HomeMy WebLinkAbout2720 NAPLES CT; ; 80-726; Permit~ENSED CONTRACTOR'S DECLARATION
I hereby affirm thal I am licensed under prov!•
sions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes•
slons Code, and my license is in full force and ef-
fect.
OWNER·BUILDER DECLARATION
t:11 hereby affirm that I am exempt horn the Con•
tractor's License Law tor 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 penally of not more than five hundred dollars
($500).
[7 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 tor 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)
-JI, as owner of the property, am exclusively con-
tracting 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 --~
Date
'orkers'
Compensation Insurance, or a certified copy
thereof (Sec. ~Labor 9Jde).
POLICY NO. ~"/
COMPANYJ/ Nf/Lt/WEU
J{Copy is tiled with the city.
C Certified copy is 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 if. the performance of the work for
which this pem. tis issued, I shall not employ any
person in any manner so as to become subject to
the Workers' Compensation laws of California.
NOTICE TO APPUCANT: 11, after making this Cer-
tilicate·of Exemp1lon, 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
L "·L •L". -. __ ,-•-'--• _ _. ,~--.,f\0."7 (';.,;, /"~,I,.\
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
f.';>{)-, I I 0 APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
I;) ,1,2°:0, JJ,h,fJ .,~111 11 1010:1:;;RESIS I I I I I I I f I I 1 ;vRr·r~::..1L;;;Nl/:s·;;E;,: PERMIT NUMBER
OW'"_ 1, M A LP1.1 s p 7~w:;;/:/7 ';;~', :"''TJ~ .. ~J./ ~ ~ '3~7~'.;, Zo--1 :J...t
?~ERi_oAIL/iAPL£5 tiootC-T I ~n:CTOF:·~ ADDRESS.~~ & 1ii:;~;<o7
L_o.:i; BLOCK I SUBDIVISION _ 1 . ,. 1 I J'A;.sE~OR'S.J!,jR,W ~-'5. .,,,,,,,--DESIGNER STATE LICENSE
i?·; l--r~ .. d£JIJ JJA.-r~ H, .,,,,,.,, /, 1~'?1-.. I-:,,,-:;, I LI I./ ./ "
DESCRlPTWN"JlF WOR~"J ,,n ~ , r .rIIA ,_.,,, K ~ r.,~ 1Pr./J I 7 0 6
~\I\, ,.....0,.,1 -_·"'-a70 cs;.( / ~ DESIGNER'S ADDRESS • DE'slGNER'S PHONE
-~ , ~"'~-e.. ~l ,-, ,. ( N<J l-/€f/TcK 183D L£J JJo-<,1 P,[,lt,... .t/1.u~?,000
cENsus TRACT GP LAND usE zoN1NG I R~s. uN1Ts I PARKING SPACE sf NUMBER or sToR1Es
,a Not Valid Unless Machin, Cartifi,d
BLDGSQ,FT. BLOGUSE OCC.GPlSTANDARDPLAN# lp~~:#1~~ ITYPECONST IOCC.LOAD !
UTY. PLUMBING PERMIT AMT. UTY. 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 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 :.J. .. fTtl VENT FAN SINGLE OUCT /'._ // 2 ,,... ,,,..---
EACH LAWN SPRINKLER svsTEM MECH EXHAUST Hooo1oucTs v A 1 11 AT r n N • ~ T JS '
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILOl~ERMIT , 1 I I 1
;'
D:>UE 3 ,1111 ISSIIF ' -nn SIGN~,f--1-80 " I I I I
TOTAL PLUMBING 6-crv TOTAL MECHANICAL PLAN o2o,ooF /YJ-J' / 1 1 1 1
CONTRACTOR CONTRACTOR ALL INCLU-, T ___. I I i,
TOTAL PLUMBING I I .£1 i;,·
UTY. ELECTRICAL PERMIT AMT. UTY. MOBILE HOME PERMIT AMT. ELECTRICAL I 1 ~ /1/J
\ NEW CONSTEA AMP/SWT/BKR .5 .. /]"O AWNING MECHANICAL I I I
1 PH .25 3 PH PORCH MOBILE HOME I 1 . I
EXISTBLOGEAAMP/SWT/BKR SET-UP SOLAR I I I • I
1 PH .25 3 PH RAMADA. CABANA I I I • I
REMODEL/ALTER PER CIRCUIT FENCE OVER 6" I I I . I
TEMPPOLE 200AMPS TOTALMOBILEHOME MICO-FILM I I I • I
OVER 200 AMPS I I I I
TEMP OCCUPANCY (30 OA YSI I I I . I
ISSUE 2.00 ~TDnNr. MnTTC\N, 1 1 1 . u,
TOTAL ELECTRt CAL '7 rn) > TOTAL FEES PAYABLE I __,,
CONTRACTOR ' v V I I I ,l'>.:.I. t5'l
1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
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 ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INOEMNIFV AND KEEP HARM· 1 .,--.. SC HOOL FEE•
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~ j •
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ~
OF THE GRANTING OF THIS PERMIT ~f'~L_9~T'S SIGN, UREr\ I ""' Q OWNERQ CONTRACTOAll!f ,~~ // /?__~ATE('
~. ·'-~ ·"\.-'-.... AGENT' BY PHONE □ 1 // //' /~ n-r-r1
' J , '
!
~ >
5 >= ::rl "-v,
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SITE 80-7d;k;> 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 8:STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST ,; /"
SWIM POOL • STEEL BONDING '1 '7J'I r /v• l
• PRE DECK ✓
• FENCE PREPLASTER
SHOWN . FRAME
• PAN
FINAL !NSP BY BLDG DEPT \
OTHER DEPT'S REQ COMPLETED ,'\ .. i ., ..
I ELEC METER-PERM-TEMP ' I " ,,. 111A AJYf,11,f I
!GAS METER-PERM-TEMP I ti II
/I ~ L-
~ I CERT OF OCCUPANCY ISSUED
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PRt:i.? t-,., ( b i:; \-\ \ t, 1-l
~ rrntt (1.1 ,"16) ~'
2~'
/V)£7P I
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C"7 ll -
'Rt.£,.\ t:,E.i\lt:
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&\_D( \-4~'{l~ ?~~t ~
l-S~ ~,~t;\
5°145 '¥\\(,(,\~!'\ t,¾..Rl£ Rb..
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POOlDIPIMMi.: YO _B..:. AW. --
POOl YOU.IMI i':i 4 · '.½ 9 b 41 GAi.i.
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