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Home My WebLink About2441 Levante St; ; 80-871-A; PermitLICENSED CONTRACTOR'S DECLARATION I he,eby affi,m that I am licensed under provi- sions of Chapter 9 (commencing with Sect ion 7000) of Division 3 at the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION t' I hereby affirm that 1 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 requjres a pe(mit to con- struct. alter, imp1ove, demolish, or repair any structure, prior to its issuance also requires the applicant tor such permit to file a signed state- ment that he is licensed pursuant ta the provi- sions of the Contractof's License Law (Chapter 9 commencing with Sect ion 7000 at 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). l-:· 1, as owner of the property, or my employees with wages as their sole compen.sation, will do the work, and the structure is not intended or of- fered tor sale (Sec. 7044, Business and Profes- sions Code: The Cont,actor'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 tor sale. If, however, the building or improve- ment is sold withrn 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). ~✓. as owner of the property, am exclusively con- ~ting 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- ject~ with a contractor(s) license pursuant ta the contractor's License Law) I am exempt under Sec. __ ____, __ for this reason~------•+------ Date J7'1t/ fQ_ Owner -1i'~li.~it,t 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 _____________ _ 7Copy 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• 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 aoy manner so as to become subject to the Workers' Compensation Laws of California NOTICE TO APPLICANT: If, after making this Cer- tificate of,Exeroption, you should become subject tc the Workers' Compensation provisions of the L•· 'r Code, you must forthwith comply with such ~ions or this pe,mit shall be deemed revoked. CONSTRUCTION LENDING AGENCY l,ereby affirm that there is a construction len- agency for the performance of the work far , this permit is issued (Sec. 3097, Civil Code). CITY OF CARLSBAO-BUILOING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 OESlGNER' S ADDRESS CENSUS TRACT GP LAND llSE 20NING RES. UNITS eLDG BLDG USE OCC, GP STANDARD PLAN ti PLAN ID# lo--81/ PLUMBING PERMIT MECHANICAL PERMIT TOTAL MECHANICAL ELECTRICAL PERMIT QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPL'ETEO "APPLtCATION AND PERMIT, AND 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS lSSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION WHETHER SPECIFIED HERE IN OR NOT. l,ALSO AG REE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CAAL $BAD AGAINST ALL LIABILITIES. JUDGMENTS< COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AMT. APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. SUS. LICENS£ PERMIT NUMBER STATE LICENSE CONTRACiOR'S PHONE STATE LICENSE DESlGNER"S PHONE NUM8ER OF SlORl ES acc. LOAD TOTAL FEES PAYABLE CONTRACTOR□ BY PHONED Nor Valid Unlllss Machin, c.rtifi/Jd 1.r-77 /2-7 8 SITE ADDRESS: WOOD FLOOR INSPECTION FOUNDATION• FORMS• SET BACK• 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 c·HIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDI NG • PRE DECK • FENCE PREPLASTER. • FRAME • PAN FINAL !NSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC MBTER-PERM-TEMP DATE INSPECTOR /) L GAS METER-PERM-TEMP r --------1------- 1--------------------+------+----'--...:_-----I L c~RT OF occ_uP_ANCY _:SSUED ,t,'~p~ OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTOR'S NOTES --------------------------------------------------! LICENSEli CONTRAfTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of tile Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION 0 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 ils issuance also requires the applicant for such permit to lile 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 lor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), C:11, 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 Pfofes- 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). :::.: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 dces not ap- ply to an owner of property ·.•ho builds or im- proves thereon, and who contracts for such pro- jects .. ith 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 sell-insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ___ .------------__ COMPANY ____________ _ CJ Copy ;s filed with the city. _ 1 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per- mit is for one hundred dollars ($100) or less). I ·certify that in the performance of the work for which this permit is issued, I shall not employ any person in any.manner so as lo become subject to the.Workers' Compensation Laws of California. NOTICE TQ APPLICANT: If, after making this Ger· tificaie of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- dl ng agency lo r the performance of the work !or •hich this permit is issued (Sec. '.3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 I..) t# l;;; / ..t -S1 ~ _3f JOB ADDRESS AV. ST. !°ATE OF APPLICATION 1 /IL:;; V 1/IIMT • ~~ I I I I I I I I I I I I I I R; OWNER '/Jar)( OWNER'S PHONE PRIME CONTRACTOR e u, _,, I I s 'P. IQ,...-)'IA/ A" /.7)/~,P JJ.LtvmHJ APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE P~;:BJt .~J/95 5§'1JJ~g~ J~~fF.~'6 ✓- OWNER'S MAILING ADDRESS , CONTflACTOR'S ADDRESS ,e?,A.J(.,/N J 1ft .S CONTRACTOR'S PHONE LL¼9Ai11?ov~ .Z>R 7..5:J·-l4.k-< LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL ND. DESIGNER ST ATE LICENSE I I I r I r ' ' ' I ' DESCRlPT~ WORK L -,,__,. / -DESIGNER'S ADDRESS DESIGNER'S PHONE ,-/ -z i / 1f,/!;; ,.,~,'$ CENSUS TRACT GP Li>ND USE ZONING l RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not V1Hd Unless MadliM Cartifilld BLDG SQ. FT, BLOG USE OCC. GP I STANDARD PLAN It I PLAN JO It I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. /J EACH FIXTURE TRAP _:fl: . i,"'1 INSTALL FURN. DUCTS UP TO 100.000 BTU ~ EACH BUILDING SEWER J ,-, ... ri OVER 100,000 BTU -:, EACH WATER HEATER AND/OR VENT .,.r;, .tr'i) BOILER/COMPRESSOR UP TO 3 HP j EACH GAS SYSTEM 1 TO 4 OUTLETS ,t./ • ,T7-_ BOILER/COMPRESSOR 3-15 HP ..:; EACH GAS SYSTEM 5 OR MORE .J./ • ,_-o BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Slf.GLE DUCT u.1: I ,,-f;;:.rv _' EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODO/DUCTS W~TER SDFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I , I -1--.,J~ -=r~ /) A -• ~ ~-:::::..-SIGN PERMIT I I , TOTAL PLUMBING 6/~ TOTAL MECHANICAL PLAN CHECK I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I TOTAL PLUMBING ' QTY. ELECTRICAL PERMIT AMT. OTY. MOBILE HOME PERMIT AMT. ELECTRICAL I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL ' t PH .25 3 PH PORCH MOBILE HOME I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I 1 PH .25 3 PH RAMADA, CABANA ·pd-~~ .....J.-I . I REMODEL/AL TEA PER CIRCUIT FENCE OVER 6' ~ .#7/ _/,, ,, ___ . I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME IJHCO-FI LM I . t OVER 200 AMPS I . I TEMP OCCUPANCY 130 DAYSI I . I (1,,,, ..... --..:J.tt:J... I I . TOTAL ELECTRICAL TOTALFEESPAYABLE I CONTRACTOR ,., j I I . . "AN osHA PERMIT 1s REQUIRED FOR EXCAVATlONs ovER/dw( ha..): I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERM!T, AND 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0'" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIF IEO HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ./7-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TH!S PERMIT. A"XANT"S SIGNAT':_RE• /d_ OWNER □ CONTRACTOR□ I APPROVED B/ __j /. ... 'I/J./ ,-; ; .. ~ j -· L:: ~ AGENT ~BY PHONED . -I c_ .. .... : ,.: ' ! C ~ > I I I I I I I I 17.71 #'c ... -I~-I I I I I I I I I I I r I I I I r I I 1i/1~ I,, L.-,, , DATE 1/-/t ff ·- SITE ! ADDRESS: OWNER: PERMIT NO: ! --FIELD INSPECTION RECORD lNSPECTION DATE INSPECTOR INSPECTOR'S -NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • 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 . PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP ~-I i : I CERT OF OCCUPANCY ISSUED LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION Cl hereby affirm that ! am exempt from the Con- tractor's License Law fa, the following reason (Sec. 703 t .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 reQui.-es the applicant for such permit to file a signed state- ment that he is licensed pursuant 10 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- empt ion. Any violation of Section 7031.5 by an ap- plicant for a pmmit subjects the applicant lo a civil penalty of not more th an five hundrnd doll a,s ($500). ['. I, as owner of the property, or my employees with wages as thetr sole compensatfon, will do the work, and the structure is no! 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 tmproves thereon and who does such work himself or through his own employees, provided that such improvements are no! 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 p,oject (Sec. 7044, Business ,md 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 fo-r such pro- jects with a contractor(sl license pursuant to the con.tractor's License Law). I am exempt under Sec ____ , B. & PC. for this reason ____ _ Date _____ Owner CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit· is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any per;;on in any manner so as to become subject to the Workers' Compensation Laws of California. NOTiCE TO APPLICANT: 11, alter making this Cer- liflcale of Exemption, you should become subject to the Workers' Compensation pmvisions at the Labor Code, you must forthwith comply with such provisions or tl"!is permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that lhe,e is a construction len- 1 agency for the performance of the work for ~ this oermit is issued !Sec 3097. Civil Code\. CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATlON WITHIN RED LINES. :21~/ /v'.#~ I ¼ADORES~ AV, ST. ,DATE OF APPLICATION :;?)L;;St; PERM IT NUMBER I -,;~:-,,.-,1-·---I I I I j I I I I I R~ ~~I/lb OWNER /~&:~~ OWNER'S PHONE ;-a,ME CONTRACTOR STATE'. LtCENSE '-<hl~cn b k-t?i r -, ~~J'f~ I OWNER'S MAtLING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOHJi$ I~ C.. ..J1txJ/14J;,,./ £l. E-Sc. _ .J!-/:/..\--H ,.) LDT BLOCK 1 SUBDIV ISlON I ASSESSOR'S PARCEL NO. DESIGNER STATE L ICEN.SE I I I I l I I I I I I . --DESCRtPTION OF WORK .I o/.1 ~ ---DESIGNER'S ADDRESS DESIGNER'S PHONE: r.. f ,:;?_ -_,/ .., -c..--,;-;_. ~"1--" --..,,,,,, .. -......-Ill :31, ' CENSUS TRACT GP LAND USE (/ ZON!NG UN ITS PARP(ING SPACE r,. ; l:9\ l_:, ·.: .! , . ' •. J,J ~. . I RES, I I NUM6ER OF STORIES Not Valid Un/els Machina c.rtifi,d BLDG SQ. "Fl. SLOG USE acc. GP I STANDARD PLAN 11 I PLAN ID It l TYPE co NST I occ. LOAD 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 BT!J--r"'7 EACH WATER HEATER AND/OR VENT __..,,.. BOILER/COMPRESSOR UPTO 3 He,....---- EACH GAS SYSTEM 1 TO 4 OUTLETS ./. BOILER/COMPRESSOR 3~ EACH GAS SYSTEM 5 OR MORE _,,,,.,. BOILER/COMPR~ 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPV VENT FiVrl-S'f~!GLE DUCT Ja~., EACH LAWN SPRINKLER SYSTEM_/ Mid:f EXHAUST -HOOD/DUCTS WATER SOFTNER _/ RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I () --, , , -, ,3;1:.-(___~~ -< ,,_ SIGN PERMIT I I I l .:;,.--. TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I ! I I CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I l· I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL 1~-7&'-'t-. 7 NEW CONST EA AMP/SWTIBKR /bf)_,L,,/1-' _d~ AWNING MECHANICAL <fi""'I I -1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWTIBKR SET-UP ....--..... SOLAR l I I I . 1 PH .25 3 PH RAMADA, CABANA _/' ;J ,J -,i,.-1-1 I I I REMODEL/ALTER PER CIRCUIT -FENCE OVER 6' /-' ,4,j'A ~ //1,1 ; ,, , /Vf,V--v~ ,t:_,·: I I I I ~ -rn,p POLE 200 AMPS -~ .... TOTAL MOBILE HOJrl,f""' J",M1co FILM I ' I I I OVER 200 AMPS --,,-_/ I I I I ,,-. : T[MP OCCUPANCY (30 DAYS) / I . I I I V,.-,1, _:J -~ / I I I I ' TOTAL ELECTRICAL £;7.~ V TOTAL FEES PAYABLE I ~~ .. CONTRACTOR . I I ' ~~ I (-h -I I HAVE CAREFU,LLY EXAMINED THE COMf'L'ETEO "APPUCAilON AND PERM1T, AND DO •AN OSHA PERMIT rs REQUIREO FOR EXCAVATIONS OVER ¼/!(' ~- HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I Ll '", ,,.oco,m, os oo"s.aomo" °' FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TD COMPLY WITH ALL CITY, ESOVER3~~ COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ~// rl~ -~,r-/41 SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM 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. ~CANT'S SIGNATURE" ' -· -OWNERQ CONTAAC~APPROVED BY f lti iATy/ AGENT 0 BY PHONE O ~ , ~ ?:, '5/C I"' 14 7' I;,_ I S!TE 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 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 Tl Es/HEIGHT OF CHIMNEY 10THER ~ TEMP POWER (POLE] SEWER I GAS TEST SWIM POOL • STEEL BONDING I • PRE DECK I •. • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHt:R DEPT'S REQ COMPLETED i ELEC METER-PERM-TEMP ~ETER-PERM-TEMP I i I t ~?_ERT OF OCCUPANCY ISSUED LICENSED 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 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). 0 1, 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 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 and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ,•ho builds or Im- prove~ 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 reaso,~-----------1--- Date Owner \\ 11"-Y \\.I □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- mil is for one hundred dollars ($1C)0) or less). I certify that in the performance of the work for which this permit is issued, I shall not employ any per1on 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 to the Workers' Compensation provisions of the Labo~.Gode, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I h,u,:ahv affirm th,d thArA l!!t ~ r.nndr11t"tlnn l,:an. C IT Y OF CARLSBAD-BUILDING DEPARTM ENT APPLICATION & PERMI T USE BALL POINT PEN ONLY 1200 EL M AVENUE (714) 438-5525 %JOB ADDR~ .. ~-n _ APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERM IT NUMBER 1 ~L/ifil /i~l/1/3 tR~T. l2i~p;;ATION I I ;2..?2-~ , T • ,--,-'I I I I I I I I ~712ra;. OWN~ / OWNER'S PHONE PRIME CONTRACTOR t, ·< ca-,yf' STATE LICENSE )---< r--s I.< I I I {/cf" YI --:> r f(c' <:, ::.fl JI '7.Lj B 13,:;r:;11 CONTRACTOR'S '-- c::J ~p OWNER'S MAl~r.J ADDRESS CONTRACTOR'S ADDRESS .. - _:JLJ':2, .,.{..,,,/..,;,nj -cc:-1s Pl-A~ -::i., (I 7 !3r1ci1l PHONE ~; 'i I 1/, 2C LOT I BLOCK l SUBDIVISION -I ASSESSOR'S PARCEL NO. DESIGNER 'STATE LICENSE I I I I I I I I I I I DESCRIPTION OF WORK _.., . _, -A /?J A DESIGNER'S ADDRESS DESIGNER'S PHONE ~~,/;.-' .I ~_,~ _y ,-r~ "C,J --, ~ CENSUS TRACT GP LAND USE ZONING ..., I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not Valid Unltm Machin• c.rtifi«I BLDG SQ. FT. BLDG USE 0CC. GP I STANDARD PLAN# I PLAN ID # I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. --· .A EACH FIXTURE TRAP --::!.] INSTALL FURN. DUCTS UP TO 100.000 BTU .,,,,,,,,~ EACH BUILDING SEWER -...., T OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 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 -,-,,ti - EACH INSTAL., ALTER, REPAIR WATER PIPE jJ, VENT FAN Sl~!GLE DUCT /) ~ ;Qu,T~: -.. EACH LAWN SPRINKLER SYSTEM 7 MECH EXHAUST HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I (L. ,.J -<7;-<'__, ('L, AJjJ -7 ~ SIGN PERMIT I . I I I ~ TOTAL PLUMBING TOTAL MECHANICAL /9~ PLAN CHECK I . I I I CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I . I - NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I /1 '1'. "(;, 1 PH .25 3 PH PORCH MOBILE HOME I ( I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I I I 1 PH .25 3 PH RAMADA, CABANA ~/_ ~-~ I . I I I REMODEL/Al TEA PER CIRCUIT FENCE OVER 6' IUI'_// '",_ • .: ~~ ~.#7-n,J ., I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME ,tf/ MIC~O-Fl LM ! I I I OVER 200 AMPS I . I I : I TEMP OCCUPANCY (30 DAYS} I . I I I { ./--, A -_,;,fT"" -~ I I ' I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1/1q~ CONTRACTOR I I ' ' •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OV~_;;z:~. 1 -, I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. AND 00 M'f/1 /. HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. STRUCTURES OVER J STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER /4 ):_✓.--v-:/c_ ,,,~ SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- 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. APPLICANJ/5 SIGNATURE. OWNERQ co~~R~~:~~~ !APPROVED BY J Wl _Y[;~, Ar-1': .. IT r, L-- ... • w < 0 ~ > 5 j::: ~ Q.. V) ~ SITE ADDRESS: OWNER: PERMIT NO: FJELD 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 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 Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER.IPOLE) SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP ; GAS METER-PERM-TEMP L __ .. ! i ! CERT OF OCCUPANCY ISSUED I l j -~ t 1 l l ' j J :.l ,;•c• ; .~ ·! 1 I I l j I \ \ \ > -I / j, . (· ; : i .· ; -·~ \' i l ' t DEVELOPMENTAL SERVICES □ Assistant City Manager f714} 438•5596 Q( Bulldlng Oepartmenl (714) 438-5525 D Engineering Department (714) 438-5541 D Housing & Aade'l$0prY19111 Department (714) 43a.5611 D Planning Department (714) 438-5591 December 12, 1980 Mr. Jerry Sprint- ([itp of <ltarlshab San Diego Gas & Electric Co. 4940 Carlsbad Blvd. Carlsbad California (92008) SUBJECT: Duplex 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 :;_ 2441-2443 Levante (Address) ~ ---------------------Lot #115, La Costa South #l Carlsbad, California (92008) __ J_e_r_r~y~S_u_l_l_1_·v_a_n _____________ {Owner) In accordance with Sections 3017 505 and (1301 or 1401} of the Uniform Building Code, this agency has determined that there are Two ( 2) buildings in subject project and will issue separate building permits to cover these group occupancies. R3 (Rl or R3 EDWIN QUEBADA7 BUILDING INSPECTOR 9/28/Sfl LEUCADIA COUNTY WATER DISTRICT APPL I CATION FOR SEWER SERVICE Owner 1 s Name Double Vee Investments ---=-~-------------Mailing Address --'P'--' ........... O ...... __,B~o_x:-1 ..... 3~4=3 ________ _ Rancho Santa Fe. CA 92067 Service Address: ------=Le-~ . .tLStreet . .;...-___ _ 481+:0978 Phone No. jfSR~X Tract Description: ]ot ]]5, South #] NOTE: One pennit for this Assessor's Parcel No. 216-190 ... 09 lot has already b~en paid for. Type of Building Duplex No. Units J Connect10n Fee $ J ,500,00 Lateral Si.ze: 411 _ 611 _ 811 _ Saddle _ Easement Connection _(pre-pd 200.00) Extra Footage:_@$ ___ Extra Depth: ___ @$___ J ,300,00 Amount Rec'd $\ ;?)OO CO Ck. No/Cash~ J.J,y.!o Date ~~-~ Rec'd Byu Lateral Fee Prorated Sewer Service Fee Total $1,500.00 The application must be signed by the owner (or his authorized representative) of the property to be served. The total charges must be paid to the District at the time the application is submitted. If a service lateral is required, it will be installed by the Leucadia County Water District. 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 I s property line) where the service l atera 1 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 street (or easement) where a connection is made to the service lateral. The connection of the applicant's building sewer to the service lateral shall be made by the applicant at his expense. The connection must be made in conformity with the Oistrict 1s 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 APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE TIME INSPECTION IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC- TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE 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 additional fee or refund if service actually conmences on a different date. For succeeding fiscal years, the sewer service fee will be collected on the tax roll in the same manner as property taxes. The undersigned hereby agreesthatthe above information given is correct and agrees to the conditions as stated. ~v~~~~ ¼v~~~.,~ Owner's S1gnature Date Supplement 9981 Account No. t I ~ .I I f f -··· .... --· ...... ··•-·-•--~ ...... ·•· -~ -.;.~-,-.. ~ .··-::.: ~ ·····-·· •·· ...... ~,.. .......... _ ... _.- . Attention Property owner: 'lo. An "owner-builder" building permit•bas beea~applied.Jor J.:n your_llaffle and bea:r1n9 your signature. .. · Please complete and return this information in.1:he envelope provided at·your earliest opportunity to avaid ~nnecessary delay in processing and issuing your building perm1 t.. · · · No building peanit. will be issued until this ve:rificat.ion is received. . · . · . ·. _ . . 1. 2. 3. 4. .. ~ . ·• . I personally plan to provide the ~jo~ labo:t.·ancl mat~:dals for cons~cl:lon ~t .... ·· ... th~ pro~sed_i!ro.perty _imp~-v~t--~~-s.:or n~>_. __ -.. Y~.-~ .. _• _ .'..,·.::·--.··.:.::· .:,<·=·:· _ •.•• J: (have/have ~t) · J',1i,.e,, ·:. --~signed an a~~~i~~n fen:·-~ .-~~lic1~ pe~t .· for the proposed work~. . . _ : ;:-. ;' . _ . · '. · · · . _ __: _-.. ·> .. --. : ., ·---· '" • ~~-l•••, •• •.· -.• .:· ~ '. •. •·_ ~ .. ._ . -·• -~ .·. _. i. have· contracted with the ~ollow~ pe1=~_ Ct:irm) to pro~id• .~• propqsed con·-. stru~tion: · : •:-.-. -···: -..... _-·,. __ . · .. ' . -· .. ·~ : ~ ·-~ . Name_._· ___________ ....., _______ _ -":. City __________ ..,~_,_-+..,_ ____ _ Phone· _______ ._·_,_; ___________ -_, Contractors License No. -. --~ ' • ,· • i. .•· ._;...·· ··"'. : .... ·' ... : ... > .•_··-~·--:_•·_ .... ~.: .-. -~--... : :,_ ·._.·· .. . -·~ ; -·-.. •. . •' ·-. ... • .. -~. . . ... _: ... ·. •; '·: • .. . ··· .. -·· .. ; : .•.• ,r · •. \ .. •. -·: .. . ~ ..... · . ~ ··: -· ·: ':.·.· . ' ... ·· .• ... . .' _.. -~ . . . .. : .... _ .· .. ·.:...,.---·.-·. ·:. ;-:·=--'• ... ; . _.. . ." ·~. ·. '' '. . . . ~-: : -·. -~ .. : -· ·. -~ . ~ ._ -.- i. plan "to provide portions of ~~~:-~rk, 'i,ut -~ :~~v~ ~j-th~-:~ol~~b~-:~so:·t~ coordinate, supervise and provide the majox: work: . : _ ·_ · · ·_. . · ... ::.:.; .. ·. _ ::·.: .· . . - •• ; .. .!' •• Name·_· _________ _,11,-j~--------•-. . ·• :--;•. _< :.. •' .. City ., "l, : • -------'--------,..,i..+------.. .·•"'.·'" .:·-:· .. ·-. · ... --~; , .. · ....... . ·-. . Phone ·· •··· • ·~ ~ · •' -, .. · •;.-,., ~--,': .. , .. -·-~ ," :=<--~\.i.·{~ · ._:·<::_-,_-.:-;.·. - -------------------,--•• ·_. s" • •• ' Contra~~ori -Licens~ No;. '-'·· · --• • · ~-:: / · . ·• ::·• . .::~ · .. <>:/ . .-_\(:_)\~:·.-_. ~ .. ~ .· . : -. . . ·-.. .··•.·, .. ~~·:-·:-. . , .. -... ;.. . . •-·.' . ·._,.-... . .-. _. ··:-::;.·. s. l: will. provide· ~.·of ~b·woik'~t~·:,: ~ ~ntrac.ted. thi:r:~l -~---t~{~1.ng· -~~ · _. =:;;;-;:mJie --~ . <-!~-~~ , •·-.:_--. Signed: Prope~ty owner -,p::,j~~~r..c.J.--t...-:-;.:::::..... _ _;::::::1.o::~~ Social Security , Building Department 1200 ELM AVENUE CARLSBAD. CALtFORNIA 92008 Dear Property Owner: ttitp of <tarlsbab TELEPitONE: (714)438-~525 ... •:-..... . An application for a building permit. has ·beer:i submitted in your name 1isting your- self as the builder of the property improvements specified. For.your protection you 5hould be.aware that as ~own~bullde~~ you are the respon-· sible party of record on such a permit. Building permits are not required to be signed by property owners unle_ss they are personally perfonoing their own work. J:f your "10.rk is being performed by someone other than yourself, you may protect your- self from possible liability if that person applies for t_he proper permit S.n his or her name. Contractor5 are required by law to b~ licensed and bonded by the State of Californi~ ·_and to have a bu.s_iness license from the cit.y or county. They arc also rcguired by law to put their license nwaber on all permits for which they apply. · _ · . If you plan to do. your own work, with the exception of various -trades that ·:you plan to subcontract, you should be aware of the following information for your benefit · and protection.. · · If you employ or otherwise engage any persons othex than ;your ir.unedia\:e· :family, and. the 'WOrk (including·ntaterials and other costs) is $200 or more for the entire pro- -ject.,. and _such persons are not licensed as C(?ntractors or subcontractors1 _ then you · rnay be an: employer. · ~-· -:-...... -. . . If you are an employer, you inust register vlth the state ana federal goveni.~2nt as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security ~axes, workers' compensation insur- ance, disability insurance costs, ,nd unemployment compensation contributions. ,,) There may be financial. risks for you if you do not carry out these c,hlig.ations6 .ancl these risks are especiall.y se:t:'ious with respect to work-ers' compensation insui:ance. .. . . . -.. For snore specific information about. your obligations under federa1 law, contact the Internal Revenue Service (and, if you wish, the·u.s. Smali Business Administration). For more specific information about you~ obligations unde~ state law, cont~c~ the Departm~!:. of Benefit Payments and. tht!! Division of Industrial. Accid~n~s. __ ~- J:f the !lt"ruct.ure is. intended for s~le, property ·owners·• ~h~ are n~I: licensed con- tractors are allowed to perform theil:' work personally or through their own er.ip1oyees, · without a licensed contractor or subcontractor. only under 1imltcd conditions-· A frequent practice of unlicensed per-:;ons professing to be contractors is to secure· an "owner-builder" building _permit. erroneously implying ·thnt the property owr.er is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they arc performing their own work per:;onally. · ln(orm::i.tion about liccn:.ccl contr,ictors may be obt~ined by contacting the Contr~ctors State License Board· in your community or at 1020 tl Street. Sacnir,1ento, California 95814. Please c:omt'lcte anc1 return the enclosed owner-builder verification forin so t.hi:1t. \.J£- can confirm thut you urc aware of these w.~tte~s. The buildinJ parmit will not llc issuco until the vcrific«tion is returned. Very truly your~~ CIT'l or:· Car 1 shad CUII.DitlG DF:PJ\RTt·lEtlT