HomeMy WebLinkAbout2685 Garfield St; ; 80-944; Permit~,,
LICENSED CONTRAC1 •. -d DECLARATION
I ~.ereby affirm that I am ii.:ensed under provl-
s,ons of Chapter 9 (comme 1cing with Section
700J) of Division 3 of the Gusiness and Pro!es-
sio,s Code. and my license is in full force and ef-
fi,cL
OWNER-BUILDER DECLARATION
C'I Mreby affirm that I am exempt from the Con-
1ractor·s License law for the following reason
1Sec. 7031.5 Business and ProfesSions Code), Any
city or county which requir.es" a permit to con-
stn,ct, alter, improve, _o-emoiish, or repair any
structure, prior to it,s-iSsuance also requires the
ariplicant for .§JJe~(permit to file a signed state-
men~ is licensed pursuant to the provi-
'S"ffins of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
:M Business and Professions Code) or that is ex•
e.'TIDl therefrom and the basis for the alleged ex-
emo1ion. Any violation of Section 7031.5 by an ap-
plicant for a permit sub1ects the applicant lo a
ci,il per-.al!y of not more than five hundred dollars
iisucJ
L~ 1, as owner of the property, or my employees
with wages as their sole compensation, will do
n,e work, and H1e structure is not intended or of-
!ered for sa!e {Sec. 7044, Business and Pro!es·
sions Cede: The Contractor's License law does
not apply to an owner ol property who bu,lds or
1mpro\ies tnereon and who does such work
hirr.s-?!f or through hrs own employees, provided
tha1 such 1mprove<nents are not intended or ot-
lered for sate. If, however, the building or improve-
ment 1s sold with:n one year of completion, the
o·.-mcr-b"':der will have the burden o! proving that
he J,d net build or improve for the purpose of
s.;.!c.)
:..1, as ownero! the property, am exclusively con-
ir:c:ct.c,g w:!h iicensed contractors to construct
'.h':! ;,·o.~ct (Sec. 7044. Business .?.nd Prof sions
C, NY Tne Con•.rac1or's License law does tap-
p!·{ to a,, owner of property ·•ho builds r i~
prO·,es thert=on. and who contracts for sue p -
1ects ,~.th a contractor(s} license pursuant t !'1
~on'.ract:,r's license law). t
I a;r. e~e'T1p! ur-Cer Sec. B. &.._ --~-
!:,, l'liS rca~on_ ,..._ , ) \ \
~li:k _____ Owner r,( i '-' i , ,
CERTIFICATE OF EXEMPTION FROM
\"/Cf!KERS' COMPENSATION INSURANCE
(TTS section need net be completed ii ttle per-
r,1it ,s !r;r one hurdre-d dollars ($100) or Jess).
1 ~er1,1y tt-,at in the performance ol the work for
8~,i~'1 th:s perm,! is issued, l shall not employ any
,:uc.on in any manner so as to become subject to
:~,• Wcrkers' Compensation laws of California.
NOTICE TO APPLiCANT: If, after making this Cer-
lil;ca;e of En,rnp11on, you should become subject
\o t"le Vlor~.ers' Compensation provisions of the
Labor Coce, you must lorttlw1th comply with such
pro•1isions or this permi! shall be deemed revoked.
COt>STRUCTION LENDING AGENCY
-.... CITY OF CARLSB/ BUILDING DEPARTMENT I", -~
APPL IC,..,, ,ON & PERMIT APPL IC, , i" TO FILL IN INFOR -
-✓} -(. "'7.,'' 'b ~ /. • /),Z ADDRESS AV.ST. DATE 0
1
F'/APPL1CATION BUS. LICENSE PERMIT NUMBER _,_ . . I ',• //, , r;d· '? ~ 0 .2 t:, "JI 'I (r-'r I I I I , " 7 · 1 . I I I I I I I I I I I I I
'C 'kl,~ ))1 c~,L /_7-M. ' 'OWNER'S PHONE PRIME CONTRACTOR C". I I STATE LICENSE <JJ-9'-lf vi~ I ' ·-t I .vll<O.;l\,\.l"'•'c ~w,;;t I'" C.. ~oe11-
!&ER'S MAIL!NCl ADDRESS I u 15'-I LZRACTOR'S ADDRESS CONTRACTOR'S
PHONE ;""""'"z,
~ 1~333 WIMW'"-l'l.:F?c>G,!=P, ii";,-<.?'35
LO, S 1.0 CK I SUBDIVISION I '?ASSIE~.OR'S /,Rf/ii. NO. /1_J_ DESIGNER Cf"f f' ""'. ST ATE LICENSE
6" '· I I I/ I I ' S>//J;f1, r ,::L, ':;t. Lire/I-. OESCRIPTJO~ W/X \ {!,,-,.,__/,#--"' C.P-77/ /.2 ;,./ .( --'VC iia7Z"~s~ /fe,1 t ~. DESIGNER'S PHONE ooBfi7691 2~,~~,si
d--.:.-7. -IJ)/#,'"} ':T7. • • 4~ !tfo~
CENSUS TRACT GP LANO u(v I ZONING , I Res, urns ~iJ~' NU M B EV R I E s fwv Not V•lid Unless M•chin• Clrtifitld
BLDO SO'l/--ff Of"l SLOG USE acc. GP I STANDARD PLAN,; l'J=f~w TYPE CONST I occ. LOAD I
I cl>v-5 QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT,
. ~ ""1-~f ">1: EACH FIXTURE TRAP 1,..,0,.,... . ., INSTALL FURN. DUCTS UP TO 100,000 BTU /V.,,.
r J '·c '."\ ., '"' ;" -) . ' . ., . -,
i
"" 1''\r / . iC · i ! I
;/
V
.,. EACH BUILDING SEWER I. -OVER 100,000 BTU ' • EACH WATER HEATER AND/OR VENT ~ -BOILER/COMPRESSOR UP TO 3 HP
7 I -"ACH GAS SYSTEM I TO 4 OUTLETS -, BOILER/COMPRESSOR 3-15 HP _ffvtJ.ti G,7>(µ r,t(t':3 EACH GAS SYSTEM 5 0 R MORE -~ BPkl EA IGQHPAES&OR HI 38 IIP 'rr-·~--~ I l
EACH INSTAL., ALTER, REPAIR WATER PIPE -I VENT FAN W!GLE DUCT /J •;. --
EACH LAWN SPRINKLER SYSTEM MECH EXHAUST HOOD/DUCTS .,,. ~ ,,tt: .. ~tJ?. n~ ;ir ~ .
WATER SOFTNER RELOCATIOt-lOF EA FURNACE/HEATER ,V BUILDING PERMIT I " 7.-~-.
J --, • ,. , ,-< .tl-1:) ., , . --,' .... ~ SIGN PERMIT / ""l"7, --TOTAL PLUMBING qf),-TrrLMECH~ ~t.L. -PLAN CHECK ,;}_9'(/ ~ll-'1 « '~n, I •II
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT , I
ELECTRICAL PERMIT Qr_j. . :,:;'""fl.E_ Hmll:_PERMI 'I./ AMT. TOTAL PLUMBING ,,,. -
QTY. AMT. , ELECTRICAL ,"9. _._
l""'J NEW CONST EA AMP/SWTIBKR I vo ,r /.I, --V V ~ING // / J (7 ,.,, .,, . ~ MECHANICAL . " '
I/ I PH .25 3 PH • /.Y PORCH ,, J ') / -" ,I ',,. MOBILE HOME I I ' , I
EXIST BLDG EAAMP/SWT/BKR ./ d SET-UP I '/ 1/1/ . ~ SOLAR I .-:: ·'1 r10 -• . '
I PH .25 3 PH /, RAMADA, CABANX '/ A -,/ . , I I • I ,, t"':i,i1~
REMODEL/ALTER PER CIRCUIT -~ FENCE OVER 9'. /7 I I ' I . "
TEMP POLE 200 AMPS ./ In.✓ TOTAL MOBILE HOME I .. -MICO·FILM I I I , I
OVER 200 AMPS .,, r 1~, . ..-,... _Jl,_ ,,,._,, ----....
. --I I I ' I,
TEMP OCCUPANCY 130 DAYll'I' ... , .,~ I I I I • I ,... .
, . I -_/ ,2__,,()c/ • i ti.~ r.:::,..; --I I I • I .
TOTAL E,¢RICAL 17 ,1c._ \ r --I, , .. ( TOTAL FEES PAYABLE I ' -.,.,,-,
CON TR A""""' -.I -, ,i.:.--. -, • I I ., "
o -/ i. /J-:t;;;N ~ ' 't:t, j I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PEAMlT,ANO DO 'AN OSHA PERMIT IS REou,REO FOR EXCAVAT<ONSOVER 'V ft -
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO COFIRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION QI= fi ' )
FURTHER CERTIFY AND AGREE IF A PERMIT IS JSSUEO;TO COMPLY WITH ALL CITY, Sa.ES OVER 3 ST/2ES IN::.E<GHT r £-. 4-3, v--COUNTY AND STATE LAWS GO\IERNLNG BUILDING CONSTRUCTION. WHETHER
SPECIFIED 'iEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM ~ h ,, / rn t___ :M LESS THE CITY OF CAALSflAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
E Xf'ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY tN CONSEQUENCE
OF THE (;RANrlNG OF THIS PERMIT. APPLICANT"S S1GNATUflE• OWNER• ?NTRACTOR• IAPPR01(EO SY '!'tiff/,.
~
i5 .: ~ 0.. V>
,!e
j
\
i l l
I
l
y1
:
f
\jl
1 .
.
'
...... __
l t
1 •
'
SITE
ADDRESS:
INSPECTION DATE INSPECTOR
WOOD FLOOR
FOUNDATION• FORMS• SET BACK • TOILET
UNDER FLOOR PLUMBING ,.,.~A /
UNDER FLOOR HEATING ,
OK TO INST ALL SUB FLOOR
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING• FORMS• SETBACK• TOILET
"
OK TO POUR CONCRETE ,.,....VYL
I •
FRAME ,,, Vl1 .• J • ri--.,
ROUGH ELECTRICAL U/ 0 'Y'--
ROUGH PLUMBING ,,u -/ ~-
ROUGH HEATING/VENTILATING "'" () n"'-'
rRAME OK • PLACE INSULATION ,
·-INSULATION OK • PLACE WALLtlOARD .
WALLBOARD OK• PLACE TAPE ' y
EXT-ER/OR LATH OK • PLACE STUCCO , r✓l?fl. II. ,ry·'-.J --. ' I ' .
FIREPLACE ' "•
ffAMPER & STEEL
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER {POLE)
SEWER . ,
GAS TEST Q17tJ _,,, YT'\.1
SWIM POOL • STEEL BONDING I
• PRE DECK
• FENCE PREPLASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT
' OTHER DEPT'S REQ COMPLETED .
ELEC METER-PERM-TEMP' ·•
GAS METER-PERM-TEMP,. "•
. 1 ·-.,.· •
.
CER~ pF.. OCCUPANCY ISSUED
•-• r
-
......
OWNER: PERMIT NO:· 'tl) -'-', '-'\
FIELD INSPECTION RECORD
' INSPECTOR'S NOTES
• ''">IO JT(J· . ~I,( YT-9 rq .:,P--)0 ",f () • ., . . ~
•, • ', . "
.
• .
'
.
" "o7_;:;j . ...£,' I "tr.I --v"'""-V .:JJ?.J~ ,r I -w -,,rr;, OU q/'71 P.S/f! ' If. iv,:,/ ""-f' .Y !) ll..:Tlf·
r(/ .J _;, f <JI v -.LJ . ; .Q )/V ..771 ? -r'!J' 17 • 7 V ,,w 'j ,.-: ~ ' r,o f J J.V-,} /\{ .,-~"//,,-y lj'/.l t':i77"'f ry "'/:;;/ 'C ~, ,
dh ,, "' q ./'7v<7.-,.,_ V . ~ ::,,::, I J' 11/_'7 7;"fil(p
) £"' ... l.JIV O 7 .:J,Y . .:Tc:,/ JfV/7 rrv~ ~vv u. ,., ?HI I a-;;; .J_ ;y / .;11 -,-·u ,-.
. "• 'v::,av ~ t-t:t..J./f/ n'/ -, " ~"'/JO -~ ,,, v, . V ~. , l r.l_L ~ ~ '-'V VJ .. rr, (l'pY .. --, -~ . . .
:Tc) ~ .5'-" f7J1 . I/ ,,, (,/ ~r.J -V!> "/:7V-" v r;f /7q :::7 . l" 7 u-;;J !J,d:7 ./1, '7 , J~ HII.T.).J if "-./.., .J;rf~V\, /}l:1.:/ I I
~'/"?" .)t~u 119 1 rr ri, J ..-.73 t:'/Y "g (I /I CI '7 _,,., 7 . -,~.._._. _,,-,-• "
!),;,. ,?/'::J('Oe.J ...LO ;y '" ... .., r.1 ~ ..Lt1 .-#"7 I YUQ 1 rr '3 -__ , ----
~ -~-