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HomeMy WebLinkAbout2840 ESTURION PL; ; 80-805; PermitLICENSED CONTHACTOR S DECLARATION I hereby affirm that I am licensed under provi sions of Chapter 9 (commencing with Section 7000) of Division 3 of tfte Business and ^ofes- slons (Dode, and my license Is in full force and ef fect. OWNER-BUILDER DECLARATION Dl 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 lo con struct. alter, improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to tile a signed state ment that he is licensed pursuant to the provi sions of the Contractor's License Law (Chapter 9 commencing with Section 70fX) 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 live hundred dollars (5500). CJ 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 lor 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 wortt 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-bulider will have the burden of proving that he did not build or improve for the purpose of sale), til. as owner of the properly, 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). 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION I hereby affirm that I have a ce' sent to self-Insure, or a certi^a' Compensation Insurance, c thereof (Sec. 3800, Lat>or Cod^. POLICY NO _ 1 „ .1 \ COMPANY C. WURB \ f f Work ied CO ^VQopy is filed with the city. uCerilfled 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 (5100) 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 m«nner 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 Worker.^R.gmpensatlon provisions of the l.abor Coda, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDIN(3 A<3ENCY 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 Code). USE BALL POINT PEN ONLY CITY OF CARL.SBAO-BUiL.DING DEPARTMENT APPLICATION & PERMIT . 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR MATION WITHIN RED LINES. NO. JOB ADDRESS \^S\T[OiRiXiOM\ 1 \PiU.I I I I ' I I ' ( » i I wned MicKael O'fJiaJ OWNER'S PHONE 7^9-9/V/ OWNER'S MAILING ADDRESS <2840 £sT-ogioM n OATE OF APPLICATION BUS. L CENS PRIME CONTRACTOR TATE LICENSE LOT BLOCK SUBDIVISION ASSESSOR'S PARCEL NO. DESCRIPTION OF WORK CONTRACTOR'S ADDRESS 755 \Ll.6rd.t^dft'ie g :,ll iSi n 3|S|0|-p|(O| I , DESIGNER'S ADDRESS ACTOR'S CENSUS TRACT 8LDG SO. FT. QTY. QP LAND USE PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT fCOL. EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL, ALTER. REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATERSOFTNER TOTAL PLUMBING OCC. 6P STATE LiCENSE^^^ W Etc RES. UNITS STANDARD PLAN tt AMT. CONTRACTOR QTY. z ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3PH EXIST SLOG EA AMP/SWT/BKR 1 PH .25 3PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY(30 DAYS) tenL. AMT. TOTAL ELECTRICAL CONTRACTOR 1 QTY. PARKING SPACE PLAN I 0 «. DESIGNER'S PHONE NUMBER OF STORIES TYPE CONST MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100.000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST - HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER PERM IT NUMBER 7^?. 7m Hot V»M Unku Mtehint Ctrtifitd AMT. TOTAL MECHANICAL CONTRACTOR QTY.MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND i FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I, ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. AMT BUI / Pi G PLA < O PERMIT NPERMI N ALL INCLUSIVE PERMIT PLUMBING elecYrTcal MECHANICAL MOBILE HOME SOLAR MICO-FILM TOTAL FEES PAYABLE a. Z 1-t. •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER B'-O" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3STOR1ES IN HEIGHT T-S tIGNATUR OWNERO AGENT^Iitf CONTRACTORQ BY PHONE □ APPROVED BY SD-SOS' SITE 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 &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 INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC M^ER-PERM-TEMP GAS METER-PERM-TEMP ^ r f CERT OF OCCUPANCY ISSUED K" • J. ■'i-.Tir-:, '■'><'