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Home My WebLink About2219 RECODO CT; ; 80-106; 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 full force and ef- fect. OWNER-BUILDER DECLARATION '111 hereby affirm that I am exempt from the Con- Vactor's License Law for the following reason (Sec. 7031.5,Buslness 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 ~~cg~• 7(';/!;,:e:::t{ ;o;; '60 ' DI, 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. 70«, 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. ____ -8. & P.C. for this reaso,~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, m: 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 fumlshed. 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 whle'-this permit fs Issued, I shall not employ any 1 any manner so as to become subject to <ers' Compensation Laws of California. TO APPLICANT: If, after making this Cer- ' Exemption, you should become subject _ int -rkers' Compensation provisions of the Labor\;ode, you must forthwith comply with such provls,l:)-llas or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction ten- ding agency for __ the_ perfor~anc~ -~f_ th_e work for CITY OF CARL SBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. ,l'F-t6Gt!),ni JOB ADDRESS AV. ST• 10ATE OF APP LICATION BUS. LICENSE PERMIT NUMBER ~1di/19 1 RO g 9D-1C 117 I I I I I I I I I I _J I I I I I I lt'J -10-O /~ ~~-OWNGA!Zv vJ. 0tL/YJ£!2 r c;r L/5-~rf £;;, f Ro\:;~R / r-:,\ t: 0 JJOA STATE LICENSE I C&> ow~~i'q ADP:/ /'}Def "-CONTRACTOR'S ADDRESS CONTRACTOR'S ; PHONE C:r. ,P?1 BLOCK ISo/1~:..N(] I ASSESSOR'S PARCEL NO. DESIGNER ST ATE LICENSE IO/!ntflG6DS!!! I I I I I I f I I I I - DESCRj'.:'J>I OF WORK~ 47,C /)~,-;:---DESIGNER'S ADDRESS DESIGNER'S PHONE ' ,,- CENSUS TRACT GP LANO USE ZONING I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not V•lid Unless M•chin1 f:Mtjfild BLOG SO. FT. BLOG USE occ. GP I STANDARD PLAN II I PLAN IO 11 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. ,_. EACH FIXTURN°RAP INS,ALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SQt/ER \ OVER 100,000 BTU EACH WATER HEATE~NO/OR VENT BOILER'q:OMPRESSOR UP TO 3 HP ~U4a,Q 1/~I~ f ~ 1 .\--EACH GAS SYSTEM 1 TO fil._UTLETS BOILER/C'Q_MPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MOR~ BOILER/CO~ESSOR 16-30 HP y~-t± t:f-t./o7;).... EACH INSTAL, ALTER, REPAIR WAT&I PIPE VENT FAN SING~ DUCT EACH LAWN SPRINKLER SYSTEM '\. MECH EXHAUST -IKI.OO/OUCTS -':.(: WATER SOFTNER '\ RELOCATION OF EA Fl>{INACE/HEATER BUILDING PERMIT I . I 1 t,,,., 11 r 1 .,,,,, .,A -~ .. ~ / _,,~. ',. \ ~ SIGN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I I I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I ~ I NEW co~ EA AMP/SWT/BKR AWNlrf&.. MECHANICAL I I I 1 PH .25 "' 3 PH PORCH '\ MOBILE HOME I I I EXIST BLOG EA ~/SWT/BKR SET-UP " SOLAR I I I I 1 PH .25 "-3 PH RAMADA, CABA'N.A -.... I I I I I REMODEL/ALTER PER C~IT FENCE OVER 6' '\. ..... -/--.-.J?, 1~· -I I I I TEMP POLE 200 AMPS "-TOTAL MOBILE HOME'\. r MICO•Fll.,'ll7" ! ' I I I OVER 200 AMPS " "' I . I I ; I TEMP OCCUPANCY (30 DAYS) "' ' I . I I I ,,,,,, __ _,,Jo , • .I " '7 ----I I -. I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1~{/o CONTRACTOR . I I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVE~ ?-~ HEREBY CERTIFY THAT ALL INF'ORMATION HEREON 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 CITY, STRUCTURES OVER 3 STORIES IN HEIGHT . COUNTY ANO ST ATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND A EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ,,, . OF THE GRANTING OF THIS PERMIT. A~'S SIGNATURW .-f-i_ IJ OWNE~ CONTRACTOR□ I APPROVED BY DATE /?A A , • 0,-. /._ .I ,I,;,.& AGENT D BY PHONED I ! ~ a ~ > ~ j::: ~ 0. VI ~ SITE ~-100 ADDRESS: 't .... 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 INST ALL 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 6: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 FINAL INSP BY BLOG DEPT (; ~ -'' -~- OTHER DEPT'S REQ COMPLETED '<,fj /. . ELEC METER-PERM-TEMP /J/U I~ GAS METER-PERM-TEMP CERT OF OCCUPANCY ISSUED " INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DATE: ---------)("".,. J1UG 15 1~, J BU I LD I NG ADDRESS : --~:.;;,.,2_:;2._---4--/,+J"------=~¾f=.-=--"~=~::....:;__-C:..::C _____________ _ /4 // 7 /S -7 CITY OF CARLSBAD Bmldrng Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED -----------PROVIDED ____________ _ PROVIDED PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED ____ ,_______ ------------ FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PL~-P.-fm.MQNJ ENVIRONMENTAL PROTECTION ADDITIONAL COMMENTS: IDED REAR SETBACK: .AMOUNT : ... ~ ___ DATE<i{• \~~11 OK 'CO F'INAL _______ DATE ____ _ ENGINEERING DEPARTMENT ,Yd t:/ TZJ R.O.W ._~4~A ___ INDU JJ.A IMPROVEMENT s· J.} A . ---,,--~----------- SEWER CONNECTION _,/J'-"-"-'~,.__ _____ DR I VEWA Y LO CA TI ON S_,..,.//..,._J4..__ ________ _ GRADING PERMIT ilk EASEMENTS ,.u,.,.,_~ LEGAL DESCRIPTION ~e-,.,d ~ _ ~ ADDITIONAL COMMENTS DRAINAGE~M ......... rt:~--- ---------------------- OK TO issuEJ,1/a FIRE DEPARTMENT DA TE 5-/s-Ji I PWI OK TO FINAL DATE ------------ SPRINKLING SYSTEM FIRE PROTECTION EQUIP . _______ ~ FIRE ALAR 1S 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 _______ _ 371