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HomeMy WebLinkAbout2035 PLAYA RD; ; 79-5048; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that r 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 C'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). l 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) ::: I, 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 certrticate of Workers' Compensation Insurance, or a certified c thereof (Sec. 38 , La or Code). POLICY NO. .( z~ -r l ft\ COMPANY,~~~~~J. ""' -.., Ai..;opy is filed w th the city C Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the per- mit 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 in any manner so as to become subject to the Workers' Compensation laws of California. NOTICE TO APPLICANT: If. alter making this Cer· tilicate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such p .1'Visions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY jiereby affirm that there is a construction len· ding agency tor the performance of the work for which this permit is issued (Sec. 3097, Civil Code). APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 - A.(),{'~ JOB ADDRESS tRr· 1D;; 1 n;;;ON "Z, O, .4l.,--, i',·L, A, Y,A1 ,f2,,'. I I I I I I I I I I I I I I I I OWNER OWNER'S PHONE PRIME CONTRACTOR I I L lc.teD'-/ Lr.:..£s SPl"'J .,.,;o.e.Lb OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS '71"!):.;:q PL.AY/4 Db & I 2.J /J'1 ; SS ,• c•?V' C:.,,~ '" !II nr.: I SU!DlVISION I ASSESSOR'S PARCEL NO. DESIGNER ' 1/1 A C-C':,-, Ff' , , ' ' ' ' , ' ' , ' DESCRIPTION OF WORK s?A ,.S-"v',, ,n ;Y) ; l'V b ,-?ec;i L., ~-DESIGNER'S ADDRESS .:Z3S-n4 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. ·;,:;;;;'7~ ~ PERMIT NUMBER STATE LICENSE l -?2 7'/ ()0 fr' 71 -s-tJt/f ~,.,..,,,_,Rs-., ~' z C'-·'-//,4, ' STATE L!CEN DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machine CartifitJd BLDG SQ. PT. BLOG USE acc. GP I STANDARD PLAN 11 IPLANID/t ! TYPE CONST I acc. LOAD I -~ UTY_ PLUMBING PERMIT AMT. UTY_ MECHANICAL PERMIT AMT. /'. J''~ EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU a~~o EACH BUILDING SEWER OVER 100,000 BTU/ ,7 / EACH WATER HEATER ANO/OR VENT ....-: . BOILER/COMPRESSOR UPTO 3 HP / ' EACH GAS SYSTEM 1 TO 4 OUTLETS y,v_;;., B01 LER/COMPR ESSO R 3-15 HP/ ~ 11/4'11§--///6 7 V EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR l6--3fi HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLµr\JCT 33~,:;!;.., ~ --- ( E~ell l<!ili:liP~ 9PA1Prnl:.l!ij S:t::SnM d JI;. ;!..-£-"-' MECH EXHA_lj81 HODO/DUCTS / IIIUEEI 5QE:HlfR ---:. J.,,'; V -RELOCe,;r!ON OF EA FURNACE/HEATER BUILDING PERMIT I . ,.uiv_ "'o . . < _.,,..,, / / SIGN PERMIT • I ' I ' I TOTAL PLUMBING // c>O TOTAL MECHANICAL PLAN CHECK I ,ll~lt':~ CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT_ AMT. TOTAL PLUMBING I A/-01O UTY_ UTY_ MOBILE HOME PERMIT ELECTRICAL I l'J,O"° ./ NEW CONST EA AMP/SWT/BKR ,£"-:Ob 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 CIRCUIT FENCE OVER 6' / I I I I TEMP POLE 200 AMPS TOTAL MOBILE H.!JME MICO-FILM ! I I I OVER 200 AMPS / I I I I TEMP OCCUPANCY (30 DAYS) / I I I I t I~ ~ • }.,-. ,IJQ / I I I I TOTAL ELECTRICAL 'O 1/ TOTAL FEES PAYABLE I / I /it.t11t> CONTRACTOR I I ,;71-~~.Ptf~ -I"• u"O I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO 'AN~Reau,RED rnR ,XCAVAT>ONS OVeR ~-.56~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I s' o--oeee AN OUTIOUNSTRUC~,., FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. STRUCTURE A 3STORIE EIGHT / COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER ,, c-~ SPECIFIED HEREIN OR NOT. 1,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 SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT AP'PLICANT'S SIGNA..ORE• [ V OWNER □ CONTRACT~~r~~--)1 □-~T1,: '/ AGENT D BY PHONED , , . , , • w >-<( e ( l-)w "-V, ~ SITE ,q -!,"'!) <Pi< 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• PL.ACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE t:.XTER10R LATH OK• PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN -, I ,,, '"\ I FINAL lNSP BY BLOG DEPT 1/Jv/~ -,~ OTHER DEPT'S REQ COMPLETED I I _,,,. ELEC METER-PERM-TEMP - GAS METER-PERM-TEMP . ,, CERT OF OCCUPANCY ISSUED - :; 7A /I),.µ--),/'t1--&//C p ~ INTERDEPARTMENTAL INFORMATION ~JrLDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT SHEET DBECEIVED NOV 5 1979 CITY OF CARLSBAD Building Department ZONE __________ LOT SIZE _________ LOT WIDTH _________ _ • UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ------------ % COVERAGE ALLOWED PROVIDED ------------- BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ______ _ PROVIDED ______ _ INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION OK TO ISSUE: ENGINEERING DEPARTMENT J? f'6 ::::.--- R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION ________ DRIVEWAY 1ocATIONS GRADING PERMIT EASEMENTS /J~ DRAINAGE ____ _ LEGAL DESCRIPTION ------------------------------ ADD IT ION AL COMMENTS ____________________________ _ OK TO ISSUE: ~ATE//" ( 7'/ PWI ____ 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 ________ DATE ________ _