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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 fo-srs