
j~ct, and snch persons are not licensed a s contractors or nubcontracto.r.s , tt1~n you
may i,e an e,nployer .
If you are an employer, you must register with the state and federal gov0rum!ent as
an u!:iploy<.ir and you ar.e subject to several obligations including stc.te ;ind fcder.~l
inC"ome t a.x: wi thho lding, federal social security taxe s, workers ' c 0mpen satio11 insur-
an~e, dis<lbil.i.ty insurance costs, and unemployment compensation contributicr.s.
There ma y be f inancial risks for you if you do not carry out the&e 0bligations , and
thP.se rlsks .:.r~ especially ser ious with respect to workers' compensation in!mrc:nce.
Fo:::-more spec !.fie infon~at.:.,ln about your obligations under federal l aw, contact the
Int:e rnal Rev.:::nue Serv.i.ce c,.,d , if you wish, the U.S. Small Business Jl.dm:i.ni:::t.ration).
For mo="" ;?c<; i f ie infor::1,;1~_.:.on about your obligations tmder ·state l aw, contact the
D0.pzrt~=~ cf Benefit ~,.~J:1ts and the Division of Industrial Accidents.
If t he str~c turc is 3ntent~3 for sale , property owners who are not licensed cnn-
t nicL ,t--; <\re a . .llowed t o pe::::::--r:i their work p ersonally or through their own empJ.c.-yees,
with.:;~-:: :i lic ensed c ontra-:':::::-:ir subcontractor, only under limited conditions.
A f r e,~_,;-:1t practice of. u;1::::.::~:1se d pe rsons profe!lsing to he contractors is to sccun~
an "c,,~.·.c-builder" bufld i:-,·,; ?"!rmit, erronfiously imp) ying tha t the properly owner ifl
pruv.i.:::. ,.--,y his or. h (;r own l abor and material personally. Building permit!:; ~re 1~ot
r c q ui re,::I to bf.! sigm,rJ by prol'.•erty owners unless they are p erforming their ow11 ,-,ork
pcn,onu.tly.
InfoL·n~ation about licP-nsed contractors may be obtained by contncting the Contr.actor3
St,,te I.lcc11sc Boar-cl in your cott-.nunity or at 1020 N St.ccct, Sacr:amcnto, Califor.r,ia
9~014.
Plca"a ~ornpl ete and return lhc enclo3cd owner-builder verificution form so that we
c ;rn conCi n 11 thut you. arc ;Jwo.rc of these rnalters. ~uildin51 ~rmi~ill not b0.
i :::!.t)(~~ .'U~.IJ..1 t he ver.ifi.catio n is returned. ,.,.,_ .. ~~-~~~4<1.Ut~
Very t rul y yours,
C'J'!'Y or CJ\lU,SBAD
BUILTrt:NG DEP1WTM.EN'l'
· ..
1-5-80 & 5-1 ~,-78
LEUCADIA COUNTY WATER DISTRICT
APPI.ICATION FOR SEWER SERVICE
Owner 's Name Craiq Scott Phone No. ~273-5111
~Jailing Addre ss 5111 Santa Fe Street, Su ite 206
~-y(J { ~ San Diego, CA 92110
Service Address ~--3-415 Oveido Place _______ _
Tract Descript ion : lot 129, South #1
Assessor's Parcel No . 216-190-23 ·=--'---"'--"'c...=,<._ _______ _
Type of Building ___ d""'u""p'----1-=e~x ___ No. Units 2 Connection Fee $1,200.00
Lateral S"ize: 4 11 6" 8" Saddle Easement Connection (pre-pd 400 .00 )
Extra Footage: __ @$ Extra Depth: ___ @$___ 800.00
Amount Rec'd $...flQ0.00
Ck . Mo/Cash #l,_,l-=88"'--_
Date 9-4-80
Rec'd Bys. Williamson
Lateral Fee
Prorated Sewer
Service Fee
Total $1;200.00
Th e application must be signed by the owner (or his authorized representative) of
the property to be served. The total char90s must be paid to the District at the
time the application is submitted.
If a service lateral i s required, it will be installed by the Leucadia County Water
Di strict. 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'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 stree·~ (or easem~nt) where a connection is made
to the service lateral .
The connection of the applicant's building sewer t 6 the service l ateral s hall be
r,1ade by the applicant at hi s expense . The connection must be made in conformity
\lith 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 AP PLI CANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY TH E DISTRTCT AT THE
TIM[ INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT \4ILL Bt'. CONSIDERED
iNVALID AND WILL NOT BE ACKNOWLEDGED.
The 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
addHional fee or refund H service actual ly corrmences on a different date . For
succeeding fiscal years, t he sewer service fee will be coll~cted on the tax roll
in the same manner as property t axes .
The undersigned hereby agrees that -the above information given is correct and agrees
to the condi tions as stated.
{J
It . ~/rv Dat:-e--Account No.
r . • · .. ,..
' 1200 ELM AVENUE
' . CARI.S0AD, CALIFORNIA 92008
TELEPHONE:
(714) 729-1181
Building Department
~ttp of <!Carl.sbnb
Permit No. ------·---
..... . -Issue Date . --------( .
CERTIFICl\1E .OF .CCT:1P.LINJCE HI.Jll ErlERGY COi:ISE!{\i:1EION ·DE.SIGH 8EQUIR2'•1ENTS
CONTAINED IN ARTICLE 1, PJ\RT 6., TITLE 24, C/\UFORN IP. Mt CODE
. --
I , ~~ · , · here by cc 1~ t t f y that I a rn fa mil i a r
with the .State energy\conservation standardi mandated in
CA C Ti t 1 e 2 4 , S e c t .i o n . T 2· 0 -1 4 0 l t hr o u g h T 2 0 -:-l 4 0 6 , a n d th_ at t h ~
plans and other documents subm itted in s upp·o~t of thi ~p~lica~ion
f_o r a bu i 1 d i n g perm i t ~ t i._:rdj? cr.ctF ~ .fL1:I ·~ tP"'.L P' ,,?' ,<.4 $~I C/!f,'-/
Address
...,....:~;....;;.:;.~--~::._..-.,...c../--.:..9;-=-'C)_..,-=-2--__;;;3:;.___,
Assessor 's Pa rcel No.
comply with
..-Dated ~ of these regulations ~
/
f -··
Contractor, Other.
State License or Certificate No. --------------
Submit to the nuilding Department with permit application.
S:oY-m 78 -101
OEPl.iUMINT ROVBlBY DAT£
BUILDING
PLANNING /v/,,1-
ENGINEERING v
FIELD INSP.
flRE ."'
-------· -----
"
PlNl,,;[!:i
PUBL,~ .e'" .~.~~
FIRE
WATER
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