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Home My WebLink About2802 LA DUELA LN; ; 79-5327; PermitLICENSED CONTRACTOR'S DECLARATION I hereby aflirm 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 ::=.J hereby affirm that t 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). L' I, as owner ol 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). ::.1, 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 Owner WORKERS' COMPENSATION flECLARATION I hereby affirm that I have a c sent to self-insure, or a certifi Compensation Insurance, thereof (Sec. 3800, Labo, POLICY NO COMPANY Copy is filed with the city. C Certified copy is hereby furnishe CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars {$100) or less}. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Codel CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 ,o. JOB ADDRESS All.ST, IDATE OF APPLICATION '(.,iC. ,o :J ,IZ' "' 2., 1/°), ✓ L -~it-ll'-11 16U I I I I I I I I I I I I I I , J.,:) ·/7 -?)' OWNER OWNER'S PHONE P~IME CONTRACTOR g J./ iN / /4-' c:,,;:;-,e l(.~ J)C/.,J <'.:en ,-,-'?"V OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ~c~---2<::r:,;, ,,,:..,4 Ac:1--L ..r::1 ,:_,;U_ /<KJr-lb-1.--tve e,"v4,._,, Jk BLOCK 1~:!SION ~ .L ASSESSOR'S PARCEL NO. DESIGNER vr~, ·---. --.Ji~--; Si -1014'1,' --1, 41 ' l,;';t-DESCRI/TI0N OF )"ORK ,,., ,4,,,rc.-/ES .,.., ~ -".t.. j',-I ,,.,,,-,>z~ P DESIGNER'§ ADORES$ /6( • r /4 X;J.3 _;/'C ~,r ,,,;,v,-,;:--.,Q,,,.,...o ~T"; ~-~ ... ,,a.,., i'//2i. f F' LAND USE ZONING / APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMeER /Ru:;;-/ STATE LICENSE 1t/-5327 ;).p s-.,,-9 CONTRACTOR'S <i'P!:i-'1;7,:25-' STATE LICENSE ~ DESIGNER'S PHONE - CENSUS TRACT3GJ7 J I RES. UNITS ];ARKING SPACE S • f ·I NUMBER OF STOIHES Not Valid Unless Machine Certifi«J BLDG SQ. FT. BLDG USE acc. GP I STANDARD PLAN 11 I PLAN l D 1t I TYPE CONST I CCC. LOAD I QTY. PLUMBING PERMIT ~ QTY. MECHANICAL PERMIT AMT. I -/'--,"7 EACH FIXTURE TRAP J INSTALL FURN. DUCTS UP TO 100,000 BTU _ _.,,.----. ! .. EACH BUILDING SEWER / OVER 100,000 BT,U--_,.,. - EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 Hf_.-,__.. EACH GAS SYSTEM 1 TO 4 OUKETS BOILER/COMPRESSOR 3-1~- EACH GAS SYSTEM 5 0 R .M1'i RE BOILER/COMPRESSB'R 16-30 HP EACH INSTAL., ALT~EPAIR WATER PIPE VENT FAN SIJ!HiLE DUCT I, !>LIS-:~ EACH LAWN SPfflNKLER SYSTEM MECH ~AUST -HOOD/DUCTS VALUATION: WATEg,sfjFTNER REk'CfCATION OF EA FURNACE/HEATER BUILDING PERMIT I 1/IL.t:XO T;.., ___ -., .rm /T •~ :,. on SIGN PERMIT I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I~ --~. . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT _riT AMT. TOTAL PLUMBING I I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR V 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 1 PH .25 /,l PH RAMADA, CABANA ' I I I REMODEL/ALTER PER CIRP.ftlT FENCE OVER 6' I I I I TEMP POLE 200 AMPV TOTAL MOBILE HOME MICO-F!LM I ' I OVER 200 AMPS / I I I I TEMP OCCUPA-fllCY {30 DAYS) I I I I Is:s:1.£ ? .nn I I I I U;z-:L ELECTRICAL TOTAL FEES PAYABLE I ,.2 ,,_ ~ CONTR I I 1-,,.-, ... <. . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO 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 ANO DEMOllTION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL FEES: COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ,/ I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANT/NG OF THIS PERMIT APPLIC~;ATUY ,-L OWNER□ CONTRACTOR□ IAPPRllfi SY J~ r~, -'?--<'?!'~--4--AGENT fJ' BY PHONED ,t J II " . , , ' ,f ~ 0 ~ ti ;::: u ~ Q. V1 ~ ,, S~CE 79-'53;J..J ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD . l NSPECTOR'S NOTES INSPECTION DATE INSPECTOR WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOP ' 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 &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 ,r ,-:= ,F~ OTHER DEPT'S REQ COMPLETED / /" ELEC METER-PERM-TEMP I GAS METE9-PERM-TEMP r C ~R~O F-OCCUP ANCY ISSUED REQUEST FOR INSPECTION TIME:_~--- INSPECTOR ~ ~~RMIT NO _______ DATE:_;.%-~..,C.~U-.C...i!J __ OWNER ________ -£,,L_-7r-------;,,;J1---------------- ADDRESS BUILDIN □ FOUNDATION □ REINFORCING STEEL □ MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME □ SHEATHING □ FRAME D EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL FINAL PLUMBING □ UNDERGROUND PLUMBING □ UNDERGROUND WATER □ ROUGH PLUMBING □ TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY DA.M. DP.M. ~ SPECIAL INSTRUCTIONS ~,[c,a -~,u // ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGR°?/!;OND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERV E '(i) D CEILING HEAT /b,J~ 0 G.F.1. 1Jl □ SMOKE DETECTOR D FINAL MISCELLANEOUS □ PLENUM AND DUCTS ,u,_ 5~ □ COMBUSTION AIR □ PATIO D SIGN □ GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL □ THURSDAY □ FRIDAY PHONE NOY'().-77.,,2.r PERSON TAKING REPORT_,._R-t/L=<s=~-------------·--··-·-····---------------- ,.,,.,.. __ •. ~ .... -···---• •'1••• .. ·-"""---....-----·~-....... ,, _____ ,.,., ___ .. _____ ,,,_.,_~--.. ~ .. -... _ .. __ 4 "' ........ _ .. ~~-~··~ &~~¥• INTERDEPARTMENTAL INFORMATION SHEET ~/}' ~UILDING DEPARTMENT DATE: ________ _ BUILDING ADDRESS: ~,< c4,_ ~ c:Z:..,tf,,, -~a.e -~/~<-? u < PLANNING DEPARTMENT ZONE _______ ~_LOT SIZE _______ -'-__ LOT WIDTH RECEIVED flC:-t: t 7 101q CITY OF CARLSBAD Building Department UNITS ALLOWED _______ _,,__,,_ __ UNITS PROVIDED ____________ _ -----------. PARKING SPACES REQUIRED // PR0'7IDED % COVERAGE ALLOWED -------'1--\--1'-----PRO).,IDED ----------- BUILDING HEIGHT ALLOWED P/4VIDED FRONT SETBACK: // --------,,-_-_-- TBb,G-1(: ¥EAR SETBA;V. ALLOWED ______ _ PROVIDED -------,- INTRUSIONS LANDSCAPE & / ENVIRONMENTAL PROTECTION .AMOONT: ADDIT.IONAL COMMENTS: OK TO ISSUE: m DATE (,2_~t1-7f}_ TO FINAL _______ .DATE ____ _ ENGINEERING DEPARTMENT /, _S°"'f S-;;.--- R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS_· ______ _ SEWER .CONNECTION GRADING PERMIT ________ DRIVEWAY ,Lf CATIONS · ______ .EASEMENTS /UtrN,, · DRAINAGE ____ _ LEGAL DESCRIPTION ____________________________ _ ADDITIONAL COMMENTS ____________________________ _ OK TO issuEJ;/t(z_ DATE/91! J?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 ________ _