HomeMy WebLinkAbout2430 OVIEDO PL; ; 80-748A; PermitLICENSED CONTRACTOR'S DE,.CLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commenclnsuwith Section
7000) of Division 3 of lfle Business and Profes-
sions Code, and my license Is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
O 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).
O I, as owner of the property, or my employees
with wages as their sole compensation, wilt do
the work, and the structure Is not Intended or of-
fered for sale (Sec. 70«, 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 lo 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 cont•~• for such pro-
jects with a contractor(s) II se pursuant to the
contractor's Lice s L
.._ I am e"J""' l B. & P.C.
f« this r9r!f•ftt~:-:-P~--------
0RS' 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 flied 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 ($100) or less).
I certify that In the performance of the work for
which this permi1 Is Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer-
tificate of Exemption, you should become subject
•e Workers' Compensation provisions of the
• you must forthwith comply with such
:,i;s permit shall be deemed revoked.
TRUCTION LENDING AGENCY
CIT": OF.CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE ~
RD U AV,ST, Dr OF APPLICATION
-( J....-"6
OWN~£S--L-S.1.l-OWNER'S PHONE p~,;;;;OR ~#
OWNER'S MAILING ADDRESS
S/'&:,~ 6-"-' le~ .# :J ~ k t:I. L-4-. /J1 ~ .f';/J-
CONTRACTOR'S ADDRESS
,,,.(_;19-~,,;~ (7 A .
LOT
~l.A
BLOCK 1.;t;·z;~~.:r I ;s.,c;2·~.:~17~ -r ?-$ 1
D)'scRIPTION OF~ A. d,, -p, , .J
OEStGNER
~"1~.$ £.s/1-
DESIGNER'S ADDRESS
~ V 77 -~
CENSUS TRACT GP LAND USE ZONING PARKING SPACE
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
l~i:CT~"v,
ST ATE LICENSE
DESIGNER'S PHONE
I RES. UNITS
JI
~ NUMBER or STORIES
Not V•lid Unl.ss M•china CKtifi«I
BLDG SO, FT, BLDG USE OCC. GP STANDARD PLAN It I p~;l:#7v ~ TYPE CONST I occ. LOAD l
QTY., PLUMBING PERMIT
Jl· >
QTY. MECHANICAL PERMIT AMT. , 'ti 1-EACH FIXTURE TRAP
AMT.
-'17.'r ~C-• "\./. ,,,,.
INSTALL FURN. DUCTS UP TO 100,000 BTU a,;.,/
EACH BUILDING SEWER OVER 100,000 BTU T
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
7 EACH GAS SYSTEM 5 OR MORE --2<» BOILER/COMPRESSOR 16-30 HP
~ 7 EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
VENT FAN SINGLE DUCT
~UST -HOOD/DUCTS
--i:7-
VALUATION :l-vl;./o -WATER SOFTNER RELOCATION OF EA FU RNACE/HEATER BUILDING PERMIT ,, I I ~l~-t-
ISSUE --3...dill ISSUE 1. _ n nil sIGN PERMIT 1,,. ?13 ~1~J..1,. I 1 , 1 1 . 1
TOTAL PLUMBING TOTAL MECHANICAL /t, . .f! CONTRACTOR CONTRACTOR
C/ pp PLAN CHECK ~
/-,-I I I
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
t PH .25
EXIST BLOG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS}
ISSUE
TOTAL ELECTRICAL
CONTRACTOR
/toF
3 PH
3 PH
AMT. QTY. MOBILE HOME PERMIT AMT.
~-.,,,--AWNING
PORCH /
SET-UP ·7
RAMADA, CABANA /
FENCE OVER 6' /
TOTAL MOBILE HOi,ii'
7
2.00 11 I ~
v7 ~ II =ti l..-,/~====~===t==~ I I,
I H"-VE C"-REFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 6'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE If A PERMIT IS ISSUED; TO COMPL y WITH ALL CITY, STRUCTU OVER 3 STOA IES IN HEIGHT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO-FILM
STRONr, MOTTON ·
TOTAL FEES PAYABLE
~ Drta2t11ro -
e:::,..}CJ AJ, r ~
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-SCHOOL FEE
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO .J
1/1b.JT0
(-'l-7,00
1·1 -~
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EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. OWNE APPROVED BY DATE
' AGENT D BY PHONi! D I
• ...., < 0 ~
5
j:::
l:rl 0. V) ~
.....
. -<.
SITE ',_ . -go-7<.f~ A 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 .J:-":._._.:___-_ ~· -"i· ' n. • >
OK TO INSTALL SUB FLOOR .. :J,_
. --
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS • SETBACK • TOIL ET
OK TO POUR CONCRETE .. '•
FRAME A-L~ 56e ~4~ D./\-t!..,,J;,O ~ l
ROUGH ELECTRICAL
ROUGH PLUMBING
ROUGH HEATING/VENTIL ATING
FRAME OK • PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PL ACE TAPE .
EXTERIOR L ATH OK• P LACE STUCCO
FIREPLACE .
DAMPER &STEEL .
PLAT E TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POL E) ..
SEWER
GAS TEST
SWIM POOL • STEEL BONDING I \
• PRE DECK r
• FENCE PREPLASTER .\. .
SHOWN • FRAME \\W I. . I
• PAN -'}I VJ I
FINAL INSP BY BLOG DEPT \' r i X I \(J •
OTHER DEPT'S REQ COMPLETED \J l \ ~\\\\
ELEC METER-PERM-TEMP I\\ \ \\
GAS METER-PERM-TEMP I ~\\\ \ . \
' . ,, . 'l I
CERT OF OCCUPANCY ISSUED "