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HomeMy WebLinkAbout2719 Llama Ct; ; 81-2; 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 C'I 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 five hundred dollars ($500). [_'!, 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. 11, 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 ;,.nd Professions Code: The Contractor's License Law does not ap- ply to an owner ot 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, La~q~)-~ POLICY NO._______&.,\_" \ tlJ.._ ~ PANY . ~TY ~ . PY is filed with the city. rtified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mi' i~ for one hundred dollars ($100) or less) I c1:i,tify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the """'"_ers· Compensation Laws of California. NOT1>!;E 70 APPLICANT: If, after making this Cer- tificate 0·1 Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such Provisions or.this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- r1inn ,.n,.nr.v fnr thA oerformance of the work for CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. ' _.., / ~ / I "':J.~7l/;91J..1/ 1(".'11'\M/}1 lrJ,,+ I I ~OBIAD~RESIS l l I I I I I I I ;Vffr·1D1;0;;;1;AyON ~-CL~Er;..s(E )a PERMIT NUMBER OWNER OWNER'S PHONE ~ME CONTRACTOR . . STATE LICENSEg v"J ") EC-, g<'l,.._J.ev1 "/3$?~;2,(,,7.3 l<...-Jt.uoorf l-\A~\.,_,__,\\..,"" 's19&o/ 0, _,,..er--!I.an:,,,, OWNER'S ~ILtNG ADDRESS CONTRACTOR'S ADDRESS CTOR'S ~ ,'::) ""'""' ~ 5 (,II ( 0 ~ k \:, "'~\ C!-\ ( "i't,""i-.J.-.-t iD Lor l BLoc,r ·1su1rn1v1s10NJ ~~,, .:l~s~slf~P~CEL NO. _...,,.-DESIGNER LICENSE &~2! t,,.A_L~•:k..1\1~-. C---' ·7 l°'I 'r-fnl-U ,O,ti,nD, , nn• ., .. DESCRIPTTON OF WORK \......., I , ( ,h re====-~=~---------+--=~----< U• ! ,;. ' : ;"' ! ;n;:-:; I,.., i r ,I -/ () l ts, 0 1c.,l.__'\--\'C C..Ci..;'CY-... Uoc't< DES!GNER's AODREss DESIGNER's PHONE · • • ...,,,, CENSUS TRACT GP LAND USE ZONING I RES. UNITS l PARKING SPACE I NUMBER OF STORIES n; -"'"> Not Valid Unless Machine CMtifi«J 8LOGSQ.FT. BLDGUSE OCC.GPISTANDAROPLAN# IPL-IDtt--"'-~ TYPECONST IOCC.LOAO I 1·01r/cJh ClTY. PLUMBING PERMIT AMT. ClTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ;1 ✓J ~ . EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -H000/0UCTS 1)/4../f,L,(/V..ff-,C, ~ y U O , -1 WATER SOFTNER _ f!ELOCATION OF EA FURNACE/HEATER BUILDING PERMIT J 'f"'I~ ..-r- \J,,. ~ • .k'.-----: Y ,._, i./.;,t~:;J,.,,L cL____.._.--? -.~ SIGN PERMIT--::"'"'"-" J , 'i. I I . I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHE(K' lf)cf/,/0, ;_/6J'.J/ I j, I;, -1 ~ CONTRACTOR CONTRACTOR ALL INCLUSl'«l<PERMIT J..-,' j I I TOTAL PLUMBING -I I • I QTY. ELECTRICAL PERMIT AMT. ClTY. MOBILE HOME PERMIT AMT. ELECTRICAL I 1 • 1 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 . I I PH .25 3 PH RAMADA, CABANA // .,-,t/ ...L.-I I I I REMODEL/ALTER PERCIRGUIT FENCE0VER6" <Ct,Z,<"Y.4/'r~'r.·· I I I .. t'i'1 TEMPPOLE 200AMPS TOTALMOBILEHOME M1CO-FILM I l I • 1 ~ 0 ~ 5 .= u w "-v, z OVER 200 AMPS / / .-/ ./ I I L. , I '- HMP OCCUPANCY 130 DAYSI U / 11-F 7/ 1""> I I /1 ./ ,,,,..,, l) ( )___,,,,__ o . ,....,17 o-:::;_. I I 7-:---l TOTAL ELECTRICAL lf---+----------------t-------11 TOTAL FEES PAYABLE I , / ,-: CONTRACTOR 1 1 • -r7Ah.~ 0 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER _,dJ,/'f..,(J-CI ✓ ~: /: I HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF , I» I f (I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM r---. ~ I LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ti \ ~ """ .. ' / J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE # OF THE GRANTING OF THIS PERMIT. APPL ft,_NT'S SiGNATURJJ 7 ' . £/ OWNERQ CONTRA~~APP~ EO BY n,~ ,-------If--: . A l -~ AGENT D B~ONE D I ~ • l .a. -If 1/81 1 1 i 'Ill SITE ADDRESS: WOOD FLOOR INSPECTION FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOT! NG • 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 TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL !NSP BY BLDG DEPT OTHER _DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP f CERT OF,QCCUPANCY ISSUED DATE ,; I !,Yffll I " '?]f ~ Ov OWNER: PERMIT NO: 'if I-::i FIELD INSPECTION RECORD INSPECTOR INSPECTOR'S NOTES -'6/-·2--1j,} ~I C ,.,._, .., o .. ~ \ ',, cC-,..J-L~.., ~ TO -""1"7\ ... .C-1 ~ • 5~ A-ft~(2..evrt=s:i) ME.11+-o~ OF-A-~ /.Ho ... £.I,./;-. 5.i:::c..._ tJoTE.. ' u 11.1.l. e:.a. L.-1 "" N ~ ' 1,J t3:h. l? I I -OU l.{ , 'v V ~.., ~4--~. ~ij i:::, 7.--,C.. -z....... WI\J ~JJ-AbL. rJo LIJ~.:t. . c--,,...___.,,..:,,1,.,1•_______,~.,__..A~• -L--0 /L. -ro Aff-A-<--i+-,,, t=~ ~ ~~ °y?JrJ y,. r_ ,(,\..., ,, I .... ( INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED ________ ©_~_'-UNITS PROVIDED _____ ....,..+-+-~---- PARKING SPACES REQUIRED -~ PROVIDED 7'_}7 ~--~bJ ~---"',,----- % COVERAGE ALLOWED PROVIDED ------------- BU IL DING HEIGHT ALLOWED PROVIDED ---------- , FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ~J_ PROVIDED--------,f--++K-+---__ __,_-4-,1----.- INTRUSIONS ot< LANDSCAPE & IRRIGATION PLAN COMMENTS: ~B..,,,u.>.~m-...:..;L-.K.J'°'-.-.-~J~•'------------ ENVIRONMENTAL PROTECTION REQ: ~(;J ____ X_s=C~Wl--=-----,~e-+-r~,-------------- ✓~~. ATEt/r/t/ OK TO FINAL _______ DATE ___ _ ENGINEERING DEPARTMENT cr~ ~o•@ v~ ·. ;}-yoo. , R.O.W. ______ INDUSTRIAL WASTE I IMPROVEMENTS --------------- SEWER CONNECTION /EIJ(.,JS DRIVEWAY LOCATIONS --------------------- GRADING PERMIT _________ EASEMENTS _______ ~_DRAINAGE ____ _ LEGAL DESCRIPTION Z-i2: ~,:).J-L-c_ ~q.d . =:#:: y' ' ADDITIONAL COMMENTS __________________________ _ ~~r~ FIRE DEPARTMENT SPRI~KLING 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 ________ _