HomeMy WebLinkAbout2032 PLAYA RD; ; 81-54; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi·
sions of Chapter 9 (commencing with Section
700J) of Division 3 of the Business and Profes
sions Code, and my license is in full force and el
feet.
OWNER·BUILDER DECLARATION = I hereby affirm that 1 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 o
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 ;
civil penalty of not more than five hundred dollar·
($500).
L I. as owner of the property, or my employee
with wages as their sole compensation, will do
the work, and the structure is not intended or of
fered for sale (Sec. 7044, Business and Profes
sions Code: The Contractor's License Law does
not apply to an owner of property who builds o
improves thereon and who does such wor
himself or through his own employees, provided
that such improvements are not intended or of
fered for sale. If, however. the building or improve
ment is sold within one year of completion. thE
owner-builder will have the burden of proving Iha
he did not build or improve for the purpose o
sale)
; I, as owner of the property, am exclusively con
tracting with licensed contractors to construe
the project (Sec. 7044, Business e.nd Professions
Code: The Contractor's License Law does not ap
ply to an owner of property ••ho builds or im
proves thereon, and who contracts for such pro
Jects with a contractor(s) license pursuant to the
contractor's License Law)
I am exempt under Sec _ ___ , B. & P.C
for this reason _________ _
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con
sent to sell•insure, or a certificate of Workers
Compensation !nsurance, or a certified co
thereof (Sec 3800, Labor Code).
~.,
POLICY NO ________ J r
COMPANY l ; 1~1
C!Copy is filed with the city.
LJCertified copy is hereby furnis Ml
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction len
ding agency for the performance of the work fo
whir.h lhi<t n<>rrnil i<t i<t"-llf!<1 /Sf!r.. 3097. C:ivil C:n<1f!l
CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT
USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
"'· JOB ADDRESS tRr· 17;/Ftr/~TrN 'Z 1D,·-; 1"2. I /i'J ,lt,'l,fl, eJ ' ' I I I I I I I I I I I I I I I I
OWNER OWNER'S PHONE PRIME CONTRACTOR •/ /,
/f);+(Z..~ Tu,-;z.. "-(-35'-I l;,b 0 (,,v,v~ IL V ...,, L.v<:c (1...
OWNER'S MAILING ADORES,.$
!.._c;c.. A,v-=LE-:. , C,t 1t1c-'tG
7;RACTOR'S ADDRESS
/boo /✓, -F11-11z ,=4y: ',J,o/ /I • • _.,, ·t #./
);~BLOCK ~80\VISION //.. :."t-!t~ ASSESSCfR'S PARCELfNO. ,
4Cosr..v J'JcLF-•,,, , , -. , I, 3, "· , ~ , • , fb,/2A••• #, f;'/71¥9-JV OESCRIPTION OF WORK Oe<!...1~ ' --i . '
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMBER
STATE LICENSE ~ 1--rJ
CONTRACTOR'S
PHONE
STATE LICENSE
2/0~/8 J146Jb I ,..., .. ~,-_ o:s1µ':~ ?,) ~4 ~ .J-,;2.o3~rf3f · 0" l 4~J~ 2/Q~; ., : ' •
CENSUS TRACT GP LAND USE zorhNG IREs.utlrs I PARKING SPACE NUMBER OF STO~
Nat Valid Unless M8chine Cartifi«J
SLOG SQ. FT. BLDG USE occ. GP I STANDARD PLAN 11 I '"" J?i -r;v I TYPE CONST l QCC. LOAD I ,
OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT.
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UPTO 3 HP
EACH GAS SYSTEM 1 TO 4 0 UT LETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP
EACH JNSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT (j_g,~_, 1,:i-oo EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT -•• I ,lrv-i-
.,,.,{,..~_...,---<--, :;, ,:/ 0 ~ ..__? .C,,1(/ SIGN PERMIT t I I I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK /U-"',.1,.Jt'J .J't(f/ I I ,l,i. _._
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I
ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I
OTY. AMT. OTY. MOBILE HOME PERMIT ELECTRICAL I I . I
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I . I
lPH .15 3 PH PORCH MOBILE HOME I I . I
EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I • J,--
IPH .15 3 PH RAMADA, CABANA .,,<j--Y.-1 .. ... ..1,,-.. .fi_ .. ~.1 I I I _, ,,.,
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' r/ I I I I
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I . I
OVER 200 AMPS -,,, /I I 1/1" ,_. J TEMP OCCUPANCY (30 DAYS) 77 ~ ,..~ rEli' I ;g_ I ' ,,, \,fl
7,,,,~ ~,:1, .. I I I I ~
TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1/1/ .. rin CONTRACTOR I I
·de~. " JI,.,_~
I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER V HERESY CERTIFY THAT ALL INFORMATION H!=REON IS TRUE AND CORRECT AND I 5'•0" DEEP AND DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED:TO COMPLY WITH ALL C!TY, STRUCTURES OVER 3STORIES IN HEIGHT
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 CARL $BAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND I ,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT APPu:r·s,GNAT::_ ~-owN~ CONTRACTOR □ IAPPF ivEo BY IA~ AGENT BY PHONE Q -__,,,._ & oa • l 1. , • ,
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SITE
81-'Slf 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
DA'MPER 8,STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME _,..., I
'• PAN '9/ ,
FINAL 1NSP BY BLDG DEPT A "I/ A',
OTHER'DEPT'S REQ COMPLETED / /}/ / .,.,,
ELEC ME.TER-PERM-TEMP
GAS METER-PERM-TEMP -
-
' -
CERT OF OCCUPANCY ISSUEC
TIMEc.· ______ _ R~OlJEST~NSPECTION
INSPE{;TOR • ~ PERMIT NO. g _5~ DATE:
ADDRESS
0 FOUND
0 REINFORCING STEEL
D MASONRY
D GROUT· GUN I TE
D FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
D EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
D UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
~ FINAL
READY FOR INSPECTION·
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
D ELECTRIC SERVICE
0 CEILING HEAT
OG.F.1.
0 SMOKE DETECTOR
~ FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
D FRIDAY
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT-~,;;¥&-------'-''------
INTERDEPARTMENTAL INFORMATION SHEET
' DING DEPARTMENT
,LDING ADDRESS: .,,20 3:;); ~
.. JJe?Z ;2./S--Ida-~
7
PLANNING DEPARTMENT
~ECEIVED
DATE: ______ --=---
9 1981 FEB
ell'/ OF CARLSBAD
Bu\\d\ng Department
ZONE _________ LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED ________ A__,1_/ __ UNITS PROVIDED ______ 6_tr,F--,,-----
PARKING SPACES REQUIRED U[<.._ PROVIDED ____ -=-~------
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED ----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED __ ----+o::-1--F-t=---
INTRUSIONS _____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS: ~N.J...+M--L---------------
ENVIRONMENTAL PROTECTION REQ: ~fxi::.u.,~c......:...~tr:-1-_______________ _
f J OK TO FINAL DATE ........ I-+-+--"--------------
ENGINEERING DEPARTMENT
R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _
SEWER CONNECTION C::-0 U J°' DRIVEWAY LOCATIONS ___________ _
GRADING PERMIT EASEMENTS __________ DRAINAGE ____ _
LEGAL DESCRIPTI-ON_kc __ /_O_~_ ei:_(! diu-!l :tt./
____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET _____ _