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Home My WebLink About2032 PLAYA RD; ; 80-918; 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 lull 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, a!ter, 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· p1icant 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. 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 for the purpose of sale) -::.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project {Sec. 7044, Business 2.nd Professions Code: The Contractor's License Law does not a ply to an owner of property >_•ho builds \lr, ' proves thereon, and who contracts for s jects with a contractor(s) license p contractor's License Law). I am exempt under for this reason Date I hereby af_firmwthat I have a certificate1K,~o o- sent to self-insure, or a certificate of ~or r Compensation Insurance, or a certified thereof {Sec. 3800, Labor Code). 6g~~;~?--~-----~-------- c..: Copy is filed with the city C..: 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 ($100) or less). I certify that in the performance of the work for which this ,r. rmit 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- tificate of Exe.-nption, 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 permit is issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 "· ,f',J, JOB ADDRESS tR~T. IDiTi: ~L~;N 2.. ,i>,3,-Z.. ,P1t...,A,Y,f\; ' ' ' ' ' ' ' ' ' ' ' I I ' ' ' OWNER OWNER'S PHONE PRIME CONTRACTOR J,1 trer< Ti+mz:_ K,-Ci--1 'f>IYTTE "-OC 1-!L/\ 7 cf'" OWNER'~;;:; ?ESS CONTRACTOR;,. ADDRESS -~ I /0'-f ~ '( l>u?cr, PM c-i)-(J..,"11.,l COT BLOCK l SUBDIVISION I .:, 1 AssEs~•s PAR/EL;~· . J.? DESIGNER ~ /1 <' I I ' :,Q1 ' (~c7,J DESCRIPTION OF WORK (' ..41/; Y7'7.M' -DESIGNER'S ADDRESS ,7 -'i?i ~ {, 'FPccdcv, c 1<. })f' S: D . CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. SUS. LICENSE PERMIT NUMBER ;21 ti Y7 ~91( STATE LlCE~SE ~29'1'/ I CONTRACTOR'S PHONE 1,-5.:;;,_, n c: STATE LICENSE C-12.0 c.,, DESIGNER'S PHONE 4'jf-b7GS I RES. UNITS ( ' PARKING SP 3 )E ' .,J.3 I NUMBER OF STORIES Nat Valid Unless Machin, C,rtifi«J BLOG SQ. FT. BLDG USE occ. GP I STANDARD PLAN 1t I"" ~-,r !Io -11¥ TYPE CONST l occ, LOAD I OTY. PLUMBING PERMIT AMT . OTY. MECHANICAL PERMIT AMT. . I EACH FIXTURE TRAP ~ -INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER .. --.rt .. , ..,_, EACH WATER HEATER ANO/OR VENT -v_ BOILE.ij/COMPRESSOR UPTO 3 HP 1 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 2~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS /fcYU ' -----' WATER SOFTNER RELOCATION OF EA FURNACE/HEATER .. BUILDING PERMIT I I t 1-, _--,11() .;,.......-, ...... ~.,.. -'5 .11• . . , A ' -:> .0'""7:J SIGN PERMIT ' ' I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I (J./llfJ CONTRACTOR (/. --CONTRACTOR Iv.,,,. ALL INCLUSIVE PERMIT I I . ' I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I / ·"" OTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I• ,_,,, • l) NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I'.,., 'A 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR -I I I 1 PH .25 3 PH RAMADA, CABANA -~ . /,'?~ I I I .ri, ., REMODEL/ALTER PER CIRCUIT -I . ,,,. FENCE OVER 6' J I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-fl LM ! I I OVER 200 AMPS I I I TEMP OCCUPANCY (30 OAYSl I ' ,, / ,., ~ .., ;z co -.U... 'f,, r, 14 TOTAL ELECTRICAL ~f:; TOTAL FEES PAYABLE I , CONTRACTOR 7 I I I I . I ./. / ::_ T ...e.a-../ V I HAVE CAREFULLY EXAMINED THE COMPLETED ""APPLICATION AND PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF JJ14-'1 ')4 r~., I I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND ST ATE LAWS GOVERNING BUI LOING CONSTRUCT ION. WHETHER SPECIFIED HEREIN OR NOT. !,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARL $BAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S/.)~URE" / ) OWNER' CONTRACTOR□ IAPPR VED BY 1itf~ . -v-r1 e~ (..-,,;, -..,,..... AGEN\. BY PHONE O -~ -. . I I ; ~ 5 j::: ~ a. V) ~ -~ rr1 SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDAT!ON • 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 Tl ES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FJNAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP I GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED REQUEST FOR TIME:_· _____ _ 1~!:CTION INSPECTOn_ _____ :c__~----PERMIT Nofl-t;/ DATE:_,1_,t_✓...,,i/tJ-Vo-'=----7~/ BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION D INTERIOR LATH OR DRYWALL D FINAL ( PLUMBING ) '-~ D UN ... _,._, ___ , .. D PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING~ D SEWER AND PL/CO 0 UB OR SHOWER PAN AS TEST D ATER HEATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC D POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN D GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY DA.M. DP.M. D TUESDAY □WEDNESDAY eiY □ FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY_,_b..::k::.....:.+.,.C:£._ ___________ ,PHONE NO.__c.'o/)_~_-r_-_a'-~CC.>.:o'---~ PERSON TAKING REPORT--r6-~"-""~µr;;---- ---· ........ ------------------ INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: da3:2 ~ a._dt '. '! E CE IVE D Nov 4 7980 CITY OF CARLSBAD PLANNING DEPARTMENT Building Oopartment ZONE __________ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ____________ UNI TS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ___________ _ % COVERAGE ALLOWED _____________ PROVIDED __________ _ BUILDING HEIGHT ALLOWED PROVIDED __________ _ FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: . ADDITIONAL COMMENTS: REAR SETBACK: ~~ ~ (} OK TO ISSUE: ,1:µ-ee;;(~ y;t 'tO FINAL _______ DATE ___ _ ENGINEERING DEPARTMENT /C(OO, - R.O.W. ______ INDUSTRIAL IMPROVEMENTS _______ _ , SEWER CONNECTION ~,e◄~~c......::..O_J _____ DRIVEWAY LO CATION S ____________ _ GRADING PERMIT _______ EASEMENTS __________ DRAINAGE ____ _ LEGAL DESCRIPTION _____________________________ _ I 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 ________ DATE ________ _