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Home My WebLink About2506 LUCIERNAGA ST; ; 80-454; 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 lull force and ef- fect. OWNER-BUILDER DECLARATION C'I hereby affirm that I am exempt from the Con- tractor's Ucense 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 tor such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter g 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). L_'I, 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). ::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 sell-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 permit is issued,! 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 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 \ hereby affirm that there is a construction len- ~!~.~ La~~-~c'! _!~,.th~, ?!_r_f:>~~':~c~,.e_f_, I~~--~~~ !~,r CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ~s:-e1'1'/i0i Go 1~'1 ~ 'i'~-~Af+'ik I I I I I I _J I I I I AV~DATE OF APPLICATION I; I~~~ OWNER OWNER'S PHONE PRIME CONTRACTOR f'. Boss (P IA/ ~~I?. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 1"'2. /'°"4. f?k,v~ II-V/,n,u T?'K., £"NC1Nll"IK '°' BLOC)t" SUBOlVISION I ASSESSOR'S PARCEL NO, I I I l I I I I I I I DESIGNER (~')''pZ'.,';;"J"ove-l's(i)q J( 1'1 (2)/0 X1t::" DESIGNER'S ADDRESS >a' V CENSUS TRACT GP LANO USE ZONING UN ITS # APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE STATE LICENSE CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE PERMIT NUMBER 8 0 :t~"f /~ ?'l-5'/') 1 "'· I PARKING SPACE c:.rr f' +- T'""'"" s;o,,,, Not Valid Unless Machine Cartifi,d # BL~F~? BLDG USE acc. GP I STANDARD PLAN" IPLANI0"/1 I TYPE CONST ClTY. PLUMBING PERMIT AMT. ClTY. MECHANICAL PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE :2. EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TOTAL PLUMBING CONTRACTOR ClTY. ELECTRICAL PERMIT 1 PH .25 EXIST BLOG EA AMP/§)1'1'/BKR lPH .25 / 3PH REMOO~L/~R PER CIRCUIT TEMP eg,(E 200 AMPS OVE1f'1110 AMPS TEMP OCCUPANCY (30 DAYS) ISSUE TOTAL ELECTRICAL CONTRACTOR ..t!C. -~ 'Lon 7. - AMT. 2 .. 00 INSTALL FURN. DUCTS UP TO 10QJIOO BTU ovElylti'o;ooo BTU BOILER/COMPRESSOR UP,,1!) 3 HP BOILER/COMPRESSOJ,1·15 HP BOILER/COMPREj,KOR 16-30 HP VENT FAN ~LE DUCT MECH Ejd!"AUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TS~pi:.i TOTAL MECHANICAL CONTRACTOR (!TY. MOBILE HOME PERMIT ,, AWNING / PORCH ./ SET-UP / RAMADA, C~ANA FENCE9'fR 6' Toi;,? MOBILE HOME / ,; ISSUE I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT. AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND ST A TE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER 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. A~ANT'SSIGNATURE• 1 OCC. COAO J AMT. 3,00 AMT. 5.00 VALUATION BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-Fl LM I ts, strong motion TOTAL FEES PAYABLE 1 SCHOOL FEES rJ OWNER AGENT D CONTRACTOR □ IAPPRO~ BY PHONE 0 '"3-Z. ..l. I I I I I I I I I I _,o __ ~ t-< 0 .o ;t > ~§ u = a_ V, ~ I 1z;~1c:> I I · I I I I I I I I I I I I I I I I I I I I I I -;?~f', ~ ! ! i SITE DDRESS ~ INSPECTION i 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 Fl REPLACE DAMPER,&STEEL PLATE TIES/HEIGHT OF CHIMNEY - OTHER TEMP POWER {POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN Fl~~AL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED I ELECC METER-PERM-TEMP f GAS MET~R-PERM-TEMP I--- I r--- : i CERT OF OCCUPANCY ISSUED - OWNER , PERMIT NO: 'efC-45' 1 FIELD INSPECTION RECORD DATE INSPECTOR INSPECTOR'S NOTES -,,,., <~h)i'. -, .~ - j ,,'V ~' J ✓1 '/ -;} '}J.. - ;