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Home My WebLink About2277 PLAZUELA ST; ; 80-475; Permit~"''" co.,,, .. rroes o,cum,o, I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7 s f, OWNER-BUILDER DECLARATION D •reby affirm that I am exempt from the Con- r's License Law for the following reason C s s a. m si c, t e 7031.5 .Business and Professions Code), Any ,r county which requires a permit to con- , alter1 improve, demolish, or repair any ure, prior to Its Issuance also requires the :ant for such permit to file a signed state- that he is licensed pursuant to the provl- of the Contractor's License Law (Chapter 9 ,encing with Section 7000 of Division 3 of uslness and Professions Code) or that Is ex- therefrom and the basis for the alleged ex- Ion. Any violation ol Section 7031.5 by an ap- ,t for a permit subjects the applicant to a >enalty of not more than five hundred dollars ). 1s owner of the property, or my employees wages as their sole compensation, will do ,ork, and the structure is not Intended or of- for sale (Sec. 7044, Business and Profes- , Code: The Contractor's License Law does ,pply to an owner of property who builds or ,ves thereon and who does such work elf or through his own employees, provided such Improvements are not Intended or of- I for sale. If, however, the building or improve- Is sold within one year of completion, the tr-builder will have the burden of proving that Id not build or Improve for the purpose of ~ ' a --~ ,s owner of the property, am exclusively con- Ing with licensed contractors to construct ,roject (Sec. 70«, Business and Professions ,: The Contractor's License Law does not ap- o an owner of property 1•ho builds or Im· as thereon, and who contracts for such pro- , with a contractor(s) license pursuant to the ,actor's License Law). ,m exempt under Sec. -B. & . . 'l"." /7 -? ,asrea _ ~ ..,,.. 7l/? Date ,A I/// Y ./ Own~ AV ./X ~ ~Lf , I V . l'vf .. -- WOR RS' 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mlt is for one hundred dollars ($100) or less). 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tlflcate of Exemption. you should become sub)ect to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provislo~• or this permit shall be deemed revoked. C IT Y OF CARLSBAD-BUILDING DEPART MENT APPLICAT ION & PERMIT USE BALL POINT PEN ONLY 1200 EL M AV ENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. JOB ADDRESS tRr· iD~;;~7Al~TION BUS. LICENSE PERMIT NUMBER ') 1"11 7 1-,1 I 1111) I ~17 111 I J:'I I I I\ I 1-Sr-1""1 I I I t I I I I I I I I ;;;: J Mo<- OWNER•s PHONE PRIME, CONTRACTOR • I STATE LICENSE. ~TlA~\, ! ~A\11-W-G\ <l-i -/"l 1.7 <; (j~f>-,..-L-A._ fa-~7s- OWNER'S \MAILING ADDRESS CONTRACTOR'S ADDRESS CONTRACTOR'S 'T) .. 71 j)1 .,..\ -::> LA i::: 1 ;.1 -ST ( Lrz_.JR~"t PHONE L~ BLOCK I s\{~~~o~ l.l..)~y I ASSESSOR'S U;.RCE,tJ;l./,, DESIGNER STATE LICENSE ;l.1 / 1 t.13..1 10 I I I I DEsc~A~~;;ORKr D\J~::r I\\)..)~~ . ..:; I 2i rh DESIGNER'S ADDRESS DESIGNER'S PHONE --t;A '"' i::-5/f:dB~ l,.1J3 r;~: ijs I RES. UNITS PARKING SPACE$ f I NUMBER OF STORIES CENSUS TRACT GP LANO USE ZONING # Not V•lid Un'-MachiM CKtifi«I BLDG SQ, FT. BLOG USE occ. GP I STANDARD PLAN II I PR;;:7"7s-I TYPE CONST I occ. LOAD ~; .. I CHY. 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 EACH WATER HEATER ANO/OR VENT 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 OUCT $~,,or~ ~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATI ON : WATER SDFTNER ,..Li¼~ RELOCATION Of EA FURNACE/HEATER BUILDING PERMIT I ' Ic:c:ue 3 .00 Issue 3 .0U SIGN PERMIT I , I i I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I 1/1~~ . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT f I I ELECTRICAL PERMIT TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG 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 ClRCUIT 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) S'l'.l:{UNG MO'l'.LUl\l : I I I .IJ I~ Issue 2 .• 00 I ,::<..~ i,.U -. . TOTAL ELECTRICAL TOTALFEESPAYABLE I - CONTRACTOR I I I I I ' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, AND 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I flf JJ:!!l!:,,: oo,mocno, o, SCHOOL FEES: FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, S OVER 3 ST I IN HEIGHT C-:l--:. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN QA NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-"/ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~ I; ~ ...-. ,,,e..-,' .//17 ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APlipCAN-f•s 1GNATUAE"""" ---, OWN?□ CONTRACTOR□ ~PPAOVED 8P. -CJ DATE AGE D r,1 ~ -✓ , I. , --_r;. ~ BY PHONED /I' , I -~ -, I ..,_ I ! < 0 ~ > ~ j:: ~ c.. fJ) ~ 2 -w SiTE ADDRESS· owNc=:R: >----------------------------------------------------________ P_E_RM_I_T_N_O_: __,~o<.;0=----Lf_7._~-=--7 F IELO 1;\/SP ECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES i NOOO 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 I EXTERIOR LATH OK• PLACE STUCCO l"!REPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING I • PRE DECK • FENCE PREPLASTER \ SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT '1 OTHER DEPT'S REQ COMPLETED i ELEC METER-PERM-TEMP f-----------------------+-------+---------4 i GAS •~ETER-P __ E_R_M __ -_T_E_M_P _________ t------+-----------1 I_ . ---------------------------1-----+--------;' --------------------------------------------------------- I i r-----------------------+----+---------1 ! C:ERT OF OCCUPA.tKY !SSUC:D --~-------_._ ____ ...._ ________ _, y1,·1lt ~~ a \,f :l. -· o d-i.3 INTERDEPARTMENTAL INFORMATION SHEET LDING DEPARTMENT DATE RE CE IVE D BUILDING ADDRESS: 'd-?-11 f /~ .s:~ Lo+-¥b I -1J 1 ?.~;;. MAY151980 ~cJtto C:e Vert J PLANNING DEPARTMENT ZONE rc::/B-I LOT SIZE ________ LOT WIDTH g I ,? / UNITS ALLOWED _ ___._N.....,_./2~~~---.------UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED PROVIDED ------------- BU IL DING" HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED ------- PROVIDED ------- _INTRUSIONS SIDE SETBACK: 9 , I 1 q' I I ----------- REAR SETBACK: \e ,-z/ \6 ,2-- LANDSCAPE & IRRIGATION PLAN COMMENTS: -H-~/2~:&....=""'--------------- ENV I RONMENTAL PROTECTION REQ: ADDITI ONAL COMMENTS: _______ DATE ____ _ R.O.W. INDUSTRIAL WASTE IMPROVEMENTS --------------------- SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- GRADING PERMIT -----:-:J:¼'---+-_EASEMENTS _______ -,-_DRAINAGE ____ _ LEGAL DE s cRIP T IoN __ L_0_-t __ o_-_J_JJ____.D ........ A~c..--f= __ 1__._;).. __ -~J-_1/ ________ _ ADDITIONAL COMMENTS ----------------------• 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 _______ _