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HomeMy WebLinkAbout2813 JACARANDA AVE; ; 81-253; 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 full force and ef- fect. OWNER·BUILDER DECLARATION 01 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 ($500). r:_· l, 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 tor 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. & PC for this reason Date Owner _______ _ 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. 38 ab r o / _ PO~!~:~. k2_____~- CO~T-~ opy is filed w t i y. ~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 ($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 'li:Jrkers' Compensation laws of California. NOTh.1E TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions ol the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. 111?):,.-~ 11 A/ A1'Ur1~1DA Mi~ I I I I I I I I I I I ;,,rr~~,,,i\'"''" -~fA.-'Dr:"':.:"""' .w,K IAl I .. rr 'j ,I\ ow,:s '"'"' ''K~'-"";.'""" . v-r~ -\ SUTE "'~,;--;i ;J J_--3 ,·~\.A\ I{ ('{Ylx \ t>..d...1; 1/j~~ l'-.,u1dY\t;i----.)\~ ·v•11~' ow,~1~1~0 A\' s) 'l.Y/1YYYA . -✓ ~T\"1'i::t\°ffim m~c\ ;~_;;1?:1 I '1~1j BLOCK ~ 1?1V_t-i,_l!)N f".tl'\ ~wf~~EJ,SO?~RCEL\NOd A _. A / DESIG ER (_ ___,,/ _ STATE LICENSE • 1£1-111 T-1:'. rY-YV'I l::(A~·1,ff)1"1 ,"1,rJ, ,/~VI -1\lf\,~,IV\~Jl .. ;,-,,J/ -,-"'•10 , DEs"CRIPTl~ ..... w.f'p... _,, --~ ,, I \\r l/Til l.,A l fl .LJ \.:::) -lA i w · 1 ·-· 1 .', -l . -~,,: . ~ 'J--'1YFJV!rf1f) (lAJA ?:,":Z.,1./l DESIGNER'SADdRESS t DESl,rnc.R'SPHONE ' -., ;~ . u , / 711 f:\ (ttX°'I(\ ~-~-1-¥.0-11?· CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PAR~ SPACE NUMB.ER OF STORIES Not Valid Unless Machine Cartified "" so. n. "'° "" occ. " I STASOASO "'" • I "'"f (,,,..., 7 1 I"" cossT I occ. cOAO I (!TY. PLUMBING PERMIT AMT. QTY. MECHANICAL PEJMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER . / OVER 100,000 BTU I EACH WATER HEATER AND/OR VENT /', BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE y. BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT t j jJ -tt-' , _ /. / / ~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS I/~ / l,,/ (_) /) --J c.·.----4 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT ! , ...t-. --! Y ./ ., -~ ,. .. c::, Ch) ,. -,. , '"' 0-0 SIGN PERMIT ;] --I I I l TOTAL PLUMBING 1 TOTAL MECHANICAL PLAN CHECK,1);,:/ t /5 :JU I I I I CONTRACTOR CONTRACTOR ALLINCLUSWE PERMIT I I I TOTAL PLUMBING I I /-.1--i--QTY ELECTRICAL PERMIT AMT. QTY MOBILE HOME PERMIT AMT. ELECT ,,_; . -. RICAL I I /· I NEW CONSTEA AMPISWT/BKR -') / AWNING MECHANICAL I V . 1 1 PH .15 3 PH PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR , I I I . I 1 PH .25 3PH RAMADA.CABANA -1 -.,1"'>l..,,,i., .L • n J I I I • I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' /"/ I I I . I TEMPPDLE 200AMPS TOTALMOBILEHDME MICO-FILM I I I . I OVER 200 AMPS I I I I TEMP OCCUPANCY 130 DAYSI I I I 1 ., __ .,.~ ..... I JI I TOTALELECTRICAL /7 o,--U -TOTALFEESPAYABLE I '7 c7 ~ CONTRACTOR ( • I I :11 I/, ) ( /~~ -/ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER~ T ~ 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 ST ATE LAWS GOVERNING BUILDING CONST AUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM ~~!!~~is c~:~c 0 : ~A\R1~s!~~ ;~~~Ncs;R~~\~:~~~~T ~~~[/~1~~~~:T;N~~;~~~~i lf-:-::::---~:c:<:-::::::-:cc::c-:=-::-----f;''----,------c===a---,-,--,-----=--i-===~-,--~-------~=~--l OF THE GRANTING OF THIS PERMIT APPLICANT'S SIGNATURE·... ,/ / ,_ OWNERn CONTAAC:Tni::in IAPPAnvi=n RY n.o.Ti=- ! Cl ~ (5 ;:: ~ a. V, ~ SITE Sl: I ~ ,;i.$ 3 ADDRESS: OWNER: ' PERMIT NO: FIELD INSPECTION RECORD INSPECTION INSPECTOR '' INSPECTOR'S NOTES DATE 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 Fi REPLACE 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 OTHER DEPT'S REQ COMPLETED I \ ' ELEC METER-PERM-TEMP •1.~P\\\ AL~"' I GAS METER-PERM-TEMP \ . 1----------~-- r~-~RT OF OCCUPANCY ISSUED I I ------------------' . , ... 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 TELEPHONE: (714) 729-1181 his 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 #297. 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. 1. Outdoor pools shall be 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 in:;,;tallation. 4. After January 1, 1982, new heaters installed must have 75% thermal efficiency. 5. 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: Contractors Signature: Address: INTERDEPARTMENTAL INFORMATION SHEET ~UILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT DATRECEIVED tZA.-~ 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: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS:~~==-=--=-li~:;l:::!""="2::::_ _______________ _ OK TO mu,,qe '?tL. ;s:,,..✓ilio ,,.,, _______ .DATE, ____ _ ENGINEERING DEPARTMENT R,O,W. INDUSTRIA ------_______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT __ _,-= ___ EAS,:ENTS ______ ~~-DRAINAGE ~:::~,:::~•:::::µ~~ . ;f"S'"-;;i' O'-- \K TO ISSUE:J.fl( DATE 5•1).,[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. _______ _