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Home My WebLink About2607 JACARANDA AVE; ; 80-882; PermitLICENSED CONTRACTOR'S DECLARATION I hllfeby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Codezand license is In full force and ef- fect. ~ ~ .... ~ 1NER-BUILDER DECLARATION reby affirm that I am exempt from the Con- tractor License Law for the following reason (Sec. 703 . .Business and Professions Code). Any city or cou which requires a permit to con- struct, alter, rove, demolish, or repair any structure, prior t ts Issuance also requires the applicant for such ermit to file a signed state- ment that he Is lice ed pursuant lo 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). D 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- ~ for sale (Sec. 7044, Business and Profes- s Code: The Contractor's License Law does ply to an owner of property who builds or lmprov thereon and who does such work himself o rough his own employees, provided that such i ovements are not intended or of~ fered for sale. I , wever, the building or improve- ment is sold withl ne year of completion, the owner-builder will hav he burden of proving that he did not build or imp ve for the purpose of sale). '.JI, as owne f the property, am exclusively con- tracting with I nsed contractors to construct the project (Sec. , Business and Professions Code: The Contracto License Law does not ap- ply to an owner of pr erty 1•ho builds or im- proves thereon, and who ntracts for such pro- jects with a contractor(s) lice e pursuant to the contractor's License Law). I am exempt under Sec ___ ...,__ for this reason ________ _,.~--- Date Owner WORKERS' COMPENSATION DE I hereby affirm that I have a cer1 sent •~self-Insure, or a certifica1 Compensation Insurance, or a c thereof (Sec. 3800, Labor Code). POLICY NO. -f ~ w COMP~'< 7'.. □Cop)"'ls 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 ($10!)) or less). I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. \ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). USE BALL POINT "P EN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (71 4) 438-5525 APPLICANT TO F ILL IN INFOR - MATION WITHIN RED LINES. NO. J08 ADDRESS :2 fo 10 i7 1 j:J 1lt--1C..1A1l2iA-1N1D1A1 1A1V1 I I I I I I I I I I I I tR~T. IDio~,~p~aa l:fid'.92E PERMIT NUMBER ~-f!V OWNER OWNER'S PHONE PRIME CONTRACTOR :SIM M ;\.Sl'J A CK S-,JAt-J (-)()C'...S' OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS -&4-/\'\S-3,59:l~_, OeL '1210 LOT BLOCK ~CRIPTION OF WORK i't-~ ,tV'/,. I€:,~ (-i_A/J (TE;: DESIGNER'S ADDRESS CENSUS TRACT I GP LAND USE I ZONING RES. UNITS N , STATE LICENSE t-S<-f~4C. CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE NUMBER OF STORIES Not Valid Unlll$s Machin, c.rtifild 8LDG SQ. FT. I BLDG USE QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER / I EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS / EACH GAS SYSTEM 5 0 R MO RE / EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER /.AA~~_.~ TOTAL PLUMBING CONTRACTOR QTY.I ELECTRICAL PERMIT /] NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUP~NCY (30 DAYS) I occ. GP ST AND ARD PLAN II ?al:llf't~ AMT. ~ 'J>...m""'O :A4? r ~ 6--d ~ AMT. ,<".PV QTY. ., --- MECHANICAL PERMIT INSTALL FURN. DUCTS UP TD 100,000 BTU OVER 100,000 BTU ___..-t-'° BOILER/COMPRESSOR UPTO 3 HP ,_,,/ BOILER/COMPRESSOR 3-151:iJV' BO I LER/COMPRESSgJl-11(30 HP VENT FAN Sws(E DUCT MECH Ef<'liAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/t:EATER ~ .,,,_.,,.Jj ~ TOTAL MECHANICAL CONTRACTOR QTY. MOBILE HOME PERMIT AWNING AMT. r 7~ AMT. PORCH I__....,. SET-UP _,,,.,,,-- RAMADA, CABANA ,_,,/ FENCE OVER 6' _/ tTAL~E~ OCC. L OAD 7/~T~ f V3.S-;- -.,,.C.-----6-"'"1-:...L...;==-----+--,s---------+:.,_I I i:LL INCLUSIVE PERM)T ..... ..,.,r TO'¼!, PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR I I ..<Z:TA.:::;_,--J;,✓z-.:~J I MICO -FIL~ ! V I j _JOI . :t::: ~q- , I, I I I I I I · I I 14'-l'(V I {7.dt"f} I 1 -I I I -I I I · I I I -I _._J_ I _$t<2_ , I I . I , I I , I _.____l L_._J ! ~ ~ > 0 j:=: ~ Q. V') ~ f~_1j•~ 'J H l___, LI J TOTAL ELECTRICAL CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, ANO 00 HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TD COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF T HIS PERMIT. ~ I •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIO~~ 5'-Q"" DEEP AND DEMOLITION OR CONSTRUCTION OF l7" - I TOTAL FEES PAYABLE ' ~ STRUCTURES OVER 3 STORIES IN HEIGHT ~~~ OWNER□ AG~ CONTRACTOR□ BY PHONE D .... ~...,====::;ii l l .a.~ ~~p,)r I~ SITE 8n ... 8'9'~ 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 Br: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST I SWIM POOL• STEEL BONDING • PRE DECK /!;it • 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 CERT OF OCCUPANCY ISSUED t ----- 1200 ELM AVENUE CARLSBAD, CALIFORNl-6 92008 TELEPHONE: (714) 729-1181 This document will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section T20-1406(c}, "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swimming pool building permit using a fossil-fueled heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at--2(.c7..:r-AC-Afl.AI\/' O& &/. (site address) I certify that all of the following requirements for fossil-fueled (or electric) swimming pool heaters will be met: 1. Outdoor pools shall be equipped with a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown without adjusting thermostat and start-up without relighting pilot light. 3. 3611 minimum length of plumbing provided between filter and heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75% thermal eff i.ciency. 5. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6. Directional water inlets in pool for good mi:dng. Print Owners Name: Owners Signature: ~tit> ~~ Print Contractors Name: Xe ~~~ Contractors Signature: ~~" Address: 3sSC> . /1\/'a ~ ,:2.t,,o- ---· ·'"•····•• ...... . D~te:£/rY/4 ~-I/ £1.D.