HomeMy WebLinkAbout2802 ESTURION ST; ; 80-343; PermitLICENSED CONTRACTOfl'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
Dl 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
(5500).
C.'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 Ucense 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).
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)^tcense pursuant to the
contractor's License Law).
I am exempt unqe
for this rea:
B. & P.C.
Owner
WORKERS' COMjENSATiON 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 Coda).
POLICY NO
COMPANY
□Copy is filed with the city.□CeNifled copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE^is section need not be completed If the per
mit is for one hundred dollars (5100) or less).
I certify that in the performance of the work forwhich this permit is issued, i shall not employ any
person In any manner so as to become subject to
the WorKerf Compensation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate pf Exemption, you should twcome subjectto the Workers' Compensation provisions of theL^bor Code, vou must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I liereby affirm that there is a construction lending agency for the performance of the work for
A/
USE BALL POINT PEN ONLY
CITY OP CARUS8AD-BUIL.DIN6 DEPARTMEf
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR
MATION WITHIN RED LINES.
"0. JOB ADDRESS ^i\%(X2A I I lOirij iSi^-j i iSib,c9|Cj AV. ST.RD
Par! Sujah5cn OWNER'S RHONE
OWNER'S MAILING ADDRESS
/■5 ■-'6' Fr,L,ni^ipLc.LALOT^9?-'/TTSUBOIVISTON ' , l~ AS^S^R'S PARCEL NO. 1 nPCiRMre ' ' 7"7I L -AT
l V DE_St6NER'S ADDRESS
;7v :?/
Esis^R 7^^
I I I
PRIME CONTRACTOR
DATE OF APPLICATION
H-i-m
EcKe-r+- Rnltriers
CONTRACTOR'S ADDRESS
DESCRIPTION OF WO
CENSUS TRACT (/ CP LAND USE
LICEii&E^
BLD6 SO. FT.
QTY.PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATERSOFTNER
OCC. 6P STANDARD PLAN »
RES. UNITS
.So
AMT.
TOTAL PLUMBING
CONTRACTOR
QTY.ELECTRICAL PERMIT
NEW CONST EAAMP/SWT/BKR
\ PH .25 3PH
EXfST BIDG EA AMP/SWT^KR
1 PH .25 3PH
REMODEL/ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
AMT
TOTAL ELECTRICAL
CONTRACTOR
QTY.
PARKING SPACE
BUS. LICENSE
isMs:
C2/7/7DESIGNER'S PHONE
NUMBER OF STORIES
TYPE CONST
MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST - HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
PERMIT NUMBER
6/BO
Not VoKd Unkss Machioo CortiM
%
AMT
TOTAL MECHANICAL
CONTRACTOR
QTY.MOBILE HOME PERMIT
AWNING
PORCH
SET-UP
RAMAOA, CABANA
FENCE OVER 6-
TOTAL MOBILE HOME
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLiCATION AND PERMIT, AND DOHEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND IFURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO.'TO COMPLY WITH ALL CITY,COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANDEXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
AMT
3.
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
ALL INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRjCAL
MECHANICAL
MOBILE HOME
SOLAR
MJCO-FILM
TOTAL FEES PAYABLE
I I ■ i
'AN OSHA PERMIT IS REQUIRED FOR EXCA VATIQNS O VER
S'-O " DEEP AND DEMOLITION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HEIGHT
SIGNATURE* OWNERj^ CONTHAfTna^ APPROVJ^y^(^GENT^ BY PHONED ^ ^
<a
zo
aQ.
-V -er. -s-=^K -gn
SITE
ADDRESS:OWNER:PERMIT NO:S'O
FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR
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 ^ ,-Ji-'
EXTERIOR LATH OK* PLACE STUCCO
FIREPLACE
DAMPER a 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
GAS METER-PERM-TEMP
^.CERT OF OCCUPANCY ISSUEO'
INSPECTOR'S NOTES
V - .,y
mm" n
n
.-a"t ,•
-• -• •:> V^:'
J:
•'* ,sf-Sf. ■: ' '■-
<s .
)V,
' \
* j INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS
RirefiiVE®
APRS 1980
CITY OF CARLSSAD:
. PLANNING DEPARTMENT
ZONE IrV
UNITS ALLOWED
LOT SIZE^
U
/y. HOP ^
Building Department
LOT WIDTH
UNITS PROVIDED /
« PARKING SPACES REQUIRED
% COVERAGE ALLOWED
1 PROVIDED,
PROVIDED xo 7^
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
/
55
V
PROVIDED hss
ALLOWED
PROVIDED
xo
O>0-Z"
SIDE SETBACK:
U"
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ:/
ADDITIONAL COMMENTS:
OK TO ISSUE: DATE ////f^OK TO FINAL DATE
ENGINEERING DEPARTMENT Z^U^idUi,
R.O.W.INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE DATE ci ib-^PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE:DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE
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