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Home My WebLink About256 JUNIPER AVE; B5; 80-53; PermitL1v,:;1~~,:;1,.1 vv,~, n.-.v,vn ~ vc:vL...,n,., ,v,,. 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• feet. OWNER·BUILDER DECLARATION Cl 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 stale· 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 tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LI, 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 himsell 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) := I, 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 conttaets for such pro· Iects with a contractoi) I~·ce u uant to the contractor's License L w). I am exempt under c , B. & P.C. for this reason · Date wner 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• mil is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit is issued, l 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 Ger· tificale 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- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code). USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 MA I IUN WI I HIN Kt:LJ LINt:~. "· JOB ADDRESS AV.ST. [DATE OF APPLICATION BUS. LICENSE PERMIT NUMBER ' I ,J,S-:-fd1 I '1,J/,AJ,, 'Ci C. 0. ' ,,fi<, I I I I ' I I I I I ',' OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE SrJ-S3 7 /rn~~,c. /, j.1/~. -T .&:, /;~ /%.·-.,.,,., /, ,,. /)-~¼J-7c' 7 OWNER'S MAILING A[)DRESS / CONTRACTOR'S ADDRESS ,/ CONTRACTOR'S 'J"C-/ ,J: ".,,fJ ,/ _., ~ -"-,B.:,-d-2--Sc. :• / $ J"-,,_ -/-,t,_ PHONE .S/-Lo, BLOCK l SUBDIVISION l ) A:ijSSOR'S PARCEL NO, . ----DESIGNER STATE LICENSE o ,.1,1.f ,...,, €5', n:-. OESCR1PTION OF WORK.I., L4/ •. re':' r tf~ c·t ~<!':r-,--,,.-J/_,,...! Ct::· /;J.> --__, DESIGNER'S ADDRESS DESIGNER'S PHONE , CENSUS TRACT GP LAND USE ZONING I RES. UNITS I P:RKING SPACE sf I NUMBER OF STORIES Not Va#d Unless Machim, c.rtifild BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II IPLANID# I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU / EACH WATER HEATER AND/OR VENT J!Jl.-c 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 EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT VALUATION: EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I ' 1~rHl Issue 3.00 SIGN PERMIT I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I coNTRAcroiv8c h :;,,. ./7/. -. '4 . ;., ~-~<'<' CONTRACTOR ALL INCLUSIVE PERMIT I I ;/ TOTAL PLUMBING I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I 1 PH .25 3 PH PORCH MOBILE HOME I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I 1 PH .25 3 PH RAMADA, CABANA I I I REMODEL/Al TER PER CIRCUIT FENCE OVER 6' I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I OVER 200 AMPS I I I TEMP OCCUPANCY (30 DAYS) -~~ I I I Issue 2.00 {., ..,. ~ I I I TOTAL ELECTRICAL . ' . --..\fft.TAL FEES PAYABLE I CONTRACTOR I \ I I I I . ; I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-Q"" DEEP AND 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 AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER -----, .,;"'~. >' , , SPECIF!EO 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. APPLICANT"S SIGNATURE' / OWNER□ CONTRACTORJ<I !APPROVED BY AGENT 0 BY PHONE 0 I I I I I I I I I I . I I I I I ~,-,"" DATE ,. Ii/)-. ' i ~ 6 i= u ~ "-"' ~ SITE iV)~ ADDRESS: OWNER: PERMIT HO: _____ , 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 T!ES/HE!GHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER ' SHOWN • FRAME i • PAN • FINAL INSP BY BLDG DEPT .. ,,,,,._ i OTHER DEPT'S REQ COMPLETED .. r -p::LEC METER-PERM-TEMP I i GAS METE!~-PERM-TEMP - i I ~. ' ! CEFIT OF OCCUPANCY ISSUED -