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Home My WebLink About2203 PLAZA DE LAS FLORES; ; 81-140-9; 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 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). □ 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- 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 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_1•ho buj/d_s ,pr Im- proves thereon, and who contra'1.s to jects with a contractor(s) license contractor's License Law). I am exempt under Sec. ~ r· ~ for this reason . 4 .. Date Owner WORKERS' COMPENSATION',QECLARATION 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 FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per• mit Is for one hundred dollars (SHl!)) 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. NOTICE TO APPLICANT: If, after making this Cer• tlflcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this oermit is lssuAC'I ISAr. 1097 Civil (".nrl,:a\ C ITY O F C ARLSBA D-BUILDING D EP ARTMENT USE BALL POINT PEN ONLY APPLICAT ION & PERMIT 1200 ELM AVENUE (714) 438-5525 o? .;/4 I I '"11 ~ 4-q5i' !f /p -JOB ADORESS";i;-~,ii~ ~I r--r-i I I I I I I tRr l0 f -,J~i/ATIOH OWNER {,/ OWNER'S PHONE PRIME CONTRACTOR 5p,.11'i,J v✓ I l,.A _,, J' I f'I n ,.,,,,. /. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER I I I I I I I I I I I g;,y_2:N o/t/Y ~ .. '\.f rovw_~ ,,.-_A~~t:"._~ ,-~ ....... c.:r-v"' ~ .+ ~ ~ -DESIGNER'S ADDRESS f~~ V CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR - MATION WITH IN RED LINES. BUS. L ICEHSE PERMIT NUMBER J.. ~6'? I t1-1'fD-1 STATE LICENSE ~J/fi/J;J COHTRACTOli'S PHONE 6n"tti, .. s;"a ,._ .. -••---.-STATE LICENSE DESIGNER'S PHONE 2.'J ~ !,l I RES. UNITS I PARKING SPACE I NUMBER Of STORIES Not Valid Unless MachiM c.rtifi«J BLDG SO. FT. BLDG USE occ. GP I STANDARD PLAN# I PLA~,: / tH) I TYPE CONST I occ. LOAD I . QTY. PLUMBING PERMIT AMT . QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU . -'. ~-- EACH BUILDING SEWER .; OVER 100,000 BTU t~~E ~'~ EACH WATER HEATER ANO/OR VENT .,-, . BOILER/COMPRESSOR UP TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ·, EACH GAS SYSTEM 5 OR MORE I BOILER/COMPRESSOR 16-30 HP .•\ . EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN srnGLE DUCT I 'A.Lt1~ '/7QJ . EACH LAWN SPRINKLER.SYSTEM < .. MECH 'XHAUST -HOOD/DUCTS ' WATER S0FTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . i'Lt"1. IT/l SIGN PERMIT -, I , I I .-I TOTAL PLUMBING TOTAL MECHANJC~L PLANCHECK /'.!)..I_:-'M/11/tJ I I I I . CONTRACTOR CONTRACTOR . ' ALL INCLUSIVE PERMIT ' I -I I I TOTAL PLUMBING I I I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I I NEW CONST EA AMP/SWTIBKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO ·FI LM I I I I OVER 200 AMPS . I I I ; I TEMP OCCUPANCY (30 DAYS) I I I I I . I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I f7.-W). t'ln CONTRACTOR . I I . , "'"' "'"" "'" , ""'"'° '"' OD Mee mo "'"'"°" '"" ••• "'"""·ANO DD (z-"""" ,S "'""'"'" '"" .. = "' """' D"'" HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DE P AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;T O COMPLY WITH ALL CITY, STRUC URES OVER 3STORIE~ COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER C-{ l:f:t21tO!i SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESSTHECITYOFCARLSBAOAGAINSTALLLIABILITIES.JUOGMENTS.COSTSANO __.. ).~ ... r-"). . ~ ~ l-\.v ,~ '\:-r~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE f J OF THE GRANTING OF THIS PERMIT. APF'llCAtl·s SIGNATURE· OWNER □ CONTRAcfoR□ r PIVEO BY ~1½ AGENT~ BY PHONED ... '~ ... -...... ~ 'I/-'lj ao ! ~ ~ ~ j::: ~ 0.. V) ~ SITE ·' 2\;\c...\,A>--°t ADDRESS: OWNER: t -PERMIT NO: \~ '} \1· . ·. - • .,,. ' ;~ • .. I FIELD INSPECTION RECORD INSPECTION ·, ' DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING ~l -= --~ . UNDER FLOOR HEATING .. . .. • OK TO INSTALL SUB FLOOR . ' -~ •. ---· - SLAB FLOOR UNDER SLAB P L UMBING FOOTING • FORMS• SETBACK • TOILET ~ ... . \ . ' \ ..,, OK TO POUR CONCRETE ~ > i . FRAME 1,e ROUGH ELECTRICAL , yyuv ROUGH PLUMBING ' • I -_,JP<)~ ~ ' of'I '--'"" ~-i--ROUGH HEATING/VENTILATING I -~ .• J>O FRAME OK • PLACE I NSYL,ATtp~ ~ ~ •' : ~ Ji-' ~ '\ ~~_;, ~--~J I /J LJJ'.-'r,/t:?'6-1' -L lx-v -' INSULATION OK • PLACE WALLBOARD i • ' -~ -' WALLBOARD OK• PLACE TAPE, !-. \ " ~prr--"V' _.., ~ -.Mfl. -'7~ '/ tJ/,!f/ EX1ERIOR LATH OK• PLACE STUCCO \ .. '.)\I (!1rJl>I'-.A>JfS VI ...,__,__JV I JJ e,,i:;..,-, /1.A~ , .,. \,r" -~. . FIREPLACE L...1'A~,· ---~"f'}N~ V ,/'.( ,,~ n A~ . ' . : ~"' .c I .. DAMPER &STEEL ,·i . ' / t .. /1 ' -.... • ·1, -~ lY PLATE Tl Es/HEIGHT OF CHIMNEY . JA-1/) ,,.....--:, , ~/1,l,1~ / ' - OTHER \.._.,-, I r7r V TEMP POWER (POLE) \ SEWER l_.:.1/ GAS TEST SWIM POOL• STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S.REQ COMPLET ED ELEC METER-PERM-TEMP -- GAS METER-PERM-TEMP , .. . -,· ' •. : ... CERT OF OCCUPANCY ISSUED I .. ' -, ., I • SEE 7201 PLAZA DE LA COSTA FOR ALL PLAN CHECK INFO 81-140 ·