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Home My WebLink About2820 HOPE AVE; ; 80-896; 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 D 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 provl· slons 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). □ 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• slons Code: The Contractor's License Law does not apply to an owner of property who bullds 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-bullder will have the burden of proving that he did not bulld 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) license pursuant to the contractor's License Law). I am exempt under Sec. ____ -B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, o• a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ____________ _ COMPANY ___________ _ □Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FRO,-,, WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit is for one hundred dollars ($109) or less). - I certffy that in the performance of the work for which this permit Is Issued, I shall not employ alJY_ person In any manner so as to become subject to the Wofers' Compensation Laws of California. NOTICf:_ TO APPLICANT: If, after making this Cer• tlflcate t>f Exemption, you should become subject to the Workers' Compensation provisions of the Labor Cod~ you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSl;llUCTION LENDING AGENCY I hereby L'fflrm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Clvll Code). ) CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT ( 1200 ELM AVENUE (714) 438-5525 NO, : JOB ADDRESS ~VR~T. 1 DA,J:~:;;:; :Z181~01 l1i0 ~e; 15 17.' I I I I I I I I I I I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR #~~ #t'd1:¥/V& 7Z'1-79M-#~~ #@6"#6 ow~;ING ST)f-71: I CONTRACTOR'S ADDRESS =57':/ O.Aet,~ '2£ol 5-rArE ~r. ~I BLOCK l~UBDIVIS!,O;t~ 12,AC,l~OR'~ P~j~1g,~• I~ 01 DESIGNER I Al+/~c DE~~N~ ~G77/V@ WNr ..... ,~ JV/IY.iW .J,y-_ DESIGNER'S A'DDRESS MAIWJ-16 {r~t/A(; 0~, ~. ('7) n-Y/./2_ CENSUS TRACT RES. UNITS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER 2LJ77/ ST ATE LICENSE Zo -i1 ta B/·/~ CONTRACTOR'S pm•r1H- ST ATE LICENSE DESIGNER'S PHONE 7~t '~.,.. 7 . ./, I -.:-, •• '.i' GP LANt?~o'\~~': ~G, .[1 e-~;,.~. Jg~k:ACE #= I NUMBER OF STORIES Not V,lid Unless M,chin1 Cartifild BLDG SQ, FT. BLDG USE occ. GP I STA~ARD PLAN" 1 sYo D: ;?JG / TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. OUCTS UP TO 100,000 BTU EACH BUI LO ING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP • EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP w ' I- EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP ,) < 0 EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~)GLE OUCT ./ !)/7>~~ .,,.ff;:_ } /IJ() I --~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST' -HOOO/OUCT.Y > WATER SOfTNER RELOCATIQN OF EA FURJl,A'CE/HEATER BUILDING PERMIT I . I ~/.I I() a ~-__,,~,,~ -~3 .o<> ~ __, .A ,, , I ~ /1 , 3' PO SIGN PERMIT I . I I I i= TOTAL PLUMBING ,4 ;7/_ECiriL PLAN CHECK I I I I ~ . C. CONTRACTOR NTRACTOR -ALL INCLUSIVE PERMIT I I I .,, ~ I J lkiT~ /M~E1 ~ r1 TOTAL PLUMBING I I I QTY. ELECTRICAL PERMIT AMT. OME PERMIT AMT. ELECTRICAL .._r,_,,l-,. n1 Tl ~ '/ NEw coNsT EA AMP/SWT/BKR / inn IV. "k(, ?f P"'" AW~ING I j MECHANICAL / I 1/. I 1 PH .25 3PH/ j -1 /1(/' / ~RCH MOBILE HOME I I I I EXIST BLDG EA AMP/SWT/BKR A /./. A ...,., SET-UP SOLAR /1 , I I I 1 PH .25 3PH / / v ,., . II JI J. j ,. RAMADA, CABANA --' / I , I I I REMODEL/ALTER PER CIRCUIT (A' / IA II rµ FENCE OVER 6' A -f,. _,., L-6/.. J , I I I .fJ,, -TEMP POLE 200 AMPS A.I / 'VI TOTAL MOBILE HOME MICO -fl~-! . I I I f OVER 200 AMPS / V I . V I . I I ; I TEMP OCCUPANCY (30 DA~ I . I I I .J--.,,,,. -/ ol-,4 ti \ I I I I . TOTA~AL ~-TOTAL FEES PAYABLE I 1\ CONTRACTOR 7_1 -I rJ .DI-J ,, II -. I A~J1.V"T~ ~-i.--1 J-'V , ( I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF -FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. STRUCTURES OVER 3 STORIES IN HEIGHT ~'f 01 COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AG REE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO /?-4• /' I~/ EXPENSES WHICH MAY' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -OF THE GRANTING OF THIS PERMIT. ,~~ ~, ~ OWNER□_ CONTRACTOR□ ,~,VED BY ,~ I ¼ :~/ /7'7? ..-~ BY PHONE O , • ~ ~ .,.