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HomeMy WebLinkAbout2608 La Costa Ave; ; 80-755; Permit[U., --w:..\.,.f Ct-c "1.( v~ ,t,~~ t .. -c ~'-CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. --.:ic:ENsEDCONTAACTOR'S DECLARATION I hereby affirm that I am licensed under prov!• slons of Chapter 9 (commencing with Section 7000) of Division 3 of !he Business and Profes- sions Code, and my license Is In full force and ef- fect. / OWNER-BUILDER DECLARATION lo1 hereby atrirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5,Business and Professions Code), A~y c;. city or county which requires a permit to con• struct, alter, improve, demolish, or repair a ~ structure, prior to Its Issuance also requires t 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 ol 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 live hundred dollars ($500). 'iz(. 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 ~f-s fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law do - not apply to an owner ol property who builds r 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 complellon, the owner-builder will have the burden of proving that he did not build or Improve for !he purpose of sale). ,Jfi, as owner ol !he property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business 2nd 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 ____________ _ Dale Owner WORKERS' COMPENSATION DECLARATION I hereby affirm Iha! I have a cerlllicale ol 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 flied with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE [This section need not be completed II the per- inlt is for one hundred dollars (S100) or less). I Lertlfy that in the performance of the work for which !his permit Is issued, I shall not employ any person in any manner so as to become subject to !he Workers' compensation Laws of California. NOTICE TO APPLICANT: II, after making this Cer• tlflcala of Exemption, you should become subject to the Workers' Compensation provisions of the Lab~r Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 1'1.1,6, ;· ~ I l1J + I L(.?'5t 1f\1 JOB ADDRESS tRr 40~; ;:~N BUS, LICENSE PERM IT NUMBER 1A1\Jt8 I I I I • I I I I I I I I I 'bWNER OWNER'S PHONE PRIME CONTRACTOR ST ATE LICENSE ~-1.s-s-)ch0 ~-) \ i JV)>..N ~61 -Ci()/l{? (') \\.-1t-....Jf __ f2_ OWNER'S MAILING A~S \A\1--.10.-~lr,r\ (A, CONTRACTOR 'S ADDRESS CONTRACTOR'S ~ ~ ,-iq \ . FL~ . \Jtc PHONE J {7" _. _,,. I )~.\ LOT BLOCK I SUB.Jl.l""ISION h ~SESSOR'S PARCEL NO,, DESIGNER sTATE LICENSE ~l'.'. ( j N I i' c; , ✓-~ 1 ), B1 ac. 1 1 I I c-\ ~e..:- oi:t roN OF wo~ f"' ~ ,./ '\J -'IC~ DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING I RES. UNIT( I P#KING 7/14 51: I NUMB~F STORIES \;:' I Not V•lid Unless Machint Ctrtified ,,,. -·-I BLOG SO, FT, BLOG USE f:)/, I STANDARD PLAN# I PL(/~o.:_1sS' I TYPEJ°.:,J I occ. LOAD I "3~48 ~~'1d.e~ I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMJ J ... - J,4,, EACH FIXTURE TRAP 7,Q/1 I INSTALL FURN. DUCTS UP TO 100,000 BTU ~.VI , // EACH BUILDING SEWER • ,,,.._ d7J OVER 100,000.J!TU I l:!i;r1- '1 EACH WATER HEATER AND/OR VENT \,-~ .wll@tl.:Elt~eBMf'IIES9611 UP TB 3 11r ,U., n I I ~ -·1 EACH GAS SYSTEM 1 TO 4 OUTLETS .,_. AD BOILER/COMPRESSOR 3-15 HP I EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE .,~ VENT FAN SINGLE DUCT ~-1/'J EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HOOD/DUCTS " .n; VALAUTION: , :::i/ ¥fJ a WATER SOFTNER RELOCATION OF EA FURNACE/HEATER -BUILDING PERMIT I ~2tAI . .J 7) T CC:Tm 3.00 l~Sll.c .i.UU SIGN PERMIT ,I q_;::,~r,."' I , -1' I I• TOTAL PLUMBING d/J.!Jl) TOTAL MECHANICAL /7A PLAN CHECK r Ei/7~ .oo ~ /¥?;! I I I ·"' CONTRACTOR CONTRACTOR 7 .• ·-ALL INCLUSIVE PERMIT I I I AMT. TOTAL PLUMBING 1.c: tu. D. r;,~ QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOM E PERMIT ELECTRICAL 1) A....Jr7; NEW CONST EA AMP/SWT/BKR ·-AWNING MECHANICAL I /1,I_"~ /Qi 1 PH .25 3 PH ~,,JV POACH MOBILE HOME , .. 1/. I EXIST BLOG EA AMP/SWT/BKR -SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I I I I REMODEL/ALTER PEA CIRCUIT FENCE OVER 6' I I I I TEMP POLE 200 AMPS ✓r-tn TOTAL MOBILE HOME MICO-FILM ! I I I OVER 200 AMPS I , I ·I : I TEMP OCCUPANCY (30 DAYS) I , I I I TCCTTP 7. ()(; STRONG tvDTION: I ' I Fl ..4. r, TOTAL ELECTRICAL 14.J1> TOTAL FEES PAYABLE I . -.&ria.A ~2,. CONTRACTOR ' I I I I . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER $Pt,:) Dt6(;;()1 re:; -/S1~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT ~~, rl'\s --Ji.~ 1-uro ~Ii~ COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER / ,,./~ /4 ,/_,~. SQ-IOOL FEE: ~~ SPEC,IFIEO HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ./ ,-...._ ~77f• I ! EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIC CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. / APPLICANT'S SIGNATURE• OWNERl1!"' CONTRACTOR□ r PPR09 w . I) DATl AGENT D IJ /'} (';,~ r\U BY PHONED ~ -- (ft SITE ADDRESS: WOOD FLOOR INSPECTION FOUNDATION• FORMS• SET BACK• TOILET UNDER F LOOR PLUMBING UNDER FLOOR H EATING OK TO INST ALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME::J:>K _1 PLACE INSl:JLATION INSULATIOrsl OK• PL:ACE(~ALLBOARD WALLE!PARD . .0.K • PLACEa .. TAPE EXTERIOf LATH OK • PLACE STUCCO \ FIREP,Lf-CE ,DAMPBR 8: STEEL PLATE T l Es/HEIGHT OF CHIMNEY OTHER ,,< .·:· TEMP"Po\vER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL JNSP l;lY BLDG DEPT OTH6R DEPT-'S ~.EO COMPLETED ELEC M£TER-P~RM-TEMP GAS METER-.PERM-TEMP --, . ' •. \ DATE INSPECTOR ,,. .-'i1. .=" .-.. _~-.. ~ERT,OF OCCUPANCY t'SSUED I I 1 OWNER: PERMIT NO.: -00 ., I.=?~ ·. FIELD INSPECTION RECORD ' , ··---------({itp of ({arlS'bab BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE 0 FLOOR AND CEILING SUB FRAME 0 SHEATHING □ ROOF O SHEAR 0 FRAME 0 EXTERIOR LATH 0 INSULATION C, 0 INTERIOR LATH OR DRYWALL AL PLUMBING 0 UNDERGROUND PLUMBING lJ SEWER AND PL/CO 0 TOP OUT PLUMBING 0 TUB OR SHOWER PAN 0 GAS TEST SPECIAL INSTRUCTIONS ·on: D Monday ELECTRICAL 0 TEMPORARY SERVICE 0 UFFER GROUND □ ELECTRIC UNDERGROUND □ ROUGH ELECTRIC 0 POOL BONDING -~ERVICE ✓ MISCELLANEOUS D CONDITIONED AIR SYSTEMS n SOLAR HEAT D PATIO D POOL O SPA lJ SIGN D GRADING D DRIVEWAY ~ D Wednesday □ Thursday D Friday ~ ~~ ~~\A~lo,.A..&JAAA ~ ~ Qlrrtifiratr nf ®rruµauqJ ~~ f ~ CITY OF CARLSBAD ft.,:-ri_ ,f, ~ A ---_ : \' ,o,-.,, ,fl>· » ~ • , " \Ir~--V 3 This Certificate issued pursuant to the requirements of Section 306 ~,:: :~· -E j of the Uniform Building Code certifies that at the time of issuance : ~ this structure complies with applicable ordinances of the City ~ j regulating building construction use. t ~ u Cl .,. . . Single Family Dwelling Id . 80-755 t 3 se ass1 ,cation B g. Permit No. r Group _____ Type Construc;tion _____ fire Zone ______ Use Zone______ ~ Occupant Load -~ ~ 0 1B ·id· John .Sullivan -A~d 2608 La Costa Ave. ~ wnero u1 in~ •· a, ress_~~~~-~---~-----,,._ B ·id· Add ,,i&o8"La .. Costa Ave. L 1. Carlsbad, cA. 92008 t ~ u, ing ress ·-t · ,.-: ; } -~-_J ., ¾-.! oca •ty--~...---,-----~-,--~---_-_---;i., ~ . -.. ,--~ -·•".· , .. ·-.. -it ~ ---------~-------B-~L-::.f-.:~~:'.J---.'.:::::::'.'.~J.q.~~L-->. <ti; _________________ Date•>.c--__;:__=-~-----1-------~ ~ NOTE: AftMations, changes, odditions or chon·;•• of occupancy n1i1lli 1e1 this certific •· ~ <ti; (IWJ"I.Yr<"""rwl'M (Post in conspicuous plac•l ~ )<_ffff M M M M M 'ffff'l!/W V(/~~~ff)( / 6:\111...-8 JE,,I I J ~(2. o_,::::,-;:; , : /) .--, J --::::: ,-,-c:::. ~/t:= _J,_ C.'/2A (Gi t:,f.JV,:,1Z;0;..o, _) 8, ,0, E ~ ;,;,./ 4/,;2... ,:2 o:::::, esrL-A, ).c.J/.7 £ 1'8Jti.lE: IQ:,. 1h14)C::>44-i::r-'3,,10 :t\__\\1,70( ~ 'r#t I\ \l Jc., R-a::>lz. f'f2t.! A i/J~ ~'12~6f -P~fl/1 )C, (.O.Jj rl) I) ;. feo1 I I IG,7 ~:j ffl,1~ si-:~ /-/4. 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A_.,_ &,,.~ "'-+ 'brJ I"=-4ox "'-'?-= 10b4-:-ll:. 1,-1-2 ' -SIZ..e ~€£-02 'o4/1 ooo) = \II')..(,:;, I I .0~ '2.1 ~Rr4:=--j PconNGi ,t..., 1-T~Z\-JM t?l'-1 n r::::--110~~ S 12-E: \2(;;6). = 6 / (:,?/i ~) \;,:2 ::- \use ~\ "25G-J~E..·-] _-'-tcorJ I IGi A--T &:,"2'Me. 1-A =-1,1' >< 1-t)<'V/ L = 616¢ ?'(2.=(~'2~4/)oec,')1f.z::: \ :o1 I \) SE. Q. I •S,s,. }L.~ __ , '2., 0~ ··-.--. . · ~I-ft', \4 j •' . (:c I"\ 1 ( 1¥ +-~ + ~-+ 4~') 1/-z ~ t:::al~/,i (W7//COJ:) l'-/'2= l011 u<;,E:: \ '?11 w \V,)c ~"161 ... ., .......... .-•--· ·-·········--------- t I i I f ·, • ;·ro.iec~ ,,..o. 1 u=,-.1u ____ _ Rancho La Costa, Inc. . . ··-+. Uc:fOBcr 19, 1910 , ~ .... • ·•single I 4 bars placed as directed (above) near tops and Lottoms of all Interior and exterior footings may be substituted for the /15 bars recom- mended for Type A lots • . Recommendations 3 to 6, inclusive, as listed for Type A lots, ore applicable to the Type B lots also. Respectfully submitted, BENTON ENGINEERING, INC. ·~-~~ Distr: (4) Addressee , (2) Rancho La Costa, Inc. Attention: Mr. Burton L. Kramer (1) Rick Engineering Compdny (2) San Diego County Building Inspection Vista Office ..... 8lNT0N £NGINEE.RING, INC, I I .. ----------------P.roJect. No. 70-'1-5D ROncho i.c Costa, ·1nc. ~ 331, ~ 352, 384, 408 -3-October 19, 1970 .. , Type B Lots: It is recommended that the following special design and precautions be token for the houses to be col'lstructed on the lots: · • Type A Lots Avoid the use of isolated interior piers. Use continuous footings throughout, and place these at a minimum depth of two feet below the lowest adjacent exterior final ground surface. 2, Reinforce and interconnect continuously with steel bars all interior and exterior footings with one U 5 bar at 3 inches above the bottom of the footings o:id one 115 bar placed 1 1/2 inches below the top of the stems of the footings. 3. Exercise every effort to assure that the soil under the foundotions and sl~bs hos ci uniform moisture content, 1 percent to 3 percent greater than optimum throughout the top 3 feet below finished grade at the time of placing founda- tions and slobs • 4. Use raised wooden floors that span between continuous footings, or use all concrete slobs with 6 x 6 -10/10 welclP.d wire fabric and provide,:, minimum of 4 inches of clean sand beneath oil concrete slobs. Provide a moisture barrier 2 lnches below slobs under living areas. Separate garage slobs from perimeter footings by a 1/2 inch thickness of con- struction felt or equivalent, to allow independent movement_ of garage slobs relative to perimeter footings. ,i . · , .. Provide positive drainage away from all perimeter footings to o horizontal distance of at least 6 feet outside the house wol ls. Type B Lots Those lots listed.above, as Type Blots should follow all the above-listed recommendations with the two following exceptions: 1. The continuous. footings may be placed at a minimum depth of 18 inches below the lowest adjacent exterior final ground surface rather than the two feet recommended for Type A lots. .&. .. BENTON ENGINEE.MING, INC, J I f r I I f . I ! I I llro!ect No. 7~1-5D Rt.:ncho i.a Cvlio, Inc • • • Test Number 1 to 72, Inclusive 73 to 106, Inclusive 107 to 151, Inclusive 152 to 221, inclusive 222 to 310, inclusive 310 to 321, Inclusive 322 to 350, Inclusive 351 to 385, Inclusive 386 to 427, Inclusive 428 to 471, Inclusive 472 to 503, inclusive 504 to 516,.inclusive 517 to 521, inclusive 522 to 542, inclusive 543 to 550, inclusive 551 to-579, inclusive . -2- ' . . • October 19, 1970 Week Ending January 10, 1970 .January 17, 1970 January 24, 1970 January 31, 1970 February 7, 1970 February 14, 1970 February 21 , 1970 February 28, 1970 March 14, 1970 March 21, 1970 March 28, 1970 April 4, 1970 April 11, 1970 April 18, 1970 April 25, 1970 May 2, 1970 The final results of tests and observations indicate that the compacted fillcid ground has been placed at 90 percent of the maxlmum dry density or greater. It has been determined that the fill materials, compacted to 90 percent of the maximum dry density, hove o safe bearing value of at least 2000 pounds per square foot for one foot wide continuous footings foun~ed at a mini- mum depth and placed five feet or more inside the top of compacted fi I led ground slopes. If footings ore placed closer to the exposed slopes than 5 feet inside the top of compacted filled ground slopes, these should be deepened one foot below a 1 1/2 horizontal to 1 vertical line projected outward and downward from a point 5 feet horizontally inside the top of compacted filled ground slopes with the two following exceptions. The exposed compacted filled ground slopes to the rear of Lots 368 to 370, inclusive and Lots 377 to 379, inclusive, which o,verloo~ the golf course, contain some large boulders partially covered and partially buried. It is recom- mendecb.that minimum depth footings in these areas be placed no closer than 10 feet inside the top of slope. If it is desired to support structures closer to the.top edge of these exposed slopes than 10 feet horizontally inside the top of slopes, then it is recommended that the footings be deep- ened one foot below minimum depth for each 1 .5 feet horizontal distance closer to the exposed slopes. Tests indicate that the compacted filled ground is adequate to satisfactorily support the proposed one or two story wood frame dwellings without detrimental settlements. In our repcirt of the original Investigation conducted ot this subdivision, (Project No. 69-9-8C dated November 7, 1969), we stated that some "expansive" soils existed on the site and if they .were allowed to remain in the upper 3 feet below finished grade some of the lots would require speclolly designed footings and slobs. We further stated that these lots would be listed upon the completion of grading. The lots where expansive soils were observed to remain within the upper 3 feet ore tobulote~.f~H2~~i..-· -------------. . ...._ _,,.,,,,.-· Type A Lots: 330f'332)o 33a,. lnc.lusive, 340 to 351, inclusive, 353 to 383, ' · lnci~fv:," 385 to 407, lnclu~, 409 and 41C .' . · ,, -, ~---.._ _____ ,... ___ __ -------·------·---~ BENTON ENGINEERING, INC. • ' LEUCADIA COUNTY WATER DISTRICT Ownl!r's Name Mail fog Addres: 1\1101 rrnTTn111 rnn <"r'."l.lcn ccnurrc Phone 661/9088 John Sullivan 3389i-B Elen Canto Dana Point, Ca. 93030 $ervice Address: olhO! La Cos~ta~A~ve~----- Tract Description: lot 330 La Costa South 5 f,s sessor' s Parcei No. 216-280-01 -------------- : Phone No. 756-3347 • SEWER PERMIT ISSUED UPON f.ECEIPT OF BUILDING PcRMll. BU!U)ING PERMIT MUST BE: APPLIED FOR syB-OO-EO- Type of Building _s_._f_. ______ No. Units 1 Connection Fee $ 600.00 · pre-pd ("200. 00) Lateral Size: 411 6" 8 II Extra Footage:-.-@$ __ _ Amount Rec 'd $--\OQ ,eo Ck. No/Cash ~7\lo Date C)-'.?,('J-9 Rec 'd By ~,u,) Saddle Easement Connection Extra Depth: ___ @ $ __ _ Lateral Fee Prorated Sewer Service Fee Total Th~ 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 tim,;: .the application is submitted. if,, service lateral is required, it will be insta111?d by the Leucadia County Water District. The service lateral is that part of the s,~wer system that extends from -~he :aain collection line ir. the street (or easement) to the prlint in the street {at .Jr' near the applicant's property 1 ine) where tha service 1 atera 1 is connected to tlii: appl ,cant's building sewer. The applicant is responsible for the construction, c>t. the applicant's expense, of the sewer pipeline {building sewer) from the appli• •:~:.t's p1umb.ing to the point in the street (or easement) whr,re a connectiv~ is ma•Je r,1 the s•>.r·vice lateral. i11 • connection of the applicant's building sewer to the service lateral sh;i11 br i,:t:ie t:y the applicant at his expense. Tt.e connectior. must be made in confor-mit.'.t ··i-:.h the District's specifications, rules and regulations; and IT MUST BE INSPFCTED fir.~· AP!>RGVED BY THE ntSTRICT BEFORE THE SEWER SYSTEM r'IAY BE USED BY THE APPl.ICi,t-ff. T:'E:. APP:.. !CANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT T:JE T~ME INSPECTH,N IS DESIRED. ANY CONNECTION MADE TO THE SERVICE LATERAL OR COi LEC- PON LINE WITHOUT PRIOR APPROVAL AND INSPECTION 13Y THE OL;TRICT WILL BE. CONS! .JERED PIVALID AND WILL NOT BE ACKNOWLEDGED. -:::e prorated sewer service fee is bas':!d upon th11 date th·~ District estimatei. that s,in•ke win begin and covers the balance of th':! fiscal year. There will b·~ no ? Jdii:iona1 fee or refund if service actually co,rmences on a different date. For ~i:cceeding fiscal years, the sewer service fee will be ·:ollected on the ta·, roll i:i t.he Silme' manner as property taxes • ''he undersigned hereby agrees that tht above inforrnatio·i given is correct and agrees ~~ the conditions as stated. fgO.O!'\ ccount No. Building Department 1200 ELM AVENUE CAfFt?· eut'IVl! o ,. ' ~. 1920 C!n' OF CARLS8~J) ,·1111,{'t"!'J [)c')::rtr,~:nt . , QCitp of QCarl~&ab L., ... , .... 11-., • D::,ar Property Owner: f:...,: JC.of /...~{iv.., 'f.c# t/o-J,tl- TELEPHON{ 17141 438-5525 Jm t1.r,r,J icat.ion for a b•.tilJ:inq perr.1it has beE!n submitted in your name listing your- S":llf <1s the )n1ildcr of the proparty improvemer.ts specifi.e:J .. l:'cr your protection you should be aware that as •ownor-bu.ilder" you are the respcin- siblr. p.:.rt:y of record on st.~ch a permit. Building pe:rm!.ts arc not .required to be signed by pl~Opf:!r.ty owners unless they a:ce personally perfor:min9 th<.!ir own work. !f yo•.1:..: work l ri being performed by someone other than yourself, you may protect yo11r- aelf f.rom poHsiblc liability if that person applies for t.he pi::opf~r permit. in his or her nam"-1• Contractors arc required by law-to be licensed and bouded by the State of Cdlifr1J~nia and to have a business license from the city or county. They arc also requirt::'.l Ly J.aw to put their license number on all permits for which they apply. I( yc,u plan t:o do your own work, with the exception of various trcia~s tJ1at you plan to suhcontrc1ct, you should be aware of the following information for your benefit a.nd protect i-:.r,. If you e:nploy or otherwise engage any persons other than your im.1:iedia Le far.d.ly, and the work (including materials and other co:;ts) is $200 or mor.e for the entire pro- ject, and snch persons are not ·licensed as contractors or subcontracto.r~, th~n yuu m,?..:r J;;e a.u c,•1ployt!r. J.f ~-ou arc an employer, you must register w'ith the state and federal 9011-:-rum!:nt c.t.s an e~.ploye1: and ~·ou ax:-e subject to several obligations including sl~·.te nn1 fcde.r3.l int'om.:? tax withholding, federal social security taxes, workers' c,;.;mpensatioi, insur- anc~~, <lisability insurance costs, and unemployment compensation contrib·-.1tior..z. There may be financial risks for you if you do not carry out the~e ~bligations, and thi"?se r1sks era e;;pecially serious with respect to workers' compensation ir:.s1.,ronce. For niore 5!:J•~cific inform.:1.tion about your obligations under federal law, conta.ct the Internal Revenue Serv3.ce (and, if you wish, the u.s. Small Busines.s .A.dm.inistration). For more Jveci£ic information about your obligations urider ·state law, contact the Dr--pcrtm~~:: ~ of Benefit Payments and the Division of Industrial Accidents. If th.t~ -.-:t, u:··t.urc is intended for sale, pi;operty owners who are not licensed cnn- tr'",clv:.·:; <Ht' alJ.owed to perform their work personally or through. their own emp1<.•y,p;es, withc,u-a l 1censcd contractor or subcontractor, only uildcr limited conclitions. 1\ fr<·•~-,:,nt t•r.:,.ctice of unlicensed persons professing to be contractors is ':..0 sc::urt:~ an ''c--··' "--:--b, 1 ld~r" hui ldir,g permit. erroneously implying that t.he property owner is prov:\:: i.n9 hi~-; or he:r o\-m labor and :naterial personally. Building permi tG ~re r.ot rcqq j i:-~.-:1 to he sigrn:.:d by propert:y owners unless they are pc1.· forming their own worJ; per ::.:oivll ly. Infon~ation about licensed contract.ors may be obtained by contacting the Contractors StaU! .Licl'lU.W board in your community or at 1020 N Street, Sacramento, Califor.r1ia 9SOH, Plcan'°~ complete .:md return the enclot?cd owner-builder verification form RO t.hat we can co,,finn that you nra awn.re of these r.i,1tters. The buildinq [!e..pr1._! ... t will J1ot bf? ,. ~!,BU('~ u11l. i. t tp~~/,.f i(fc:,tj~e_i,!_J!.,J::llCQtu~~d. Very truly yo,trs, ('J"'Y or CARLSBAD BUIL,fJING DEPAP.TMEN'r • ./. ------__________ ,, __ ., ·----·------~ ... _ .. ______ _ Attention Property Owner: An 11 owner-builder11 building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and m~ls the propof:Sed property improvement (yes or no) ~ for construction of 2. I (have/have not) Jl:Mt/!, for the proposed wo • signed an application for a building permit 3. I have contracted with the following person (firm) to provide the proposed con- structio¥n: Name ____!:)' Address ___________________ _ 4. City Phone Contractors License No. I plan to provide portions of the coordinate, supervise and provide Name Address -City Phone IJ/Pc I Contr~ctors License No~ work, but I have hi.red the following person to the major work: s. I w:C::..: ?rovide some of ,c..'le work but I have contracted (hired) the following per- so~s ~o pcovide the-..«:~~ indicated: Phone Type of work Signed: ~ Property OwnerUe ~ s • • V Soci31 Sec:11rity Number ,-e., -t~ 0067 Date 'f-.2~ 9P