HomeMy WebLinkAbout2820 HOPE AVE; ; 80-908; PermitLICE.NSEO CONTRACTOR'S OECLARATION I hereby affirm that I am license<! under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In luli lorce and effect.
OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from fhe Contractofs License Law for the following reason (Sec. 7031.5,Buslness and Professions Code), Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars
($500).
D 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• tered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or Improves thereon and who does such work himself or through his own employees, provided thaf such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner-bu11der will have the burden o·f proving that he did not build or Improve for the purpose of sale).
i:JI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property 1•ho builds or improves thereon, and who contracts tor such projects 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 alflrm that I have a certificate of consent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certlfl thereof (Sec. 3800, Labor Code).
POLICY NO·----------t>-;-1H' COMPANY ________ __,,pe..�-,-J�
O�py Is filed with the city. O�ertlfled copy Is hereby furnishe
CERTIFICATE OF EXEMPTION FROM ..-WORKERS' COMPENSATION INSURANCE lrhls section need not be completed If the permil Is tpr one hundred dollars (5100) or less>. I certify that in the performance of the work tor which this permit IS issued, I shall not employ any person In any manner so as to become sublect to the Wr:�rs' Compensation Laws of California .
.'IIOTICe"rO APPLICANT: If, alter making this Cer�llcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provlslons'brthis permit shall be deemed revoked.
•. CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction len• ding agency for the performance ol the work for which this permit Is Issued (Sec. 3097, CIVIi Code).
CITY OF CARL.SBAO-BUILOING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AV ENUE (714) 438-5525
JOB .. ooRESS
RES. UNITS
AV.ST. RO
PARKING SPACE
APPLICANT TO FILL IN INFORMATION WITHIN RED LINES.
PERM IT NUMeER
I
Not V11/id Unless M1chint CNtifi«I
BLDG SQ. FT, BLOG USE occ. GP ST .. No .. Ro PLAN 11 TYPE CONST OCC. LOAD
QTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER AND/DR VENT
EACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 DR MD RE
EACH INSTAL. ALTER. REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SDFTNER
TOTAL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIST BLDG EA AMP/SWT/BKR
AMT. OTY. MECHANICAL PERMIT AMT.
AMT.
1 PH .25 RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
CONTRACTOR
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND OD HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TD COMPLY WITH ALL CITY, CO UNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD .. GAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
"AN OSHA PERMIT IS REQUIRED FDA EXCAVATIONS OVER 5•.o·• DEEP ANO DEMOLITION DA CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT
MECHANICAL
MOBILE HOME
SOLAR
MICD-FILM
TOTAL FEES PAYABLE
NO. 28~0
OWNER
1 copy
\ I .\~
·-
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS: ,;)J};)._(} 2~ nm3ECEIVED
oc128 mso
CITYOF2 Bulldlns ~!fBAD ent
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED
PARKING SPACE_S_R_E_Q_U_I_R_E_D_==K===·JV=====-----PROVI_D_E_D========a==·=1:::...===========
% COVERAGE ALLOWED ___ ___;:D,=-~f'-_______ PROVIDED
BUILDING HEIGHT ALLOWED __________ PROVIDED
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED -------
PROVIDED -------
. INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS@K -----------------
ENVIRONMENTAL PROTECTION REQ:
ENGINEERING DEPARTMENT
R.O.W. ______ INDUS;RIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION,c.::::?u f DRIVEWAY LOCATIONS ------------
GRADING PERMIT EASEMENTS DRAINAGE
LEGAL DESCRIPTI-ON ____ ~z-=--=-q=e;;,..s--A_-=.pL-=--=1=-----=-----=---~-,=2-..... -""'--0-....,3-=-----.-/:3:=-0-=-_..;;]~0-~~~~~~---=
ADDITIONAL COMMENTS
~ z:a:~-,-----=7-~:,:---------------
OK TO ISSUE~ DATE/D-L~@O PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION ------------------
ADD IT ION AL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _