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Home My WebLink About2814 LA COSTA AVE; ; 81-191; 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 el• feet OWNER·BUILDER DECLARATION C' I 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). L 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• tered 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 ot- tered for sale. 11, 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 ____ , 8. & P.C. 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 3800, Labor Code). POLICY NO COMPANY ____________ _ □Copy is l.jled with the city. UCertified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORK':P1' COMPENSATION INSURANCE (This section need not be completed if the per· mit is for one hundred dollars ($100) or less). e• I certifv tt,~• 'n the performance of the work. for t is issued, I shall not employ any inner so as to become subject to 'flensation Laws of California. 'NT: If, after mal<.ing this Cer• you should become subject ation provisions of the hwith comply with such hall deJ!Jn~revoked l hereby affirm that there is a construction len- dina aaencv for thA nPrfnrm:,n.-,,. nl thP wnrk lnr CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR· MATION WITHIN RED LINES. "· I i'2-t-S1 fJ t 1 ./ · II JOB ADDRESS A . 1f':li)"51. 11.4 I ,/!frLl £ I I I I I I I I ~\r -1DAZt \, ;:r~,ONI zsil~9E~ PERMIT NUMBER i1-f CJ I OWNER OWNER'S PHONE P-it,; I r!-"L-V IAs-::5 K-I $ 947-)q,(j(" OWNER'S MAILING ADDRESS -z,_....q IL-/ LU.--Cu<...,,,_ Av L--- LOT I BLOCK l SU8D1VlSION ASSESSOR'S PARCEL NO. _l l I I I I I I I I I DESCRIPTION OF WORK I~-,~ I C! r"'.'lrt.. .,.. --;-? .? U'-L-'-" OE:: c;,,.,,__ ·"- t(.o C 1c.. .. V ,O A--\J 1-1 S-..k!.!' p.,.,~ ,._\_ PRIME CONTRACTOR I ' s~,A c « LI u"t's --· CONTRACTOR'S ADORES$ ,5 L( "J /<l · ~l,.h( {o I "S,<?:. DESIGNER I C, .4-.,. .? DESIGNER'S ADDRESS C') 5 STATE LICENSE 3'=,c../-2i1 CONTRACTOR'S PHONE ~ ,;0; -~a.,.~ STATE LlCENS'E 3C,<..f-21, DESIGNER'S PHONE <0--i.:,/: ._~/l: ;?'. CENSUS TRACT GP LANO USE ZONING RES. UNITS I PARKING SPACE ~-\ ! NUMBER OF STORIES !_j I t:;i_.; ". ·; / ._,: .-' Not Valid Unless Machins Certifisd BLDG SO. FT. BLDG USE OCC. GP STANDARD PLAN# PLANIO# TYPE CONST I acc. LOAD I QTY.I PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT I AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU / 1 EACH WATER HEATER AND/DR VENT 1.,-: -BOILER/COM.e-R-ESSOR UP TO 3 HP / I EACH GAS SYSTEM 1 TD 4 OUTLETS -i.,.. ,,. BDILER/Cllfl1PRESSDR3'1:l\ HP EACH GAS SYSTEM 5 OR MORE BOILER/I hMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE . Sl~!G LE u ' . EACH LAWN SPRINKLER SYSTEM MECH EXH'.o.llST -HODD/DUCTS WATER SOFTNER RELOCATION O -c: ACE/HEATER issue 5 .• U issue .J.• V l TOTAL PLUMBING TOTAL MECHANICAL CONTRACTOR /. -CONTRACTOR QTY.I ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. NEW CONST EA AMP/SWT/BKR AWNING ,I 1 PH .25 3 PH PORCH I EXIST BLDG EA AMP/SWTIBKR SET-UP / ~ ~ ··-..._ 1 PH .25 3 PH RAMAO :.~BANA \7 REMODEL/AL TEA PER CIRCUIT . I -"'"'"" .. c 00 \ TEMP POLE 200 AMPS TOTAL •□BILE HOME 1 OVER 200 AMPS ~ . TEMP OCCUPANCY (30 DAYS) .: --· " n TOTAL ELEcrn1cAL 7,,,. CONTRACTOR I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION Hf REON IS TRUE ANO CORRECT AND I FURTHER CERTlFY ANO AGREE IF A PERMIT IS ISSUE□;TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER •AN OSHA PERMIT IS AEQU!RED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION 9R CONSTRUCTION OF STRUCTURES OVER 3STORIE;f IN HEIGHT SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM Valuation / 1/-tJO BUILOING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR Strong Motion MICO~FI LM TOTAL FEES PAYABLE SR:hb@Jl. Fee ' • I /1/.+.---r I , I . I I . I 17.--i- I . I I -,_ -i- I r ., __ I I . I I I . I I , I I . I I • I I • I I , I . I I • I . I I • I . I I , I I . I I • I I I I I I 1:;Lf:-+- Less THE c1Tv a F c A R Ls s A □ AGAINST ALL u As I LIT I es. J u□G Me NTs. cosTs AN~'-l~'::;~~~';';~~~;;;c~+O~;IL;:2~:C:;;;::::::is;;:;c;;cS--;::c:c:::cc:-::c-;c;:;al"illc;;;;±c;;;;;ca-c--------~/,4,0 --J EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT APP,..-.,,_-' WNERO PPR VED BY AGENT O ~....;.._J1-,'-.A.-/ • = >-<( 0 ~ > ~ ;::: u = 0.. Vl ~ SITE 8-/ -1111 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 FIREPLACE DAMPER 8: STEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING (Y'-/ • PRE DECK .. ,w· -~ • FENCE PREPLASTER I ._,,,_..-,,,-, SHOWN • FRAME ,,, -"-1../ .,,," .-rt/ • PAN )( a '-l' / ')[/"-' FINAL INSP BY BLDG DEPT ' / r OTHER DEPT'S REQ COMPLETED / ELEC METER-PERM-TEMP i GAS METER-PERM-TEMP I >--- i ! CERT OF OCCUPANCY IS.SUED WILLIAM T, TREVA.SKIS April 9, 1981 Mr. Tim Philips Building Department CITY OF CARLSBAD Dear Sir: 2814 LA COSTA AVE. CARLSBAD, CA 92008 (714) 942-0788 Confirming our conversation this afternoon regarding the construction of a small Jacuzzi pool in our backyard without a fence. We intend to follow up this construction with a small gazebo completely enclosing this pool done by a professional carpenter. We pledge not to fill the pool with water until the gazebo is complete. In return for this promise, your office will issue a permit in the usual manner. Thank you. Sincerely, tu-T~~ w. T, Trevaskis WTT/jjp