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Home My WebLink About2905 Elmwood St; ; 81-58; 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 C'l 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). c__· 1, 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 ot- 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 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 sate). ::::1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business c1.nd 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, or 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. X 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 Workers' Compensation Laws of California. NOYle:'.E TO APPLICANT: If, after making this Cer- t(ficate of Exemption, you should become subject ,to th~Workers' Compensation provisions of the Labor Code. you must forthwith comply with such ~;~or 1s shall bed~eemed,revoked CONST UCTION LENDING GENCY l hereby affirm that there 1s a c structlon len r1inn "'nAnru In, th<> n<>rfn,m01nrA nf !hf> wnrk fnr CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY "'· 2.,q,D,S-, ,'f, [ ,111.!4,,cs ,o,,:\, OWNER RFYES' Lo Pe 2... OWNER'S MAILING ADDRESS ·-5'"' "" e - LOT I BLOCK TSUBOIVISION APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 JOB ADDRESS ;VAf !°:;_f f ;7t/ATION ,S ,{ I I I I I ~i;,·,,, OWNER'S PHONE PLM:;::RACTCo ~ s-{ 721-75'7'-( . APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER ~ .339.;t, STATE LICENSE fl-4' -'llzc<:r.••/.A . CONTRACTOR'S AD0RESS 1,,v.)e, / i.,.Jh;_/· CO NTRA~~OR' S PHO:;,.Ej', z_l,-) ?6~-3 A' I ASSESSOR'S PARCEL'f-0. I 9 ~\._ . /,S-.6, ''l'I I I I I DESIGNER ST ATE L!CEN ' -~,,_. -. , DESCRl~ON f ~ WORK w. .r." •"-5 .::.:~J ~JJ :~I,:;: ;1... ~,r --2.. DESIGNER'S ADDRESS DESIGNER'S PHONE 0 ; ~ 1-' .· /, . / ;' c~+J.... "' CENSUS TRACT GP LANO USE ZONING I "'· UN ITS I PARKTNG SPACE 1 NUMBER Of STORIES Not Vafid Unless Machine Cartifi«J BLOG SQ. FT. BLDG USE OCC. GP 1 STANDARD PLAN 1t l"r;~ I"" CONST I occ. LOAD I OTY. PLUMBING PERMIT A~T. OTY. MECHANICAL PERMIT AMT. --EACH FIXTURE TRAP T,-, ..--INSTALL FURN. DUCTS UP TO 100,000 BTU , EACH BUILDING 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 EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16·30 HP EACH INSTAL., ALTER, REPAIR WATER PtPE I VENT FAN SINGLE DUCT '2---;~ti_, •1'rA• !OofO EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT 7 I -.. • . .:,, ·" ~ J . . -Jg, SIGN PERMIT ,,.u' I . ~ TOTAL PLUMBING tJ. TOTAL MECHANICAL PLAN CHECK 11,v' I '.:.J td_.'...:t,.<Y £_,,,.-I CONTRACTOR ~ CONTRACTOR All INCLUSIVE PERMIT TOTAL PLUMBING OTY. ELECTRICAL PERMIT AMT. OTY. MOBILE HOME PERMIT AMT. ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR , I 1 PH .25 3 PH RAMADA, CABANA -:,;;---.-"'z 7 I REMODEL/ALTER PER CIRCUIT . I . , FENCE OVER 6' rr I TEMP PO LE 200 AMPS TOTAL MOBILE HOME MICO Fl LM I OVER 200 AMPS I TEMP OCCUPANCY {30 DAYS) I J -. . -~ I TOTAL ELECTR1 CAL 7 TOTAL FEES PAYABLE I CONTRACTOR ....... I I 7 ./ -. i ' . -,~Ji h ..,_ I I I I ' I I I I I£. -I 1"' ·--I 1/ . _,__ 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"11"1.-i- ~~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS o'1ER #i~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5·.o·· DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HE1GHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER CJc-~ )vekc;...; [....-SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM :/ LESS THE CITY OF CA AL SBA D AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ' . EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST $AID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT APPLICANT'S SIGNATURE" CJ OWN ERO CONTRACTORO IAPP'KED BY -- , AGENT ~ BY PHONE O --. . ,/-/,1 I 1, OWNER: PERMIT NO: ~l--':>'6 FIELD INSPECTION RECORD INSPECTOR'S NOTES SITE ~DDRESS: INSPECTION DATE INSPECTOR WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOP 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 DMJ!PER &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 -, -OTH~R DEPT'S REQ COMPLETED 'fl I, A..:. . ELEC METER-PERM-TEMP /7 ·(d( /(!' .I' GAS METER-PERM-TEMP ' II l ' I t_::ERT OF OCCUPANCY l~SUE9 i