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Home My WebLink About2711 LLAMA CT; ; 80-463; 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 ef- fect. OWNER-BUILDER DECLARATION 01 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- 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 for a permit subjects the applicant to a civil penalty of not more than live 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. It, 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). \/, as owner of the property, am exclusively con- ~ting 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 - r/n-Jj'r· ~<.u---=- 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 ______ _ JCopy is filed with the city. lCertified 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, I shall not employ any pers~n in any manner so as to become subject to tha Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, alter making this Cer- tificate of Exemption. you should become subject to the Workers' Compensation provisions of the Labc.t Code, you must forthwith comply with such provisions or this permit shJII 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). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 ). I 7i // I LJ._, A ,n f-r' JOB ADDRESS A\tT. j°A?-/ 0 LTCATION r'.7:, I I I I ' I I I I I I I /t',,.. ',P1J OWNER ( OWNER'S PHONE ~E CONTRACTOR -JosE p/-1 -RRMcAi, 1:; ,./3,y-0?2..> j t:Ut,~ OWNER'S MAILING ADDRESS +-"CONTRACTOR'S ADDRESS 117 Ii ;;f _t:-h,,,..-ct CC C ;:./ f2 l s i"5 /J D c:,..., "' BLOCK j~ua0Pns10N _ .,,J,. J./ j .tssE:.,;oRq. ;;{:aL No. on DESIGNER i: 2. I '/f:'I:1t-.,c1,•c,, ' 1,5, l'J,7, o,1,{'{_/::c-12.._ DESCRIPTION OF W~ , . 7o 't r-;T,D -Ct ,· c-e tn DESIGNER'S ADORESS ' I -,<}<"'-,_-~'- CENSUS TRACT GP LAND USE ZONING sf APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS, LICENSE PERMIT NUMBER STATE LICENSE !o-1/-63 CONTRACTOR'S PHONE STATE LICENSE DESIGNER'S PHONE l RES. UNITS l PA;KIN.G SPACE I NUMBER OF STORIES Not Valid Unless M8chine Certifi«J BLDG SQ, FT. BLDG USE occ. GP l STANDARD PLAN# IPLANID# l TYPE CONST I acc. LOAD I OTY. PLUMBING PERMIT AMT, OTY. MECHANICAL PERMIT AMT_ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT 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 ~cf:!-EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/DUCTS VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I L~ . ....-1 -Issn"' ,,nn Tc ---., " SIGN PERMIT I I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I 12.sTD CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT, TOTAL PLUMBING I I I OTY. AMT_ OTY, MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH -25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR ! I I I ·-'"--!PH ,25 3 PH RAMADA, CABANA I I I I REM00EL/ALTER PER CIRCUIT FENCE OVER 6' I I I . I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I . I OVER 200 AMPS I I I . I TEMP OCCUPANCY (30 DAYS) " ·------,-,.,."T. I I I . I Issue 2,nn I I I , I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I I I I 7.Jil! , I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMIT. ANO 00 "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: 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 C1TY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BU!LOING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM t1/ LESS THE CITY OF CARL SBA□ 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~~•// OWN~23 CONTRACTOR□ rP.:zzu B; _,. --~'2..t'~(, F,lt ,<___~--.. AGENT D BY PHONED '-# -.. ---,, . • ~ ~ b ;::: u w 0. V, ~ io-~ • SITE o< f) _,_u,,3 ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE !NSPECTOR INSPECTOR'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 Fl REPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER I SHOWN • FRAME ! • PAN / / , ~ , '. FINAL INSP BY BLOG DEPT ?, ,_ • 'l7'"/ i OTHER DEPT'S REQ COMPLETED ,/ E.LEC METER-PERM-TEMP l C:AS METER-PERM-TEMP f- i , I i CERl OF OCCUPANCY 1s:uE0 INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: )../ .5 -1/iO o 7 PLANNING DEPARTMENT DAB.ECEIVED "MY 12198() c,rv OF CARL Bt1lhllng De;,a~p • ZONE tf--1 LOT SIZE LOT WIDTH -~--. ----------------------- UNITS ALLOWED ______ _,_ ____ UNITS PROVIDED __ / _________ _ PARKING SPACES REQUIRED ) PROVIDED ;2,._ % COVERAGE ALLOWED ______ __._1/_0_7'~r~-_PROVIDED _____ l=t=5=5==fi=4=~=11./==t=='ti'=~=v=,== ,~S / JI // s 7 BUILDING HEIGHT ALLOWED ,L PROVIDED FRONT SETBACK: / ALLOWED /~ S5 / PROVIDED ------- INTRUSIONS SIDE SETBACK: ,.,,,,. s 7 REAR SETBACK: )C, / '(' U+ i,., t~t' 11, / C/ / ✓ LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: CCltOOL FEES& $ ADDITIONAL COMMENTS: ,, . OK TO _______ DATE ____ _ ENGINEERING DEPARTMENT~ ~ c;?/tf ~ R.O.W. INDUSTRIAL WASTE IMPROVEMENTS ------------------ SEWER CONNECTION _______ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT ------=-__ EASEMENTS ___ ____,,------DRAINAGE ____ _ LEGAL DESCRIPTION .d✓62/ ~(! ~ ,q"Y: ~ . ADDITIONAL COMMENTS ___________________________ _ DATE !S· ~ PWI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. ______ _ FIRE ALARMS EXITS ----------------FIRE HYDRANTS __________ LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _