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Home My WebLink About2277 PLAZUELA ST; ; 80-486; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 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 Cl 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· men! 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 ot• fared 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. fared for sale. 11, 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 tor the purpose of sale). :::.1, 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, or .a certificate of Workers· or a certified copy :ode) ::::Copy is filed wittl-Jhe city. ::.:Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per• mil is for one hundred dollars ($100) or less) I certify that in the performance of the work for which this permit is issued, I shall not employ any person;;-any manner so as to become subJect to the Work"~s· Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Ger• tificate of Exemption, you should become subject to the Workers' Compensation provisions of lhe Labor Code1 you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len• ding agency for the performance of the work for .• ._,_._ ... ,_ -· --··--' '"--.,,.,.,..,. f';.,n ,.,~,.,~, CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. ,. "· 2.1 L T1i · 1 B L.+A;bu, £i L,I\ JOB ADDRESS s 1!112..,l:',£. T7 I I I I AV. ST. DAT0E PERMIT NUMBER SD ':, I 1{1 OWNER tv\ IM h1~ ~ 1,1 /\l N LE/\v1 ,, OWNER'S PHONE owifE~ Mr,-ING ADORE$ C. -(), fu ·,:1..11_r w1_1.,..'E.u\_x_. _uicl.1....'2Bfl!L. ~ _._°i·v~ LlU,,,-1 BLO.CK • ', 1 SUBf!"::_l~-10~ CJ./? ..., I ASSESSOR'S PARCEL NO. ...., 11..-·l-, 11/ri'\J_li:;,-i'> , , , , , , , r!ii~R~10wrr~, { lA~-~ ?~\ SJ3:,Vl :$_ 3o1 (. <fr CONTRACTOR ·',a, ,-,,1 ~-~ L/\_]c CONTRACTRf".l AODRESS1 :)::j 1..J~ I/.• #J\10 IA • ~ 7 DESIGNER -t-" tJIA- STATE LICENSE DESIGNER'S PHONE DESIGNER'S ADDf\_ESS N /." fo-l/d6 CENSUS TRACT GP LAND USE ZONING UNITS -l '"· l :RKING sPAcEsf l NUMBER or sTORlEs Not Vah'd Unless Machine Cartift«i BLDG SQ. f"T. BLDG USE acc. GP l STANDARD PLAN ;t lPLANIDfi l"" CONST l occ. LOAD I GTY. PLUMBING PERMIT AMT. GTY. MECHANICAL PERMIT AMT. .....CH F iX,:ll~RE T RAL (.L-\.l$i£ •n;u1. ', ~.cc INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT -:r-,..;°') BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: \T/0,lli,A ii0FTHEFI V ')....OD RELOCATION OF EA FURNACE/HEATER T~ ---\.),V\P ..... ,..,.. -. ~ .n n BUILDING PERMIT SIGN PERMIT TOTAL PLUMBING CONTRACTOR GTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) Issue TOTAL ELECTRICAL CONTRACTOR 3 PH 3 PH ~ lo .co AMT. _2.nn 'tITTAL MECHANICAL PLAN CHECK CONTRACTOR ALL INCLUSIVE PERMIT (!TY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL AWNING MECHANICAL PORCH MOBILE HOME SET-UP SOLAR RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME MICO·FILM -,,, TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. COUNTY ANO ST A TE LAWS GO VERNI NG BUILDING CONST AUCTION, 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 "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: 5".Q"' DEEP AND DEMOLITION OR CONSTRUCTION OF OF THE GRANTING OF THIS PERMIT. / -, STA UCTURES OVER 3 STORIES IN HEIGHT ~ /; /_ ~zt·'.o'"uh:,,A 171' OWNER □ AGENT 0 CONTRACTOR□ BY PHONED )it~ ;J-.>() c) l I APPROVED BY J I I I I I I I I I ---~-,,,:?/,_// , ./" 77 I 110 ft, I I . I 1 1 .3G, - I I . I I I \Ot_Qtl, I I . I I I . I I 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').610'. DATE .l~..Z,/ • w < Cl ~ ~ .= u w c.. V, ~ 27 SITE '8()-l O'Vi ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD f 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 8: STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) SEWER I GAS TEST 1. SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN . I I I /. FINAL INSP BY BLDG DEPT .... ,,.,, lt'J>V OTHER DEPT'S REQ COMPLETED I ,. l ELEC METER-PERM-TEMP !GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED -·--