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Home My WebLink About2736 LLAMA CT; ; 81-149; 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 lull force and ef- fect. OWNER-BUILDER DECLARATION 0 1 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 courity 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). □ 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. 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). ':l I, as owner of the property, am exclusively COfl· tractlng with licensed contractors to constn/ct the project (Sec. 7044, Business;np~r, Code: The Contractor's License L w ~ ply to an owner of property 1•h bu,11 proves thereon, and who contracts o jects with a contractor(s) license pu contractor's License Law). ~ I am exempt under Sec·---.-.l-i'---, for this reason \J: Date Owner v~----- 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 ____________ _ □Copy Is filed with the city. D 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 ($109) or less). I certify that in the performance of the work for which this permit is Issued, I shall not employ any person In 87-l' 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 herebv affirm th::1t thArA J,c: a construction len• C ITY OF C ARLSBAD-BUILDING DEPA RTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. ~ ~/ C,,4_ J~ESS o/ ? 7-7,3~ I •, f I~ I I I I I ~ I I I I ~-I I I I I I I tRr 1D;;;~k:tlON OWNER . OWNER'S PHONE ~N; /N;LS E~k/~ ~//;I/~ l/3,f -tS>JfL-"2. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ~ -z...734,, t.41/>1/f ~ C/l/tk1&¢.J C-4 ~~ti' lff._A/. eL ~,;'.Pc) -....... /'n4 J CA-4' :>-,!XL(/ LOT BLOCK l~BDIVISION h ASSE~':}J.R'J,L NO, 19 DESIGNER / IPJ? ~,;, ~ w,-e t,,t,,,r #~ • 1 . "') I , o, ,tJ , • I DE~IPTION OF WORK /~; • W /bf/#1,,AN-£. AiA1"':.A "h7/h'I ,,,,,,,,7/-f &r.As .c/;'& DESIGNER'S ADDRESS ,/6;~/~ CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. 82)2J'iE PERM IT NUMBER fl-1i1 w LICENSE ~..,.~,~~ CONTRACTOR'S /'/:.~~ STATE LICENSE 4/23/81 DESIGNER'S P HONE occn 109' . .. , .. , . .,. 10~ IO I• 70 4/23181 101.n -· L-, I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not V•lid Unless Machin, Clrtifi«J BLDG SO, FT. BLDG USE occ. GP I ST AND ARD PLAN II I pf1~1v1 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. 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/COMPRESSO R 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP / EACH INSTAL., ALTER, REPAIR WATER PIPE -.,/tr'.,. VENT FAN Sl~!GLE DUCT ....; EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS v~11,!lt-;nn f?IP3 WATER SDFTNER -~ RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . vri'd..51!7 i s sue -, .so issue :, •. u u SIGN PERMIT .J. I . I j I TOTAL PLUMBING ;~~ TOTAL MECHANICAL PLAN CHECK~~~'if t//},0(Yh.3'> I I I I . CONTRACTOR CONTRACTOR All INCLUSIVE PlRMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING 1/1_3.s:2) QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I ',t.'.-;,J / NEW CONST EA AMP/SWT/BKR ....,-_·~ AWNING MECHANICAL I .( . I 1 PH .25 3 PH PORCH MOBILE HOME .. I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . I I I 1 PH .25 3 PH RAMADA, CABANA I . I I I REMODEL/Al TER PER CIRCUIT FENCE OVER 6' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO·FI LM I I I I OVER 200 AMPS I . I I ; I TEMP OCCUPANCY (30 DAYSI I . I I I .;,..,.,.,,. ').('\('\ S t-rnno-Mt\t.i nn I . I I .~P TOTAL ELECTRICAL -;Ir°-TOTAL FEES PAYABLE I / CONTRACTOR . I I ./IA)!/. 7e_ --... I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER School Fee HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I ~ZL" os co•nsocrm• o, FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;To COMPLY WITH ALL CITY, es OV 3 ST RIES IN HEIGHT k~3jp COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND , _; EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE - OF THE GRANTING OF THIS PERMIT. Alf>PLICANT'S SIGNATURE'" OWNER□ CONTRACTO~APPROV~ DATE ... . ---·-,..., -. --4 ~_.;u___..,/ #. ijL),, ... J BP flt ! I-~ ~ a ~ ~ ~ V) ~ SITE <if'}-Jl..j a, 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 .. Fl REPLACE DAMPER 8: 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 INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED / ; ELEC METER-PERM-TEMP ,.....,J A ' J ._,J i GAS METER-PERM-TEMP N <I ,f-'' : , r I P1 ! /0 I I I '· ' CERT OF OCCUPANCY ISSUED " INTERDEPARTMENTAL INFORMATION SHEET BU.ILDING DEPARTMENT . ;. BUILDING ADDRESS: PLANNING DEPARTMENT DATE: RECEIVED -------- APR 20 1981 CITY OJ. CARLSBAD Bulldlng Department ZONE LOT SIZE LOT WIDTH --------------------------- UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED PROVIDED -----------% COVERAGE ALLOWED ____________ PROVIDED _________ _ BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK•: SIDE SETBACK: REAR SETBACK: ALLOWED ______ _ PROVIDED ______ _ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENGINEERING DEPARTMENT R.O.W. _____ INDUSTRIAL WASTE ______ IMPROVEMENTS ______ _ SEWER CONNECT:l;_ON lf_/)p'.f' DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT _______ EASEM~ _______ DRAINAGE ____ _ LEGAL DESCRIPTION .4'-1-, JJ ;;(t.. ~ ::,ttl' ADDITIONAL COMMENTS ___________________________ _ ~~~ OK TO ISSUE~ DATE 4 -2.0-PWI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRINKLING 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. ___ ___;_ ___ _ ..... " .. 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 TELEPHONE: (714) n9.11a1 QCitp of QC:arlsbab 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 i297. 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 d 7 3-b lf/l(TJ.fl: Cz:_ (" M&/.9b (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 ?e 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 •. 36" 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 efficiency. S. 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 mixing. Print Owners Name: OWners Signature: Date: Print Contractors Name: ~6·· ' . ( Contractors Signature: r/a;J;, } 7 Address: