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Home My WebLink About2575 HIGHLAND DR; ; 80-16; 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 full force and el· 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 state• men! 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) l-_· 1, as owner of !he 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 end 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 self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof {Sec. 3800, Labor Code). POLICY NO. __ _ COMPANY __ _ ~opy is filed with the city. ~-Certified copy 1s 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 to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: ff, 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 • .___ •• ._ ___ ,_ ~ _,,,,.ot,,.,-1;,-n 1 .. n. CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS AV. ST. IDATE/, A~CAT!ON .:_, 6~ 7, ~ ,fl,l/41.;,(.,/J,11n ,'"'f-..,n., ' ' ' ' ' ' ' ' ' ' ' ' ' ' I R~ 'is'" ~-'C--t; OWNER OWNER'S PHONE PRIME CONTRACTOR , R. / r9 # R. LJ /J l~c,,._,,,/ /1",:,r C. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ;!57:.' /-//6,1/(',:,,,,uLJ {)12 "\/9"/ f-;,-g,~ ,f;- COT BLOCK I SUBDII/ISION l ASSESSOR'S PARCEL NO. DESIGNER ' ' ' ' ' ' ' ' ' ' ' DESCRIPTION O~~ /'/?/,€ /2.,., , /, ,u,F DESIGNER'S ADDRESS CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER lk72. I 'PJ~ STATE LICENSE ·-vt?2..'J o CONTRACTOR'S PHONE /..2-7-·W/V STATE LICENSE OESIGNER'S PHONE I RES, UNITS I P~RKING SPACE sf I NUMBER OF STORIES Not Valid Unless Machill8 Ctmifi«J BLDG SQ. FT. BLDG USE DCC. G? l STANDARD ?LAN It l?LANID1t l TYPE CONST I DCC. LOAD l UTY. AMT. ' PLUMBING PERMIT AMT. UTY. MECHANICAL PERMIT ' u ,il EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU . t"" I _ EACH BUILDING SEWER OVER 100,000 BTU ~/ 5!"/tu EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP I EACH GAS SYSTEM 5 OR MORE fr ' ,...., ., 1.',, "') C, BOILER/COMPRESSOR 16-30 HP I EACH INSTAL., ALTER, REPAIR WATER P'IPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: WATER SDFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ' , I I ISSUE 3.0 ISSUE 3 .00 SIGN PERMIT I , ' I TOTAL PLUMBING .5: CJ. TOTAL MECHANICAL PLAN CHECK I , I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I TOTAL PLUMBING ' UTY. ELECTRICAL PERMIT AMT. UTY. MOBILE HOME PERMIT AMT. ELECTRICAL 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/ALTER PER CIRCUIT FENCE OVER 6' I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM I I I OVER 200 AMPS I O I TEMP OCCUPANCY (30 DAYS) I I I ISSUE 2.00 STRONG MOTION: I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I ~ CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DD "AN DSHA PERMIT IS REQUIRED FOR EXCAVATIONS OYER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OYER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SCHOOL FEE: SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAYE INDEMNIFY ANO KEEP HARM /7 LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OWNERQ CONTRACTOR□ lAPP~.t~r~ t OF THE GRANTING OF THIS PERMIT A~'SSIG~7P / ~..,..,.....,. --J ., .... or ~., ~-•~••r r-, / ,I I/ ..,/,:.,1'_ I I • I . ~· ..__, -,:::-.., - I I I I I I I I I I Y-ie --. • '-1 ~/4 ~ ~ 0 ~ 5 i= u w 0.. V, ;::; SITE 150-1~ ADDRESS: OWNER: PERMIT NO: FIELD INSPECTiON RECORD INSPECTION DATE INSPECTOR !NSPECTOR'S NOTES - WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOP 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 8: STEEL PLATE-TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME I • PAN ,j ' . ' ~~-;NAL INSP BY BLDG DEPT IJ I-, /i/J '7 ,r;~/ : OTHER DEPT'S REQ COMPLETED / I, I i ELEC METER-PERM-TEMP i VAS METER-PERM-TEMP :' i-: j CERT OF OCCUPANCY ISSUED